B
Emphesys Ins Co
Rating Date
January 2026
NAIC
Classification
Risk Adjusted
Capital Ratio #1
Risk Adjusted
Capital Ratio #2
Total
Assets
Capital
Health
Premiums
Net
Income
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Major Rating Factors: Good overall results on stability tests (6.1 on a scale of 0 to 10) based on consistent premium and capital growth in the last five years but rapid enrollment growth during the past five years. Rating is significantly influenced by the excellent financial results of Humana Inc. Excellent overall capitalization (10.0) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (9.9) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks.
Other Rating Factors: Excellent liquidity (7.1) with ample operational cash flow and liquid investments. Weak profitability index (1.1) with operating losses during 2019, 2020, 2021 and 2022. Average return on equity over the last five years has been poor at -11.6%.
Principal Lines of Business: --
Licensed in: All states except MN, NJ, NY
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
855
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
Salary
195
Bonus
0
Other
--
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Humana Inc
Investment Rating
HUM
Company Address
500 West Main Street
Louisville, KY 40202
Phone Number
(502) 580-1000
NAIC Number
88595
Largest Affiliates
A
De Pere, WI - Health
A
Louisville, KY - Health
A
Louisville, KY - Health
A
Milwaukee, WI - Health
A
Louisville, KY - Health