nonprofit health plan
UCare
Industry Insurance
A Minnesota nonprofit health plan serving public-program, individual, family, and Medicare members, with major 2026 coverage transitions. UCare's nonprofit mission is materially better than shareholder insurance, but instability and plan discontinuations sharply limit the current rating.
Why this matters: UCare shows both the value and fragility of nonprofit health-insurance alternatives under public-program funding pressure.
Letter grade D Extractive High confidence (AI) Rubric gcd-rubric-v1
* Tentative scaffolding score. Not human-checked or final.
Request verification to have the evidence record checked against primary materials and organization-supplied documents. Verification does not buy a higher score; scores change only when review finds factual errors, omissions, or miscalibration.
Evaluation Overview
D - Extractive
The score turns mainly on Ownership, with the largest penalty coming from Reversibility.
Strengths
- Ownership5/10
- Extraction5/10
- Governance4/10
Penalties
- Reversibility-5
- Accountability Opacity-2
- Policy Capture-1
- Subscription Capture-1
Evidence state
- ConfidenceHigh confidence (AI)
- ThoroughnessDeveloped (AI)
- Linked claims15
- Direct axis claims15
- Coverage15/15
Scoring Axes
| Axis | Score | Why this score |
|---|---|---|
Ownership
?
Control rights: shareholder-dominated at 0, worker cooperative control
at 10.
|
5 / 10 |
UCare's public materials identify its ownership form, parent relationship, nonprofit status, mutual structure, or shareholder-controlled insurance model. Linked evidence
|
Governance
?
Binding decision authority: centralized control at 0, democratic
stakeholder control at 10.
|
4 / 10 |
UCare's public record gives limited direct evidence about whether binding control sits with policyholders, members, nonprofit boards, parent companies, public shareholders, or executives. Linked evidence
|
Extraction
?
Surplus allocation, wage share, CEO pay ratio, margins, and structured
extraction judgment.
|
5 / 10 |
UCare's insurance model collects premiums or dues and controls how much value returns as claims, benefits, reserves, dividends, surplus, or shareholder/investor return. Linked evidence
|
Labor Sovereignty
?
Worker power: coercive conditions at 0, co-determination or ownership at
7. Employee dissatisfaction matters only when source-backed evidence
shows concrete limits on worker agency, such as coercive scheduling,
retaliation, wage theft, harassment, unsafe conditions, suppression of
worker voice, or extreme turnover.
|
3 / 7 |
UCare's public structure does not show ordinary workers holding binding democratic control over insurance operations. Linked evidence
|
Solidarity with the
Unemployed
?
Treatment of exits and nonworkers, including severance, redeployment,
and non-competes.
|
3 / 7 |
UCare's coverage model affects people during job loss, disability, illness, accidents, housing instability, or other periods when insurance access and continuity matter. Linked evidence
|
Loss-Bearing Fidelity
?
Willingness to absorb costs to preserve values, workers, users, and
public obligations.
|
2 / 7 |
UCare's product is built around bearing covered losses, but the public record also shows policy terms, eligibility, exclusions, or managed-care constraints that determine how much loss the insurer actually absorbs. Linked evidence
|
Market Conduct
?
Pricing fairness, switching costs, lock-in, and rent extraction.
|
3 / 5 |
UCare competes in insurance markets where pricing, underwriting, networks, formularies, claims handling, cancellation, and renewal practices determine ordinary consumer power. Linked evidence
|
Product Integrity
?
Preservation of quality rather than degradation for monetization.
|
2 / 5 |
UCare's core product can protect against catastrophic financial loss, but coverage integrity depends on claim payment, network adequacy, exclusions, and transparent policy terms. Linked evidence
|
Scale Integrity
?
Whether growth improves or degrades fairness and accountability.
|
2 / 5 |
UCare's scale and category make its underwriting, care-management, claims, or investment decisions consequential for households, workers, patients, pets, or public programs. Linked evidence
|
Penalties
| Penalty | Applied | Why this penalty |
|---|---|---|
Reversibility
?
Applied when positive conduct depends on current living leaders,
founders, family owners, or other person-contingent governance rather
than durable structure. Range: -5 to 0.
|
-5 |
UCare's public record makes Reversibility relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping. Linked evidence
|
Policy Capture
?
Private-interest attempts to bend law, regulation, subsidies, taxes,
enforcement, trade, labor, safety, competition, environmental,
healthcare, housing, surveillance, civil-liberties, or consumer policy
against workers, customers, citizens, affected communities, or
ecological life. Public-interest advocacy is not penalized merely
because it is lobbying. Range: -15 to 0.
|
-1 |
UCare's public record makes Policy Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping. Linked evidence
|
Subscription Capture
?
