Statistical Compilation - National Association of Insurance

Transcription

Statistical Compilation - National Association of Insurance
Statistical Compilation
of Annual Statement Information
for Health Insurance
Companies in 201
Statistical Compilation of
Annual Statement Information
for Health Insurance
Companies in 2013
2014
The NAIC is the authoritative source for insurance industry information. Our expert solutions support the efforts
of regulators, insurers and researchers by providing detailed and comprehensive insurance information. The
NAIC offers a wide range of publications in the following categories:
Accounting & Reporting
Information about statutory accounting principles and the
procedures necessary for filing financial annual statements
and conducting risk-based capital calculations.
Special Studies
Studies, reports, handbooks and regulatory research
conducted by NAIC members on a variety of insurancerelated topics.
Consumer Information
Important answers to common questions about auto,
home, health and life insurance — as well as buyer’s
guides on annuities, long-term care insurance and
Medicare supplement plans.
Statistical Reports
Valuable and in-demand insurance industry-wide statistical
data for various lines of business, including auto, home,
health and life insurance.
Financial Regulation
Useful handbooks, compliance guides and reports on
financial analysis, company licensing, state audit
requirements and receiverships.
Legal
Comprehensive collection of NAIC model laws, regulations
and guidelines; state laws on insurance topics; and other
regulatory guidance on antifraud and consumer privacy.
Market Regulation
Regulatory and industry guidance on market-related
issues, including antifraud, product filing requirements,
producer licensing and market analysis.
Supplementary Products
Guidance manuals, handbooks, surveys and research
on a wide variety of issues.
Capital Markets & Investment Analysis
Information regarding portfolio values and procedures for
complying with NAIC reporting requirements.
White Papers
Relevant studies, guidance and NAIC policy positions on
a variety of insurance topics.
For more information about NAIC
publications, view our online catalog at:
NAIC Activities
NAIC member directories, in-depth reporting of state
regulatory activities and official historical records of
NAIC national meetings and other activities.
http://store.naic.org
© 2002-2014 National Association of Insurance Commissioners. All rights reserved.
ISBN: Printed in the United States of America
No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any storage or retrieval system, without written permission from the NAIC.
NAIC Executive Office
444 North Capitol Street, NW
Suite 700
Washington, DC 20001
202.471.3990
NAIC Central Office
1100 Walnut Street
Suite 1500
Kansas City, MO 64106
816.842.3600
NAIC Capital Markets
& Investment Analysis Office
One New York Plaza, Suite 4210
New York, NY 10004
212.398.9000
Companion Products
The following companion product provides additional information on the same or similar subject matter. Many
customers who purchase the Statistical Compilation of Annual Statement Information also purchase the
following products:
Competition Database Report
Helps subscribers examine the competitiveness of state insurance markets.
Serves as a starting point for studies of competition and can provide insight
when used to make multi-state and multi-year comparisons. Includes various
structural and performance measures that are readily determinable or
available from NAIC databases or other sources. Updated annually.
Market Share Reports for Groups and Companies
An easy reference for identifying top writers by premium volume. Allows
monitoring market share and overall level of market concentration. Reports
available for property/casualty, life/fraternal and accident/health insurers.
Contains the latest available year of data. Updated annually.
Market Share Reports for the Top 25 Property/Casualty Insurers
Over 25 Years
Helps subscribers identify and analyze current and historical growth patterns
of the top 25 property/casualty groups and companies over the preceding
25 years. Provides market share rankings, premium data and direct loss ratios
for 32 different lines of business. Electronic only.
Profitability by Line by State
Helps subscribers compare profitability among different states and
property/casualty lines, using statistics derived from state page data in the
annual statement and the Insurance Expense Exhibit. Provides aggregate
statistics on premiums, losses, expenses, investment income and estimated
profits for the preceding calendar year. Also shows estimated underwriting
profits, operating profits and estimated federal taxes. Updated annually.
Statistical Handbook of Data Available to Insurance Regulators
Insurance regulators use statistical data to evaluate the rates and rating
structures used by insurers in their respective jurisdictions. This publication
describes the collection, compilation and reporting of insurance statistical
information. Copyright 2004.
Financial Statement Data
Purchase the data that is the basis of this report and manipulate it to achieve
the best possible results for your research. With 10 years of data available, the
NAIC can help you determine market share, conduct market research and
track industry trends. Contact us at 816-783-8300 or [email protected] for a quote!
International orders must be prepaid, including shipping charges. Please contact an NAIC Customer Service Representative, Monday - Friday, 8:30 am - 5 pm CT.
Statistical Compilation of Annual Statement Information for
Health Insurance Companies in 2013
TABLE OF CONTENTS
INTRODUCTION............................................................................................................................................... 1
Report Format ....................................................................................................................................................... 1
Aggregation and Calculation of Data ................................................................................................................... 1
Crosschecks and Balances .................................................................................................................................... 2
Qualifications ........................................................................................................................................................ 2
ANNUAL STATEMENT FINANCIAL DATA ............................................................................................... 3
2013 Annual
Statement Page
2
2
2
2
2
3
3
3
3
3
4-5
6
7
8
9
10
11
12
13
14
15
15
16
17
24
25
SI01
SI04
SI05-SI07
SI08-SI09
36
37
2013 Report Page
2013 Assets....................................................................................................................................... 5
Graph – 2013 Distribution of Assets ................................................................................................ 7
2012 Assets....................................................................................................................................... 9
2011 Assets..................................................................................................................................... 10
2010 Assets..................................................................................................................................... 11
2009 Assets..................................................................................................................................... 12
2013 Liabilities, Capital and Surplus ............................................................................................. 13
2012 Liabilities, Capital and Surplus ............................................................................................. 14
2011 Liabilities, Capital and Surplus ............................................................................................. 15
2010 Liabilities, Capital and Surplus ............................................................................................. 16
2009 Liabilities, Capital and Surplus ............................................................................................. 17
Statement of Revenue and Expenses .............................................................................................. 18
Cash Flow ....................................................................................................................................... 20
Analysis of Operations by Lines of Business ................................................................................. 21
Underwriting and Investment Exhibit, Part 1 – Premiums ............................................................. 22
Underwriting and Investment Exhibit, Part 2 – Claims Incurred During the Year ........................ 23
Underwriting and Investment Exhibit, Part 2A – Claims Liability End of Current Year .............. 24
Underwriting and Investment Exhibit, Part 2B – Analysis of Claims Unpaid, Prior Year ............ 25
Underwriting and Investment Exhibit, Part 2C – Development of Paid and Incurred Claims ....... 26
Underwriting and Investment Exhibit, Part 2D – Aggregate Reserve for A & H Contracts .......... 27
Underwriting and Investment Exhibit, Part 3 – Analysis of Expenses........................................... 28
Exhibit of Net Investment Income ................................................................................................. 29
Exhibit of Capital Gains (Losses)................................................................................................... 29
Exhibit of Nonadmitted Assets ....................................................................................................... 30
Exhibit 1 – Enrollment by Product Type For Health Business Only ............................................. 31
Exhibit 7, Part 1 – Summary of Transactions with Providers ........................................................ 32
Exhibit 8 – Furniture, Equipment and Supplies Owned ................................................................. 33
Summary Investment Schedule ...................................................................................................... 34
Schedule D – Summary by Country ............................................................................................... 35
Schedule D, Part 1A, Section 1 ...................................................................................................... 36
Graph – 2009-2013 Maturity Distribution of Bonds ...................................................................... 39
Schedule D, Part 1A, Section 2 ...................................................................................................... 41
Schedule S, Part 6 – Five-Year Exhibit of Reinsurance Ceded Business ...................................... 44
Schedule S, Part 7 – Restatement of Balance Sheet ....................................................................... 45
Technical Notes .................................................................................................................................................. 46
© 2014 National Association of Insurance Commissioners
COUNTRYWIDE, CANADA, AND AGG OTHER ALIEN INSURANCE DATA .................................. 47
2013 Annual
Statement Page
2013 Report Page
38
Schedule T – Premiums and Other Considerations.............................................................................. 49
39
Schedule T – Part 2 – Interstate Compact Products – Exhibit of Premiums Written .......................... 50
Supp17 Medicare Part D Coverage Supplement ............................................................................................... 51
Graph – 2013 Direct Premiums Written, By State............................................................................... 53
30
Exhibit of Premiums, Enrollment and Utilization – Total (United States,
District of Columbia, U.S. Territories, Canada, Aggregate Other Alien) ............................................ 55
30
Exhibit of Premiums, Enrollment and Utilization – Alabama ............................................................. 56
30
Exhibit of Premiums, Enrollment and Utilization – Alaska ................................................................ 57
30
Exhibit of Premiums, Enrollment and Utilization – Arizona ............................................................... 58
30
Exhibit of Premiums, Enrollment and Utilization – Arkansas ............................................................. 59
30
Exhibit of Premiums, Enrollment and Utilization – California ........................................................... 60
30
Exhibit of Premiums, Enrollment and Utilization – Colorado ............................................................. 61
30
Exhibit of Premiums, Enrollment and Utilization – Connecticut ........................................................ 62
30
Exhibit of Premiums, Enrollment and Utilization – Delaware ............................................................ 63
30
Exhibit of Premiums, Enrollment and Utilization – District of Columbia........................................... 64
30
Exhibit of Premiums, Enrollment and Utilization – Florida ................................................................ 65
30
Exhibit of Premiums, Enrollment and Utilization – Georgia ............................................................... 66
30
Exhibit of Premiums, Enrollment and Utilization – Hawaii ................................................................ 67
30
Exhibit of Premiums, Enrollment and Utilization – Idaho .................................................................. 68
30
Exhibit of Premiums, Enrollment and Utilization – Illinois ................................................................ 69
30
Exhibit of Premiums, Enrollment and Utilization – Indiana................................................................ 70
30
Exhibit of Premiums, Enrollment and Utilization – Iowa.................................................................... 71
30
Exhibit of Premiums, Enrollment and Utilization – Kansas ................................................................ 72
30
Exhibit of Premiums, Enrollment and Utilization – Kentucky ............................................................ 73
30
Exhibit of Premiums, Enrollment and Utilization – Louisiana ............................................................ 74
30
Exhibit of Premiums, Enrollment and Utilization – Maine ................................................................. 75
30
Exhibit of Premiums, Enrollment and Utilization – Maryland ............................................................ 76
30
Exhibit of Premiums, Enrollment and Utilization – Massachusetts..................................................... 77
30
Exhibit of Premiums, Enrollment and Utilization – Michigan ............................................................ 78
30
Exhibit of Premiums, Enrollment and Utilization – Minnesota ........................................................... 79
30
Exhibit of Premiums, Enrollment and Utilization – Mississippi ......................................................... 80
30
Exhibit of Premiums, Enrollment and Utilization – Missouri ............................................................. 81
30
Exhibit of Premiums, Enrollment and Utilization – Montana ............................................................. 82
30
Exhibit of Premiums, Enrollment and Utilization – Nebraska ............................................................ 83
30
Exhibit of Premiums, Enrollment and Utilization – Nevada ............................................................... 84
30
Exhibit of Premiums, Enrollment and Utilization – New Hampshire.................................................. 85
30
Exhibit of Premiums, Enrollment and Utilization – New Jersey ......................................................... 86
30
Exhibit of Premiums, Enrollment and Utilization – New Mexico ....................................................... 87
30
Exhibit of Premiums, Enrollment and Utilization – New York ........................................................... 88
30
Exhibit of Premiums, Enrollment and Utilization – North Carolina.................................................... 89
30
Exhibit of Premiums, Enrollment and Utilization – North Dakota ...................................................... 90
30
Exhibit of Premiums, Enrollment and Utilization – Ohio.................................................................... 91
30
Exhibit of Premiums, Enrollment and Utilization – Oklahoma ........................................................... 92
30
Exhibit of Premiums, Enrollment and Utilization – Oregon................................................................ 93
30
Exhibit of Premiums, Enrollment and Utilization – Pennsylvania ...................................................... 94
30
Exhibit of Premiums, Enrollment and Utilization – Rhode Island ...................................................... 95
30
Exhibit of Premiums, Enrollment and Utilization – South Carolina.................................................... 96
© 2014 National Association of Insurance Commissioners
COUNTRYWIDE, CANADA, & AGG OTHER ALIEN INSURANCE DATA (continued)
2013 Annual
Statement Page
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
2013 Report Page
Exhibit of Premiums, Enrollment and Utilization – South Dakota ...................................................... 97
Exhibit of Premiums, Enrollment and Utilization – Tennessee ........................................................... 98
Exhibit of Premiums, Enrollment and Utilization – Texas .................................................................. 99
Exhibit of Premiums, Enrollment and Utilization – Utah .................................................................. 100
Exhibit of Premiums, Enrollment and Utilization – Vermont ........................................................... 101
Exhibit of Premiums, Enrollment and Utilization – Virginia ............................................................ 102
Exhibit of Premiums, Enrollment and Utilization – Washington ...................................................... 103
Exhibit of Premiums, Enrollment and Utilization – West Virginia ................................................... 104
Exhibit of Premiums, Enrollment and Utilization – Wisconsin ......................................................... 105
Exhibit of Premiums, Enrollment and Utilization – Wyoming .......................................................... 106
Exhibit of Premiums, Enrollment and Utilization – Guam ................................................................ 107
Exhibit of Premiums, Enrollment and Utilization – Northern Mariana Islands ................................. 108
Exhibit of Premiums, Enrollment and Utilization – Puerto Rico ....................................................... 109
Exhibit of Premiums, Enrollment and Utilization – U.S. Virgin Islands ........................................... 110
Exhibit of Premiums, Enrollment and Utilization – Aggregate Other Alien ..................................... 111
Technical Notes ................................................................................................................................................ 112
SELECTED DATA ELEMENTS FROM COMPANY STATEMENTS................................................... 113
Selected Annual Statement Data Elements, By Company ................................................................................ 115
■
Total Assets
■
Capital and Surplus
■
Net Underwriting Gain (Loss)
■
Net Investment Gain (Loss)
■
Net Income (Loss)
■
Direct Business
■
Total Expenses Paid
Technical Notes ................................................................................................................................................ 141
INDEX OF COMPANIES ............................................................................................................................. 143
© 2014 National Association of Insurance Commissioners
© 2014 National Association of Insurance Commissioners
Statistical Compilation of Annual Statement Information for
Health Insurance Companies in 2013
INTRODUCTION
The Statistical Compilation of Annual Statement Information for Health Insurance Companies was
presented in a different format starting with the 2001 edition. Beginning with the 2001 data year, all
health insurance entities that previously reported annual statement information on one of five different
reporting blanks—including property and casualty, life, fraternal, health maintenance organization
(HMO), and hospital, medical and dental services or indemnity (HMDI)—now report in a similar manner
in the NAIC health insurance company annual statement blank. The health blank will serve as the
Statistical Compilation format for reporting aggregate data for all health insurance companies, HMOs and
HMDIs. The Market Share Reports for the Top 125 Accident and Health Insurers by State and
Countrywide is issued annually as a separate publication.
Report Format
This report contains three major sections:
Annual Statement Financial Data
The first section consists of aggregated countrywide financial data presented in annual
statement format for Assets, Liabilities, the Underwriting and Investment Exhibits, and
Schedule D. No historical comparisons are included.
•
Countrywide, Canada, and Aggregate Other Alien Insurance Data
• The second section consists primarily of 2013 direct insurance data from Schedule T and the
state pages (annual statement p. 30). Direct and earned premiums are shown by line of
insurance and by jurisdiction.
Selected Data Elements from Company Statements
• The third section consists of selected 2013 data elements from company annual statements.
The annual statement sources for these data are listed in the technical notes.
Comments on this report are encouraged so that the report will continue to evolve and meet the needs of
NAIC members. These data are maintained in NAIC databases and are available for additional application
development. These data are also available for purchase by the public in hardcopy and electronic format.
Aggregation and Calculation of Data
This report utilizes the term “aggregated” to describe data developed by summing the annual statements
of individual companies. In order to represent more completely the data as reported on the annual
statements, all data are aggregated directly from the numbers reported to the NAIC. No calculations have
been performed within this report.
© 2014 National Association of Insurance Commissioners
1
Crosschecks and Balances
This Statistical Compilation presents data in the NAIC annual statement format. The data are developed
from the annual statements of the 926 individual companies filing the 2013 health annual statement blank.
The level of precision that is possible with an individual company statement might not be possible with
these aggregated data. One reason for this is that companies are added to and deleted from the NAIC
annual statement database throughout the year, resulting in a mix of companies that is different from year
to year. Generally, the ending capital and surplus on one year’s Statistical Compilation will not equal the
beginning capital and surplus for the following year.
Similarly, because the data reported within this report are a reflection of the database, it is only a
snapshot. These data are as of July 29, 2014, and companies may file or amend their annual filings with
the NAIC; therefore, queries of the database after this date might differ from reported numbers.
Also, while every effort has been made to ensure that all significant errors and omissions in annual
statements have been identified and resolved, certain anomalous data may exist. Most anomalies have
been identified and resolved. However, in some instances, providers can explain the anomalies, and the
results are maintained.
To minimize anomalous results, certain statements might be excluded from this Statistical Compilation.
The sections displaying selected data elements for individual companies provide a complete listing of
companies included in this Statistical Compilation. No company in the NAIC database with significant
data is excluded.
Qualifications
The accuracy of the reports included in this publication depends on the accuracy of the information
contained in the annual statements filed by insurers. The NAIC system cannot always identify a
misstatement in accordance with statutory requirements or errors in identifying securities. Even though
the data elements used to prepare the reports are extracted from annual statements filed with the NAIC,
the NAIC cannot guarantee their accuracy.
While the NAIC exercises a great deal of care in capturing data from annual statements and producing
various reports, as with any statistical project of a significant magnitude, errors can occur. Consequently,
the NAIC makes no representations or warranties with respect to the accuracy of the data and statistics in
this report.
If you have any questions regarding this report, please contact Teresa Cooper at (816) 783-8226 or Sara
Robben at (816) 783-8230. Questions can also be sent to [email protected]. Additional copies
can be obtained from an NAIC representative at:
NAIC Central Office
1100 Walnut Street, Suite 1500
Kansas City, MO 64106-2197
Telephone: (816) 783-8300
Email: [email protected]
© 2014 National Association of Insurance Commissioners
2
Annual Statement Financial Data
© 2014 National Association of Insurance Commissioners
3
© 2014 National Association of Insurance Commissioners
4
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
2
ASSETS
(000's)
Current Year
2013 Assets
1
Assets
01. Bonds (Schedule D)
92,911,503
Prior Year
2
3
4
Nonadmitted
Net Admitted
Net Admitted
Assets
Assets
Assets
92,790,588
86,825,052
120,915
02. Stocks (Schedule D):
02.1. Preferred stocks
399,809
48,050
351,759
384,937
02.2. Common stocks
37,733,045
1,579,853
36,153,192
33,494,791
37,480
2
37,478
39,671
7
0
7
23
5,620,340
45,032
5,575,308
5,533,316
222,340
10,027
212,313
227,922
04.3. Properties held for sale (less encumbrances)
8,627
0
8,627
43,842
05. Cash, cash equivalents and short-term investments
26,640,087
22,150
26,617,938
28,411,154
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate
03.2. Other than first liens - mortgage loans on real estate
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances)
04.2. Properties held for the production of income (less encumbrances)
06. Contract loans (including premium notes)
07. Derivatives (Schedule DB)
08. Other invested assets (Schedule BA)
09. Receivables for securities
10. Securities lending reinvested collateral assets (Schedule DL)
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11)
13. Title plants less charged off (for title insurers only)
14. Investment income due and accrued
535
0
535
547
6,390
953
5,437
17,025
8,704,535
941,234
7,763,302
6,443,075
167,929
242
167,687
147,346
1,246,861
0
1,246,861
729,100
322,486
136,022
186,464
40,882
174,021,975
2,904,480
171,117,495
162,338,683
0
0
0
0
809,890
1,208
808,683
768,998
13,072,357
371,458
12,700,899
12,425,207
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums)
15.3. Accrued retrospective premiums
2,346,155
58
2,346,097
2,267,722
1,056,712
2,080
1,054,632
943,405
1,219,251
16. Reinsurance:
16.1. Amounts recoverable from reinsurers
812,192
13,653
798,539
16.2. Funds held by or deposited with reinsured companies
86,478
100
86,378
259,140
16.3. Other amounts receivable under reinsurance contracts
172,217
4,674
167,543
205,056
14,016,762
864,967
13,151,795
9,828,270
762,291
3,816
758,475
877,318
4,393,983
1,370,057
3,023,926
2,826,518
17. Amounts receivable relating to uninsured plans
18.1. Current federal and foreign income tax recoverable and interest thereon
18.2. Net deferred tax asset
19. Guaranty funds receivable or on deposit
25,958
400
25,557
28,792
20. Electronic data processing equipment and software
2,780,778
2,266,466
514,311
508,407
21. Furniture and equipment, including health care delivery assets
1,963,681
1,364,639
599,043
573,317
0
0
0
0
23. Receivables from parent, subsidiaries and affiliates
4,420,343
412,324
4,008,019
3,662,656
24. Health care and other amounts receivable
8,887,832
2,162,918
6,724,914
6,201,385
25. Aggregate write-ins for other than invested assets
8,588,790
4,477,019
4,111,771
3,756,949
238,218,393
16,220,317
221,998,076
208,691,074
995
0
995
1,019
238,219,388
16,220,317
221,999,071
208,692,093
22. Net adjustment in assets and liabilities due to foreign exchange rates
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25)
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
28. Totals (Lines 26 and 27)
© 2014 National Association of Insurance Commissioners
5
© 2014 National Association of Insurance Commissioners
6
2013 Distribution of Assets
Real Estate, 2.61%
Other Assets, 22.92%
Bonds, 41.80%
All Other Invested Assets,
16.21%
Mortgage Loans, 0.02%
Stocks, 16.44%
© 2014 National Association of Insurance Commissioners
7
© 2014 National Association of Insurance Commissioners
8
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2012 OF THE ...................................................................
(Name)
2
ASSETS
(000's)
Current Year
2012 Assets
1
Assets
01. Bonds (Schedule D)
86,898,002
Prior Year
2
3
4
Nonadmitted
Net Admitted
Net Admitted
Assets
Assets
Assets
86,840,741
83,427,538
57,261
02. Stocks (Schedule D):
02.1. Preferred stocks
437,674
54,578
383,097
334,925
02.2. Common stocks
35,106,499
1,521,204
33,585,295
29,902,031
39,685
0
39,685
32,789
23
0
23
15
5,590,436
52,995
5,537,441
5,416,588
232,158
6,811
225,347
207,929
04.3. Properties held for sale (less encumbrances)
61,765
12,164
49,601
75,947
05. Cash, cash equivalents and short-term investments
28,489,157
32,453
28,456,703
26,514,420
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate
03.2. Other than first liens - mortgage loans on real estate
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances)
04.2. Properties held for the production of income (less encumbrances)
06. Contract loans (including premium notes)
07. Derivatives (Schedule DB)
08. Other invested assets (Schedule BA)
547
0
547
534
17,972
947
17,025
22,952
5,598,167
7,282,291
826,162
6,456,129
09. Receivables for securities
146,963
130
146,833
197,795
10. Securities lending reinvested collateral assets (Schedule DL)
729,100
0
729,100
1,031,710
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11)
13. Title plants less charged off (for title insurers only)
14. Investment income due and accrued
190,314
150,774
39,540
9,223
165,222,587
2,715,479
162,507,108
152,772,563
0
0
0
0
769,573
109
769,463
927,852
12,778,842
308,707
12,470,135
11,721,872
2,270,760
0
2,270,760
2,186,379
964,470
8,082
956,387
770,287
1,335,255
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums)
15.3. Accrued retrospective premiums
16. Reinsurance:
16.1. Amounts recoverable from reinsurers
1,240,883
21,637
1,219,246
16.2. Funds held by or deposited with reinsured companies
259,240
100
259,140
233,802
16.3. Other amounts receivable under reinsurance contracts
211,463
4,948
206,516
247,038
10,577,217
731,734
9,845,482
8,928,765
890,910
13,851
877,059
910,174
4,364,197
1,509,423
2,854,774
2,693,343
17. Amounts receivable relating to uninsured plans
18.1. Current federal and foreign income tax recoverable and interest thereon
18.2. Net deferred tax asset
19. Guaranty funds receivable or on deposit
30,109
287
29,823
27,207
20. Electronic data processing equipment and software
2,614,377
2,104,874
509,503
542,116
21. Furniture and equipment, including health care delivery assets
1,711,962
1,138,568
573,394
563,486
0
0
0
0
23. Receivables from parent, subsidiaries and affiliates
3,972,871
313,392
3,659,479
3,088,125
24. Health care and other amounts receivable
8,303,957
2,086,726
6,217,231
5,654,895
25. Aggregate write-ins for other than invested assets
9,560,955
5,774,389
3,786,566
3,691,466
225,744,373
16,732,307
209,012,066
196,294,624
1,019
0
1,019
1,034
225,745,392
16,732,307
209,013,085
196,295,657
22. Net adjustment in assets and liabilities due to foreign exchange rates
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25)
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
28. Totals (Lines 26 and 27)
© 2014 National Association of Insurance Commissioners
9
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2011 OF THE ...................................................................
(Name)
2
ASSETS
(000's)
Current Year
2011 Assets
1
Assets
01. Bonds (Schedule D)
83,492,215
Prior Year
2
3
4
Nonadmitted
Net Admitted
Net Admitted
Assets
Assets
Assets
83,468,082
78,055,744
24,133
02. Stocks (Schedule D):
02.1. Preferred stocks
345,021
10,091
334,930
316,697
02.2. Common stocks
31,301,048
1,476,936
29,824,112
26,849,407
32,789
0
32,789
51,148
15
0
15
19
5,472,910
46,939
5,425,971
5,292,764
217,064
9,135
207,929
215,066
04.3. Properties held for sale (less encumbrances)
75,947
0
75,947
68,355
05. Cash, cash equivalents and short-term investments
26,236,495
13,269
26,223,227
24,511,637
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate
03.2. Other than first liens - mortgage loans on real estate
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances)
04.2. Properties held for the production of income (less encumbrances)
06. Contract loans (including premium notes)
07. Derivatives (Schedule DB)
08. Other invested assets (Schedule BA)
09. Receivables for securities
10. Securities lending reinvested collateral assets (Schedule DL)
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11)
13. Title plants less charged off (for title insurers only)
14. Investment income due and accrued
524
0
524
702
23,864
911
22,952
15,433
6,353,586
664,034
5,689,551
4,850,858
197,795
0
197,795
138,523
1,031,710
0
1,031,710
1,582,842
156,539
148,255
8,284
154,937,523
2,393,703
152,543,820
(263)
141,948,933
0
0
0
0
929,710
1,120
928,590
774,482
12,015,370
287,768
11,727,602
10,602,364
2,186,398
19
2,186,379
1,902,598
768,055
2,588
765,466
569,334
1,110,945
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums)
15.3. Accrued retrospective premiums
16. Reinsurance:
16.1. Amounts recoverable from reinsurers
1,516,863
20,851
1,496,012
16.2. Funds held by or deposited with reinsured companies
233,802
0
233,802
43,595
16.3. Other amounts receivable under reinsurance contracts
252,738
7,790
244,948
195,349
9,370,225
770,701
8,599,524
7,790,879
935,277
5,863
929,414
956,063
7,520,688
4,822,398
2,698,290
2,499,146
17. Amounts receivable relating to uninsured plans
18.1. Current federal and foreign income tax recoverable and interest thereon
18.2. Net deferred tax asset
19. Guaranty funds receivable or on deposit
27,092
0
27,092
33,343
20. Electronic data processing equipment and software
2,608,938
2,066,810
542,129
549,994
21. Furniture and equipment, including health care delivery assets
1,708,861
1,145,292
563,570
509,812
0
0
0
0
23. Receivables from parent, subsidiaries and affiliates
3,346,222
264,567
3,081,656
3,803,095
24. Health care and other amounts receivable
7,286,709
1,905,704
5,381,004
4,715,452
25. Aggregate write-ins for other than invested assets
9,229,570
5,544,972
3,684,598
3,208,269
214,874,040
19,240,145
195,633,894
181,213,653
1,034
0
1,034
1,112
214,875,073
19,240,145
195,634,928
181,214,765
22. Net adjustment in assets and liabilities due to foreign exchange rates
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25)
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
28. Totals (Lines 26 and 27)
© 2014 National Association of Insurance Commissioners
10
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE ......................................................................................................
(Name)
2
ASSETS
Current Year
2010 Assets
1
Assets
01. Bonds (Schedule D)
77,561,585
Prior Year
2
3
4
Nonadmitted
Net Admitted
Net Admitted
Assets
Assets
Assets
77,543,830
70,448,064
17,755
02. Stocks (Schedule D):
02.1. Preferred stocks
327,414
10,717
316,697
390,242
02.2. Common stocks
27,806,362
1,044,222
26,762,140
24,094,972
50,853
0
50,853
51,152
0
0
0
0
5,266,273
44,741
5,221,532
4,617,228
222,681
7,615
215,066
226,794
04.3. Properties held for sale (less encumbrances)
68,355
0
68,355
37,061
05. Cash, cash equivalents and short-term investments
23,833,534
15,089
23,818,445
24,957,525
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate
03.2. Other than first liens - mortgage loans on real estate
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances)
04.2. Properties held for the production of income (less encumbrances)
06. Contract loans (including premium notes)
07. Derivatives
08. Other invested assets (Schedule BA)
09. Receivables for securities
10. Securities lending reinvested collateral assets
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11)
13. Title plants less charged off (for title insurers only)
14. Investment income due and accrued
690
0
690
618
15,433
0
15,433
10,023
5,546,677
676,560
4,870,117
3,668,558
139,268
771
138,497
188,121
1,582,956
114
1,582,842
144,424
145,119
142,566,506
1,962,704
140,603,802
0
0
0
0
782,197
11,562
770,635
754,291
10,845,531
359,252
10,486,279
9,735,093
1,902,745
34
1,902,711
1,663,264
573,266
2,388
570,878
868,317
900,015
(695)
242,820
134,008
129,067,185
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums)
15.3. Accrued retrospective premiums
16. Reinsurance:
16.1. Amounts recoverable from reinsurers
1,130,749
16,539
1,114,210
16.2. Funds held by or deposited with reinsured companies
48,081
129
47,952
54,128
16.3. Other amounts receivable under reinsurance contracts
200,501
5,853
194,648
197,331
8,487,567
785,527
7,702,040
7,108,005
974,222
15,222
959,001
1,103,554
7,940,548
5,453,464
2,487,084
2,354,016
33,415
85
33,330
29,573
20. Electronic data processing equipment and software
2,373,766
1,846,773
526,994
529,009
21. Furniture and equipment, including health care delivery assets
1,611,981
1,108,384
503,597
429,744
0
0
0
0
23. Receivables from parent, subsidiaries and affiliates
4,107,310
391,235
3,716,075
3,350,516
24. Health care and other amounts receivable
6,410,672
1,795,448
4,615,224
4,660,614
25. Aggregate write-ins for other than invested assets
7,446,383
4,500,460
2,945,923
2,728,595
197,435,440
18,255,058
179,180,382
165,533,249
1,112
0
1,112
1,756
197,436,552
18,255,058
179,181,494
165,535,005
17. Amounts receivable relating to uninsured plans
18.1. Current federal and foreign income tax recoverable and interest thereon
18.2. Net deferred tax asset
19. Guaranty funds receivable or on deposit
22. Net adjustment in assets and liabilities due to foreign exchange rates
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25)
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
28. Totals (Lines 26 and 27)
© 2014 National Association of Insurance Commissioners
11
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2009 OF THE ......................................................................................................
(Name)
2
ASSETS
(000's)
Current Year
2009 Assets
01. Bonds (Schedule D)
Prior Year
1
2
3
4
Assets
Nonadmitted
Assets
Net Admitted
Assets
Net Admitted
Assets
69,619,326
32,488
69,586,837
66,377,873
02. Stocks (Schedule D):
02.1. Preferred stocks
406,355
16,114
390,242
562,265
02.2. Common stocks
25,148,088
777,279
24,370,809
21,795,004
51,152
0
51,152
50,474
0
0
0
0
4,693,679
70,282
4,623,398
4,126,209
224,648
8,150
216,498
242,484
04.3. Properties held for sale (less encumbrances)
37,061
0
37,061
64,167
05. Cash, cash equivalents and short-term investments
24,980,358
16,033
24,964,325
22,955,778
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate
03.2. Other than first liens - mortgage loans on real estate
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances)
04.2. Properties held for the production of income (less encumbrances)
06. Contract loans (including premium notes)
07. Other invested assets (Schedule BA)
156
0
156
125
4,091,586
540,055
3,551,531
3,226,455
08. Receivables for securities
188,085
34
188,051
209,984
09. Aggregate write-ins for invested assets
205,284
69,240
136,044
121,290
129,645,779
1,529,675
128,116,104
119,732,108
0
0
0
0
753,825
8,825
745,000
775,467
9,953,161
288,058
9,665,102
8,171,541
1,630,083
443
1,629,640
1,435,626
666,023
2,768
663,254
611,338
996,630
10. Subtotals, cash and invested assets (Lines 1 to 9)
11. Title plants less charged off (for title insurers only)
12. Investment income due and accrued
13. Premiums and considerations:
13.1. Uncollected premiums and agents' balances in the course of collection
13.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums)
13.3. Accrued retrospective premiums
14. Reinsurance:
14.1. Amounts recoverable from reinsurers
903,952
16,205
887,747
14.2. Funds held by or deposited with reinsured companies
54,168
40
54,128
10,535
14.3. Other amounts receivable under reinsurance contracts
208,009
1,954
206,054
145,820
15. Amounts receivable relating to uninsured plans
7,564,339
505,804
7,058,535
7,008,283
16.1. Current federal and foreign income tax recoverable and interest thereon
1,112,033
16,988
1,095,044
1,064,602
16.2. Net deferred tax asset
8,910,143
6,570,618
2,339,525
2,245,340
24,875
938
23,937
18,172
18. Electronic data processing equipment and software
2,262,635
1,741,420
521,215
542,383
19. Furniture and equipment, including health care delivery assets
1,545,550
1,117,399
428,151
360,108
0
0
0
0
21. Receivables from parent, subsidiaries and affiliates
3,710,684
381,519
3,329,164
3,299,887
22. Health care and other amounts receivable
6,445,851
1,730,430
4,715,422
4,700,825
23. Aggregate write-ins for other than invested assets
6,898,790
4,229,098
2,669,692
2,441,202
182,289,898
18,142,183
164,147,715
153,559,868
1,756
0
1,756
0
182,291,655
18,142,183
164,149,471
153,559,868
17. Guaranty funds receivable or on deposit
20. Net adjustment in assets and liabilities due to foreign exchange rates
24. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines10 to 23)
25. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
26. Totals (Lines 24 and 25)
© 2014 National Association of Insurance Commissioners
12
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
3
LIABILITIES, CAPITAL AND SURPLUS
(000's)
Current Year
2013 Liabilities,
Capital and Surplus
01. Claims unpaid (less reinsurance ceded)
Prior Year
1
2
3
4
Covered
Uncovered
Total
Total
38,816,202
1,495,679
40,311,881
02. Accrued medical incentive pool and bonus amounts
1,454,375
9,903
1,464,278
1,422,886
03. Unpaid claims adjustment expenses
1,097,499
77,612
1,175,111
1,192,515
11,250,085
303,661
11,553,746
11,846,923
05. Aggregate life policy reserves
17,243
29
17,272
16,339
06. Property/casualty unearned premium reserves
11,740
0
11,740
7,544
172,232
40,136
212,368
174,521
04. Aggregate health policy reserves, including the liabilityof $ ¿ for
39,601,624
medical loss ratio rebate per the Public Health Service Act
07. Aggregate health claim reserves
08. Premiums received in advance
4,242,406
132,179
4,374,585
4,425,911
10,650,307
217,760
10,868,067
10,539,598
819,588
99,597
919,185
979,818
162,604
0
162,604
62,733
11. Ceded reinsurance premiums payable
1,004,880
5,001
1,009,881
1,696,617
12. Amounts withheld or retained for the account of others
1,697,911
52,029
1,749,940
1,576,850
918,388
46,650
965,038
1,109,963
14. Borrowed money (including current) and interest thereon (including current)
4,997,709
37,608
5,035,317
3,779,229
15. Amounts due to parent, subsidiaries and affiliates
6,432,323
826,810
7,259,132
5,773,146
2,811
0
2,811
17,840
489,381
16,171
505,552
453,528
1,137,690
109,171
1,246,861
729,100
971,745
0
971,745
1,081,752
37,338
0
37,338
24,716
3
0
3
1
5,081,972
123,876
5,205,848
4,239,704
09. General expenses due or accrued
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses))
10.2. Net deferred tax liability
13. Remittances and items not allocated
16. Derivatives
17. Payable for securities
18. Payable for securities lending
19. Funds held under reinsurance treaties (with $.... authorized reinsurers,
$ ….. unauthorized reinsurers and $ …… certified reinsurers)
20. Reinsurance in unauthorized companies
21. Net adjustments in assets and liabilities due to foreign exchange rates
22. Liability for amounts held under uninsured plans
23. Aggregate write-ins for other liabilities (including current)
24. Total liabilities (Lines 1 to 23)
7,368,528
684,776
8,053,304
7,887,194
98,834,961
4,278,647
103,113,608
98,640,054
25. Aggregate write-ins for special surplus funds
XXX
XXX
629,210
357,320
26. Common capital stock
XXX
XXX
1,087,613
980,833
27. Preferred capital stock
XXX
XXX
93,539
86,304
28. Gross paid in and contributed surplus
XXX
XXX
22,921,300
21,342,284
29. Surplus notes
XXX
XXX
2,777,541
1,977,007
30. Aggregate write-ins for other than special surplus funds
XXX
XXX
9,061,191
8,459,326
31. Unassigned funds (surplus)
XXX
XXX
82,316,764
76,851,106
32.1. (1) shares common (value included in Line 26)
XXX
XXX
1,695
4,277
32.2. (1) shares preferred (value included in Line 27)
XXX
XXX
0
0
33. Total capital and surplus (Lines 25 to 31 minus Line 32)
XXX
XXX
118,885,463
110,049,904
34. Total liabilities, capital and surplus (Lines 24 and 33)
XXX
XXX
221,999,071
208,689,958
32. Less treasury stock, at cost:
© 2014 National Association of Insurance Commissioners
13
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2012 OF THE ...................................................................
(Name)
3
LIABILITIES, CAPITAL AND SURPLUS
(000's)
Current Year
2012 Liabilities,
Capital and Surplus
01. Claims unpaid (less reinsurance ceded)
Prior Year
1
2
3
4
Covered
Uncovered
Total
Total
38,079,598
1,568,940
39,648,538
02. Accrued medical incentive pool and bonus amounts
1,409,937
7,127
1,417,065
1,297,415
03. Unpaid claims adjustment expenses
1,109,416
85,110
1,194,527
1,176,759
11,561,091
285,169
11,846,260
11,681,778
15,476
32
15,508
15,639
7,544
0
7,544
5,872
142,181
31,971
174,152
158,554
04. Aggregate health policy reserves, including the liabilityof $ ¿ for
37,282,940
medical loss ratio rebate per the Public Health Service Act
05. Aggregate life policy reserves
06. Property/casualty unearned premium reserves
07. Aggregate health claim reserves
08. Premiums received in advance
4,287,702
147,933
4,435,635
4,419,738
10,407,241
245,150
10,652,391
9,894,784
939,725
38,488
978,213
1,016,417
62,311
1
62,313
28,372
11. Ceded reinsurance premiums payable
1,762,643
833
1,763,476
1,863,964
12. Amounts withheld or retained for the account of others
1,537,092
41,861
1,578,953
1,537,679
13. Remittances and items not allocated
1,072,965
35,153
1,108,118
1,043,644
14. Borrowed money (including current) and interest thereon (including current)
3,700,247
13,194
3,713,441
3,445,661
15. Amounts due to parent, subsidiaries and affiliates
5,121,221
612,481
5,733,701
5,182,510
17,825
15
17,840
29,706
17. Payable for securities
433,594
19,934
453,528
662,936
18. Payable for securities lending
693,188
35,912
729,100
1,031,710
1,081,752
0
1,081,752
832,776
24,716
0
24,716
25,112
1
0
1
0
4,141,465
112,361
4,253,826
3,879,263
09. General expenses due or accrued
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses))
10.2. Net deferred tax liability
16. Derivatives
19. Funds held under reinsurance treaties (with $.... authorized reinsurers,
$ ... unauthorized reinsurers and $ ….certified reinsurers)
20. Reinsurance in unauthorized companies
21. Net adjustments in assets and liabilities due to foreign exchange rates
22. Liability for amounts held under uninsured plans
23. Aggregate write-ins for other liabilities (including current)
24. Total liabilities (Lines 1 to 23)
7,119,813
753,683
7,873,496
7,925,128
94,728,744
4,035,348
98,764,092
94,438,353
25. Aggregate write-ins for special surplus funds
XXX
XXX
357,320
280,449
26. Common capital stock
XXX
XXX
988,929
941,204
27. Preferred capital stock
XXX
XXX
86,334
86,350
28. Gross paid in and contributed surplus
XXX
XXX
21,896,754
20,070,840
29. Surplus notes
XXX
XXX
2,009,725
1,567,964
30. Aggregate write-ins for other than special surplus funds
XXX
XXX
8,389,570
7,828,568
31. Unassigned funds (surplus)
XXX
XXX
76,525,938
71,087,373
32.1. (1) shares common (value included in Line 26)
XXX
XXX
5,577
7,205
32.2. (1) shares preferred (value included in Line 27)
XXX
XXX
0
0
33. Total capital and surplus (Lines 25 to 31 minus Line 32)
XXX
XXX
110,248,993
101,855,544
34. Total liabilities, capital and surplus (Lines 24 and 33)
XXX
XXX
209,013,085
196,293,897
32. Less treasury stock, at cost:
© 2014 National Association of Insurance Commissioners
14
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2011 OF THE ...................................................................
(Name)
3
LIABILITIES, CAPITAL AND SURPLUS
(000's)
Current Year
2011 Liabilities,
Capital and Surplus
01. Claims unpaid (less reinsurance ceded)
Prior Year
1
2
3
4
Covered
Uncovered
Total
Total
35,685,074
1,520,638
37,205,712
02. Accrued medical incentive pool and bonus amounts
1,294,250
5,150
1,299,400
1,132,808
03. Unpaid claims adjustment expenses
1,091,554
84,488
1,176,042
1,144,556
11,143,816
411,843
11,555,658
9,980,269
15,550
73
15,623
15,907
5,872
0
5,872
4,958
127,936
30,618
158,554
147,380
08. Premiums received in advance
4,272,542
144,106
4,416,648
5,452,138
09. General expenses due or accrued
9,677,366
211,305
9,888,670
8,834,565
926,568
38,267
964,835
817,157
28,354
16
28,371
52,498
11. Ceded reinsurance premiums payable
1,860,590
3,374
1,863,964
1,349,255
12. Amounts withheld or retained for the account of others
1,541,515
37,672
1,579,187
1,404,218
13. Remittances and items not allocated
1,015,597
23,397
1,038,994
1,018,914
14. Borrowed money (including current) and interest thereon (including current)
3,432,427
13,204
3,445,631
2,367,954
15. Amounts due to parent, subsidiaries and affiliates
4,659,327
498,087
5,157,414
5,681,051
29,706
0
29,706
31,631
17. Payable for securities
646,598
17,128
663,727
387,547
18. Payable for securities lending
962,154
69,556
1,031,710
1,586,068
19. Funds held under reinsurance treaties with (authorized reinsurers and unauthoriz
956,881
0
956,881
732,451
25,112
0
25,112
28,647
0
0
0
0
3,551,964
131,306
3,683,270
3,077,834
04. Aggregate health policy reserves, including the liabilityof $ ¿ for
35,086,236
medical loss ratio rebate per the Public Health Service Act
05. Aggregate life policy reserves
06. Property/casualty unearned premium reserves
07. Aggregate health claim reserves
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses))
10.2. Net deferred tax liability
16. Derivatives
20. Reinsurance in unauthorized companies
21. Net adjustments in assets and liabilities due to foreign exchange rates
22. Liability for amounts held under uninsured plans
23. Aggregate write-ins for other liabilities (including current)
24. Total liabilities (Lines 1 to 23)
7,167,376
765,283
7,932,659
6,111,363
90,118,129
4,005,511
94,123,640
86,445,404
25. Aggregate write-ins for special surplus funds
XXX
XXX
221,783
142,038
26. Common capital stock
XXX
XXX
770,703
765,725
27. Preferred capital stock
XXX
XXX
89,941
73,624
28. Gross paid in and contributed surplus
XXX
XXX
20,209,773
19,362,749
29. Surplus notes
XXX
XXX
1,571,677
1,664,957
30. Aggregate write-ins for other than special surplus funds
XXX
XXX
7,878,023
7,131,835
31. Unassigned funds (surplus)
XXX
XXX
70,776,331
65,654,968
32.1. (1) shares common (value included in Line 26)
XXX
XXX
7,205
7,350
32.2. (1) shares preferred (value included in Line 27)
XXX
XXX
0
0
33. Total capital and surplus (Lines 25 to 31 minus Line 32)
XXX
XXX
101,511,026
94,788,545
34. Total liabilities, capital and surplus (Lines 24 and 33)
XXX
XXX
195,634,666
181,233,948
32. Less treasury stock, at cost:
© 2014 National Association of Insurance Commissioners
15
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE ......................................................................................................
(Name)
3
LIABILITIES, CAPITAL AND SURPLUS
Current Year
2010 Liabilities,
Capital and Surplus
01. Claims unpaid (less reinsurance ceded)
Prior Year
1
2
3
4
Covered
Uncovered
Total
Total
34,928,333
33,280,785
1,389,855
34,670,640
02. Accrued medical incentive pool and bonus amounts
1,119,955
1,616
1,121,571
885,806
03. Unpaid claims adjustment expenses
1,053,817
76,722
1,130,539
1,247,625
04. Aggregate health policy reserves
9,592,466
374,326
9,966,792
9,071,593
15,753
110
15,863
15,207
4,958
0
4,958
5,377
118,926
28,560
147,486
170,557
08. Premiums received in advance
5,186,188
125,319
5,311,507
5,189,144
09. General expenses due or accrued
8,414,674
178,168
8,592,842
7,764,572
775,188
32,613
807,801
1,917,667
52,477
723
53,200
32,058
11. Ceded reinsurance premiums payable
1,351,834
2,571
1,354,404
990,305
12. Amounts withheld or retained for the account of others
1,521,204
49,471
1,570,675
1,699,247
977,882
35,801
1,013,683
1,129,631
14. Borrowed money (including current) and interest thereon (including current)
2,292,804
14,264
2,307,068
2,123,730
15. Amounts due to parent, subsidiaries and affiliates
5,179,937
361,794
5,541,731
5,258,324
29,688
0
29,688
12,502
371,042
16,482
387,524
380,267
1,458,341
127,728
1,586,068
243,934
732,289
0
732,289
666,465
28,647
0
28,647
30,125
0
0
0
0
2,948,793
124,817
3,073,610
2,736,446
05. Aggregate life policy reserves
06. Property/casualty unearned premium reserves
07. Aggregate health claim reserves
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses))
10.2. Net deferred tax liability
13. Remittances and items not allocated
16. Derivatives
17. Payable for securities
18. Payable for securities lending
19. Funds held under reinsurance treaties with (authorized reinsurers and unauthoriz
20. Reinsurance in unauthorized companies
21. Net adjustments in assets and liabilities due to foreign exchange rates
22. Liability for amounts held under uninsured plans
23. Aggregate write-ins for other liabilities (including current)
24. Total liabilities (Lines 1 to 23)
5,144,769
670,756
5,815,525
6,028,547
81,652,415
3,611,695
85,264,110
82,527,465
25. Aggregate write-ins for special surplus funds
XXX
XXX
191,068
147,802
26. Common capital stock
XXX
XXX
761,340
755,652
27. Preferred capital stock
XXX
XXX
77,068
82,192
28. Gross paid in and contributed surplus
XXX
XXX
18,790,731
18,247,979
29. Surplus notes
XXX
XXX
1,655,055
1,425,838
30. Aggregate write-ins for other than special surplus funds
XXX
XXX
6,987,285
6,393,401
31. Unassigned funds (surplus)
XXX
XXX
65,462,186
55,963,169
32.1. (1) shares common (value included in Line 26)
XXX
XXX
7,350
7,451
32.2. (1) shares preferred (value included in Line 27)
XXX
XXX
0
0
33. Total capital and surplus (Lines 25 to 31 minus Line 32)
XXX
XXX
93,917,383
83,008,582
34. Total liabilities, capital and surplus (Lines 24 and 33)
XXX
XXX
179,181,493
165,536,046
32. Less treasury stock, at cost:
© 2014 National Association of Insurance Commissioners
16
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2009 OF THE ......................................................................................................
