C
Members Health Ins Co
Rating Date
September 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: Weak profitability index (0.9 on a scale of 0 to 10) with operating losses during 2018, 2019 and 2022. Average return on equity over the last five years has been poor at -5.5%. Weak overall results on stability tests (1.3) based on rapid premium growth over the last five years, a steep decline in capital during 2022. Potentially strong support from affiliation with Tennessee Rural Health Improvement Association. Excellent overall capitalization (7.8) based on excellent current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors: Excellent quality investment portfolio (8.2) containing small junk bond exposure. Excellent liquidity (7.5) with ample operational cash flow and liquid investments.
Principal Lines of Business: --
Licensed in: All states except AK, CA, CT, DC, DE, FL, HI, IA, LA, MA, ME, NC, NH, NJ, NV, NY, OH, RI, VA, VT, WI, WY
Principal Enrollment Breakdown: --
Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
812
Provider Compensation ($000)
Capitation Pay
0
Fee For Service
Contractual Pay
0
Salary
0
Bonus
0
Other
Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Tennessee Rural Health Improvement Association
Investment Rating
--
Company Address
147 Bear Creek Pike
Columbia, TN 38401
Phone Number
(931) 560-0041
NAIC Number
94587
Largest Affiliates
B
Columbia, TN - Health