Major Rating Factors:
Fair overall results on stability tests (3.9 on a scale of 0 to 10) based on a significant -45% decrease in enrollment during the period, a steep decline in premium revenue in 2023 and excessive capital growth during 2023. Rating is significantly influenced by the strong financial results of Health Care Service Corporation. Excellent overall capitalization (8.7) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (7.8) containing small junk bond exposure.
Other Rating Factors:
Excellent liquidity (7.2) with ample operational cash flow and liquid investments. Weak profitability index (0.9) with 337.5 million in losses in the last five years. Average return on equity has been poor at -36.7%.
Principal Lines of Business:
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Licensed in:
All states except CT, HI, ME, NH, NJ, NY, VT
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Health Care Service Corporation
Investment Rating
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Company Address
300 East Randolph Street
Chicago, IL 60601
Chicago, IL 60601
Phone Number
(312) 653-6000
NAIC Number
78611
Website
Largest Affiliates