(Name)
3
LIABILITIES, CAPITAL AND SURPLUS
(000's)
Current Year
2009 Liabilities,
Capital and Surplus
01. Claims unpaid (less reinsurance ceded)
Prior Year
1
2
3
4
Covered
Uncovered
Total
Total
33,205,219
33,247,179
1,389,669
34,636,847
888,450
1,966
890,416
1,392,803
03. Unpaid claims adjustment expenses
1,164,090
75,798
1,239,889
1,690,276
04. Aggregate health policy reserves
8,423,843
333,849
8,757,692
7,893,237
11,790
115
11,905
11,646
5,377
0
5,377
6,205
138,503
27,867
166,370
112,851
02. Accrued medical incentive pool and bonus amounts
05. Aggregate life policy reserves
06. Property/casualty unearned premium reserves
07. Aggregate health claim reserves
08. Premiums received in advance
4,964,897
180,750
5,145,646
4,457,952
09. General expenses due or accrued
7,647,067
161,365
7,808,432
7,405,063
1,898,240
20,305
1,918,545
705,628
33,306
327
33,634
26,643
11. Ceded reinsurance premiums payable
1,020,484
1,297
1,021,781
1,243,339
12. Amounts withheld or retained for the account of others
1,614,152
33,840
1,647,992
1,597,031
13. Remittances and items not allocated
1,064,667
46,386
1,111,053
1,087,724
14. Borrowed money (including current) and interest thereon (including current)
2,109,662
14,179
2,123,841
1,759,306
15. Amounts due to parent, subsidiaries and affiliates
4,894,877
313,706
5,208,584
4,955,353
16. Payable for securities
371,053
7,229
378,282
568,446
17. Funds held under reinsurance treaties with (authorized reinsurers and unauthorize
666,457
0
666,457
625,413
30,125
0
30,125
22,907
0
0
0
0
2,607,453
108,687
2,716,140
2,635,202
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses))
10.2. Net deferred tax liability
18. Reinsurance in unauthorized companies
19. Net adjustments in assets and liabilities due to foreign exchange rates
20. Liability for amounts held under uninsured plans
21. Aggregate write-ins for other liabilities (including current)
22. Total liabilities (Lines 1 to 21)
5,271,825
588,689
5,860,514
5,052,721
78,073,498
3,306,024
81,379,522
76,454,963
23. Aggregate write-ins for special surplus funds
XXX
XXX
150,804
51,152
24. Common capital stock
XXX
XXX
760,050
756,387
25. Preferred capital stock
XXX
XXX
75,142
73,071
26. Gross paid in and contributed surplus
XXX
XXX
18,004,922
16,786,232
27. Surplus notes
XXX
XXX
1,425,764
1,365,885
28. Aggregate write-ins for other than special surplus funds
XXX
XXX
6,346,946
6,157,632
29. Unassigned funds (surplus)
XXX
XXX
56,013,771
51,947,566
30.1. (1) shares common (value included in common capital stock)
XXX
XXX
7,451
33,280
30.2. (1) shares preferred (value included in preferred capital stock)
XXX
XXX
0
0
31. Total capital and surplus (Lines 23 to 29 minus Line 30)
XXX
XXX
82,769,949
77,104,644
32. Total liabilities, capital and surplus (Lines 22 and 31)
XXX
XXX
164,149,471
153,559,606
30. Less treasury stock, at cost:
© 2014 National Association of Insurance Commissioners
17
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
4
STATEMENT OF REVENUE AND EXPENSES
(000's)
Current Year
1
Uncovered
Prior Year
2
Total
3
Total
01. Member Months
XXX
2,128,531
2,100,878
02. Net premium income (including non-health premium income)
XXX
450,777,876
431,689,116
03. Change in unearned premium reserves and reserve for rate credits
XXX
286,180
(51,657)
04. Fee-for-service (net of medical expenses)
XXX
959,777
941,856
05. Risk revenue
XXX
1,131,222
958,341
06. Aggregate write-ins for other health care related revenues
XXX
620,382
743,029
07. Aggregate write-ins for other non-health revenues
XXX
39,355
52,475
08. Total revenues (Lines 2 to 7)
XXX
453,814,792
434,333,160
Hospital and Medical:
09. Hospital/medical benefits
8,411,190
280,286,071
268,749,655
10. Other professional services
315,319
23,781,962
22,210,637
11. Outside referrals
815,304
3,888,104
4,187,923
12. Emergency room and out-of-area
1,421,558
17,551,207
16,015,997
13. Prescription drugs
1,516,381
62,253,507
59,628,717
547,607
7,217,275
7,200,454
8,906
2,020,698
1,795,245
13,036,265
396,998,825
379,788,627
14. Aggregate write-ins for other hospital and medical
15. Incentive pool, withhold adjustments and bonus amounts
16. Subtotal (Lines 9 to 15)
Less:
17. Net reinsurance recoveries
18. Total hospital and medical (Lines 16 minus 17)
19. Non-health claims (net)
20. Claims adjustment expenses, including cost containment expenses
21. General administrative expenses
480,007
7,742,794
8,582,089
12,556,258
389,256,031
371,206,538
0
118,181
92,578
710,446
15,698,877
14,267,926
1,599,994
39,006,010
36,797,158
22. Increase in reserves for life and accident and health contracts (including increase in
reserves for life only)
(55,074)
23. Total underwriting deductions (Lines 18 through 22)
24. Net underwriting gain or (loss) (Lines 8 minus 23)
14,811,625
309,007
422,673,207
9,700,557
11,659,953
25. Net investment income earned (Exhibit of Net Investment Income, Line 17)
69,916
4,294,343
4,129,245
26. Net realized capital gains or (losses) less capital gains tax
38,647
1,327,924
1,260,293
108,562
5,622,266
5,389,539
27. Net investment gains or (losses) (Lines 25 plus 26)
28. Net gain or (loss) from agents' or premium balances charged off
29. Aggregate write-ins for other income or expenses
XXX
35,138
444,114,236
(5)
(32,927)
(45,600)
(1,176)
(534,447)
(319,123)
30. Net income or (loss) after capital gains tax and before all other federal
XXX
14,755,449
31. Federal and foreign income taxes incurred
income taxes (Lines 24 plus 27 plus 28 plus 29)
XXX
3,565,197
3,978,993
32. Net income (loss) (Lines 30 minus 31)
XXX
11,190,252
12,705,775
© 2014 National Association of Insurance Commissioners
18
16,684,768
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
5
STATEMENT OF REVENUE AND EXPENSES (continued)
(000's)
Capital and Surplus Account
1
2
Current Year
Prior Year
GAINS AND LOSSES TO CAPITAL & SURPLUS
33. Capital and surplus prior reporting year
34. Net income or (loss) from Line 32
110,054,082
101,668,966
11,190,252
12,705,775
35. Change in valuation basis of aggregate policy and claim reserves
36. Change in net unrealized capital gains (losses) less capital gains tax
(11,795)
1,853,505
37. Change in net unrealized foreign exchange capital gain or (loss)
(2,413)
17,588
1,971,897
(1,069)
38. Change in net deferred income tax
183,096
(2,881,289)
39. Change in nonadmitted assets
423,063
2,122,702
40. Change in unauthorized and certified reinsurance
(12,622)
41. Change in treasury stock
42. Change in surplus notes
43. Cumulative effect of changes in accounting principles
396
2,582
1,628
785,771
437,189
(744,118)
34,717
339,806
160,792
44. Capital Changes:
44.1. Paid in
44.2. Transferred from surplus (Stock Dividend)
44.3. Transferred to surplus
22,252
(3,000)
(16,716)
6,671
45. Surplus adjustments:
45.1. Paid in
1,466,361
45.2. Transferred to capital (stock dividend)
(25,252)
45.3. Transferred from capital
20,511
46. Dividends to stockholders
(6,500,855)
47. Aggregate write-ins for gains or (losses) in surplus
48. Net change in capital and surplus (Lines 34 to 47)
49. Capital and surplus end of reporting year (Line 33 plus 48)
(142,039)
1,919,235
0
(6,130)
(7,192,741)
(913,423)
8,831,390
8,380,938
118,885,472
110,049,904
© 2014 National Association of Insurance Commissioners
19
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
6
CASH FLOW
(000's)
1
Current Year
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
Cash from Operations
Premiums collected net of reinsurance
Net investment income
Miscellaneous income
Total
Benefit and loss related payments
Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts
Commissions, expenses paid and aggregate write-ins for deductions
Dividends paid to policyholders
Federal and foreign income taxes paid (recovered) net of tax on capital gains (losses)
Total
Net cash from operations
Cash from Investments
12. Proceeds from investments sold, matured or repaid:
12.1. Bonds (proceeds from investments sold, matured or repaid)
12.2. Stocks (proceeds from investments sold, matured or repaid)
12.3. Mortgage loans (proceeds from investments sold, matured or repaid)
12.4. Real estate (proceeds from investments sold, matured or repaid)
12.5. Other invested assets (proceeds from investments sold, matured or repaid)
12.6. Net gains (losses) on cash, cash equivalents and short- term investments
12.7. Miscellaneous proceeds (proceeds from investments sold, matured or repaid)
12.8. Total investment proceeds (proceeds from investments sold, matured or repaid)
13. Cost of investments acquired (long-term only):
13.1. Bonds (cost of investments acquired - long-term only)
13.2. Stocks (cost of investments acquired - long-term only)
13.3. Mortgage loans (cost of investments acquired - long-term only)
13.4. Real estate (cost of investments acquired - long-term only)
13.5. Other invested assets (cost of investments acquired - long-term only)
13.6. Miscellaneous applications (cost of investments aquired - long-term only)
13.7. Total investments acquired (cost of investments aquired - long-term only)
14. Net increase (or decrease) in contract loans and premium notes
15. Net cash from investments
Cash from Financing and Miscellaneous Sources
16. Cash provided (applied):
16.1. Surplus notes, capital notes (cash provided/applied)
16.2. Capital and paid in surplus, less treasury stock (cash provided/applied)
16.3. Borrowed funds (cash provided/applied)
16.4. Net deposits on deposit-type contracts and other insurance liabilities
16.5. Dividends to stockholders (cash provided/applied)
16.6. Other cash provided (applied)
17. Net cash from financing and miscellaneous sources
(Lines 16.1 to 16.4 minus Line 16.5 plus Line (16.6)
RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS
18. Net change in cash, cash equivalents and short-term investments
(Line 11 plus Lines 15 and 17)
19. Cash, cash equivalents and short-term investments:
19.1. Beginning of year (cash, cash equivalents and short-term investments)
19.2. End of year (cash, cash equivalents and short-term investments)
2
Prior Year
449,559,103
5,121,804
2,687,015
457,367,923
387,914,571
3,787
56,362,889
0
3,824,114
448,105,361
9,262,562
430,831,560
5,087,821
2,392,916
438,312,297
368,738,406
3,327
50,795,692
0
4,285,588
423,823,013
14,489,284
67,068,937
10,593,590
2,114
111,698
679,574
6,237
493,673
78,955,823
62,312,699
6,419,700
1,077
192,639
401,281
1,231
665,212
69,993,839
73,419,505
10,721,892
0
427,460
2,033,402
1,221,525
87,823,783
(12)
(8,867,948)
65,311,595
7,880,569
3,823
596,577
1,174,736
696,366
75,663,665
14
(5,669,839)
794,549
2,086,144
1,257,572
60,068
6,261,372
(165,064)
418,855
1,854,399
367,147
184,046
7,611,024
(1,939,054)
(2,228,103)
(6,725,632)
(1,833,488)
2,093,814
28,473,337
26,639,848
26,352,429
28,446,242
© 2014 National Association of Insurance Commissioners
20
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
7
ANALYSIS OF OPERATIONS BY LINES OF BUSINESS (Gain and Loss Exhibit)
(000's)
1
2
3
4
5
Comprehensive
Total
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Net premium income
Change in unearned premium reserves and reserve for rate credit
Fee-for-service (net of medical expenses)
Risk revenue
Aggregate write-ins for other health care related revenues
Aggregate write-ins for other non-health care related revenues
Total revenues (Lines 1 to 6)
Hospital/medical benefits
Other professional services
Outside referrals
Emergency room and out-of-area
Prescription drugs
Aggregate write-ins for other hospital and medical
Incentive pool, withhold adjustments and bonus amounts
Subtotal (Lines 8 to 14)
Net reinsurance recoveries
Total hospital and medical (Lines 15 minus 16)
Non-health claims (net)
Claims adjustment expenses including cost containment expenses
General administrative expenses
Increase in reserves for accident and health contracts
Increase in reserves for life contracts
Total underwriting deductions (Lines 17 to 22)
Net underwriting gain or (loss) (Line 7 minus Line 23)
450,781,399
286,180
959,777
1,131,222
620,382
39,355
453,818,314
280,294,013
23,770,248
3,887,039
17,550,674
62,248,975
7,217,275
2,020,698
396,988,921
7,742,794
389,246,127
118,181
15,699,309
39,005,193
47,440
1,196
444,117,445
9,700,869
(Hospital
& Medical)
192,421,652
310,569
715,684
21,597
264,554
XXX
193,734,056
120,681,938
6,285,800
2,166,480
9,866,476
25,839,740
2,054,562
966,626
167,861,622
4,128,913
163,732,708
XXX
7,164,255
18,838,097
(27,318)
XXX
189,707,742
4,026,314
Medicare
Supplement
8,162,369
(18,593)
41
0
7,102
XXX
8,150,919
6,013,454
297,933
41,359
156,466
170,045
53,271
1,390
6,733,918
276,663
6,457,256
XXX
398,659
947,596
43,855
XXX
7,847,365
303,554
Dental
Only
10,449,447
5,018
36,749
78,771
7,379
XXX
10,577,365
3,546,055
4,758,785
31,151
56,169
9
77,688
56,898
8,526,754
467,212
8,059,543
XXX
384,228
1,282,326
(3,464)
XXX
9,722,633
854,732
Vision
Only
1,693,772
335
47,578
67,702
419
XXX
1,809,805
154,177
1,120,925
16,906
8,854
0
22,194
0
1,323,056
(40,968)
1,364,024
XXX
32,383
234,430
(1,685)
XXX
1,629,152
180,653
© 2014 National Association of Insurance Commissioners
21
6
7
8
Federal
Employees
Title
Title
Health
Benefit Plan
XVIII
Medicare
XIX
Medicaid
105,563,639
35,067
31,921
0
28,904
XXX
105,659,531
72,676,993
4,257,750
852,280
2,097,693
9,716,925
1,766,542
669,536
92,037,719
391,479
91,646,240
XXX
3,183,920
8,398,568
97,470
XXX
103,326,199
2,333,332
88,111,310
(102,226)
2,295
683,448
61,275
XXX
88,756,102
54,224,078
5,590,417
609,112
4,362,912
11,335,390
2,052,880
285,899
78,460,688
940,639
77,520,049
XXX
2,956,574
7,170,983
(69,667)
XXX
87,577,939
1,178,162
32,057,195
258,306
20,989
98
41,638
XXX
32,378,225
20,230,229
1,235,815
154,397
938,221
6,699,168
985,879
32,742
30,276,453
42,224
30,234,229
XXX
783,036
1,115,756
4,020
XXX
32,137,041
241,184
9
Other
Health
12,145,386
(194,780)
104,521
279,607
209,111
XXX
12,543,846
2,767,088
222,822
15,354
63,884
8,487,697
204,257
7,607
11,768,710
1,536,632
10,232,078
XXX
789,634
885,615
4,229
XXX
11,911,556
632,289
10
Other
NonHealth
176,628
(7,516)
XXX
XXX
XXX
39,355
208,466
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
118,181
6,620
131,822
XXX
1,196
257,819
(49,353)
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
8
UNDERWRITING AND INVESTMENT EXHIBIT
Part 1 - Premiums
(000's)
Line of Business
01. Comprehensive (hospital and medical)
02. Medicare Supplement
03. Dental only
04. Vision only
05. Federal employees health benefits plan
06. Title XVIII - Medicare
1
2
3
4
Direct
Reinsurance
Reinsurance
Net Premium
Income
Business
Assumed
Ceded
(Cols. 1 + 2 - 3)
196,994,654
1,650,355
6,159,867
192,485,141
8,530,909
21,132
389,670
8,162,371
10,890,549
592,767
1,034,087
10,449,229
1,635,425
74,180
15,833
1,693,772
32,099,612
0
43,378
32,056,235
105,982,543
190,036
675,789
105,496,789
07. Title XIX - Medicaid
89,096,011
257,584
1,190,165
88,163,430
08. Other health
13,953,594
256,545
2,112,800
12,097,340
459,183,297
3,042,598
11,621,589
450,604,306
09. Health subtotal (Lines 1 through 8)
10. Life
67,944
92
18,415
49,621
11. Property/casualty
40,561
90,781
4,143
127,200
459,291,802
3,133,471
11,644,146
450,781,127
12. Totals (Lines 9 to 11)
© 2014 National Association of Insurance Commissioners
22
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
9
UNDERWRITING AND INVESTMENT EXHIBIT
Part 2 - Claims Incurred During the Year
(000's)
1
2
3
4
5
6
Comprehensive
(Hospital
Total
01. Payments during the year:
01.1. Direct
01.2. Reinsurance assumed
01.3. Reinsurance ceded
01.4. Net
02. Paid medical incentive pools and bonuses
03. Claim liability Dec 31, current year from Part 2A:
03.1. Direct
03.2. Reinsurance assumed
03.3. Reinsurance ceded
03.4. Net
04. Claim reserve Dec 31, current year from Part 2D:
04.1. Direct
04.2. Reinsurance assumed
04.3. Reinsurance ceded
04.4. Net
05. Accrued medical incentive pools and bonuses, current year
06. Net healthcare receivables
07. Amounts recoverable from reinsurers Dec. 31, current year
08. Claim liability Dec 31, prior year from Part 2A:
08.1. Direct
08.2. Reinsurance assumed
08.3. Reinsurance ceded
08.4. Net
09. Claim reserve Dec 31, prior year from Part 2D:
09.1. Direct
09.2. Reinsurance assumed
09.3. Reinsurance ceded
09.4. Net
10. Accrued medical incentive pools and bonuses, prior year
11. Amounts recoverable from reinsurers Dec. 31, prior year
12. Incurred benefits:
12.1. Direct
12.2. Reinsurance assumed
12.3. Reinsurance ceded
12.4. Net
13. Incurred medical incentive pools and bonuses
& Medical)
Medicare
Supplement
Dental
Only
Vision
Only
Federal
Employees
Health
Benefit Plan
7
8
Title
Title
XIX
Medicaid
XVIII
Medicare
9
Other
Health
10
Other
NonHealth
394,304,624
2,813,052
10,762,463
386,355,213
1,915,473
167,506,914
1,631,344
6,121,184
163,017,074
951,338
6,759,811
67,259
333,146
6,493,924
291
8,471,350
460,619
927,636
8,004,333
2,467
1,325,845
52,027
10,549
1,367,322
0
30,198,434
70,540
111,326
30,157,647
24,526
91,157,044
167,688
549,874
90,774,858
714,724
77,290,875
119,179
1,022,514
76,387,539
218,828
11,531,204
189,080
1,660,979
10,059,304
3,298
63,148
55,317
25,253
93,211
0
40,847,182
282,016
872,580
40,256,618
16,736,410
143,436
518,539
16,361,308
950,692
2,024
41,744
910,971
521,246
15,742
65,688
471,300
83,665
2,854
561
85,958
2,861,987
0
3,397
2,858,590
10,170,696
6,839
48,791
10,128,744
8,367,767
7,268
113,188
8,261,847
1,117,715
42,469
75,224
1,084,960
37,004
61,384
5,447
92,940
197,169
128,415
57,856
267,728
1,464,278
950,995
778,688
50,144
67,757
822
117,079
741,419
667,067
511,195
31,605
0
13,040
18,565
6,813
8,940
23,671
1,536
0
0
1,536
0
56
3,937
6,477
0
26
6,451
18,940
72,187
5,193
3,168
0
78
3,090
477,771
408,627
27,708
35,021
0
760
34,261
193,055
95,281
97,890
40,089,271
737,863
1,215,939
39,611,195
17,430,735
467,459
755,382
17,142,812
969,331
53,285
90,325
932,291
576,587
17,519
99,048
495,059
86,529
3,989
1,224
89,294
2,778,901
70,540
41,791
2,807,650
9,693,268
29,557
69,420
9,653,405
7,450,566
8,521
70,087
7,389,000
1,083,292
37,494
83,200
1,037,586
20,062
49,500
5,462
64,100
184,553
106,742
56,984
234,311
1,423,221
1,187,624
51,635
41,682
1,769
91,548
743,394
989,795
30,556
0
12,618
17,938
5,797
21,310
487
0
0
487
4,507
17,123
1,536
0
0
1,536
0
3,873
2,100
0
0
2,100
11,085
32,950
2,648
0
38
2,610
516,414
24,984
30,470
0
0
30,470
140,788
80,799
65,122
4,422
42,560
26,984
1,237
16,669
0
60,638
0
60,638
0
122
394,124,156
2,378,878
10,011,039
386,491,994
1,956,530
166,144,030
1,333,397
5,404,793
162,072,633
949,363
6,733,282
15,998
287,349
6,461,931
1,307
8,416,332
458,842
895,418
7,979,756
22,831
1,322,925
50,892
9,951
1,363,867
0
30,213,710
0
45,201
30,168,509
32,382
91,226,365
144,970
532,010
90,839,326
676,081
78,117,347
117,926
1,083,467
77,151,806
271,095
11,870,076
193,371
1,727,483
10,335,963
3,471
80,089
63,482
25,367
118,205
0
701
0
0
701
24,871
(110)
18,265
© 2014 National Association of Insurance Commissioners
23
68,517
3,738
43,129
29,125
1,410
(301,054)
90,578
0
56,920
0
56,920
0
0
250
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
10
UNDERWRITING AND INVESTMENT EXHIBIT
Part 2A - Claims Liability End of Current Year
(000's)
1
2
3
4
5
6
Federal
Employees
Health
Benefit Plan
Comprehensive
(Hospital
& Medical)
Total
1. Reported in Process of Adjustment:
01.1. Direct
01.2. Reinsurance assumed
01.3. Reinsurance ceded
01.4. Net
2. Incurred but Unreported:
02.1. Direct
02.2. Reinsurance assumed
02.3. Reinsurance ceded
02.4. Net
3. Amounts Withheld from Paid Claims and Capitations:
03.1. Direct
03.2. Reinsurance assumed
03.3. Reinsurance ceded
03.4. Net
4. TOTALS:
04.1. Direct
04.2. Reinsurance assumed
04.3. Reinsurance ceded
04.4. Net
Medicare
Supplement
Dental
Only
Vision
Only
7
8
9
Title
XVIII
Medicare
Title
XIX
Medicaid
Other
Health
10
Other
NonHealth
8,887,486
70,631
221,158
8,736,959
3,740,388
38,644
124,500
3,654,532
153,957
3
6,227
147,733
109,047
6,760
8,184
107,624
20,635
1,176
0
21,811
402,377
0
625
401,752
2,281,377
6,534
6,927
2,280,985
1,741,283
7,268
9,516
1,739,035
427,913
3,693
61,086
370,519
10,509
6,553
4,093
12,969
30,928,360
214,710
649,657
30,493,413
12,988,992
104,793
394,039
12,699,746
799,800
2,021
35,517
766,304
407,896
8,982
57,505
359,373
62,977
1,678
561
64,094
2,470,678
84
2,772
2,467,991
6,861,849
453
40,099
6,822,204
6,602,828
0
103,672
6,499,156
701,151
41,868
14,138
728,881
32,188
54,831
1,354
85,664
1,085,767
0
1,766
1,084,001
44,388
0
0
44,388
295
0
0
295
4,456
0
0
4,456
77
0
0
77
5,316
0
0
5,316
1,026,542
0
1,766
1,024,777
20,995
0
0
20,995
40,903,350
284,444
872,580
40,315,214
16,773,768
143,437
518,539
16,398,666
954,052
2,024
41,744
914,331
521,399
15,742
65,688
471,453
83,689
2,854
561
85,982
2,878,371
84
3,397
2,875,059
10,170,610
6,987
48,791
10,128,806
8,365,107
7,268
113,188
8,259,186
© 2014 National Association of Insurance Commissioners
24
(16,303)
0
0
(16,303)
1,113,657
44,665
75,224
1,083,097
0
0
0
0
42,697
61,384
5,447
98,633
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
11
UNDERWRITING AND INVESTMENT EXHIBIT
Part 2B - Analysis of Claims Unpaid - Prior Year - Net of Reinsurance
(000's)
2
On Claims Incurred
During the
3
On Claims Unpaid
December 31 of
4
On Claims Incurred
During the
Claims Incurred
in Prior Years
6
Extimated Claim
Reserve and
Claim Liability
December 31 of
Year
Prior Year
Year
(Columns 1 + 3)
Prior Year
Claim Reserve and Claim Liability
December 31 of Current Year
Claims Paid
During the Year
Line of Business
1
On Claims Incurred
Prior to January 1
of Current Year
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Comprehensive (hospital and medical)
Medicare Supplement
Dental only
Vision only
Federal employees health benefits plan
Title XVIII - Medicare
Title XIX - Medicaid
Other health
Health subtotal (Lines 1 to 8)
Health care receivables (a)
Other non-health
Medical incentive pools and bonus amounts
Totals (Lines 9-10+11+12)
14,115,949
840,276
388,277
77,870
2,469,622
7,573,022
6,243,113
206,595
31,914,723
657,393
58,354
1,181,084
32,496,768
150,410,781
5,712,271
7,645,284
1,301,478
27,764,243
83,389,072
70,235,264
9,843,881
356,302,274
4,181,720
34,954
735,615
352,891,123
442,309
18,365
4,002
285
45,813
535,293
265,252
144,871
1,456,191
42,854
91,775
181,053
1,686,165
© 2014 National Association of Insurance Commissioners
25
16,042,999
917,142
469,447
87,179
2,819,319
9,592,027
8,027,315
974,647
38,930,076
521,311
60,938
1,283,225
39,752,927
5
14,558,258
858,640
392,279
78,155
2,515,435
8,108,315
6,508,365
351,467
33,370,914
700,248
150,129
1,362,138
34,182,933
17,238,018
954,903
498,624
90,811
2,808,868
9,650,484
7,413,863
1,078,936
39,734,506
2,889,125
130,222
1,422,813
38,398,416
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
12
UNDERWRITING AND INVESTMENT EXHIBIT
Part 2C - Development of Paid and Incurred Health Claims
(000's)
Section A - Paid Health Claims
Cumulative Net Amounts Paid
Year in Which Losses
Were Incurred
01
02
03
04
05
06
1
2009
Prior
2009
2010
2011
2012
2013
2
2010
1,556,474
1,455,713
XXX
XXX
XXX
XXX
3
2011
1,534,230
853,244
1,570,029
XXX
XXX
XXX
1,518,347
796,901
862,411
1,601,599
XXX
XXX
4
2012
1,593,648
792,360
807,003
914,107
2,721,175
XXX
5
2013
1,770,196
791,804
804,592
856,892
1,185,731
3,491,837
Section B - Incurred Health Claims
Sum of Cumulative Net Amount Paid and Claim Liability, Claim Reserve and Medical Incentive Pool and Bonuses
Outstanding at End of Year
Year in Which Losses
Were Incurred
01
02
03
04
05
06
1
2009
Prior
2009
2010
2011
2012
2013
1,585,327
1,565,596
XXX
XXX
XXX
XXX
2
2010
3
2011
1,560,367
850,272
1,685,241
XXX
XXX
XXX
1,591,534
803,921
863,529
1,727,294
XXX
XXX
4
2012
1,531,084
798,483
815,934
1,149,510
1,938,505
XXX
5
2013
1,567,551
800,746
815,968
868,796
959,328
2,367,923
Section C - Incurred Year Health Claims and Claims Adjustment Expense Ratio
1
Years in which Premiums were Earned
and Claims were Incurred
01
02
03
04
05
2009
2010
2011
2012
2013
Premiums Earned
1,970,275
2,383,684
2,201,437
3,475,989
3,952,346
2
3
Claims Payments
Claim Adjustment
Expense Payments
1,657,652
1,681,924
1,747,926
2,751,676
3,729,024
45,408
45,083
47,116
50,658
76,212
5
Claim and Claim
Adjust Expense
Payments (Col 2+3)
1,703,060
1,727,007
1,795,042
2,802,334
3,805,235
© 2014 National Association of Insurance Commissioners
26
7
Claims Unpaid
19,277
22,641
27,798
26,513
224,260
8
Unpaid Claims
Adjustment
Expenses
706
821
1,010
894
5,112
9
Total Claims and Claims
Adjustment Expense
Incurred (Col 5+7+8)
1,723,044
1,750,470
1,823,850
2,829,741
4,034,607
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
13
UNDERWRITING AND INVESTMENT EXHIBIT
Part 2D - Aggregate Reserve For Accident and Health Contracts Only
(000's)
1
2
3
4
5
Comprehensive
Total
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
Unearned premium reserves
Additional policy reserves
Reserve for future contingent benefits
Reserve for rate credits or experience rating refunds
Aggregate write-ins for other policy reserves
Totals (gross)
Reinsurance ceded
Totals (Net) (Page 3, Line 4)
Present value of amounts not yet due on claims
Reserve for future contingent benefits
Aggregate write-ins for other claim reserves
Totals (gross)
Reinsurance ceded
Totals (Net) (Page 3, Line 7)
1,938,705
3,664,253
58,676
6,492,636
149,907
12,304,177
751,890
11,552,287
216,911
142,124
4,108
363,143
150,774
212,369
(Hospital
& Medical)
724,952
1,529,226
23,720
1,452,416
73,694
3,804,008
53,346
3,750,662
70,056
44,893
2,952
117,901
822
117,079
Medicare
Supplement
222,422
882,737
30,605
217,322
1,000
1,354,086
105,197
1,248,890
7,150
24,503
0
31,654
13,064
18,590
Dental
Only
42,839
8,873
3
46,881
4,276
102,873
5,342
97,531
3
328
370
701
0
701
Vision
Only
884
1,543
14
702
0
3,143
7
3,136
1,536
0
0
1,536
0
1,536
© 2014 National Association of Insurance Commissioners
27
6
Federal
Employees
Health
Benefit Plan
875,831
187,368
50
3,627,220
7,523
4,697,992
0
4,697,992
312
6,165
0
6,477
26
6,451
7
Title
XVIII
Medicare
44,915
262,432
388
397,080
8,909
713,724
1,103
712,621
445
3,790
0
4,235
78
4,157
8
Title
XIX
Medicaid
12,782
236,860
0
203,167
44,395
497,204
229
496,975
6,884
26,536
534
33,955
760
33,194
9
Other
14,079
555,214
3,895
547,849
10,109
1,131,146
586,665
544,481
130,525
35,909
252
166,685
136,024
30,662
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
14
UNDERWRITING AND INVESTMENT EXHIBIT
Part 3 - Analysis of Expenses
(000's)
Claim Adjustment Expenses
01. Rent ( for occupancy of own building)
02. Salaries, wages and other benefits
3
5
4
1
2
Cost
Containment
Expenses
Other Claim
Adjustment
Expenses
185,231
303,641
932,101
66,276
1,487,250
General
Administrative
Expenses
Investment
Expenses
Total
4,915,764
5,781,656
16,387,855
28,036
27,113,311
03. Commissions (less ceded plus assumed)
25,299
29,192
7,800,011
250
7,854,752
04. Legal fees and expenses
26,366
24,917
329,614
254
381,151
6,352
5,954
14,027
0
26,333
655,885
487,596
2,384,723
8,233
3,536,438
05. Certifications and accreditation fees
06. Auditing, actuarial and other consulting services
07. Traveling expenses
74,667
68,000
394,475
536
537,678
08. Marketing and advertising
96,530
74,938
1,573,786
698
1,745,951
09. Postage, express and telephone
143,556
369,218
889,397
792
1,402,961
10. Printing and office supplies
69,256
116,135
586,570
405
772,366
11. Occupancy, depreciation and amortization
55,854
86,797
506,342
37,862
686,855
12. Equipment
62,720
273,570
375,563
710
712,562
402,653
662,573
1,855,995
1,687
2,922,908
13. Cost or depreciation of EDP equipment and software
14. Outsourced services including EDP, claims, and other services
1,931,257
2,675,882
4,356,725
6,568
8,970,432
15. Boards, bureaus and association fees
23,084
20,437
200,035
181
243,737
16. Insurance, except on real estate
23,146
27,787
210,377
129
261,438
4,302
24,995
140,232
19,697
189,227
571,837
559,135
(103,602)
374
1,027,744
17. Collection and bank service charges
18. Group service and administration fees
19. Reimbursements by uninsured plans
20. Reimbursements from fiscal intermediaries
21. Real estate expenses
22. Real estate taxes
(2,164,004)
(4,342,133)
(7,341,196)
(60,979)
(108,718)
(571,511)
(4,881)
16,356
31,411
155,784
65,889
269,438
5,671
9,114
41,211
29,265
85,261
387
(13,852,215)
(740,822)
23. Taxes, licenses and fees:
23.1. State and local insurance taxes
2,306
7,138
374,064
396
383,903
23.2. State premium taxes
1,035
7,467
3,598,045
937
3,607,484
23.3. Regulatory authority licenses and fees
23.4. Payroll taxes
23.5. Other (excluding federal income and real estate taxes)
24. Investment expenses not included elsewhere
25. Aggregate write-ins for expenses
26. Total expenses incurred (Lines 1 to 25)
4,475
2,136
695,085
135
701,831
245,317
286,832
1,023,425
1,290
1,556,863
7,324
12,216
521,252
1,184
541,976
104
1,548
3,059
160,701
165,413
310,912
557,685
1,671,596
44,520
2,584,713
7,642,276
8,057,120
39,005,037
472,508
55,176,941
27. Less expenses unpaid December 31, current year
260,567
871,073
10,960,397
50,572
12,142,609
28. Add expenses unpaid December 31, prior year
239,181
917,311
10,571,495
51,885
11,779,873
29. Amounts receivable relating to uninsured plans, prior year
684,451
1,536,104
5,498,809
0
7,719,364
30. Amounts receivable relating to uninsured plans, current year
706,987
1,667,038
6,286,045
0
8,660,069
7,643,426
8,234,292
39,403,372
473,821
55,754,911
31. Total expenses paid (Lines 26 minus 27 plus 28 minus 29 plus 30)
© 2014 National Association of Insurance Commissioners
28
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE .....................................................................
(Name)
15
EXHIBIT OF NET INVESTMENT INCOME
(000's)
1
Collected
Earned
During
During
Year
Year
315,033
77,600
2,162,708
21,674
28,427
1,822
535,688
1,141,061
700
521,789
200
38,613
1,887
204,072
62,503
5,113,777
01. U.S. Government bonds
01.1. Bonds exempt from U.S. tax
01.2. Other bonds (unaffiliated)
01.3. Bonds of affiliates
02.1. Preferred stocks (unaffiliated)
02.11. Preferred stocks of affiliates
02.2. Common stocks (unaffiliated)
02.21. Common stocks of affiliates
03. Mortgage loans
04. Real estate
05. Contract loans
06. Cash, cash equivalents and short-term investments
07. Derivative instruments
08. Other invested assets
09. Aggregate write-ins for investment income
10. Total gross investment income
11.
12.
13.
14.
15.
16.
17.
2
Investment expenses
Investment taxes, licenses and fees, excluding federal income taxes
Interest expense
Depreciation on real estate and other invested assets
Aggregate write-ins for deductions from investment income
Total deductions (Lines 11 through 15)
Net investment income (Line 10 minus Line 16)
299,044
79,950
2,183,569
26,024
28,717
1,822
539,466
1,140,422
690
680,035
209
39,022
(427)
205,050
46,452
5,270,046
445,830
26,600
149,120
340,268
13,897
975,716
4,294,330
EXHIBIT OF CAPITAL GAINS (LOSSES)
1
Realized
Gain (Loss)
on Sales or
Maturity
01. Government bonds
01.1. Bonds exempt from U.S. tax
01.2. Other bonds (unaffiliated)
01.3. Bonds of affiliates
02.1. Preferred stocks (unaffiliated)
02.11. Preferred stocks of affiliates
02.2. Common stocks (unaffiliated)
02.21. Common stocks of affiliates
03. Mortgage loans
04. Real estate
05. Contract loans
06. Cash, cash equivalents and short-term investments
07. Derivative instruments
08. Other invested assets
09. Aggregate write-ins for capital gains (losses)
10. Total capital gains (losses)
39,363
3,477
490,620
5
9,888
(13,840)
1,396,975
(17,623)
0
35,120
1
3,319
(4,972)
21,487
12,745
1,976,564
2
Other
Realized
Adjustments
(6,742)
(29)
(77,326)
0
(1,146)
(24,548)
(47,105)
(147,446)
0
(17,715)
0
(160)
8,725
(14,392)
631
(327,253)
3
Total Realized
Capital Gain
(Loss)
(Columns 1 + 2)
4
5
Change in
Unrealized Capital
Gain (Loss)
Change in
Unrealized
Foreign
Exchange Capital
Gain (Loss)
(4,732)
10
(17,976)
(752)
(10,682)
(5,969)
1,699,070
180,011
0
39,524
0
286
2,618
62,685
124,011
2,068,104
0
0
(1,740)
0
29
0
(2,720)
0
0
0
0
(18)
(951)
0
(5)
(5,405)
32,620
3,448
413,293
5
8,742
(38,389)
1,349,870
(165,069)
0
17,404
1
3,159
3,753
7,096
13,376
1,649,310
© 2014 National Association of Insurance Commissioners
29
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE .....................................................................
(Name)
16
EXHIBIT OF NONADMITTED ASSETS
(000's)
1
Current Year
Total
Nonadmitted
Assets
01. Bonds (Schedule D)
2
Prior Year
Total
Nonadmitted
Assets
120,915
3
Change in Total
Nonadmitted
Assets
(Col. 2-Col. 1)
58,201
(62,714)
02. Stocks (Schedule D):
02.1. Preferred stocks
48,050
54,578
02.2. Common stocks
1,579,853
1,519,160
(60,694)
6,528
03.1. First liens
2
0
(2)
03.2. Other than first liens
0
0
0
04.1. Properties occupied by the company
45,067
46,582
1,515
04.2. Properties held for the production of income
10,027
6,811
(3,216)
0
12,164
12,164
22,150
32,453
10,304
0
0
953
947
(6)
941,234
826,332
(114,902)
242
130
(113)
0
0
138,801
130,928
(7,874)
2,907,294
2,688,285
(219,009)
0
0
1,208
109
(1,098)
371,458
314,229
(57,229)
03. Mortgage loans on real estate (Schedule B):
04. Real estate (Schedule A):
04.3. Properties held for sale
05. Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and
short-term investments (Schedule DA)
06. Contract loans
07. Derivatives (Schedule DB)
08. Other invested assets (Schedule BA)
09. Receivables for securities
10. Securities lending reinvested collateral assets (Schedule DL)
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11)
13. Title plants (for title insurers only)
14. Investment income due and accrued
0
0
0
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection
15.2. Deferred premiums, agents' balances and installments
booked but deferred and not yet due
15.3. Accrued retrospective premiums
58
0
2,080
7,529
5,449
(58)
7,984
16. Reinsurance:
16.1. Amounts recoverable from reinsurers
13,653
21,637
16.2. Funds held by or deposited with reinsured companies
100
100
0
16.3. Other amounts receivable under reinsurance contracts
4,674
4,948
274
864,967
731,764
3,816
4,841
1,025
1,370,036
1,518,716
148,679
17. Amounts receivable relating to uninsured plans
18.1. Current federal and foreign income tax recoverable and interest thereon
18.2. Net deferred tax asset
19. Guaranty funds receivable or on deposit
(133,202)
460
417
(43)
20. Electronic data processing equipment and software
2,266,407
2,103,611
(162,796)
21. Furniture and equipment, including health care delivery assets
1,364,639
1,137,382
(227,256)
0
0
412,313
304,160
24. Health care and other amounts receivable
2,163,428
2,092,162
25. Aggregate write-ins for other than invested assets
4,474,144
5,712,720
1,238,575
16,220,734
16,642,610
421,876
22. Net adjustment in assets and liabilities due to foreign exchange rates
23. Receivables from parent, subsidiaries and affiliates
0
(108,153)
(71,266)
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines 12 to 25)
27. From Separate Accounts, Segregated Accounts and
Protected Cell Accounts
0
0
0
28. Totals (Lines 24 and 25)
16,220,734
16,642,610
421,876
© 2014 National Association of Insurance Commissioners
30
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
17
EXHIBIT 1 - ENROLLMENT BY PRODUCT TYPE FOR HEALTH BUSINESS ONLY
(000's)
Total Members at End of
1
Source of Enrollment
01. Health Maintenance Organizations
02. Provider Service Organizations
03. Preferred Provider Organizations
2
6
3
4
5
Prior
First
Second
Third
Current
Current Year
Member
Year
Quarter
Quarter
Quarter
Year
Months
47,645
48,533
48,758
48,908
48,416
583,037
2,849
2,794
2,826
2,791
2,763
33,616
635,038
53,885
53,139
53,351
53,317
53,418
04. Point of Service
7,065
6,973
6,943
6,823
6,616
79,985
05. Indemnity Only
9,611
9,948
9,912
10,129
10,239
123,480
58,653
56,073
56,044
56,512
56,799
673,654
179,709
177,461
177,834
178,479
178,251
2,128,810
06. Aggregate write-ins for other lines of business
07. Total
© 2014 National Association of Insurance Commissioners
31
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
24
EXHIBIT 7 - PART 1 - SUMMARY OF TRANSACTIONS WITH PROVIDERS
(000's)
Payment Method
1
3
5
Direct Medical
Expense
Payment
Total
Members
Covered
Column 1
Expenses Paid to
Affiliated Providers
6
Column 1
Expenses Paid to
Non-Affiliated
Providers
Capitation Payments:
01. Medical groups
18,912,391
73,611
5,848,245
13,065,134
02. Intermediaries
9,912,513
37,966
3,962,028
5,949,497
03. All other providers
6,419,350
43,271
2,206,693
4,212,656
35,244,254
145,731
12,016,967
23,227,287
XXX
9,942,110
48,773,872
270,061,786
XXX
33,854,003
236,239,180
594,784
XXX
16,198
578,585
11,001,643
XXX
2,218,526
8,783,118
09. Non-contingent salaries
5,359,616
XXX
3,719,627
1,640,513
10. Aggregate cost arrangements
4,467,225
XXX
3,997,014
470,209
11. All other payments
9,549,410
XXX
3,872,846
5,676,040
12. Total other payments
359,781,841
XXX
57,620,324
302,161,517
13. Total ( Line 4 plus Line 12)
395,026,095
XXX
69,637,291
325,388,804
04. Total capitation payments
Other Payments:
05. Fee-for-service
06. Contractual fee payments
07. Bonus/withhold arrangements - fee-for-service
08. Bonus/withhold arrangements - contractual fee payments
58,747,378
© 2014 National Association of Insurance Commissioners
32
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
25
EXHIBIT 8 - FURNITURE, EQUIPMENT AND SUPPLIES OWNED
(000's)
1
Description
01. Administrative furniture and equipment
2
Cost
Improvements
3
4
5
Book Value
Less
Assets
Accumulated
Depreciation
Encumbrances
Admitted
6
Net Admitted
Assets
Not
3,135,152
240,901
2,031,300
771,257
929,234
18,121
02. Medical furniture, equipment and fixtures
999,545
11,623
767,056
180,088
11,095
178,290
03. Pharmaceuticals and surgical supplies
181,617
0
180,230
3,988
176,242
17,880
174
13,534
4,368
22
4,346
05. Other property and equipment
1,138,511
364,974
814,239
615,144
430,315
222,043
06. Total
5,472,705
617,672
3,624,741
1,751,087
1,374,654
599,042
04. Durable medical equipment
(1,388)
© 2014 National Association of Insurance Commissioners
33
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
S101
SUMMARY INVESTMENT SCHEDULE
(000's)
1
3
Admitted Assets as
Investment Categories
1. Bonds
1.1. U.S. treasury securities
1.2. U. S. government agency obligations (excl mortgage-backed securities):
1.21. Issued by U.S. government agencies
1.22. Issued by U.S. government sponsored agencies
1.3. Non-U.S. government (including Canada, excluding mortgage-backed securities)
1.4. Securities issued by states, territories, possessions & political subdivisions in the US:
1.41. States, territories and possessions general obligations
1.42. Political subdivisions of states, territories and possessions and political
subdivisions general obligations
1.43. Revenue and assessment obligations
1.44. Industrial development and similar obligations
1.5. Mortgage-backed securities (includes residential and commercial MBS):
1.51. Pass-through securities:
1.511. Issued or guaranteed by GNMA
1.512. Issued or guaranteed FNMA and FHLMC
1.513. All other
1.52. CMO's and REMIC's:
1.521. Issued or guaranteed by GNMA, FNMA, FHLMC, or VA
1.522. Issued by non-U.S. government issuers and collateralized by mortgagebacked securities issued or guaranteed by agencies shown in Line 1.521
1.523. All other
2. Other debt and other fixed income securities (excluding short term):
2.1. Unaffiliated domestic securities (includes credit tenant loans and hybird securities)
2.2. Unaffiliated non-U.S. securities (including Canada)
2.3. Affiliated securities
3. Equity interests:
3.1. Investments in mutual funds
3.2. Preferred stocks:
3.21. Affiliated
3.22. Unaffiliated
3.3. Publicly traded equity securities (excluding preferred stocks):
3.31. Affiliated
3.32. Unaffiliated
3.4. Other equity securities:
3.41. Affiliated
3.42. Unaffiliated
3.5. Other equity interests including tangible personal property under lease:
3.51. Affiliated
3.52. Unaffiliated
4. Mortgage loans:
4.1. Construction and land development
4.2. Agricultural
4.3. Single family residential properties
4.4. Multifamily residential properties
4.5. Commercial loans
4.6. Mezzanine real estate loans
5. Real estate investments:
5.1. Property occupied by company
5.2. Property held for production of income
5.3. Property held for sale
6. Contract loans
7. Derivatives
8. Receivables for securities
9. Securities Lending (Line 10, Asset Page reinvested collateral)
10. Cash, cash equivalents and short-term investments
11. Other invested assets
12. Total invested assets
Gross Investment
Reported in the Annual
Holdings Amount
Statement Amount
12,374,699
12,382,126
675,130
3,235,716
626,371
673,129
3,233,223
633,831
3,570,256
3,056,258
3,589,238
3,057,558
12,080,987
398,414
12,055,104
399,443
2,350,077
10,192,652
567,987
2,347,177
10,126,941
567,987
1,681,968
891,983
1,649,614
891,983
3,294,881
3,293,454
31,528,205
5,750,095
578,975
31,560,847
5,746,157
578,954
10,827,501
10,943,185
52,535
345,132
4,523
345,132
156,948
8,185,083
156,868
8,183,716
17,482,468
390,348
16,406,614
395,664
169,570
488
142,417
488
2,782
0
0
0
34,705
0
2,782
0
0
0
34,703
0
5,456,998
199,413
8,627
535
5,503
162,366
1,246,868
25,815,900
8,519,650
171,918,073
5,575,308
212,313
8,627
535
5,437
167,686
1,246,861
26,571,240
7,920,934
171,111,800
© 2014 National Association of Insurance Commissioners
34
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE .....................................................................
(Name)
SCHEDULE D - SUMMARY BY COUNTRY
S104
Long-Term Bonds and Stocks OWNED December 31 of Current Year
(000's)
Description
BONDS
2
3
4
Par Value
Carrying Value
Fair Value
Actual Cost
of Bonds
16,330,073
16,295,768
16,343,835
16,173,068
02. Canada
203,212
202,404
204,995
200,125
(Including all obligations guaranteed
03. Other Countries
357,123
355,166
359,496
351,026
by governments)
04. Totals
16,890,408
16,853,338
16,908,326
16,724,218
05. Totals
3,701,557
3,759,541
3,802,457
3,409,634
06. Totals
3,092,360
3,145,781
3,182,115
2,909,963
07. Totals
26,152,339
26,298,705
26,470,171
25,032,254
08. United States
36,425,971
37,296,711
36,802,176
35,318,854
09. Canada
1,144,451
1,153,891
1,153,286
1,130,085
and Credit Tenant Loans and
10. Other Countries
4,925,462
5,002,743
4,952,760
4,864,239
Hybird Securities (unaffiliated)
11. Totals
42,495,884
43,453,345
42,908,222
41,313,178
12. Totals
578,954
578,954
578,954
660,930
92,911,503
94,089,665
93,850,246
90,050,177
328,834
343,154
322,388
0
0
0
13,080
15,746
12,656
17. Totals
341,913
358,899
335,044
18. Totals
57,895
57,895
36,980
399,809
416,795
372,024
18,641,032
18,641,032
14,233,253
96,396
96,396
74,044
1,214,230
1,214,230
973,005
23. Totals
19,951,657
19,951,657
15,280,302
24. Totals
17,781,388
17,762,274
10,614,103
25. Total Common Stocks
37,733,045
37,713,931
25,894,405
Governments
01. United States
1
Book/Adjusted
U.S. States, Territories and Possessions
(Direct and guaranteed)
U.S. Political Subdivisions of
States, Territories & Possessions
(Direct and guaranteed)
U.S. Special revenue and special assessment
obligations and all non-guaranteed
obligations of agencies and authorities
of govts and their political subdivisions
Industrial and Miscellaneous
Parent Subsidiaries and Affiliates
13. Total Bonds
PREFERRED STOCKS
14. United States
15. Canada
16. Other Countries
Parent Subsidiaries and Affiliates
19. Total Preferred Stocks
COMMON STOCKS
Industrial and Miscellaneous
(unaffiliated)
Parent Subsidiaries and Affiliates
20. United States
21. Canada
22. Other Countries
26. Total Stocks
27. Total Bonds and Stocks
38,132,853
38,130,726
26,266,429
131,044,357
132,220,391
120,116,675
© 2014 National Association of Insurance Commissioners
35
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
SCHEDULE D - PART 1A - SECTION 1
S105
Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues
(000's)
Quality Rating Per the
NAIC Designation
1. U.S. Governments
01.1. NAIC 1
01.2. NAIC 2
01.3. NAIC 3
01.4. NAIC 4
01.5. NAIC 5
01.6. NAIC 6
1
1 Year or Less
2
Over 1 Year Thru
5 Years
3
Over 5 Years
Thru 10 Years
4
Over 10 Years
Thru 20 Years
5
Over 20 Years
6
8
Total Current Year Total Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed
9,381,070
1,969
0
0
0
0
8,445,952
0
0
0
0
0
3,715,298
2,242
0
0
0
0
876,623
1
0
0
0
0
1,326,551
15
0
0
0
0
23,745,494
4,228
0
0
0
0
22,794,291
2,722
1,703
0
0
0
23,687,623
4,228
0
0
0
0
57,871
0
0
0
0
0
9,383,039
8,445,952
3,717,540
876,624
1,326,566
23,749,722
22,798,717
23,691,851
57,871
35,594
1,946
0
237
0
0
264,453
15,314
6,990
2,805
0
0
103,695
47,609
12,201
897
0
0
14,603
21,897
5,922
1,948
0
0
17,569
19,292
0
0
0
0
435,914
106,058
25,113
5,887
0
0
383,021
25,367
7,141
0
0
0
417,884
92,415
19,183
5,887
0
0
18,030
13,643
5,930
0
0
0
37,777
289,562
164,402
44,370
36,861
572,972
415,530
535,369
37,602
180,872
15,930
0
1,278,771
19,109
0
1,802,709
279
0
301,754
113
0
120,145
243
0
3,684,252
35,674
0
3,291,925
45,422
0
3,574,202
35,674
0
110,049
0
0
0
0
1,003
1,000
2,199
50
0
0
0
0
0
0
0
0
0
1,000
2,199
1,052
1,001
554
0
1,000
2,199
1,052
0
0
0
197,805
1,301,130
1,802,988
301,867
120,388
3,724,178
3,338,902
3,614,129
110,049
278,669
1,880
0
0
0
0
1,141,235
13,347
949
0
5,043
0
1,295,491
4,124
1,078
0
1,835
0
291,272
1,352
0
0
0
0
115,204
189
0
0
0
0
3,121,871
20,893
2,027
0
6,879
0
2,596,847
28,297
2,166
0
9,069
0
3,121,871
20,893
2,027
0
6,879
0
0
0
0
0
0
0
280,549
1,160,575
1,302,528
292,625
115,393
3,151,670
2,636,379
3,151,670
0
Non-Guaranteed
05.1. NAIC 1
05.2. NAIC 2
05.3. NAIC 3
05.4. NAIC 4
05.5. NAIC 5
05.6. NAIC 6
3,499,666
47,648
18,094
110
2,344
500
8,961,683
169,571
7,946
9,327
7,681
0
7,768,845
114,530
3,991
2,440
91
0
3,461,770
76,772
0
13,435
3,438
0
2,603,073
125,949
1,512
60
0
0
26,295,037
534,470
31,543
25,372
13,555
500
27,096,509
599,115
14,866
31,539
17,511
1
26,279,042
534,470
31,543
8,662
9,063
500
15,995
0
0
16,710
4,492
0
05.7. Totals
3,568,362
9,156,208
7,889,898
3,555,415
2,730,594
26,900,476
27,759,541
26,863,280
37,197
01.7. Totals
2. All Other Governments
02.1. NAIC 1
02.2. NAIC 2
02.3. NAIC 3
02.4. NAIC 4
02.5. NAIC 5
02.6. NAIC 6
02.7. Totals
3. U.S. States, Territories and Possessions etc.,
Guaranteed
03.1. NAIC 1
03.2. NAIC 2
03.3. NAIC 3
03.4. NAIC 4
03.5. NAIC 5
03.6. NAIC 6
03.7. Totals
4. U.S. Political Subdivisions of States, Territories, and
Possessions, Guaranteed
04.1. NAIC 1
04.2. NAIC 2
04.3. NAIC 3
04.4. NAIC 4
04.5. NAIC 5
04.6. NAIC 6
04.7. Totals
5. U.S. Special Revenue & Assessment Obligations etc.
© 2014 National Association of Insurance Commissioners
36
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
SCHEDULE D - PART 1A - SECTION 1 (continued)
S106
Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues
(000's)
Quality Rating Per the
NAIC Designation
6. Industrial and Misccellaneous (unaffiliated)
06.1. NAIC 1
06.2. NAIC 2
06.3. NAIC 3
06.4. NAIC 4
06.5. NAIC 5
06.6. NAIC 6
06.7. Totals
1
1 Year or Less
2
Over 1 Year Thru
5 Years
3
Over 5 Years
Thru 10 Years
4
Over 10 Years
Thru 20 Years
5
Over 20 Years
6
8
Total Current Year Total Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed
12,737,267
1,598,770
159,345
96,164
11,501
1,680
14,797,874
5,649,494
769,716
588,279
117,023
8,782
5,526,475
4,458,437
1,398,300
818,005
110,491
5,414
837,519
452,760
62,287
55,573
16,276
6,865
1,628,740
630,218
76,476
55,931
563
2,961
35,527,875
12,789,679
2,466,123
1,613,952
255,854
25,703
35,996,056
10,845,337
1,884,525
1,201,561
160,602
25,996
31,982,442
11,266,725
1,961,701
1,330,342
189,118
24,645
3,545,433
1,522,954
504,422
283,610
66,736
1,058
14,604,727
21,931,169
12,317,122
1,431,279
2,394,889
52,679,186
50,114,078
46,754,974
5,924,212
7. Hybird Securities
07.1. NAIC 1
07.2. NAIC 2
07.3. NAIC 3
07.4. NAIC 4
07.5. NAIC 5
07.6. NAIC 6
0
1,822
1,522
0
0
1
29,675
31,845
471
5,481
0
0
17,972
970
0
0
0
0
1,389
20
836
0
3,111
0
17,980
162,194
20,286
1,830
0
0
67,017
196,851
23,116
7,311
3,111
1
59,481
87,114
27,036
7,672
3,516
0
35,857
161,696
19,161
5,850
3,111
1
31,160
35,154
3,954
1,461
0
0
07.7. Totals
3,345
67,472
18,943
5,356
202,291
297,406
184,820
225,676
71,729
190
0
0
0
0
5,125
0
0
0
0
0
0
0
0
0
0
0
0
0
0
190
5,125
0
0
0
5,125
0
0
0
0
0
0
190
5,125
0
0
08.5. NAIC 5
08.6. NAIC 6
10,437
0
47,391
213
71,701
1,241
201,684
15,849
197,435
27,877
528,649
45,181
0
0
528,649
45,181
0
0
08.7. Totals
10,627
52,729
72,942
217,534
225,312
579,144
5,125
573,829
5,315
8. Parent, Subsidiaries and Affiliates
08.1. NAIC 1
08.2. NAIC 2
08.3. NAIC 3
08.4. NAIC 4
© 2014 National Association of Insurance Commissioners
37
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
SCHEDULE D - PART 1A - SECTION 1 (continued)
S107
Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues
(000's)
Quality Rating Per the
NAIC Designation
9. Total Bonds Current Year
09.1. NAIC 1
09.2. NAIC 2
09.3. NAIC 3
09.4. NAIC 4
09.5. NAIC 5
09.6. NAIC 6
09.7. Totals
09.8. Line 9.7 as a % of Col. 6
10. Total Bonds Prior Year
10.1. NAIC 1
10.2. NAIC 2
10.3. NAIC 3
10.4. NAIC 4
10.5. NAIC 5
10.6. NAIC 6
10.7. Totals
10.8. Line 10.7 as a % of Col. 8
11. Total Publicly Traded Bonds
11.1. NAIC 1
11.2. NAIC 2
11.3. NAIC 3
11.4.
11.5.
11.6.
11.7.
11.8.
