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Statistical Compilation of

Annual Statement Information


for Health Insurance
Companies in 2018

December 2019
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© 2019 National Association of Insurance Commissioners. All rights reserved.

ISBN: 978-1-64179-054-3

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Statistical Compilation of Annual Statement Information for
Health Insurance Companies in 2018

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


2018 Annual
Statement Page 2018 Report Page
2 2018 Assets....................................................................................................................................... 5
Graph – 2018 Distribution of Assets ................................................................................................ 7
2 2017 Assets....................................................................................................................................... 9
2 2016 Assets..................................................................................................................................... 10
2 2015 Assets..................................................................................................................................... 11
2 2014 Assets..................................................................................................................................... 12
3 2018 Liabilities, Capital and Surplus ............................................................................................. 13
3 2017 Liabilities, Capital and Surplus ............................................................................................. 14
3 2016 Liabilities, Capital and Surplus ............................................................................................. 15
3 2015 Liabilities, Capital and Surplus ............................................................................................. 16
3 2014 Liabilities, Capital and Surplus ............................................................................................. 17
4-5 Statement of Revenue and Expenses .............................................................................................. 18
6 Cash Flow ....................................................................................................................................... 20
7 Analysis of Operations by Lines of Business ................................................................................. 21
8 Underwriting and Investment Exhibit, Part 1 – Premiums ............................................................. 22
9 Underwriting and Investment Exhibit, Part 2 – Claims Incurred During the Year ........................ 23
10 Underwriting and Investment Exhibit, Part 2A – Claims Liability End of Current Year .............. 24
11 Underwriting and Investment Exhibit, Part 2B – Analysis of Claims Unpaid, Prior Year ............ 25
12 Underwriting and Investment Exhibit, Part 2C – Development of Paid and Incurred Claims ....... 26
13 Underwriting and Investment Exhibit, Part 2D – Aggregate Reserve for A & H Contracts .......... 27
14 Underwriting and Investment Exhibit, Part 3 – Analysis of Expenses........................................... 28
15 Exhibit of Net Investment Income ................................................................................................. 29
15 Exhibit of Capital Gains (Losses)................................................................................................... 29
16 Exhibit of Nonadmitted Assets....................................................................................................... 30
17 Exhibit 1 – Enrollment by Product Type For Health Business Only ............................................. 31
24 Exhibit 7, Part 1 – Summary of Transactions with Providers ........................................................ 32
25 Exhibit 8 – Furniture, Equipment and Supplies Owned ................................................................. 33
SI01 Summary Investment Schedule ...................................................................................................... 34
SI04 Schedule D – Summary by Country ............................................................................................... 35
SI05-SI07 Schedule D, Part 1A, Section 1 ...................................................................................................... 36
Graph – 2014-2018 Maturity Distribution of Bonds ...................................................................... 39
SI08-SI09 Schedule D, Part 1A, Section 2 ...................................................................................................... 41
36 Schedule S, Part 6 – Five-Year Exhibit of Reinsurance Ceded Business ...................................... 43
37 Schedule S, Part 7 – Restatement of Balance Sheet ....................................................................... 44

Technical Notes .................................................................................................................................................. 45

© 2019 National Association of Insurance Commissioners


COUNTRYWIDE, CANADA, AND AGG OTHER ALIEN INSURANCE DATA .................................. 47
2018 Annual
Statement Page 2018 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 – 2018 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

