details the important role health - america's health insurance plans€¦ · catalogues what...
TRANSCRIPT
AHIP’s Health Coverage: State-to-State details the important role health plans play in all fifty states and the District of Columbia. This report catalogues what health plans contribute in terms of:
• Access to health care coverage
• Number of jobs the industry generates, both directly and indirectly
• Tax revenues paid to support the local economy Data for this report were compiled from various sources (please see end of report for a detailed list) and represents the most recent and complete information available. Due to the lack of synchrony in the organizations’ reporting cycles, some data are less recent than others.
TABLE OF CONTENTS
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota
Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia WashingtonWashington DC West Virginia Wisconsin Wyoming
Click on the state or state name for more information.
ME
OR
ID
MT
WY
CO
NM
CA
NV
UT
AZ
AK
HI
TX
OK
KS
NE
SD
ND
MN
IA
MO
AR
LA
WI
IL IN
MI
KY
TN
MS AL GA
SC
NC
VAWV
FL
OH
PA
MDDC
NY
VT
NH
MACT
NJ
RI
DE
WA
NATIONWIDEHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NATIONWIDE
43,026,817
16,705,694
16,588,721
14,341,086
12,236,445
17,275,659
49,420,200
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment Nationwide
Access to Insurance Covered Lives
Health Plan Employees6
512,113 Insurance-Related
Employees7
908,313
Health Plan Employees6D
$33,461,396,000 Insurance-Related
Employees7E
$55,327,976,000
Health Plan Employees6D
$71,981 Insurance-Related
Employees7E
$60,913
Health Insurance Coverage of the United States8F
56%
Private Other
14%
Medicare
20%
Medicaid
9% 2%
Uninsured
0 50,000,00025,000,000 37,500,00012,500,0006,250,000 18,750,000 31,250,000 43,750,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NATIONWIDE
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the nation in the year noted.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcareKaiser Permanente
UnitedHealthcareMutual of Omaha
UnitedHealthcare
Molina Healthcare UnitedHealthcare WellCare
Anthem Cigna
Anthem
Humana
Aetna
American Continental
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $20,495,224,000
Health Care Service Corporation
(HCSC)
Aetna Anthem
Centene
BlueCross BlueShield of
Michigan
Health Care Service Corporation
(HCSC)
ALABAMAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ALABAMA
513,241
230,165
234,709
62,867
193,821
261,470
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Alabama
Access to Insurance Covered Lives
Health Plan Employees6
4,148 Insurance-Related
Employees7
11,463
Health Plan Employees6D
$363,975,000 Insurance-Related
Employees7E
$747,881,000
Health Plan Employees6D
$87,747 Insurance-Related
Employees7E
$65,243
Health Insurance Coverage of Alabama Residents8F
57%
Private Other
15%
Medicare
19%
Medicaid
11% 4%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ALABAMA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
Viva HealthUnitedHealthcare
UnitedHealthcare
Viva Health
Humana
HumanaCigna
Aetna Cigna
American Retirement Life
Medigap10
Commercial9I
MedicareAdvantage11
BlueCross BlueShield of Tennessee
Blue Cross and Blue Shield of
Alabama
Blue Cross and Blue Shield of
Alabama
Blue Cross and Blue Shield of
Alabama
State Premium Tax Collected13J $317,657,000
ALASKAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ALASKA
61,156
28,676
25,697
28,818
12,376
110
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Alaska
Access to Insurance Covered Lives
Health Plan Employees6
48 Insurance-Related
Employees7
1,191
Health Plan Employees6D
$3,628,000 Insurance-Related
Employees7E
$70,071,000
Health Plan Employees6D
$76,379 Insurance-Related
Employees7E
$58,858
Health Insurance Coverage of Alaska Residents8F
53%
Private Other
9%
Medicare
18%
Medicaid
13% 7%
Uninsured
0 100,00050,000 75,00025,00012,500 37,500 62,500 87,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ALASKA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
UnitedHealthcareState Farm
Premera Blue Cross Blue Shield
of Alaska
Premera Blue Cross Blue Shield
of Alaska
Cigna Humana Moda HealthAetna
Mutual of OmahaHumanaMedigap10
Commercial9
MedicareAdvantage11
State Premium Tax Collected13J $64,400,000
Aetna
ARIZONAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ARIZONA
575,388
341,828
336,740
296,519
258,077
451,618
1,556,186
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Arizona
Access to Insurance Covered Lives
Health Plan Employees6
9,698 Insurance-Related
Employees7
16,614
Health Plan Employees6D
$675,461,000 Insurance-Related
Employees7E
$886,188,000
Health Plan Employees6D
$69,650 Insurance-Related
Employees7E
$53,341
Health Insurance Coverage of Arizona Residents8F
45%
Private Other
14%
Medicare
25%
Medicaid
13% 3%
Uninsured
0 1,500,000500,000 750,000250,000125,000 375,000 625,000 1,375,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ARIZONA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Health Net (Centene)
Blue Shield of California
Health Choice Arizona
University Family Care
UnitedHealthcareHumana
UnitedHealthcare
Humana
Mutual of Omaha Physicians Mutual
Mercy Care Plan UnitedHealthcare
CignaCentene
Aetna Cigna
American Continental
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12I
Blue Cross and Blue Shield of
Arizona
Blue Cross and Blue Shield of
Arizona
Blue Cross and Blue Shield of
Arizona
State Premium Tax Collected13J $545,124,000
ARKANSASHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ARKANSAS
198,662
331,573
324,397
74,462
172,082
124,417
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Arkansas
Access to Insurance Covered Lives
Health Plan Employees6
3,924 Insurance-Related
Employees7
5,992
Health Plan Employees6D
$210,904,000 Insurance-Related
Employees7E
$284,155,000
Health Plan Employees6D
$53,747 Insurance-Related
Employees7E
$47,426
Health Insurance Coverage of Arkansas Residents8F
51%
Private Other
16%
Medicare
22%
Medicaid
9% 2%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ARKANSAS
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
USAble Mutual WellCare
USAble MutualUnitedHealthcare
UnitedHealthcare
QualChoice
UnitedHealthcareHumana
Aetna Cigna QualChoice
Old Surety LifeHumanaMedigap10
Commercial9
MedicareAdvantage11
Arkansas Blue Cross and
Blue Shield
State Premium Tax Collected13J $192,020,000
Aetna
CALIFORNIAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. CALIFORNIA
9,676,953
2,089,192
2,347,516
709,106
896,977
2,411,331
10,592,677
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in California
Access to Insurance Covered Lives
Health Plan Employees6
54,310 Insurance-Related
Employees7
99,427
Health Plan Employees6D
$4,360,583,000 Insurance-Related
Employees7E
$6,767,218,000
Health Plan Employees6D
$80,291 Insurance-Related
Employees7E
$68,062
Health Insurance Coverage of California Residents8F
54%
Private Other
10%
Medicare
26%
Medicaid
8% 2%
Uninsured
0 10,000,0002,500,000 3,750,0001,250,000625,000 1,875,000 3,125,000 9,375,000
South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. CALIFORNIA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
CALIFORNIA Most of the California health insurance plans report their enrollment statistics not to NAIC, but to state agencies. We report California statistics for large group, small group, and individual covered lives using combined data from the NAIC and the California Department of Managed Health Care. For large groups the reported statistic represents the number of enrollees receiving health insurance from an employer with 51 or more workers. For small groups, the reported statistic represents the number of enrollees receiving health insurance from an employer with 50 or fewer workers.