NAIC 4
NAIC 5
NAIC 6
Totals
Line 11.7 as a % of Col. 6
11.9. Line 11.7 as a % of Line 9.7, Col.6, Section 9
12. Total Privately Placed Bonds
12.1. NAIC 1
12.2. NAIC 2
12.3. NAIC 3
12.4. NAIC 4
12.5. NAIC 5
12.6. NAIC 6
12.7. Totals
12.8. Line 12.7 as a % of Col. 6
12.9. Line 12.7 as a % of Line 9.7, Col 6, Section 9
1
1 Year or Less
2
Over 1 Year Thru
5 Years
3
Over 5 Years
Thru 10 Years
4
Over 10 Years
Thru 20 Years
5
Over 20 Years
6
8
Total Current Year Total Prior Year
10
Total Publicly
Traded
26,113,327
1,669,965
178,960
96,511
24,283
3,183
28,086,229
34,919,643
5,903,805
786,073
606,892
179,338
9,045
42,404,797
20,230,486
4,628,192
1,415,570
821,342
184,118
6,655
27,286,362
5,784,930
552,914
69,045
70,956
224,510
22,714
6,725,069
5,829,262
938,101
98,274
57,821
197,998
30,839
7,152,296
25
38
24
6
6
29,131,274
1,410,033
137,510
39,202
17,852
1,082
30,736,954
33,635,338
5,011,402
597,929
447,388
81,084
7,803
39,780,945
19,183,413
4,093,650
1,019,656
659,185
57,652
5,866
25,019,424
4,958,943
433,616
117,094
67,515
24,180
5,153
5,606,501
5,309,162
689,799
65,249
28,482
10,483
6,092
6,109,268
29
37
23
5
6
25,180,751
1,423,460
171,507
33,138,646
5,230,256
639,827
19,454,908
4,097,744
1,076,844
5,589,051
503,483
60,122
5,735,567
861,159
85,316
91,452
21,655
3,183
26,892,007
26
485,244
155,427
8,320
39,657,719
38
666,378
144,119
6,383
25,446,377
24
51,149
219,819
22,714
6,446,337
6
57,519
197,998
30,778
6,968,338
7
24
36
23
6
6
940,542
246,548
7,454
5,059
2,628
0
1,202,231
1,773,565
673,506
146,246
121,648
23,911
725
2,739,602
776,022
530,448
338,726
154,964
39,999
272
1,840,431
195,246
49,432
8,923
19,807
4,691
0
278,098
93,351
76,942
12,958
302
0
61
183,613
19
1
44
2
29
2
4
0
3
0
XXX
92,877,649
13,692,978
2,547,922
1,653,522
810,247
72,437
111,654,753
100
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
89,098,922
12,116,102
2,033,616
1,351,741
739,018
71,378
105,410,778
100
94
XXX
3,778,727
1,576,876
514,306
301,780
71,228
1,058
6,243,975
© 2014 National Association of Insurance Commissioners
38
100
6
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
92,218,131
11,638,501
1,937,438
1,241,773
191,252
25,998
107,253,092
100
XXX
89,389,717
10,314,381
1,671,616
959,960
167,228
24,270
102,527,173
0
0
XXX
2,828,413
1,324,119
265,822
281,813
24,024
1,727
4,725,919
0
0
XXX
89,098,922
12,116,102
2,033,616
1,351,741
739,018
71,378
105,410,778
94
XXX
89,389,717
10,314,381
1,671,616
959,960
167,228
24,270
102,527,173
96
XXX
89,098,922
12,116,102
2,033,616
1,351,741
739,018
71,378
105,410,778
100
94
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
11
Total Privately
Placed
XXX
3,778,727
1,576,876
514,306
301,780
71,228
1,058
6,243,975
6
XXX
2,828,413
1,324,119
265,822
281,813
24,024
1,727
4,725,919
4
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
XXX
3,778,727
1,576,876
514,306
301,780
71,228
1,058
6,243,975
100
6
Health Insurance Industry Aggregates
2009 through 2013
Maturity Distribution of Bonds
100%
90%
7
6
5
6
6
8
7
6
5
6
22
23
23
32
34
36
37
31
31
29
29
2009
2010
2011
2012
80%
70%
22
24
Percent
60%
50%
38
40%
30%
20%
10%
25
0%
2013
Years
1 Year or Less
Over 1 Year thru 5 Years
Over 5 Years thru 10 Years
Over 10 Years thru 20 Years
© 2014 National Association of Insurance Commissioners
39
Over 20 Years
© 2014 National Association of Insurance Commissioners
40
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE .....................................................................
S108
SCHEDULE D - PART 1A - SECTION 2
Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues
(000's)
Distribution by Type
1. U.S. Governments
01.1. Issuer obligations
01.2. Residential Mortgage-Backed Securities
01.3. Commercial Mortgage -Baced Securities
01.4. Other Loan-Backed and Structured Securities
01.5. Totals
2. All Other Governments
02.1. Issuer obligations
02.2. Residential Mortgage-Backed Securities
02.3. Commercial Mortgage -Baced Securities
02.4. Other Loan-Backed and Structured Securities
02.5. Totals
3. U.S. States, Territories and Possessions, Guaranteed
03.1. Issuer obligations
03.2. Residential Mortgage-Backed Securities
03.3. Commercial Mortgage -Baced Securities
03.4. Other Loan-Backed and Structured Securities
03.5. Totals
4. U.S. Political Subdivisions of States, Territories and
Possessions, Guaranteed
04.1. Issuer obligations
04.2. Residential Mortgage-Backed Securities
04.3. Commercial Mortgage -Baced Securities
04.4. Other Loan-Backed and Structured Securities
04.5. Totals
5. U.S. Special Revenue & Special Assessment Obligations,
etc., Non-Guaranteed
05.1. Issuer obligations
05.2. Residential Mortgage-Backed Securities
05.3. Commercial Mortgage -Baced Securities
05.4. Other Loan-Backed and Structured Securities
05.5. Totals
1
1 Year or Less
2
Over 1 Year Thru
5 Years
3
Over 5 Years
Thru 10 Years
4
Over 10 Years
Thru 20 Years
5
Over 20 Years
6
8
Total Current Year Total Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed
9,086,476
268,688
11,612
16,292
7,610,920
731,122
50,005
53,875
3,196,272
437,747
32,448
51,073
255,820
564,029
17,750
38,704
731,458
584,888
7,987
2,554
20,880,946
2,586,474
119,803
162,499
19,974,294
2,592,619
86,653
141,776
20,823,920
2,585,802
119,631
162,499
57,026
672
172
0
9,383,069
8,445,922
3,717,540
876,303
1,326,887
23,749,722
22,795,341
23,691,851
57,871
37,777
0
0
0
288,445
1,117
0
0
163,862
540
0
0
42,389
1,981
0
0
33,940
2,921
0
0
566,413
6,558
0
0
395,136
22,097
0
0
528,811
6,558
0
0
37,602
0
0
0
37,777
289,562
164,402
44,370
36,861
572,972
417,233
535,369
37,602
197,679
0
126
0
1,300,535
595
0
0
1,802,648
340
0
0
301,867
0
0
0
120,388
0
0
0
3,723,117
935
126
0
3,337,673
540
0
689
3,613,067
935
126
0
110,049
0
0
0
197,805
1,301,130
1,802,988
301,867
120,388
3,724,178
3,338,902
3,614,129
110,049
280,424
125
0
0
1,156,329
210
93
3,942
1,291,897
0
203
10,428
292,110
85
430
0
114,939
0
454
0
3,135,698
420
1,181
14,370
2,625,385
395
12
10,586
3,135,698
420
1,181
14,370
0
0
0
0
280,549
1,160,575
1,302,528
292,625
115,393
3,151,670
2,636,379
3,151,670
0
2,006,317
1,520,912
25,821
15,312
5,528,434
3,494,408
84,266
49,058
5,780,903
1,961,762
115,998
31,277
1,322,773
2,213,700
870
17,839
651,675
2,036,453
8,184
34,516
15,290,102
11,227,235
235,139
148,001
15,277,725
12,108,548
166,180
207,088
15,259,784
11,227,235
229,886
146,374
30,318
0
5,253
1,626
3,568,362
9,156,165
7,889,940
3,555,182
2,730,828
26,900,476
27,759,541
26,863,279
37,197
© 2014 National Association of Insurance Commissioners
41
HEALTH INSURANCE INDUSTRY AGGREGATES
S108
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
SCHEDULE D - PART 1A - SECTION 2 (continued)
Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues
(000's)
Distribution by Type
6. Industrial & Miscellaneous
06.1. Issuer obligations
06.2. Residential Mortgage-Backed Securities
06.3. Commercial Mortgage -Baced Securities
06.4. Other Loan-Backed and Structured Securities
06.5. Totals
1
1 Year or Less
2
Over 1 Year Thru
5 Years
3
Over 5 Years
Thru 10 Years
4
Over 10 Years
Thru 20 Years
5
Over 20 Years
6
8
Total Current Year Total Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed
13,124,393
131,976
522,625
826,354
18,049,747
302,643
1,873,574
1,705,303
11,429,046
151,066
364,253
372,900
926,673
173,261
110,312
220,172
1,367,812
117,329
847,044
62,704
44,897,671
876,275
3,717,808
3,187,433
43,937,552
799,057
3,017,929
2,348,906
40,310,957
797,581
3,377,909
2,274,522
4,586,714
78,693
339,899
912,911
14,605,348
21,931,267
12,317,264
1,430,418
2,394,889
52,679,186
50,103,445
46,760,969
5,918,217
1,823
0
0
1,522
61,872
0
0
5,600
10,091
0
0
8,851
856
0
0
4,500
197,457
0
0
4,833
272,099
0
0
25,307
144,924
328
0
39,101
209,371
0
0
16,305
62,728
0
0
9,001
3,345
67,472
18,943
5,356
202,291
297,406
184,353
225,676
71,729
10,627
0
0
0
52,729
0
0
0
72,942
0
0
0
217,534
0
0
0
225,312
0
0
0
579,144
0
0
0
5,125
0
0
0
573,829
0
0
0
5,315
0
0
0
10,627
52,729
72,942
217,534
225,312
579,144
5,125
573,829
5,315
7. Hybird Securities
07.1.
07.2.
07.3.
07.4.
Issuer obligations
Residential Mortgage-Backed Securities
Commercial Mortgage -Baced Securities
Other Loan-Backed and Structured Securities
07.5. Totals
8. Parent, Subsidiaries and Affiliates
08.1. Issuer obligations
08.2. Residential Mortgage-Backed Securities
08.3. Commercial Mortgage -Baced Securities
08.4. Other Loan-Backed and Structured Securities
08.5. Totals
© 2014 National Association of Insurance Commissioners
42
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE .....................................................................
S109
SCHEDULE D - PART 1A - SECTION 2 (continued)
Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues
(000's)
Distribution by Type
9. Total Bonds Current Year
09.1. Issuer obligations
09.2. Residential Mortgage-Backed Securities
09.3. Commercial Mortgage -Baced Securities
09.4. Other Loan-Backed and Structured Securities
09.5. Total
09.6. Lines 9.5 as a % Col. 6
10. Total Bonds Prior Year
10.1. Issuer obligations
10.2. Residential Mortgage-Backed Securities
10.3. Commercial Mortgage -Baced Securities
10.4. Other Loan-Backed and Structured Securities
10.5. Totals
10.6. Line 10.5 as a % of Col. 8
1
1 Year or Less
2
Over 1 Year Thru
5 Years
3
Over 5 Years
Thru 10 Years
4
Over 10 Years
Thru 20 Years
5
Over 20 Years
6
8
Total Current Year Total Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed
24,745,516
1,921,701
560,185
859,479
28,086,881
34,049,011
4,530,095
2,007,938
1,817,778
42,404,822
23,747,661
2,551,455
512,902
474,529
27,286,546
3,360,021
2,953,056
129,362
281,214
6,723,654
3,442,982
2,741,590
863,670
104,608
7,152,850
89,345,190
14,697,897
4,074,057
3,537,609
111,654,753
XXX
XXX
XXX
XXX
XXX
84,455,438
14,618,531
3,728,733
2,614,071
105,416,773
4,889,752
79,366
345,324
923,538
6,237,980
25
38
24
6
6
100
XXX
94
6
26,608,745
2,731,230
31,156,505
5,642,632
22,065,406
2,274,324
3,026,623
2,292,552
2,840,536
2,582,846
XXX
XXX
85,697,815
15,523,584
81,842,354
15,456,830
3,855,461
66,754
465,153
730,257
30,535,385
1,687,962
1,472,643
39,959,743
365,499
324,660
25,029,888
140,464
146,862
5,606,501
611,697
73,723
6,108,802
XXX
XXX
XXX
3,270,774
2,748,146
107,240,320
3,039,803
2,244,010
102,582,997
230,972
504,136
4,657,323
XXX
100
96
4
28
37
23
5
6
11. Total Publicly Traded Bonds
11.1. Issuer obligations
11.2. Residential Mortgage-Backed Securities
11.3. Commercial Mortgage -Baced Securities
11.4. Other Loan-Backed and Structured Securities
11.5. Totals
11.6. Line 11.5 as a % of Col. 6
23,803,099
1,906,703
516,697
671,499
26,897,997
26
31,932,309
4,493,852
1,827,400
1,404,376
39,657,938
38
22,204,647
2,539,821
409,397
292,168
25,446,033
24
3,229,128
2,943,622
118,421
154,399
6,445,569
6
3,286,256
2,735,728
854,626
92,626
6,969,236
7
84,455,438
14,619,726
3,726,542
2,615,067
105,416,773
100
81,843,411
15,456,021
3,039,554
2,244,010
102,582,997
XXX
84,455,438
14,619,726
3,726,542
2,615,067
105,416,773
100
XXX
XXX
XXX
XXX
XXX
XXX
11.7. Line 11.5 as a % of Line 9.5, Col 6, Section 9
24
36
23
6
6
94
XXX
94
XXX
949,770
2,109,419
1,542,945
130,893
156,726
4,889,752
3,855,461
XXX
4,889,752
14,998
43,487
187,981
1,196,236
19
1
36,337
180,444
413,402
2,739,602
44
2
11,837
103,288
182,361
1,840,431
30
2
9,878
10,511
126,816
278,098
4
0
6,316
7,593
12,978
183,613
3
0
79,366
345,324
923,538
6,237,980
100
6
66,754
230,972
504,136
4,657,323
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
79,366
345,324
923,538
6,237,980
100
6
12. Total Privately Placed Bonds
12.1. Issuer obligations
12.2.
12.3.
12.4.
12.5.
12.6.
12.7.
Residential Mortgage-Backed Securities
Commercial Mortgage -Baced Securities
Other Loan-Backed and Structured Securities
Totals
Line 12.5 as a % of Col. 6
Line 12.5 as a % of Line 9.5, col. 6, Section 9
© 2014 National Association of Insurance Commissioners
43
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
36
SCHEDULE S - PART 6
Five-Year Exhibit of Reinsurance Ceded Business
(000's)
1
2
3
4
5
2013
2012
2011
2010
2009
A. OPERATIONS ITEMS
01. Premiums
02. Title XVIII-Medicare
03. Title XIX-Medicaid
04. Commissions and reinsurance expense allowance
05. Total medical and hospital expenses
9,771
15,117
14,454
10,150
10,176
676
802
506
513
395
1,190
529
421
484
409
529
885
818
295
268
4,207,483
4,111,317
285,573
213,492
259,279
B. BALANCE SHEET ITEMS
06. Premiums receivable
126,469
109,671
9,137
8,574
7,245
07. Claims payable
419,788
454,118
17,737
17,586
20,596
08. Reinsurance recoverable on paid losses
799
1,219
1,332
1,107
881
09. Experience rating refunds due or unpaid
79
175
305
282
578
10. Commissions and reinsurance expense allowances due
36
90
137
135
112
11. Unauthorized reinsurance offset
221
705
753
654
608
12. Offset for reinsurance with Certified Reinsurers
442
0
XXX
XXX
XXX
C. UNAUTHORIZED REINSURANCE
(DEPOSITS BY AND FUNDS WITHHELD FROM)
13. Funds deposited by and withheld from (F)
220
697
591
654
608
14. Letters of credit (L)
21
21
19
17
16
15. Trust agreements (T)
75
82
85
100
21
5
0
12
13
33
16. Other (O)
D. REINSURANCE WITH CERTIFIED REINSURERS
(DEPOSITS BY AND FUNDS WITHHELD FROM)
17. Multiple Beneficiary Trust
0
0
XXX
XXX
XXX
441,962
0
XXX
XXX
XXX
19. Letters of credit (L)
0
0
XXX
XXX
XXX
20. Trust agreements (T)
0
0
XXX
XXX
XXX
21. Other (O)
0
0
XXX
XXX
XXX
18. Funds deposited by and whitheld from (F)
© 2014 National Association of Insurance Commissioners
44
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE .....................................................................
(Name)
37
SCHEDULE S - PART 7
Restatement of Balance Sheet to Identify Net Credit For Ceded Reinsurance
(000's)
01.
02.
03.
04.
ASSETS (Page 2, Col 3)
Cash and invested assets (Line 12)
Accident and health premiums due and unpaid (Line 15)
Amounts recoverable from reinsurers (Line 16.1)
Net credit for ceded reinsurance
05. All other admitted assets (Balance)
1
2
3
As Reported
(net of ceded)
Restatement
Adjustments
Restated
(gross of ceded)
154,996,682
15,318,332
798,398
XXX
6,374
26,944
(712,023)
1,334,964
155,003,056
15,345,276
86,375
1,334,964
31,659,299
71,170
31,730,469
202,772,710
727,430
203,500,140
37,207,670
1,248,763
4,002,718
776,912
401
52,611
37,984,582
1,249,165
4,055,329
529,783
37,338
0
441,962
51,930,040
(271,670)
(25,561)
804
(161,214)
301,252
258,113
11,777
804
280,748
52,231,292
15. Total liabilities (Line 24)
16. Total capital and surplus (Line 33)
95,398,274
107,375,096
673,535
XXX
96,071,809
107,375,096
17. Total liabilities, capital and surplus (Line 34)
202,773,370
673,535
203,446,904
06. Total assets (Line 28)
07.
08.
09.
10.
11.
12.
13.
14.
18.
19.
20.
21.
LIABILITIES, CAPITAL AND SURPLUS (Page 3)
Claims unpaid (Line 1)
Accrued medical incentive pool and bonus payments (Line 2)
Premiums received in advance (Line 8)
Funds held under reinsurance treaties with authorized and unauthorized reinsurers (Line 19,
first inset amount plus second inset amount)
Reinsurance in unauthorized companies (Line 20 minus inset amount)
Reinsurance with Certified Reinsurers (Line 20 inset amount)
Funds held under reinsurance treaties with Certified Reinsurers (Line 19 third inset amount)
All other liabilities (Balance)
NET CREDIT FOR CEDED REINSURANCE
Claims unpaid
Accrued medical incentive pool
Premiums received in advance
Reinsurance recoverable on paid losses
22. Other ceded reinsurance recoverables
(60,014)
23. Total ceded reinsurance recoverables
24.
25.
26.
27.
28.
1,115,856
14,512
52,649
772,663
1,895,666
Premiums receivable
Funds held under reinsurance treaties with authorized and unauthorized reinsurers
Unauthorized reinsurance
Reinsurance with Certified Reinsurers
Funds held under reinsurance treaties with Certified Reinsurers
168,128
289,380
31,377
0
162,038
29. Other ceded reinsurance payables/offsets
(90,220)
30. Total ceded reinsurance payables/offsets
560,702
31. Total net credit for ceded reinsurance
1,334,964
© 2014 National Association of Insurance Commissioners
45
2013 HEALTH
ANNUAL STATEMENT FINANCIAL DATA
TECHNICAL NOTES
All Lines on All Pages are Aggregated Data.
Page 36 (Schedule S, Part 6)
As Part 6 is the only part in Schedule S that requires amounts to be filed in thousands, occasional anomolies will be
present in the data as a result of incorrect reporting, and companies not rounding their amounts to thousands.
© 2014 National Association of Insurance Commissioners
46
Countrywide, Canada, and Aggregate
Other Alien Insurance Data
© 2014 National Association of Insurance Commissioners
47
© 2014 National Association of Insurance Commissioners
48
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE .....................................................................
(Name)
SCHEDULE T - PREMIUMS AND OTHER CONSIDERATIONS
(000's)
38
Direct Business Only
2
3
4
States, etc.
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. Columbia
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
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Puerto Rico
U.S. Virgin Islands
Northern Mariana Islands
Canada
Aggregate other aliien
Subtotal
Reporting entity contributions
for Employee Benefit Plans
61. Totals
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
GU
PR
VI
MP
CN
OT
5
6
Federal
Life and
Employees
Annuity
Health Benefits Premiums and
Other
Program
Premiums
Considerations
7
8
9
Accident
and Health
Premiums
Medicare
Title XVIII
Medicaid
Title XIX
3,391,052
323,547
1,744,714
1,745,337
6,090,777
3,782,810
3,198,300
638,968
1,438,580
11,048,151
5,325,317
2,624,264
1,470,896
12,971,418
2,875,998
2,969,451
1,137,829
2,853,698
3,045,554
1,313,517
4,082,672
11,923,070
11,528,283
5,275,506
1,115,302
3,737,077
362,864
1,597,820
1,841,617
1,246,170
9,187,286
875,559
29,578,331
4,734,631
1,222,499
7,544,774
2,486,957
4,423,299
14,731,942
1,270,588
2,279,027
926,439
3,329,388
11,815,267
2,182,393
700,702
6,135,593
7,272,962
959,033
5,586,569
258,488
0
86,576
1,297,993
15,076
2,452
0
196,837
231,801,222
1,857,875
0
3,058,694
692,893
432,857
2,097,012
1,193,065
75,713
165,966
13,714,985
1,941,590
831,586
498,404
1,382,068
993,586
353,946
349,313
633,219
2,112,666
299,836
565,776
1,978,064
3,434,218
2,821,928
366,834
2,299,419
156,573
142,553
1,369,606
44,011
2,395,235
784,280
11,280,948
2,299,434
45,095
4,458,704
706,062
2,451,258
10,466,712
704,237
1,373,191
58,564
3,541,398
8,001,812
857,934
0
578,966
2,723,566
199,610
2,292,777
(7)
0
0
4,780,633
0
0
0
0
105,864,664
0
0
0
0
0
56,660
0
0
617,050
3,677,254
2,859,734
1,100,451
0
910,979
1,172,549
57,371
2,153,727
3,307,302
1,341,755
0
1,555,491
2,781,978
4,472,362
4,046,510
742,190
1,156,518
0
461,953
372,464
32,300
4,544,242
2,297,975
4,859,710
0
0
7,474,582
0
257,459
9,296,647
686,301
1,563,766
0
5,110,799
11,799,003
461,650
0
2,619,068
2,397,567
469,426
1,765,237
0
0
0
629,312
0
0
0
0
89,109,344
690,989
220,873
604,712
237,562
0
685,188
239,010
104,925
2,099,503
2,069,190
1,223,372
358,402
131,213
1,011,128
552,467
236,481
143,919
394,785
365,398
168,307
2,220,580
625,143
629,501
497,378
307,834
615,680
30,415
214,992
178,379
227,274
737,472
318,202
1,377,192
896,903
98,013
938,938
653,793
416,017
1,431,286
97,717
414,977
129,846
627,790
2,302,517
396,408
67,090
2,146,416
910,725
299,227
460,569
89,014
0
0
166,353
2,809
0
0
0
32,063,873
228
8
193
1,247
47,272
127
263
22
16
1,206
419
6
143
1,080
780
803
570
248
267
17
347
325
1,273
484
643
548
69
807
64
22
575
12
37
474
51
1,832
419
77
363
25
1,063
111
425
1,418
412
5
323
335
19
481
21
0
0
1
0
0
0
105
68,079
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40,561
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40,561
5,940,144
544,427
5,408,314
2,677,039
6,570,906
6,621,797
4,630,637
819,629
4,321,116
30,510,785
11,350,432
4,914,709
2,100,656
16,276,673
5,595,380
3,618,051
3,785,358
7,189,252
6,865,640
1,781,678
8,424,866
17,308,580
20,065,636
12,641,806
2,532,803
7,809,241
549,921
2,418,124
3,762,131
1,549,776
16,864,811
4,276,029
47,096,219
7,931,441
1,365,659
20,418,830
3,847,231
7,548,110
35,967,512
2,758,868
5,632,023
1,114,960
12,609,799
33,920,017
3,898,797
767,797
11,480,367
13,305,155
1,927,317
10,105,633
347,516
0
86,576
6,874,292
17,885
2,452
0
196,942
458,947,743
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,456
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6,463
359,826
232,161,047
304
105,864,968
0
89,109,344
0
32,063,873
0
68,079
0
40,561
360,130
459,307,872
0
6,463
© 2014 National Association of Insurance Commissioners
49
Property/
Casualty
Premiums
Total
Columns
2 Through 7
DepositType
Contracts
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
SCHEDULE T - PART 2
39
INTERSTATE COMPACT PRODUCTS - EXHIBIT OF PREMIUMS WRITTEN
Allocated By States and Territories
(000's)
Direct Business Only
States, etc.
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. Columbia
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
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Puerto Rico
U.S. Virgin Islands.
Northern Mariana Islands
Canada
Aggregate other alien
Totals
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
GU
PR
VI
MP
CN
OT
1
2
3
Life
(Group and
Individual)
Annuities
(Group and
Individual)
Disability
Income
(Group and
Individual)
227
8
52,230
491
47,268
127
263
22
16
1,200
418
6
141
1,080
760
803
570
248
267
17
347
325
1,273
481
639
534
69
807
64
22
575
12
37
472
51
1,831
419
77
363
25
1,063
111
425
1,414
412
5
320
199
19
471
21
0
0
0
0
0
0
105
119,150
1
0
0
0
4
0
0
0
0
6
1
0
1
0
20
0
0
0
0
0
0
0
0
2
4
13
0
0
0
0
0
0
0
2
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
66
839
20
163
20
7,018
137
2
4
6
554
174
3
92
960
587
372
257
199
97
50
217
31
802
797
262
467
80
482
7
4
10
32
19
704
141
802
58
454
287
7
436
215
189
429
49
1
119
163
32
575
16
0
0
0
0
0
0
0
19,444
4
Long-Term
Care
Health Benefits
(Group and
Individual)
8,088
0
67
475
5,210
70
0
0
3
41
30
0
399
227
598
408
271
58
577
2
74
0
379
6,521
112
287
26
3,681
14
1
2
3
(5)
1,229
194
703
2,878
1,189
3,034
0
23
118
123
163
141
0
81
5,953
1
691
26
0
0
0
0
0
0
0
44,167
© 2014 National Association of Insurance Commissioners
50
5
6
Deposit type
Contract
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
Totals
9,155
27
52,460
987
59,500
334
266
26
25
1,801
623
9
633
2,267
1,966
1,583
1,099
505
941
69
638
356
2,453
7,802
1,017
1,308
175
4,970
86
27
587
47
51
2,407
387
3,338
3,355
1,720
3,684
32
1,521
443
737
2,006
602
6
520
6,314
53
1,748
64
0
0
1
0
0
0
105
182,834
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
Supp17
MEDICARE PART D COVERAGE SUPPLEMENT
(Net of Reinsurance)
Individual Coverage
1. Premiums Collected
1.1. Standard Coverage
1.11. With reinsurance coverage
1.12. Without reinsurance coverage
1.13. Risk-corridor payment adjustments
1.2. Supplemental benefits
2. Premiums Due and Uncollected-change
2.1. Standard Coverage
2.11. With reinsurance coverage
2.12. Without reinsurance coverage
2.2. Supplemental benefits
3. Unearned Premium and Advance Premium-change
3.1. Standard Coverage
3.11. With reinsurance coverage
3.12. Without reinsurance coverage
3.2. Supplemental benefits
4. Risk-Corridor Payment Adjustments-change
4.1. Receivable
4.2. Payable
5. Earned Premiums
5.1. Standard Coverage
5.11. With reinsurance coverage
5.12. Without reinsurance coverage
5.13. Risk-corridor payment adjustments
5.2. Supplemental benefits
6. Total premiums
7. Claims Paid
7.1. Standard Coverage
7.11. With reinsurance coverage
7.12. Without reinsurance coverage
7.2. Supplemental benefits (claims paid)
8. Claim Reserves and Liabilities-change
8.1. Standard Coverage
8.11. With reinsurance coverage
8.12. Without reinsurance coverage
8.2. Supplemental benefits
9. Health Care Receivables - change
9.1. Standard Coverage
9.11. With reinsurance coverage
9.12. Without reinsurance coverage
9.2. Supplemental benefits
10. Claims Incurred
10.1. Standard Coverage
10.11. With reinsurance coverage
10.12. Without reinsurance coverage
10.2. Supplemental benefits
11. Total claims
12. Reinsurance Coverage and Low Income Cost Sharing
12.1. Claims paid - net of reimbursements applied
12.2. Reimbursements received but not applied - change
12.3. Reimbursements receivables - change
12.4. Health care receivables - change
13. Aggregate policy reserves - change
14. Expenses paid
15. Expenses incurred
16. Underwriting gain/loss
17. Cash flow result
Group Coverage
5
1
2
3
4
Total
Insured
Uninsured
Insured
Uninsured
Cash
5,588,476,830
1,444,127,506
(102,474,544)
328,818,449
XXX
XXX
XXX
XXX
529,609,996
111,775,248
3,241,411
256,162,773
XXX
XXX
XXX
XXX
6,118,086,826
1,555,902,754
(99,233,133)
584,981,222
XXX
XXX
XXX
2,715,857
12,255,503
3,387,248
XXX
XXX
XXX
XXX
XXX
XXX
5,760,236
(61,633)
319,710
XXX
XXX
XXX
18,288
0
3,533
XXX
XXX
XXX
XXX
XXX
XXX
28,814,159
(177,631,367)
XXX
XXX
(22,857,422)
0
XXX
XXX
XXX
XXX
5,658,701,094
1,444,965,975
(251,291,753)
338,281,533
XXX
XXX
XXX
XXX
532,308,066
124,030,751
(19,616,011)
259,546,489
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
7,190,656,848
XXX
896,269,295
XXX
8,159,737,669
4,148,932,555
1,271,430,422
311,938,836
XXX
XXX
XXX
503,994,613
101,342,008
135,794,473
XXX
XXX
XXX
4,652,927,168
1,372,772,430
447,733,287
75,984,499
776,837
9,860,993
22,919,540
(106,267,549)
4,584,941
XXX
XXX
XXX
(4,060,279)
891,433
4,098,125
XXX
XXX
XXX
XXX
XXX
XXX
(408,558,125)
8,973,598
(12,727,753)
XXX
XXX
XXX
(40,879,857)
(3,272,539)
967,341
XXX
XXX
XXX
XXX
XXX
XXX
4,575,366,401
1,156,189,274
328,803,691
XXX
XXX
XXX
540,231,360
105,505,980
138,925,257
XXX
XXX
XXX
XXX
XXX
XXX
6,060,359,366
XXX
784,662,597
XXX
6,473,432,885
XXX
XXX
XXX
XXX
1,170,343
843,535,459
865,906,123
263,221,017
1,114,639,860
120,950,099
686,010,244
(239,477)
512,388
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(17,266,810)
(69,095,488)
(77,831,058)
206,704,566
647,793,698
(224,874,924)
613,666,551
(903,297)
0
XXX
XXX
XXX
1,762,433,558
(103,924,825)
XXX
XXX
XXX
774,439,969
XXX
XXX
XXX
XXX
XXX
XXX
(954,493,567)
© 2014 National Association of Insurance Commissioners
51
© 2014 National Association of Insurance Commissioners
52
Health Insurance Industry Aggregates
2013 Direct Written Premium Volume by State
(In Millions)
WA
13,305
Canada
VT
768
MT
550
ME
1,782
ND
1,366
OR
7,548
MN
12,642
ID
2,101
WI
10,106
SD
1,115
WY
348
NV
3,762
UT
3,899
AZ
5,408
MI
20,066
PA
35,968
KS
3,785
OK
3,847
NM
4,276
MO
7,809
KY
7,189
WV
1,927
VA
11,480
NC
7,931
AR
2,677
SC
5,632
AL
5,940
GA
11,350
LA
6,866
AK
544
FL
30,511
HI
4,915
American Samoa
Guam
Puerto Rico
Virgin Islands
No. Mariana Islands
Agg. Other Alien
0
87
6,874
18
2
197
© 2014 National Association of Insurance Commissioners
53
CT
4,631
NJ
16,865
MD
8,425
DC
4,321
TN
12,610
MS
2,533
TX
33,920
OH
20,419
IN
5,595
IL
16,277
CO
6,622
NH
1,550
NY
47,096
IA
3,618
NE
2,418
CA
6,571
0
DE
820
MA
17,309
RI
2,759
© 2014 National Association of Insurance Commissioners
54
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
1
Total
DURING THE YEAR
TOTAL
Comprehensive
(Hospital and Medical)
2
Individual
3
Group
4
5
6
Medicare
Supplement
Vision
Only
Dental
Only
7
Federal
Employees
Health Benefit
Plan
8
9
10
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
177,140
9,290
42,401
3,714
24,780
33,495
7,407
8,980
24,565
22,509
02. First Quarter
177,170
9,250
41,450
3,751
25,153
33,271
7,235
9,514
24,828
22,720
03. Second Quarter
177,850
9,367
41,122
3,757
25,185
33,608
7,202
9,664
25,198
22,746
04. Third Quarter
178,247
9,436
40,877
3,782
25,329
33,628
7,298
9,814
25,387
22,698
05. Current Year
178,255
9,254
40,939
3,784
24,985
33,796
7,281
9,921
25,573
22,724
2,128,853
112,195
492,730
44,587
302,316
402,222
87,508
116,204
301,420
269,672
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
752,912
54,691
262,256
49,433
110
4,724
57,952
140,598
181,490
1,658
08. Non-physician
1,004,313
22,355
116,907
18,624
6,481
639,013
25,024
63,664
108,309
3,937
09. Total
1,757,225
77,046
379,163
68,057
6,591
643,737
82,976
204,261
289,799
5,595
10. Hospital patient days incurred
64,706
2,427
12,741
6,954
0
0
3,273
19,026
20,018
267
11. Number of inpatient admissions
10,193
414
2,609
839
0
0
628
2,610
3,048
45
12. Health premiums written (b)
458,229,600
24,693,234
172,188,134
8,530,811
1,635,411
10,046,356
32,059,779
105,912,938
89,109,810
14,053,127
13. Life premiums direct
67,944
3,363
43,903
0
0
0
0
0
0
20,677
14. Property/Casualty premiums written
36,995
0
7
0
0
0
0
0
0
36,987
454,259,014
24,594,841
171,254,404
8,416,472
1,573,397
10,008,147
32,245,196
104,557,092
88,130,369
13,479,096
32,845
0
0
0
0
0
0
0
0
32,845
395,225,562
21,326,999
146,811,631
6,750,510
1,306,536
8,375,019
30,166,735
91,841,376
77,290,872
11,355,883
396,036,738
21,336,134
145,764,377
6,733,941
1,299,605
8,474,278
30,272,622
91,855,431
78,523,870
11,776,480
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
55
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
ALABAMA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
2,316
155
622
132
231
684
153
167
0
172
02. First Quarter
2,324
158
614
132
230
691
153
173
0
172
03. Second Quarter
2,331
162
614
132
233
693
152
175
0
171
04. Third Quarter
2,365
167
610
132
251
708
151
177
0
168
05. Current Year
2,353
154
610
131
259
702
151
179
0
166
28,122
1,938
7,345
1,583
2,921
8,385
1,824
2,103
0
2,022
23,847
2,370
8,407
2,135
0
2,051
4,185
4,699
0
0
9,811
877
4,834
1,081
91
0
288
2,638
0
1
33,658
3,247
13,241
3,216
91
2,051
4,473
7,337
0
1
10. Hospital patient days incurred
778
29
154
188
0
0
79
328
0
0
11. Number of inpatient admissions
140
7
35
33
0
0
16
50
0
0
5,940,148
338,432
2,436,812
234,717
19,014
169,274
690,989
1,857,875
0
193,035
228
0
0
0
0
0
0
0
0
228
0
0
0
0
0
0
0
0
0
0
5,903,816
340,691
2,412,563
228,248
19,014
168,340
691,132
1,862,076
0
181,752
0
0
0
0
0
0
0
0
0
0
5,186,150
339,840
2,125,794
190,866
15,143
130,934
669,379
1,567,385
4
146,805
5,162,750
341,847
2,109,489
190,164
15,109
129,195
666,818
1,567,683
4
142,440
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
56
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
ALASKA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
146
10
36
1
29
31
30
0
0
9
02. First Quarter
146
10
36
1
29
31
31
0
0
9
03. Second Quarter
144
10
34
1
29
30
31
0
0
9
04. Third Quarter
145
10
35
1
29
31
31
0
0
8
05. Current Year
145
10
35
1
29
31
31
0
0
8
1,744
123
421
14
346
369
369
0
0
102
07. Physician
327
42
239
14
0
32
0
0
0
0
08. Non-physician
133
18
103
3
9
0
0
0
0
0
09. Total
460
59
342
17
9
32
0
0
0
0
11
1
9
1
0
0
0
0
0
0
3
0
2
0
0
0
0
0
0
0
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
544,420
43,386
249,177
2,413
2,652
16,161
220,873
0
0
9,758
13. Life premiums direct
8
0
0
0
0
0
0
0
0
8
14. Property/Casualty premiums written
0
0
0
0
0
0
0
0
0
0
543,647
43,727
249,308
2,413
2,652
16,156
219,751
0
0
9,640
0
0
0
0
0
0
0
0
0
0
467,640
30,959
198,535
1,861
2,015
11,825
214,943
0
0
7,502
460,323
30,424
193,324
1,842
2,044
11,771
212,943
0
0
7,975
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
57
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
ARIZONA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
3,152
134
243
25
784
608
122
282
0
956
02. First Quarter
3,098
136
242
26
698
605
121
293
0
977
03. Second Quarter
3,215
136
243
27
808
605
121
295
0
981
04. Third Quarter
3,221
132
246
28
810
611
121
297
0
978
05. Current Year
3,244
131
250
28
828
611
121
298
0
977
38,614
1,607
2,933
327
9,743
7,285
1,451
3,544
0
11,725
07. Physician
6,622
635
1,520
483
0
0
1,109
2,875
0
0
08. Non-physician
3,180
336
693
167
125
102
590
1,167
0
0
09. Total
9,802
971
2,213
649
125
102
1,699
4,042
0
1
472
23
61
40
0
0
63
285
0
0
79
5
15
5
0
0
12
42
0
0
5,409,395
382,183
1,028,165
65,133
38,476
121,585
604,712
3,058,883
0
110,257
193
0
0
0
0
0
0
0
0
193
0
0
0
0
0
0
0
0
0
0
5,425,915
382,101
1,031,799
65,169
38,383
121,563
610,407
3,068,733
0
107,762
0
0
0
0
0
0
0
0
0
0
4,589,917
307,832
838,718
43,343
31,746
87,618
551,672
2,651,690
0
77,299
4,630,497
305,556
833,146
43,847
31,232
86,091
551,483
2,700,692
0
78,450
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
58
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
ARKANSAS
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
956
97
249
109
52
215
56
71
0
108
02. First Quarter
974
98
240
109
55
222
56
84
0
110
03. Second Quarter
979
98
240
110
56
223
56
86
0
111
04. Third Quarter
983
98
243
110
55
225
55
87
0
109
05. Current Year
986
97
247
111
55
224
55
89
0
108
11,743
1,169
2,901
1,320
659
2,675
669
1,031
0
1,319
07. Physician
4,272
187
784
1,552
0
457
4
1,288
0
0
08. Non-physician
4,105
611
1,521
1,469
0
2
1
502
0
0
09. Total
8,377
797
2,305
3,021
0
459
5
1,790
0
0
10. Hospital patient days incurred
3,444
552
1,239
1,469
0
0
0
185
0
0
82
4
17
38
0
0
0
24
0
0
2,677,169
213,461
876,270
230,887
7,334
141,351
237,562
829,487
0
140,817
1,247
0
756
0
0
0
0
0
0
491
0
0
0
0
0
0
0
0
0
0
2,671,743
213,810
875,983
231,017
7,334
141,297
234,614
830,579
0
137,107
0
0
0
0
0
0
0
0
0
0
2,159,519
175,518
735,880
176,593
4,184
110,201
214,760
647,597
0
94,786
2,175,494
176,988
728,617
176,352
4,150
110,653
216,251
653,136
0
109,347
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
59
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
CALIFORNIA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
5,170
658
756
0
854
966
0
51
0
1,884
02. First Quarter
4,977
645
756
0
807
972
0
41
0
1,755
03. Second Quarter
5,053
640
731
0
746
987
0
42
0
1,907
04. Third Quarter
4,987
644
721
0
719
995
0
43
0
1,864
05. Current Year
4,950
620
703
0
717
996
0
44
0
1,870
59,810
7,709
8,800
3
9,044
11,827
0
507
0
21,919
07. Physician
7,234
2,559
3,916
0
0
0
0
759
0
0
08. Non-physician
5,123
1,523
2,599
0
26
495
0
432
0
47
12,358
4,082
6,516
0
26
495
0
1,191
0
47
337
96
185
0
0
0
0
56
0
0
69
20
39
0
0
0
0
9
0
0
6,523,639
1,621,553
2,921,747
535
40,547
469,946
0
432,857
0
1,036,454
47,272
3,363
43,147
0
0
0
0
0
0
761
0
0
0
0
0
0
0
0
0
0
6,580,990
1,648,239
2,972,229
530
40,404
470,533
0
417,206
0
1,031,850
0
0
0
0
0
0
0
0
0
0
5,370,212
1,340,003
2,395,825
310
25,790
307,353
0
409,492
74
891,366
5,406,710
1,380,439
2,387,962
316
25,596
308,095
0
394,858
75
909,369
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
60
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
COLORADO
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
2,758
218
596
24
711
637
119
206
136
112
02. First Quarter
2,779
211
595
25
737
653
119
216
141
84
03. Second Quarter
2,805
218
604
25
740
643
118
219
143
94
04. Third Quarter
2,818
212
603
25
742
656
118
222
146
94
05. Current Year
2,840
215
600
26
748
662
118
226
146
99
33,654
2,535
7,208
301
8,887
7,845
1,424
2,647
1,726
1,081
27,353
7,126
15,258
451
0
0
1,473
2,853
192
1
5,042
986
2,477
71
250
70
342
842
3
1
32,395
8,111
17,735
523
250
70
1,815
3,694
194
3
10. Hospital patient days incurred
958
163
440
15
0
0
87
247
5
1
11. Number of inpatient admissions
197
45
102
4
0
0
12
33
1
0
6,671,292
563,792
2,738,074
52,830
47,537
350,668
685,188
2,097,024
56,833
79,347
127
0
0
0
0
0
0
0
0
127
0
0
0
0
0
0
0
0
0
0
6,675,122
563,202
2,732,659
51,677
47,535
350,495
693,454
2,101,320
56,660
78,120
0
0
0
0
0
0
0
0
0
0
5,858,313
458,089
2,373,524
36,834
35,979
275,589
655,772
1,844,988
48,933
128,605
5,881,037
461,647
2,375,110
37,209
35,926
274,366
657,997
1,856,385
48,267
134,129
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
61
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
CONNECTICUT
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,653
61
481
49
394
145
48
113
0
362
02. First Quarter
1,643
59
456
48
450
143
49
119
0
319
03. Second Quarter
1,627
59
448
48
444
144
49
121
0
315
04. Third Quarter
1,592
59
429
48
447
139
49
124
0
298
05. Current Year
1,576
56
418
48
443
138
48
125
0
300
19,277
701
5,281
577
5,365
1,677
584
1,456
0
3,636
07. Physician
4,869
335
2,424
160
1
3
0
1,945
1
0
08. Non-physician
4,912
246
2,160
1,296
103
66
0
1,040
0
0
09. Total
9,780
581
4,584
1,457
104
69
0
2,985
1
0
519
10
123
121
0
0
0
265
0
0
80
2
26
17
0
0
0
35
0
0
4,635,742
231,396
2,587,685
128,305
25,777
64,754
239,010
1,193,065
0
165,751
263
0
0
0
0
0
0
0
0
263
0
0
0
0
0
0
0
0
0
0
4,633,287
231,491
2,586,743
129,312
25,777
65,008
238,412
1,195,710
0
160,834
0
0
0
0
0
0
0
0
0
0
3,910,662
202,163
2,095,746
100,281
20,428
47,311
226,456
1,085,657
2,653
129,969
3,883,363
203,788
2,070,420
99,003
20,356
46,627
225,581
1,088,459
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
62
(831)
129,959
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
DELAWARE
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
381
10
123
4
110
91
20
5
0
19
02. First Quarter
394
10
117
4
115
96
20
8
0
24
03. Second Quarter
395
11
117
4
115
97
20
8
0
24
04. Third Quarter
399
11
116
4
116
99
20
8
0
23
05. Current Year
398
11
115
4
116
100
20
8
0
23
4,745
127
1,400
52
1,388
1,176
236
98
0
269
1,768
91
1,224
82
0
8
266
97
0
0
475
14
278
26
14
0
82
60
0
0
2,243
105
1,502
108
14
9
348
157
0
0
10. Hospital patient days incurred
41
1
20
1
0
0
5
13
0
0
11. Number of inpatient admissions
11
0
6
1
0
0
2
2
0
0
819,588
34,390
523,357
10,280
8,986
35,504
104,434
75,713
0
26,924
22
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
819,111
34,390
523,413
10,302
8,986
35,545
104,512
75,713
0
26,250
0
0
0
0
0
0
0
0
0
0
692,506
25,939
433,070
7,153
6,832
29,219
98,158
70,653
0
21,482
692,441
26,860
429,704
7,448
6,825
29,207
97,493
71,678
0
23,225
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
63
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
DISTRICT OF COLUMBIA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
2,484
21
263
2
244
486
1,265
16
154
35
02. First Quarter
2,211
21
256
2
48
504
1,171
17
155
37
03. Second Quarter
2,206
21
249
2
51
503
1,164
17
163
36
04. Third Quarter
2,195
18
249
2
49
500
1,164
17
160
36
05. Current Year
2,185
17
246
2
49
497
1,157
17
164
36
26,358
236
3,004
19
590
6,020
13,951
207
1,922
410
07. Physician
5,650
128
1,399
25
0
1
3,206
127
764
0
08. Non-physician
2,234
51
627
7
21
0
1,278
81
169
0
09. Total
7,883
180
2,025
32
21
1
4,483
207
933
1
222
3
42
1
0
0
106
19
49
0
51
1
11
0
0
0
23
4
11
0
4,321,098
61,225
1,142,449
4,375
6,700
195,887
2,099,503
165,966
617,050
27,942
16
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
4,308,278
65,033
1,136,826
5,055
6,700
195,886
2,094,911
159,280
617,050
27,536
0
0
0
0
0
0
0
0
0
0
3,655,747
64,653
945,134
2,629
6,068
138,005
1,827,848
141,320
509,552
20,539
3,658,827
63,116
938,750
2,545
6,059
136,738
1,829,472
141,289
519,375
21,483
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
64
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
FLORIDA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
9,913
739
1,849
159
1,991
1,680
350
917
1,249
979
02. First Quarter
9,926
741
1,839
159
2,011
1,788
355
981
1,266
785
10,007
750
1,839
160
2,008
1,806
353
1,018
1,293
779
04. Third Quarter
9,921
742
1,827
161
1,958
1,793
355
1,032
1,285
768
05. Current Year
9,516
719
1,837
161
1,490
1,810
357
1,046
1,309
787
118,522
8,852
22,022
1,917
23,099
21,557
4,266
12,157
15,389
9,262
07. Physician
42,270
3,578
9,884
3,060
0
0
3,823
15,437
6,282
205
08. Non-physician
21,714
1,646
5,039
728
219
161
1,389
8,270
3,905
357
09. Total
63,984
5,225
14,923
3,788
219
161
5,212
23,707
10,188
562
3,201
80
544
12
0
0
77
1,982
494
12
694
22
151
25
0
0
40
334
120
1
30,511,191
1,791,624
8,102,065
365,670
82,769
325,737
2,069,208
13,711,248
3,623,348
439,522
1,206
0
0
0
0
0
0
0
0
1,206
0
0
0
0
0
0
0
0
0
0
30,400,282
1,781,873
8,084,721
365,671
82,442
325,452
1,985,714
13,704,770
3,628,584
441,054
0
0
0
0
0
0
0
0
0
0
25,324,034
1,461,658
6,554,279
288,066
63,589
236,031
1,902,622
11,463,757
3,027,701
326,332
25,642,704
1,453,080
6,608,153
289,493
62,554
231,231
1,882,222
11,561,357
3,165,291
389,323
03. Second Quarter
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
65
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
GEORGIA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
4,286
363
958
62
371
655
223
115
1,068
471
02. First Quarter
4,335
369
913
62
380
665
225
164
1,072
485
03. Second Quarter
4,326
374
902
62
373
661
224
177
1,074
478
04. Third Quarter
4,317
422
892
63
373
665
215
187
1,004
495
05. Current Year
4,326
421
909
62
371
666
215
195
1,000
486
51,817
5,049
10,845
751
4,505
7,974
2,645
2,130
12,027
5,890
18,334
1,974
4,858
1,154
0
0
1,402
3,772
5,174
0
7,302
638
1,293
290
120
0
1,402
864
2,695
0
25,636
2,612
6,151
1,444
120
0
2,804
4,636
7,869
0
1,441
49
182
148
0
0
146
421
495
0
251
10
43
16
0
0
24
53
105
0
11,350,012
951,095
3,624,003
147,752
25,803
244,683
1,223,927
1,966,465
2,859,734
306,549
419
0
0
0
0
0
0
0
0
419
0
0
0
0
0
0
0
0
0
0
11,337,649
951,422
3,625,615
147,814
25,565
244,549
1,223,421
1,962,861
2,859,734
296,667
0
0
0
0
0
0
0
0
0
0
9,548,178
809,381
3,041,509
119,119
20,784
241,261
1,151,431
1,610,619
2,338,787
215,286
9,667,507
814,095
3,036,121
116,784
20,796
235,163
1,158,382
1,608,403
2,423,932
253,832
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
66
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
HAWAII
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,170
31
689
0
0
3
79
75
259
34
02. First Quarter
1,197
34
699
0
0
3
79
81
256
46
03. Second Quarter
1,203
33
699
0
0
3
79
82
255
51
04. Third Quarter
1,200
34
701
0
0
3
79
83
259
42
05. Current Year
1,210
34
702
0
0
3
79
84
269
40
14,450
405
8,405
1
1
35
949
984
3,092
579
07. Physician
6,928
144
3,773
0
0
67
622
780
1,542
0
08. Non-physician
1,096
23
328
0
0
5
21
193
502
24
09. Total
8,024
167
4,101
0
0
72
644
972
2,044
24
613
9
256
0
0
0
44
144
160
0
42
0
12
0
0
0
1
8
20
0
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
4,888,530
98,151
2,466,355
247
1,769
47,049
358,402
831,879
1,034,455
50,223
13. Life premiums direct
6
0
0
0
0
0
0
0
0
6
14. Property/Casualty premiums written
0
0
0
0
0
0
0
0
0
0
4,957,056
98,151
2,469,355
247
1,769
47,031
358,402
831,576
1,100,451
50,073
0
0
0
0
0
0
0
0
0
0
4,557,537
95,278
2,252,893
200
1,243
6,589
333,329
816,625
1,015,780
35,599
4,597,131
94,853
2,226,083
197
1,246
41,657
336,910
827,894
1,020,385
47,906
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
67
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
IDAHO
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
908
94
276
16
87
311
41
50
0
33
02. First Quarter
989
94
277
16
159
312
41
55
0
35
03. Second Quarter
973
93
277
16
146
310
41
56
0
35
04. Third Quarter
974
94
279
16
145
308
41
57
0
34
05. Current Year
974
90
278
16
143
314
41
58
0
34
11,584
1,116
3,328
193
1,649
3,720
491
676
0
411
07. Physician
2,998
342
1,456
170
0
3
393
635
0
0
08. Non-physician
3,047
214
1,067
135
39
420
732
439
0
0
09. Total
6,045
556
2,523
305
39
422
1,125
1,074
0
0
178
13
58
24
0
0
11
72
0
0
35
4
15
3
0
0
2
12
0
0
2,100,513
220,640
1,047,543
37,727
7,979
92,654
131,213
498,404
0
64,354
143
0
0
0
0
0
0
0
0
143
0
0
0
0
0
0
0
0
0
0
2,089,498
214,395
1,043,947
37,604
7,979
92,714
130,860
498,496
0
63,504
0
0
0
0
0
0
0
0
0
0
1,801,941
166,174
895,226
26,463
6,253
78,798
121,563
459,545
0
47,920
1,814,603
171,457
892,280
26,389
6,355
83,089
122,160
462,305
0
50,569
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
68
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
ILLINOIS
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
7,445
335
2,052
351
1,549
956
194
127
184
1,697
02. First Quarter
7,676
337
2,142
356
1,598
953
192
137
190
1,771
03. Second Quarter
7,660
340
2,134
358
1,606
950
192
139
191
1,749
04. Third Quarter
7,694
343
2,136
360
1,606
949
191
140
209
1,761
05. Current Year
7,720
327
2,152
361
1,624
943
190
142
223
1,759
91,716
4,052
25,660
4,300
19,252
11,382
2,298
1,662
2,400
20,710
07. Physician
27,584
1,694
14,976
5,763
1
108
1,709
2,187
948
198
08. Non-physician
12,342
672
6,825
1,472
532
317
580
1,105
699
140
09. Total
39,926
2,366
21,801
7,235
533
425
2,289
3,293
1,647
337
2,775
67
734
922
0
0
128
280
634
10
459
17
175
123
0
0
23
73
44
4
16,269,758
977,129
9,857,592
913,832
104,690
283,426
1,011,115
1,381,878
910,979
829,117
1,080
0
0
0
0
0
0
0
0
1,080
0
0
0
0
0
0
0
0
0
0
16,335,517
1,006,455
9,859,553
911,302
104,439
282,794
1,065,380
1,381,428
898,567
825,600
0
0
0
0
0
0
0
0
0
0
13,859,231
854,454
8,502,140
679,765
88,465
210,727
990,895
1,180,511
675,196
677,078
13,823,731
818,702
8,356,996
680,722
88,885
210,840
999,950
1,189,566
774,846
703,223
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
69
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
INDIANA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
3,601
113
445
58
1,008
418
111
109
730
609
02. First Quarter
3,262
112
415
58
907
436
112
101
528
594
03. Second Quarter
3,445
110
408
58
903
436
112
102
727
588
04. Third Quarter
3,444
108
407
58
892
438
111
104
726
600
05. Current Year
3,439
106
406
58
898
441
111
105
715
599
41,349
1,312
4,918
699
10,836
5,253
1,341
1,228
8,678
7,083
07. Physician
5,883
329
1,600
429
0
7
489
306
2,723
0
08. Non-physician
3,054
246
1,277
295
156
83
205
129
664
0
09. Total
8,937
575
2,877
725
156
90
694
434
3,386
0
530
15
102
123
0
0
69
42
178
0
98
3
23
13
0
0
9
5
45
0
5,596,252
337,218
1,888,613
149,537
55,853
129,941
552,467
995,255
1,172,549
314,818
780
0
0
0
0
0
0
0
0
780
0
0
0
0
0
0
0
0
0
0
5,440,036
330,826
1,878,655
149,748
28,358
129,774
547,567
897,404
1,168,576
309,129
0
0
0
0
0
0
0
0
0
0
4,640,405
275,033