© 2019 National Association of Insurance Commissioners


COUNTRYWIDE, CANADA, & AGG OTHER ALIEN INSURANCE DATA (continued)
2018 Annual
Statement Page 2018 Report Page
30 Exhibit of Premiums, Enrollment and Utilization – South Dakota ...................................................... 97
30 Exhibit of Premiums, Enrollment and Utilization – Tennessee ........................................................... 98
30 Exhibit of Premiums, Enrollment and Utilization – Texas .................................................................. 99
30 Exhibit of Premiums, Enrollment and Utilization – Utah .................................................................. 100
30 Exhibit of Premiums, Enrollment and Utilization – Vermont............................................................ 101
30 Exhibit of Premiums, Enrollment and Utilization – Virginia ............................................................ 102
30 Exhibit of Premiums, Enrollment and Utilization – Washington ...................................................... 103
30 Exhibit of Premiums, Enrollment and Utilization – West Virginia ................................................... 104
30 Exhibit of Premiums, Enrollment and Utilization – Wisconsin ......................................................... 105
30 Exhibit of Premiums, Enrollment and Utilization – Wyoming .......................................................... 106
30 Exhibit of Premiums, Enrollment and Utilization – American Samoa .............................................. 107
30 Exhibit of Premiums, Enrollment and Utilization – Guam ................................................................ 108
30 Exhibit of Premiums, Enrollment and Utilization – Northern Mariana Islands ................................. 109
30 Exhibit of Premiums, Enrollment and Utilization – Puerto Rico ....................................................... 110
30 Exhibit of Premiums, Enrollment and Utilization – U.S. Virgin Islands ........................................... 111
30 Exhibit of Premiums, Enrollment and Utilization – Canada .............................................................. 112
30 Exhibit of Premiums, Enrollment and Utilization – Aggregate Other Alien ..................................... 113

Technical Notes ................................................................................................................................................ 114

SELECTED DATA ELEMENTS FROM COMPANY STATEMENTS................................................... 115

Selected Annual Statement Data Elements, By Company ................................................................................ 117


■ Total Assets
■ Capital and Surplus
■ Net Underwriting Gain (Loss)
■ Net Investment Gain (Loss)
■ Net Income (Loss)
■ Direct Business
■ Total Expenses Paid

Technical Notes ................................................................................................................................................ 145

INDEX OF COMPANIES ............................................................................................................................. 147

© 2019 National Association of Insurance Commissioners


Statistical Compilation of Annual Statement Information for
Health Insurance Companies in 2018

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 2018 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 2018 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.

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.

© 2019 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 1,016 individual companies filing the 2018 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 November 21, 2019, 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.

Please send any questions regarding this report to researchrequest@naic.org. Links to this report and
other NAIC reports can be found on the NAIC website at: NAIC Publications.

© 2019 National Association of Insurance Commissioners


2
Annual Statement Financial Data

© 2019 National Association of Insurance Commissioners


3
© 2019 National Association of Insurance Commissioners
4
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 2
ASSETS
(000's)
Current Year Prior Year

1 2 3 4
2018 Assets Nonadmitted Net Admitted Net Admitted
Assets Assets Assets Assets

