A.M. Best Affirms Ratings of Sierra Health Services Inc. and Its Subsidiaries; Revises Outlook to Positive
June 08 2006 - 4:53PM
Business Wire
A.M. Best Co. has affirmed the financial strength rating (FSR) of
B++ (Very Good) and issuer credit ratings (ICR) of "bbb+" of Sierra
Health Services Inc.'s (Sierra) (NYSE: SIE) core HMO subsidiary,
Health Plan of Nevada, Inc. (both of Las Vegas, NV) and its
subsidiary, Sierra Health and Life Insurance Company, Inc. (Los
Angeles, CA). A.M. Best has also affirmed the debt rating of "bb+"
on Sierra's senior unsecured convertible debentures due 2023, with
a current outstanding balance of $51.5 million. The outlook for all
ratings has been revised to positive from stable. The revised
outlook is based on Sierra's improved operating performance. Strong
organic membership and revenue growth, combined with a stable
medical cost trend and improved administrative expense ratio, have
resulted in consistent operating margins. This has allowed Sierra
to increase its holding company cash levels. These positive trends
are expected to continue in the medium term. Financial leverage for
Sierra has improved due to its solid earnings and the conversion of
over $63 million of its senior unsecured debentures to common stock
in 2005. Interest coverage is very good at over 20 times, driven by
Sierra's operating income. Sierra's ratings reflect the
organization's strong market presence in the Las Vegas area (with
almost 80% of the commercial HMO market) and its competitive price
advantage. Sierra's integrated care delivery model gives it a
significant cost and competitive advantage. Sierra's insurance
subsidiaries deliver cost effective care as seen by their
attractive medical loss ratio. Offsetting rating factors include a
one state, one market concentration risk, potential increased
competition from large national health insurance providers and a
non-portable operating model. Sierra's earnings and growth are due
in part to the strong economic growth in Las Vegas. Since Sierra's
integrated care delivery operating model is not portable, any
expansion efforts by the company outside of its core market would
most likely experience a high level of competition. A.M. Best
recognizes Sierra's improvement in operating performance and
financial flexibility. However, Sierra needs to maintain its
earnings and to increase the level of stand-alone risk-based
capitalization at the insurance subsidiaries in order for A.M. Best
to consider a rating upgrade. For Best's Debt Ratings, all other
Best's Ratings, an overview of the rating process and rating
methodologies, please visit www.ambest.com/ratings. For current
Best's Ratings, independent data and analysis on more than 1,100
individual life/health companies and A.M. Best groups, please visit
www.ambest.com/lh. 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.
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