1,490,757
107,460
45,542
97,589
527,526
878,183
964,607
253,709
4,602,898
276,041
1,481,929
106,329
45,244
98,190
530,082
852,316
974,288
238,478
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
70
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
IOWA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,676
126
506
150
106
86
55
46
12
590
02. First Quarter
1,701
125
498
152
108
86
54
50
15
612
03. Second Quarter
1,701
135
487
152
108
85
54
51
19
610
04. Third Quarter
1,716
137
482
153
109
87
54
51
34
610
05. Current Year
1,720
140
481
154
109
87
54
51
40
604
20,489
1,646
5,807
1,832
1,299
1,038
648
608
306
7,305
07. Physician
5,674
542
2,318
1,402
0
0
346
883
181
1
08. Non-physician
2,745
291
1,145
787
39
0
166
245
70
1
09. Total
8,419
832
3,464
2,190
39
0
513
1,129
251
2
365
17
90
112
0
0
17
116
13
0
78
4
24
27
0
0
4
15
4
0
3,616,572
383,049
1,934,501
349,319
8,548
27,807
236,481
353,946
57,371
265,552
803
0
0
0
0
0
0
0
0
803
0
0
0
0
0
0
0
0
0
0
3,608,844
382,437
1,930,514
349,264
8,548
27,797
237,606
355,188
56,956
260,534
0
0
0
0
0
0
0
0
0
0
3,009,175
335,752
1,582,696
260,247
6,718
20,224
219,295
299,784
49,062
235,396
3,025,778
327,387
1,584,005
264,123
6,707
20,462
222,329
307,335
56,832
236,598
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
71
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
KANSAS
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,045
69
226
10
140
262
26
30
218
65
02. First Quarter
1,175
81
209
10
139
262
26
37
344
66
03. Second Quarter
1,177
85
207
10
141
265
26
37
339
66
04. Third Quarter
1,152
87
175
10
145
268
25
38
340
64
05. Current Year
1,160
91
173
10
147
263
25
38
349
63
13,998
1,018
2,297
122
1,704
3,158
307
446
4,168
778
07. Physician
4,702
322
752
90
0
0
141
497
2,900
0
08. Non-physician
5,322
114
383
28
50
428
49
282
3,989
0
10,024
436
1,135
117
50
428
190
778
6,889
0
1,450
8
43
9
0
0
12
111
1,267
0
159
2
12
2
0
0
2
13
127
0
3,784,773
146,349
772,123
26,650
10,594
86,220
143,919
349,313
2,153,727
95,878
570
0
0
0
0
0
0
0
0
570
0
0
0
0
0
0
0
0
0
0
3,781,554
146,185
772,123
26,662
10,558
86,199
143,919
349,307
2,153,476
93,125
0
0
0
0
0
0
0
0
0
0
3,295,935
127,986
657,826
16,890
8,051
65,950
133,421
297,297
1,898,525
89,990
3,470,491
130,967
640,421
17,346
8,035
66,270
133,029
303,186
2,079,981
91,256
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
72
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
KENTUCKY
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
3,122
148
450
80
463
770
95
62
700
353
02. First Quarter
3,122
150
440
80
487
780
97
65
688
336
03. Second Quarter
3,120
148
442
80
486
784
96
66
685
332
04. Third Quarter
3,136
157
439
81
495
790
96
67
675
337
05. Current Year
3,126
157
442
80
490
794
96
68
664
336
37,532
1,836
5,279
965
5,856
9,422
1,156
794
8,205
4,020
13,064
535
2,533
954
3
2
692
572
7,774
0
7,330
412
1,457
623
107
70
407
303
3,952
0
20,393
947
3,989
1,576
110
73
1,098
875
11,726
0
1,072
41
117
277
0
0
88
99
449
0
177
6
25
24
0
0
11
13
96
0
7,190,621
433,445
1,804,789
168,511
28,154
194,286
394,785
633,219
3,307,302
226,128
248
0
0
0
0
0
0
0
0
248
0
0
0
0
0
0
0
0
0
0
7,213,258
447,306
1,815,525
168,524
27,289
194,327
401,034
634,077
3,305,643
219,532
0
0
0
0
0
0
0
0
0
0
6,152,335
333,246
1,470,069
129,184
18,880
148,800
370,985
542,989
2,965,558
172,625
6,200,354
340,314
1,464,428
127,191
18,941
149,928
375,200
546,591
2,993,849
183,911
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
73
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
LOUISIANA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
2,452
187
486
50
126
146
73
162
736
485
02. First Quarter
2,226
186
483
50
129
151
73
172
719
263
03. Second Quarter
2,198
186
467
50
135
160
73
173
693
260
04. Third Quarter
2,205
187
471
51
140
162
73
175
692
255
05. Current Year
2,222
188
476
51
142
162
73
177
698
255
26,503
2,225
5,685
604
1,639
1,906
875
2,083
8,402
3,086
13,510
1,168
4,303
1,090
0
0
933
3,313
2,702
0
6,825
604
1,862
273
38
0
494
2,172
1,381
1
20,335
1,772
6,166
1,363
38
0
1,427
5,485
4,083
1
1,055
23
119
97
0
0
52
397
368
0
169
6
27
10
0
0
9
50
68
0
6,858,129
493,960
2,162,034
119,718
10,222
44,659
365,398
2,112,666
1,341,755
207,715
267
0
0
0
0
0
0
0
0
267
0
0
0
0
0
0
0
0
0
0
6,159,149
494,463
2,159,477
119,851
10,220
44,674
370,827
1,415,544
1,341,755
202,338
0
0
0
0
0
0
0
0
0
0
5,765,671
388,125
1,782,685
89,307
7,887
41,730
343,309
1,702,468
1,262,617
147,543
5,748,810
383,621
1,766,312
90,416
7,966
40,623
344,759
1,698,645
1,253,612
162,856
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
74
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MAINE
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
676
20
199
21
145
149
36
39
0
67
02. First Quarter
691
22
200
22
156
151
36
34
0
70
03. Second Quarter
690
22
199
22
154
153
36
35
0
70
04. Third Quarter
693
23
202
22
153
153
36
36
0
67
05. Current Year
690
21
203
22
154
150
36
37
0
67
8,302
257
2,428
260
1,859
1,812
431
434
0
822
07. Physician
2,033
127
1,141
156
0
0
0
607
0
1
08. Non-physician
1,787
65
1,023
480
16
0
0
202
0
0
09. Total
3,820
192
2,165
637
16
0
0
809
0
1
165
8
59
55
0
0
0
43
0
0
28
1
12
7
0
0
0
7
0
0
1,781,661
98,318
1,051,722
46,221
7,343
58,210
168,307
299,836
0
51,703
17
0
0
0
0
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
1,764,909
98,380
1,032,415
46,104
7,343
58,197
172,172
299,761
0
50,537
0
0
0
0
0
0
0
0
0
0
1,538,809
96,433
886,448
33,293
5,174
46,681
159,361
272,928
0
38,491
1,525,207
95,333
876,813
36,493
5,130
46,764
161,013
264,841
0
38,821
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
75
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MARYLAND
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
3,266
163
748
54
419
730
416
50
398
289
02. First Quarter
3,291
161
732
54
481
728
424
52
424
234
03. Second Quarter
3,287
161
724
54
482
729
424
53
432
228
04. Third Quarter
3,267
162
715
54
467
723
424
54
441
227
05. Current Year
3,282
161
716
54
463
724
423
55
455
232
39,304
1,942
8,663
647
5,682
8,709
5,084
638
5,179
2,760
17,623
798
4,123
1,020
0
68
8,218
624
2,741
30
8,306
413
2,001
326
129
47
3,742
391
1,247
11
25,929
1,211
6,124
1,346
129
115
11,961
1,015
3,988
40
10. Hospital patient days incurred
621
22
153
52
0
0
178
78
138
0
11. Number of inpatient admissions
146
6
41
11
0
0
43
15
29
0
8,490,790
387,603
3,161,084
158,510
32,913
232,693
2,220,580
565,776
1,555,491
176,140
347
0
0
0
0
0
0
0
0
347
0
0
0
0
0
0
0
0
0
0
8,478,031
389,024
3,163,260
158,951
32,913
210,228
2,236,673
564,891
1,548,963
173,128
0
0
0
0
0
0
0
0
0
0
7,320,948
322,450
2,602,180
114,030
25,381
163,381
2,091,523
532,662
1,339,721
129,620
7,302,891
319,121
2,573,292
109,144
25,497
163,412
2,102,940
533,999
1,341,688
133,798
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
76
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MASSACHUSETTS
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
4,992
299
1,733
203
359
1,303
120
154
509
312
02. First Quarter
5,022
309
1,703
210
374
1,310
120
157
515
325
03. Second Quarter
5,036
311
1,701
211
382
1,309
120
158
522
323
04. Third Quarter
5,072
323
1,698
214
385
1,328
119
158
520
326
05. Current Year
5,106
325
1,699
216
390
1,344
119
159
530
324
60,455
3,751
20,365
2,536
4,588
15,822
1,435
1,895
6,223
3,840
07. Physician
20,059
2,384
7,559
2,056
0
0
685
1,602
5,467
307
08. Non-physician
12,799
2,038
3,384
1,242
104
0
422
397
5,103
109
09. Total
32,858
4,422
10,943
3,297
104
0
1,107
1,999
10,570
416
1,764
159
445
270
0
0
69
391
381
50
326
29
98
48
0
0
13
52
77
7
17,066,857
1,529,280
8,766,020
500,307
26,274
293,761
625,143
1,977,959
2,781,858
566,255
325
0
0
0
0
0
0
0
0
325
0
0
0
0
0
0
0
0
0
0
17,096,360
1,529,430
8,757,613
500,298
26,274
293,556
667,151
1,978,858
2,781,858
561,323
0
0
0
0
0
0
0
0
0
0
15,570,092
1,455,552
7,794,317
439,885
19,689
428,915
587,008
1,801,635
2,628,261
414,830
15,540,533
1,485,674
7,684,118
434,795
19,844
428,637
640,488
1,781,176
2,634,902
430,898
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
77
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MICHIGAN
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
7,155
243
2,181
227
912
1,623
133
281
1,258
296
02. First Quarter
7,142
250
2,108
230
957
1,617
134
312
1,243
292
03. Second Quarter
7,138
252
2,097
230
956
1,618
133
318
1,250
285
04. Third Quarter
7,147
254
2,087
229
956
1,629
133
325
1,253
282
05. Current Year
7,261
245
2,107
227
970
1,717
133
330
1,249
282
85,152
2,980
25,206
2,747
11,180
19,678
1,599
3,833
14,972
2,957
07. Physician
20,594
261
7,496
264
0
38
215
2,883
9,414
23
08. Non-physician
10,619
64
1,899
87
211
1
71
997
7,281
9
09. Total
31,212
325
9,395
351
211
39
286
3,880
16,695
32
1,460
9
331
12
0
0
13
452
642
2
314
2
85
3
0
0
3
73
148
0
20,079,301
573,445
9,380,007
339,788
73,938
585,022
629,501
3,433,584
4,472,068
591,947
1,273
0
0
0
0
0
0
0
0
1,273
0
0
0
0
0
0
0
0
0
0
20,143,899
590,170
9,440,151
341,942
69,545
582,168
631,387
3,433,718
4,469,106
585,712
0
0
0
0
0
0
0
0
0
0
17,764,636
682,153
7,900,776
491,540
56,953
478,804
588,095
3,035,795
4,069,005
461,515
17,647,727
676,322
7,843,703
487,549
56,864
479,903
582,212
3,059,571
4,020,451
441,152
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
78
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MINNESOTA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
3,418
230
974
108
427
529
91
352
544
162
02. First Quarter
3,444
232
953
105
451
513
93
368
551
178
03. Second Quarter
3,414
234
951
104
384
531
92
364
576
176
04. Third Quarter
3,389
236
932
103
381
524
92
371
569
181
05. Current Year
3,409
233
938
102
387
533
91
375
568
182
40,925
2,806
11,304
1,245
4,817
6,323
1,101
4,388
6,799
2,141
14,703
842
4,176
1,033
0
0
162
3,817
4,674
0
5,735
305
1,160
188
117
124
42
802
2,998
0
20,438
1,146
5,336
1,221
117
124
204
4,618
7,672
0
1,257
30
186
147
0
0
13
465
417
0
264
8
47
32
0
0
3
80
95
0
12,641,000
666,998
3,623,987
268,278
29,842
195,757
497,378
2,820,965
4,046,882
490,914
484
0
0
0
0
0
0
0
0
484
0
0
0
0
0
0
0
0
0
0
12,646,660
666,687
3,622,540
268,302
29,723
195,816
508,109
2,821,927
4,046,510
487,046
0
0
0
0
0
0
0
0
0
0
11,027,810
593,333
3,249,083
199,758
23,680
120,628
478,945
2,317,550
3,642,675
402,157
10,897,925
603,839
3,113,538
199,367
23,635
120,659
473,044
2,300,592
3,655,489
407,762
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
79
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MISSISSIPPI
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,140
49
204
15
45
169
63
27
139
430
02. First Quarter
1,166
51
203
14
48
179
67
34
140
430
03. Second Quarter
1,167
52
203
14
50
179
67
35
141
427
04. Third Quarter
1,161
52
198
14
51
182
67
36
141
421
05. Current Year
1,153
54
195
14
53
181
66
36
143
412
13,925
621
2,407
170
600
2,155
803
419
1,685
5,063
07. Physician
4,412
239
1,165
264
0
0
551
528
1,642
23
08. Non-physician
2,508
149
680
121
16
18
404
260
798
63
09. Total
6,920
388
1,845
385
16
18
954
788
2,440
86
228
6
51
19
0
0
39
100
8
5
40
1
12
4
0
0
7
11
1
3
2,532,160
133,228
745,213
39,310
3,031
58,794
307,834
366,834
742,190
135,727
643
0
0
0
0
0
0
0
0
643
0
0
0
0
0
0
0
0
0
0
2,527,482
132,927
745,024
39,413
3,031
58,861
307,834
366,848
742,190
131,354
0
0
0
0
0
0
0
0
0
0
2,188,943
105,745
659,926
30,459
2,142
39,396
293,051
312,432
647,406
98,387
2,220,499
105,457
659,481
30,385
2,123
37,895
294,833
314,335
671,933
104,056
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
80
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MISSOURI
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
4,506
177
687
58
859
1,726
118
193
409
278
02. First Quarter
4,580
179
654
57
888
1,803
118
210
407
265
03. Second Quarter
4,508
181
644
57
827
1,801
117
213
407
262
04. Third Quarter
4,528
183
638
57
863
1,795
117
216
400
258
05. Current Year
4,550
186
622
57
882
1,800
117
219
396
270
54,618
2,166
7,670
688
10,510
21,648
1,407
2,565
4,840
3,125
07. Physician
9,419
681
3,201
537
0
12
732
2,570
1,686
0
08. Non-physician
6,829
307
1,493
310
270
2,698
280
923
548
0
16,248
988
4,694
847
270
2,710
1,012
3,493
2,234
0
1,128
32
207
138
0
0
97
476
177
0
206
8
53
16
0
0
14
66
50
0
7,809,778
421,554
2,635,422
141,817
54,542
238,605
615,680
2,299,419
1,156,518
246,221
548
0
0
0
0
0
0
0
0
548
0
0
0
0
0
0
0
0
0
0
7,822,768
423,927
2,641,424
141,872
53,896
238,468
631,352
2,298,533
1,156,518
236,777
0
0
0
0
0
0
0
0
0
0
6,695,841
337,009
2,160,725
101,007
42,728
180,348
591,355
2,116,911
992,261
173,496
6,568,994
341,253
2,156,458
100,829
42,833
181,023
592,575
1,942,787
1,006,903
204,331
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
81
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
MONTANA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
110
4
30
7
17
16
0
16
0
20
02. First Quarter
119
4
31
7
20
16
0
19
0
21
03. Second Quarter
120
5
32
7
21
16
0
19
0
21
04. Third Quarter
330
32
109
24
31
28
33
19
0
53
05. Current Year
331
31
108
24
32
31
33
20
0
53
2,491
191
765
169
302
259
163
228
0
414
07. Physician
757
108
315
60
0
0
100
173
0
0
08. Non-physician
767
93
415
119
6
0
24
110
0
0
1,524
201
730
178
6
0
124
284
0
0
10. Hospital patient days incurred
86
8
19
20
0
0
5
34
0
0
11. Number of inpatient admissions
13
1
4
2
0
0
1
5
0
0
549,852
54,396
240,633
29,593
1,854
8,243
30,415
156,573
0
28,145
69
0
0
0
0
0
0
0
0
69
0
0
0
0
0
0
0
0
0
0
586,756
54,396
239,726
29,721
1,854
8,245
64,237
161,202
0
27,375
0
0
0
0
0
0
0
0
0
0
517,517
39,636
215,585
20,885
1,357
5,462
60,939
155,692
0
17,961
513,399
39,433
209,168
20,899
1,349
5,357
62,487
155,134
0
19,573
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
82
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NEBRASKA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
794
72
250
63
89
29
37
15
171
67
02. First Quarter
815
73
248
64
95
29
37
16
180
73
03. Second Quarter
816
75
239
64
96
28
37
16
182
80
04. Third Quarter
1,027
75
240
65
95
28
37
16
391
80
05. Current Year
1,051
74
244
65
98
28
37
16
408
79
10,672
886
2,885
773
1,149
340
447
192
3,037
963
07. Physician
3,706
414
1,326
376
0
0
217
233
1,140
0
08. Non-physician
1,042
26
130
0
31
6
10
120
718
0
09. Total
4,748
440
1,456
376
31
6
227
353
1,859
0
445
71
214
0
0
0
38
44
77
0
79
12
38
0
0
0
7
5
17
0
2,416,313
212,755
1,106,333
157,626
6,952
7,204
214,992
142,553
461,953
105,947
807
0
0
0
0
0
0
0
0
807
0
0
0
0
0
0
0
0
0
0
2,401,413
212,044
1,097,666
157,629
6,952
7,226
214,992
142,704
461,953
100,249
0
0
0
0
0
0
0
0
0
0
2,139,977
199,886
960,218
116,733
5,439
5,219
210,128
125,765
402,876
113,714
2,095,770
192,442
936,651
115,777
5,427
5,212
203,762
122,743
418,536
95,219
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
83
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NEVADA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,272
62
429
11
156
243
35
122
184
30
02. First Quarter
1,280
75
433
11
161
241
36
123
174
27
03. Second Quarter
1,289
76
430
11
161
248
36
125
175
27
04. Third Quarter
1,309
77
431
11
165
257
36
126
179
27
05. Current Year
1,339
78
439
11
162
262
36
128
197
27
15,578
906
5,183
132
1,942
3,004
433
1,509
2,150
318
12,367
2,615
6,608
230
4
8
431
1,486
986
0
3,654
347
1,500
25
46
274
84
1,066
312
0
16,022
2,963
8,107
254
50
282
515
2,552
1,298
0
10. Hospital patient days incurred
531
67
226
7
0
0
31
137
61
0
11. Number of inpatient admissions
118
16
56
2
0
0
4
25
16
0
3,769,425
153,965
1,555,364
27,604
9,585
70,464
178,379
1,369,606
372,464
31,994
64
0
0
0
0
0
0
0
0
64
0
0
0
0
0
0
0
0
0
0
3,760,649
154,875
1,551,380
27,378
9,547
70,328
176,683
1,367,063
372,464
30,931
0
0
0
0
0
0
0
0
0
0
3,128,711
150,376
1,208,680
20,786
6,988
51,012
162,995
1,227,626
278,445
21,803
3,155,328
152,702
1,226,823
21,148
6,923
52,564
163,344
1,224,649
282,495
24,679
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
84
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NEW HAMPSHIRE
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
501
29
183
34
51
110
37
3
0
54
02. First Quarter
486
30
180
34
48
110
38
5
0
42
03. Second Quarter
487
30
177
35
48
113
38
5
0
42
04. Third Quarter
490
31
176
35
50
114
38
6
0
40
05. Current Year
587
30
179
36
51
106
38
6
102
40
5,923
361
2,133
417
590
1,322
452
57
102
490
07. Physician
1,550
138
995
245
0
0
0
76
90
7
08. Non-physician
1,582
70
607
709
9
0
0
54
129
3
09. Total
3,132
208
1,602
954
9
0
0
130
219
9
126
3
47
64
0
0
0
7
3
1
22
1
10
9
0
0
0
1
1
0
1,549,755
111,144
951,982
82,298
4,878
55,197
227,274
44,011
32,300
40,671
22
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
1,548,705
109,342
952,027
81,783
4,878
55,171
228,942
43,987
32,221
40,355
0
0
0
0
0
0
0
0
0
0
1,264,863
71,620
782,271
61,234
2,966
42,463
218,062
38,337
17,845
30,066
1,283,708
72,355
782,707
61,146
3,020
42,501
218,567
40,960
29,680
32,772
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
85
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NEW JERSEY
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
9,597
507
1,455
93
842
2,190
139
195
1,156
3,020
02. First Quarter
9,331
487
1,423
93
822
1,685
139
203
1,155
3,323
03. Second Quarter
9,260
513
1,401
93
825
1,692
138
208
1,122
3,268
04. Third Quarter
9,181
489
1,372
93
829
1,688
137
211
1,118
3,242
05. Current Year
9,174
477
1,353
92
831
1,695
137
212
1,103
3,275
110,342
6,014
16,716
535
9,931
20,257
1,655
2,495
13,579
39,161
07. Physician
39,569
2,570
17,388
2,762
0
1,024
2,179
4,125
9,467
55
08. Non-physician
27,002
1,372
10,332
1,390
252
1,048
2,487
2,267
7,629
226
09. Total
66,572
3,942
27,720
4,152
252
2,072
4,666
6,392
17,096
281
2,089
68
418
355
0
0
38
496
649
66
334
13
93
29
0
0
7
67
115
9
16,859,422
845,937
7,098,002
246,478
59,424
466,300
737,472
2,394,886
4,544,039
466,885
575
0
0
0
0
0
0
0
0
575
0
0
0
0
0
0
0
0
0
0
16,503,816
848,209
7,141,299
246,615
59,295
249,211
738,342
2,397,534
4,543,161
280,150
0
0
0
0
0
0
0
0
0
0
14,806,222
758,863
5,935,232
201,573
48,224
376,443
695,316
2,126,459
4,097,700
566,413
14,702,112
758,429
5,888,784
198,929
48,151
373,353
696,879
2,158,925
4,000,422
578,242
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
86
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NEW MEXICO
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,153
53
163
5
110
189
66
73
416
77
02. First Quarter
1,153
53
145
5
114
196
66
77
414
81
03. Second Quarter
1,147
52
143
5
117
193
66
78
413
80
04. Third Quarter
1,171
54
142
5
135
202
65
80
409
79
05. Current Year
1,170
53
140
6
136
204
65
80
408
78
13,947
638
1,715
64
1,503
2,389
788
946
4,950
954
07. Physician
5,675
218
989
62
0
0
514
1,312
2,580
0
08. Non-physician
5,013
118
420
26
37
20
255
531
3,605
0
10,688
336
1,409
89
37
20
768
1,843
6,186
0
1,139
6
39
6
0
0
35
131
921
0
128
2
10
1
0
0
6
19
91
0
4,260,472
117,616
619,958
11,758
8,652
61,517
316,995
784,276
2,288,306
51,395
12
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
4,260,003
119,093
619,195
11,562
8,652
61,514
317,812
784,118
2,287,991
50,067
0
0
0
0
0
0
0
0
0
0
3,680,917
113,210
515,892
7,437
6,124
46,852
297,978
718,490
1,938,468
36,467
3,684,902
112,126
529,507
7,418
6,122
46,807
298,494
709,515
1,933,447
41,467
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
87
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NEW YORK
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
14,778
244
7,225
331
1,295
1,515
275
920
1,037
1,935
02. First Quarter
14,748
234
6,802
341
1,338
1,578
278
917
964
2,297
03. Second Quarter
14,714
207
6,758
342
1,342
1,566
276
923
989
2,310
04. Third Quarter
14,694
192
6,728
343
1,338
1,571
275
936
1,000
2,310
05. Current Year
14,691
181
6,709
343
1,353
1,574
274
943
1,005
2,310
175,846
2,451
81,004
4,104
16,092
18,817
3,316
11,122
11,524
27,416
07. Physician
65,407
1,374
28,912
7,671
32
114
2,701
17,882
6,252
470
08. Non-physician
30,750
366
15,270
759
289
590
752
8,407
4,128
189
09. Total
96,158
1,740
44,182
8,430
321
704
3,453
26,289
10,380
659
10. Hospital patient days incurred
5,636
69
2,121
314
0
0
411
2,058
578
86
11. Number of inpatient admissions
1,035
17
451
85
0
0
95
256
119
12
47,123,384
866,603
25,159,590
884,384
84,063
474,731
1,377,192
11,126,624
5,000,122
2,150,074
37
0
0
0
0
0
0
0
0
37
0
0
0
0
0
0
0
0
0
0
47,271,634
868,161
25,427,122
854,164
83,764
475,933
1,391,438
11,111,041
4,982,359
2,077,651
0
0
0
0
0
0
0
0
0
0
41,139,044
820,581
21,966,029
696,502
60,614
372,127
1,280,993
9,918,705
4,330,160
1,693,333
40,964,999
823,069
21,737,041
710,214
59,924
369,625
1,283,520
9,898,743
4,370,518
1,712,346
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
88
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NORTH CAROLINA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
2,715
394
618
134
461
461
159
215
0
274
02. First Quarter
2,777
395
629
140
475
480
160
234
0
264
03. Second Quarter
2,801
398
639
142
486
485
160
238
0
253
04. Third Quarter
2,882
401
665
144
531
490
160
242
0
249
05. Current Year
2,912
391
701
146
533
490
160
246
0
246
33,907
4,758
7,876
1,710
6,000
5,825
1,917
2,863
0
2,959
11,524
1,458
2,540
3,255
0
187
76
4,008
0
0
1,659
28
366
0
142
0
0
1,123
0
0
13,183
1,486
2,906
3,255
142
187
76
5,131
0
0
1,132
52
138
335
0
0
0
608
0
0
152
11
29
41
0
0
0
71
0
0
7,917,556
1,108,444
2,728,639
315,754
35,723
172,611
896,903
2,299,427
0
360,057
474
0
0
0
0
0
0
0
0
474
0
0
0
0
0
0
0
0
0
0
7,908,922
1,108,444
2,728,689
315,762
35,647
172,576
896,061
2,300,560
0
351,185
0
0
0
0
0
0
0
0
0
0
6,754,213
988,284
2,255,873
229,848
28,621
139,582
836,203
2,005,604
0
270,198
6,799,563
988,553
2,271,271
230,984
28,633
140,173
834,417
2,005,358
0
300,174
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
89
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
NORTH DAKOTA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
511
42
201
36
56
110
20
9
0
37
02. First Quarter
537
43
204
36
60
123
20
11
0
41
03. Second Quarter
542
43
206
36
61
124
20
11
0
41
04. Third Quarter
561
43
212
36
65
133
20
11
0
41
05. Current Year
567
43
215
36
66
134
20
12
0
41
6,578
517
2,495
433
743
1,524
239
133
0
493
07. Physician
3,772
323
2,075
965
0
0
292
113
0
2
08. Non-physician
3,089
311
1,672
530
16
325
214
21
0
1
09. Total
6,861
634
3,747
1,495
16
325
507
134
1
3
165
10
62
54
0
0
11
28
0
1
37
2
16
13
0
0
3
2
0
0
1,378,248
142,302
833,472
74,372
5,554
35,905
98,013
45,095
0
143,534
51
0
0
0
0
0
0
0
0
51
0
0
0
0
0
0
0
0
0
0
181,514
9,350
52,579
401
4,706
32,022
385
45,098
0
36,973
0
0
0
0
0
0
0
0
0
0
1,237,318
137,839
757,244
65,319
4,501
30,347
92,381
40,229
0
109,458
1,245,435
138,773
761,415
63,957
4,500
30,655
92,873
39,900
0
113,363
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
90
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
OHIO
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
8,051
249
1,431
63
1,515
1,241
193
426
1,647
1,286
02. First Quarter
8,095
248
1,380
64
1,541
1,264
195
444
1,650
1,309
03. Second Quarter
8,088
249
1,365
64
1,536
1,272
194
447
1,645
1,315
04. Third Quarter
8,115
248
1,348
64
1,541
1,270
193
452
1,701
1,298
05. Current Year
8,141
248
1,349
64
1,551
1,276
193
454
1,707
1,299
97,151
2,981
16,338
765
18,500
15,213
2,325
5,381
20,065
15,583
07. Physician
25,321
681
7,281
823
0
3
1,401
4,648
10,480
3
08. Non-physician
19,248
748
6,126
434
484
180
826
2,897
7,552
2
09. Total
44,569
1,429
13,407
1,257
484
183
2,227
7,545
18,033
5
3,194
19
428
209
0
0
193
1,450
894
0
486
4
82
19
0
0
23
142
215
0
20,417,044
688,525
5,701,844
153,616
103,629
343,287
935,993
4,502,149
7,474,582
513,419
1,832
0
0
0
0
0
0
0
0
1,832
0
0
0
0
0
0
0
0
0
0
20,459,986
691,593
5,704,838
153,182
101,854
342,935
959,811
4,527,179
7,474,416
504,177
0
0
0
0
0
0
0
0
0
0
16,871,850
558,795
4,734,819
110,513
82,095
267,814
895,005
3,948,535
5,873,437
400,837
17,071,256
551,994
4,722,423
108,826
82,060
268,307
908,631
3,957,362
6,048,211
423,442
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
91
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
OKLAHOMA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
1,933
84
423
59
440
455
123
69
0
281
02. First Quarter
1,959
85
429
60
454
469
124
70
0
269
03. Second Quarter
1,957
86
428
60
464
474
123
69
0
253
04. Third Quarter
1,972
88
428
60
472
477
122
70
0
255
05. Current Year
1,991
87
432
61
482
482
122
70
0
256
23,574
1,036
5,142
722
5,585
5,676
1,474
833
0
3,104
07. Physician
5,188
407
2,211
845
0
0
1,126
599
0
0
08. Non-physician
2,510
132
1,019
206
174
191
353
433
0
0
09. Total
7,698
539
3,230
1,051
174
191
1,479
1,032
0
1
405
13
120
111
0
0
80
81
0
0
82
3
31
18
0
0
15
15
0
0
3,844,427
194,590
1,797,423
120,546
35,534
159,307
653,793
706,062
0
177,172
419
0
0
0
0
0
0
0
0
419
0
0
0
0
0
0
0
0
0
0
3,730,563
208,583
1,797,752
120,312
35,474
41,533
646,529
707,941
0
172,440
0
0
0
0
0
0
0
0
0
0
3,085,051
162,810
1,471,973
86,792
28,335
30,513
602,905
579,563
0
122,160
3,221,515
162,575
1,462,298
86,994
28,292
126,088
606,198
609,893
0
139,177
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
92
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
OREGON
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
2,067
154
829
13
298
312
75
208
75
103
02. First Quarter
2,077
156
811
13
296
308
75
219
79
121
03. Second Quarter
2,084
157
809
14
297
311
75
221
77
123
04. Third Quarter
2,092
156
803
15
299
317
75
223
76
128
05. Current Year
2,100
150
804
15
301
322
74
226
75
133
25,037
1,866
9,684
169
3,569
3,764
895
2,660
931
1,497
07. Physician
9,709
669
3,692
205
17
207
792
3,485
642
0
08. Non-physician
8,779
575
3,222
234
140
319
834
3,173
283
0
18,488
1,244
6,914
439
157
526
1,626
6,658
925
1
10. Hospital patient days incurred
487
19
151
11
0
0
27
236
42
0
11. Number of inpatient admissions
110
5
38
2
0
0
6
49
9
0
7,671,404
406,397
3,760,550
35,517
21,049
238,336
416,017
2,452,032
251,866
89,641
77
0
0
0
0
0
0
0
0
77
0
0
0
0
0
0
0
0
0
0
7,673,107
405,454
3,755,811
35,498
21,054
238,353
416,784
2,455,161
257,232
87,761
0
0
0
0
0
0
0
0
0
0
6,886,131
383,692
3,260,436
26,776
17,015
204,833
390,512
2,224,010
228,968
149,889
6,900,131
378,933
3,256,925
26,883
16,960
205,081
392,188
2,233,986
240,723
148,452
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
93
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
PENNSYLVANIA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
12,080
489
2,880
297
1,567
2,204
370
829
2,317
1,126
02. First Quarter
12,122
488
2,796
286
1,572
2,082
371
874
2,527
1,125
03. Second Quarter
12,093
520
2,743
282
1,571
2,081
369
878
2,522
1,127
04. Third Quarter
12,086
512
2,649
273
1,575
2,063
448
884
2,528
1,153
05. Current Year
12,100
494
2,652
271
1,582
2,074
446
886
2,547
1,149
145,159
5,978
32,485
3,346
18,896
24,945
5,381
10,553
29,982
13,595
07. Physician
91,075
3,171
30,700
1,352
46
130
2,664
13,277
39,695
39
08. Non-physician
28,862
911
8,546
516
241
32
713
5,813
9,448
2,643
119,937
4,082
39,246
1,868
287
162
3,377
19,090
49,143
2,682
5,514
82
820
196
0
0
170
2,227
2,016
3
880
19
204
27
0
0
40
282
307
1
35,925,992
1,392,127
11,413,528
476,081
115,581
613,893
1,431,286
10,466,131
9,301,559
715,806
363
0
0
0
0
0
0
0
0
363
36,987
0
0
0
0
0
0
0
0
36,987
35,856,049
1,392,287
11,412,180
476,259
115,550
655,295
1,437,849
10,466,332
9,197,676
702,621
32,845
0
0
0
0
0
0
0
0
32,845
31,610,331
1,332,794
9,998,035
409,244
92,510
490,870
1,354,799
9,021,907
8,367,780
542,390
31,837,713
1,327,662
9,918,020
394,343
92,059
487,323
1,354,685
9,048,082
8,616,865
598,674
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
94
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
RHODE ISLAND
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,061
16
193
25
223
304
23
62
139
75
02. First Quarter
1,028
16
192
25
234
260
23
64
139
75
03. Second Quarter
1,170
17
189
25
233
404
23
64
140
74
04. Third Quarter
1,024
17
188
25
232
260
23
65
140
74
05. Current Year
1,030
17
187
25
233
259
23
65
147
74
12,575
204
2,265
299
2,787
3,404
276
771
1,688
881
07. Physician
4,256
93
989
0
0
0
0
1,073
2,101
0
08. Non-physician
1,823
54
601
0
75
0
0
471
622
0
09. Total
6,079
147
1,590
0
75
0
0
1,545
2,723
0
286
4
40
0
0
0
0
135
106
0
50
1
9
0
0
0
0
19
21
0
2,760,846
69,987
948,452
54,736
15,825
130,240
97,717
704,541
686,301
53,046
25
0
0
0
0
0
0
0
0
25
0
0
0
0
0
0
0
0
0
0
2,756,593
69,987
948,529
54,736
15,825
129,061
97,717
705,423
686,301
49,014
0
0
0
0
0
0
0
0
0
0
2,400,351
61,317
806,731
43,541
13,849
98,100
90,809
639,651
613,931
32,423
2,405,525
65,635
802,384
42,775
13,818
99,391
91,425
638,420
617,114
34,563
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
95
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
SOUTH CAROLINA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
2,395
86
410
53
326
429
212
93
460
325
02. First Quarter
2,316
87
419
54
341
448
80
115
461
312
03. Second Quarter
2,334
88
419
54
343
445
80
121
459
325
04. Third Quarter
2,344
90
416
55
349
447
80
125
467
316
05. Current Year
2,380
93
420
55
352
448
80
128
488
315
28,049
1,059
5,014
656
4,142
5,362
960
1,448
5,612
3,796
10,304
246
1,883
948
0
2
881
2,674
3,595
75
3,481
101
580
289
31
690
256
755
762
16
13,785
346
2,463
1,237
31
692
1,138
3,429
4,357
91
10. Hospital patient days incurred
887
11
80
84
0
0
36
377
278
21
11. Number of inpatient admissions
145
3
20
13
0
0
8
42
57
4
5,630,960
237,863
1,609,511
130,042
24,917
93,300
414,977
1,373,191
1,563,766
183,393
1,063
0
0
0
0
0
0
0
0
1,063
0
0
0
0
0
0
0
0
0
0
5,650,423
240,650
1,607,213
130,048
24,884
96,299
437,663
1,370,109
1,563,766
179,790
0
0
0
0
0
0
0
0
0
0
4,914,060
178,232
1,323,406
83,302
19,461
77,206
413,189
1,257,670
1,412,300
149,294
4,924,019
181,561
1,328,193
84,934
19,551
77,900
410,921
1,242,761
1,429,786
148,412
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
96
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
SOUTH DAKOTA
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
460
62
133
33
64
54
28
11
0
77
02. First Quarter
471
62
132
33
71
54
28
13
0
79
03. Second Quarter
471
63
131
33
70
54
27
14
0
80
04. Third Quarter
469
63
132
33
68
54
27
14
0
77
05. Current Year
481
64
132
33
69
55
27
15
0
87
5,668
755
1,577
394
833
651
330
164
0
965
1,483
271
694
217
0
0
185
112
2
0
548
93
240
104
23
0
63
26
0
0
2,031
364
933
322
23
0
248
138
2
0
10. Hospital patient days incurred
93
9
25
19
0
0
9
30
0
0
11. Number of inpatient admissions
20
3
7
5
0
0
2
3
0
0
1,116,639
181,252
573,604
75,573
4,514
40,181
129,846
58,564
0
53,105
111
0
0
0
0
0
0
0
0
111
0
0
0
0
0
0
0
0
0
0
1,117,775
181,160
573,276
75,575
4,514
40,175
130,378
58,558
0
54,139
0
0
0
0
0
0
0
0
0
0
972,641
161,734
484,742
55,423
3,549
33,775
124,191
54,770
0
54,458
972,050
160,973
491,799
55,337
3,543
33,772
124,734
54,297
0
47,595
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
97
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
TENNESSEE
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
3,795
176
600
63
587
426
103
287
1,166
386
02. First Quarter
3,864
177
595
62
614
470
103
317
1,153
372
03. Second Quarter
3,890
179
594
63
624
476
103
322
1,159
370
04. Third Quarter
3,914
181
590
62
634
480
103
327
1,163
373
05. Current Year
3,916
181
595
62
639
481
103
331
1,150
375
46,677
2,151
7,126
748
7,514
5,717
1,233
3,873
13,866
4,449
07. Physician
29,083
2,519
5,089
1,036
0
0
2,138
7,090
11,211
1
08. Non-physician
10,630
179
518
91
397
1,408
188
2,382
5,464
2
09. Total
39,713
2,698
5,607
1,127
397
1,408
2,327
9,472
16,675
3
7,232
37
168
190
0
0
89
924
5,825
0
594
8
34
14
0
0
14
109
416
0
12,608,584
453,788
2,312,955
138,214
40,998
135,301
627,790
3,541,398
5,110,799
247,342
425
0
0
0
0
0
0
0
0
425
0
0
0
0
0
0
0
0
0
0
12,592,695
453,820
2,317,213
138,393
40,746
135,190
627,026
3,543,508
5,106,799
230,000
0
0
0
0
0
0
0
0
0
0
10,348,084
387,269
1,856,859
105,259
31,035
103,926
569,795
2,901,986
4,216,048
175,909
10,373,998
385,314
1,816,342
103,739
31,000
104,895
573,168
2,943,821
4,225,629
190,091
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
98
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
TEXAS
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
15,468
699
2,027
85
2,126
4,803
436
572
3,441
1,279
02. First Quarter
15,506
639
2,044
93
2,194
4,719
438
631
3,404
1,344
03. Second Quarter
15,684
658
2,054
96
2,216
4,815
436
647
3,439
1,324
04. Third Quarter
15,694
666
2,077
98
2,253
4,784
435
661
3,407
1,313
05. Current Year
15,541
642
2,074
100
2,247
4,742
435
672
3,350
1,280
186,793
7,835
24,610
1,148
26,630
57,220
5,241
7,771
40,793
15,545
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
50,521
3,502
11,292
1,379
2
25
4,081
9,380
20,798
64
08. Non-physician
659,856
1,794
4,703
338
713
628,054
1,260
3,181
19,798
15
09. Total
710,378
5,295
15,995
1,717
714
628,079
5,341
12,561
40,596
80
3,734
74
519
148
0
0
268
1,131
1,592
2
700
17
116
22
0
0
48
142
355
1
33,412,066
1,421,619
7,654,855
217,440
152,151
1,007,594
2,302,517
8,000,760
11,791,469
863,661
1,418
0
0
0
0
0
0
0
0
1,418
7
0
7
0
0
0
0
0
0
0
32,912,319
1,479,373
7,490,096
212,443
139,483
1,305,682
2,356,912
8,005,593
11,079,418
843,319
0
0
0
0
0
0
0
0
0
0
29,045,559
1,192,278
6,508,420
153,813
147,649
1,256,419
2,193,788
6,664,758
10,231,103
697,331
28,965,265
1,174,289
6,459,067
156,125
147,029
1,233,894
2,222,664
6,659,252
10,177,239
735,705
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
99
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
UTAH
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
1,318
124
517
16
157
199
70
84
63
87
02. First Quarter
1,412
125
513
16
171
192
71
95
143
87
03. Second Quarter
1,418
125
513
16
175
191
71
97
143
87
04. Third Quarter
1,513
127
510
16
179
289
71
98
142
81
05. Current Year
1,521
125
516
16
175
296
70
99
142
81
17,339
1,508
6,143
188
2,058
2,702
850
1,160
1,711
1,018
07. Physician
7,692
533
2,959
259
0
3
978
1,923
910
127
08. Non-physician
5,800
351
1,703
279
35
336
883
1,660
486
66
13,492
884
4,662
538
35
339
1,861
3,583
1,397
193
412
17
112
12
0
0
32
160
72
8
95
5
32
3
0
0
7
25
21
2
3,900,115
257,347
1,736,339
40,101
8,054
63,541
396,408
857,934
461,650
78,740
412
0
0
0
0
0
0
0
0
412
0
0
0
0
0
0
0
0
0
0
3,918,274
257,308
1,737,810
40,118
8,054
63,627
410,944
860,295
461,650
78,468
0
0
0
0
0
0
0
0
0
0
3,297,737
210,736
1,459,941
24,872
5,101
49,793
382,032
746,497
358,836
59,930
3,378,450
213,302
1,480,356
24,664
5,144
48,936
391,788
749,269
401,059
63,931
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
100
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
VERMONT
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
338
20
116
7
47
58
14
0
0
77
02. First Quarter
356
20
113
7
51
60
14
0
0
91
03. Second Quarter
357
21
113
7
51
61
14
0
0
91
04. Third Quarter
357
22
112
7
50
62
14
0
0
90
05. Current Year
354
22
109
7
52
58
14
0
0
93
4,263
250
1,342
82
611
719
171
0
0
1,088
07. Physician
687
118
570
0
0
0
0
0
0
0
08. Non-physician
446
74
358
0
14
0
0
0
0
0
1,134
191
928
0
14
0
0
0
0
0
34
6
28
0
0
0
0
0
0
0
7
1
6
0
0
0
0
0
0
0
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
771,811
100,368
527,540
15,311
3,263
26,791
67,090
0
0
31,447
13. Life premiums direct
5
0
0
0
0
0
0
0
0
5
14. Property/Casualty premiums written
0
0
0
0
0
0
0
0
0
0
770,552
100,368
526,678
15,311
3,263
26,784
67,344
0
0
30,803
0
0
0
0
0
0
0
0
0
0
700,714
93,974
481,184
12,658
2,411
20,626
63,177
0
0
26,683
704,181
95,083
482,764
12,575
2,403
20,657
63,174
0
0
27,526
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
101
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
VIRGINIA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
4,755
278
1,076
104
693
772
502
69
697
565
02. First Quarter
4,832
275
1,049
106
721
824
516
63
700
579
03. Second Quarter
4,830
275
994
107
770
828
515
64
700
576
04. Third Quarter
4,828
275
967
108
767
832
515
65
694
604
05. Current Year
4,844
272
974
108
766
829
514
67
705
608
57,461
3,293
11,871
1,287
9,084
9,917
6,173
772
8,388
6,676
13,412
227
5,883
79
0
0
2,788
922
3,489
24
7,691
80
2,030
11
251
2
1,151
529
3,627
10
21,103
308
7,913
90
252
2
3,939
1,451
7,116
34
1,290
47
285
263
0
0
301
123
273
0
220
10
48
31
0
0
48
19
63
0
11,477,288
827,215
4,401,017
263,444
54,429
273,873
2,146,416
578,966
2,615,985
315,943
323
0
0
0
0
0
0
0
0
323
0
0
0
0
0
0
0
0
0
0
11,305,965
826,499
4,411,421
262,748
54,323
267,098
2,158,145
576,867
2,437,633
311,231
0
0
0
0
0
0
0
0
0
0
9,736,606
673,683
3,619,414
184,707
43,998
214,059
2,045,090
513,018
2,219,470
223,168
9,866,041
670,214
3,611,556
183,177
44,304
214,597
2,034,782
475,573
2,397,628
234,210
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
102
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
WASHINGTON
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
4,807
281
1,244
73
650
1,191
237
253
742
135
02. First Quarter
4,834
275
1,175
76
665
1,190
237
262
810
142
03. Second Quarter
4,846
278
1,170
72
663
1,211
236
267
808
141
04. Third Quarter
4,835
273
1,151
73
671
1,206
235
272
815
139
05. Current Year
4,864
259
1,160
72
665
1,240
235
275
819
139
58,202
3,290
13,955
877
7,992
14,595
2,832
3,211
9,760
1,688
07. Physician
19,326
2,164
7,694
801
1
163
1,408
3,230
3,867
0
08. Non-physician
14,544
1,426
6,210
619
152
310
1,024
2,054
2,748
0
09. Total
33,870
3,590
13,903
1,420
152
473
2,431
5,284
6,615
0
10. Hospital patient days incurred
794
92
211
67
0
0
19
169
235
0
11. Number of inpatient admissions
179
20
53
11
0
0
4
33
58
0
13,302,761
906,751
5,433,891
169,199
33,799
574,447
910,725
2,721,433
2,397,567
154,948
200
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
13,282,000
906,284
5,418,942
169,561
33,799
574,579
905,608
2,732,427
2,389,191
151,609
0
0
0
0
0
0
0
0
0
0
11,460,053
732,285
4,588,867
125,885
26,688
478,136
836,913
2,505,831
2,005,498
159,951
11,511,316
728,257
4,569,260
124,097
26,892
481,949
827,343
2,514,628
2,117,729
121,160
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
103
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
WEST VIRGINIA
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
708
14
160
7
98
106
59
18
173
75
02. First Quarter
718
14
159
7
100
106
59
21
173
78
03. Second Quarter
718
14
159
7
100
106
59
22
173
77
04. Third Quarter
725
15
159
7
103
111
60
24
172
76
05. Current Year
742
15
159
7
104
111
60
25
186
75
8,683
172
1,902
84
1,217
1,302
714
270
2,095
927
3,173
78
1,017
148
2
0
530
283
1,114
0
748
15
197
42
28
0
155
105
206
0
3,921
92
1,214
190
31
0
685
388
1,320
0
187
2
29
2
0
0
12
59
84
0
41
1
7
2
0
0
4
6
22
0
1,929,002
49,955
734,063
17,519
9,246
29,713
299,227
200,253
470,490
118,538
19
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
0
0
1,926,030
49,955
734,063
17,519
9,214
29,764
298,479
200,246
470,490
116,301
0
0
0
0
0
0
0
0
0
0
1,654,000
46,548
638,772
13,839
6,843
20,715
283,298
185,581
376,101
82,302
1,680,050
47,865
644,939
13,787
6,829
20,632
283,362
189,906
384,039
88,691
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
104
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
WISCONSIN
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
3,169
112
940
102
498
378
78
226
550
285
02. First Quarter
3,345
113
943
101
556
395
79
238
647
273
03. Second Quarter
3,403
114
943
101
554
395
79
242
706
269
04. Third Quarter
3,393
113
937
102
557
391
79
245
700
268
05. Current Year
3,380
114
934
102
547
394
79
248
696
267
40,258
1,362
11,276
1,215
6,625
4,727
949
2,908
8,099
3,097
12,543
417
4,074
777
0
0
471
3,048
3,755
0
9,097
167
2,269
282
92
75
280
1,147
4,785
0
21,639
584
6,343
1,059
92
75
751
4,195
8,540
0
1,290
12
223
190
0
0
49
565
252
0
228
3
52
18
0
0
7
83
65
0
10,113,748
320,867
4,550,520
244,550
34,266
231,999
460,558
2,302,688
1,765,170
203,130
481
0
0
0
0
0
0
0
0
481
0
0
0
0
0
0
0
0
0
0
10,099,500
323,577
4,540,221
246,078
23,205
233,490
467,340
2,303,699
1,763,738
198,152
0
0
0
0
0
0
0
0
0
0
9,038,764
258,570
4,121,993
169,876
29,653
190,963
451,435
2,083,188
1,572,124
160,962
9,075,061
259,092
4,133,209
171,683
25,560
192,404
453,545
2,091,366
1,588,043
160,161
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
105
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
WYOMING
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
187
15
32
7
0
103
16
0
0
14
02. First Quarter
185
15
32
7
0
99
16
0
0
15
03. Second Quarter
185
15
32
7
0
99
16
0
0
15
04. Third Quarter
184
15
30
7
0
99
16
0
0
15
05. Current Year
185
15
31
8
0
100
16
0
0
15
2,150
182
373
88
1
1,133
198
0
0
175
07. Physician
670
56
255
196
0
0
163
0
0
0
08. Non-physician
638
52
236
103
0
45
201
0
0
0
1,308
108
491
299
0
45
365
0
0
0
10. Hospital patient days incurred
2
0
2
0
0
0
0
0
0
0
11. Number of inpatient admissions
6
1
2
2
0
0
1
0
0
0
351,069
54,122
161,385
15,173
185
17,088
89,014
(7)
0
14,109
21
0
0
0
0
0
0
0
0
21
0
0
0
0
0
0
0
0
0
0
342,656
54,122
157,379
15,173
185
17,082
84,598
(13)
0
14,130
0
0
0
0
0
0
0
0
0
0
299,046
43,387
137,353
11,711
164
13,897
81,610
149
0
10,775
294,600
42,281
135,147
11,516
164
13,922
80,133
(159)
0
11,597
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
09. Total
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
106
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
GUAM
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
27
0
18
0
0
0
9
0
0
0
02. First Quarter
27
0
18
0
0
0
9
0
0
0
03. Second Quarter
29
0
20
0
0
0
9
0
0
0
04. Third Quarter
29
0
20
0
0
0
9
0
0
0
05. Current Year
31
0
22
0
0
0
9
0
0
0
349
0
243
0
0
0
105
0
0
0
07. Physician
0
0
0
0
0
0
0
0
0
0
08. Non-physician
0
0
0
0
0
0
0
0
0
0
09. Total
0
0
0
0
0
0
0
0
0
0
10. Hospital patient days incurred
4
0
4
0
0
0
0
0
0
0
11. Number of inpatient admissions
1
0
1
0
0
0
0
0
0
0
12. Health premiums written (b)
0
0
0
0
0
0
0
0
0
0
13. Life premiums direct
0
0
0
0
0
0
0
0
0
0
14. Property/Casualty premiums written
0
0
0
0
0
0
0
0
0
0
84,412
61
46,938
0
0
0
37,413
0
0
0
0
0
0
0
0
0
0
0
0
0
84,812
0
54,204
0
0
0
30,608
0
0
0
86,004
0
55,617
0
0
0
30,387
0
0
0
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
107
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
N MARIANA ISLANDS
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
2
0
2
0
0
0
0
0
0
0
02. First Quarter
1
0
1
0
0
0
0
0
0
0
03. Second Quarter
1
0
1
0
0
0
0
0
0
0
04. Third Quarter
1
0
1
0
0
0
0
0
0
0
05. Current Year
1
0
1
0
0
0
0
0
0
0
17
0
17
0
0
0
0
0
0
0
07. Physician
0
0
0
0
0
0
0
0
0
0
08. Non-physician
0
0
0
0
0
0
0
0
0
0
09. Total
0
0
0
0
0
0
0
0
0
0
10. Hospital patient days incurred
0
0
0
0
0
0
0
0
0
0
11. Number of inpatient admissions
0
0
0
0
0
0
0
0
0
0
12. Health premiums written (b)
0
0
0
0
0
0
0
0
0
0
13. Life premiums direct
0
0
0
0
0
0
0
0
0
0
14. Property/Casualty premiums written
0
0
0
0
0
0
0
0
0
0
2,325
4
2,321
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
17. Amount Paid for Provision of
health care services
4,828
0
4,828
0
0
0
0
0
0
0
Health Care Services
4,147
0
4,147
0
0
0
0
0
0
0
© 2014 National Association of Insurance Commissioners
108
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
PUERTO RICO
2
3
Individual
Group
10
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
Other
Total Members at end of:
01. Prior Year
3,202
189
774
28
0
217
53
504
1,427
10
02. First Quarter
3,182
195
757
26
0
219
53
522
1,401
9
03. Second Quarter
3,208
195
744
26
0
217
53
528
1,435
9
04. Third Quarter
3,202
197
739
26
0
213
53
536
1,429
9
05. Current Year
3,178
194
726
25
0
213
52
538
1,420
9
38,201
2,292
8,848
309
0
2,588
635
6,349
17,074
106
12,373
869
4,331
398
0
0
474
3,791
2,511
0
662
2
21
13
0
0
23
603
0
0
13,035
871
4,352
411
0
0
497
4,394
2,511
0
1,315
61
254
37
0
0
26
750
187
0
225
13
54
5
0
0
5
109
38
0
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
07. Physician
08. Non-physician
09. Total
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
6,852,265
214,124
1,014,273
31,209
0
10,812
166,353
4,774,276
629,312
11,904
13. Life premiums direct
1
0
0
0
0
0
0
0
0
1
14. Property/Casualty premiums written
0
0
0
0
0
0
0
0
0
0
5,787,541
100,322
662,298
31,209
0
1,502
166,353
4,184,659
629,312
11,885
0
0
0
0
0
0
0
0
0
0
6,060,274
82,306
1,007,295
25,440
0
9,937
156,693
4,096,885
671,403
10,316
5,930,922
82,147
982,401
25,736
0
9,767
155,324
4,061,969
603,434
10,144
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
109
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
U.S. VIRGIN ISLANDS
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
6
1
2
0
0
0
1
0
0
2
02. First Quarter
5
1
3
0
0
0
1
0
0
0
03. Second Quarter
5
1
3
0
0
0
1
0
0
0
04. Third Quarter
6
1
4
0
0
0
1
0
0
0
05. Current Year
6
1
4
0
0
0
1
0
0
0
61
10
40
0
0
1
11
0
0
0
07. Physician
6
1
0
0
0
0
5
0
0
0
08. Non-physician
0
0
0
0
0
0
0
0
0
0
09. Total
7
2
0
0
0
0
5
0
0
0
10. Hospital patient days incurred
2
2
0
0
0
0
0
0
0
0
11. Number of inpatient admissions
0
0
0
0
0
0
0
0
0
0
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
12. Health premiums written (b)
17,885
2,115
12,885
0
0
47
2,809
0
0
29
13. Life premiums direct
0
0
0
0
0
0
0
0
0
0
14. Property/Casualty premiums written
0
0
0
0
0
0
0
0
0
0
17,824
2,040
12,899
0
0
46
2,809
0
0
31
0
0
0
0
0
0
0
0
0
0
19,689
3,102
14,003
0
0
27
3,189
0
0
(632)
24,532
3,144
17,739
0
0
26
3,661
0
0
(36)
15. Health premiums earned
16. Property/Casualty premiums earned
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
110
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2013 OF THE ...................................................................