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota,
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
UnitedHealthcare
UnitedHealthcareMutual of Omaha
Kaiser Permanente
Humana
Centene Inland Empire
Anthem Cigna
Anthem
Kaiser PermanenteCentene
Aetna Blue Shield of California
Health Net LifeColonial PennMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $2,561,932,000
SCAN Health Plan
L.A. Care Health Plan
Blue Shield of California
CalOptima
COLORADOHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. COLORADO
716,508
291,662
304,626
307,466
164,638
274,365
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Colorado
Access to Insurance Covered Lives
Health Plan Employees6
9,399 Insurance-Related
Employees7
14,364
Health Plan Employees6D
$396,401,000 Insurance-Related
Employees7E
$745,601,000
Health Plan Employees6D
$42,177 Insurance-Related
Employees7E
$51,908
Health Insurance Coverage of Colorado Residents8F
56%
Private Other
13%
Medicare
19%
Medicaid
9% 3%
Uninsured
0 750,000300,000 450,000150,00075,000 225,000 375,000 675,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. COLORADO
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Rocky Mountain Hospital &
Medical (Anthem)
UnitedHealthcare
UnitedHealthcare
Kaiser Permanente
Mutual of Omaha
Anthem Cigna
Humana Kaiser Permanente
Aetna
American Retirement Life
Denver Health Medical Plan
Rocky Mountain Health Plans
(UnitedHealthcare)
HumanaMedigap10
Commercial9
MedicareAdvantage11
State Premium Tax Collected13J $277,647,000
Aetna
CONNECTICUTHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. CONNECTICUT
350,013
179,577
162,532
318,065
151,267
172,637
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Connecticut
Access to Insurance Covered Lives
Health Plan Employees6
9,544 Insurance-Related
Employees7
12,513
Health Plan Employees6D
$1,148,713,000 Insurance-Related
Employees7E
$742,212,000
Health Plan Employees6D
$120,366 Insurance-Related
Employees7E
$59,315
Health Insurance Coverage of Connecticut Residents8F
60%
Private Other
13%
Medicare
19%
Medicaid
6%
Uninsured
N/AG
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. CONNECTICUT
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
WellCareUnitedHealthcare
UnitedHealthcareUnited American
UnitedHealthcare
Humana
Anthem Cigna EmblemHealth
EmblemHealthAnthem
Aetna
Colonial PennAnthemMedigap10
Commercial9
MedicareAdvantage11
State Premium Tax Collected13J $208,895,000
Aetna
DELAWAREHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. DELAWARE
95,302
33,077
34,746
25,311
54,594
16,874
198,601
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Delaware
Access to Insurance Covered Lives
Health Plan Employees6
1,489 Insurance-Related
Employees7
2,298
Health Plan Employees6D
$103,399,000 Insurance-Related
Employees7E
$112,999,000
Health Plan Employees6D
$69,442 Insurance-Related
Employees7E
$49,173
Health Insurance Coverage of Delaware Residents8F
58%
Private Other
14%
Medicare
18%
Medicaid
7% 3%
Uninsured
0 200,00050,000 75,00025,00012,500 37,500 62,500 87,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. DELAWARE
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Transamerica Premier Life
UnitedHealthcare
UnitedHealthcare
Highmark
Humana
Cigna
Highmark
Highmark HumanaCigna
Aetna Geisinger Health Plan
Independence Blue Cross
HighmarkColonial PennMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $96,279,000
Aetna
UnitedHealthcare
FLORIDAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. FLORIDA
1,878,370
1,611,103
1,717,306
711,485
787,681
1,721,264
3,075,270
Employees Payroll Average Wage
Health Insurance Employment in Florida
Access to InsuranceLarge Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Covered Lives
Health Plan Employees6
29,828 Insurance-Related
Employees7
60,764
Health Plan Employees6D
$2,032,585,000 Insurance-Related
Employees7E
$3,465,051,000
Health Plan Employees6D
$68,144 Insurance-Related
Employees7E
$57,025
Health Insurance Coverage of Florida Residents8F
49%
Private Other
18%
Medicare
18%
Medicaid
13% 3%
Uninsured
0 5,000,0002,500,000 3,750,0001,250,000625,000 1,875,000 3,125,000 4,375,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. FLORIDA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcareHumana
UnitedHealthcareUnited American
UnitedHealthcare
Humana
Humana Molina Healthcare WellCare
Cigna Florida Blue Humana
Anthem
Florida Blue
Aetna
Florida BlueColonial PennMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $705,400,000
Aetna America’s 1st Choice
Centene
GEORGIAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. GEORGIA
903,627
797,210
778,700
379,389
318,149
529,716
1,295,702
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Georgia
Access to Insurance Covered Lives
Health Plan Employees6
10,176 Insurance-Related
Employees7
27,949
Health Plan Employees6D
$661,452,000 Insurance-Related
Employees7E
$1,961,667,000
Health Plan Employees6D
$65,004 Insurance-Related
Employees7E
$70,187
Health Insurance Coverage of Georgia Residents8F
52%
Private Other
13%
Medicare
19%
Medicaid
14% 3%
Uninsured
0 1,000,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. GEORGIA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
WellCareUnitedHealthcare
UnitedHealthcare
Kaiser Permanente
Humana Mutual of Omaha
WellCare
BlueCross BlueShield of
Georgia (Anthem)
Anthem Cigna Humana
Anthem
Humana
Aetna
Continental LifeMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $428,700,000
Aetna Cigna
Centene
HAWAIIHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. HAWAII
636,539
45,442
45,475
354
7,447
115,401
290,143
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Hawaii
Access to Insurance Covered Lives
Health Plan Employees6
4,993 Insurance-Related
Employees7
2,775
Health Plan Employees6D
$189,128,000 Insurance-Related
Employees7E
$163,959,000
Health Plan Employees6D
$37,882 Insurance-Related
Employees7E
$59,095
Health Insurance Coverage of Hawaii Residents8F
55%
Private Other
15%
Medicare
18%
Medicaid
5%8%
Uninsured
0 650,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. HAWAII
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
WellCareUnitedHealthcare
USAA LifeUnitedHealthcare
UHA
Transamerica Life
Kaiser Permanente UnitedHealthcare WellCareAlohaCare
Kaiser PermanenteHumana
Cigna HMSA Kaiser Permanente
State FarmHumanaMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
Hawaii Medical Assurance Association
State Premium Tax Collected13J $157,900,000
HMSA
HMSA
IDAHOHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. IDAHO
207,022
139,089
138,659
58,702
67,498
93,015
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Idaho
Access to Insurance Covered Lives
Health Plan Employees6
2,062 Insurance-Related
Employees7
3,235
Health Plan Employees6D
$120,132,000 Insurance-Related
Employees7E
$134,465,000
Health Plan Employees6D
$58,274 Insurance-Related
Employees7E
$41,572
Health Insurance Coverage of Idaho Residents8F
56%
Private Other
14%
Medicare
18%
Medicaid
11% 1%
Uninsured
0 200,000100,000 150,00050,00025,000 75,000 125,000 175,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. IDAHO
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Transamerica Premier Life
UnitedHealthcareSelectHealth
UnitedHealthcare
SelectHealth
Sterling Life
PacificSourceHumana
Aetna CignaBlue Cross
of Idaho
Blue Cross of Idaho
Regence BlueShield
Mutual of OmahaContinental LifeMedigap10
Commercial9
MedicareAdvantage11
State Premium Tax Collected13J $87,727,000
ILLINOISHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ILLINOIS
2,150,959
610,092
627,055
1,351,691
723,168
455,683
1,857,784
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Illinois
Access to Insurance Covered Lives
Health Plan Employees6
19,064 Insurance-Related
Employees7
69,726
Health Plan Employees6D
$1,598,421,000 Insurance-Related
Employees7E
$3,181,946,000
Health Plan Employees6D
$83,847 Insurance-Related
Employees7E
$45,635
Health Insurance Coverage of Illinois Residents8F
60%
Private Other
14%
Medicare
19%
Medicaid
6% 1%
Uninsured
0 2,000,0001,000,000 1,500,000500,000250,000 750,000 1,250,000 1,750,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. ILLINOIS
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcareHumana
UnitedHealthcareMutual of Omaha
UnitedHealthcareHumana
Aetna
Cigna
Aetna
American Continental
Health Alliance Medical Plans
Family Health Network
Country LifeMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
Blue Cross and Blue Shield of Illinois (HCSC)
Health Care Service Corporation
(HCSC)
Health Care Service Corporation
(HCSC)
Health Care Service Corporation
(HCSC)
State Premium Tax Collected13J $424,959,000
Aetna
Centene Meridian Health
INDIANAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. INDIANA
339,902
237,179
234,142
281,018
336,633
294,743
601,632
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Indiana
Access to Insurance Covered Lives