01. Bonds (Schedule D) 128,603,089 15,403 128,587,687 117,000,309


02. Stocks (Schedule D):
02.1. Preferred stocks 597,701 6,860 590,841 449,055
02.2. Common stocks 36,783,101 932,509 35,850,592 35,623,421
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate 144,860 0 144,860 133,734
03.2. Other than first liens - mortgage loans on real estate 0 0 0 0
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances) 5,458,917 32,914 5,426,003 5,229,345
04.2. Properties held for the production of income (less encumbrances) 236,524 19,898 216,626 246,581
04.3. Properties held for sale (less encumbrances) 28,721 2,384 26,337 18,139
05. Cash, cash equivalents and short-term investments 40,658,871 5,133 40,653,739 46,601,079
06. Contract loans (including premium notes) 451 0 451 468
07. Derivatives (Schedule DB) 5,652 0 5,652 531
08. Other invested assets (Schedule BA) 13,351,750 460,659 12,891,091 11,135,275
09. Receivables for securities 235,100 171 234,928 296,228
10. Securities lending reinvested collateral assets (Schedule DL) 998,370 0 998,370 723,549
11. Aggregate write-ins for invested assets 234,481 56,000 178,481 127,758
12. Subtotals, cash and invested assets (Lines 1 to 11) 227,337,587 1,531,930 225,805,657 217,585,474
13. Title plants less charged off (for title insurers only) 0 0 0 0
14. Investment income due and accrued 1,039,387 1,611 1,037,776 917,461
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection 20,225,313 433,263 19,792,049 18,025,777
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums) 2,651,814 1 2,651,813 2,694,655
15.3. Accrued retrospective premiums ($) and contracts subject to redetermin 8,777,381 10,444 8,766,937 6,525,438
16. Reinsurance:
16.1. Amounts recoverable from reinsurers 1,060,407 4,689 1,055,718 1,235,456
16.2. Funds held by or deposited with reinsured companies 227,550 2,577 224,973 221,438
16.3. Other amounts receivable under reinsurance contracts 339,756 14,254 325,501 469,908
17. Amounts receivable relating to uninsured plans 17,768,580 1,237,827 16,530,752 14,913,793
18.1. Current federal and foreign income tax recoverable and interest thereon 3,614,275 7,747 3,606,528 1,301,598
18.2. Net deferred tax asset 7,735,286 2,195,482 5,539,804 5,725,325
19. Guaranty funds receivable or on deposit 461,079 158 460,921 519,583
20. Electronic data processing equipment and software 2,729,561 2,148,022 581,539 572,743
21. Furniture and equipment, including health care delivery assets 1,971,685 1,415,686 555,999 538,941
22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0 0
23. Receivables from parent, subsidiaries and affiliates 6,322,291 251,463 6,070,828 5,992,215
24. Health care and other amounts receivable 18,676,899 4,125,483 14,551,415 13,027,255
25. Aggregate write-ins for other than invested assets 9,952,156 4,215,095 5,737,061 6,128,904
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25) 330,891,006 17,595,732 313,295,274 296,395,964
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 797 0 797 791
28. Totals (Lines 26 and 27) 330,891,803 17,595,732 313,296,071 296,396,754

© 2019 National Association of Insurance Commissioners


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© 2019 National Association of Insurance Commissioners
6
2018 Distribution of Assets
Real Estate, 1.81%

Other Assets, 27.93%

Bonds, 41.04%

All Other Invested Assets,


17.54%

Mortgage Loans, 0.05% Stocks, 11.63%

© 2019 National Association of Insurance Commissioners


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© 2019 National Association of Insurance Commissioners
8
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE ....................................................................
(Name) 2
ASSETS
(000's)
Current Year Prior Year

1 2 3 4
2017 Assets Nonadmitted Net Admitted Net Admitted
Assets Assets Assets Assets

