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
Larry Bruning National Association of Insurance Commissioners Kansas City, MO
More information