Health Plan Employees6
9,631Insurance-Related
Employees7
17,899
Health Plan Employees6D
$811,994,000 Insurance-Related
Employees7E
$957,707,000
Health Plan Employees6D
$84,315 Insurance-Related
Employees7E
$53,508
Health Insurance Coverage of Indiana Residents8F
57%
Private Other
14%
Medicare
19%
Medicaid
9% 1%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. INDIANA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
UnitedHealthcare
UnitedHealthcare
UnitedHealthcare
Medico
MDWise
Blue Cross and Blue Shield of
Michigan
Anthem
Anthem
Humana
Aetna
American Retirement Life
AnthemMedigap10
Commercial9
MedicareAdvantage11I
Medicaid12
Physicians Health Plan of
Northern Indiana
State Premium Tax Collected13J $235,024,000
Southeastern Indiana Health Organization
AnthemIndiana University
Health Plans
Centene
IOWAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. IOWA
331,355
185,715
184,695
193,955
280,085
91,414
140,619
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Iowa
Access to Insurance Covered Lives
Health Plan Employees6
2,902 Insurance-Related
Employees7
11,837
Health Plan Employees6D
$236,519,000 Insurance-Related
Employees7E
$631,223,000
Health Plan Employees6D
$81,516 Insurance-Related
Employees7E
$53,326
Health Insurance Coverage of Iowa Residents8F
61%
Private Other
15%
Medicare
17%
Medicaid
5% 1%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. IOWA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Equitable Life & Casualty
UnitedHealthcare
UnitedHealthcare
UnitedHealthcare
Mutual of Omaha
UnitedHealthcare
Cigna
Health Alliance Humana
Aetna
Continental LifeMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
Medical Associates
Health Plans
State Premium Tax Collected13J $119,571,000
Wellmark Blue Cross and
Blue Shield
Wellmark Blue Cross and
Blue Shield
AetnaCatholic Health
Initiatives
AmeriHealth Caritas
Anthem
KANSASHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. KANSAS
349,731
240,639
173,039
71,267
224,586
69,441
407,302
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Kansas
Access to Insurance Covered Lives
Health Plan Employees6
3,117 Insurance-Related
Employees7
11,713
Health Plan Employees6D
$255,728,000 Insurance-Related
Employees7E
$614,552,000
Health Plan Employees6D
$82,056 Insurance-Related
Employees7E
$52,470
Health Insurance Coverage of Kansas Residents8F
61%
Private Other
13%
Medicare
13%
Medicaid
10% 2%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. KANSAS
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
American Continental
American Retirement Life
UnitedHealthcareHumana
UnitedHealthcare
HumanaCigna
UnitedHealthcare
Blue Cross and Blue Shield of Kansas City
Anthem
Highmark
Aetna
AetnaMedigap10
Commercial9I
MedicareAdvantage11
Medicaid12
Blue Cross and Blue Shield of Kansas City
Blue Cross and Blue Shield of
Kansas
Blue Cross and Blue Shield of
Kansas
State Premium Tax Collected13J $305,631,000
Aetna
Centene
KENTUCKYHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. KENTUCKY
364,158
96,315
99,421
153,519
199,000
238,925
1,230,664
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Kentucky
Access to Insurance Covered Lives
Health Plan Employees6
17,559 Insurance-Related
Employees7
12,718
Health Plan Employees6D
$1,046,912,000 Insurance-Related
Employees7E
$674,854,000
Health Plan Employees6D
$59,623 Insurance-Related
Employees7E
$53,065
Health Insurance Coverage of Kentucky Residents8F
54%
Private Other
16%
Medicare
22%
Medicaid
6%
Uninsured
N/AG
0 1,250,000300,000 450,000150,00075,000 225,000 375,000 1,175,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. KENTUCKY
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
WellCareUnitedHealthcare
UnitedHealthcare
HumanaCigna
Anthem Mutual of Omaha
Humana WellCare
Anthem
Aetna
Humana
Aetna
American Continental
American Retirement Life
University Health Care
Baptist Health Plan
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $145,250,000
Aetna Anthem
Anthem
N/AG
LOUISIANAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. LOUISIANA
367,993
246,122
233,672
190,118
135,388
257,486
1,413,184
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Louisiana
Access to Insurance Covered Lives
Health Plan Employees6
5,044 Insurance-Related
Employees7
14,295
Health Plan Employees6D
$359,944,000 Insurance-Related
Employees7E
$736,683,000
Health Plan Employees6D
$71,368 Insurance-Related
Employees7E
$51,536
Health Insurance Coverage of Louisiana Residents8F
53%
Private Other
13%
Medicare
20%
Medicaid
11%
Uninsured
N/AG
0 1,425,000300,000 450,000150,00075,000 225,000 375,000 1,350,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. LOUISIANA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
WellCare
UnitedHealthcare
UnitedHealthcare
Mutual of Omaha New Era Life
Anthem Centene UnitedHealthcareAetna
UnitedHealthcarePeoples Health
Aetna Cigna Humana
American Continental
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
Blue Cross and Blue Shield of
Louisiana
Blue Cross and Blue Shield of
Louisiana
State Premium Tax Collected13J $518,906,000
HumanaVantage
Health Plan
AmeriHealth Caritas
N/AG
MAINEHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MAINE
189,410
91,134
78,908
106,180
71,573
81,146
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Maine
Access to Insurance Covered Lives
Health Plan Employees6
2,310 Insurance-Related
Employees7
3,821
Health Plan Employees6D
$109,947,000 Insurance-Related
Employees7E
$184,554,000
Health Plan Employees6D
$47,606 Insurance-Related
Employees7E
$48,300
Health Insurance Coverage of Maine Residents8F
52%
Private Other
18%
Medicare
23%
Medicaid
5% 2%
Uninsured
0 200,000100,000 150,00050,00025,000 75,000 125,000 175,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MAINE
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Harvard Pilgrim Health Care
Community Health Options
Harvard Pilgrim Health Care
UnitedHealthcare
UnitedHealthcareTransamerica Life
Anthem Cigna
Humana
Aetna
Colonial PennAnthemMedigap10
Commercial9
MedicareAdvantage11
State Premium Tax Collected13J $102,528,000
AetnaUniversal American
(WellCare)Martin’s Point Health Care
MARYLANDHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MARYLAND
935,225
355,482
341,557
390,838
220,277
52,669
1,127,489
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Maryland
Access to Insurance Covered Lives
Health Plan Employees6
9,249 Insurance-Related
Employees7
14,824
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$1,049,096,000
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$70,772
Health Insurance Coverage of Maryland Residents8F
64%
Private Other
12%
Medicare
15%
Medicaid
7% 2%
Uninsured
0 1,000,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MARYLAND
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Kaiser Foundation Health Plan
UnitedHealthcare
UnitedHealthcare
UnitedHealthcare
Continental Life Mutual of Omaha
CareFirst Cigna
Anthem Priority Partners UnitedHealthcare
Aetna
Colonial PennCareFirstMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $552,526,000
Aetna CignaMedstar
Family ChoiceJohns Hopkins
Healthcare
Maryland Physicians Care
MedStar Family Choice
MASSACHUSETTSHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MASSACHUSETTS
1,251,997
240,699
237,563
261,183
292,062
264,461
847,876
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Massachuse!s
Access to Insurance Covered Lives
Health Plan Employees6
12,413 Insurance-Related
Employees7
22,431
Health Plan Employees6D
$1,001,050,000 Insurance-Related
Employees7E
$1,674,601,000
Health Plan Employees6D
$80,649 Insurance-Related
Employees7E
$74,656
Health Insurance Coverage of Massachuse!s Residents8F
59%
Private Other
12%
Medicare
23%
Medicaid
4% 1%
Uninsured
0 1,000,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MASSACHUSETTS
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Harvard Pilgrim Health Care
Harvard Pilgrim Health Care
UnitedHealthcare
UnitedHealthcare
Tufts Health Plan
Humana Tufts Health Plan
Tufts Health Plan
Fallon Health Tufts Health Plan
Aetna Cigna
Medigap10
Commercial9I
MedicareAdvantage11
Medicaid12
BlueCross BlueShield of
Massachusetts
BlueCross BlueShield of
Massachusetts
BlueCross BlueShield of
Massachusetts
State Premium Tax Collected13J $406,796,000
Commonwealth Care Alliance
Boston Medical Center
Health New England
Neighborhood Health PlanCentene
MICHIGANHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MICHIGAN
1,813,815
439,932
440,164
148,411
407,166
677,286
1,740,877
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Michigan
Access to Insurance Covered Lives
Health Plan Employees6
13,741 Insurance-Related
Employees7
29,355
Health Plan Employees6D
$1,095,907,000 Insurance-Related
Employees7E
$1,531,341,000
Health Plan Employees6D
$79,757 Insurance-Related
Employees7E
$52,166
Health Insurance Coverage of Michigan Residents8F
59%
Private Other
16%
Medicare
19%
Medicaid
6%
Uninsured