01. Bonds (Schedule D) 117,014,782 18,926 116,995,855 104,893,688


02. Stocks (Schedule D):
02.1. Preferred stocks 454,061 5,003 449,058 396,232
02.2. Common stocks 37,543,169 1,828,582 35,714,587 33,211,568
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate 133,734 0 133,734 36,536
03.2. Other than first liens - mortgage loans on real estate 0 0 0 0
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances) 5,259,192 29,847 5,229,345 5,048,369
04.2. Properties held for the production of income (less encumbrances) 267,100 20,519 246,581 258,628
04.3. Properties held for sale (less encumbrances) 18,139 0 18,139 27,944
05. Cash, cash equivalents and short-term investments 46,682,060 19,279 46,662,781 40,490,268
06. Contract loans (including premium notes) 468 0 468 456
07. Derivatives (Schedule DB) 531 0 531 3,408
08. Other invested assets (Schedule BA) 11,325,641 260,250 11,065,391 9,656,560
09. Receivables for securities 296,478 16 296,462 235,415
10. Securities lending reinvested collateral assets (Schedule DL) 723,549 0 723,549 1,253,257
11. Aggregate write-ins for invested assets 355,697 230,373 125,324 184,070
12. Subtotals, cash and invested assets (Lines 1 to 11) 220,074,601 2,412,796 217,661,805 195,696,398
13. Title plants less charged off (for title insurers only) 0 0 0 0
14. Investment income due and accrued 917,729 268 917,461 827,535
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection 18,411,381 471,998 17,939,382 17,753,587
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums) 2,694,655 0 2,694,655 2,583,445
15.3. Accrued retrospective premiums ($) and contracts subject to redetermin 6,797,697 260,985 6,536,712 6,823,755
16. Reinsurance:
16.1. Amounts recoverable from reinsurers 1,258,460 17,812 1,240,648 3,797,954
16.2. Funds held by or deposited with reinsured companies 224,613 1,772 222,841 359,943
16.3. Other amounts receivable under reinsurance contracts 471,028 1,120 469,908 265,329
17. Amounts receivable relating to uninsured plans 16,086,696 1,176,859 14,909,837 15,734,970
18.1. Current federal and foreign income tax recoverable and interest thereon 1,315,042 13,409 1,301,633 1,576,358
18.2. Net deferred tax asset 10,278,669 4,553,291 5,725,378 4,032,580
19. Guaranty funds receivable or on deposit 522,558 1,675 520,883 120,300
20. Electronic data processing equipment and software 2,675,690 2,102,979 572,712 516,893
21. Furniture and equipment, including health care delivery assets 1,880,145 1,341,186 538,959 596,336
22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0 1
23. Receivables from parent, subsidiaries and affiliates 6,289,906 283,168 6,006,738 6,772,269
24. Health care and other amounts receivable 16,757,135 3,710,958 13,046,177 11,590,755
25. Aggregate write-ins for other than invested assets 10,199,815 4,065,729 6,134,086 5,593,561
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25) 316,855,820 20,416,006 296,439,814 274,641,970
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 797 0 797 791
28. Totals (Lines 26 and 27) 316,856,617 20,416,006 296,440,611 274,642,761

© 2019 National Association of Insurance Commissioners


9
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2016 OF THE ...................................................................
(Name) 2
ASSETS
(000's)
Current Year Prior Year

1 2 3 4
2016 Assets Nonadmitted Net Admitted Net Admitted
Assets Assets Assets Assets

01. Bonds (Schedule D) 105,131,683 62,642 105,069,040 99,944,636


02. Stocks (Schedule D):
02.1. Preferred stocks 400,197 3,965 396,232 303,734
02.2. Common stocks 34,963,632 1,741,119 33,222,514 30,283,432
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate 36,536 0 36,536 37,669
03.2. Other than first liens - mortgage loans on real estate 0 0 0 0
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances) 5,105,656 57,288 5,048,369 5,343,469
04.2. Properties held for the production of income (less encumbrances) 268,467 9,840 258,628 207,163
04.3. Properties held for sale (less encumbrances) 27,944 0 27,944 28,320
05. Cash, cash equivalents and short-term investments 40,647,769 13,569 40,634,200 34,074,503
06. Contract loans (including premium notes) 456 0 456 472
07. Derivatives (Schedule DB) 3,408 0 3,408 6,000
08. Other invested assets (Schedule BA) 10,073,938 402,701 9,671,237 9,039,026
09. Receivables for securities 235,635 220 235,415 194,953
10. Securities lending reinvested collateral assets (Schedule DL) 1,253,257 0 1,253,257 1,373,072
11. Aggregate write-ins for invested assets 428,705 213,156 215,549 361,624
12. Subtotals, cash and invested assets (Lines 1 to 11) 198,577,283 2,504,499 196,072,785 181,198,073
13. Title plants less charged off (for title insurers only) 0 0 0 0
14. Investment income due and accrued 828,203 156 828,047 795,651
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection 17,967,112 500,083 17,467,029 15,837,429
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums) 2,583,445 0 2,583,445 2,452,170
15.3. Accrued retrospective premiums ($) and contracts subject to redetermi 7,170,379 333,419 6,836,960 4,650,846
16. Reinsurance:
16.1. Amounts recoverable from reinsurers 3,825,564 19,673 3,805,890 6,001,648
16.2. Funds held by or deposited with reinsured companies 361,078 1,259 359,820 363,019
16.3. Other amounts receivable under reinsurance contracts 268,227 3,051 265,176 229,815
17. Amounts receivable relating to uninsured plans 17,016,382 1,273,161 15,743,221 17,409,893
18.1. Current federal and foreign income tax recoverable and interest thereon 1,594,282 14,241 1,580,042 1,204,090
18.2. Net deferred tax asset 6,363,523 2,326,235 4,037,288 4,247,067
19. Guaranty funds receivable or on deposit 120,460 160 120,300 56,401
20. Electronic data processing equipment and software 2,662,996 2,145,250 517,746 515,296
21. Furniture and equipment, including health care delivery assets 1,949,715 1,325,134 624,581 551,134
22. Net adjustment in assets and liabilities due to foreign exchange rates 1 0 1 24
23. Receivables from parent, subsidiaries and affiliates 7,089,309 315,845 6,773,465 5,918,917
24. Health care and other amounts receivable 15,250,219 3,582,579 11,667,640 10,449,165
25. Aggregate write-ins for other than invested assets 9,094,138 3,492,910 5,601,228 5,101,597
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25) 292,722,317 17,837,654 274,884,663 256,982,234
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 797 6 791 943
28. Totals (Lines 26 and 27) 292,723,113 17,837,660 274,885,453 256,983,177

