Clover Health Investments CLOV Insurance Operations — Unpaid claims
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Where this comes from
Reported directly by Clover Health Investments in its filing.
Tagged under the XBRL concept us-gaap:LiabilityForUnpaidClaimsAndClaimsAdjustmentExpenseNet.
The source filing: Clover Health Investments’s 10-Q, filed May 8, 2026.
- Filed
- May 8, 2026, 8:06 AM EDT
- Fiscal quarter
- Q1 FY2026
- Calendar quarter
- Q1 2026
- Accession
- 0001801170-26-000122
Unpaid claims for Insurance operations were $260.4 million at March 31, 2026. During the three months ended March 31, 2026, $116.1 million was paid for incurred claims attributable to insured events of prior years. An unfavorable development of $6.4 million was recognized during the three months ended March 31, 2026, resulting from the Company's actual experience with claims developing differently as compared to the Company's estimates at December 31, 2025. A favorable development of $11.5 million was recognized during the three months ended March 31, 2025, resulting from the Company's actual experience with claims developing differently as compared to the Company's estimates at December 31, 2024. Original estimates are increased or decreased, as additional information becomes known regarding individual claims. The ratio of current year medical claims paid as a percentage of current year net medical claims incurred was 62.0% for the three months ended March 31, 2026, and 64.0% for the three months ended March 31, 2025. This ratio serves as an indicator of claims processing speed, indicating that claims were processed at a slower rate during the three months ended March 31, 2026, than during the three months ended March 31, 2025.
Item 1. Financial Statements (Unaudited)
FAQ
- What is Clover Health Investments's insurance operations — unpaid claims?
- Clover Health Investments (CLOV) reported insurance operations — unpaid claims of $260.4M in Q1 2026.
- How has Clover Health Investments's insurance operations — unpaid claims changed year-over-year?
- Clover Health Investments's insurance operations — unpaid claims increased by 72.5% year-over-year, from $151M to $260.4M.
- What is the long-term trend for Clover Health Investments's insurance operations — unpaid claims?
- Over 3 years (2022 to 2025), Clover Health Investments's insurance operations — unpaid claims has grown at a 0.3% compound annual growth rate (CAGR), from $578.6M to $584.5M.
- What does insurance operations — unpaid claims mean?
- Represents the total estimated liability for insurance claims that have been reported but not yet settled or incurred but not yet reported. This figure reflects the company's obligation to policyholders for medical services already provided. It is a critical indicator of reserve adequacy and future cash outflow requirements for the insurance segment.
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