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OLDWICK, N.J.–(BUSINESS WIRE)–A.M. Best affirmed the banking backbone appraisement (FSR) of A- (Excellent) and the issuer acclaim ratings (ICR) of “a-” for the majority of the allowance subsidiaries of Humana Inc. (Humana) (headquartered in Louisville, KY) (NYSE:HUM). Concurrently, A.M. Best has affirmed the ICR of “bbb-” as able-bodied as the absolute debt ratings of Humana.

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Additionally, A.M. Best has affirmed the FSR of B (Good) and the ICR of “bbb ” of Kanawha Allowance Aggregation (Kanawha) (Lancaster, SC). A.M. Best has additionally affirmed the FSR of B (Good) and the ICRs of “bbb ” for the afterward subsidiaries of Humana: Humana Allowance of Puerto Rico, Inc. and Humana Bloom Affairs of Puerto Rico, Inc. (both domiciled in Puerto Rico). All ratings accept a abiding outlook. (See articulation beneath for a abundant advertisement of all companies and ratings.)

The appraisement affirmations for Humana’s amount allowance subsidiaries reflect able all-embracing associates growth, which was reflected in college circumscribed premiums, account revenues and beforehand income. Additionally, Humana accomplished favorable underwriting and pre-tax operating after-effects in its three amount segments: retail, employer accumulation and healthcare services. The alignment able its accord in government-sponsored business and accustomed its position in targeted barter markets. Humana apparent decidedly college acceptance in Medicare Advantage, stand-alone Medicare decree biologic plans, state-based Medicaid, and fabricated a cogent accretion in the alone bartering segment. The aggregation has alternate in both federal and state-based exchanges and, as a aftereffect of baddest business acquisitions, is leveraging its mission to accommodate commutual affliction casework to a broader spectrum of enrollees. Additionally, Humana has fabricated abundant investments in bloom advice technology, accession the aggregation to abridge and bigger alike bloom affliction while abbreviation costs. This has added the company’s adeptness to advantage predictive clay capabilities that advice bloom insurers bigger ahead members’ needs. Moreover, some of Humana’s allowance subsidiaries accustomed basic infusions from the ancestor aggregation in adjustment to ster risk-adjusted basic and beforehand levels constant with A.M. Best’s expectations.

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Offsetting these absolute appraisement factors are the abeyant for business absorption risk, allowance aishment due to college appliance and reductions in government reimbursement, low beforehand allotment and the allowable clearing to a college medical blow arrangement standard. Because Humana has a continued history of accouterment bloom allowance casework through government-sponsored programs, including aggressive associates and their families, there is attentive abeyant for business absorption risk. The regularity of affirmation acceding banknote flows was choleric through the contempo government cloister on spending. Additionally, A.M. Best believes that if no alien allotment can be allocated to the risk-corridor pool, the ultimate acquittal for risk-corridor receivables is uncertain. Furthermore, while Humana is proactively managing its operating expenses, assessments such as the non-deductible bloom industry fee and costs to apparatus accurate requirements accompanying to the Patient Protection and Affordable Affliction Act (ACA) accept impacted profitability. Finally, A.M. Best believes that assertive Humana subsidiaries could account from added assets to accumulate clip with approaching exceptional growth.

Afterward Humana’s $1.75 billion debt arising in September 2014, the organization’s banking advantage added to a akin afterpiece to its peers. Generally, A.M. Best expects Humana to beforehand a debt-to-capital arrangement of 20%-30%, and the aggregation is currently at the aerial end of this range. A.M. Best believes Humana maintains solid clamminess and acceptable banking adaptability by afresh establishing a $1 billion bartering cardboard affairs and with absorption advantage able-bodied over 10 times. Moreover, Humana’s contempo advertisement to advertise its wholly endemic subsidiary, Concentra Inc. for almost $1 billion will allow the alignment the befalling to abutment beforehand in its bloom allowance subsidiaries. A.M. Best anticipates that Humana will beforehand the majority of the gain to beforehand its cardinal beforehand priorities or for accepted accumulated purposes rather than to armamentarium added allotment repurchases beneath its absolute $2 billion authorization.

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Although Kanawha continues to address poor underwriting after-effects and net losses, A.M. Best acknowledges Humana’s alertness to accommodate absolute banking abutment in the anatomy of absolute basic infusions over the accomplished several years. Additionally, in October 2014, Kanawha entered into a ceded reinsurance acceding with an affiliate, Humana Allowance Company, which covers life, affliction income, Medicare supplement, stop loss, cancer, analytical affliction and blow policies. A.M. Best believes that Humana should abide to carefully adviser Kanawha operations in adjustment to booty absolute activity to axis the course of abortive after-effects should the charge arise.

After because the blow of the bloom ameliorate (Medicaid) business in Puerto Rico and the accumulative antagonism for bartering business in the Commonwealth, A.M. Best will abide to adviser the circumscribed banking backbone of the Puerto Rico subsidiaries. The abridgement in acceptance and operating calibration added assemblage costs as the aggregation has had to beforehand a acceptable allocation of its basement in adjustment to sustain continuing operations. A.M. Best believes the accepted assets charcoal able for the akin of business operations aural these entities.

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Factors that could aftereffect in the advancement movement of the organization’s ratings accommodate bigger assets at the acknowledged entities, abiding abiding balance and beneath assurance on government-sponsored business. Conversely, factors that could aftereffect in abrogating appraisement accomplishments accommodate low or crumbling capitalization, aciculate abatement in balance trends, and absorption of revenues and earnings.

For a complete advertisement of Humana Inc. and its subsidiaries’ FSRs, ICRs and debt ratings, amuse appointment Humana Inc.

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The alignment acclimated in free these ratings is Best’s Acclaim Appraisement Methodology, which provides a absolute account of A.M. Best’s appraisement action and contains the altered appraisement belief active in the appraisement process. Best’s Acclaim Appraisement Alignment can be begin at www.ambest.com/ratings/methodology.

Key allowance belief letters utilized:

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This columnist absolution relates to rating(s) that accept been appear on A.M. Best’s website. For all appraisement advice apropos to the absolution and pertinent disclosures, including capacity of the appointment amenable for arising anniversary of the alone ratings referenced in this release, amuse appointment A.M. Best’s Ratings & Belief Center.

A.M. Best Aggregation is the world’s oldest and best accurate allowance appraisement and advice source. For added information, appointment www.ambest.com.

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Copyright © 2015 by A.M. Best Company, Inc. ALL RIGHTS RESERVED.

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