© 2019 National Association of Insurance Commissioners


10
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2015 OF THE ...................................................................
(Name) 2
ASSETS
(000's)
Current Year Prior Year

1 2 3 4
2015 Assets Nonadmitted Net Admitted Net Admitted
Assets Assets Assets Assets

01. Bonds (Schedule D) 100,348,853 68,151 100,280,702 97,414,324


02. Stocks (Schedule D):
02.1. Preferred stocks 336,978 33,244 303,734 260,014
02.2. Common stocks 31,741,379 1,509,642 30,231,737 31,489,722
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate 37,669 0 37,669 37,739
03.2. Other than first liens - mortgage loans on real estate 0 0 0 3
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances) 5,392,448 41,152 5,351,296 5,564,394
04.2. Properties held for the production of income (less encumbrances) 219,480 12,317 207,163 211,724
04.3. Properties held for sale (less encumbrances) 28,320 0 28,320 34,594
05. Cash, cash equivalents and short-term investments 34,570,463 19,555 34,550,907 29,270,634
06. Contract loans (including premium notes) 555 0 555 465
07. Derivatives (Schedule DB) 6,000 0 6,000 6,460
08. Other invested assets (Schedule BA) 9,409,532 394,348 9,015,185 8,031,940
09. Receivables for securities 195,012 31 194,981 152,235
10. Securities lending reinvested collateral assets (Schedule DL) 1,373,072 0 1,373,072 1,635,689
11. Aggregate write-ins for invested assets 604,154 157,346 446,807 373,349
12. Subtotals, cash and invested assets (Lines 1 to 11) 184,263,914 2,235,785 182,028,129 174,483,287
13. Title plants less charged off (for title insurers only) 0 0 0 0
14. Investment income due and accrued 798,213 1,310 796,903 803,871
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection 16,334,121 499,860 15,834,261 14,843,463
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums) 2,452,516 21 2,452,495 2,390,462
15.3. Accrued retrospective premiums ($) and contracts subject to redetermi 5,599,128 989,650 4,609,479 1,700,382
16. Reinsurance:
16.1. Amounts recoverable from reinsurers 6,164,354 9,163 6,155,191 5,230,843
16.2. Funds held by or deposited with reinsured companies 364,084 1,070 363,014 181,235
16.3. Other amounts receivable under reinsurance contracts 232,101 1,996 230,105 188,938
17. Amounts receivable relating to uninsured plans 18,590,419 1,186,715 17,403,704 17,553,534
18.1. Current federal and foreign income tax recoverable and interest thereon 1,257,287 16,586 1,240,701 1,023,072
18.2. Net deferred tax asset 6,333,384 2,083,835 4,249,549 3,517,367
19. Guaranty funds receivable or on deposit 56,594 159 56,435 26,673
20. Electronic data processing equipment and software 2,818,871 2,301,601 517,270 508,266
21. Furniture and equipment, including health care delivery assets 1,892,712 1,340,101 552,611 548,369
22. Net adjustment in assets and liabilities due to foreign exchange rates 1 0 1 2
23. Receivables from parent, subsidiaries and affiliates 6,319,449 356,554 5,962,895 5,516,908
24. Health care and other amounts receivable 13,606,786 3,108,907 10,497,878 8,416,825
25. Aggregate write-ins for other than invested assets 8,606,251 3,406,374 5,199,877 6,061,900
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25) 275,690,187 17,539,689 258,150,498 242,995,398
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 943 0 943 3,869
28. Totals (Lines 26 and 27) 275,691,130 17,539,689 258,151,441 242,999,267

