B
Emphesys Ins Co
Rating Date
April 2025
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: Fair overall results on stability tests (4.8 on a scale of 0 to 10) in spite of healthy premium and capital growth during 2022 but an excessive 955% enrollment growth during the period. Rating is significantly influenced by the excellent financial results of Humana Inc. Excellent overall capitalization (9.7) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels. Excellent quality investment portfolio (9.2) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks.
Other Rating Factors: Excellent liquidity (7.3) with ample operational cash flow and liquid investments. Weak profitability index (0.9) with 14.8 million in losses in the last four years. Average return on equity over the last five years has been poor at -17.2%.
Principal Lines of Business: --
Licensed in: All states except CA, CO, HI, MI, MN, NJ, NY, VA, WA
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
Salary
123
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
Waukesha, WI - Health
A
Louisville, KY - Health