Manipulative recurring-payment, automatic-renewal,
cancellation-friction, bundling, trial-conversion, or refund designs
that profit from inertia or confusion. Range: -5 to 0.
|
-1 |
UCare's public record makes Subscription Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping. Linked evidence
|
Accountability Opacity
?
Material opacity, reputation laundering, or hidden accountability
structures that prevent public accountability. Range: -2 to 0.
|
-2 |
UCare's public record makes Accountability Opacity relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping. Linked evidence
|
Surveillance Capture
?
Invasive surveillance, unreasonably non-optional tracking, facial
recognition, biometric identification, or AI behavior scanning of
customers, workers, bystanders, or the public. Range: -5 to 0.
|
-1 |
UCare's public record makes Surveillance Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping. Linked evidence
|
Bonus Credits
| Bonus | Credit | Why this credit |
|---|---|---|
Good Deal
?
Credit for unusually fair value: durable quality, fair pricing, low
lock-in, and clear customer surplus.
|
1 / 3 |
UCare's public record makes Good Deal relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping. Linked evidence
|
Confidence Basis
Confidence Basis
Confidence is computed from the evidence trail and review state, not typed into the profile by hand.
High 80/100
15 verified linked claims 15 direct axis claims 0 disputed claims 15/15 components covered
This confidence label measures the source-backed evidence trail. AI-scaffolded scores remain tentative until human review.
Claim confidence 16/20
15 verified linked claims
Source quality 11/18
Best source per verified claim, weighted by institutional reliability
Direct axis-specific claims 14/18
15 direct claims across 15 active components
Dispute load 12/12
0 disputed claims on this entity
Recency 10/10
Newest accepted timestamp: May 13, 2026
Reviewer status 7/12
Human-reviewed components score higher than AI scaffolding
Component coverage 10/10
15/15 evidence-bearing components have direct support
Evidence State
Evidence State
Claims and Sources
Claims are the evidence record. Each claim needs a source link, axis category, status, confidence level, and timestamp before it can support a score.
* Tentative scaffolding score. Not human-checked or final.1UCare's public materials identify its ownership form, parent relationship, nonprofit status, mutual structure, or shareholder-controlled insurance model.
- UCare aboutOfficial self-description · 68%
2UCare's public record shows whether binding control sits with policyholders, members, nonprofit boards, parent companies, public shareholders, or executives.
- UCare aboutOfficial self-description · 68%
4UCare's public structure does not show ordinary workers holding binding democratic control over insurance operations.
- UCare aboutOfficial self-description · 68%
5UCare's coverage model affects people during job loss, disability, illness, accidents, housing instability, or other periods when insurance access and continuity matter.
- UCare 2026 coverage transitionGeneral web source · 58%
6UCare's product is built around bearing covered losses, but the public record also shows policy terms, eligibility, exclusions, or managed-care constraints that determine how much loss the insurer actually absorbs.
- UCare aboutOfficial self-description · 68%
7UCare competes in insurance markets where pricing, underwriting, networks, formularies, claims handling, cancellation, and renewal practices determine ordinary consumer power.
- UCare 2026 coverage transitionGeneral web source · 58%
8UCare's core product can protect against catastrophic financial loss, but coverage integrity depends on claim payment, network adequacy, exclusions, and transparent policy terms.
- UCare aboutOfficial self-description · 68%
9UCare's scale and category make its underwriting, care-management, claims, or investment decisions consequential for households, workers, patients, pets, or public programs.
- UCare 2026 coverage transitionGeneral web source · 58%
10UCare's public record makes Good Deal relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- UCare 2026 coverage transitionGeneral web source · 58%
11UCare's public record makes Reversibility relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- UCare 2026 coverage transitionGeneral web source · 58%
12UCare's public record makes Policy Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- UCare 2026 coverage transitionGeneral web source · 58%
13UCare's public record makes Subscription Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- UCare 2026 coverage transitionGeneral web source · 58%
14UCare's public record makes Accountability Opacity relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- UCare 2026 coverage transitionGeneral web source · 58%
15UCare's public record makes Surveillance Capture relevant to the evaluation through mutual/member governance, nonprofit mission, public-program policy, recurring premiums, policy complexity, healthcare data, marketing identity, or claims/care gatekeeping.
- UCare 2026 coverage transitionGeneral web source · 58%
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How This Page Is Maintained
Evidence comes in through contributors, is checked by verifiers, and is synthesized by reviewers. Founder authority remains narrow and visible; scores recalculate when verified claims or the rubric change.
Civic Note
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Audit Log
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