© 2019 National Association of Insurance Commissioners


11
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................
(Name) 2
ASSETS
(000's)
Current Year Prior Year

1 2 3 4
2014 Assets Nonadmitted Net Admitted Net Admitted
Assets Assets Assets Assets

01. Bonds (Schedule D) 97,644,585 136,983 97,507,602 96,476,682


02. Stocks (Schedule D):
02.1. Preferred stocks 296,287 36,377 259,910 351,759
02.2. Common stocks 32,988,978 1,555,175 31,433,804 36,515,265
03. Mortgage loans on real estate (Schedule B):
03.1. First liens - mortgage loans on real estate 37,739 0 37,739 46,028
03.2. Other than first liens - mortgage loans on real estate 3 0 3 7
04. Real estate (Schedule A):
04.1. Properties occupied by the company (less encumbrances) 5,605,501 44,271 5,561,230 5,584,851
04.2. Properties held for the production of income (less encumbrances) 219,523 9,478 210,046 212,313
04.3. Properties held for sale (less encumbrances) 34,067 0 34,067 8,627
05. Cash, cash equivalents and short-term investments 29,087,050 10,925 29,076,125 26,386,757
06. Contract loans (including premium notes) 465 0 465 525
07. Derivatives (Schedule DB) 6,460 0 6,460 5,437
08. Other invested assets (Schedule BA) 8,735,025 638,975 8,096,049 7,753,987
09. Receivables for securities 152,480 125 152,355 167,684
10. Securities lending reinvested collateral assets (Schedule DL) 1,638,464 0 1,638,464 1,246,861
11. Aggregate write-ins for invested assets 575,308 153,440 421,869 184,802
12. Subtotals, cash and invested assets (Lines 1 to 11) 177,021,936 2,585,749 174,436,187 174,941,583
13. Title plants less charged off (for title insurers only) 0 0 0 0
14. Investment income due and accrued 804,428 502 803,926 854,374
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection 15,332,191 545,743 14,786,448 12,807,865
15.2. Deferred premiums, agents' balances and installments booked but
deferred and not yet due (including earned but unbilled premiums) 2,391,209 746 2,390,462 2,346,113
15.3. Accrued retrospective premiums 1,882,935 12,659 1,870,277 1,375,430
16. Reinsurance:
16.1. Amounts recoverable from reinsurers 5,370,446 7,790 5,362,656 887,925
16.2. Funds held by or deposited with reinsured companies 181,235 0 181,235 86,378
16.3. Other amounts receivable under reinsurance contracts 203,400 3,855 199,545 167,408
17. Amounts receivable relating to uninsured plans 18,520,841 985,052 17,535,790 13,868,117
18.1. Current federal and foreign income tax recoverable and interest thereon 1,027,882 11,168 1,016,714 762,026
18.2. Net deferred tax asset 5,211,470 1,699,771 3,511,700 3,178,998
19. Guaranty funds receivable or on deposit 27,208 608 26,601 25,857
20. Electronic data processing equipment and software 2,916,362 2,406,741 509,621 532,542
21. Furniture and equipment, including health care delivery assets 1,903,293 1,350,726 552,568 598,953
22. Net adjustment in assets and liabilities due to foreign exchange rates 2 0 2 0
23. Receivables from parent, subsidiaries and affiliates 5,865,738 329,505 5,536,233 3,993,237
24. Health care and other amounts receivable 10,958,569 2,497,015 8,461,554 6,931,581
25. Aggregate write-ins for other than invested assets 10,428,541 4,270,266 6,158,275 4,103,758
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines12 to 25) 260,047,687 16,707,896 243,339,792 227,462,147
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 3,869 0 3,869 3,876
28. Totals (Lines 26 and 27) 260,051,556 16,707,896 243,343,661 227,466,024