N/AG
0 1,875,000500,000 750,000250,000125,000 375,000 625,000 1,750,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MICHIGAN
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Priority HealthMolina Healthcare
UnitedHealthcare
Priority HealthCigna
Mutual of Omaha Priority Health
Meridian Molina Healthcare UnitedHealthcare
Health Alliance Plan of Michigan
(HAP)
Blue Cross and Blue Shield of
Michigan
Blue Cross and Blue Shield of
Michigan
Humana
Aetna
American Continental
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
Health Alliance Plan of Michigan
(HAP)
Blue Cross and Blue Shield of
Michigan
Blue Cross and Blue Shield of
Michigan
State Premium Tax Collected13J $328,138,000
McLaren Health Plan
MINNESOTAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MINNESOTA
682,912
289,951
296,784
908,711
122,942
159,329
808,681
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Minnesota
Access to Insurance Covered Lives
Health Plan Employees6
17,848 Insurance-Related
Employees7
20,929
Health Plan Employees6D
$1,708,697,000 Insurance-Related
Employees7E
$1,440,708,000
Health Plan Employees6D
$95,736 Insurance-Related
Employees7E
$68,840
Health Insurance Coverage of Minnesota Residents8F
64%
Private Other
15%
Medicare
14%
Medicaid
6% 1%
Uninsured
0 1,000,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MINNESOTA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcareUCare
UnitedHealthcare
PreferredOne
Continental Life Mutual of Omaha
Medica PrimeWest UCare
Cigna HealthPartners Medica
MedicaHumana
Colonial PennMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
Blue Cross and Blue Shield of
Minnesota
Blue Cross and Blue Shield of
Minnesota
State Premium Tax Collected13J $457,876,000
HealthPartnersBlue Cross and Blue Shield of
Minnesota
Blue Cross and Blue Shield of
Minnesota
MISSISSIPPIHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MISSISSIPPI
203,882
140,266
144,050
34,891
143,841
88,713
488,399
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Mississippi
Access to Insurance Covered Lives
Health Plan Employees6
1,027 Insurance-Related
Employees7
5,660
Health Plan Employees6D
$75,800,000 Insurance-Related
Employees7E
$292,792,000
Health Plan Employees6D
$73,843 Insurance-Related
Employees7E
$51,735
Health Insurance Coverage of Mississippi Residents8F
46%
Private Other
15%
Medicare
23%
Medicaid
13% 3%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MISSISSIPPI
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Philadelphia American Life
WellCareUnitedHealthcare
UnitedHealthcare
UnitedHealthcare
Mutual of Omaha
Centene
Humana
Aetna Cigna
American Continental
Manhattan LifeMedigap10
Commercial9I
MedicareAdvantage11
Medicaid12
BlueCross BlueShield of Tennessee
Blue Cross and Blue Shield of
Mississippi
State Premium Tax Collected13J $317,659,000
Aetna Cigna
UnitedHealthcare
MISSOURIHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MISSOURI
627,261
338,254
360,263
211,477
306,191
349,069
484,885
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Missouri
Access to Insurance Covered Lives
Health Plan Employees6
10,578 Insurance-Related
Employees7
22,111
Health Plan Employees6D
$774,812,000 Insurance-Related
Employees7E
$1,322,599,000
Health Plan Employees6D
$73,251 Insurance-Related
Employees7E
$59,816
Health Insurance Coverage of Missouri Residents8F
63%
Private Other
15%
Medicare
13%
Medicaid
9% 1%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MISSOURI
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan," which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Transamerica Premier Life
UnitedHealthcare
UnitedHealthcare
UnitedHealthcareCigna
Mutual of Omaha
WellCare
Blue Cross and Blue Shield of
Michigan
Anthem
Aetna
Essence Humana
Aetna
Healthy Alliance Life
HumanaMedigap10
Commercial9
MedicareAdvantage11I
Medicaid12
Blue Cross and Blue Shield of Kansas City
State Premium Tax Collected13J $400,734,000
Aetna
Centene
MONTANA HEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MONTANA
72,385
74,508
77,816
91,675
68,809
41,022
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Montana
Access to Insurance Covered Lives
Health Plan Employees6
658 Insurance-Related
Employees7
3,984
Health Plan Employees6D
$45,465,000 Insurance-Related
Employees7E
$184,000,000
Health Plan Employees6D
$69,148 Insurance-Related
Employees7E
$46,185
Health Insurance Coverage of Montana Residents8F
52%
Private Other
17%
Medicare
16%
Medicaid
10% 4%
Uninsured
0 100,00050,000 75,00025,00012,500 37,500 62,500 87,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. MONTANA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
Montana Health CO-OP
UnitedHealthcare
UnitedHealthcare
PacificSource
Sterling Life
Humana
Aetna Cigna
American Continental
Medigap10
Commercial9
MedicareAdvantage11
Blue Cross and Blue Shield of
Montana
Health Care Service Corporation
(HCSC)
State Premium Tax Collected13J $98,463,000
AetnaHealth Care
Service Corporation (HCSC)
Regence BlueCross BlueShield
NEBRASKAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEBRASKA
242,699
147,799
138,139
173,582
161,618
37,458
225,746
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Nebraska
Access to Insurance Covered Lives
Health Plan Employees6
7,559 Insurance-Related
Employees7
6,575
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$404,337,000
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$61,501
Health Insurance Coverage of Nebraska Residents8F
62%
Private Other
13%
Medicare
13%
Medicaid
8%
Uninsured
N/AG
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEBRASKA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan," which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
UnitedHealthcare
UnitedHealthcare
Manhattan Life Mutual of Omaha
WellCareCentene
Highmark Humana
Aetna Cigna Humana
American Continental
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
Blue Cross and Blue Shield of
Nebraska
State Premium Tax Collected13J $65,465,000
AetnaCatholic Health
Initiatives
UnitedHealthcare
Blue Cross and Blue Shield of
Nebraska
NEVADAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEVADA
400,802
109,622
112,400
65,230
80,619
161,312
436,468
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Nevada
Access to Insurance Covered Lives
Health Plan Employees6
3,181 Insurance-Related
Employees7
5,842
Health Plan Employees6D
$184,876,000 Insurance-Related
Employees7E
$259,571,000
Health Plan Employees6D
$58,128 Insurance-Related
Employees7E
$44,436
Health Insurance Coverage of Nevada Residents8F
53%
Private Other
13%
Medicare
17%
Medicaid
11% 5%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEVADA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Prominence Health Plan
UnitedHealthcare
UnitedHealthcare
UnitedHealthcare
Mutual of OmahaRocky Mountain
Hospital & Medical
Anthem Cigna
Anthem
Anthem Humana
Aetna
American Retirement Life
HumanaMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $310,223,000
AetnaHometown Health Plan
UnitedHealthcare
NEW HAMPSHIREHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW HAMPSHIRE
136,752
58,277
59,619
94,317
88,264
22,511
135,479
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in New Hampshire
Access to Insurance Covered Lives
Health Plan Employees6
1,862 Insurance-Related
Employees7
3,864
Health Plan Employees6D
$119,506,000 Insurance-Related
Employees7E
$220,089,000
Health Plan Employees6D
$64,199 Insurance-Related
Employees7E
$56,959
Health Insurance Coverage of New Hampshire Residents8F
66%
Private Other
14%
Medicare
13%
Medicaid
5%
Uninsured
N/AG
0 200,000100,000 150,00050,00025,000 75,000 125,000 175,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW HAMPSHIRE
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Harvard Pilgrim Health Care
Harvard Pilgrim Health Care
Martin’s Point Health Care
UnitedHealthcare
UnitedHealthcareContinental Life
Humana
Colonial PennAnthemMedigap10
Commercial9 Aetna Anthem Cigna
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $113,473,000
AnthemMartin’s Point Health Care
Harvard Pilgrim Health Care
Centene
N/AG
Boston Medical Center
NEW JERSEYHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW JERSEY
998,293
299,946
288,892
541,837
437,503
256,247
1,667,148
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in New Jersey
Access to Insurance Covered Lives
Health Plan Employees6
8,023 Insurance-Related
Employees7
27,121
Health Plan Employees6D
$702,883,000 Insurance-Related
Employees7E
$2,019,842,000
Health Plan Employees6D
$87,614 Insurance-Related
Employees7E
$74,475
Health Insurance Coverage of New Jersey Residents8F
61%
Private Other
13%
Medicare
18%
Medicaid
8%
Uninsured
N/AG
0 2,000,0001,000,000 1,500,000500,000250,000 750,000 1,250,000 1,750,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW JERSEY
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan," which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
UnitedHealthcare