(Name)
30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF
Comprehensive
(Hospital and Medical)
1
Total
DURING THE YEAR
AGGR OTHER ALIEN
2
3
Individual
Group
4
5
6
7
Federal
Employees
8
9
Medicare
Supplement
Vision
Only
Dental
Only
Health Benefit
Plan
Title XVIII
Medicare
Title XIX
Medicaid
10
Other
Total Members at end of:
01. Prior Year
95
84
10
0
0
0
0
0
0
0
02. First Quarter
96
85
11
0
0
0
0
0
0
0
03. Second Quarter
98
87
11
0
0
0
0
0
0
0
04. Third Quarter
101
91
10
0
0
0
0
0
0
0
05. Current Year
104
94
10
0
0
0
0
0
0
0
1,196
1,071
125
0
0
0
0
0
0
0
07. Physician
31
18
13
0
0
0
0
0
0
0
08. Non-physician
17
9
8
0
0
0
0
0
0
0
09. Total
49
27
21
0
0
0
0
0
0
0
109
98
11
0
0
0
0
0
0
0
8
6
1
0
0
0
0
0
0
0
190,877
168,155
22,717
0
0
0
0
0
0
5
105
0
0
0
0
0
0
0
0
105
06. Current Year Member Months
Total Member Ambulatory Encounters
for Year:
10. Hospital patient days incurred
11. Number of inpatient admissions
12. Health premiums written (b)
13. Life premiums direct
14. Property/Casualty premiums written
15. Health premiums earned
16. Property/Casualty premiums earned
0
0
0
0
0
0
0
0
0
0
184,151
160,737
23,409
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
114,010
98,438
15,572
0
0
0
0
0
0
0
115,521
99,747
15,774
0
0
0
0
0
0
0
17. Amount Paid for Provision of
health care services
18. Amount Incurred for Provision of
Health Care Services
© 2014 National Association of Insurance Commissioners
111
2013 HEALTH STATE AND
COUNTRYWIDE, CANADA, AND AGGREGATE OTHER ALIEN DATA
TECHNICAL NOTES
Page 38 (Schedule T)
All data are aggregated
Page 30 (State Pages)
All data are aggregated
© 2014 National Association of Insurance Commissioners
112
Selected Data Elements
From Company Statements
© 2014 National Association of Insurance Commissioners
113
© 2014 National Association of Insurance Commissioners
114
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
12959
Absolute Total Care Inc
SC
83,768,588
40,955,061
(31,275,943)
672,775
(20,234,140)
63444
Accendo Ins Co
UT
24,318,383
11,981,846
13,055,645
33,989
8,396,618
15307
Access Dental Plan of NV Inc
NV
214,062
208,506
(41,494)
14158
AccessCare Gen Inc
IL
404,364
258,942
81,097
14119
AccessCare Gen LLC
KS
243,091
187,314
14343
Accesscare Gen OK LLC
OK
48,896
42,606
47006
Advantage Dental Plan Inc
OR
1,569,325
0
(41,494)
331,050,071
45,160,706
2,554,827
1,998,570
0
41,494
545
81,642
2,693,490
783,788
79,821
97
79,918
1,882,501
525,994
2,793
27
2,820
186,255
59,285
1,540,723
41,275
24,548
65,823
104,109
200,597
4,535,861
9,248
4,545,109
394,092,995
41,675,150
52568
Advantage Hlth Solutions Inc
IN
68,666,370
24,734,026
47035
Advantica Dental Benefits Inc
MO
3,445,045
2,306,821
(496,112)
23,052
(450,038)
15,320,510
2,883,345
12278
Advantica Ins Co
MO
6,892,202
6,367,737
(608,600)
8,493
(396,070)
887,465
1,910,492
3,376,080
95302
Aecc Total Vision Hlth Plan Of TX
TX
11,400,587
9,424,812
3,826,663
1,567
2,543,191
0
14229
Aetna Better Hlth Inc
OH
3,010,100
3,010,090
0
6,830
4,440
0
0
13174
Aetna Better Hlth Inc
CT
3,048,138
2,895,622
765,140
310,139
766,480
0
1,443
13735
Aetna Better Hlth Inc
PA
133,562,765
31,600,054
(14,774,633)
14043
Aetna Better Hlth Inc
IL
146,367,117
35,471,044
9,327,240
12328
Aetna Better Hlth Inc a GA Corp
GA
3,384,611
3,375,138
95910
Aetna Dental Inc
TX
18,176,901
14,242,077
11183
Aetna Dental Inc NJ Corp
NJ
4,474,007
4,443,929
95935
Aetna Hlth Inc CT Corp
CT
98,829,996
50,242,063
1,494,297
(8,210)
10,560,929
21,641
(6,991,272)
321,062,236
47,508,226
277,448
6,450,096
317,768,883
27,861,059
71,374
42,189
0
11,450
175,858
7,477,233
42,230,086
8,121,080
8,143
(22,474,529)
1,973,832
95,085
(12,684,998)
10,933,353
1,486,783
354,675,157
59,349,646
95088
Aetna Hlth Inc FL Corp
FL
273,691,309
116,386,863
82,762,447
10,627,928
77,661,417
1,219,096,159
152,759,367
95094
Aetna Hlth Inc GA Corp
GA
102,479,309
51,284,075
13,507,282
2,566,881
14,313,006
344,221,805
45,653,167
95517
Aetna Hlth Inc ME Corp
ME
34,153,288
13,908,387
(1,640,483)
(1,365,571)
98,180,276
13,420,972
95756
Aetna Hlth Inc MI Corp
MI
3,818,895
3,811,218
(10,894)
35,124
15,155
0
10,894
95287
Aetna Hlth Inc NJ Corp
NJ
341,292,560
149,165,465
(4,794,202)
11,417,368
21,731,218
1,365,332,920
190,883,858
95234
Aetna Hlth Inc NY Corp
NY
362,342,408
242,407,117
46,394,375
12,410,039
42,569,598
573,119,317
59,920,747
95109
Aetna Hlth Inc PA Corp
PA
813,632,884
329,348,905
90,252,103
22,079,366
101,022,703
3,549,437,401
398,457,536
95490
Aetna Hlth Inc TX Corp
TX
187,886,640
89,577,017
4,681,753
6,526,165
713,314,377
84,282,747
72052
Aetna Hlth Ins Co
PA
61,575,947
40,329,993
1,449,071
5,637,678
74,633,354
13,317,828
84450
Aetna Hlth Ins Co of NY
NY
11,516,463
10,215,493
(546,772)
14048
AHS Tulsa OK Hlth Plan Inc
OK
8,593,468
2,617,863
(7,909,739)
(1,920,367)
(150,793)
(34,689)
5,198,424
(49,989)
(515,349)
2,161,308
257,209
563
(7,923,443)
13,023,695
2,687,453
3,928
(1,916,439)
51,917,607
5,452,746
12973
Aids Hlthcare Found MCO of FL Inc
FL
9,513,767
2,270,285
47201
Alaska Vision Serv Inc
AK
9,106,839
8,263,114
12814
Allegiance Life & Hlth Ins Co Inc
MT
19,323,942
7,428,260
60134
Alliance Hlth & Life Ins Co
MI
64,159,335
27,868,129
211,873,222
36,377,311
11256
Alliant Hlth Plans Inc
GA
29,072,427
16,515,282
(5,362,813)
814,021
(4,292,720)
94,653,992
18,948,480
95853
Aloha Care
HI
139,168,479
76,291,811
(9,622,212)
211,856
(9,410,356)
225,312,817
7,559,823
95366
Alpha Dental of AZ Inc
AZ
594,171
331,940
707,552
86,756
686,710
(6,573,222)
658,706
120,878
© 2014 National Association of Insurance Commissioners
115
60,518
764,715
207,664
8,862
479,868
(2,974,679)
647,170
84,332
2,651,157
163,272
54,740,111
6,318,897
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
47092
Alpha Dental of NM Inc
NM
325,780
290,738
3,238
4,192
4,829
62,776
36,490
95778
Alpha Dental of NV Inc
NV
939,582
816,763
72,228
6,299
51,691
529,535
122,189
11174
Alpha Dental of UT Inc
UT
1,137,171
964,218
(1,587)
13,863
7,980
233,239
31,532
95163
Alpha Dental Programs Inc
TX
7,911,027
5,095,036
2,742,557
42,125
1,810,181
13,727,389
2,537,782
15280
Alphacare of NY Inc
NY
14,198,505
10,027,871
(9,498,755)
3
3,289,331
8,742,728
95407
Altius Hlth Plans Inc
UT
106,404,891
45,242,248
(39,391)
2,908,925
1,088,974
492,452,160
65,538,811
7,227,281
(9,575,769)
52632
Altus Dental Ins Co Inc
RI
25,639,392
14,906,185
3,464,938
354,357
2,580,777
45,973,539
95107
American Dental Plan Of NC Inc
NC
1,993,297
1,769,205
763,994
1,253
743,150
1,242,418
346,829
52041
AMERICAN DENTAL PLAN OF WI INC
WI
164,992
93,430
846
487
3,063,587
352,124
11559
American Dental Providers of AR Inc
AR
683,188
595,285
138,737
2,106
89,374
298,812
72,559
11152
American Hlth Inc
PR
153,062,541
55,192,131
28,116,208
2,848,846
23,853,916
519,920,154
64,682,203
37,564,286
(359)
52623
American Hlth Ntwrk of IN LLC
IN
39,024,711
10,475,533
(550,962)
11069
American Imaging Mgmt E LLC
NJ
13,725,780
13,682,663
210,750
84697
American Specialty Hlth Ins Co
IL
8,104,167
7,259,642
(412,225)
91,550
(209,548)
0
139
(316,121)
0
45,405
10,580
(269,229)
2,364,952
2,531,239
11866
American Specialty Hlth ODS of NJ
NJ
757,589
388,732
0
1,545,114
12910
Americas 1st Choice Hlth Plans Inc
SC
19,723,170
9,744,546
5,554,691
15,207
4,405,635
80,927,158
2,575,426
13044
Americas 1st Choice Ins Co of NC Inc
NC
15,051,037
9,770,643
3,571,690
53,876
3,194,671
41,735,198
3,022,912
13178
Americhoice of CT Inc
CT
4,381,350
4,210,975
123,538
7,159
92,378
0
40,386
13168
Americhoice of GA Inc
GA
3,098,636
3,098,466
2,494
(1,539)
0
4,863
95497
Americhoice of NJ Inc
NJ
460,622,752
204,080,389
1,727,299,001
200,267,346
12354
AMERIGROUP Comm Care of NM Inc
NM
123,157,473
69,322,270
9,089,628
1,788,559
6,494,063
492,805,472
79,125,536
95093
AMERIGROUP FL INC
FL
155,734,148
73,421,154
9,296,452
1,770,216
6,759,103
599,679,968
65,756,046
1,684,423
(430,081)
(4,863)
75,067,140
14078
Amerigroup Ins Co
TX
136,806,503
96,269,341
13,684,863
14276
Amerigroup KS Inc
KS
181,932,279
83,708,870
(49,320,588)
14064
Amerigroup LA Inc
95832
AMERIGROUP MD Inc
95373
12586
510
8,687,594
159,752
(243,381)
62,286,976
16,324,420
395,235,806
42,635,702
(34,209,343)
720,672,666
58,849,760
LA
94,819,373
47,394,667
4,540,202
1,216,030
9,858,578
411,111,925
47,484,170
MD
180,139,560
88,775,628
46,045,077
3,615,951
31,426,450
771,351,057
80,700,956
AMERIGROUP NJ Inc
NJ
178,268,084
110,263,702
36,872,765
1,805,603
25,022,927
646,393,584
79,471,583
AMERIGROUP NV Inc
NV
45,108,163
28,026,640
10,708,963
564,508
6,987,258
188,101,629
32,123,507
10767
AMERIGROUP OH Inc dba Comm Care
OH
38,720,455
33,839,805
11,897,502
375,700
8,368,852
81,868,435
18,380,711
12941
AMERIGROUP TN Inc
TN
236,720,888
108,075,136
33,812,133
3,309,545
23,828,770
917,635,709
124,106,366
95314
AMERIGROUP TX Inc
TX
666,849,834
348,260,028
102,177,856
8,154,085
69,307,247
2,659,340,590
351,103,130
14073
Amerigroup Washington Inc
WA
105,107,716
35,710,722
3,993,921
891,054
2,512,131
143,052,845
18,043,852
14143
AmeriHealth Caritas LA Inc
LA
105,701,379
40,252,496
12,525,053
58,600
12,379,048
491,054,965
58,129,287
15088
Amerihealth DC Inc
DC
83,791,458
24,808,644
(3,682,118)
10,653
(5,961,465)
255,497,282
39,825,339
95044
Amerihealth Hmo Inc
PA
1,326,732,782
1,258,870,699
4,865,836
807,340
5,697,176
392,677,712
64,922,165
60061
Amerihealth Ins Co Of NJ
NJ
169,149,309
83,731,614
4,840,024
2,437,039
2,652,063
415,634,075
56,098,297
15104
Amerihealth MI Inc
MI
1,620,884
1,598,384
0
4,140
(26,640)
© 2014 National Association of Insurance Commissioners
116
24
(26,616)
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
14261
Amerihealth NE Inc
NE
16,172,596
7,232,369
646,475
60250
AmFirst Ins Co
OK
32,374,565
23,292,070
(570,369)
11,258
657,733
57,522,964
8,571,886
2,909,882
2,654,809
24,255,159
6,841,768
12229
AMGP GA Managed Care Co Inc
GA
223,526,393
109,212,806
39,645,467
2,190,626
25,740,111
795,243,027
120,022,063
62825
Anthem Blue Cross Life & Hlth Ins Co
CA
2,838,172,797
1,216,768,848
174,492,663
94,247,904
168,902,948
5,337,203,053
882,518,000
60217
Anthem Hlth Plans Inc
CT
683,356,054
320,293,467
157,634,166
16,707,541
117,837,601
1,822,315,309
179,407,989
95120
Anthem Hlth Plans Of KY Inc
KY
871,122,835
371,944,837
181,999,351
23,629,427
142,153,599
2,184,161,103
219,426,182
52618
Anthem Hlth Plans of ME Inc
ME
417,586,557
163,128,767
58,123,384
10,485,058
48,369,863
1,055,248,719
96,583,713
53759
Anthem Hlth Plans of NH
NH
297,525,109
154,545,670
24,074,512
21,625,233
37,671,301
521,932,978
57,602,327
71835
Anthem Hlth Plans of VA Inc
VA
1,969,969,942
643,194,972
362,701,054
57,778,822
269,511,983
4,001,121,997
380,981,809
374,416,237
28207
Anthem Ins Co Inc
12151
Arcadian Hlth Plan Inc
IN
2,781,475,363
1,004,778,573
506,528,100
64,764,769
4,958,569,547
500,355,889
WA
103,581,945
70,334,818
(14,437,392)
1,768,259
(4,898,627)
227,531,489
15079
45,822,383
Arches Mut Ins Co
UT
32,893,095
22,454,531
(10,041,371)
31,525
(10,009,846)
0
9,936,215
53597
Arizona Dental Ins Serv Inc
AZ
50,673,705
41,664,249
(1,654,937)
1,119,657
(294,695)
50,719,023
5,227,908
15135
Arkansas Superior Select Inc
AR
435,888
373,605
(728,458)
(729,395)
0
668,383
47350
Asuris NW Hlth
WA
100,018,247
63,287,888
(6,118,484)
1,833,795
(3,419,994)
244,934,244
37,551,389
(937)
95691
Athens Area Hlth Plan Select Inc
GA
17,100,800
12,223,131
(1,608,762)
30,440
(1,578,322)
37,085,107
5,371,907
11217
Atlantic Southern Dental Found
NJ
4,124,832
2,966,954
(460,658)
24,118
(436,540)
10,536,080
1,295,828
52624
Atlantis Hlth Plan
NY
20,042,353
(1,172,060)
1,514
(890,993)
70,637,733
5,608,820
10123
Atrio Hlth Plans Inc
OR
38,551,303
21,117,128
3,619,230
60,252
2,001,076
148,081,886
16,941,531
77216
Aultcare Ins Co
OH
115,201,301
61,698,901
1,854,524
2,234,582
4,747,949
466,412,281
58,113,189
12587
Auxilio Platino Inc
PR
1,455,709
819,747
12358
Avalon Ins Co
PA
33,485,723
19,753,411
3,636,833
273,863
95839
Avera Hlth Plans Inc
SD
24,159,315
9,384,649
(2,835,304)
366,804
11163
Avesis Ins Inc
AZ
9,372,637
4,876,615
367,517
19,162
264,937
(578,731)
(32,821)
10,704
(22,117)
0
33,159
3,000,985
46,025,895
12,092,620
(2,452,792)
86,745,526
7,831,772
2,914,588
20,938,852
110,943,777
95263
AvMed Inc
FL
289,554,037
161,979,309
14,913,471
5,483,183
20,396,654
783,101,140
12214
Baltas Vision LLC
KY
200,378
188,788
19,983
268
20,251
500,177
210,599
71013
Bankers Reserve Life Ins Co Of WI
WI
434,636,315
238,096,924
(24,466,596)
2,294,471,007
275,631,533
96962
BCBS Hlthcare Plan of GA Inc
GA
486,189,621
251,574,677
100,275,712
8,454,652
70,502,935
1,448,873,347
241,176,571
55433
BCBS of AL
AL
2,839,511,766
1,243,929,650
54,543,644
49,202,423
69,096,260
4,138,882,152
438,466,206
53589
BCBS of AZ Inc
AZ
1,578,947,924
1,036,294,001
58,017,390
55,230,770
85,025,008
1,522,168,714
215,332,945
98167
BCBS Of FL
FL
6,225,048,401
3,086,781,151
(21,596,185)
133,714,213
204,515,203
6,944,309,228
1,156,472,151
54801
BCBS of GA Inc
GA
928,738,390
273,045,150
5,691,881
75,677,559
73,079,761
2,007,201,552
201,388,450
47171
BCBS of KC
MO
988,750,640
610,233,512
(51,687,937)
31,810,085
(19,427,128)
1,242,413,974
233,716,567
230,063,512
2,628,358
(4,567,594)
53228
BCBS of MA
MA
2,096,616,890
820,072,226
(9,108,045)
42,470,915
28,512,921
2,415,380,012
12219
BCBS of MA HMO Blue Inc
MA
1,854,954,445
1,151,831,118
(8,092,379)
48,342,573
40,572,272
3,954,902,006
425,223,848
54291
BCBS of MI Mut Ins Co
MI
7,715,176,064
3,288,723,597
(267,959,225)
168,973,953
(85,941,824)
6,572,304,337
1,168,510,815
60111
BCBS Of MS Mut Ins Co
MS
811,924,326
555,493,510
(16,764,301)
31,784,138
4,118,329
1,191,874,508
134,774,978
© 2014 National Association of Insurance Commissioners
117
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
54631
BCBS of NC Inc
NC
3,786,788,030
2,388,532,820
(34,510,710)
158,126,832
180,060,588
5,830,776,053
899,743,620
77780
BCBS Of NE
NE
871,324,450
438,975,353
(10,889,705)
36,040,181
24,547,085
1,591,468,289
219,856,853
53473
BCBS of RI
RI
601,465,897
287,601,200
247,317
22,038,924
21,748,694
1,540,951,065
235,387,719
38520
BCBS Of SC Inc
SC
2,983,099,756
2,153,285,639
103,910,867
63,491,580
82,239,291
1,991,886,819
329,594,164
54518
BCBS of TN Inc
TN
2,226,920,410
1,651,423,103
175,767,728
72,281,653
188,887,095
3,656,590,060
368,918,232
53295
BCBS of VT
VT
214,094,889
132,369,496
(5,248,186)
4,382,220
3,848,264
425,042,564
39,577,052
54003
BCBS of WI
WI
474,622,692
235,151,150
54,780,035
36,050,080
69,599,891
663,083,281
37,753,840
53767
BCBS of WY
WY
384,608,109
242,252,140
7,935,930
10,672,455
11,783,139
282,977,091
26,924,734
55026
BCBSM Inc
MN
1,996,757,698
807,988,112
(64,294,669)
91,247,174
25,660,543
3,048,696,968
560,432,403
14267
Beacon Hlth Strategies LLC
NJ
35,158
35,159
15118
BeHealthy Amer Inc
FL
3,426,524
3,140,815
0
89
(2,236,551)
12,541
89
(2,224,010)
0
0
0
1,964,161
14189
Block Vision of NJ Inc
NJ
484,005
393,265
193,053
139
182,192
0
79,266
95387
Block Vision Of TX Inc
TX
6,112,286
3,549,135
2,773,177
14,504
1,854,462
12,584,985
7,993,033
10753
Blue Advantage Plus of KC Inc
MO
25,059,463
25,029,060
95610
Blue Care Network Of MI
MI
1,593,598,932
999,759,065
52037
Blue Care Of MI Inc
MI
6,644,431
6,588,709
(145,225)
11557
Blue Cross Complete of MI
MI
38,186,093
12,809,284
(9,026,336)
15022
Blue Cross of ID Care Plus Inc
ID
2,235,601
2,235,601
60095
Blue Cross of ID Hlth Serv Inc
ID
794,269,573
541,034,316
35,080,743
(224,051)
98,894,378
325,018
246,227
20,976,916
118,578,532
(945)
29,531
(407,580)
812
(2,010)
2,624,145,896
336,438
363,257,861
(146,170)
2,418,644
363,143
(8,996,805)
122,484,962
11,056,239
(264,399)
27,160,360
39,349,643
0
407,580
1,250,748,162
111,911,322
95741
BlueChoice Hlthplan of SC Inc
SC
284,732,559
209,450,932
15,201,316
6,408,285
14,850,214
656,954,417
50,566,548
95071
Bluegrass Family Hlth Inc
KY
99,471,588
75,594,941
239,571
2,548,638
2,742,100
145,089,486
18,870,687
13203
Boston Medical Center Hlth Plan Inc
MA
341,279,168
215,377,326
(13,840,179)
13,071,203
(768,976)
1,388,669,129
94,276,994
10095
Bravo Hlth Mid Atlantic Inc
MD
72,926,165
25,045,364
(5,669,291)
1,019,900
(4,070,160)
329,310,395
28,858,518
158,307,266
11524
Bravo Hlth PA Inc
PA
260,723,680
98,735,955
(27,400,451)
3,444,161
(19,317,430)
1,066,264,384
95303
BridgeSpan Hlth Co
UT
14,275,877
10,874,025
(2,679,537)
2,175
(1,752,322)
894,346
3,168,658
11834
Buckeye Comm Hlth Plan Inc
OH
199,278,953
105,714,489
18,819,173
13,140,305
802,955,486
154,351,998
(21,059,413)
81647
Bupa Ins Co
81000
Cambridge Life Ins Co
12217
14411
2,034,653
FL
356,913,995
68,460,652
(64,446)
(29,828,016)
194,343,017
123,078,567
MO
84,556,317
50,618,723
914,363
924,023
1,365,540
22,218,890
2,870,422
Canyon Ins Serv Inc
AZ
561,697
501,825
176,408
745
(12,269)
1,318,009
135,132
Capital Advantage Assur Co
PA
336,039,138
181,006,329
(20,016,770)
364,652
(13,775,308)
735,715,748
162,200,727
50,213,074
41203
Capital Advantage Ins Co
PA
503,794,288
340,526,204
(28,103,609)
20,949,981
1,058,150
571,853,204
54720
Capital Blue Cross
PA
1,119,139,309
857,741,888
(12,752,957)
31,998,184
10,205,908
289,431,815
41,788,913
95491
Capital District Physicians Hlthpln
NY
489,431,902
300,487,895
12,657,571
10,409,838
22,993,627
1,303,768,785
133,234,619
(1,609,879)
638,776,916
38,261,056
95112
Capital Hlth Plan Inc
FL
450,666,239
365,940,335
15,324,599
13,762,202
12313
Care Improvement Plus of MD Inc
MD
5,212,387
4,357,746
1,792,755
9,290
836,753
12558
Care Improvement Plus of TX Ins Co
TX
230,293,543
133,266,580
64,906,013
928,567
42,792,350
992,166,937
133,524,191
12567
Care Improvement Plus S Central Ins
AR
565,861,329
340,544,829
124,813,304
793,361
81,542,130
2,470,929,234
314,881,274
© 2014 National Association of Insurance Commissioners
118
(331,592)
3,375
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
14041
Care Improvement Plus WI Ins Co
WI
16,743,142
7,713,946
24,946,790
4,370,526
13151
Care N Care Ins Co Inc
TX
18,410,398
14,262,667
(6,123,120)
767,654
30,330
509,908
74,481,764
9,653,885
55450
Care Plus Dental Plans Inc
WI
1,739,042
0
0
0
0
22,107,569
557,663
12248
Care WI Hlth Plan Inc
WI
30,068,926
20,542,356
4,181,845
414,867
4,524,829
92,924,263
12,734,538
14403
CareCentrix of NJ Inc
NJ
2,216,717
814,975
198,783
0
121,536
745,927
153,303
10144
Carecore NJ LLC
NJ
22,040,667
20,135,952
34,196,971
54,029
34,251,000
186,516,659
10,096,624
29,413,713
69,214,184
2,385,273,120
400,093,523
0
0
3,759
22,183,651
1,664,446,883
266,683,027
205,059,547
41,781,225
96202
CareFirst BlueChoice Inc
DC
1,043,163,124
733,350,796
53,256,477
47021
Carefirst Inc
MD
746,069
500,000
0
47058
Carefirst of MD Inc
MD
1,387,137,308
556,496,795
2,542,688
13562
Caremore Hlth Plan of AZ Inc
AZ
74,567,755
31,353,237
(6,652,609)
13753
Caremore Hlth Plan of CO Inc
CO
4,226,156
4,221,670
13605
CareMore Hlth Plan of NV
NV
32,469,447
11,119,662
(14,260,443)
90,321,537
95092
CarePlus Hlth Plans Inc
FL
315,862,695
109,489,565
14203
Carepoint Ins Co
NJ
5,300,451
3,500,000
95201
Caresource
OH
1,129,129,398
604,859,056
10142
CareSource IN
13628
Carilion Clinic Medicare Resources L
0
(33,247)
14,708,374
(533,471)
18
11,898
374,646
11,090,948
(7,725,805)
114,297,459
0
20,645,018
(4,848,588)
(6,625,221)
7,845
(11,519,687)
66,481,762
(7,725,805)
134,942,477
0
3,067
68,556,260
14,104,219
1,204,252,637
139,760,529
3,267,404
7,100,659
4,171,599,088
548,897,385
IN
1,570,473
1,562,162
(42,904)
334
(42,570)
0
44,573
VA
28,464,518
12,726,185
(10,556,336)
18,702
(10,537,634)
76,953,412
10,746,018
80,778,416
1,044,590,423
153,413,869
95754
Cariten Hlth Plan Inc
TN
286,043,218
178,781,654
82740
Cariten Ins Co
TN
5,232,809
5,085,444
95732
Carolina Care Plan Inc
SC
41,308,517
34,402,774
12630
Catamaran Ins of DE Inc
DE
9,218,433
9,218,433
(60,255)
0
(36,136)
0
60,255
12976
Catholic Special Needs Plan LLC
NY
10,567,982
4,148,751
(2,941,217)
17,307
(923,910)
39,602,648
7,500,039
(91,355)
5,953,985
6,681,924
18,416
634,928
64,935,759
(48,598)
7,274,770
0
109,135,523
(8,847)
14,798,511
13630
CBHNP Serv Inc
PA
14,928,578
10,842,455
(523,284)
45,774
(319,510)
0
4,477,735
47027
CDPHP Universal Benefits Inc
NY
160,581,510
79,325,818
(67,979,340)
965,752
(67,012,513)
693,094,441
105,500,339
13632
Celticare Hlth Plan of MA Inc
MA
18,176,349
11,639,771
(2,592,649)
222,641
(1,503,902)
54,455,060
4,781,759
12525
Cenpatico Behavioral Hlth of TX
TX
1,692,369
1,675,916
(3,787)
1,617
(1,394)
0
3,787
14704
Cenpatico of AZ Inc
AZ
1,525,048
1,525,048
15357
Cenpatico of LA Inc
LA
3,000,898
2,997,474
0
48
48
0
0
(511)
0
(511)
0
511
95158
CHA Hmo Inc
KY
33,346,729
29,233,357
(4,530,161)
1,022,703
(2,590,603)
25,813,672
5,723,557
13739
Childrens Comm Hlth Plan Inc
WI
66,957,099
20,015,403
(2,087,018)
51,290
(2,035,728)
275,098,190
16,031,037
52039
Christiana Care Hlth Plans Inc
DE
46,293
43,189
14154
Christus Hlth Plan
TX
18,517,458
14,856,760
1,713,182
11175
Cigna Dental Hlth of CO Inc
CO
2,349,629
2,133,281
2,265,493
95380
Cigna Dental Hlth of DE Inc
DE
299,922
291,283
52021
Cigna Dental Hlth of FL Inc
FL
7,819,025
6,404,723
(18,263)
(30,152)
11,329,641
1
1,250
(264)
166
113,282
0
17,606
1,714,432
(18,262)
29,915,912
4,719,205
1,472,786
9,395,495
872,278
(14,186)
7,440,765
104,283
11,547
34,298,150
16,648,391
52024
Cigna Dental Hlth of KS Inc
KS
998,256
883,399
539,239
54
350,774
1,739,570
178,532
52108
Cigna Dental Hlth of KY Inc
KY
862,301
799,271
463,964
93
301,701
1,371,580
139,865
© 2014 National Association of Insurance Commissioners
119
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
2,995,715
12,299,002
1,388,856
754,907
5,742,964
516,505
48119
Cigna Dental Hlth of MD Inc
MD
2,990,993
2,671,115
4,606,664
11160
Cigna Dental Hlth of MO Inc
MO
1,383,653
1,201,602
1,161,113
1,530
95179
Cigna Dental Hlth of NC Inc
NC
1,938,861
1,405,585
154,074
1,080
121,258
5,545,647
546,747
11167
Cigna Dental Hlth of NJ Inc
NJ
5,134,107
1,470,976
898,715
1,984
8,977
12,186,316
1,566,056
47805
Cigna Dental Hlth of OH Inc
OH
3,297,294
2,891,466
3,354,606
(959)
2,180,320
9,147,112
895,612
47041
Cigna Dental Hlth of PA Inc
PA
2,826,328
2,717,787
2,410,043
(1,099)
1,565,722
5,609,403
825,699
95037
Cigna Dental Hlth of TX Inc
TX
8,112,514
7,114,608
13,664,032
(5,922)
8,877,962
32,933,910
3,845,549
52617
Cigna Dental Hlth of VA Inc
VA
2,209,475
2,048,100
2,117,477
1,178
1,377,719
6,013,616
759,325
47013
Cigna Dental Hlth Plan of AZ Inc
AZ
3,461,258
2,563,047
5,331,780
(1,368)
4,109,637
14,325,747
1,357,616
859,872
176,574
(231)
95525
Cigna Hltcare of IN Inc
IN
1,544,697
1,463,221
(61,674)
11,019
(45,753)
95493
Cigna Hlthcare NH Inc
NH
7,682,233
7,608,991
25,027
127,115
129,758
0
95125
Cigna Hlthcare of AZ Inc
AZ
107,093,221
48,400,170
4,512,025
2,996,233
526,941,370
31,048,812
(5,717,648)
(2,894)
95604
Cigna Hlthcare of CO Inc
CO
5,536,273
4,411,556
1,553,387
137,391
1,100,801
10,033,709
1,145,486
95660
Cigna Hlthcare of CT Inc
CT
31,570,019
30,586,176
2,539,053
613,114
2,457,267
11,000,898
1,393,794
95136
Cigna Hlthcare of FL Inc
FL
4,643,932
4,113,059
297,943
28,035
221,290
1,257,368
117,814
96229
Cigna Hlthcare of GA Inc
GA
6,741,842
6,126,034
200,813
180,989
291,929
3,975,224
320,119
95602
Cigna Hlthcare of IL Inc
IL
2,563,390
2,439,148
992
7,930
412
1,051,970
222,351
95447
Cigna Hlthcare of ME Inc
ME
5,536,243
5,346,132
2,675
110,844
43,180
0
9,012
95132
Cigna Hlthcare of NC Inc
NC
11,339,148
9,682,287
1,293,065
332,328
1,085,254
16,185,049
2,255,942
462,650
95500
Cigna Hlthcare of NJ Inc
NJ
4,737,324
4,038,843
430,813
153,326
389,148
2,653,907
95488
Cigna Hlthcare of NY Inc
NY
10,834,363
9,137,127
70,742
820,916
673,152
7,904
95708
Cigna Hlthcare of SC Inc
SC
2,699,054
2,196,445
763,041
24,648
523,246
1,507,048
95635
Cigna Hlthcare of St Louis Inc
MO
5,074,332
2,317,540
1,444
94,272
160,230
5,898,305
773,739
95606
Cigna Hlthcare of TN Inc
TN
12,783,137
8,185,153
3,267,644
187,800
2,296,253
35,977,237
6,376,916
95383
Cigna Hlthcare of TX Inc
TX
31,895,119
14,535,249
2,407,408
571,995
1,980,002
102,438,041
12,965,448
11836
Citrus Hlth Care Inc
FL
11,755,248
9,152,450
2,611,145
29,648
1,874,479
353,714
(31,679)
13611
CMD Hlth Inc
KY
566,239
73,890
(448,116)
18,100
(430,016)
187,146
665,782
32,077,946
(4,878)
87,870
95733
Colorado Access
CO
103,652,650
22,433,858
(2,900,809)
240,564
(1,984,957)
172,135,851
95774
Colorado Choice Hlth Plan
CO
9,294,559
4,404,644
(1,417,747)
29,256
(1,379,139)
25,394,825
4,945,549
55875
Colorado Dental Serv Inc
CO
62,577,018
42,426,675
5,332,637
2,497,335
146,071,048
15,082,748
0
8,230,669
3,532,804
15126
Colorado Hlth Ins Coop Inc
CO
33,825,323
20,851,646
(9,160,809)
55,606
(8,910,962)
47047
Columbia United Providers Inc
WA
35,389,684
23,834,003
(1,689,969)
115,973
(972,352)
15061
Common Ground Hlthcare Coop
WI
23,641,894
14,163,589
(4,289,611)
(26,307)
15209
Community Care Alliance of IL NFP
IL
1,949,999
1,504,554
0
456,389
47024
Community Care Behavioral Hlth Org
PA
234,910,690
155,419,684
19,195,960
485,737
15,638,566
725,636,815
60,480,550
10756
Community Care Hlth Plan Inc
WI
24,356,611
16,131,818
479,436
79,131
558,567
94,902,846
9,814,487
11214
Community Dental Assoc
NJ
310,579
101,421
0
111
111
859,045
39,197
(493,306)
© 2014 National Association of Insurance Commissioners
120
(1,308)
(4,315,918)
(494,614)
(39,532)
0
7,100,904
3,916,890
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
11143
Community First Grp Hospital Serv Co
TX
759,396
717,293
1,386
297
1,683
7,266
5,947
95248
Community First Hlth Plans Inc
TX
78,065,594
43,796,343
4,434,868
175,786
4,610,654
272,898,808
25,478,366
15144
Community Hlth Alliance Mut Ins Co
TN
31,413,955
12,156,090
(6,376,884)
128,291
(6,214,593)
0
6,254,949
95615
Community Hlth Choice Inc
TX
166,631,600
87,299,179
(3,966,447)
715,972
(3,249,469)
668,369,965
51,178,406
92681
Community Hlth Plan Ins Co
MO
1,308,894
1,288,712
0
29,145
47049
Community Hlth Plan of WA
WA
376,921,612
137,798,738
14,175,134
6,067,058
18,443,478
963,253,701
105,402,180
434,409,515
(25,622)
8,500
(19,587)
10345
Community Ins Co
OH
1,887,439,223
778,382,786
459,352,599
99,576,301
392,474,723
5,077,537,837
11691
CommunityCare HMO Inc
OK
185,748,948
112,517,047
14,150,025
507,302
10,001,708
668,731,056
63,106,768
89008
Communitycare Life & Hlth Ins Co
OK
23,031,999
12,774,231
1,236,972
45,566
857,089
75,862,200
11,759,582
52015
Compbenefits Co
FL
35,875,472
22,516,013
7,805,437
9,180
8,160,740
110,619,918
41,945,723
11228
Compbenefits Dental Inc
IL
7,940,886
2,931,887
156,146
8,670
33,323
24,135,836
7,747,311
95693
Compcare Hlth Serv Ins Corp
WI
190,226,044
103,942,072
43,543,848
13,788,428
40,628,536
598,595,718
66,321,490
15238
Comprehensive Mobile Ins AZ Inc
AZ
747,888
747,888
2,750
14913
Connecticare Benefits Inc
CT
1,432,614
1,006,671
95675
Connecticare Inc
CT
246,604,479
138,747,461
15,702,626
6,372,540
0
(646)
(2,512)
(2,512)
0
12,667
(20,845)
0
646
16,841,300
837,338,203
113,954,846
65,398,651
11209
Connecticare Ins Co Inc
CT
90,458,788
37,901,107
22,147,835
1,167,243
14,054,979
409,392,851
95299
Connecticare Of MA Inc
MA
4,562,545
3,517,188
483,807
152,678
391,351
14,846,773
2,250,514
15125
Constellation Hlth LLC
PR
2,675,597
1,121,197
(3,654,996)
9,086
(3,645,910)
0
2,700,596
15145
Consumers Choice Hlth Ins Co
SC
30,268,138
9,570,738
(6,719,157)
105,962
(6,586,695)
0
5,955,636
15128
Consumers Mut Ins of Michigan
MI
37,201,033
17,389,523
(7,766,192)
75,367
(7,690,826)
101,231
7,150,798
95822
Cook Childrens Hlth Plan
TX
68,581,190
36,141,844
3,955,838
142,288
4,098,126
267,277,717
24,340,895
15093
Cooportunity Hlth
IA
49,702,339
30,081,465
(8,472,395)
21,498
(8,450,897)
95831
Coordinated Care Corp
IN
188,270,372
57,097,421
8,325,681
15352
Coordinated Care of WA Inc
WA
3,000,000
3,000,000
15314
Coordinated Hlth Mut Inc
OH
72,861,469
54,984,462
81973
Coventry Hlth & Life Ins Co
MO
1,162,540,192
585,881,970
187,962,307
16,928,346
96460
Coventry Hlth Care of DE Inc
DE
64,998,704
37,901,138
9,803,269
1,531,459
95114
Coventry Hlth Care of FL Inc
FL
178,561,026
103,375,897
15,294,578
1,290,966
0
0
(7,847,330)
4,858,900
7,856,463
573,552,013
82,398,483
0
0
0
4,173,757
117,856,607
3,316,637,663
375,985,300
7,671,472
194,041,181
29,086,869
3,552,128
14,541,348
523,087,830
62,299,328
80,455,504
7,340
0
0
(7,839,990)
95282
Coventry Hlth Care of GA Inc
GA
130,280,202
69,139,738
8,980,294
2,780,328
7,061,406
540,934,782
95241
Coventry Hlth Care of IA Inc
IA
46,503,996
21,069,839
9,045,651
761,394
6,323,285
120,479,182
14,434,121
74160
Coventry Hlth Care of IL Inc
IL
88,266,363
43,987,528
9,653,164
3,303,651
7,706,310
264,231,160
31,036,841
95489
Coventry Hlth Care of KS Inc
KS
204,423,051
115,507,439
39,320,376
3,796,489
33,904,909
533,621,299
77,467,187
95173
Coventry Hlth Care of LA Inc
LA
47,024,507
23,969,527
6,045,610
1,341,490
5,231,599
173,618,393
24,144,549
96377
Coventry Hlth Care of MO Inc
MO
201,403,606
79,649,591
21,283,565
4,598,767
18,063,521
631,329,777
63,623,586
95925
Coventry Hlth Care of NE Inc
NE
127,913,794
49,589,494
22,133,242
2,093,930
13,952,465
381,158,106
38,337,729
95283
Coventry Hlth Care of PA Inc
PA
2,413,078
2,401,472
529
31,547
18,479
0
434
95321
Coventry Hlth Care of the Carolinas
NC
89,788,518
37,769,313
4,427,532
2,092,092
3,612,098
314,526,994
56,096,420
© 2014 National Association of Insurance Commissioners
121
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
14348
Coventry Hlth Care of TX Inc
TX
11,310,740
11,063,465
96555
Coventry Hlth Care of VA Inc
VA
74,478,184
35,876,165
18,608,981
(802,425)
1,729,402
(3,009)
13,910,877
(522,122)
1,084,867
922,884
319,069,627
29,722,147
95408
Coventry Hlth Care of W VA Inc
WV
78,297,952
44,398,815
25,292,406
1,105,920
95266
Coventry Hlth Plan of FL Inc
FL
83,136,160
51,277,881
7,620,251
2,238,450
17,323,077
237,737,247
24,731,661
8,496,256
268,041,966
10771
Coventry Summit Hlth Plan Inc
FL
103,403,249
39,439,415
12,726,207
2,459,566
43,622,792
10,552,960
545,424,181
32,665,215
12193
CoventryCares of MI Inc
MI
41,939,844
21,774,201
5,943,406
95530
Cox Hlth System HMO Inc
MO
23,891,838
22,648,011
15,071,134
60040
Cox Hlth Systems Ins Co
MO
36,673,944
14,608,871
12858
Crestpoint Hlth Ins Co
TN
7,958,762
13931
Cuatro LLC
NY
4,796,056
95748
DC Chartered Hlth Plan Inc
DC
60067
Dean Hlth Ins Inc
96156
Dean Hlth Plan Inc
697,104
4,392,095
164,143,387
3,000,944
2,569,620
4,781,109
572,088
1,813,812
272,642
1,611,522
110,945,134
13,362,182
3,433,458
(7,757,285)
53,857
(8,611,463)
2,161,311
4,574,145
1,310,794
(3,906,514)
851
(3,905,663)
38,765,432
7,906,905
9,995,660
(11,148,454)
(7,588,627)
94,510
(2,868,751)
117,869,936
22,913,966
WI
90,938,318
90,333,395
(24,653)
5,915,598
5,901,495
0
49,709
WI
159,621,248
86,642,945
(9,795,052)
38,822,973
31,978,160
1,075,974,494
103,904,388
126,835,603
(83,208)
81396
Delta Dental Ins Co
DE
185,800,189
86,893,885
24,633,185
2,120,865
17,809,978
607,633,535
11132
Delta Dental of DE Inc
DE
6,162,685
1,580,082
424,446
42,647
466,684
24,029,237
2,714,012
47589
Delta Dental of IL
IL
145,608,735
75,061,319
6,405,133
5,108,924
11,613,679
141,413,172
10,592,061
54674
Delta Dental of KY Inc
KY
68,253,015
57,046,732
4,530,175
1,497,666
6,026,120
111,801,241
17,491,468
55034
Delta Dental of MN
MN
216,046,218
202,433,192
2,753,161
9,007,906
11,176,169
139,100,660
36,009,099
55697
Delta Dental of MO
MO
106,374,240
80,062,910
13,465,806
2,674,159
16,139,965
174,210,782
23,630,894
54658
Delta Dental of NC
NC
10,294,763
6,660,548
1,083,437
10,199
1,089,133
25,438,476
3,640,961
47091
Delta Dental of NE
NE
10,045,569
9,556,996
578,203
380,740
959,069
5,731,200
1,073,975
55085
Delta Dental of NJ Inc
NJ
259,896,874
226,591,453
1,362,927
9,295,933
10,000,621
217,279,724
37,994,539
55263
Delta Dental of NY
NY
38,648,631
12,228,719
1,322,676
611,031
2,103,331
144,880,337
22,204,507
53937
Delta Dental of OK
OK
49,611,043
39,130,659
5,016,015
1,092,963
6,306,459
117,913,343
16,983,194
54798
Delta Dental of PA
PA
130,458,733
92,870,297
10,073,269
2,280,585
7,547,859
167,450,114
31,990,705
55301
Delta Dental of RI
RI
102,963,700
87,341,045
7,362,357
2,330,659
8,357,277
100,329,336
15,790,728
55611
Delta Dental of VA
VA
103,684,865
63,674,410
10,561,511
1,258,259
11,667,983
206,368,558
38,795,098
12329
Delta Dental of W VA
WV
9,120,522
4,922,407
148,795
74,146
248,407
21,422,664
4,789,800
47341
Delta Dental of WA
WA
234,433,371
188,189,113
13,971,891
10,682,518
24,893,753
411,879,719
45,558,845
16,101,157
47155
Delta Dental Plan of AR Inc
AR
79,839,014
59,013,650
3,354,466
3,052,025
6,406,491
108,562,593
52634
Delta Dental Plan of IN Inc
IN
42,819,467
36,743,683
6,193,232
578,846
6,769,750
52,783,383
3,787,974
54615
Delta Dental Plan of KS Inc
KS
50,888,802
42,719,889
2,457,057
1,147,444
3,621,872
78,197,226
14,572,394
57,634,493
3,451,838
55,997,809
428,753,837
32,783,877
890,761
780,351
52,066,574
13,672,974
54305
Delta Dental Plan of MI Inc
MI
497,869,987
390,813,866
47079
Delta Dental Plan of NH
NH
48,005,463
38,138,723
47287
Delta Dental Plan of NM Inc
NM
34,215,570
31,163,909
2,658,975
595,952
3,242,611
38,957,859
6,609,279
54402
Delta Dental Plan of OH Inc
OH
120,276,390
101,696,303
11,581,060
3,560,815
15,148,141
167,041,466
13,724,687
47085
Delta Dental Plan of PR Inc
PR
15,812,004
13,001,331
1,062,438
746,274
14,737,555
5,645,536
(112,014)
(634,344)
© 2014 National Association of Insurance Commissioners
122
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
54097
Delta Dental Plan of SD
SD
42,316,350
34,116,095
(167,245)
2,651,286
2,484,041
39,703,472
53279
Delta Dental Plan of VT
VT
23,825,091
20,832,226
815,985
187,762
1,003,747
26,151,932
4,941,565
54046
Delta Dental Plan of WI Inc
WI
182,955,299
153,960,136
9,540,874
10,840,237
20,385,458
166,051,912
19,420,149
15200
Delta Dental Plan of WY
WY
12,542,815
9,399,318
419,451
427,764
814,093
13,474,423
2,317,853
52025
DENCAP DENTAL PLANS INC
MI
384,481
264,326
26,111
600
28,361
2,366,555
1,243,368
47074
Denta Chek of MD Inc
52053
DENTAL BENEFIT PROVIDERS OF IL INC
96265
48127
52028
4,850,264
MD
156,041
105,360
4,798
40
4,839
229,644
118,821
IL
3,084,562
2,476,033
331,925
3,484
216,757
1,736,585
336,092
Dental Care Plus Inc
OH
14,139,988
8,560,441
1,648,147
Dental Choice Inc
KY
7,477,543
7,341,483
Dental Concern Ltd
IL
1,024,708
949,439
11195
Dental Delivery Systems Inc
NJ
403,534
265,978
11241
Dental Grp of NJ Inc
47490
Dental Hlth Serv
NJ
145,779
115,570
WA
7,636,188
6,059,552
153,808
1,191,105
60,203,808
15,076,726
284,699
233,198
1,632,843
362,372
141,594
672
92,982
363,453
94,798
63,487
9,068
69,203
3,861,022
625,923
(390)
(6,357)
12213
Dental Practice Assn of NJ Inc
NJ
290,374
255,324
47054
Dental Serv Corp of ND
ND
8,687,461
6,218,208
MA
364,116,961
281,597,760
32,433,856
NJ
1,165,617
807,705
399,272
MD
11,633,702
9,804,930
3,230,322
52060
Dental Serv of MA Inc
11234
Dental Serv Org Inc
52040
DentaQuest Mid Atlantic Inc
107
1,536,704
39,579
73,580
0
(503,752)
220,401
(70,031)
168
(1,950)
(6,250)
1,068,197
62,680
96,118
24,789
9,411,473
2,975,934
203,347
38,048
23,415,052
3,890,414
28,663,825
243,717,540
27,807,252
399,440
4,515,698
106,059
2,448,114
22,004,706
5,223,420
45,512,838
(225,054)
12307
DentaQuest USA Ins Co Inc
TX
160,099,207
95,732,170
62,558,957
455
40,778,703
645,383,355
95713
DentaQuest VA Inc
VA
3,074,909
2,528,124
269,535
33
271,509
5,272,119
1,247,402
47112
Dentcare Delivery Systems Inc
NY
17,030,400
9,349,219
451,840
48,578
488,648
50,495,448
7,547,052
73474
Dentegra Ins Co
DE
42,115,931
30,799,288
(4,580,533)
87,144
128,666,827
42,739,958
12210
Dentegra Ins Co of New England
MA
6,457,034
5,943,601
(12,829)
20,164
35,981
2,708,404
863,546
95161
Denticare Inc
TX
10,507,504
4,530,392
2,727,061
10,794
1,688,147
32,883,724
11,556,766
12,378,701
(2,860,825)
95750
Denver Hlth Medical Plan Inc
CO
45,899,373
34,872,498
6,426,951
789,292
7,216,243
109,159,691
95657
Dominion Dental Serv Inc
VA
7,081,696
4,525,481
501,140
23,423
401,759
20,784,664
5,832,202
95809
Driscoll Childrens Hlth Plan
TX
63,074,961
30,311,508
1,543,067
1,401,595
316,352,675
34,713,987
67636
DSM USA Ins Co Inc
TX
7,623,509
7,538,628
38,921
77,930
998
335,835
15134
Dynamic Hlth Ins Co
DE
560,440
505,000
0
0
0
0
0
47029
Eastern Vision Serv Plan Inc
NY
47,890,328
40,548,123
6,800,070
536,315
4,784,815
61,451,235
10,693,481
12515
Educators Hlth Plans Life Accident &
UT
12,618,542
7,028,898
466,980
43,134
510,114
21,451,390
2,864,907
81701
Educators Mut Ins Assoc
UT
75,850,338
52,799,569
2,340,834
1,741,510
4,078,963
36,607,684
3,046,008
(141,471)
(333,276)
52635
El Paso First Hlth Plans Inc
TX
38,205,170
27,996,667
3,566,761
171,639
3,737,875
126,982,533
17,613,534
95662
Elderplan Inc
NY
200,242,978
103,044,111
27,383,825
1,155,848
28,915,766
643,508,949
104,257,817
55093
Empire Healthchoice Assur Inc
NY
3,533,272,999
1,711,878,986
89,307,216
171,029,756
263,020,021
4,562,079,251
464,223,693
95433
Empire Healthchoice HMO Inc
NY
750,553,176
477,261,490
24,595,565
14,712,653
22,301,609
1,549,699,961
156,729,076
13663
Employer Choice Ins Co Inc
FL
3,296,715
2,516,439
2,314,909
1,185,308
(1,192,543)
© 2014 National Association of Insurance Commissioners
123
316
(1,192,227)
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
53090
Employers Dental Serv
AZ
5,800,680
4,381,645
2,613,537
5,794
1,674,797
10,777,081
2,375,792
12747
Envision Ins Co
OH
309,556,322
25,464,310
4,053,060
55,686
1,810,186
534,189,342
8,876,122
15378
Erlanger Hlth Plan Trust
TN
1,625,452
1,625,452
0
4,127
4,127
0
1,644
11699
Essence Hlthcare Inc
MO
111,289,824
44,269,503
29,354,887
1,550,267
20,322,243
416,378,357
43,366,498
65,669
86,135
8,716
0
8,017,483
13669
Essence Hlthcare of NY Inc
NY
3,076,580
3,075,908
15090
Evergreen Hlth Coop Inc
MD
17,513,263
3,016,267
(9,237,823)
59,979
16,256
5,690
55107
Excellus Hlth Plan Inc
NY
3,044,020,106
1,352,620,435
(72,938,513)
138,889,004
52,557,239
6,289,316,238
739,428,851
60025
Express Scripts Ins Co
AZ
240,256,441
60,405,655
48,015,851
3,743
31,332,225
172,250,624
47,518,642
95522
Eyemed Vision Care HMO of TX Inc
TX
1,435,084
1,191,897
399,536
1,582
256,980
0
273,220
95541
Fallon Comm Hlth Plan Inc
MA
396,421,070
166,986,911
10,732,228
18,201,200
28,927,518
1,196,379,657
126,888,185
MA
30,813,601
5,613,379
(9,317,023)
13,438
(9,303,585)
35,265,568
4,286,584
HI
2,193,851
2,007,391
(295,904)
3,295
(292,609)
210,223
288,117
(168,031)
33,982
(167,484)
31,345,279
4,644,613
(9,221,567)
66828
Fallon Hlth & Life Assur Co
15074
Family Hlth HI MBS
47084
Familycare Hlth Plans Inc
OR
10,659,953
4,746,401
28231
Fidelio Ins Co
PA