© 2019 National Association of Insurance Commissioners


12
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 3

LIABILITIES, CAPITAL AND SURPLUS


(000's)
Current Year Prior Year

2018 Liabilities, 1 2 3 4

Capital and Surplus


Covered Uncovered Total Total

01. Claims unpaid (less reinsurance ceded) 60,747,968 2,024,817 62,772,785 60,256,492
02. Accrued medical incentive pool and bonus amounts 3,649,661 27,625 3,677,287 3,154,989
03. Unpaid claims adjustment expenses 1,391,637 93,759 1,485,396 1,419,569
04. Aggregate health policy reserves, including the liabilityof $ ¿ for 15,951,016 560,069 16,511,085 17,031,735
medical loss ratio rebate per the Public Health Service Act
05. Aggregate life policy reserves 10,802 30 10,832 12,333
06. Property/casualty unearned premium reserves 0 0 0 0
07. Aggregate health claim reserves 174,152 41,004 215,156 172,165
08. Premiums received in advance 6,945,393 138,009 7,083,402 6,952,716
09. General expenses due or accrued 15,406,819 313,310 15,720,129 15,207,712
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses)) 1,046,362 61,258 1,107,620 1,282,954
10.2. Net deferred tax liability 54,323 0 54,323 95,458
11. Ceded reinsurance premiums payable 1,360,055 52,099 1,412,154 798,385
12. Amounts withheld or retained for the account of others 1,762,593 70,980 1,833,573 1,815,317
13. Remittances and items not allocated 1,595,975 145,024 1,740,999 1,856,881
14. Borrowed money (including current) and interest thereon (including current) 4,617,234 110,207 4,727,441 5,234,970
15. Amounts due to parent, subsidiaries and affiliates 10,432,460 427,963 10,860,424 8,474,748
16. Derivatives 2,909 576 3,486 5,103
17. Payable for securities 679,109 5,405 684,515 1,587,284
18. Payable for securities lending 988,050 10,319 998,370 723,549
19. Funds held under reinsurance treaties (with $.... authorized reinsurers,
$ ….. unauthorized reinsurers and $ …… certified reinsurers) 339,233 160 339,393 715,532
20. Reinsurance in unauthorized companies 47,613 0 47,613 38,395
21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
22. Liability for amounts held under uninsured plans 9,761,574 200,780 9,962,353 11,479,705
23. Aggregate write-ins for other liabilities (including current) 12,185,012 381,865 12,566,877 13,545,319
24. Total liabilities (Lines 1 to 23) 149,149,952 4,665,261 153,815,213 151,861,312
25. Aggregate write-ins for special surplus funds XXX XXX 158,618 10,706,730
26. Common capital stock XXX XXX 907,045 925,400
27. Preferred capital stock XXX XXX 77,897 77,420
28. Gross paid in and contributed surplus XXX XXX 48,341,871 45,701,892
29. Surplus notes XXX XXX 3,797,694 3,273,639
30. Aggregate write-ins for other than special surplus funds XXX XXX 10,254,115 9,549,757
31. Unassigned funds (surplus) XXX XXX 95,945,787 74,314,224
32. Less treasury stock, at cost:
32.1. (1) shares common (value included in Line 26) XXX XXX 2,169 2,244
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 159,480,859 144,546,818
34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 313,296,071 296,408,130