UnitedHealthcare
UnitedHealthcareAmeriHealth Cigna
Aetna UnitedHealthcare
Clover Health
Aetna
Continental LifeColonial PennMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $605,447,000
Horizon Blue Cross and Blue Shield of
New Jersey
Horizon Blue Cross and Blue Shield of
New JerseyAetna AmeriHealth
Anthem WellCare
N/AG
Horizon Blue Cross and Blue Shield of
New Jersey
Horizon Blue Cross and Blue Shield of
New Jersey
NEW MEXICOHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW MEXICO
141,491
57,883
52,653
32,648
54,522
124,655
690,045
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in New Mexico
Access to Insurance Covered Lives
Health Plan Employees6
3,007 Insurance-Related
Employees7
3,456
Health Plan Employees6D
$196,322,000 Insurance-Related
Employees7E
$150,487,000
Health Plan Employees6D
$65,299 Insurance-Related
Employees7E
$43,550
Health Insurance Coverage of New Mexico Residents8F
42%
Private Other
15%
Medicare
27%
Medicaid
12% 3%
Uninsured
0 750,000300,000 450,000150,00075,000 225,000 375,000 675,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW MEXICO
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
UnitedHealthcare
UnitedHealthcareHumana
New Mexico Health
Connections
Blue Cross and Blue Shield of New
Mexico (HCSC)
Health Care Service Corporation
(HCSC)
Molina HealthcareHumana
Aetna Cigna
American Retirement Life
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $214,688,000
Presbyterian Health Plan
Molina Healthcare UnitedHealthcare
Presbyterian Health Plan
Health Care Service Corporation
(HCSC)
Health Care Service Corporation
(HCSC)
Presbyterian Health Plan
NEW YORKHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW YORK
2,800,409
418,708
307,542
703,454
436,192
1,284,946
4,265,688
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in New York
Access to Insurance Covered Lives
Health Plan Employees6
31,805 Insurance-Related
Employees7
57,870
Health Plan Employees6D
$2,462,846,000 Insurance-Related
Employees7E
$5,106,767,000
Health Plan Employees6D
$77,437 Insurance-Related
Employees7E
$88,246
Health Insurance Coverage of New York Residents8F
56%
Private Other
13%
Medicare
24%
Medicaid
6%
Uninsured
N/AG
0 5,000,0002,500,000 3,750,0001,250,000625,000 1,875,000 3,125,000 4,375,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NEW YORK
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
First United American Life
UnitedHealthcare
UnitedHealthcareHumana
UnitedHealthcareAnthem EmblemHealth
Anthem
Healthfirst
Aetna
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $1,539,422,000
Excellus BlueCross BlueShield
Capital District Physicians Health Plan
EmblemHealthIndependent
Health
MetroPlus UnitedHealthcare
N/AG
Excellus BlueCross BlueShield
Excellus BlueCross BlueShield
New York State Catholic
Heath Plan
Neighborhood Health Plan
NORTH CAROLINAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NORTH CAROLINA
616,569
701,459
678,076
183,628
447,341
561,716
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in North Carolina
Access to Insurance Covered Lives
Health Plan Employees6
7,674 Insurance-Related
Employees7
19,671
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$1,095,058,000
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$55,670
Health Insurance Coverage of North Carolina Residents8F
55%
Private Other
13%
Medicare
18%
Medicaid
11%
Uninsured
N/AG
0 1,000,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NORTH CAROLINA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
North Carolina State Health Plan
UnitedHealthcare
UnitedHealthcare
UnitedHealthcare
Mutual of Omaha
BlueCross BlueShield of North Carolina
Cigna Humana
Aetna Cigna
American Continental
Medigap10
Commercial9
MedicareAdvantage11
BlueCross BlueShield of North Carolina
State Premium Tax Collected13J $503,407,000
Aetna
N/AG
BlueCross BlueShield of North Carolina
NORTH DAKOTAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NORTH DAKOTA
149,872
49,493
53,517
20,174
49,154
1,756
19,933
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in North Dakota
Access to Insurance Covered Lives
Health Plan Employees6
3,759 Insurance-Related
Employees7
2,892
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$110,079,000
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$38,070
Health Insurance Coverage of North Dakota Residents8F
65%
Private Other
14%
Medicare
10%
Medicaid
8% 3%
Uninsured
0 150,00050,000 125,00025,00012,500 37,500 62,500 137,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. NORTH DAKOTA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcareMutual of Omaha Noridian Mutual
Health Care Service Corporation
(HCSC)
Cigna Medica
UnitedHealthcareHumana
Aetna
American Continental
HumanaMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $65,113,000
Blue Cross and Blue Shield of North Dakota
Sanford Health Plan
Sanford Health Plan
OHIOHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. OHIO
850,081
413,440
377,435
801,198
430,059
818,535
1,618,971
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Ohio
Access to Insurance Covered Lives
Health Plan Employees6
19,776 Insurance-Related
Employees7
32,653
Health Plan Employees6D
$1,322,454,000 Insurance-Related
Employees7E
$1,764,802,000
Health Plan Employees6D
$66,873 Insurance-Related
Employees7E
$54,047
Health Insurance Coverage of Ohio Residents8F
57%
Private Other
15%
Medicare
21%
Medicaid
6% 1%
Uninsured
0 1,625,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. OHIO
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan”, which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited
number of employers in order to maintain anonymity. These states were listed as
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
UnitedHealthcare
Medical Mutual
Mutual of Omaha The Health Plan
Molina Healthcare UnitedHealthcare
Anthem Cigna
CareSource
Humana
Aetna AultCare
Medical MutualCommunityMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $579,408,000
Aetna AnthemMount Carmel
Health Plan
ProMedica Health SystemCentene
OKLAHOMAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. OKLAHOMA
435,957
189,972
181,871
120,333
179,956
117,553
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Oklahoma
Access to Insurance Covered Lives
Health Plan Employees6
3,214 Insurance-Related
Employees7
8,852
Health Plan Employees6D
$244,473,000 Insurance-Related
Employees7E
$416,899,000
Health Plan Employees6D
$76,077 Insurance-Related
Employees7E
$47,099
Health Insurance Coverage of Oklahoma Residents8F
53%
Private Other
14%
Medicare
17%
Medicaid
13% 3%
Uninsured
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. OKLAHOMA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcareHumana
UnitedHealthcareMutual of Omaha
State of Oklahoma
GlobalHealth
Aetna Cigna CommunityCare
American Retirement Life
Equitable Life & Casualty
Medigap10
Commercial9
MedicareAdvantage11
Blue Cross and Blue Shield of
Oklahoma (HCSC)
State Premium Tax Collected13J $322,604,000
Health Care Service Corporation
(HCSC)
Community Care HMO
Health Care Service Corporation
(HCSC)
OREGONHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. OREGON
702,003
280,998
272,901
120,031
134,349
346,881
862,040
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Oregon
Access to Insurance Covered Lives
Health Plan Employees6
9,846 Insurance-Related
Employees7
9,185
Health Plan Employees6D
$412,575,000 Insurance-Related
Employees7E
$498,190,000
Health Plan Employees6D
$41,905 Insurance-Related
Employees7E
$54,240
Health Insurance Coverage of Oregon Residents8F
53%
Private Other
14%
Medicare
24%
Medicaid
7% 2%
Uninsured
0 1,000,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. OREGON
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan," which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Transamerica Premier Life
Providence Health Plan
UnitedHealthcareMutual of Omaha
Regence BlueCross BlueShield
Regence BlueCross BlueShield
Wilamette Valley Community
Health
Moda Health PacificSource
Centene PacificSource
Kaiser Permanente
Individual Assurance Company
Continental LifeMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $86,283,000
Centene Kaiser Permanente UnitedHealthcareProvidence Health Plan
FamilyCare CCO
Health Share of Oregon
PENNSYLVANIAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. PENNSYLVANIA
1,968,632
578,745
581,698
407,456
633,002
1,027,346
2,266,614
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Pennsylvania
Access to Insurance Covered Lives
Health Plan Employees6
38,467 Insurance-Related
Employees7
40,560
Health Plan Employees6D
$2,966,713,000 Insurance-Related
Employees7E
$2,691,567,000
Health Plan Employees6D
$77,125 Insurance-Related
Employees7E
$66,360
Health Insurance Coverage of Pennsylvania Residents8F
60%
Private Other
16%
Medicare
18%
Medicaid
6% 1%
Uninsured