5,796,667
4,578,690
152,539
229,255
444,658
6,285,256
2,608,315
10769
Fidelis SecureCare of MI Inc
MI
6,835,614
4,492,667
(367,323)
20,662
(68,852)
20,546,815
2,978,653
869,772
12288
Fidelis SecureCare of NC Inc
NC
2,347,557
1,955,370
(832,799)
6,214
(826,585)
2,637,984
12597
Fidelis Securecare of TX Inc
TX
1,648,351
1,601,676
(5,435)
3,461
(1,974)
4,017
60113
First Care Inc
MD
16,707,872
4,718,074
0
60,744
14,241
39,888,054
10,029
(23,338)
47051
First Comm Hlth Plan Inc
AL
6,487,818
5,321,647
806,683
17,362
819,687
6,844,520
1,771,744
60239
First Commonwealth Ins Co
IL
23,620,614
14,595,947
7,750,439
68,719
5,076,970
38,217,603
6,030,573
12146
First Commonwealth Ltd Hlth Serv Cor
MI
3,747,672
2,517,578
1,112,411
10,280
729,096
4,449,987
885,654
11221
First Commonwealth Ltd Hlth Serv Cor
IL
1,732,739
1,536,338
105,249
6,433
72,462
311,907
69,871
47716
First Commonwealth of MO Inc
MO
2,711,031
1,895,890
118,973
7,361
81,483
1,759,486
313,630
68,942,406
95722
First Medical Hlth Plan Inc
PR
122,715,883
33,032,137
9,059,834
576,256
7,245,816
643,363,635
12985
First Medical Hlth Plan of FL Inc
FL
1,180,337
1,174,075
117,997
23,829
141,826
0
22,751
60147
First Priority Life Ins Co Inc
PA
246,261,135
142,276,007
(18,752,175)
6,606,702
(12,878,598)
416,241,074
80,149,912
12,267,389
12962
FirstCarolinaCare Ins Co Inc
NC
23,977,219
14,442,819
(4,644,840)
619,902
(4,024,938)
65,228,984
11179
Flagship Hlth Systems Inc
NJ
3,751,009
3,214,633
(62,655)
170
(30,137)
7,105,713
1,209,607
13567
Florida Hlth Care Plan Inc
FL
114,141,144
81,704,541
14,769,178
924,108
12,277,646
311,120,710
33,911,902
14050
Florida Hlthcare Plus Inc
FL
24,148,572
5,003,002
(22,803,626)
21,204
(22,833,405)
106,904,380
28,664,087
14447
Florida MHS Inc
FL
16,865,021
16,468,402
(2,944,737)
3,855
(1,911,573)
0
2,780,081
14378
Florida True Hlth Inc
FL
12,120,596
3,339,309
(13,762,957)
5,730
(13,754,785)
10,463,882
13,722,785
3,653,432
2,669,349
651,749,299
79,286,485
10119
Freedom Hlth Inc
FL
95,691,272
23,621,614
15019
Freedom Hlth Solutions LLC
NJ
150,019
143,296
(470,632)
439,618
561
(470,071)
0
683,603
15197
Freelancers Consumer Operated & Orie
NJ
18,887,674
5,340,213
(10,863,720)
17,567
(10,846,153)
0
10,658,810
15114
Freelancers Consumer Operated & Orie
OR
16,110,916
6,266,736
(7,450,420)
11,119
(7,439,258)
0
6,815,280
15273
Freelancers Hlth Serv Corp
NY
56,850,955
23,163,665
(20,516,755)
29,750
(20,487,005)
0
13,489,541
© 2014 National Association of Insurance Commissioners
124
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
13564
Freelancers Ins Co Inc
NY
58,395,482
29,505,662
10,440,801
602,796
7,211,250
114,204,728
18,204,692
96938
Gateway Hlth Plan Inc
PA
470,713,700
236,734,616
22,944,005
8,142,121
20,155,577
1,810,173,615
257,793,859
12325
Gateway Hlth Plan of OH Inc
OH
8,290,977
2,527,480
95923
Geisinger Hlth Plan
PA
338,108,671
166,930,089
34,501,347
(8,704,279)
(7,110,917)
10244
Geisinger Ind Ins Co
PA
50,990,120
18,100,913
12743
Geisinger Quality Options Inc
PA
99,073,311
45,854,241
11814
GHS HMO Inc dba BlueLincs HMO
OK
42,192,793
13667
Globalhealth Inc
OK
14,683,463
95772
Golden Cross Hlth Plan Corp
PR
726,081
97,897
(63,314)
11113
Golden Dental Plans Inc
MI
1,123,130
445,720
(514,366)
988
7,571,550
692,652
(7,109,929)
44,020,508
0
7,105,603
1,467,728,957
170,056,850
(7,770,370)
156,730,840
26,770,412
627,719
2,012,303
2,406,104
348,697,921
51,190,849
32,432,267
207,418
61,534
175,288
35,713,927
10,749,134
1,076,851
1,213
753,723
156,031,619
162
(13,617)
(38,896)
18,806,570
(63,152)
501,721
79,104
(527,983)
5,456,843
1,864,947
65463
Golden Security Ins Co
TN
18,625,056
7,864,266
3,969,098
2,678,164
36,337,344
6,384,258
95315
Good Hlth Hmo Inc
MO
89,116,799
63,408,441
(12,548,318)
1,501,346
(6,546,801)
253,552,317
34,170,486
152,649
95453
Grand Valley Hlth Plan Inc
MI
4,964,452
1,997,780
(504,122)
174,607
(356,617)
21,765,226
2,958,837
15100
Granite Alliance Ins Co
UT
2,751,062
2,751,062
(88,979)
41
(88,938)
0
89,133
14228
Granite Care Meridian Hlth Plan of N
NH
15,106,023
9,375,746
562,354
0
355,710
8,326,715
2,600
14226
Granite State Hlth Plan Inc
NH
12,976,729
6,127,032
(869,035)
10,481,210
1,406,841
(1,312,685)
2,909
11246
Group Dental Hlth Administrators Inc
NJ
280,468
170,347
2,916
1,896
610,009
90,045
95846
Group Dental Serv Of MD Inc
MD
12,392,862
10,496,772
4,465,652
2,080
2,900,653
19,525,062
3,486,314
221,289,644
(700)
95672
Group Hlth Coop
WA
1,530,974,688
803,526,658
76,137,091
31,647,046
107,784,137
2,255,467,154
95192
Group Hlth Coop of Eau Claire
WI
42,158,499
18,215,406
4,933,582
342,494
4,404,568
134,383,963
19,133,735
95311
Group Hlth Coop of S Central WI
WI
101,529,940
58,050,358
(21,655,158)
5,972,541
(15,682,617)
315,644,249
30,682,044
55239
Group Hlth Inc
NY
991,941,876
276,316,799
(47,857,834)
(15,341,487)
(66,247,685)
3,556,457,404
455,526,923
47055
Group Hlth Options Inc
WA
219,372,981
111,477,953
(2,835,333)
4,387,320
1,964,826
912,707,338
133,836,576
52628
Group Hlth Plan Inc
MN
764,319,000
158,750,000
38,033,000
5,012,000
43,045,000
442,937,000
42,241,000
53007
Group Hospitalization & Med Srvcs
DC
2,216,046,918
934,751,475
(35,866,029)
33,968,662
8,982,666
3,252,352,629
423,018,405
69060
Guaranty Assur Co
LA
1,867,318
1,071,812
264,479
7,410
179,449
7,243,877
1,327,315
95101
Gundersen Hlth Plan Inc
WI
35,172,854
19,814,128
1,486,766
52,271
1,539,037
284,788,958
16,905,390
14202
Gundersen Hlth Plan MN
MN
1,624,804
1,501,567
95814
HAP Midwest Hlth Plan Inc
MI
82,056,220
31,400,581
11081
Harbor Hlth Plan Inc
MI
6,463,259
4,760,132
11229
Harmony Hlth Plan of IL Inc
IL
97,272,164
43,233,760
9,536,398
11,768,503
(31,491)
260
16,299,616
24,723
(41,064)
(226,447)
162,695
(31,231)
9,439,932
(267,511)
6,577,477
2,174,111
172,689
296,084,391
19,180,252
8,986,097
2,139,545
381,484,493
59,886,531
96717
Harvard Pilgrim Health Care New Eng
MA
84,830,307
59,441,721
1,559,086
13,327,589
230,845,056
34,752,285
96911
Harvard Pilgrim Hlth Care Inc
MA
853,527,956
496,611,551
(603,798)
14,623,386
11,504,193
1,785,531,796
217,074,052
(110,843,704)
57,133,415
(44,412,241)
2,681,706,483
205,268,698
151,730,452
16,076,886
49948
Hawaii Medical Serv Assn
HI
945,225,738
391,467,047
48330
Hawaii Mgmt Alliance Assn
HI
34,899,814
12,938,616
78611
HCSC Ins Serv Co
IL
300,278,422
205,856,097
(40,002,807)
1,168,615
(43,331,925)
77950
Health Alliance Medical Plans
IL
509,306,855
200,772,573
9,405,731
18,543,419
11,440,756
217,472
139,701
© 2014 National Association of Insurance Commissioners
125
501,673
447,849,714
72,286,848
1,120,701,662
111,541,112
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
95513
Health Alliance Midwest Inc
15082
Health Alliance NW Hlth Plan Inc
95844
Health Alliance Plan Of MI
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
IL
8,587,542
3,108,640
(2,282,170)
139,346
(1,466,134)
11,814,386
WA
5,089,494
4,867,937
(203,173)
0
(203,173)
0
3,013,634
178,177
MI
456,678,445
210,223,909
14,626,205
3,145,647
17,879,984
1,869,499,280
187,795,609
2,163,792,166
70670
Health Care Serv Corp A Mut Legal Re
IL
16,713,553,772
10,271,633,195
816,593,313
116,331,081
684,267,127
22,466,924,302
15081
Health Choice Ins Co
AZ
2,091,423
2,049,340
0
0
0
0
0
14481
Health Choice Utah Inc
UT
5,493,435
1,539,043
969,092
711
587,064
6,417,025
431,267
95019
Health First Hlth Plans Inc
FL
97,826,262
56,272,497
12,761,578
635,196
8,019,903
355,674,201
49,110,882
14140
Health First Ins Inc
FL
5,414,432
4,284,223
(1,215,394)
(14,866)
(1,230,260)
1,045,931
1,208,517
13992
Health Ins Co of Amer Inc
NY
1,754,176
781,275
(295,328)
(294,803)
260,102
390,292
55247
Health Ins Plan of Greater NY
NY
2,111,320,825
1,435,525,659
95800
Health Net Hlth Plan of OR Inc
OR
94,617,882
43893
Health Net Ins Co NY Inc
NY
16,786,518
95206
Health Net of AZ Inc
AZ
350,272,651
85,281,435
(10,251,857)
95673
Health New England Inc
MA
137,000,951
52,620,002
2,180,393
4,041,637
2,267,235
549,022,068
59,970,794
55204
Health Now NY Inc
NY
1,009,521,478
591,700,002
(6,540,176)
36,880,249
31,728,563
2,479,438,189
263,254,693
35,454,418
1,020,837,165
159,450,150
1,102,136,816
249,396,444
525
146,852,924
29,571,235
171,737,100
4,988,596,189
624,770,462
53,295,204
1,982,905
3,430,175
4,590,737
295,139,926
50,129,092
16,200,241
1,910,013
3,262
962,479
0
65,444
720,133,780
87,334,545
(1,632,408)
(4,749,341)
95089
Health Options Inc
FL
387,574,974
216,005,126
40,257,391
10,633,528
95066
Health Partners Plans Inc
PA
296,506,931
89,948,588
(1,872,398)
1,628,658
(243,740)
12277
Health Plan of CareOregon Inc
OR
66,898,863
40,071,231
950,920
1,251,530
502,119
115,887,538
11,052,532
96342
Health Plan Of NV
NV
381,480,816
224,288,864
142,416,505
5,413,622
97,561,878
1,566,683,368
138,580,794
96687
Health Resources Inc
IN
20,960,494
16,069,740
5,195,122
124,839
3,461,466
60,847,620
9,128,068
10122
Health Sun Hlth Plans
FL
55,690,551
13,152,786
11,180,536
75,408
11,255,944
414,027,570
40,070,866
96628
Health Tradition Hlth Plan
WI
30,204,642
12,509,222
466,957
(82,458)
250,573
153,016,504
14,120,131
48011
Health Ventures Ntwrk Inc
MN
794,749
782,351
(22,931)
15,877
95060
HealthAmer PA Inc
PA
227,710,571
82,966,442
26,814,745
4,487,156
37,927,252
5,652,738
11102
HealthAssurance PA Inc
PA
283,477,629
170,491,116
95794
Healthcare DE Inc
DE
1,855,235
1,854,730
95318
Healthcare USA Of MO LLC
MO
163,961,623
103,984,589
(4,917)
(2,520)
45,136,601
2,283,695
(4,546)
0
25,537
20,097,112
820,488,505
74,812,662
30,010,054
1,077,770,532
119,335,702
(4,437)
32,867,302
0
7,452
678,554,646
53,157,450
13035
Healthfirst Healthplan of NJ Inc
NJ
55,199,388
4,599,807
95169
Healthkeepers Inc
VA
490,843,419
249,225,860
98,768,632
96475
Healthlink Hmo Inc
MO
17,299,456
15,777,424
14,373,860
257,438
9,518,334
23,148
95766
Healthpartners Inc
MN
1,055,632,000
846,369,000
61,938,000
3,662,000
65,600,000
1,269,327,000
137,122,000
44547
Healthpartners Ins Co
MN
278,979,000
148,911,000
(3,332,000)
2,181,000
1,317,000
893,183,000
131,768,000
11172
Healthplex Ins Co
NY
2,195,426
1,514,284
236,561
(2,697)
233,864
5,270,325
1,051,073
12830
Healthplex of NJ Inc
NJ
2,587,107
1,562,334
154,033
5,191
159,224
16,261,058
898,890
14909
Healthplex of WA Inc
WA
300,000
300,000
(15,452)
0
(15,452)
0
15,452
12826
Healthplus Ins Co
MI
51,599,325
20,334,561
(6,335,586)
3,354
(6,332,232)
201,885,174
23,141,149
95580
Healthplus Of MI Inc
MI
155,537,271
84,459,027
(11,164,732)
3,946,439
(6,965,150)
490,937,576
55,636,964
(547,050)
44,045
11,020,804
© 2014 National Association of Insurance Commissioners
126
(503,005)
70,344,209
266,729,016
36,690,272
1,658,864,210
142,970,398
(14,244,426)
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
11549
Healthplus Partners Inc
MI
53,621,539
30,058,719
(190,373)
1,125,434
15284
HealthSpan Inc
OH
8,650,876
6,688,600
(2,765,412)
14,000
(2,751,412)
935,061
226,426,928
0
19,848,531
6,804,935
95204
HealthSpan Integrated Care
OH
263,108,088
109,311,107
(21,211,863)
3,530,312
(89,430,313)
473,889,046
52,473,777
270,819,666
12902
Healthspring Life & Hlth Ins Co Inc
TX
671,908,978
384,734,967
104,156,973
5,968,440
57,404,471
2,126,573,626
95781
Healthspring of AL Inc
AL
139,817,435
81,038,919
20,876,459
1,951,725
14,931,540
502,898,098
68,952,775
11532
HealthSpring of FL Inc
FL
98,733,787
48,460,187
21,188,048
1,397,551
14,816,559
752,504,801
116,814,749
11522
Healthspring of TN Inc
TN
259,967,649
116,026,663
12,029,435
3,516,084
9,461,697
1,170,073,688
169,797,321
78972
Healthy Alliance Life Ins Co
MO
840,142,551
358,856,029
180,230,672
20,527,881
133,398,379
1,884,442,598
197,973,422
95827
Healthy Palm Beaches Inc
FL
23,130,083
14,326,414
(1,966,454)
91,703
(1,874,751)
51,339,180
4,469,361
15046
HealthyCT Inc
CT
36,989,422
13,605,932
(10,384,152)
30,260
(10,353,892)
0
8,115,386
11204
Heritage Vision Plans Inc
MI
3,571,136
2,279,288
53287
Highmark BCBSD Inc
DE
334,211,448
157,733,131
207,805
(9,479,248)
3,289
17,847,489
121,939
(8,352,483)
6,851,270
2,079,038
514,165,669
74,585,877
423,547,656
54771
Highmark Inc
PA
7,624,079,193
4,386,278,582
582,327,346
340,741,031
6,198,592,681
10131
Highmark Select Resources Inc
PA
3,205,491
3,202,257
(18,851)
153,437
559,368
0
29,398
54828
Highmark West Virginia Inc.
WV
574,561,473
308,062,289
(7,183,539)
11,218,915
1,444,836
896,700,958
78,654,321
60094
HIP Ins Co Of NY
NY
67,340,650
43,254,546
2,432,443
1,300,629
4,284,005
71768
HM Hlth Ins Co
PA
348,032,642
177,709,380
(27,094,183)
17,529,784
(9,621,679)
221,419,649
147,167,030
22,035,207
1,145,418,896
167,755,345
15,644,781
95473
Hmo CO Inc
CO
65,689,000
47,173,655
10,717,993
1,638,152
8,486,338
145,415,264
95649
HMO dba Blue Plus
MN
629,788,655
448,874,847
47,471,087
25,711,227
73,182,351
1,016,673,047
85,786,509
95643
Hmo LA Inc
LA
434,900,754
347,851,794
55,578,687
13,490,814
47,948,696
472,400,208
57,134,848
95358
Hmo MO Inc
MO
71,213,760
39,290,367
12,565,964
1,366,602
9,135,362
153,562,329
15,973,920
95289
Hmo Of MS Inc
MS
2,516,463
2,502,359
54,668
11,252
0
50,786
96601
Hmo Of NE PA
PA
83,158,601
70,867,581
5,104,086
2,735,038
6,443,863
79,921,654
12,839,206
7,448,017
3,089,668
7,525,873
240,379,749
18,481,340
(51,151)
95442
Hmo Partners Inc
AR
157,233,564
116,854,076
15014
HN1 Therapy Network of NJ LLC
NJ
266,127
38,904
(71,350)
19
(71,330)
210,109
96,537
14198
HNE Ins Co
MA
4,766,908
4,738,687
(59,263)
0
(49,447)
54,710
14,090
(2,786,895)
188,501,701
21,203,200
14218
Home State Hlth Plan Inc
MO
47,424,494
17,188,038
(6,331,610)
74,125
95195
Hometown Hlth Plan
OH
2,574,987
2,569,591
(8,841)
31,305
95350
Hometown Hlth Plan Inc
NV
87,442,398
34,846,235
48305
Hometown Hlth Providers Ins Co
NV
45,441,278
28,496,724
(132,467)
11146
Horizon Hlthcare Dental Inc
NJ
5,484,000
4,132,492
125,060
95529
Horizon Hlthcare of NJ Inc
NJ
1,318,399,422
577,616,358
55069
Horizon Hlthcare Serv Inc
NJ
3,679,021,523
14690
Horizon Ins Co
NJ
68,036,373
54747
Hospital Serv Assn of NE PA
PA
18975
HPHC Ins Co Inc
10126
Humana AdvantageCare Plan
4,194,475
(35,873)
(267,093)
22,464
0
8,792
4,158,602
238,004,438
26,167,243
11,721,279
(349,839)
54,691,216
3,005
100,627
17,779,585
3,471,249
(8,935,524)
53,510,689
36,147,329
4,085,951,187
462,718,038
2,212,037,895
36,017,573
492,638,441
519,869,873
5,228,439,361
837,249,147
9,881,886
5,477,235
71,677
1,466,537
121,886,626
19,563,012
497,703,433
341,443,319
17,056,752
33,981,903
50,580,160
116,233,771
61,033,685
MA
157,992,752
42,016,355
(7,767,600)
2,763,934
(3,842,660)
661,698,914
128,160,655
FL
43,684,237
27,152,777
4,907,881
4,052,875
116,675,923
14,252,275
© 2014 National Association of Insurance Commissioners
127
998,393
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
60052
Humana Benefit Plan of IL Inc
95519
Humana Employers Hlth Plan GA Inc
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
IL
66,426,352
45,928,579
2,775,271
1,862,218
4,671,588
172,256,654
21,706,427
GA
194,684,951
73,905,176
(36,230,814)
3,567,054
(31,925,413)
623,984,144
133,028,930
182,173,745
95642
Humana Hlth Benefit Plan of LA Inc
LA
388,048,156
236,556,086
129,455,659
7,107,969
88,314,146
1,467,346,240
13558
Humana Hlth Co of NY Inc
NY
27,541,300
26,782,754
1,187,940
4,904
1,379,400
4,506,928
1,321,708
69671
Humana Hlth Ins Co Of FL Inc
FL
125,772,756
56,449,391
11,894,069
4,054,405
10,196,502
314,905,806
49,510,556
95885
Humana Hlth Plan Inc
KY
811,647,433
379,244,173
(77,124,740)
18,521,752
(38,526,925)
3,771,001,684
597,393,279
95348
Humana Hlth Plan of OH Inc
OH
90,734,513
48,599,849
4,668,243
2,764,649
5,575,809
367,326,430
58,929,294
95024
Humana Hlth Plan of TX Inc
TX
335,248,272
174,740,577
10,293,009
6,730,030
9,576,889
1,352,082,474
216,729,418
73,388,857
95721
Humana Hlth Plans of PR
PR
189,490,517
87,032,699
(20,495,038)
3,749,019
(14,982,476)
906,631,361
12634
Humana Ins Co of NY
NY
82,790,878
63,970,849
(2,277,850)
873,893
(1,805,690)
185,633,793
10,269,355
95270
Humana Medical Plan Inc
FL
1,594,978,916
530,668,782
481,253,157
53,230,038
348,568,127
5,392,199,555
574,672,913
1,849,432
272,781
14224
Humana Medical Plan of MI Inc
MI
5,576,193
5,157,754
258,571
850
157,718
14462
Humana Medical Plan of PA Inc
PA
3,951,131
3,878,623
(39,526)
506
(25,475)
12908
Humana Medical Plan of UT Inc
UT
32,036,589
25,949,083
3,056,568
12282
Humana Regional Hlth Plan Inc
AR
16,140,459
15,221,469
1,036,201
95342
Humana WI Hlth Org Ins Corp
WI
76,245,539
39,234,726
14053
Illinicare Hlth Plan Inc
54704
Independence Blue Cross
IL
114,742,988
28,643,034
PA
2,866,173,113
2,250,104,934
463,017
(21,603)
2,558,129
(39,795,216)
4,442,454
451,380
1,568,891
1,972,810
2,336,260
410,710
11,160,904
0
28,605
37,265,647
5,419,513
(142,181)
242,102,822
768,156
32,255,979
1,833,839
331,111,189
24,971,488
(74,428,313)
335,292,371
227,257,141
11695
Independent Care Hlth Plan
WI
56,096,411
20,834,015
646,529
491,025
640,979
174,548,491
24,847,969
95308
Independent Hlth Assn
NY
658,721,341
461,639,959
14,770,165
10,000,963
26,655,006
1,358,011,630
153,519,384
47034
Independent Hlth Benefits Corp
NY
174,468,028
98,879,101
(7,244,074)
1,903,386
(7,039,156)
488,565,545
69,717,191
13164
Indiana University Hlth Plans Inc
IN
9,019,154
7,282,090
541,074
10,318
551,392
98,227,693
10,433,452
52050
Indiana Vision Serv Inc
IN
24,811,653
20,370,044
2,877,698
227,519
2,419,938
26,948,760
4,516,105
15097
Innovation Hlth Ins Co
VA
15,819,467
12,597,511
(4,727,938)
3,744,361
15098
Innovation Hlth Plan Inc
VA
9,923,311
5,845,934
(1,678,743)
12168
Instil Hlth Ins Co
SC
86,039,789
77,880,193
3,943,578
11670
Insurance Co of Scott & White
TX
8,315,994
3,795,003
(844,819)
32,320
(520,257)
13,797,812
3,068,827
53252
Inter Cnty Hlth Plan Inc
PA
4,519,367
2,696,218
(1,464,170)
(44,895)
277,692
12,307,094
1,546,059
54763
Inter Cty Hospitalization Plan Inc
PA
11,837,542
5,353,593
(1,030,965)
(275,262)
631,448
29,310,667
975,444
11173
International Hlthcare Serv Inc
NJ
1,136,725
992,779
66,793
171
66,964
6,465,706
1,309,316
26,595,785
1,230
(6,161,866)
868,657
5,722
(2,262,863)
1,365,615
2,624,089
4,751,341
970,583
3,710,226
(2,038,662)
10153
INTotal Hlth LLC
VA
54,426,639
32,085,916
246,025
201,432
447,457
178,353,226
11182
John D Kernan DMD PA
NJ
327,045
246,794
1,924
0
1,924
913,007
83,678
11538
Kaiser Found Hlth Plan Inc HI Region
HI
356,276,863
130,746,487
(4,786,309)
(979,323)
1,125,558,560
60,947,508
95639
Kaiser Found Hlth Plan Mid Atlanti
MD
1,120,860,744
176,010,947
(16,198,524)
(3,179,691)
(19,378,215)
2,374,701,519
292,975,268
95669
Kaiser Found Hlth Plan of CO
CO
1,181,994,368
419,769,737
4,050,008
53,561,205
83,935,189
2,882,198,860
280,023,694
96237
Kaiser Found Hlth Plan of GA Inc
GA
479,823,076
88,428,664
(79,051,396)
(1,523,130)
(80,574,526)
1,066,503,799
100,302,182
95540
Kaiser Found Hlth Plan of the NW
OR
1,216,487,332
480,142,101
(29,463,552)
12,454,558
(14,941,651)
2,902,846,893
224,580,469
3,806,986
© 2014 National Association of Insurance Commissioners
128
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
60053
Kaiser Permanente Ins Co
CA
180,009,474
88,540,516
6,480,776
15073
Kentucky Hlth Coop Inc
KY
24,246,146
8,579,915
(7,310,382)
1,016,752
79,801
(7,230,580)
5,095,220
14100
Kentucky Spirit Health Plan Inc
KY
114,211,558
83,576,915
3,399,930
776,775
23,257,606
245,787,029
46,461,822
0
6,344,224
248,327,009
28,075,705
95199
Keystone Hlth Plan Central Inc
PA
126,769,425
88,102,930
13,782,286
1,825,892
10,059,037
258,086,403
31,079,952
95056
Keystone Hlth Plan E Inc
PA
1,325,146,906
916,469,180
107,468,597
49,504,785
145,476,382
2,685,569,282
402,794,592
95048
Keystone Hlth Plan W Inc
53872
KPS Hlth Plans
12827
KS Plan Administrators LLC
15102
Land of Lincoln Mut Hlth Ins Co
PA
482,421,883
287,032,831
114,456,437
9,820,862
104,656,430
1,791,263,567
136,052,221
WA
40,798,021
19,152,091
1,468,917
370,542
1,895,056
115,202,273
11,680,547
TX
60,555,271
36,261,177
17,740,216
303,028
11,878,547
268,707,021
18,713,890
IL
21,428,906
3,546,383
(13,787,006)
35,428
(13,751,578)
0
12,226,049
55,457
1,152,131
8,561,208
4,155,373
131,191
478,387
116,692
(33,910)
42,488
38,465
5,035,558
695,043
47061
Legal Serv Plans of VA Inc
VA
2,253,938
1,176,056
1,628,190
14057
Liberty Dental Plan of MO Inc
MO
314,597
239,385
159,609
11159
Liberty Dental Plan of NJ Inc
NJ
172,858
155,864
(35,906)
13566
Liberty Dental Plan of NV Inc
NV
1,693,027
904,118
33,811
66753
Liberty Union Life Assur Co
MI
11,610,992
4,686,712
286,068
287,821
21,595,865
5,290,260
84930
LifeWise Hlth Plan of OR Inc
OR
97,930,384
65,555,403
(2,819,228)
4,043,437
971,780
152,332,544
37,348,233
52633
LifeWise Hlth Plan of WA
WA
117,782,292
61,843,972
17,724,118
4,203,528
15,675,230
344,977,741
81,334,526
15131
Louisiana Health Cooperative Inc
LA
21,361,794
7,945,495
(7,818,752)
252,245
(7,566,507)
13970
Louisiana Healthcare Connections Inc
LA
88,418,297
47,645,827
3,778,135
270,773
26,176,435
45,455,469
(418)
1,996
0
25,475
81200
Louisiana Hlth Serv & Ind Co
LA
1,644,027,792
1,102,396,535
12265
Lovelace Ins Co Inc
NM
30,525,360
10,871,346
(15,459,973)
14,134
95808
Lovelace Sandia Hlth Systems Inc
NM
320,861,398
202,770,738
(52,581,286)
15,279,267
33,811
0
7,170,666
4,052,731
462,446,997
64,038,645
68,695,845
2,182,863,769
374,691,107
(15,445,839)
101,685,635
20,588,455
15,217,457
616,847,855
207,549,266
14441
Magellan Behavioral Hlth of NE Inc
NE
17,065,450
4,408,189
(900,491)
91
(585,244)
0
2,287,470
12632
Magellan Behavioral Hlth of NJ LLC
NJ
30,527,277
9,962,787
(9,406,617)
12,512
(5,556,614)
0
35,170,031
7,309,331
137,691
4,840,578
0
25,387,289
47019
Magellan Behavioral Hlth of PA Inc
PA
89,747,365
45,284,202
14641
Magellan Complete Care of AZ Inc
AZ
1,513,036
1,509,912
(3,125)
2,126
(649)
0
2,449
97292
Magellan Life Ins Co
DE
6,306,030
3,673,537
(307,098)
589
(199,230)
0
343,920
13923
Magnolia Hlth Plan Inc
MS
57,062,375
36,345,676
(17,167,878)
319,361
(10,076,118)
407,328,398
55,862,735
15077
Maine Comm Hlth Options
ME
18,225,868
5,897,119
(6,555,512)
(6,558,708)
0
6,269,244
14369
Maine Dental Serv Corp
ME
44,416,207
39,881,417
800,605
586,226
1,393,331
53,811,336
9,921,408
60321
Mamsi Life & Hlth Ins Co
MD
24,373,115
15,710,468
10,060,328
35,840
6,632,558
74,376,566
8,303,963
11199
Managed Dental Guard Inc
NJ
627,651
436,035
89,160
2,043
59,282
3,155,492
569,352
14142
Managed Dentalguard Inc
OH
356,736
330,779
52,200
1,256
34,663
209,423
27,801
52556
Managed DentalGuard Inc
TX
3,566,122
3,072,775
921,315
10,238
605,957
7,155,014
1,323,086
95284
Managed Hlth Inc
NY
476,335,482
195,115,575
(12,741,727)
1,615,459,009
216,074,766
96822
Managed Hlth Serv Ins Corp
WI
56,856,411
26,490,850
11,867,345
494,650
8,156,437
123,713,078
19,328,280
12545
Martins Point Generations LLC
ME
40,646,065
17,706,845
(10,757,082)
27,575
(10,729,507)
170,967,988
19,520,655
12751
Maryland Care Medicare Inc
MD
1,545,666
1,544,851
0
0
0
© 2014 National Association of Insurance Commissioners
129
(3,196)
3,140,522
2,353
(10,177,371)
1,538
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
47093
Massachusetts Vision Serv Plan
MA
32,620,422
25,666,437
604,498
426,336
95527
Matthew Thorton Hlth Plan Inc
NH
187,467,649
92,215,796
36,358,844
2,190,597
14217
McLaren Hlth Plan Comm
MI
2,992,782
2,992,782
95562
McLaren Hlth Plan Inc
MI
130,311,690
44,150,636
282,318
(6,997)
1,125
(456,465)
(677,987)
25,316,469
26,106,980
2,997,116
492,074,722
50,826,159
(5,872)
0
6,997
(174,147)
537,143,313
29,261,240
14063
MCNA Ins Co
TX
119,458,971
56,550,662
58,390,706
413,798
29,024,869
582,218,354
73,200,690
13022
MCS Advantage Inc
PR
189,023,133
63,095,236
4,014,732
1,186,766
3,725,338
1,173,785,058
177,782,005
95779
MCS Hlth Mgmt Options Inc
96310
MD Individual Practice Assn Inc
PR
8,398,104
MD
93,449,603
50,677,860
(749,589)
(4,593,457)
105,866
(4,487,591)
0
71,061
53,365,268
29,341
34,767,152
422,505,608
25,157,801
87,371,815
95807
MDwise Inc
IN
47,941,598
30,977,078
(3,330,096)
629,038
(2,701,058)
453,912,668
34720
Medco Containment Ins Co Of NY
NY
62,043,403
53,760,238
10,358,045
(14,355)
6,176,634
76,616,249
5,580,287
63762
Medco Containment Life Ins Co
PA
807,031,839
284,448,418
110,974,554
120,220
70,884,742
477,239,473
(43,415,722)
52626
Medica Hlth Plans
MN
686,464,245
404,514,013
(15,518,320)
13,929,422
(4,314,643)
1,242,026,494
117,244,879
12756
Medica Hlth Plans of FL Inc
FL
12,371,437
5,612,261
(4,733,800)
12,236
(2,415,791)
36,097,374
3,209,113
95232
Medica Hlth Plans of WI
WI
49,985,110
47,939,502
(4,707)
(18,987)
(23,694)
0
17,065
12155
Medica HlthCare Plans Inc
FL
100,279,794
20,018,386
(26,602,925)
(462,897)
(21,634,012)
517,778,301
35,314,297
12459
Medica Ins Co
MN
544,261,004
267,526,675
29,886,700
12,046,658
32,949,441
1,996,935,470
274,869,177
95782
Medical Assoc Clinic Hlth Plan of WI
WI
3,934,047
3,037,474
66,062
76,321
139,198
21,559,890
2,408,596
52559
Medical Assoc Hlth Plan Inc
IA
30,774,823
20,899,481
5,961,840
830,135
3,640,001
82,113,293
9,373,913
95828
Medical Hlth Insuring Corp of OH
OH
92,366,347
88,645,154
2,557,618
1,952,352
12,338,266
1,188,502
29076
Medical Mut Of OH
OH
1,684,588,248
1,221,804,341
88,925,265
28,963,755
97,740,167
2,408,337,893
307,800,252
95982
Medisun Inc
AZ
37,159,965
24,663,128
7,422,760
22,745
4,892,864
238,123,994
17,265,390
14227
Medstar Family Choice
MD
63,689,706
21,536,012
(2,030,152)
(1,142)
(1,406,838)
226,445,298
20,664,191
(141,432)
94587
Members Hlth Ins Co
AZ
32,682,354
31,138,182
(2,462,428)
1,510,234
(871,635)
663,317
1,379,690
10076
Memorial Hermann Hlth Ins Co
TX
18,703,306
8,734,451
(5,386,870)
18,324
(3,396,936)
22,000,835
4,166,677
(8,830,039)
14904
Mercy Maricopa Integrated Care
AZ
29,749,963
26,170,075
(8,831,202)
1,163
12195
MercyCare HMO Inc
WI
30,579,594
17,732,046
(1,365,656)
1,544,669
60215
Mercycare Ins Co
WI
19,830,033
19,633,811
(21,130)
64,292
14238
Meridian Geisinger Hlth Network LLC
NJ
2,981,773
330,804
(493,542)
59
(5,073,891)
14145
Meridian Hlth Plan of IA Inc
IA
20,072,870
10,277,673
(4,733,200)
0
(4,603,546)
13189
Meridian Hlth Plan of IL Inc
IL
24,174,407
4,867,625
884,706
7,575
376,513
41,118,899
2,491,131
52563
Meridian Hlth Plan of MI Inc
MI
210,488,595
88,623,500
6,470,220
1,453,495
5,694,856
1,062,342,196
116,749,117
19,210,740
115,084
12,561,786
0
10,388,150
18750
Merit Hlth Ins Co
IL
78,379,786
37,779,554
14676
Meritus Hlth Partners
AZ
1,487,112
1,430,354
(69,203)
15092
Meritus Mut Hlth Partners
AZ
26,111,504
6,181,147
(13,120,039)
14170
MetLife Hlth Plans Inc
NJ
2,017,905
2,006,553
10,027
52627
Metropolitan Hlth Plan
MN
64,632,134
28,266,576
4,253,439
12509
MHNet Life & Hlth Ins Co
TX
4,041,042
3,923,560
183,415
© 2014 National Association of Insurance Commissioners
130
(444)
26,459
9,607
(280,576)
0
0
5,251,315
175,013
109,479,218
8,092,915
43,162
712,359
102,325
0
1,058,937
57,371,041
5,094,783
(69,647)
0
69,171
(12,984,117)
0
11,430,385
16,009
114,743
22,397
3,972,863
154,751,047
20,651,826
119,402
0
202,593
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
47775
Michigan Dental Plan Inc
MI
3,796,768
3,679,243
(353,374)
94,168
(247,909)
869,901
52006
Michigan Eyecare Assoc Inc
MI
253,469
253,469
(2,242)
499
(1,743)
0
2,242
53031
Mid Atlantic Vision Serv Plan Inc
VA
77,865,541
70,705,540
8,260,528
8,178,540
78,515,942
9,093,754
1,669,503
728,592
12253
Mid Rogue Hlth Plan
OR
13,112,087
7,394,600
(2,595,605)
50,416
(1,657,671)
44,050,731
5,044,046
12527
Mid Valley IPA Employee Benefit Trus
OR
2,938,887
872,897
(302,700)
1,205
(315,180)
9,466,109
564,122
11107
Midwestern Dental Plans Inc
MI
601,538
490,416
15,816
0
15,816
5,029,878
47,791
61522
MII Life Inc
MN
438,048,818
15,675,410
(8,016,603)
12,711,888
3,540,162
18,186,403
23,150,542
15010
Minuteman Hlth Inc
MA
43,558,639
29,820,435
(10,667,226)
0
9,708,808
12913
Missouri Care Inc
MO
86,133,921
42,700,876
19,247,360
1,775,776
11,357,098
305,479,401
13,330,397
123,681,782
45,662,368
3,159,722
46,777,991
1,732,988,517
226,501,533
2,977
(10,664,250)
11157
MMM Hlthcare Inc
PR
314,160,757
12534
MMM MULTI HLTH INC
PR
600,000
95247
MNM 1997 Inc
TX
2,636,423
47098
Moda Hlth Plan Inc
OR
208,792,162
13128
Molina Hlthcare of FL Inc
FL
53,081,298
14104
Molina Hlthcare of IL Inc
IL
13,781,516
5,042,478
52630
Molina Hlthcare of MI
MI
193,671,094
102,658,517
95739
Molina Hlthcare of NM
NM
95,265,961
40,947,612
1,461,280
150,329
1,046,265
492,131,681
87,478,285
12334
Molina Hlthcare of OH Inc
OH
267,332,677
128,898,648
52,316,716
834,278
34,003,852
1,248,660,924
235,992,661
15329
Molina Hlthcare of SC Inc
SC
66,270,813
10,315,933
(3,752,970)
0
3,478,990
10757
Molina Hlthcare of TX Inc
TX
227,265,363
110,021,014
25,219,390
510,459
16,722,413
1,225,069,258
225,380,958
17,752,665
327,577
10,770,669
347,495,073
39,762,633
(13,371)
1,755,982
(5,247)
0
399,193
6,168
74,888,459
6,391,119
5,002,948
17,281,100
(8,465,005)
95502
Molina Hlthcare of UT Inc DBA Amfam
UT
107,546,263
57,612,898
15133
Molina Hlthcare of VA Inc
VA
2,506,130
1,496,007
96270
Molina Hlthcare of WA Inc
WA
331,741,917
119,985,073
86,862
(8,940,464)
2,675
28,979,261
456,333
932
(197)
484
5,639,031
1,272,149
(5,247)
287,168
0
5,247
4,343,816
2,221,561
7,495,948
295,044,846
38,051,200
(5,592,483)
265,105,675
50,040,931
(5,814,891)
18,550,126
(938,177)
(6,558)
8,313,029
7,568,770
883,618,057
99,736,893
0
8,517,290
4,969,352
1,201,722,870
150,608,682
195,245,504
28,378,180
0
3,748,877
12007
Molina Hlthcare of WI Inc
WI
47,390,400
22,699,342
9,182,016
28,983
5,447,792
14933
Montana Hlth Cooperative
MT
9,739,223
8,786,578
(3,966,594)
149,094
(3,817,500)
13123
Mount Carmel Hlth Ins Co
OH
7,890,373
6,886,629
71,091
58,896
129,987
8,698,762
885,076
95655
Mount Carmel Hlth Plan Inc
OH
327,100,037
291,422,225
22,720,868
19,501,630
43,377,380
405,202,597
41,471,494
12868
Mutual Benefit Assn of HI
11125
MVP Hlth Ins Co
10135
MVP Hlth Ins Co of NH Inc
NH
95521
MVP Hlth Plan Inc
NY
HI
3,944,605
3,887,908
(63,416)
18,441
(10,344)
0
69,010
NY
155,462,711
72,637,487
(35,562,629)
5,943,739
(29,619,066)
528,011,035
93,494,513
11,974,527
7,870,664
(1,500,036)
538,232,649
380,924,248
9,613,034
191,012
18,095,331
(1,309,024)
27,544,266
10141
MVP Hlth Plan of NH Inc
NH
8,527,602
8,519,890
(19,766)
3,655
(16,111)
47062
MVP Hlth Serv Corp
NY
4,471,201
4,297,173
85,151
15,009
64,520
12844
National Dental Care Inc
(2,174)
95251
National Pacific Dental Inc
95123
Neighborhood Hlth Partnership Inc
11109
Neighborhood Hlth Plan Inc
41,037,553
6,625,822
1,680,778,667
161,768,345
0
19,483
1,974,653
509,708
IL
422,124
159,109
24,437
22,263
1,701,057
447,198
TX
5,644,403
5,026,233
4,288,655
7,874
2,793,661
14,935,325
2,101,582
FL
94,429,650
34,968,300
45,766,296
1,333,447
30,558,113
474,332,051
54,330,214
MA
340,417,425
178,378,602
15,738,015
8,627,055
19,444,121
1,368,880,701
105,724,495
© 2014 National Association of Insurance Commissioners
131
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
95402
Neighborhood Hlth Plan of RI Inc
14131
Network Health LLC
15087
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
RI
134,475,983
35,746,810
(3,122,230)
188,974
(3,795,139)
429,746,030
52,573,890
MA
268,048,599
136,782,434
(72,418,540)
6,363,399
(66,055,142)
1,073,872,093
83,073,935
Network Hlth Ins Corp
WI
122,050,369
64,371,741
4,742,229
1,458,687
4,195,374
473,987,808
45,094,181
95737
Network Hlth Plan
WI
94,290,015
40,582,851
18,372,641
1,601,513
13,122,451
423,961,574
39,464,765
13813
Nevada Dental Benefits Ltd
NV
10,816,046
3,498,224
2,277,371
(2,017)
1,275,354
38,730,817
6,797,756
15132
Nevada Hlth Co Op
NV
26,145,151
7,959,100
(7,913,516)
5,113
(7,908,403)
0
7,086,426
95758
Nevada Pacific Dental Inc
NV
6,891,785
6,328,061
15106
New Hlth Ventures Inc
CO
2,983,162
431,528
(1,319,718)
15011
New Mexico Hlth Connections
NM
47,931,283
27,770,601
95829
New W Hlth Serv
MT
27,554,427
9,906,992
12540
NHP of IN LLC
IN
23,094,751
21,168,354
(2,332,955)
55891
Noridian Mut Ins Co
ND
458,189,154
199,087,591
(25,217,460)
47053
North Dakota Vision Serv Inc
ND
2,260,598
2,019,129
(208,069)
49,237
15309
North Shore LIJ CareConnect Ins Co
NY
28,612,196
25,711,143
(12,344,528)
1,740
85286
OneNation Ins Co
IN
13,757,365
13,444,933
(184,303)
(55,034)
(657,235)
56,628
196,690
12533
Opticare of UT
UT
1,257,199
956,489
(90,548)
32,620
(57,928)
4,289,495
1,908,724
95481
Optima Hlth Grp Inc
VA
2,531,452
2,530,233
(1,411)
5,257
70715
Optima Hlth Ins Co
VA
36,016,155
18,205,621
(8,334,451)
1,256,792
(6,003,728)
69
15,130
10,577
1,275,661
399,077
0
976,156
1,246
(1,318,472)
(14,506,585)
19,347
(14,487,238)
0
6,253,359
(16,463,351)
751,380
(15,711,812)
155,992,435
20,822,058
259,459
(49,622,297)
(1,569,496)
(80,787,933)
67,740
(12,342,788)
2,850
(1,669,736)
1,197,411,085
3,394,605
128,297,330
3,562,602
1,482,175
0
10,345,751
0
1,411
113,598,538
19,122,974
95281
Optima Hlth Plan
VA
349,450,693
196,599,322
43,965,030
3,207,064
48,908,625
1,301,955,552
92,787,291
96940
Optimum Choice Inc
MD
70,131,437
41,048,229
35,112,216
2,042,578
24,543,390
234,308,916
23,954,485
12259
Optimum Hlthcare Inc
FL
60,300,589
17,170,620
3,824,136
89,587
2,636,141
379,186,584
47,913,787
54941
Oregon Dental Serv
OR
138,093,754
116,120,342
4,078,372
999,842
4,778,240
70,642,999
9,738,663
15095
Oregons Hlth COOP
OR
18,496,099
6,774,818
(9,484,219)
88,074
(9,396,145)
0
5,277,047
3,510
11068
Orthonet of the Mid Atlantic Inc
NJ
13,844,856
12,000,453
2,436,797
15281
Oscar Ins Corp
NY
47,770,596
46,574,657
(8,165,637)
6,196,814
1,209,348
0
7,260,674
78026
Oxford Hlth Ins Inc
NY
2,078,422,725
855,211,086
195,605,277
14,902,211
96798
Oxford Hlth Plans CT Inc
CT
240,733,859
116,243,679
10,399,555
1,358,683
141,381,201
5,714,629,791
373,021,131
7,002,652
651,353,049
95506
Oxford Hlth Plans NJ Inc
NJ
337,265,964
140,803,628
45,006,623
77,140,455
5,232,633
34,049,428
1,175,512,342
157,139,684
278,218,232
138
1,685,497
(8,165,499)
95479
Oxford Hlth Plans NY Inc
NY
1,820,483,310
1,386,734,310
91,760,141
18,117,952
77,731,029
2,517,924,988
84506
Pacificare Life Assur Co
CO
7,576,879
6,446,870
211,218
28,793
388,902
0
77,296
95617
Pacificare Of AZ Inc
AZ
190,311,858
91,319,569
53,358,866
4,734,252
38,758,040
978,214,198
92,065,509
73,547,650
3,719,124
88,612,974
95434
Pacificare Of CO Inc
CO
211,327,866
134,243,626
50,863,882
846,731,624
95685
Pacificare Of NV Inc
NV
25,952,903
8,335,406
(15,309,165)
30,985
(11,292,831)
89,138,806
9,027,773
12595
Pacificsource Comm Hlth Plans Inc
OR
78,810,779
41,469,805
(8,540,782)
897,212
(6,603,241)
302,561,317
25,885,694
(443,978)
18,360,894
14,706,783
729,411,489
104,174,180
255,361
5,459,399
389,793,829
63,005,945
23,166,334
1,819,392
54976
Pacificsource Hlth Plans
OR
230,087,481
151,293,739
12353
Paramount Advantage
OH
130,176,603
63,721,947
95566
Paramount Care Of MI Inc
MI
10,796,493
7,523,347
8,625,769
(378,243)
© 2014 National Association of Insurance Commissioners
132
2,624
(2,409)
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
95189
Paramount Hlth Care
OH
98,826,206
64,380,611
2,380,559
4,394,523
7,247,888
213,419,815
11518
Paramount Ins Co
OH
35,031,946
14,608,289
3,073,330
18,346
1,892,718
80,585,062
20,790,621
7,565,541
95414
Parkland Comm Hlth Plan Inc
TX
157,581,959
106,688,083
26,113,633
1,139,333
27,252,966
521,429,847
59,187,229
111,265,411
12315
Peach State Hlth Plan Inc
GA
170,467,723
89,525,996
4,481,115
253,100
(3,850,559)
807,474,754
67660
Pennsylvania Life Ins Co
PA
633,915,910
420,821,337
44,910,449
88,237
40,913,213
77,406,831
46,106,091
13607
Peoples Hlth Inc
LA
50,934,897
31,080,055
1,777,411
15,515
1,197,982
699,689,688
104,783,227
13134
Pharmacy Ins Corp of Amer
PR
8,175,457
5,168,830
(723,583)
131,794
(511,396)
9,827,205
2,534,714
10160
Phoenix Hlth Plans Inc
AZ
36,856,665
13,121,809
(10,091,794)
40,333
(6,533,449)
69,266,151
8,480,193
54,698,427
4,381,791
41,792,807
5,073,167
11537
PHP FamlyCar
MI
16,814,929
7,727,980
12816
PHP Ins Co
MI
14,858,137
8,354,256
12331
PHP Ins Co of IN Inc
IN
2,523,237
2,393,100
21,307
45,593
57,657
827,307
136,144
11494
Physicians Hlth Choice of TX LLC
TX
73,522,918
56,362,784
14,239,544
156,765
9,592,594
405,661,911
34,344,791
95849
Physicians Hlth Plan
MI
83,161,867
58,205,414
2,250,206
3,024,176
164,730,946
15,255,482
95436
Physicians Hlth Plan of N IN Inc
IN
74,599,353
44,852,199
(1,527,730)
1,904,544
388,297
171,995,917
24,080,839
95341
Physicians Plus Ins Corp
WI
89,936,872
33,457,689
(18,168,431)
1,554,845
(16,480,412)
352,891,828
37,307,064
10775
Physicians United Plan Inc
FL
97,079,843
11,764,917
4,799,540
4,877,558
376,653,309
63,552,040
95686
PhysiciansPlus Baptist & St Dominic
MS
1,353,265
1,353,265
(33,022)
26,005
95811
Piedmont Comm Hlthcare Inc
VA
16,613,525
7,472,475
331,169
5,825
366,743
431,487
(1,327,388)
(8,784)
773,970
140,374
798,230
(1,024,851)
(7,017)
231,593
0
33,022
58,353,796
7,173,050
15009
Piedmont WellStar Hlth Plans Inc
GA
27,153,329
21,902,521
(19,622,471)
0
17,151,521
12619
Pioneer Educators Hlth Trust
OR
8,581,752
7,378,681
2,255,111
46,601
2,301,712
20,892,508
1,341,838
95730
Plan de Salud Menonita Inc
PR
2,491,884
492,383
108,479
0
108,479
9,705,146
1,100,080
95762
Plan Medico Serv de Salud Bella Vist
PR
2,553,318
917,026
268,832
41,353
304,770
5,389,906
645,187
12178
PMC Medicare Choice Inc
PR
83,062,073
33,658,741
7,003,179
1,013,735
6,200,059
402,747,575
50,154,804
13208
Pre Paid Dental Serv Inc
OK
261,055
40,099
1,616,378
49964
Preferred Assur Co
NY
8,955,004
8,147,463
11176
Preferred Care Partners Inc
FL
110,534,506
23,933,564
11,081,148
362,605
14,053,654
571,737,544
14080
Preferred Ins Serv Inc
IL
654,898
199,521
139,776
153
139,929
1,061,047
304,283
95271
Preferred Medical Plan Inc
FL
33,012,787
2,734,715
1,019,907
146,440
641,347
108,560,631
21,778,944
247
(19,622,224)
47,172
(1,804)
31,261
(168,697)
67,624
(101,909)
0
847,707
(246,636)
78,829,766
95724
PreferredOne Comm Hlth Plan
MN
14,062,336
7,702,328
(3,335,980)
650,657
(2,685,323)
59,690,990
8,676,579
11817
PreferredOne Ins Co
MN
58,120,317
29,774,354
(4,912,142)
2,110,891
(1,613,381)
167,194,126
25,879,058
47570
Premera Blue Cross
WA
2,009,430,690
1,359,947,822
41,952,693
73,935,944
86,256,879
2,556,315,574
353,573,408
60237
Premier Access Ins Co
CA
35,895,770
19,186,864
11,024,412
1,987,396
8,435,808
99,981,184
23,339,413
95224
PREMIER CHOICE DENTAL INC
AZ
986,796
241,280
49,072
75
39,315
1,049,963
63,099
95330
Presbyterian Hlth Plan Inc
NM
305,698,422
169,104,679
15,408,810
5,958,654
16,562,766
1,158,346,475
113,885,164
11504
Presybyterian Ins Co Inc
NM
49,694,748
28,415,439
6,369,646
1,534,289
6,184,142
153,014,815
17,550,759
95561
Priority Hlth
MI
624,033,703
