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A.M. Best Downgrades Ratings of Several Health Net Subsidiaries; Removes All Ratings From Under Review.


OLDWICK, N.J. -- A.M. Best Co. has downgraded the financial strength ratings to B++ (Very Good) from A- (Excellent) of Health Net Inc.'s (Health Net) (NYSE NYSE

See: New York Stock Exchange
: HNT HNT Hostage Negotiation Team ) (Woodland Hills, CA) life/health and health maintenance organization (HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
) subsidiaries in California. Additionally, A.M. Best has downgraded the financial strength ratings to B+ (Very Good) from B++ (Very Good) of Health Net's Northeastern subsidiaries. A.M. Best has also affirmed the financial strength rating of B++ (Very Good) of Health Net Health Plan of Oregon and Health Net of Arizona.

Concurrently, A.M. Best has downgraded the debt rating to "bb+" from "bbb-" on Health Net's $400 million 8.375% unsecured senior notes. The ratings have been removed from under review and assigned a stable outlook. (See list below.)

These rating actions reflect A.M. Best's assessment of the prior period adverse claims development reported in the first quarter of 2004, but related to 2003 and prior; the subsequent corrective actions A corrective action is a change implemented to address a weakness identified in a management system. Normally corrective actions are instigated in response to a customer complaint, abnormal levels if internal nonconformity, nonconformities identified during an internal audit or  taken by management; and the impact of those actions on future earnings.

In first quarter 2004, the company accelerated claims payment to reduce inventories in anticipation of a system conversion. The acceleration resulted in higher paid claims in the first quarter, which, in turn, caused actuarial ac·tu·ar·y  
n. pl. ac·tu·ar·ies
A statistician who computes insurance risks and premiums.



[Latin
 models to establish higher reserves for business booked in 2003, thus depressing earnings.

Corrective actions have focused on strengthening and centralizing cen·tral·ize  
v. cen·tral·ized, cen·tral·iz·ing, cen·tral·iz·es

v.tr.
1. To draw into or toward a center; consolidate.

2.
 contracting policies, procedures and terminology, as well as paying claims in order of claims magnitude versus incurred date and increasing pricing in California and the Northeast. However, A.M. Best remains concerned over the accuracy of trend estimations When a series of measurements of a process is treated as a time series, trend estimation is the application of statistical techniques to make and justify statements about trends in the data.  for future pricing, given the turmoil in claims processing and the impact of these initiatives on the overall profitability of the organization. Over 50% of Health Net's membership was renewed during the first half of the year before pricing increases could be implemented. Therefore, future rate increases should affect accounts priced in the second half of 2004, and the total effect of the rate increases may not fully materialize until the first quarter of 2005.

Problems in the Northeast are related to higher than expected hospital cost trends. The company is implementing medical cost management initiatives to address this issue. Additionally, pricing increases in the Northeast were initiated in the first quarter of 2004. Significant membership attrition is expected and recovery could be impacted by competitive pressures. The Northeast may place a strain on the California plan, which is experiencing difficulties, although results did improve in the second quarter.

A.M. Best will continue to monitor Health Net's results. Should membership and earnings expectation fall short of the forecast supplied or other issues arise, further rating actions may be taken.

A.M. Best acknowledges Health Net's continued diversification among segments and products, improved earnings at the Arizona and Oregon health plans The Oregon Health Plan is the Oregon state healthcare program for low income residents of Oregon. Eligibility
Basic eligibility requires that the applicant be a resident of Oregon, as a citizen or otherwise.
, as well as adequate capitalization of its regulated entities. A.M. Best recognizes that Health Net's management is committed to maintaining aggregated subsidiary capital at a minimum of 300% of Managed Care

Organizations' Risk-Based Capital (MCO MCO Managed care organization, see there  RBC RBC red blood cell.

RBC or rbc
abbr.
red blood cell


RBC,
n See red blood cell count.


RBC

red blood cells; red blood (cell) count (see blood count).
), thus exceeding mandatory thresholds. Excess cash has been used to pay down debt and reduce financial leverage, which currently stands at 23%. Over the near term, A.M. Best expects Health Net will continue to manage its financial leverage at or below 30% of total capitalization Total capitalization

The total long-term debt and all types of equity of a company that constitutes its capital structure.


total capitalization

See capitalization.
.

Finally, flexibility is deemed good, given a borrowing capacity of over $700 million from a bank line of credit.

The financial strength ratings have been downgraded to B++ (Very Good) with a stable outlook for the following subsidiaries of Health Net, Inc.:

--Health Net of California, Inc.

--Health Net Life Insurance Company

The financial strength ratings have been downgraded to B+ (Very Good) with a stable outlook for the following subsidiaries of Health Net, Inc.:

--Health Net of Connecticut, Inc.

--Health Net Insurance of Connecticut, Inc

--Health Net of New Jersey, Inc.

--Health Net of New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
, Inc.

--Health Net Insurance of New York, Inc.

The financial strength rating of B++ (Very Good) has been affirmed with a stable outlook for the following subsidiaries of Health Net, Inc.:

--Health Net of Arizona, Inc.

--Health Net Health Plan of Oregon, Inc.

The following debt rating has been downgraded with a stable outlook:

Health Net, Inc.--

-- "bb+" on $400 million 8.375% senior notes, due April 2011

For current Best's Ratings Best's rating

A rating A.M. Best Co. assigns to insurance companies based on the company's ability to meet its obligations to its policyholders.
, independent data and analysis on more than 1,050 health companies and more than 130 HMO industry composites, please visit http://www.ambest.com/health/.

For a list of A.M. Best's debt ratings, please visit http://www.ambest.com/debtratings/.

A.M. Best Co., established in 1899, is the world's oldest and most authoritative insurance rating and information source. For more information, visit A.M. Best's Web site at www.ambest.com.
COPYRIGHT 2004 Business Wire
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Copyright 2004, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Aug 2, 2004
Words:793
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