0 2,500,0001,250,000 1,875,000625,000312,500 937,500 1,562,500 2,187,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. PENNSYLVANIA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcareHighmark Mutual of Omaha
Highmark
Highmark
Aetna Highmark
American Retirement Life
AetnaMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $820,513,000
Aetna Independence Blue Cross
UPMC Health Plan
Geisinger Health Plan
Health Partners UnitedHealthcare
Capital BlueCross
Independence Blue Cross
UPMC Health Plan
AmeriHealth Caritas
UPMC Health Plan
RHODE ISLANDHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. RHODE ISLAND
142,804
47,574
41,806
13,213
46,246
81,486
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Rhode Island
Access to Insurance Covered Lives
Health Plan Employees6
1,572 Insurance-Related
Employees7
2,811
Health Plan Employees6D
$124,337,000 Insurance-Related
Employees7E
$343,390,000
Health Plan Employees6D
$79,095 Insurance-Related
Employees7E
$122,181
Health Insurance Coverage of Rhode Island Residents8F
64%
Private Other
13%
Medicare
17%
Medicaid
5%
Uninsured
N/AG
0 150,00050,000 75,00025,00012,500 37,500 62,500 87,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. RHODE ISLAND
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
USAA LifeUnitedHealthcareHumana
Blue Cross & Blue Shield of Rhode Island
Neighborhood Health Plan of Rhode Island
Healthfirst
Aetna Cigna
Colonial PennMedigap10
Commercial9
MedicareAdvantage11
Blue Cross & Blue Shield of Rhode Island
Blue Cross & Blue Shield of Rhode Island
State Premium Tax Collected13J $113,993,000
Neighborhood Health Plan of Rhode Island
Aetna
N/AG
Tufts Health Plan
SOUTH CAROLINAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. SOUTH CAROLINA
367,007
211,735
227,151
76,381
233,379
239,170
755,826
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in South Carolina
Access to Insurance Covered Lives
Health Plan Employees6
17,509 Insurance-Related
Employees7
10,313
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$540,478,000
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$52,410
Health Insurance Coverage of South Carolina Residents8F
52%
Private Other
16%
Medicare
19%
Medicaid
11% 2%
Uninsured
0 750,000300,000 450,000150,00075,000 225,000 375,000 675,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. SOUTH CAROLINA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Independence Blue Cross
UnitedHealthcare
UnitedHealthcareMutual of Omaha
UnitedHealthcare
Centene Molina Healthcare WellCare
Humana
Aetna Cigna
American Retirement Life
AetnaMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
BlueCross BlueShield of
South Carolina
State Premium Tax Collected13J $246,059,000
Aetna CignaIndependence
Blue Cross
AmeriHealth Caritas
BlueCross BlueShield of
South Carolina
BlueCross BlueShield of
South Carolina
SOUTH DAKOTAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. SOUTH DAKOTA
108,436
74,154
74,463
34,051
65,201
7,757
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in South Dakota
Access to Insurance Covered Lives
Health Plan Employees6
1,149 Insurance-Related
Employees7
3,160
Health Plan Employees6D
$71,335,000 Insurance-Related
Employees7E
$144,303,000
Health Plan Employees6D
$62,111 Insurance-Related
Employees7E
$45,666
Health Insurance Coverage of South Dakota Residents8F
62%
Private Other
14%
Medicare
14%
Medicaid
9%
Uninsured
N/AG
0 100,00050,000 75,00025,00012,500 37,500 62,500 87,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. SOUTH DAKOTA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
Sanford Health Plan
UnitedHealthcare
UnitedHealthcare
Blue Cross and Blue Shield of
Michigan
Avera Cigna
Humana Kaiser Permanente
Aetna
Physicians MutualAveraMedigap10
Commercial9
MedicareAdvantage11I
State Premium Tax Collected13J $86,879,000
Aetna
N/AG
Wellmark Blue Cross and
Blue Shield
Wellmark Blue Cross and
Blue Shield
TENNESSEEHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. TENNESSEE
452,080
359,261
358,452
527,030
272,860
451,555
1,558,779
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Tennessee
Access to Insurance Covered Lives
Health Plan Employees6
10,207 Insurance-Related
Employees7
18,062
Health Plan Employees6D
$726,822,000 Insurance-Related
Employees7E
$1,157,354,000
Health Plan Employees6D
$71,212 Insurance-Related
Employees7E
$64,079
Health Insurance Coverage of Tennessee Residents8F
51%
Private Other
16%
Medicare
19%
Medicaid
11%
Uninsured
N/AG
0 1,500,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. TENNESSEE
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Farm Bureau Health Plans
WellCareUnitedHealthcare
UnitedHealthcare
Humana
Mutual of Omaha
UnitedHealthcareAnthem
HumanaCigna
Aetna Cigna
American Continental
Farm Bureau Health PlansMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
BlueCross BlueShield of Tennessee
State Premium Tax Collected13J $885,037,000
N/AG
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee
TEXASHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. TEXAS
1,982,573
1,444,761
1,381,306
1,707,591
724,004
1,225,296
2,928,960
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Texas
Access to Insurance Covered Lives
Health Plan Employees6
27,325 Insurance-Related
Employees7
68,829
Health Plan Employees6D
$1,782,462,000 Insurance-Related
Employees7E
$4,101,399,000
Health Plan Employees6D
$65,233 Insurance-Related
Employees7E
$59,588
Health Insurance Coverage of Texas Residents8F
55%
Private Other
11%
Medicare
16%
Medicaid
16% 3%
Uninsured
0 5,000,0002,500,000 3,750,0001,250,000625,000 1,875,000 3,125,000 4,375,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. TEXAS
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
UnitedHealthcareContinental Life Mutual of Omaha
Anthem UnitedHealthcare
HumanaCigna
Aetna Cigna Humana
American Retirement Life
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
Blue Cross and Blue Shield of Texas (HCSC)
Universal American (WellCare)
Texas Children’s
Health Plan
State Premium Tax Collected13J $2,171,362,000
Aetna
Centene
Scott & White Health Plan
Health Care Service Corporation
(HCSC)
Community Health Choice
UTAHHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. UTAH
408,860
221,942
196,865
163,958
68,264
123,585
255,274
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Utah
Access to Insurance Covered Lives
Health Plan Employees6
3,101 Insurance-Related
Employees7
9,110
Health Plan Employees6D
$193,978,000 Insurance-Related
Employees7E
$470,313,000
Health Plan Employees6D
$62,563 Insurance-Related
Employees7E
$51,629
Health Insurance Coverage of Utah Residents8F
66%
Private Other
10%
Medicare
12%
Medicaid
10%
Uninsured
N/AG
0 600,000300,000 450,000150,00075,000 225,000 375,000 525,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. UTAH
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
UnitedHealthcareSelectHealth
UnitedHealthcare
SelectHealth
HOME Molina Healthcare SelectHealth
Cigna
Molina Healthcare
Aetna
American Continental
Equitable Life & Casualty
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
Regence BlueCross BlueShield
State Premium Tax Collected13J $133,157,000
University of Utah Health
Plans
Aetna
Regence BlueCross BlueShield
Regence BlueCross BlueShield
Healthy U Medicaid
Health Choice Utah
VERMONTHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. VERMONT
50,505
29,963
29,887
52,930
47,010
10,203
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Vermont
Access to Insurance Covered Lives
Health Plan Employees6
375 Insurance-Related
Employees7
1,615
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$100,172,000
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$62,045
Health Insurance Coverage of Vermont Residents8F
58%
Private Other
14%
Medicare
20%
Medicaid
5% 3%
Uninsured
0 100,00050,000 75,00025,00012,500 37,500 62,500 87,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. VERMONT
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Vermont Health Plan
Martin’s Point Health Care
MVP Health Care
UnitedHealthcare
UnitedHealthcareHumana
Humana
Aetna Cigna
Continental LifeColonial PennMedigap10
Commercial9
MedicareAdvantage11
Blue Cross and Blue Shield of
Vermont
State Premium Tax Collected13J $59,055,000
Aetna HighmarkMVP
Health Care
VIRGINIAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. VIRGINIA
1,532,371
510,210
494,008
428,677
368,473
231,416
739,178
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Virginia
Access to Insurance Covered Lives
Health Plan Employees6
12,604 Insurance-Related
Employees7
16,276
Health Plan Employees6D
$891,538,000 Insurance-Related
Employees7E
$914,193,000
Health Plan Employees6D
$70,737 Insurance-Related
Employees7E
$56,170
Health Insurance Coverage of Virginia Residents8F
61%
Private Other
14%
Medicare
11%
Medicaid
9% 5%
Uninsured
0 1,500,000500,000 750,000250,000125,000 375,000 625,000 1,375,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. VIRGINIA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