394,858,478
48,253,207
7,385,767
58,618,090
1,878,767,605
169,026,653
11520
Priority Hlth Choice Inc
MI
61,968,758
29,499,583
231,648,607
15,713,556
(634,288)
© 2014 National Association of Insurance Commissioners
133
533,414
(100,874)
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
12208
Priority Hlth Ins Co
MI
88,313,025
45,477,676
14,234,285
645,360
14,488,845
197,531,221
15203
Providence Hlth Assur
OR
13,955,821
10,062,540
(2,260,510)
(54,482)
(2,314,992)
56,881,857
25,668,298
5,458,769
95005
Providence Hlth Plan
OR
692,937,767
506,844,677
27,905,956
88,785,715
95126
Public Hlth Trust of Dade Cnty
FL
10,775,193
5,761,892
2,000,770
55271
Pupil Benefits Plan Inc
NY
11,496,296
1,899,826
19,076,399
47,206,004
1,080,859,319
10,629
2,011,399
52,528,449
3,208,092
66,477
49,197
8,542,240
1,814,886
(49,280)
95448
QCA Hlth Plan Inc
AR
30,952,723
12,820,591
(3,893,730)
250,592
93688
QCC Ins Co
PA
1,211,641,158
730,678,375
(90,815,607)
81,160,937
70998
Qualchoice Life & Hlth Ins Co Inc
AR
2,406,131
1,703,892
(16,440)
3,464
13691
Quality Hlth Plans of NY Inc
NY
2,461,104
237,029
(3,013,673)
156,588
13646
Red Tree Ins Co Inc
NH
2,428,819
2,245,137
54933
Regence BCBS of OR
OR
1,008,235,016
627,309,807
54550
Regence BCBS of UT
53902
Regence BlueShield
60131
Regence Blueshield Of ID Inc
96250
14,436
(3,589,383)
142,711,168
22,695,718
1,937,834,092
393,614,199
(12,976)
6,906,385
1,090,200
(2,857,084)
1,170,217
2,055,928
36,099,330
23,153
37,589
708,061
106,973
(7,655,905)
38,326,663
17,974,524
1,870,872,884
309,931,890
UT
534,844,897
287,485,095
(10,459,558)
23,289,908
8,596,800
1,068,036,606
169,037,563
WA
1,692,073,805
1,178,487,324
1,997,385
55,946,781
48,280,472
2,198,152,554
396,044,595
ID
273,753,019
158,488,720
3,515,630
13,431,192
13,982,332
481,662,568
96,576,375
Regence Hlth Maintenance of OR Inc
OR
5,195,349
5,114,639
(933)
33,745
21,328
0
5,122
95699
Regence Hmo OR
OR
6,686,449
6,536,675
(1,233,932)
1,237,451
(13,208)
0
1,235,571
12812
Region 6 Rx Corp
PA
1,764,610
1,764,610
15638
Renaissance Hlth Ins Co of NY
NY
1,730,706
1,548,124
(964)
(2,468)
278,269
61700
Renaissance Life & Hlth Ins Co of Am
IN
56,387,893
39,668,752
6,938,276
47004
Rocky Mountain Hlthcare Options Inc
CO
40,755,445
13,644,684
(6,774,339)
95482
Rocky Mountain Hmo Inc
CO
142,593,189
91,008,236
11011
Rocky Mountain Hospital & Medical
CO
815,537,184
405,713,453
95743
Ryder Hlth Plan Inc
PR
1,538,561
714,396
52009
SAFEGUARD HLTH PLANS INC
FL
9,517,378
7,509,739
1,637
770,541
2,089,050
(402,291)
98,872,364
(2,432)
276,973
0
3,664
1,420,411
279,895
5,403,404
67,201,414
12,017,545
(4,179,463)
170,593,520
28,367,921
3,223,764
4,061,965
168,230,539
30,210,201
52,965,188
110,908,976
1,919,044,070
213,372,128
(4,569)
1,705,632
11,126
124,807
(4,569)
1,830,439
2,618,154
295,001
22,414,926
5,328,327
95747
Safeguard Hlth Plans Inc
NV
261,305
255,305
733
7,047
7,780
0
10,259
95051
Safeguard Hlth Plans Inc
TX
10,913,534
9,896,984
1,988,196
125,012
1,483,524
11,018,691
3,228,383
79014
Safehealth Life Ins Co
CA
12,362,402
11,049,127
1,000,802
263,460
1,201,900
6,644,356
3,009,405
95793
Saint Marys Hlth First
NV
43,502,318
18,577,853
(4,718,081)
228,268
(3,708,648)
89,479,454
16,296,920
11079
Saint Marys Preferred Hlth Ins Co
NV
26,551,851
10,161,498
(7,891,535)
112,076
(7,846,250)
70,750,982
14,427,732
12257
Samaritan Hlth Plans Inc
OR
16,628,351
8,030,294
(1,035,964)
228,195
(514,421)
55,427,413
6,378,070
52554
Sanford Heart of Amer Hlth Plan
ND
2,003,410
1,232,509
(370,191)
5,764
(358,002)
4,039,892
406,386
95683
Sanford Hlth Plan
SD
51,347,205
25,992,972
144,546,740
10,323,638
95725
Sanford Hlth Plan of MN
12279
Scan Hlth Plan AZ
1,075,967
788,848
1,781,455
MN
1,999,438
1,276,609
3,112,987
487,653
AZ
34,013,098
27,620,750
6,434,494
128,378
6,544,967
116,768,312
14,399,052
66,964,142
(393,057)
(2,119)
(395,177)
95099
Scott & White Hlth Plan
TX
149,906,391
63,065,799
21,365,917
1,173,199
2,933,407
578,737,282
13737
Security Hlth Ins Co of Amer NY Inc
NY
1,698,626
1,109,544
159,760
8,255
115,823
4,159,460
1,053,926
96881
Security Hlth Plan of WI Inc
WI
280,050,495
152,522,721
1,001,790,748
82,666,006
(25,117,498)
© 2014 National Association of Insurance Commissioners
134
5,850,846
(19,266,651)
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
15005
SecurityCare of TN Inc
TN
3,006,982
3,005,858
(6,673)
15,685
63541
Seechange Hlth Ins Co
CA
40,776,133
15,880,863
(31,734,972)
99,178
0
6,358
(31,635,794)
95458
Select Hlth of SC Inc
SC
198,166,907
82,510,865
9,766,275
10768
Selectcare Hlth Plans Inc
TX
20,338,626
14,733,529
1,654,491
13627
SelectCare of ME Inc
ME
1,526,684
1,521,976
(247)
12284
SelectCare of Ok Inc
OK
2,392,558
1,776,215
(11,739)
123,765,347
26,529,221
6,153,323
9,708,148
848,704,566
65,620,988
710,087
1,625,747
56,077,511
7,759,675
277
53
0
2,615
3,154,582
696,595
10096
Selectcare of TX Inc
TX
133,088,343
64,249,674
11,462,061
6,654,335
63245
SelectHealth Benefit Assur Co Inc
UT
17,959,976
13,081,693
3,555,922
203,759
11,747,187
652,520,195
85,880,580
2,553,681
6,234,010
95153
SelectHealth Inc
UT
767,588,070
464,810,995
26,344,103
24,442,783
337,828
50,786,886
1,458,125,223
154,322,639
(1,003)
5,858
(10,211)
14151
Sendero Hlth Plans Inc
TX
16,297,633
5,782,159
(1,548,883)
11,963
(1,536,920)
37,188,474
8,165,408
12776
Senior Whole Hlth of NY Inc
NY
11,314,505
5,164,897
(738,293)
1,073
(737,220)
17,763,052
6,219,787
13211
SeniorDent Dental Plan Inc
WI
474,015
420,205
99,325
(2,101)
92,783
1,339,729
346,031
95240
Seton Hlth Plan Inc
TX
32,718,843
23,609,007
6,394,424
1,018,437
7,412,861
55,015,045
5,712,894
(11,937,474)
2,844,102
(9,090,575)
480,053,415
65,705,261
95138
SHA LLC
TX
115,342,246
55,382,612
54259
Sidney Hillman Hlth Centre
IL
424,312
82,333
50,333
89
50,422
2,872,662
578,651
71420
Sierra Hlth & Life Ins Co Inc
NV
127,022,765
70,769,127
15,969,812
1,654,730
11,628,414
257,734,317
38,152,575
47012
Sightcare Inc
AZ
972,459
740,394
23,269
1,123
24,392
8,970,185
1,561,124
12575
SilverScript Ins Co
TN
2,479,404,546
331,862,104
130,412,753
33,267
82,054,431
3,905,949,711
288,915,292
45,227,931
13726
Simply Hlthcare Plans Inc
FL
77,612,488
13,300,367
12,536,160
165,635
8,135,542
424,310,263
11082
Single Vision Solution Inc
MI
2,862,321
1,893,582
134,273
23,264
157,537
10,930,790
1,542,402
80055
Smart Ins Co
AZ
46,052,819
42,338,038
(20,331,492)
15,115
(2,845,518)
58,721,622
20,121,955
13,500,729
12341
Solstice Benefits Inc
FL
5,423,696
2,514,088
(987,759)
10,955
(1,404,947)
13,082,224
13971
Solstice Health Ins Co
NY
480,203
459,643
(268,348)
468
(267,880)
247,596
329,363
12909
Soundpath Hlth
WA
31,407,675
18,883,395
2,434,382
151,338,038
20,220,218
385,049
491,134
96598
South Dakota State Med Holding Co
SD
42,415,930
23,280,754
4,481,091
445,863
3,236,954
114,691,824
14,535,918
95812
Southeastern IN Hlth Org Inc
IN
16,490,131
9,352,887
3,147,597
6,131
1,910,158
52,101,556
8,553,301
66117
Southwest Life & Hlth Ins Co
TX
10,753,541
7,563,237
(156,872)
21,657,965
3,467,165
11953
Sterling Dental Serv LLC
OK
360,231
21,423
65,439
0
65,439
2,384,682
851,029
77399
Sterling Life Ins Co
IL
113,012,166
44,388,137
18,800,791
9,135,512
28,064,855
249,370,091
51,597,281
(10,566,667)
223,087,283
32,062,328
9,115,187
277,809,507
36,102,689
33,696
(91,039,533)
806,592,800
90,426,471
71,720,619
(206,650)
10649
Summa Ins Co Inc
OH
61,879,037
29,767,075
(16,217,678)
95202
Summacare Inc
OH
105,328,668
30,582,313
10,916,274
14345
Sunflower State Hlth Plan Inc
KS
215,059,872
81,483,027
(121,831,026)
49,778
318,872
1,354,383
13148
Sunshine State Hlth Plan Inc
FL
195,883,196
55,752,728
8,832,558
900,797
5,864,527
773,116,814
96280
Superior Dental Care Inc
OH
8,539,457
4,224,194
1,127,232
19,458
750,394
43,075,290
8,082,196
95647
Superior Hlthplan Inc
TX
349,063,887
188,016,535
24,363,714
2,755,522
16,799,419
1,712,921,577
197,393,189
11093
Takecare Ins Co Inc
GU
30,738,130
12,255,558
1,959,875
11,117
2,239,556
89,355,371
6,419,311
14387
Team Dental Inc
TX
614,695
603,117
0
11,771
(11,771)
© 2014 National Association of Insurance Commissioners
135
676
(11,095)
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
95329
Texas Childrens Hlth Plan Inc
TX
150,401,256
90,141,557
2,173,691
139,732
2,313,423
795,521,247
71,579,579
54739
The Dental Concern Inc
KY
7,624,151
4,809,481
2,435,028
5,471
1,664,495
34,265,462
7,412,235
13130
The Dental Network Inc
MD
1,839,893
538,866
0
7,115
9,267
6,887,948
1,103
95677
The Hlth Plan the Upper OH Valley In
WV
245,910,722
191,370,365
5,818,792
7,592,617
13,449,304
364,529,760
23,705,488
14004
The University of AZ Hlth Plans Univ
AZ
12,595,825
9,912,980
(1,250,048)
34,901
(1,215,147)
15,762
874,137
95696
The Vt Hlth Plan LLC
VT
63,901,565
33,242,841
(4,656,122)
1,835,610
(2,820,512)
175,384,244
20,445,397
12755
Theramatrix Physical Therapy Plan In
MI
254,917
252,916
(47,390)
12
(47,378)
0
47,390
60016
THP Ins Co
WV
30,252,929
14,909,983
(12,777,786)
337,460
(12,440,326)
53,363,607
9,087,426
12239
Timber Products Manufacturers Trust
WA
12,409,246
7,079,710
483,772
210,012
730,307
35,776,993
2,763,899
11709
Todays Options of OK Inc
OK
16,090,981
10,654,978
753,585
316,195
877,579
63,419,124
7,460,895
14458
Todays Options of PA Inc
PA
1,540,274
1,533,315
52120
Total Dental Administrators Hlth Pla
AZ
3,571,703
2,046,097
11560
Total Dental Administrators of UT
UT
606,882
321,431
95644
Total Hlth Care Inc
MI
44,583,881
23,235,523
15,460,607
(4,868)
(1,818)
720,074
176
16,314
239
(6,389,476)
31,450
60,727
9,777
(6,358,026)
7,125
1,498,994
1,516,258
513,867
224,701,373
23,550,100
12326
Total Hlth Care USA Inc
MI
30,119,280
Touchstone Hlth HMO Inc
NY
12,929,291
89005
TRH Hlth Ins Co
TN
87,341,824
55,144,621
12584
Triad Hlthcare of NJ IPA Inc
NJ
2,386,159
1,485,498
79,966
776
80,742
4,245,160
2,285,767
12559
Trillium Comm Hlth Plan Inc
OR
62,512,342
20,873,465
6,107,767
196,833
3,932,181
245,458,992
26,659,620
12834
Trilogy Hlth Ins Inc
WI
1,988,881
1,500,340
55816
Triple S Salud Inc
PR
714,192,085
381,797,954
(1,182,178)
(402,121)
(9,693,270)
3,631,252
(1,354,573)
10,852,728
73,974
0
7,527,217
12970
(549,191)
13,247
(6,684)
468,567
115,629,970
18,748,636
(1,306,821)
152,896,155
27,294,017
(6,339,213)
175,777,095
23,019,112
26,991
1,305,598
0
2,826,621
14,004,519
23,964,569
1,465,650,952
151,374,446
14225
Trusted Hlth Plan DC Inc
DC
12,709,040
3,485,284
95688
Tufts Associated Hlth Maintenance Or
MA
1,030,319,576
715,442,361
60117
Tufts Ins Co Inc
MA
87,583,191
48,644,905
12924
UCare Hlth Inc
WI
19,889,657
9,474,637
52629
UCare MN
MN
856,414,331
443,235,665
11111
UDC of MI Inc
MI
919,690
866,454
58,428
1,152
55,364
462,610
175,242
52022
UDC OH INC DBA UNITED DENTAL CARE OH
OH
1,131,519
975,369
11,407
2,057
34,531
1,004,058
348,623
5,207,379
(222,234)
72,545,798
(1,335)
(10,780,423)
749,634
(5,249,384)
40,075,296
1,165,094
2,909
7,322,607
50,786,926
4,084,740
62,444,094
(223,569)
2,509,375,332
267,923,762
1,170,418
233,887,197
29,531,118
(5,266,260)
59,047,228
4,529,757
2,445,233,267
174,421,168
47,183,896
14243
Ultimate Hlth Plans Inc
FL
5,241,045
1,796,832
(7,600,939)
10,644
(7,590,295)
4,489,736
70700
Unicare Hlth Ins Co Of The Midwest
IL
21,416,476
19,521,563
1,784,047
347,663
1,444,350
4,768,594
12805
Unicare Hlth Plan of KS Inc
KS
10,885,640
6,153,262
(2,551,580)
2,330,009
783,399
11810
Unicare Hlth Plan of WV Inc
WV
70,055,431
40,546,843
16,387,884
1,159,295
11,717,858
215,514,864
18,075,287
95505
UNICARE Hlth Plans of the Midwest
IL
29,880,311
19,059,845
(37,554)
276,891
84,915
16,375
217,295
95420
Unicare Hlth Plans of TX Inc
TX
23,750,243
23,436,128
835,395
279,447
1,310,301
25,354
138,283
52553
Union Hlth Serv Inc
IL
25,978,078
14,375,183
109,056
1,272,351
1,381,407
60,880,300
4,154,552
(91,544)
70,761
5,969,174
2,711,681
3,560
(8,308)
418,492
84,573
54127
Union Medical Center
IL
1,541,918
1,185,162
166,028
11244
Union Security DentalCare of NJ Inc
NJ
2,840,059
2,670,298
2,775
© 2014 National Association of Insurance Commissioners
136
(1,443,309)
825,286
1,774,479
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
13032
Unison Hlth Plan of the Capital Area
DC
21,595,792
16,143,001
16,983,160
220,980
11,355,094
119,761,202
16,905,260
89070
United Concordia Companies Inc
PA
455,704,432
397,485,494
9,572,408
28,566,973
33,370,337
168,754,209
16,807,389
47089
United Concordia Dental Plan PA Inc
PA
4,623,210
2,403,201
485,938
848
504,667
15,223,430
2,550,078
95253
UNITED CONCORDIA DENTAL PLANS
MD
11,967,996
10,252,330
890,980
130,483
685,852
13,422,082
2,496,308
52048
UNITED CONCORDIA DENTAL PLANS OF KY
KY
513,100
458,872
569,332
135,806
95160
United Concordia Dental Plans TX Inc
TX
1,178,170
963,228
206,385
(18,812)
119,604
840,972
218,714
96150
UNITED CONCORDIA DENTAL PLNS OF MW
MI
5,939,168
5,453,107
934,112
1,273
608,832
7,826,003
586,547
85766
United Concordia Ins Co
AZ
58,943,109
33,308,879
199,044
1,062,876
198,190,417
32,472,396
60222
United Concordia Ins Co Of NY
NY
5,323,568
4,232,636
1,572,715
1,302
1,282,896
6,349,422
1,019,298
62294
United Concordia Life & Hlth Ins Co
PA
377,100,100
247,992,945
86,045,714
4,679,329
59,276,365
642,981,199
99,885,651
1,037,845
(7,751)
(53)
(6,252)
(220,589)
47708
United Dental Care of AZ Inc
AZ
4,158,074
3,259,535
1,138,274
2,752
776,740
5,149,262
52032
United Dental Care of CO Inc
CO
2,846,591
2,724,127
519,732
2,554
333,398
2,170,239
435,832
47044
UNITED DENTAL CARE OF MO INC
MO
2,618,515
2,374,574
(58,944)
2,668
(14,650)
1,593,412
546,150
47042
United Dental Care of NM Inc
NM
2,380,029
2,329,814
93,316
2,768
66,076
257,193
47,772
95142
United Dental Care Of TX Inc
TX
7,061,814
6,426,511
1,363,126
18,704
912,816
6,099,305
2,158,234
95450
United Dental Care Of UT Inc
UT
812,749
714,473
95716
United Hlth Care of MS Inc
MS
106,768,748
44,962,029
64,069
1,100
(2,172,386)
101,905
68,134
(2,611,362)
405,676
124,020
361,080,623
32,182,475
60318
United Hlthcare Ins Co Of IL
IL
193,512,377
80,816,042
46,295,045
3,620,393
33,249,881
903,886,731
105,662,737
60093
United Hlthcare Ins Co Of NY
NY
1,983,046,955
615,759,059
119,200,112
29,549,199
101,645,225
4,035,272,944
188,310,955
95025
United Hlthcare Mid Atlantic Inc
MD
226,702,388
114,398,406
(5,786,731)
4,365,985
738,033,546
83,360,449
95784
United Hlthcare of AL Inc
AL
132,711,104
62,419,934
37,419,920
2,822,799
26,698,400
404,927,154
42,160,228
95446
United Hlthcare of AR Inc
AR
15,064,591
9,106,702
2,891,265
2,189
1,885,748
45,206,964
5,051,667
96016
United Hlthcare of AZ Inc
AZ
74,445,597
36,931,626
19,662,620
702,419
13,927,057
338,222,213
38,623,400
95090
United Hlthcare of CO Inc
CO
11,454,822
8,578,220
4,696,856
95264
United Hlthcare of FL Inc
FL
339,411,217
62,227,144
(47,016,456)
95850
United Hlthcare of GA Inc
GA
41,126,856
24,088,624
8,992,995
985,740
96644
United Hlthcare of KY Ltd
KY
24,099,805
12,804,912
7,461,356
16,503
95833
United Hlthcare of LA Inc
LA
15,439,242
12,403,376
4,733,825
95591
United Hlthcare of Midlands Inc
NE
65,832,302
29,994,896
13,671,053
96385
United Hlthcare of Midwest Inc
MO
306,943,597
93,732,562
95186
United Hlthcare of OH Inc
OH
286,340,105
126,612,875
95501
United Hlthcare of UT Inc
UT
107,447,913
48,808,495
13,332,035
788,598
11,296,951
359,431,581
54,987,052
95174
UnitedHealthCare Benefits of TX Inc
TX
599,166,714
315,807,676
220,274,747
8,586,014
151,386,265
2,418,154,879
193,922,317
95467
UnitedHealthcare Comm Plan Inc
MI
213,419,518
75,965,861
(6,600,451)
1,229,446
(3,177,451)
899,128,904
85,133,870
12323
UnitedHealthcare Comm Plan of OH Inc
OH
242,593,503
130,888,612
36,610,421
1,787,536
24,268,099
671,779,056
115,801,033
11141
Unitedhealthcare Comm Plan of TX LLC
TX
373,418,933
160,743,065
58,321,678
6,616,395
44,808,758
1,495,629,385
197,732,973
12231
UnitedHealthcare Ins Co of the River
IL
115,488,784
50,771,897
22,199,391
442,700
14,555,042
444,877,676
59,984,209
19,732,214
2,306,396
1,663,031,786
197,245,771
6,625,955
138,051,138
16,043,254
4,851,230
95,864,807
11,254,959
6,095
2,993,584
5,162,852
1,027,473
9,753,634
207,553,619
52,077,719
4,774,193
38,021,928
1,272,542,378
72,357,091
(1,936,735)
6,548,819
3,935,545
1,038,058,585
111,437,516
© 2014 National Association of Insurance Commissioners
137
4,842
(126,044)
6,708,885
3,739,953
(40,015,836)
(1,075,357)
25,259,431
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
95776
UnitedHealthcare of IL Inc
IL
32,675,339
21,932,150
9,491,368
579,497
6,608,570
76,815,202
8,608,180
95103
UnitedHealthcare of NC Inc
NC
249,721,013
130,543,883
54,049,092
5,666,497
40,023,986
966,165,555
103,037,266
95149
UnitedHealthcare of New England Inc
RI
230,857,665
124,491,837
(10,002,151)
5,506,364
(2,841,188)
595,216,346
64,613,429
13214
Unitedhealthcare of NM Inc
NM
172,542,520
115,550,097
23,940,075
598,643
15,982,137
457,096,212
58,987,846
95085
UnitedHealthcare Of NY Inc
NY
606,178,048
345,190,224
111,128,976
9,061,437
79,925,112
1,878,998,311
247,522,513
95893
UnitedHealthcare of OR Inc
OR
56,407,964
32,877,012
17,966,935
1,140,618
12,417,619
201,119,035
19,270,820
95220
UnitedHealthcare of PA Inc
PA
279,817,304
148,400,570
15,371,100
2,231,107
12,265,347
1,099,633,972
151,172,380
95765
UnitedHealthcare of TX Inc
TX
6,123,855
6,033,519
48038
UnitedHealthCare of WA Inc
WA
276,133,460
117,461,473
349,005
7,081
WI
346,260,262
156,983,838
21,682,704
6,749,844
IL
1,093,654,951
513,401,130
202,483,536
18,971,246
21,384,308
(24,188,502)
4,493,334
233,879
827,907
61,958
781,798,260
92,179,080
20,449,200
1,335,567,109
163,825,715
152,048,836
4,071,793,010
515,968,366
361,472,030
36,375,178
(15,905,341)
95710
UnitedHealthcare of WI Inc
95378
UnitedHealthcare Plan of the River V
96903
UnitedHeathcare of OK Inc
OK
105,014,564
58,237,180
30,817,000
1,760,673
95796
Unity Hlth Plans Ins Corp
WI
154,862,854
55,826,460
164,278
1,678,856
47953
University Hlth Alliance
HI
79,116,534
47,691,324
12,565,753
1,294,657
52621
University Hlth Care Inc
KY
177,614,299
100,742,718
(11,302,179)
7,844,072
11995
UPMC For You Inc
PA
338,759,115
172,671,075
29,407,580
11018
Upmc Hlth Benefits Inc
PA
70,550,657
14,714,075
(4,238,814)
(2,529)
(2,990,326)
88,508,159
15,380,067
11994
UPMC Hlth Ntwrk Inc
PA
281,377,307
142,089,626
(70,792,273)
(2,819,603)
(48,148,236)
1,210,585,316
114,913,213
15345
UPMC Hlth Options Inc
PA
1,175,000
1,175,000
0
0
0
0
0
95216
UPMC Hlth Plan Inc
PA
343,560,860
151,638,309
58,924,633
1,237,031
41,652,963
1,037,340,249
61,268,600
702,644
107,440,913
8,555,689
67,773,223
10,683,300
183,837,595
52615
Upper Peninsula Hlth Plan LLC
MI
31,874,040
19,243,921
97772
US Hlth & Life Ins Co Inc
MI
26,180,222
8,038,451
553,569
629,698
72,946
(1,926,955)
255,859
(693,686)
9,089,042
(3,458,107)
29,961,149
(1,431,022)
637,545,964
47,064,647
215,588,126
21,419,812
687,029,939
52,926,006
1,498,759,965
184,915,451
83470
USAble Mut Ins Co
AR
1,454,455,405
767,191,081
27,274,703
24,800,512
37,734,631
1,323,777,580
95764
UTMB Hlth Plans Inc
TX
8,174,421
6,206,272
64,518
93,931
158,449
848,022
363,583
12346
Valley Baptist Ins Co
TX
21,672,235
13,379,463
(3,768,001)
41,927,114
9,700,498
(15,245)
47025
Value Behavioral Hlth of PA Inc
PA
34,028,683
14,344,540
2,294,234
441
95799
Value Options of TX Inc
TX
15,480,197
4,747,827
919
2,018
(2,470,480)
1,573,414
(52,013)
97,844,170
5,076,984
74,185,481
17,306,228
27,125,084
95584
Vantage Hlth Plan Inc
LA
44,688,237
20,151,229
4,558,534
313,407
6,048,744
185,493,473
15127
Vantage Hlth Plan of AR Inc
AR
301,000
301,000
0
0
0
0
0
95612
Virginia Premier Hlth Plan Inc
VA
183,628,676
99,802,996
6,895,557
2,385,728
27,834,495
710,406,760
49,876,212
13750
Vision Benefits of Amer II Inc
PA
7,083,800
7,000,000
53953
Vision Benefits of Amer Inc
PA
47,804,177
40,341,435
52005
Vision Ins Plan of Amer Inc
WI
2,228,825
1,139,803
777,208
54380
Vision Serv Plan
OH
55,859,229
39,861,455
10,588,750
47317
Vision Serv Plan
WA
53,982,163
49,224,234
4,093,641
48321
Vision Serv Plan Inc
NV
29,123,013
27,370,165
47097
Vision Serv Plan Inc OK
OK
24,249,532
21,126,102
(12,025)
12,025
0
676,934
195,150
136,960
2,356,685
41,720,537
6,736,897
2,339
547,780
11,038,844
3,487,455
1,200,629
7,717,947
90,534,630
8,873,582
613,530
3,027,081
32,973,997
5,888,592
808,882
743,071
1,226,294
7,107,481
1,261,746
3,170,117
545,766
3,088,802
35,334,517
4,731,722
2,469,725
© 2014 National Association of Insurance Commissioners
138
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
Company Name
DOM
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
39616
Vision Serv Plan Ins Co
CT
205,885,104
142,703,318
52,945,800
979,683
40,641,783
678,289,823
97,245,112
32395
Vision Serv Plan Ins Co
MO
41,530,182
23,112,798
11,249,624
787,395
8,437,755
126,292,509
20,774,500
47783
Vision Serv Plan of ID Inc
ID
15,609,201
14,540,600
892,442
443,923
1,006,027
7,907,315
1,093,379
12516
Vision Serv Plan of IL NFP
IL
39,756,817
28,689,347
6,501,364
351,326
5,200,646
104,157,220
12,638,571
2,930,175
2,850,517,790
169,144,842
96660
Vista Hlth Plan Inc
PA
447,406,056
160,484,731
(494,962)
4,291,137
95313
Vista Hlth Plan Inc
TX
3,310,633
3,305,194
(51,977)
10,699
95322
Viva Hlth Inc
AL
147,170,476
87,929,223
20,326,056
516,749
(41,278)
13,693,401
0
51,977
557,153,555
61,470,246
12867
Voluntary Employees Benefit Assn of
HI
8,391,323
8,369,217
14046
Volunteer State Hlth Plan Inc
TN
478,191,344
256,869,320
83445
Wellcare Hlth Ins of AZ Inc
AZ
167,829,551
74,388,938
19,618,148
361,168
13,046,245
523,477,202
56,093,135
64467
Wellcare Hlth Ins of KY Inc
KY
291,352,612
123,547,341
60,002,158
584,527
38,874,044
1,404,803,332
118,518,022
10884
Wellcare Hlth Ins of NY Inc
NY
12,048,043
12,044,148
(18,892)
40,250
13020
Wellcare Hlth Plans of NJ Inc
NJ
9,790,842
6,845,481
(2,528,939)
18,444
95310
WellCare of CT Inc
CT
28,767,448
20,135,213
5,178,227
63,522
3,497,029
89,501,004
7,732,386
95081
WellCare of Fl Inc
FL
402,101,871
150,657,679
59,693,857
1,718,546
42,790,073
2,072,942,249
252,929,713
15,999,382
178,282
10,931,952
1,806,784,887
239,324,569
(250,506)
85,057
61,594,750
2,593,848
10760
Wellcare of GA Inc
GA
336,796,984
145,438,999
14404
Wellcare of KS Inc
KS
1,810,664
1,805,355
12194
Wellcare of LA Inc
LA
24,886,844
13,345,928
7,287,246
69,464
12749
Wellcare of OH Inc
OH
63,703,546
42,266,293
10,741,020
11775
Wellcare of SC Inc
SC
59,207,294
35,430,658
11,624,183
12964
Wellcare of TX Inc
TX
66,071,204
24,210,663
(1,891)
1,107
(165,448)
42,015,897
13,867
(1,601,401)
(510)
0
287,655
1,677,051,246
243,436,130
0
28,216
13,404,718
3,504,290
0
1,891
4,761,056
85,349,783
14,210,219
216,847
7,530,885
202,095,552
33,246,346
182,301
7,667,594
163,035,813
7,912,645
11,299,263
119,702
6,957,204
293,762,687
39,828,792
84,757,814
10155
Wellcare Prescription Ins Inc
FL
205,600,738
118,592,990
25,368,393
359,473
17,077,385
715,776,177
85537
Wellington Life Ins Co
AZ
6,174,286
6,107,422
178,837
6,175
177,727
199,726
455,283
95531
Wellmark Hlth Plan of IA Inc
IA
207,901,855
147,616,340
20,608,150
13,968,980
25,540,998
338,664,815
41,677,063
88848
Wellmark Inc
IA
2,065,842,866
1,393,818,403
67,269,518
117,623,387
154,139,145
2,337,118,832
286,476,614
60128
Wellmark Of SD Inc
SD
402,548,768
235,810,085
22,325,881
16,834,458
29,876,901
639,161,437
71,626,870
12339
Western Grocers Employee Benefit Tru
OR
8,216,439
4,804,457
497,435
111,169
608,604
16,849,418
1,827,561
52555
Willamette Dental Ins Inc
OR
7,087,201
6,274,013
990,800
4,970
665,803
37,802,792
2,281,585
95819
Willamette Dental of ID Inc
ID
16,515,749
16,235,228
208,801
52
45,707
6,543,664
626,797
47050
Willamette Dental of WA Inc
WA
9,943,862
9,543,462
1,045,004
29,255
724,395
46,951,049
3,072,654
52,854,996
178,150
52,963,174
688,971,418
98,830,287
95792
Windsor Hlth Plan Inc
TN
194,663,530
107,483,852
14232
Windsor Hlth Plan of GA Inc
GA
3,099,018
3,099,018
(995)
11
(984)
0
995
14233
Windsor Hlth Plan of LA Inc
LA
3,996,484
3,996,484
(13,907)
8,103
(7,036)
0
13,907
95401
Winhealth Partners
53139
Wisconsin Physicians Serv Ins Corp
WY
12,282,080
8,664,143
(1,204,669)
155,642
WI
345,096,245
172,734,777
(12,030,427)
8,285,158
(707,071)
10,393,016
31,071,764
5,961,875
495,105,926
108,233,387
54682
Wisconsin Vision Serv Plan Inc
WI
16,349,479
14,605,538
1,424,884
149,000
1,036,506
14,380,397
1,724,202
10159
WPS Hlth Plan Inc
WI
23,109,194
7,897,506
(6,735,212)
820,712
(3,690,396)
80,716,950
10,479,427
© 2014 National Association of Insurance Commissioners
139
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC
Code
12352
Company Name
Wyssta Ins Co Inc
TOTAL
DOM
WI
Total
Capital
Net Underwriting
Net Investment
Net Income
Direct
Total Expenses
Assets
and Surplus
Gain or (Loss)
Gains or (Losses)
(Loss)
Business
Paid
8,367,586
6,885,330
784,055
121,342
562,105
6,331,098
828,303
221,999,071,155
118,885,463,164
9,700,556,728
5,622,266,489
11,190,252,210
459,291,801,959
55,754,910,539
© 2014 National Association of Insurance Commissioners
140
2013 HEALTH SELECTED DATA ELEMENTS
FROM COMPANY ANNUAL STATEMENTS
TECHNICAL NOTES
Data Element
Health Annual Statement Source
Total Assets
Capital and Surplus
Net Underwriting Gain (Loss)
Net Investment Gain (Loss)
Net Income (Loss)
Direct Business
Total Expenses Paid
Page 2, Line 28, Column 3
Page 3, Line 33, Column 3
Page 4, Line 24, Column 2
Page 4, Line 27, Column 2
Page 4, Line 32, Column 2
Page 8, Line 12, Column 1
Page 14, Line 31, Column 5
© 2014 National Association of Insurance Commissioners
141
© 2014 National Association of Insurance Commissioners
142
Index of Companies
© 2014 National Association of Insurance Commissioners
143
© 2014 National Association of Insurance Commissioners
144
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
AHS Tulsa OK Hlth Plan Inc
14048
00917
AMERICAN DENTAL PLAN OF WI INC
52041
00000
AMERIGROUP Comm Care of NM Inc
12354
00671
WELLPOINT INC GRP
AMERIGROUP FL INC
95093
00671
WELLPOINT INC GRP
AMERIGROUP MD Inc
95832
00671
WELLPOINT INC GRP
AMERIGROUP NJ Inc
95373
00671
WELLPOINT INC GRP
Company Name
Group Name
HCSC GRP
AMERIGROUP NV Inc
12586
00671
WELLPOINT INC GRP
AMERIGROUP OH Inc dba Comm Care
10767
00671
WELLPOINT INC GRP
AMERIGROUP TN Inc
12941
00671
WELLPOINT INC GRP
AMERIGROUP TX Inc
95314
00671
WELLPOINT INC GRP
AMGP GA Managed Care Co Inc
12229
00671
WELLPOINT INC GRP
Absolute Total Care Inc
12959
01295
CENTENE CORP GRP
Accendo Ins Co
63444
04667
CVS CAREMARK GRP
Access Dental Plan of NV Inc
15307
04809
ABBASZADEH DENTAL GRP
AccessCare Gen Inc
14158
04744
L S S GRP
AccessCare Gen LLC
14119
04744
L S S GRP
Accesscare Gen OK LLC
14343
04744
L S S GRP
Advantage Dental Plan Inc
47006
00000
Advantage Hlth Solutions Inc
52568
00000
Advantica Dental Benefits Inc
47035
03680
DELTA DENTAL PLAN OF MO GRP
Advantica Ins Co
12278
03680
DELTA DENTAL PLAN OF MO GRP
Aecc Total Vision Hlth Plan Of TX
95302
01295
CENTENE CORP GRP
Aetna Better Hlth Inc
14229
00001
AETNA GRP
Aetna Better Hlth Inc
13174
00001
AETNA GRP
Aetna Better Hlth Inc
14043
00001
AETNA GRP
Aetna Better Hlth Inc
13735
00001
AETNA GRP
Aetna Better Hlth Inc a GA Corp
12328
00001
AETNA GRP
Aetna Dental Inc
95910
00001
AETNA GRP
Aetna Dental Inc NJ Corp
11183
00001
AETNA GRP
Aetna Hlth Inc CT Corp
95935
00001
AETNA GRP
Aetna Hlth Inc FL Corp
95088
00001
AETNA GRP
Aetna Hlth Inc GA Corp
95094
00001
AETNA GRP
Aetna Hlth Inc ME Corp
95517
00001
AETNA GRP
Aetna Hlth Inc MI Corp
95756
00001
AETNA GRP
Aetna Hlth Inc NJ Corp
95287
00001
AETNA GRP
Aetna Hlth Inc NY Corp
95234
00001
AETNA GRP
Aetna Hlth Inc PA Corp
95109
00001
AETNA GRP
© 2014 National Association of Insurance Commissioners
145
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Aetna Hlth Inc TX Corp
95490
00001
AETNA GRP
Aetna Hlth Ins Co
72052
00001
AETNA GRP
Aetna Hlth Ins Co of NY
84450
00001
AETNA GRP
Aids Hlthcare Found MCO of FL Inc
12973
00000
Alaska Vision Serv Inc
47201
01189
VISION SERV PLAN GRP
Allegiance Life & Hlth Ins Co Inc
12814
00901
CIGNA HLTH GRP
Alliance Hlth & Life Ins Co
60134
01311
HENRY FORD HLTH SYSTEM GRP
Alliant Hlth Plans Inc
11256
00000
Aloha Care
95853
00000
Alpha Dental Programs Inc
95163
02479
DENTEGRA GRP
Company Name
Group Name
Alpha Dental of AZ Inc
95366
02479
DENTEGRA GRP
Alpha Dental of NM Inc
47092
02479
DENTEGRA GRP
Alpha Dental of NV Inc
95778
02479
DENTEGRA GRP
Alpha Dental of UT Inc
11174
02479
DENTEGRA GRP
Alphacare of NY Inc
15280
00000
Altius Hlth Plans Inc
95407
00001
AETNA GRP
Altus Dental Ins Co Inc
52632
01571
DELTA DENTAL OF RI GRP
AmFirst Ins Co
60250
04719
AMFIRST HOLDINGS GRP
AmeriHealth Caritas LA Inc
14143
00936
INDEPENDENCE BLUE CROSS GRP
American Dental Plan Of NC Inc
95107
00119
HUMANA GRP
American Dental Providers of AR Inc
11559
00119
HUMANA GRP
American Hlth Inc
11152
04802
TRIPLE S GRP
American Hlth Ntwrk of IN LLC
52623
00000
American Imaging Mgmt E LLC
11069
00671
WELLPOINT INC GRP
American Specialty Hlth Ins Co
84697
03502
AMERICAN SPECIALTY GRP
American Specialty Hlth ODS of NJ
11866
03502
AMERICAN SPECIALTY GRP
Americas 1st Choice Hlth Plans Inc
12910
04755
AMERICAS 1ST CHOICE GRP
Americas 1st Choice Ins Co of NC Inc
13044
04755
AMERICAS 1ST CHOICE GRP
Americhoice of CT Inc
13178
00707
UNITEDHEALTH GRP
Americhoice of GA Inc
13168
00707
UNITEDHEALTH GRP
Americhoice of NJ Inc
95497
00707
UNITEDHEALTH GRP
Amerigroup Ins Co
14078
00671
WELLPOINT INC GRP
Amerigroup KS Inc
14276
00671
WELLPOINT INC GRP
Amerigroup LA Inc
14064
00671
WELLPOINT INC GRP
Amerigroup Washington Inc
14073
00671
WELLPOINT INC GRP
Amerihealth DC Inc
15088
00936
INDEPENDENCE BLUE CROSS GRP
Amerihealth Hmo Inc
95044
00936
INDEPENDENCE BLUE CROSS GRP
© 2014 National Association of Insurance Commissioners
146
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Group Name
Amerihealth Ins Co Of NJ
60061
00936
INDEPENDENCE BLUE CROSS GRP
Amerihealth MI Inc
15104
00936
INDEPENDENCE BLUE CROSS GRP
Company Name
Amerihealth NE Inc
14261
00936
INDEPENDENCE BLUE CROSS GRP
Anthem Blue Cross Life & Hlth Ins Co
62825
00671
WELLPOINT INC GRP
Anthem Hlth Plans Inc
60217
00671
WELLPOINT INC GRP
Anthem Hlth Plans Of KY Inc
95120
00671
WELLPOINT INC GRP
Anthem Hlth Plans of ME Inc
52618
00671
WELLPOINT INC GRP
Anthem Hlth Plans of NH
53759
00671
WELLPOINT INC GRP
Anthem Hlth Plans of VA Inc
71835
00671
WELLPOINT INC GRP
Anthem Ins Co Inc
28207
00671
WELLPOINT INC GRP
Arcadian Hlth Plan Inc
12151
00119
HUMANA GRP
Arches Mut Ins Co
15079
00000
Arizona Dental Ins Serv Inc
53597
03658
Arkansas Superior Select Inc
15135
00000
Asuris NW Hlth
47350
01207
Athens Area Hlth Plan Select Inc
95691
00000
Atlantic Southern Dental Found
11217
00000
Atlantis Hlth Plan
52624
00000
DELTA DENTAL PLAN OF AZ GRP
CAMBIA HEALTH SOLUTIONS INC
Atrio Hlth Plans Inc
10123
00000
Aultcare Ins Co
77216
04805
Auxilio Platino Inc
12587
00000
AvMed Inc
95263
00000
Avalon Ins Co
12358
01230
Avera Hlth Plans Inc
95839
00000
Avesis Ins Inc
11163
00000
BCBS Hlthcare Plan of GA Inc
96962
00671
WELLPOINT INC GRP
BCBS Of FL
98167
00536
GUIDEWELL MUT HOLDING GRP
BCBS Of MS Mut Ins Co
60111
01126
MISSISSIPPI INS GRP
BCBS Of NE
77780
00000
BCBS Of SC Inc
38520
00661
BCBS OF SC GRP
BCBS of AL
55433
00570
BCBS OF AL GRP
BCBS of AZ Inc
53589
00000
BCBS of GA Inc
54801
00671
WELLPOINT INC GRP
BCBS of KC
47171
00537
BCBS OF KC GRP
BCBS of MA
53228
03637
BCBS OF MA GRP
BCBS of MA HMO Blue Inc
12219
03637
BCBS OF MA GRP
BCBS of MI Mut Ins Co
54291
00572
BCBS OF MI GRP
AULTMAN HLTH FOUNDATION GRP
CAPITAL BLUE CROSS GRP
© 2014 National Association of Insurance Commissioners
147
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
BCBS of NC Inc
54631
00000
BCBS of RI
53473
00000
Company Name
Group Name
BCBS of TN Inc
54518
03498
BCBS OF TN GRP
BCBS of VT
53295
04745
BCBS OF VT GRP
BCBS of WI
54003
00671
WELLPOINT INC GRP
BCBS of WY
53767
00000
BCBSM Inc
55026
00461
Baltas Vision LLC
12214
00000
Bankers Reserve Life Ins Co Of WI
71013
01295
BeHealthy Amer Inc
15118
00000
BCBS OF MN GRP
CENTENE CORP GRP
Beacon Hlth Strategies LLC
14267
00000
Block Vision Of TX Inc
95387
04801
SUPERIOR VISION HOLDING GRP
Block Vision of NJ Inc
14189
04801
SUPERIOR VISION HOLDING GRP
Blue Advantage Plus of KC Inc
10753
00537
BCBS OF KC GRP
Blue Care Network Of MI
95610
00572
BCBS OF MI GRP
Blue Care Of MI Inc
52037
00572
BCBS OF MI GRP
Blue Cross Complete of MI
11557
00572
BCBS OF MI GRP
Blue Cross of ID Care Plus Inc
15022
01290
BLUE CROSS OF ID GRP
Blue Cross of ID Hlth Serv Inc
60095
01290
BLUE CROSS OF ID GRP
BlueChoice Hlthplan of SC Inc
95741
00661
BCBS OF SC GRP
Bluegrass Family Hlth Inc
95071
00000
Boston Medical Center Hlth Plan Inc
13203
00000
Bravo Hlth Mid Atlantic Inc
10095
00901
CIGNA HLTH GRP
Bravo Hlth PA Inc
11524
00901
CIGNA HLTH GRP
BridgeSpan Hlth Co
95303
01207
CAMBIA HEALTH SOLUTIONS INC
Buckeye Comm Hlth Plan Inc
11834
01295
CENTENE CORP GRP
Bupa Ins Co
81647
00000
CBHNP Serv Inc
13630
00936
INDEPENDENCE BLUE CROSS GRP
CDPHP Universal Benefits Inc
47027
04708
CDPHP INC GRP
CHA Hmo Inc
95158
00119
HUMANA GRP
CMD Hlth Inc
13611
00000
Cambridge Life Ins Co
81000
00001
AETNA GRP
Canyon Ins Serv Inc
12217
03658
DELTA DENTAL PLAN OF AZ GRP
Capital Advantage Assur Co
14411
01230
CAPITAL BLUE CROSS GRP
Capital Advantage Ins Co
41203
01230
CAPITAL BLUE CROSS GRP
Capital Blue Cross
54720
01230
CAPITAL BLUE CROSS GRP
Capital District Physicians Hlthpln
95491
04708
CDPHP INC GRP
© 2014 National Association of Insurance Commissioners
148
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Capital Hlth Plan Inc
95112
00536
GUIDEWELL MUT HOLDING GRP
Care Improvement Plus S Central Ins
12567
00707
UNITEDHEALTH GRP
Company Name
Group Name
Care Improvement Plus WI Ins Co
14041
00707
UNITEDHEALTH GRP
Care Improvement Plus of MD Inc
12313
00707
UNITEDHEALTH GRP
Care Improvement Plus of TX Ins Co
12558
00707
UNITEDHEALTH GRP
Care N Care Ins Co Inc
13151
00000
Care Plus Dental Plans Inc
55450
00000
Care WI Hlth Plan Inc
12248
00000
CareCentrix of NJ Inc
14403
00000
CareFirst BlueChoice Inc
96202
00380
CAREFIRST INC GRP
CareMore Hlth Plan of NV
13605
00671
WELLPOINT INC GRP
CarePlus Hlth Plans Inc
95092
00119
HUMANA GRP
CareSource IN
10142
03683
CARESOURCE GRP
Carecore NJ LLC
10144
00000
Carefirst Inc
47021
00380
CAREFIRST INC GRP
Carefirst of MD Inc
47058
00380
CAREFIRST INC GRP
Caremore Hlth Plan of AZ Inc
13562
00671
WELLPOINT INC GRP
Caremore Hlth Plan of CO Inc
13753
00671
WELLPOINT INC GRP
Carepoint Ins Co
14203
00000
Caresource
95201
03683
Carilion Clinic Medicare Resources L
13628
00000
Cariten Hlth Plan Inc
95754
00119
HUMANA GRP
Cariten Ins Co
82740
00119
HUMANA GRP
Carolina Care Plan Inc
95732
00730
MEDICAL MUT OF OH GRP
Catamaran Ins of DE Inc
12630
04771
CATAMARAN GRP
Catholic Special Needs Plan LLC
12976
00000
Celticare Hlth Plan of MA Inc
13632
01295
CENTENE CORP GRP
Cenpatico Behavioral Hlth of TX
12525
01295
CENTENE CORP GRP
Cenpatico of AZ Inc
14704
01295
CENTENE CORP GRP
Cenpatico of LA Inc
15357
01295
CENTENE CORP GRP
Childrens Comm Hlth Plan Inc
13739
00000
Christiana Care Hlth Plans Inc
52039
00000
Christus Hlth Plan
14154
04743
CHRISTUS HLTH GRP
Cigna Dental Hlth Plan of AZ Inc
47013
00901
CIGNA HLTH GRP
CARESOURCE GRP
Cigna Dental Hlth of CO Inc
11175
00901
CIGNA HLTH GRP
Cigna Dental Hlth of DE Inc
95380
00901
CIGNA HLTH GRP
Cigna Dental Hlth of FL Inc
52021
00901
CIGNA HLTH GRP
© 2014 National Association of Insurance Commissioners
149
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Cigna Dental Hlth of KS Inc
52024
00901
CIGNA HLTH GRP
Cigna Dental Hlth of KY Inc
52108
00901
CIGNA HLTH GRP
Cigna Dental Hlth of MD Inc
48119
00901
CIGNA HLTH GRP
Cigna Dental Hlth of MO Inc
11160
00901
CIGNA HLTH GRP
Cigna Dental Hlth of NC Inc
95179
00901
CIGNA HLTH GRP
Cigna Dental Hlth of NJ Inc
11167
00901
CIGNA HLTH GRP
Company Name
Group Name
Cigna Dental Hlth of OH Inc
47805
00901
CIGNA HLTH GRP
Cigna Dental Hlth of PA Inc
47041
00901
CIGNA HLTH GRP
Cigna Dental Hlth of TX Inc
95037
00901
CIGNA HLTH GRP
Cigna Dental Hlth of VA Inc
52617
00901
CIGNA HLTH GRP
Cigna Hltcare of IN Inc
95525
00901
CIGNA HLTH GRP
Cigna Hlthcare NH Inc
95493
00901
CIGNA HLTH GRP
Cigna Hlthcare of AZ Inc
95125
00901
CIGNA HLTH GRP
Cigna Hlthcare of CO Inc
95604
00901
CIGNA HLTH GRP
Cigna Hlthcare of CT Inc
95660
00901
CIGNA HLTH GRP
Cigna Hlthcare of FL Inc
95136
00901
CIGNA HLTH GRP
Cigna Hlthcare of GA Inc
96229
00901
CIGNA HLTH GRP
Cigna Hlthcare of IL Inc
95602
00901
CIGNA HLTH GRP
Cigna Hlthcare of ME Inc
95447
00901
CIGNA HLTH GRP
Cigna Hlthcare of NC Inc
95132
00901
CIGNA HLTH GRP
Cigna Hlthcare of NJ Inc
95500
00901
CIGNA HLTH GRP
Cigna Hlthcare of NY Inc
95488
00901
CIGNA HLTH GRP
Cigna Hlthcare of SC Inc
95708
00901
CIGNA HLTH GRP
Cigna Hlthcare of St Louis Inc
95635
00901
CIGNA HLTH GRP
Cigna Hlthcare of TN Inc
95606
00901
CIGNA HLTH GRP
Cigna Hlthcare of TX Inc
95383
00901
CIGNA HLTH GRP
Citrus Hlth Care Inc
11836
00707
UNITEDHEALTH GRP
Colorado Access
95733
04781
COLORADO ACCESS GRP
Colorado Choice Hlth Plan
95774
00000
Colorado Dental Serv Inc
55875
00000
Colorado Hlth Ins Coop Inc
15126
00000
Columbia United Providers Inc
47047
00000
Common Ground Hlthcare Coop
15061
00000
Community Care Alliance of IL NFP
15209
00000
Community Care Behavioral Hlth Org
47024
01324
Community Care Hlth Plan Inc
10756
00000
Community Dental Assoc
11214
00000
UPMC HLTH SYSTEM GRP
© 2014 National Association of Insurance Commissioners
150
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Community First Grp Hospital Serv Co
11143
02738
COMMUNITY FIRST GRP
Community First Hlth Plans Inc
95248
02738
COMMUNITY FIRST GRP
Company Name
Group Name
Community Hlth Alliance Mut Ins Co
15144
00000
Community Hlth Choice Inc
95615
00000
Community Hlth Plan Ins Co
92681
00000
Community Hlth Plan of WA
47049
00000
Community Ins Co
10345
00671
WELLPOINT INC GRP
CommunityCare HMO Inc
11691
03487
COMMUNITYCARE GRP
Communitycare Life & Hlth Ins Co
89008
03487
COMMUNITYCARE GRP
Compbenefits Co
52015
00119
HUMANA GRP
Compbenefits Dental Inc
11228
00119
HUMANA GRP
Compcare Hlth Serv Ins Corp
95693
00671
WELLPOINT INC GRP
Comprehensive Mobile Ins AZ Inc
15238
00000
Connecticare Benefits Inc
14913
01127
HIP INS GRP
Connecticare Inc
95675
01127
HIP INS GRP
Connecticare Ins Co Inc
11209
01127
HIP INS GRP
Connecticare Of MA Inc
95299
01127
HIP INS GRP
Constellation Hlth LLC
15125
00000
Consumers Choice Hlth Ins Co
15145
00000
Consumers Mut Ins of Michigan
15128
00000
Cook Childrens Hlth Plan
95822
00000
Cooportunity Hlth
15093
00000
Coordinated Care Corp
95831
01295
CENTENE CORP GRP
Coordinated Care of WA Inc
15352
01295
CENTENE CORP GRP
