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) core HMO subsidiary, Health Plan of Nevada, both of Las Vegas, and its subsidiary, Sierra Health and Life Insurance Co.
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....
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