UnitedHealthcare
Optima Health
Anthem Mutual of Omaha
Optima Health
Anthem CareFirst Cigna
Aetna
Humana
Aetna
American Continental
American Retirement Life
Virginia Premier Health Plan
Virginia Premier Health Plan
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $491,495,000
Aetna Anthem
Anthem INTotal Health
WASHINGTONHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WASHINGTON
1,077,493
342,875
315,240
410,064
256,420
374,321
1,558,864
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Washington
Access to Insurance Covered Lives
Health Plan Employees6
15,788 Insurance-Related
Employees7
15,708
Health Plan Employees6D
$618,966,000 Insurance-Related
Employees7E
$972,115,000
Health Plan Employees6D
$39,204 Insurance-Related
Employees7E
$61,885
Health Insurance Coverage of Washington Residents8F
56%
Private Other
14%
Medicare
22%
Medicaid
7% 2%
Uninsured
0 1,500,000300,000 1,250,000150,00075,000 225,000 375,000 1,375,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WASHINGTON
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan," which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
Premera BlueCross
Regence BlueShield
UnitedHealthcare
UnitedHealthcare
Cigna Kaiser Permanente
Anthem Molina Healthcare
Kaiser PermanenteHumana
Aetna
Asuris North West Health
Premera Blue Cross
Regence BlueShield
Medigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $534,663,000
Regence BlueShield
Centene UnitedHealthcare
Catholic Health Initiatives
Community Health Plan of Washington
WASHINGTON DCHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WASHINGTON DC
803,245
37,442
30,738
33,705
9,503
7,231
179,221
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Washington DC
Access to Insurance Covered Lives
Health Plan Employees6
1,124 Insurance-Related
Employees7
1,740
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$146,831,000
Health Plan Employees6D
Not Reported Insurance-Related
Employees7E
$84,386
Health Insurance Coverage of Washington DC Residents8F
60%
Private Other
10%
Medicare
26%
Medicaid
4%
Uninsured
N/AG
Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
0 825,000300,000 450,000150,00075,000 225,000 375,000 750,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WASHINGTON DC
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
G. Estimates having standard errors greater than 30% cannot be considered reliable and are not reported. They appear as “N/A” herein.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
USAA LifeUnitedHealthcare
UnitedHealthcare
Humana
MedStar Health
CareFirst Cigna Kaiser Permanente
Cigna Humana
Aetna
Colonial PennCareFirstMedigap10
Commercial9
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $106,887,000
AetnaMedstar Family
Choice
AmeriHealth Caritas
HSC Health Care
System
Trusted Health Plan
WEST VIRGINIAHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WEST VIRGINIA
145,314
48,761
46,163
19,948
85,111
100,801
389,537
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in West Virginia
Access to Insurance Covered Lives
Health Plan Employees6
985 Insurance-Related
Employees7
3,677
Health Plan Employees6D
$49,317,000 Insurance-Related
Employees7E
$154,051,000
Health Plan Employees6D
$50,068 Insurance-Related
Employees7E
$41,902
Health Insurance Coverage of West Virginia Residents8F
44%
Private Other
19%
Medicare
29%
Medicaid
6% 1%
Uninsured
0 400,000100,000 150,00050,00025,000 75,000 125,000 375,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WEST VIRGINIA
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
Geisinger Health Plan
UnitedHealthcare
UnitedHealthcare
The Health Plan
Mutual of Omaha The Health Plan
Highmark
Cigna Highmark
Aetna
Highmark Humana
Aetna
HighmarkContinental LifeMedigap10
Commercial9
MedicareAdvantage11I
Medicaid12I
State Premium Tax Collected13J $158,315,000
Aetna The Health Plan
AnthemHealth Plan of the Upper Ohio Valley
WISCONSINHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WISCONSIN
983,771
337,013
279,545
227,138
267,315
366,159
708,458
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Medicaid5C
Health Insurance Employment in Wisconsin
Access to Insurance Covered Lives
Health Plan Employees6
17,073 Insurance-Related
Employees7
17,504
Health Plan Employees6D
$984,215,000 Insurance-Related
Employees7E
$940,721,000
Health Plan Employees6D
$57,649 Insurance-Related
Employees7E
$53,743
Health Insurance Coverage of Wisconsin Residents8F
61%
Private Other
14%
Medicare
17%
Medicaid
7% 1%
Uninsured
0 1,000,000500,000 750,000250,000125,000 375,000 625,000 875,000
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WISCONSIN
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C. Medicaid Managed Care Enrollment, only, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as
SourcesAll data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link: http://www.ahip.org/2017-State-Data
“Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
UnitedHealthcare
UnitedHealthcare
Humana
Physicians Mutual
Molina Healthcare UnitedHealthcare
Gundersen Health Plan
(Quartz)
Security Health Plan of Wisconsin
Security Health Plan of Wisconsin
Wisconsin Physicians Services
Anthem
Network HealthHumana
Anthem
American Continental
Dean Health Plan
Medigap10
Commercial9I
MedicareAdvantage11
Medicaid12
State Premium Tax Collected13J $196,543,000
Arise Health Plan
Dean Health Plan
Unity Health Insurance (Quartz)
Children’s Community Health Plan
WYOMINGHEALTH INSURANCEBY THE NUMBERS
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WYOMING
35,032
28,779
28,122
15,034
43,752
2,158
Employees Payroll Average Wage
Large Group1A
Small Group1A
Individual1A
HSA/HDHP2
Medigap3B
Medicare Advantage4
Health Insurance Employment in Wyoming
Access to Insurance Covered Lives
Health Plan Employees6
384 Insurance-Related
Employees7
1,091
Health Plan Employees6D
$18,221,000 Insurance-Related
Employees7E
$46,845,000
Health Plan Employees6D
$47,451 Insurance-Related
Employees7E
$42,938
Health Insurance Coverage of Wyoming Residents8F
63%
Private Other
14%
Medicare
10%
Medicaid
9% 4%
Uninsured
0 100,00050,000 75,00025,00012,500 37,500 62,500 87,500
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017. WYOMING
Largest Health Plans by Number of Covered LivesH
Illustrations are for graphical representation only and may not be exact.
NotesA. Large group covered lives were calculated as domestic comprehensive health
coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
B. Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
D. The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
The U.S. Census Bureau does not report data for those states having a limited number of employers in order to maintain anonymity. These states were listed as “Not Reported” and therefore, their data were not included in the calculation of statistics on payroll and average wages.
E. The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
Sources All data sources, labeled 1 - 13, are referenced in detail on the “Sources” page at the end of the full report, or at this link:
http://www.ahip.org/2017-State-Data
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F. These estimates are based on the Kaiser Family Foundation’s definitions. The sum may not add up to 100% due to exclusion of a small number of people with private coverage of an unknown source and rounding. Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
H. Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists do not include commercial health plans that are regulated by another state.
I. Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
J. Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
United of Omaha Life
Blue Cross of Idaho
UnitedHealthcare
UnitedHealthcare
UnitedHealthcareCigna
Humana
Aetna
American Continental
American Retirement Life
Medigap10
Commercial9I
MedicareAdvantage11
BlueCross BlueShield of
Wyoming
Regence BlueCross BlueShield
State Premium Tax Collected13J $27,991,000
Aetna Highmark
BlueCross BlueShield of
Wyoming
SOURCES1 Access to Insurance - Large Group, Small
Group and Individual Covered Lives
AHIP compilation of data from National Association of Insurance Commissioners (NAIC), Supplemental Health Care Exhibit Part 1 (for the year ending December 2015), by permission. The NAIC does not endorse any analysis or conclusion based upon the use of its data.
CALIFORNIA
Data from the California Department of Managed Health Care for 2015. Available at http://www.dmhc.ca.gov/DataResearch/FinancialSummaryData.aspx (accessed on April 18, 2017).
2 Access to Insurance - HSA Covered Lives
America’s Health Insurance Plans, Center for Policy and Research, “2016 Survey of Health Savings Accounts - High Deductible Health Plans.” Table 3 – “Table 3: Total HSA/HDHP Enrollment By State/Territory, January 2016.” Available at: https://www.ahip.org/wp-content/uploads/2017/02/2016_HSASurvey_ Draft_2.14.17.pdf (accessed on May 5, 2017).