Coordinated Hlth Mut Inc
15314
00000
Coventry Hlth & Life Ins Co
81973
00001
AETNA GRP
Coventry Hlth Care of DE Inc
96460
00001
AETNA GRP
Coventry Hlth Care of FL Inc
95114
00001
AETNA GRP
Coventry Hlth Care of GA Inc
95282
00001
AETNA GRP
Coventry Hlth Care of IA Inc
95241
00001
AETNA GRP
Coventry Hlth Care of IL Inc
74160
00001
AETNA GRP
Coventry Hlth Care of KS Inc
95489
00001
AETNA GRP
Coventry Hlth Care of LA Inc
95173
00001
AETNA GRP
Coventry Hlth Care of MO Inc
96377
00001
AETNA GRP
Coventry Hlth Care of NE Inc
95925
00001
AETNA GRP
Coventry Hlth Care of PA Inc
95283
00001
AETNA GRP
Coventry Hlth Care of TX Inc
14348
00001
AETNA GRP
© 2014 National Association of Insurance Commissioners
151
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Coventry Hlth Care of VA Inc
96555
00001
AETNA GRP
Coventry Hlth Care of W VA Inc
95408
00001
AETNA GRP
Coventry Hlth Care of the Carolinas
95321
00001
AETNA GRP
Coventry Hlth Plan of FL Inc
95266
00001
AETNA GRP
Coventry Summit Hlth Plan Inc
10771
00001
AETNA GRP
CoventryCares of MI Inc
12193
00001
AETNA GRP
Company Name
Group Name
Cox Hlth System HMO Inc
95530
01203
COX INS GRP
Cox Hlth Systems Ins Co
60040
01203
COX INS GRP
Crestpoint Hlth Ins Co
12858
00000
Cuatro LLC
13931
00000
DC Chartered Hlth Plan Inc
95748
00000
DENCAP DENTAL PLANS INC
52025
00000
DENTAL BENEFIT PROVIDERS OF IL INC
52053
00707
UNITEDHEALTH GRP
DSM USA Ins Co Inc
67636
04512
DENTAQUEST GRP
Dean Hlth Ins Inc
60067
01294
DEAN HLTH GRP
Dean Hlth Plan Inc
96156
01294
DEAN HLTH GRP
Delta Dental Ins Co
81396
02479
DENTEGRA GRP
Delta Dental Plan of AR Inc
47155
00000
Delta Dental Plan of IN Inc
52634
00477
RENAISSANCE HLTH SERV CORP GRP
Delta Dental Plan of KS Inc
54615
04638
DELTA DENTAL OF KS GRP
Delta Dental Plan of MI Inc
54305
00477
RENAISSANCE HLTH SERV CORP GRP
Delta Dental Plan of NH
47079
04763
NORTHEAST DELTA DENTAL GRP
Delta Dental Plan of NM Inc
47287
00477
RENAISSANCE HLTH SERV CORP GRP
Delta Dental Plan of OH Inc
54402
00477
RENAISSANCE HLTH SERV CORP GRP
Delta Dental Plan of PR Inc
47085
02479
DENTEGRA GRP
Delta Dental Plan of SD
54097
00000
Delta Dental Plan of VT
53279
04763
NORTHEAST DELTA DENTAL GRP
Delta Dental Plan of WI Inc
54046
03849
DELTA DENTAL OF WI GRP
Delta Dental Plan of WY
15200
00000
Delta Dental of DE Inc
11132
02479
DENTEGRA GRP
Delta Dental of IL
47589
00115
DELTA DENTAL PLAN OF IL GRP
Delta Dental of KY Inc
54674
00477
RENAISSANCE HLTH SERV CORP GRP
Delta Dental of MN
55034
00000
Delta Dental of MO
55697
03680
DELTA DENTAL PLAN OF MO GRP
Delta Dental of NC
54658
00477
RENAISSANCE HLTH SERV CORP GRP
Delta Dental of NE
47091
00000
Delta Dental of NJ Inc
55085
02918
DELTA DENTAL PLAN OF NJ GRP
© 2014 National Association of Insurance Commissioners
152
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Delta Dental of NY
55263
02479
Delta Dental of OK
53937
00000
Company Name
Group Name
DENTEGRA GRP
Delta Dental of PA
54798
02479
DENTEGRA GRP
Delta Dental of RI
55301
01571
DELTA DENTAL OF RI GRP
Delta Dental of VA
55611
04729
CORVESTA GRP
Delta Dental of W VA
12329
02479
DENTEGRA GRP
Delta Dental of WA
47341
00000
Denta Chek of MD Inc
47074
00000
DentaQuest Mid Atlantic Inc
52040
04512
DENTAQUEST GRP
DentaQuest USA Ins Co Inc
12307
04512
DENTAQUEST GRP
DentaQuest VA Inc
95713
04512
DENTAQUEST GRP
Dental Care Plus Inc
96265
00000
Dental Choice Inc
48127
00477
RENAISSANCE HLTH SERV CORP GRP
Dental Concern Ltd
52028
00119
HUMANA GRP
Dental Delivery Systems Inc
11195
00000
Dental Grp of NJ Inc
11241
00000
Dental Hlth Serv
47490
00000
Dental Practice Assn of NJ Inc
12213
00000
Dental Serv Corp of ND
47054
00000
Dental Serv Org Inc
11234
00000
Dental Serv of MA Inc
52060
04512
Dentcare Delivery Systems Inc
47112
00000
DENTAQUEST GRP
Dentegra Ins Co
73474
02479
DENTEGRA GRP
Dentegra Ins Co of New England
12210
02479
DENTEGRA GRP
Denticare Inc
95161
00119
HUMANA GRP
Denver Hlth Medical Plan Inc
95750
00000
Dominion Dental Serv Inc
95657
01230
Driscoll Childrens Hlth Plan
95809
00000
Dynamic Hlth Ins Co
15134
00000
Eastern Vision Serv Plan Inc
47029
01189
VISION SERV PLAN GRP
CAPITAL BLUE CROSS GRP
Educators Hlth Plans Life Accident &
12515
00126
EDUCATORS MUT GRP
Educators Mut Ins Assoc
81701
00126
EDUCATORS MUT GRP
El Paso First Hlth Plans Inc
52635
00000
Elderplan Inc
95662
00000
Empire Healthchoice Assur Inc
55093
00671
WELLPOINT INC GRP
Empire Healthchoice HMO Inc
95433
00671
WELLPOINT INC GRP
Employer Choice Ins Co Inc
13663
00000
© 2014 National Association of Insurance Commissioners
153
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Employers Dental Serv
53090
00000
Envision Ins Co
12747
00000
Company Name
Group Name
Erlanger Hlth Plan Trust
15378
00000
Essence Hlthcare Inc
11699
04597
ESSENCE GRP
Essence Hlthcare of NY Inc
13669
04597
ESSENCE GRP
Evergreen Hlth Coop Inc
15090
00000
Excellus Hlth Plan Inc
55107
01186
LIFETIME HLTHCARE GRP
Express Scripts Ins Co
60025
04813
EXPRESS SCRIPTS HOLDING GRP
Eyemed Vision Care HMO of TX Inc
95522
00000
Fallon Comm Hlth Plan Inc
95541
04741
FALLON GRP
FALLON GRP
Fallon Hlth & Life Assur Co
66828
04741
Family Hlth HI MBS
15074
00000
Familycare Hlth Plans Inc
47084
00000
Fidelio Ins Co
28231
00000
Fidelis SecureCare of MI Inc
10769
03744
FIDELIS SENIORCARE GRP
Fidelis SecureCare of NC Inc
12288
03744
FIDELIS SENIORCARE GRP
Fidelis Securecare of TX Inc
12597
03744
FIDELIS SENIORCARE GRP
First Care Inc
60113
00380
CAREFIRST INC GRP
First Comm Hlth Plan Inc
47051
00000
First Commonwealth Ins Co
60239
00429
GUARDIAN LIFE GRP
First Commonwealth Ltd Hlth Serv Cor
11221
00429
GUARDIAN LIFE GRP
First Commonwealth Ltd Hlth Serv Cor
12146
00429
GUARDIAN LIFE GRP
First Commonwealth of MO Inc
47716
00429
GUARDIAN LIFE GRP
First Medical Hlth Plan Inc
95722
00000
First Medical Hlth Plan of FL Inc
12985
00000
First Priority Life Ins Co Inc
60147
01270
HOSPITAL SERV ASSN OF NEPA GRP
FirstCarolinaCare Ins Co Inc
12962
00000
Flagship Hlth Systems Inc
11179
02918
DELTA DENTAL PLAN OF NJ GRP
Florida Hlth Care Plan Inc
13567
00536
GUIDEWELL MUT HOLDING GRP
Florida Hlthcare Plus Inc
14050
00000
Florida MHS Inc
14447
01260
MAGELLAN HLTH SERV INC GRP
Florida True Hlth Inc
14378
00936
INDEPENDENCE BLUE CROSS GRP
Freedom Hlth Inc
10119
04755
AMERICAS 1ST CHOICE GRP
Freedom Hlth Solutions LLC
15019
00000
Freelancers Consumer Operated & Orie
15114
00000
Freelancers Consumer Operated & Orie
15197
00000
Freelancers Hlth Serv Corp
15273
00000
© 2014 National Association of Insurance Commissioners
154
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Freelancers Ins Co Inc
13564
00000
GHS HMO Inc dba BlueLincs HMO
11814
00917
Company Name
Group Name
HCSC GRP
Gateway Hlth Plan Inc
96938
00812
HIGHMARK GRP
Gateway Hlth Plan of OH Inc
12325
00812
HIGHMARK GRP
Geisinger Hlth Plan
95923
01143
GEISINGER INS GRP
Geisinger Ind Ins Co
10244
01143
GEISINGER INS GRP
GEISINGER INS GRP
Geisinger Quality Options Inc
12743
01143
Globalhealth Inc
13667
00000
Golden Cross Hlth Plan Corp
95772
00000
Golden Dental Plans Inc
11113
00000
Golden Security Ins Co
65463
03498
BCBS OF TN GRP
Good Hlth Hmo Inc
95315
00537
BCBS OF KC GRP
Grand Valley Hlth Plan Inc
95453
00000
Granite Alliance Ins Co
15100
00000
Granite Care Meridian Hlth Plan of N
14228
04640
CAIDAN ENTERPRISES INC GRP
Granite State Hlth Plan Inc
14226
01295
CENTENE CORP GRP
Group Dental Hlth Administrators Inc
11246
00000
Group Dental Serv Of MD Inc
95846
00001
AETNA GRP
GROUP HLTH COOP GRP
Group Hlth Coop
95672
01185
Group Hlth Coop of Eau Claire
95192
00000
Group Hlth Coop of S Central WI
95311
00000
Group Hlth Inc
55239
01127
HIP INS GRP
Group Hlth Options Inc
47055
01185
GROUP HLTH COOP GRP
Group Hlth Plan Inc
52628
01258
HEALTHPARTNERS GRP
Group Hospitalization & Med Srvcs
53007
00380
CAREFIRST INC GRP
Guaranty Assur Co
69060
04506
DENTAL ECONOMICS GRP
Gundersen Hlth Plan Inc
95101
04751
GUNDERSEN LUTHERAN HLTH GRP
Gundersen Hlth Plan MN
14202
04751
GUNDERSEN LUTHERAN HLTH GRP
HAP Midwest Hlth Plan Inc
95814
01311
HENRY FORD HLTH SYSTEM GRP
HCSC Ins Serv Co
78611
00917
HCSC GRP
HIP Ins Co Of NY
60094
01127
HIP INS GRP
HM Hlth Ins Co
71768
00812
HIGHMARK GRP
HMO dba Blue Plus
95649
00461
BCBS OF MN GRP
HN1 Therapy Network of NJ LLC
15014
00000
HNE Ins Co
14198
04756
BAYSTATE HLTH GRP
HPHC Ins Co Inc
18975
00595
HARVARD PILGRIM HLTH CARE GRP
Harbor Hlth Plan Inc
11081
04759
VANGUARD HLTH GRP
© 2014 National Association of Insurance Commissioners
155
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Harmony Hlth Plan of IL Inc
11229
01199
WELLCARE GRP
Harvard Pilgrim Health Care New Eng
96717
00595
HARVARD PILGRIM HLTH CARE GRP
HARVARD PILGRIM HLTH CARE GRP
Company Name
Harvard Pilgrim Hlth Care Inc
96911
00595
Hawaii Medical Serv Assn
49948
00000
Hawaii Mgmt Alliance Assn
48330
00000
Health Alliance Medical Plans
77950
01192
Group Name
CARLE HOLDING CO GRP
Health Alliance Midwest Inc
95513
01192
CARLE HOLDING CO GRP
Health Alliance NW Hlth Plan Inc
15082
01192
CARLE HOLDING CO GRP
Health Alliance Plan Of MI
95844
01311
HENRY FORD HLTH SYSTEM GRP
Health Care Serv Corp A Mut Legal Re
70670
00917
HCSC GRP
Health Choice Ins Co
15081
00000
Health Choice Utah Inc
14481
00000
Health First Hlth Plans Inc
95019
04740
HEALTH FIRST GRP
Health First Ins Inc
14140
04740
HEALTH FIRST GRP
Health Ins Co of Amer Inc
13992
00000
Health Ins Plan of Greater NY
55247
01127
HIP INS GRP
Health Net Hlth Plan of OR Inc
95800
00623
HEALTH NET INC GRP
Health Net Ins Co NY Inc
43893
00707
UNITEDHEALTH GRP
Health Net of AZ Inc
95206
00623
HEALTH NET INC GRP
Health New England Inc
95673
04756
BAYSTATE HLTH GRP
Health Now NY Inc
55204
00000
Health Options Inc
95089
00536
GUIDEWELL MUT HOLDING GRP
Health Partners Plans Inc
95066
00000
Health Plan Of NV
96342
00707
Health Plan of CareOregon Inc
12277
00000
Health Resources Inc
96687
00000
Health Sun Hlth Plans
10122
00000
Health Tradition Hlth Plan
96628
00000
Health Ventures Ntwrk Inc
48011
00000
HealthAmer PA Inc
95060
00001
AETNA GRP
HealthAssurance PA Inc
11102
00001
AETNA GRP
HealthSpan Inc
15284
00000
HealthSpan Integrated Care
95204
00000
HealthSpring of FL Inc
11532
00901
UNITEDHEALTH GRP
CIGNA HLTH GRP
Healthcare DE Inc
95794
00936
INDEPENDENCE BLUE CROSS GRP
Healthcare USA Of MO LLC
95318
00001
AETNA GRP
Healthfirst Healthplan of NJ Inc
13035
00000
© 2014 National Association of Insurance Commissioners
156
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Healthkeepers Inc
95169
00671
WELLPOINT INC GRP
Healthlink Hmo Inc
96475
00671
WELLPOINT INC GRP
Healthpartners Inc
95766
01258
HEALTHPARTNERS GRP
Healthpartners Ins Co
44547
01258
HEALTHPARTNERS GRP
Healthplex Ins Co
11172
00085
HEALTHPLEX GRP
Healthplex of NJ Inc
12830
00085
HEALTHPLEX GRP
Company Name
Group Name
Healthplex of WA Inc
14909
00085
HEALTHPLEX GRP
Healthplus Ins Co
12826
03409
HEALTHPLUS OF MI GRP
Healthplus Of MI Inc
95580
03409
HEALTHPLUS OF MI GRP
Healthplus Partners Inc
11549
03409
HEALTHPLUS OF MI GRP
Healthspring Life & Hlth Ins Co Inc
12902
00901
CIGNA HLTH GRP
Healthspring of AL Inc
95781
00901
CIGNA HLTH GRP
Healthspring of TN Inc
11522
00901
CIGNA HLTH GRP
Healthy Alliance Life Ins Co
78972
00671
WELLPOINT INC GRP
Healthy Palm Beaches Inc
95827
00000
HealthyCT Inc
15046
00000
Heritage Vision Plans Inc
11204
00000
Highmark BCBSD Inc
53287
00812
HIGHMARK GRP
Highmark Inc
54771
00812
HIGHMARK GRP
Highmark Select Resources Inc
10131
00812
HIGHMARK GRP
Highmark West Virginia Inc.
54828
00812
HIGHMARK GRP
Hmo CO Inc
95473
00671
WELLPOINT INC GRP
Hmo LA Inc
95643
00438
LOUISIANA HLTH SERV GRP
Hmo MO Inc
95358
00671
WELLPOINT INC GRP
Hmo Of MS Inc
95289
01126
MISSISSIPPI INS GRP
Hmo Of NE PA
96601
01270
HOSPITAL SERV ASSN OF NEPA GRP
Hmo Partners Inc
95442
00876
ARKANSAS BCBS GRP
Home State Hlth Plan Inc
14218
01295
CENTENE CORP GRP
Hometown Hlth Plan
95195
01297
HEALTH PLAN GRP
Hometown Hlth Plan Inc
95350
04791
RENOWN HLTH GRP
Hometown Hlth Providers Ins Co
48305
04791
RENOWN HLTH GRP
Horizon Hlthcare Dental Inc
11146
01202
BCBS OF NJ GRP
Horizon Hlthcare Serv Inc
55069
01202
BCBS OF NJ GRP
Horizon Hlthcare of NJ Inc
95529
01202
BCBS OF NJ GRP
Horizon Ins Co
14690
01202
BCBS OF NJ GRP
Hospital Serv Assn of NE PA
54747
01270
HOSPITAL SERV ASSN OF NEPA GRP
Humana AdvantageCare Plan
10126
00119
HUMANA GRP
© 2014 National Association of Insurance Commissioners
157
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Humana Benefit Plan of IL Inc
60052
00119
HUMANA GRP
Humana Employers Hlth Plan GA Inc
95519
00119
HUMANA GRP
Company Name
Group Name
Humana Hlth Benefit Plan of LA Inc
95642
00119
HUMANA GRP
Humana Hlth Co of NY Inc
13558
00119
HUMANA GRP
Humana Hlth Ins Co Of FL Inc
69671
00119
HUMANA GRP
Humana Hlth Plan Inc
95885
00119
HUMANA GRP
Humana Hlth Plan of OH Inc
95348
00119
HUMANA GRP
Humana Hlth Plan of TX Inc
95024
00119
HUMANA GRP
Humana Hlth Plans of PR
95721
00119
HUMANA GRP
Humana Ins Co of NY
12634
00119
HUMANA GRP
Humana Medical Plan Inc
95270
00119
HUMANA GRP
Humana Medical Plan of MI Inc
14224
00119
HUMANA GRP
Humana Medical Plan of PA Inc
14462
00119
HUMANA GRP
Humana Medical Plan of UT Inc
12908
00119
HUMANA GRP
Humana Regional Hlth Plan Inc
12282
00119
HUMANA GRP
Humana WI Hlth Org Ins Corp
95342
00119
HUMANA GRP
INTotal Hlth LLC
10153
00000
Illinicare Hlth Plan Inc
14053
01295
CENTENE CORP GRP
Independence Blue Cross
54704
00936
INDEPENDENCE BLUE CROSS GRP
Independent Care Hlth Plan
11695
00119
HUMANA GRP
Independent Hlth Assn
95308
00000
Independent Hlth Benefits Corp
47034
00000
Indiana University Hlth Plans Inc
13164
04637
INDIANA UNIVERSITY HLTH GRP
Indiana Vision Serv Inc
52050
01189
VISION SERV PLAN GRP
Innovation Hlth Ins Co
15097
00001
AETNA GRP
Innovation Hlth Plan Inc
15098
00001
AETNA GRP
Instil Hlth Ins Co
12168
00661
BCBS OF SC GRP
Insurance Co of Scott & White
11670
00600
SCOTT & WHITE GRP
Inter Cnty Hlth Plan Inc
53252
00936
INDEPENDENCE BLUE CROSS GRP
Inter Cty Hospitalization Plan Inc
54763
00936
INDEPENDENCE BLUE CROSS GRP
HEALTHPLEX GRP
International Hlthcare Serv Inc
11173
00085
John D Kernan DMD PA
11182
00000
KPS Hlth Plans
53872
01185
KS Plan Administrators LLC
12827
00000
Kaiser Found Hlth Plan Inc HI Region
11538
00601
KAISER FOUNDATION GRP
Kaiser Found Hlth Plan Mid Atlanti
95639
00601
KAISER FOUNDATION GRP
Kaiser Found Hlth Plan of CO
95669
00601
KAISER FOUNDATION GRP
GROUP HLTH COOP GRP
© 2014 National Association of Insurance Commissioners
158
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Kaiser Found Hlth Plan of GA Inc
96237
00601
KAISER FOUNDATION GRP
Kaiser Found Hlth Plan of the NW
95540
00601
KAISER FOUNDATION GRP
Kaiser Permanente Ins Co
60053
00601
KAISER FOUNDATION GRP
Kentucky Hlth Coop Inc
15073
00000
Kentucky Spirit Health Plan Inc
14100
01295
CENTENE CORP GRP
Keystone Hlth Plan Central Inc
95199
01230
CAPITAL BLUE CROSS GRP
Company Name
Group Name
Keystone Hlth Plan E Inc
95056
00936
INDEPENDENCE BLUE CROSS GRP
Keystone Hlth Plan W Inc
95048
00812
HIGHMARK GRP
Land of Lincoln Mut Hlth Ins Co
15102
00000
Legal Serv Plans of VA Inc
47061
00000
Liberty Dental Plan of MO Inc
14057
04692
LIBERTY DENTAL PLAN GRP
Liberty Dental Plan of NJ Inc
11159
04692
LIBERTY DENTAL PLAN GRP
Liberty Dental Plan of NV Inc
13566
04692
LIBERTY DENTAL PLAN GRP
Liberty Union Life Assur Co
66753
00000
LifeWise Hlth Plan of OR Inc
84930
00962
PREMERA BLUE CROSS GRP
LifeWise Hlth Plan of WA
52633
00962
PREMERA BLUE CROSS GRP
Louisiana Health Cooperative Inc
15131
00000
Louisiana Healthcare Connections Inc
13970
01295
CENTENE CORP GRP
Louisiana Hlth Serv & Ind Co
81200
00438
LOUISIANA HLTH SERV GRP
Lovelace Ins Co Inc
12265
03679
ARDENT HLTH SERV GRP
Lovelace Sandia Hlth Systems Inc
95808
03679
ARDENT HLTH SERV GRP
MCNA Ins Co
14063
04730
MCNA GRP
MCS Advantage Inc
13022
01301
MEDICAL CARD SYSTEM INC GRP
MCS Hlth Mgmt Options Inc
95779
01301
MEDICAL CARD SYSTEM INC GRP
MD Individual Practice Assn Inc
96310
00707
UNITEDHEALTH GRP
MDwise Inc
95807
04637
INDIANA UNIVERSITY HLTH GRP
MHNet Life & Hlth Ins Co
12509
00001
AETNA GRP
MII Life Inc
61522
00461
BCBS OF MN GRP
MMM Hlthcare Inc
11157
04812
INNOVACARE INC GRP
MMM MULTI HLTH INC
12534
04812
INNOVACARE INC GRP
MNM 1997 Inc
95247
04506
DENTAL ECONOMICS GRP
MVP Hlth Ins Co
11125
01198
MVP GRP
MVP Hlth Ins Co of NH Inc
10135
01198
MVP GRP
MVP Hlth Plan Inc
95521
01198
MVP GRP
MVP Hlth Plan of NH Inc
10141
01198
MVP GRP
MVP Hlth Serv Corp
47062
01198
MVP GRP
Magellan Behavioral Hlth of NE Inc
14441
01260
MAGELLAN HLTH SERV INC GRP
© 2014 National Association of Insurance Commissioners
159
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Group Name
Magellan Behavioral Hlth of NJ LLC
12632
01260
MAGELLAN HLTH SERV INC GRP
Magellan Behavioral Hlth of PA Inc
47019
01260
MAGELLAN HLTH SERV INC GRP
Company Name
Magellan Complete Care of AZ Inc
14641
01260
MAGELLAN HLTH SERV INC GRP
Magellan Life Ins Co
97292
01260
MAGELLAN HLTH SERV INC GRP
Magnolia Hlth Plan Inc
13923
01295
CENTENE CORP GRP
Maine Comm Hlth Options
15077
00000
Maine Dental Serv Corp
14369
04763
NORTHEAST DELTA DENTAL GRP
Mamsi Life & Hlth Ins Co
60321
00707
UNITEDHEALTH GRP
Managed Dental Guard Inc
11199
00429
GUARDIAN LIFE GRP
Managed DentalGuard Inc
52556
00429
GUARDIAN LIFE GRP
Managed Dentalguard Inc
14142
00429
GUARDIAN LIFE GRP
Managed Hlth Inc
95284
04778
HEALTHFIRST INC GRP
Managed Hlth Serv Ins Corp
96822
01295
CENTENE CORP GRP
Martins Point Generations LLC
12545
00000
Maryland Care Medicare Inc
12751
00000
Massachusetts Vision Serv Plan
47093
01189
VISION SERV PLAN GRP
Matthew Thorton Hlth Plan Inc
95527
00671
WELLPOINT INC GRP
McLaren Hlth Plan Comm
14217
04700
MCLAREN HLTH GRP
McLaren Hlth Plan Inc
95562
04700
MCLAREN HLTH GRP
Medco Containment Ins Co Of NY
34720
04813
EXPRESS SCRIPTS HOLDING GRP
Medco Containment Life Ins Co
63762
04813
EXPRESS SCRIPTS HOLDING GRP
Medica Hlth Plans
52626
01552
MEDICA GRP
Medica Hlth Plans of FL Inc
12756
00707
UNITEDHEALTH GRP
Medica Hlth Plans of WI
95232
01552
MEDICA GRP
Medica HlthCare Plans Inc
12155
00707
UNITEDHEALTH GRP
Medica Ins Co
12459
01552
MEDICA GRP
Medical Assoc Clinic Hlth Plan of WI
95782
04811
MEDICAL ASSOCIATES GRP
Medical Assoc Hlth Plan Inc
52559
04811
MEDICAL ASSOCIATES GRP
Medical Hlth Insuring Corp of OH
95828
00730
MEDICAL MUT OF OH GRP
Medical Mut Of OH
29076
00730
MEDICAL MUT OF OH GRP
Medisun Inc
95982
00000
Medstar Family Choice
14227
04758
MEDSTAR HLTH GRP
Members Hlth Ins Co
94587
04677
TENNESSEE RURAL HLTH GRP
Memorial Hermann Hlth Ins Co
10076
04808
MEMORIAL HERMANN GRP
Mercy Maricopa Integrated Care
14904
00000
MercyCare HMO Inc
12195
03595
MERCY ALLIANCE INC GRP
Mercycare Ins Co
60215
03595
MERCY ALLIANCE INC GRP
© 2014 National Association of Insurance Commissioners
160
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Meridian Geisinger Hlth Network LLC
14238
01143
GEISINGER INS GRP
Meridian Hlth Plan of IA Inc
14145
04640
CAIDAN ENTERPRISES INC GRP
Meridian Hlth Plan of IL Inc
13189
04640
CAIDAN ENTERPRISES INC GRP
Meridian Hlth Plan of MI Inc
52563
04640
CAIDAN ENTERPRISES INC GRP
Merit Hlth Ins Co
18750
01260
MAGELLAN HLTH SERV INC GRP
Meritus Hlth Partners
14676
04786
COMPASS COOPERATIVE GRP
Company Name
Group Name
Meritus Mut Hlth Partners
15092
04786
COMPASS COOPERATIVE GRP
MetLife Hlth Plans Inc
14170
00241
METROPOLITAN GRP
Metropolitan Hlth Plan
52627
00000
Michigan Dental Plan Inc
47775
00000
Michigan Eyecare Assoc Inc
52006
00000
Mid Atlantic Vision Serv Plan Inc
53031
01189
Mid Rogue Hlth Plan
12253
00000
Mid Valley IPA Employee Benefit Trus
12527
00000
VISION SERV PLAN GRP
Midwestern Dental Plans Inc
11107
00000
Minuteman Hlth Inc
15010
00000
Missouri Care Inc
12913
01199
WELLCARE GRP
Moda Hlth Plan Inc
47098
01313
OREGON DENTAL GRP
Molina Hlthcare of FL Inc
13128
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of IL Inc
14104
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of MI
52630
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of NM
95739
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of OH Inc
12334
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of SC Inc
15329
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of TX Inc
10757
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of UT Inc DBA Amfam
95502
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of VA Inc
15133
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of WA Inc
96270
01531
MOLINA HEALTHCARE INC GRP
Molina Hlthcare of WI Inc
12007
01531
MOLINA HEALTHCARE INC GRP
Montana Hlth Cooperative
14933
00000
Mount Carmel Hlth Ins Co
13123
02838
CHE TRINITY INC GRP
Mount Carmel Hlth Plan Inc
95655
02838
CHE TRINITY INC GRP
Mutual Benefit Assn of HI
12868
00000
NHP of IN LLC
12540
04032
NHP HOLDINGS GRP
National Dental Care Inc
12844
00000
National Pacific Dental Inc
95251
00707
UNITEDHEALTH GRP
Neighborhood Hlth Partnership Inc
95123
00707
UNITEDHEALTH GRP
© 2014 National Association of Insurance Commissioners
161
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Neighborhood Hlth Plan Inc
11109
00000
Neighborhood Hlth Plan of RI Inc
95402
00000
Company Name
Group Name
Network Health LLC
14131
04742
TUFTS GRP
Network Hlth Ins Corp
15087
02678
NETWORK HLTH GRP
Network Hlth Plan
95737
02678
NETWORK HLTH GRP
Nevada Dental Benefits Ltd
13813
00000
Nevada Hlth Co Op
15132
00000
Nevada Pacific Dental Inc
95758
00707
UNITEDHEALTH GRP
New Hlth Ventures Inc
15106
04781
COLORADO ACCESS GRP
New Mexico Hlth Connections
15011
00000
New W Hlth Serv
95829
00000
Noridian Mut Ins Co
55891
00000
North Dakota Vision Serv Inc
47053
00000
North Shore LIJ CareConnect Ins Co
15309
04793
NORTH SHORE LIJ HLTH CARE GRP
OneNation Ins Co
85286
00671
WELLPOINT INC GRP
Opticare of UT
12533
00000
Optima Hlth Grp Inc
95481
01183
SENTARA HLTH MGMT GRP
Optima Hlth Ins Co
70715
01183
SENTARA HLTH MGMT GRP
Optima Hlth Plan
95281
01183
SENTARA HLTH MGMT GRP
Optimum Choice Inc
96940
00707
UNITEDHEALTH GRP
Optimum Hlthcare Inc
12259
04755
AMERICAS 1ST CHOICE GRP
Oregon Dental Serv
54941
01313
OREGON DENTAL GRP
Oregons Hlth COOP
15095
00000
Orthonet of the Mid Atlantic Inc
11068
00000
Oscar Ins Corp
15281
00000
Oxford Hlth Ins Inc
78026
00707
UNITEDHEALTH GRP
Oxford Hlth Plans CT Inc
96798
00707
UNITEDHEALTH GRP
Oxford Hlth Plans NJ Inc
95506
00707
UNITEDHEALTH GRP
Oxford Hlth Plans NY Inc
95479
00707
UNITEDHEALTH GRP
PHP FamlyCar
11537
03408
PHYSICIANS HLTH PLAN OF MID MI GRP
PHP Ins Co
12816
03408
PHYSICIANS HLTH PLAN OF MID MI GRP
PHP Ins Co of IN Inc
12331
03828
PHP INDIANA GRP
PMC Medicare Choice Inc
12178
04812
INNOVACARE INC GRP
PREMIER CHOICE DENTAL INC
95224
00000
Pacificare Life Assur Co
84506
00707
UNITEDHEALTH GRP
Pacificare Of AZ Inc
95617
00707
UNITEDHEALTH GRP
Pacificare Of CO Inc
95434
00707
UNITEDHEALTH GRP
© 2014 National Association of Insurance Commissioners
162
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Pacificare Of NV Inc
95685
00707
UNITEDHEALTH GRP
Pacificsource Comm Hlth Plans Inc
12595
04704
PACIFICSOURCE HLTH PLAN GRP
Company Name
Group Name
Pacificsource Hlth Plans
54976
04704
PACIFICSOURCE HLTH PLAN GRP
Paramount Advantage
12353
01212
VANGUARD HLTH VENTURES GRP
Paramount Care Of MI Inc
95566
01212
VANGUARD HLTH VENTURES GRP
Paramount Hlth Care
95189
01212
VANGUARD HLTH VENTURES GRP
Paramount Ins Co
11518
01212
VANGUARD HLTH VENTURES GRP
Parkland Comm Hlth Plan Inc
95414
00000
Peach State Hlth Plan Inc
12315
01295
CENTENE CORP GRP
Pennsylvania Life Ins Co
67660
04667
CVS CAREMARK GRP
Peoples Hlth Inc
13607
00000
Pharmacy Ins Corp of Amer
13134
00000
Phoenix Hlth Plans Inc
10160
04759
VANGUARD HLTH GRP
Physicians Hlth Choice of TX LLC
11494
00707
UNITEDHEALTH GRP
Physicians Hlth Plan
95849
03408
PHYSICIANS HLTH PLAN OF MID MI GRP
Physicians Hlth Plan of N IN Inc
95436
03828
PHP INDIANA GRP
Physicians Plus Ins Corp
95341
00000
Physicians United Plan Inc
10775
00000
PhysiciansPlus Baptist & St Dominic
95686
00000
Piedmont Comm Hlthcare Inc
95811
00000
Piedmont WellStar Hlth Plans Inc
15009
00000
Pioneer Educators Hlth Trust
12619
00000
Plan Medico Serv de Salud Bella Vist
95762
00000
Plan de Salud Menonita Inc
95730
00000
Pre Paid Dental Serv Inc
13208
00000
Preferred Assur Co
49964
01198
MVP GRP
Preferred Care Partners Inc
11176
00707
UNITEDHEALTH GRP
Preferred Ins Serv Inc
14080
00000
Preferred Medical Plan Inc
95271
00000
PreferredOne Comm Hlth Plan
95724
03492
PREFERREDONE GRP
PreferredOne Ins Co
11817
03492
PREFERREDONE GRP
Premera Blue Cross
47570
00962
PREMERA BLUE CROSS GRP
Premier Access Ins Co
60237
04809
ABBASZADEH DENTAL GRP
Presbyterian Hlth Plan Inc
95330
00481
PRESBYTERIAN HLTHCARE SERV GRP
Presybyterian Ins Co Inc
11504
00481
PRESBYTERIAN HLTHCARE SERV GRP
Priority Hlth
95561
03383
SPECTRUM HLTH GRP
Priority Hlth Choice Inc
11520
03383
SPECTRUM HLTH GRP
© 2014 National Association of Insurance Commissioners
163
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Priority Hlth Ins Co
12208
03383
SPECTRUM HLTH GRP
Providence Hlth Assur
15203
04788
PROVIDENCE HLTH GRP
Providence Hlth Plan
95005
04788
PROVIDENCE HLTH GRP
Public Hlth Trust of Dade Cnty
95126
00000
Pupil Benefits Plan Inc
55271
00000
QCA Hlth Plan Inc
95448
00000
QCC Ins Co
93688
00936
Qualchoice Life & Hlth Ins Co Inc
70998
00000
Quality Hlth Plans of NY Inc
13691
04685
QHP GRP
Red Tree Ins Co Inc
13646
04763
NORTHEAST DELTA DENTAL GRP
Company Name
Group Name
INDEPENDENCE BLUE CROSS GRP
Regence BCBS of OR
54933
01207
CAMBIA HEALTH SOLUTIONS INC
Regence BCBS of UT
54550
01207
CAMBIA HEALTH SOLUTIONS INC
Regence BlueShield
53902
01207
CAMBIA HEALTH SOLUTIONS INC
Regence Blueshield Of ID Inc
60131
01207
CAMBIA HEALTH SOLUTIONS INC
Regence Hlth Maintenance of OR Inc
96250
01207
CAMBIA HEALTH SOLUTIONS INC
Regence Hmo OR
95699
01207
CAMBIA HEALTH SOLUTIONS INC
Region 6 Rx Corp
12812
00936
INDEPENDENCE BLUE CROSS GRP
Renaissance Hlth Ins Co of NY
15638
00477
RENAISSANCE HLTH SERV CORP GRP
Renaissance Life & Hlth Ins Co of Am
61700
00477
RENAISSANCE HLTH SERV CORP GRP
Rocky Mountain Hlthcare Options Inc
47004
01184
ROCKY MOUNTAIN HLTH GRP
Rocky Mountain Hmo Inc
95482
01184
ROCKY MOUNTAIN HLTH GRP
Rocky Mountain Hospital & Medical
11011
00671
WELLPOINT INC GRP
Ryder Hlth Plan Inc
95743
00000
SAFEGUARD HLTH PLANS INC
52009
00241
METROPOLITAN GRP
SHA LLC
95138
03549
FIRSTCARE GRP
Safeguard Hlth Plans Inc
95051
00241
METROPOLITAN GRP
Safeguard Hlth Plans Inc
95747
00241
METROPOLITAN GRP
Safehealth Life Ins Co
79014
00241
METROPOLITAN GRP
Saint Marys Hlth First
95793
02418
SAINT MARYS HLTH CARE CORP GRP
Saint Marys Preferred Hlth Ins Co
11079
02418
SAINT MARYS HLTH CARE CORP GRP
Samaritan Hlth Plans Inc
12257
00000
Sanford Heart of Amer Hlth Plan
52554
00000
Sanford Hlth Plan
95683
01246
SIOUX VALLEY GRP
Sanford Hlth Plan of MN
95725
01246
SIOUX VALLEY GRP
Scan Hlth Plan AZ
12279
00000
Scott & White Hlth Plan
95099
00600
SCOTT & WHITE GRP
Security Hlth Ins Co of Amer NY Inc
13737
00492
SECURITY AMER FINANCIAL ENTERPRISES
© 2014 National Association of Insurance Commissioners
164
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Security Hlth Plan of WI Inc
96881
00000
SecurityCare of TN Inc
15005
03498
Company Name
Group Name
BCBS OF TN GRP
Seechange Hlth Ins Co
63541
00000
Select Hlth of SC Inc
95458
00936
INDEPENDENCE BLUE CROSS GRP
SelectCare of ME Inc
13627
00953
UNIVERSAL AMER FIN CORP GRP
SelectCare of Ok Inc
12284
00953
UNIVERSAL AMER FIN CORP GRP
SelectHealth Benefit Assur Co Inc
63245
00880
IHC INC GRP
SelectHealth Inc
95153
00880
IHC INC GRP
Selectcare Hlth Plans Inc
10768
00953
UNIVERSAL AMER FIN CORP GRP
Selectcare of TX Inc
10096
00953
UNIVERSAL AMER FIN CORP GRP
Sendero Hlth Plans Inc
14151
00000
Senior Whole Hlth of NY Inc
12776
00000
SeniorDent Dental Plan Inc
13211
00000
Seton Hlth Plan Inc
95240
00000
Sidney Hillman Hlth Centre
54259
00000
Sierra Hlth & Life Ins Co Inc
71420
00707
Sightcare Inc
47012
00000
SilverScript Ins Co
12575
04667
CVS CAREMARK GRP
Simply Hlthcare Plans Inc
13726
04806
SIMPLY HLTHCARE GRP
Single Vision Solution Inc
11082
00000
Smart Ins Co
80055
04764
Solstice Benefits Inc
12341
00000
UNITEDHEALTH GRP
RESERVOIR CAPITAL GRP
Solstice Health Ins Co
13971
00000
Soundpath Hlth
12909
04807
South Dakota State Med Holding Co
96598
00000
Southeastern IN Hlth Org Inc
95812
00000
Southwest Life & Hlth Ins Co
66117
03549
Sterling Dental Serv LLC
11953
00000
Sterling Life Ins Co
77399
01199
WELLCARE GRP
Summa Ins Co Inc
10649
03259
SUMMA HLTH GRP
Summacare Inc
95202
03259
SUMMA HLTH GRP
Sunflower State Hlth Plan Inc
14345
01295
CENTENE CORP GRP
Sunshine State Hlth Plan Inc
13148
01295
CENTENE CORP GRP
Superior Dental Care Inc
96280
00000
CATHOLIC HLTH INITIATIVES GRP
FIRSTCARE GRP
Superior Hlthplan Inc
95647
01295
CENTENE CORP GRP
THP Ins Co
60016
01297
HEALTH PLAN GRP
TRH Hlth Ins Co
89005
04677
TENNESSEE RURAL HLTH GRP
© 2014 National Association of Insurance Commissioners
165
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Takecare Ins Co Inc
11093
00000
Team Dental Inc
14387
00520
Company Name
Group Name
NEW ERA LIFE GRP
Texas Childrens Hlth Plan Inc
95329
00000
The Dental Concern Inc
54739
00119
HUMANA GRP
The Dental Network Inc
13130
00380
CAREFIRST INC GRP
The Hlth Plan the Upper OH Valley In
95677
01297
HEALTH PLAN GRP
The University of AZ Hlth Plans Univ
14004
00000
The Vt Hlth Plan LLC
95696
04745
Theramatrix Physical Therapy Plan In
12755
00000
Timber Products Manufacturers Trust
12239
00000
BCBS OF VT GRP
Todays Options of OK Inc
11709
00953
UNIVERSAL AMER FIN CORP GRP
Todays Options of PA Inc
14458
00953
UNIVERSAL AMER FIN CORP GRP
Total Dental Administrators Hlth Pla
52120
00661
BCBS OF SC GRP
Total Dental Administrators of UT
11560
00661
BCBS OF SC GRP
Total Hlth Care Inc
95644
01238
TOTAL HLTH GRP
Total Hlth Care USA Inc
12326
01238
TOTAL HLTH GRP
Touchstone Hlth HMO Inc
12970
00000
Triad Hlthcare of NJ IPA Inc
12584
00000
Trillium Comm Hlth Plan Inc
12559
00000
Trilogy Hlth Ins Inc
12834
00000
Triple S Salud Inc
55816
04802
Trusted Hlth Plan DC Inc
14225
00000
TRIPLE S GRP
Tufts Associated Hlth Maintenance Or
95688
04742
TUFTS GRP
Tufts Ins Co Inc
60117
04742
TUFTS GRP
UCare Hlth Inc
12924
04380
UCARE GRP
UCare MN
52629
04380
UCARE GRP
UDC OH INC DBA UNITED DENTAL CARE OH
52022
00019
ASSURANT INC GRP
UDC of MI Inc
11111
00019
ASSURANT INC GRP
UNICARE Hlth Plans of the Midwest
95505
00671
WELLPOINT INC GRP
UNITED CONCORDIA DENTAL PLANS
95253
00812
HIGHMARK GRP
UNITED CONCORDIA DENTAL PLANS OF KY
52048
00812
HIGHMARK GRP
UNITED CONCORDIA DENTAL PLNS OF MW
96150
00812
HIGHMARK GRP
UNITED DENTAL CARE OF MO INC
47044
00019
ASSURANT INC GRP
UPMC For You Inc
11995
01324
UPMC HLTH SYSTEM GRP
UPMC Hlth Ntwrk Inc
11994
01324
UPMC HLTH SYSTEM GRP
UPMC Hlth Options Inc
15345
01324
UPMC HLTH SYSTEM GRP
UPMC Hlth Plan Inc
95216
01324
UPMC HLTH SYSTEM GRP
© 2014 National Association of Insurance Commissioners
166
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
US Hlth & Life Ins Co Inc
97772
00000
USAble Mut Ins Co
83470
00876
UTMB Hlth Plans Inc
95764
00000
Ultimate Hlth Plans Inc
14243
00000
Unicare Hlth Ins Co Of The Midwest
70700
00671
WELLPOINT INC GRP
Unicare Hlth Plan of KS Inc
12805
00671
WELLPOINT INC GRP
Unicare Hlth Plan of WV Inc
11810
00671
WELLPOINT INC GRP
Unicare Hlth Plans of TX Inc
95420
00671
WELLPOINT INC GRP
Union Hlth Serv Inc
52553
00000
Union Medical Center
54127
00000
Company Name
Group Name
ARKANSAS BCBS GRP
Union Security DentalCare of NJ Inc
11244
00019
ASSURANT INC GRP
Unison Hlth Plan of the Capital Area
13032
00707
UNITEDHEALTH GRP
United Concordia Companies Inc
89070
00812
HIGHMARK GRP
United Concordia Dental Plan PA Inc
47089
00812
HIGHMARK GRP
United Concordia Dental Plans TX Inc
95160
00812
HIGHMARK GRP
United Concordia Ins Co
85766
00812
HIGHMARK GRP
United Concordia Ins Co Of NY
60222
00812
HIGHMARK GRP
United Concordia Life & Hlth Ins Co
62294
00812
HIGHMARK GRP
United Dental Care Of TX Inc
95142
00019
ASSURANT INC GRP
United Dental Care Of UT Inc
95450
00019
ASSURANT INC GRP
United Dental Care of AZ Inc
47708
00019
ASSURANT INC GRP
United Dental Care of CO Inc
52032
00019
ASSURANT INC GRP
United Dental Care of NM Inc
47042
00019
ASSURANT INC GRP
United Hlth Care of MS Inc
95716
00707
UNITEDHEALTH GRP
United Hlthcare Ins Co Of IL
60318
00707
UNITEDHEALTH GRP
United Hlthcare Ins Co Of NY
60093
00707
UNITEDHEALTH GRP
United Hlthcare Mid Atlantic Inc
95025
00707
UNITEDHEALTH GRP
United Hlthcare of AL Inc
95784
00707
UNITEDHEALTH GRP
United Hlthcare of AR Inc
95446
00707
UNITEDHEALTH GRP
United Hlthcare of AZ Inc
96016
00707
UNITEDHEALTH GRP
United Hlthcare of CO Inc
95090
00707
UNITEDHEALTH GRP
United Hlthcare of FL Inc
95264
00707
UNITEDHEALTH GRP
United Hlthcare of GA Inc
95850
00707
UNITEDHEALTH GRP
United Hlthcare of KY Ltd
96644
00707
UNITEDHEALTH GRP
United Hlthcare of LA Inc
95833
00707
UNITEDHEALTH GRP
United Hlthcare of Midlands Inc
95591
00707
UNITEDHEALTH GRP
United Hlthcare of Midwest Inc
96385
00707
UNITEDHEALTH GRP
© 2014 National Association of Insurance Commissioners
167
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
United Hlthcare of OH Inc
95186
00707
UNITEDHEALTH GRP
United Hlthcare of UT Inc
95501
00707
UNITEDHEALTH GRP
Company Name
Group Name
UnitedHealthCare Benefits of TX Inc
95174
00707
UNITEDHEALTH GRP
UnitedHealthCare of WA Inc
48038
00707
UNITEDHEALTH GRP
UnitedHealthcare Comm Plan Inc
95467
00707
UNITEDHEALTH GRP
UnitedHealthcare Comm Plan of OH Inc
12323
00707
UNITEDHEALTH GRP
UnitedHealthcare Ins Co of the River
12231
00707
UNITEDHEALTH GRP
UnitedHealthcare Of NY Inc
95085
00707
UNITEDHEALTH GRP
UnitedHealthcare Plan of the River V
95378
00707
UNITEDHEALTH GRP
UnitedHealthcare of IL Inc
95776
00707
UNITEDHEALTH GRP
UnitedHealthcare of NC Inc
95103
00707
UNITEDHEALTH GRP
UnitedHealthcare of New England Inc
95149
00707
UNITEDHEALTH GRP
UnitedHealthcare of OR Inc
95893
00707
UNITEDHEALTH GRP
UnitedHealthcare of PA Inc
95220
00707
UNITEDHEALTH GRP
UnitedHealthcare of TX Inc
95765
00707
UNITEDHEALTH GRP
UnitedHealthcare of WI Inc
95710
00707
UNITEDHEALTH GRP
UnitedHeathcare of OK Inc
96903
00707
UNITEDHEALTH GRP
Unitedhealthcare Comm Plan of TX LLC
11141
00707
UNITEDHEALTH GRP
Unitedhealthcare of NM Inc
13214
00707
UNITEDHEALTH GRP
Unity Hlth Plans Ins Corp
95796
00000
University Hlth Alliance
47953
00000
University Hlth Care Inc
52621
00000
Upmc Hlth Benefits Inc
11018
01324
Upper Peninsula Hlth Plan LLC
52615
00000
Valley Baptist Ins Co
12346
04759
VANGUARD HLTH GRP
Value Behavioral Hlth of PA Inc
47025
00965
FHC HLTH SYSTEMS GRP
Value Options of TX Inc
95799
00965
FHC HLTH SYSTEMS GRP
Vantage Hlth Plan Inc
95584
04783
VANTAGE HLTH GRP
Vantage Hlth Plan of AR Inc
15127
04783
VANTAGE HLTH GRP
Virginia Premier Hlth Plan Inc
95612
00000
Vision Benefits of Amer II Inc
13750
04696
VISION BENEFITS GRP
Vision Benefits of Amer Inc
53953
04696
VISION BENEFITS GRP
Vision Ins Plan of Amer Inc
52005
04801
SUPERIOR VISION HOLDING GRP
Vision Serv Plan
47317
01189
VISION SERV PLAN GRP
UPMC HLTH SYSTEM GRP
Vision Serv Plan
54380
01189
VISION SERV PLAN GRP
Vision Serv Plan Inc
48321
01189
VISION SERV PLAN GRP
Vision Serv Plan Inc OK
47097
01189
VISION SERV PLAN GRP
© 2014 National Association of Insurance Commissioners
168
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Individual
Company
Code
Group Code
Vision Serv Plan Ins Co
32395
01189
VISION SERV PLAN GRP
Vision Serv Plan Ins Co
39616
01189
VISION SERV PLAN GRP
Vision Serv Plan of ID Inc
47783
01189
VISION SERV PLAN GRP
Vision Serv Plan of IL NFP
12516
01189
VISION SERV PLAN GRP
Vista Hlth Plan Inc
96660
00936
INDEPENDENCE BLUE CROSS GRP
Vista Hlth Plan Inc
95313
00000
Viva Hlth Inc
95322
00000
Voluntary Employees Benefit Assn of
12867
00000
Volunteer State Hlth Plan Inc
14046
03498
BCBS OF TN GRP
WPS Hlth Plan Inc
10159
00068
WISCONSIN PHYSICIANS SERV INS GRP
WellCare of CT Inc
95310
01199
WELLCARE GRP
WellCare of Fl Inc
95081
01199
WELLCARE GRP
Wellcare Hlth Ins of AZ Inc
83445
01199
WELLCARE GRP
Wellcare Hlth Ins of KY Inc
64467
01199
WELLCARE GRP
Wellcare Hlth Ins of NY Inc
10884
01199
WELLCARE GRP
Wellcare Hlth Plans of NJ Inc
13020
01199
WELLCARE GRP
Wellcare Prescription Ins Inc
10155
01199
WELLCARE GRP
Wellcare of GA Inc
10760
01199
WELLCARE GRP
Company Name
Group Name
Wellcare of KS Inc
14404
01199
WELLCARE GRP
Wellcare of LA Inc
12194
01199
WELLCARE GRP
Wellcare of OH Inc
12749
01199
WELLCARE GRP
Wellcare of SC Inc
11775
01199
WELLCARE GRP
Wellcare of TX Inc
12964
01199
WELLCARE GRP
Wellington Life Ins Co
85537
00965
FHC HLTH SYSTEMS GRP
Wellmark Hlth Plan of IA Inc
95531
00770
WELLMARK INC GRP
Wellmark Inc
88848
00770
WELLMARK INC GRP
Wellmark Of SD Inc
60128
00770
WELLMARK INC GRP
Western Grocers Employee Benefit Tru
12339
00000
Willamette Dental Ins Inc
52555
03503
WILLAMETTE DENTAL GRP
Willamette Dental of ID Inc
95819
03503
WILLAMETTE DENTAL GRP
Willamette Dental of WA Inc
47050
03503
WILLAMETTE DENTAL GRP
Windsor Hlth Plan Inc
95792
01199
WELLCARE GRP
Windsor Hlth Plan of GA Inc
14232
00361
MUNICH RE GRP
Windsor Hlth Plan of LA Inc
14233
00361
MUNICH RE GRP
Winhealth Partners
95401
00000
Wisconsin Physicians Serv Ins Corp
53139
00068
WISCONSIN PHYSICIANS SERV INS GRP
Wisconsin Vision Serv Plan Inc
54682
01189
VISION SERV PLAN GRP
© 2014 National Association of Insurance Commissioners
169
HEALTH INSURANCE INDUSTRY AGGREGATES
INDEX OF COMPANIES
Company Name
Wyssta Ins Co Inc
Individual
Company
Code
Group Code
12352
03849
Group Name
DELTA DENTAL OF WI GRP
© 2014 National Association of Insurance Commissioners
170
The National Association of Insurance Commissioners (NAIC) is the
U.S. standard-setting and regulatory support organization created
and governed by the chief insurance regulators from the 50 states,
the District of Columbia and five U.S. territories. Through the NAIC,
state insurance regulators establish standards and best practices,
conduct peer review, and coordinate their regulatory oversight.
NAIC staff supports these efforts and represents the collective
views of state regulators domestically and internationally. NAIC
members, together with the central resources of the NAIC, form
the national system of state-based insurance regulation in the U.S.
For more information, visit www.naic.org.
S TA- HB- 1 4

Similar documents

Attendee List By Last Name

Attendee List By Last Name Larry Bruning National Association of Insurance Commissioners Kansas City, MO

More information