3 Access to Insurance -- Medigap Covered Lives
America’s Health Insurance Plans, Center for Policy and Research (May 2017), “Trends in Medigap Enrollment and Coverage Options, 2015.” Table 7 – “Medigap Enrollment by Plan Type, State, and U.S. Territory, as Reported to the NAIC, December 2015.” Available at: https://www.ahip.org/wp-content/uploads/2017/05/Medigap_Report_5.1.17.pdf.
4 Access to Insurance - Medicare Advantage Covered Lives
Medicare Advantage/Part D Contract and
Enrollment Data from the Centers of Medicare and Medicaid Services. December 2016. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/index.html (accessed on April 18, 2017).
5 Access to Insurance - Medicaid
Health Management Associates analysis for AHIP of data from state agencies, NAIC, and S&P Global Market Intelligence.
6 Number of Direct Jobs, Payroll and Average Wages
U.S. Census Bureau 2014 County Business Patterns (NAICS) report. Direct jobs are defined using the insurance industry NAICS codes 524114 (direct health and medical insurance carriers) and 621491 (HMO medical carriers). Note: Only states that included information on number of jobs and payroll were used in this calculation.
7 Number of Other-Insurance Related Jobs, Payroll and Average Wages
U.S. Census Bureau 2014 County Business Patterns (NAICS) report. Other insurance-related jobs are defined using the insurance industry NAICS codes 524130 (reinsurance carriers), 524210 (insurance brokers and agents), 524291 (claims adjusting), and 524292 (third party administration of insurance and pension funds). Note: Only states that included information on number of jobs and payroll were used in this calculation.
8 Health Insurance Coverage
Kaiser Family Foundation (KFF) estimates based on the Census Bureau’s March 2016 Current Population Survey (CPS: Annual Social and
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017.
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017.
Economic Supplements). Available at: http://kff.org/other/state-indicator/total-population/ (accessed on April 18, 2017). Coverage is defined using the following hierarchy:
“Medicaid” includes Medicaid, CHIP and those who have both Medicaid and other types of coverage, such as dual eligibles.
“Private” includes those covered by employer-sponsored coverage either through their own job or as a dependent in the same household, as well as individuals/families that purchased or are covered as a dependent by a non- group insurance. This also includes individuals covered by private insurance outside the household for which the origin (employer-sponsored insurance or non-group plans) is unknown.
“Other public” includes those covered under the military or VA as well as nonelderly Medicare enrollees.
“Uninsured” includes those without health insurance and those who have coverage under the Indian Health Service only.
9 Top 5 Largest Health Plans by Number of Covered Lives - Commercial
AIS’s Directory of Health Plans: 2016. Washington, DC. Available on CD. Atlantic Information Services, Incorporated.
10 Top 5 Largest Health Plans by Number of Covered Lives - Medigap
AHIP analysis of 2015 Medicare Supplement insurance data from National Association of Insurance Commissioners (NAIC), by permission. The NAIC does not endorse any analysis or conclusion based upon the use of its data.
11 Top 5 Largest Health Plans by Number of Covered Lives - Medicare Advantage
AHIP analysis of data from Centers for Medicare & Medicaid Services (CMS). December 2016. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ MCRAdvPartDEnrolData/index.html (accessed on April 18, 2017).
12 Top 5 Largest Health Plans by Number of Covered Lives - Medicaid
For Medicaid health plan enrollment all data is for 2016, except for Nebraska (January 2017), North Dakota (2015), and Virginia (2015).
Health Management Associates analysis for AHIP of data from state agencies, NAIC and S&P Global Market Intelligence.
13 State Premium Tax Collected
U.S. Census Bureau, 2016 Annual Survey of State Government Tax Collections. Available at: https://www.census.gov/govs/statetax/(accessed on April 18, 2017).
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017.
NOTESA Access to Insurance - Large Group, Small
Group and Individual Covered Lives
Large group covered lives were calculated as domestic comprehensive health coverage policies issued to large group employers as of 12/31/15. This includes Federal Employees Health Benefit Plan, TRICARE and similar insured state and local fully insured programs, but does not include the self-funded coverage.
Small group covered lives were calculated as domestic comprehensive health coverage policies that were issued to small groups as of 12/31/15. AHIP used NAIC’s definition of a “small group plan,” which is defined as a health plan offered in the small group market as such term is defined in the state law. Small group definitions may vary across states.
Individual covered lives were calculated as comprehensive health coverage policies that were issued to an individual covering the individual and/or their dependents in the United States’ individual market as of 12/31/15. Group conversion policies are also included, as defined in NAIC Group Insurance Mandatory Conversion Privilege Model Act #105. Available at: http://www.naic.org/store/free/MDL-105.pdf (accessed on April 18, 2017).
CALIFORNIAMost of the California health insurance plans report their enrollment statistics not to NAIC, but to state agencies. We report California statistics for large group, small group and individual covered lives using combined data from the NAIC and the California Department of Managed Health Care. For large groups the reported statistic represents the number of enrollees receiving health insurance from an employer with 51 or more workers. For small groups, the reported statistic represents the number of enrollees receiving health insurance from an employer with 50 or fewer workers.
B Access to Insurance - Medigap Covered Lives
Medigap covered lives included the sum of enrollment numbers reported to NAIC and in the case of California, the enrollment numbers reported to the California Department of Managed Health Care.
C Access to Insurance - Medicaid Covered Lives
Medicaid Managed Care Enrollment, including the Medicaid expansion enrollment. All the data is as of December 2016 except for California, Delaware, and Iowa (November 2016); District of Columbia, Hawaii, Massachusetts, Missouri (September 2016); New Jersey (Quarter III, 2016); Louisiana (January 2017 for Medicaid expansion); North Dakota (2015 for Medicaid expansion); and Virginia (September 2016).
D Number of Direct Jobs, Payroll and Average Wages
The U.S. Census Bureau did NOT supply data on direct jobs in health insurance for NAIC code 524114 (Direct Health and Medical Insurance Carriers) for the following states: District of Columbia, Maryland, Nebraska, North Carolina, North Dakota, South Carolina, and Vermont.
The U.S. Census Bureau could only provide direct jobs data for NAIC code 621491 (HMO Medical Carriers) for the following states: Arizona, Florida, Louisiana, Michigan, Minnesota, and New Jersey. Missing data were assigned a value of zero.
E Number of Other Insurance-Related Jobs, Payroll and Average Wages
The U.S. Census Bureau was NOT able to supply data on NAIC code 524292 (Third Party Administration of Insurance and Pension
Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, October 2017.
Funds), for the following states: Colorado, Delaware, Maine, and North Dakota.
The U.S. Census Bureau could only provide direct jobs data for NAIC 524130 (Reinsurance Carriers) for the following states: California, Florida, Georgia, Illinois, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Vermont, Virginia, and Wisconsin.
The U.S. Census Bureau was NOT able to supply data on NAIC code 524291 (Claims Adjusting) for the following states: Alaska, District of Columbia, Louisiana, Nevada, New Jersey, New Hampshire, and Rhode Island. Missing data were assigned a value of zero.
F Health Insurance Coverage - Private
Private health insurance coverage is defined as those either covered by employer-sponsored coverage through their own job or as a dependent in the same household, or as individuals/families that purchased or are covered as a dependent by non-group insurance. Private health insurance coverage also includes individuals covered by private insurance from outside the household for which the origin (employer-sponcored insuranceI or non-group plans) is unknown. These estimates are based on the Kaiser Family Foundation’s definitions.
G Number of Other Insurance-Related Jobs, Payroll and Average Wages
Health plan listings are alphabetical among the set of plans with the highest enrollment in the state in the year noted. Plan lists include national or multi-state accounts administered by health plans from other states.
For their commercial enrollment, plans may either report enrollees by the state in which
they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
For Medicaid health plan enrollment all data is for 2016, except for Nebraska (January 2017), North Dakota (2015), and Virginia (2015).
H State Premium Tax Collected
Includes state premium taxes collected from all types of insurance companies, including health insurance. This reflects existing state tax laws, not the federal ACA health insurance tax.
I Health Plan Enrollment by State
Plans may either report enrollees by the state in which they live OR the state in which the policy is purchased. Thus, cases may arise where enrollees residing in one state purchased a policy from another state.
Connect with Us
America’s Health Insurance Plans 601 Pennsylvania Avenue, NW South Building, Suite Five Hundred Washington, DC 20004
202.778.3200 | www.ahip.org
/ahip @ahipcoverage America's Health Insurance Plans