© 2019 National Association of Insurance Commissioners


13
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE ......................................................................
(Name) 3

LIABILITIES, CAPITAL AND SURPLUS


(000's)
Current Year Prior Year

2017 Liabilities, 1 2 3 4

Capital and Surplus


Covered Uncovered Total Total

01. Claims unpaid (less reinsurance ceded) 58,143,563 2,156,612 60,300,175 58,860,895
02. Accrued medical incentive pool and bonus amounts 3,122,217 37,917 3,160,133 2,393,473
03. Unpaid claims adjustment expenses 1,327,488 93,286 1,420,774 1,459,802
04. Aggregate health policy reserves, including the liabilityof $ ¿ for 16,546,835 493,039 17,039,874 15,692,720
medical loss ratio rebate per the Public Health Service Act
05. Aggregate life policy reserves 10,503 30 10,533 17,292
06. Property/casualty unearned premium reserves 0 0 0 0
07. Aggregate health claim reserves 132,994 39,271 172,265 175,660
08. Premiums received in advance 6,811,078 143,073 6,954,151 7,030,088
09. General expenses due or accrued 14,863,938 346,625 15,210,563 15,051,227
10.1. Current federal and foreign income tax payable and interest thereon (includin
capital gains (losses)) 1,234,953 21,494 1,256,447 1,268,179
10.2. Net deferred tax liability 96,180 0 96,180 66,924
11. Ceded reinsurance premiums payable 784,284 14,168 798,452 1,408,607
12. Amounts withheld or retained for the account of others 1,705,289 110,049 1,815,338 1,793,846
13. Remittances and items not allocated 1,709,288 147,593 1,856,881 1,705,632
14. Borrowed money (including current) and interest thereon (including current) 5,109,325 130,390 5,239,715 5,310,747
15. Amounts due to parent, subsidiaries and affiliates 7,704,410 754,289 8,458,698 10,110,560
16. Derivatives 4,820 284 5,103 1,222
17. Payable for securities 1,582,394 4,895 1,587,289 702,445
18. Payable for securities lending 669,422 54,127 723,549 1,253,257
19. Funds held under reinsurance treaties (with $.... authorized reinsurers,
$ ….. unauthorized reinsurers and $ …… certified reinsurers) 715,376 156 715,532 730,882
20. Reinsurance in unauthorized companies 38,386 9 38,395 42,177
21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
22. Liability for amounts held under uninsured plans 11,194,175 256,114 11,450,289 8,941,369
23. Aggregate write-ins for other liabilities (including current) 13,003,452 583,516 13,586,968 11,719,067
24. Total liabilities (Lines 1 to 23) 146,510,370 5,386,937 151,897,307 145,736,071
25. Aggregate write-ins for special surplus funds XXX XXX 10,711,014 177,032
26. Common capital stock XXX XXX 920,378 899,056
27. Preferred capital stock XXX XXX 77,420 76,295
28. Gross paid in and contributed surplus XXX XXX 45,886,968 42,037,955
29. Surplus notes XXX XXX 3,431,727 3,268,056
30. Aggregate write-ins for other than special surplus funds XXX XXX 9,548,699 9,095,281
31. Unassigned funds (surplus) XXX XXX 73,968,803 73,355,757
32. Less treasury stock, at cost:
32.1. (1) shares common (value included in Line 26) XXX XXX 1,744 2,265
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 144,543,265 128,907,166
34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 296,440,572 274,643,237

© 2019 National Association of Insurance Commissioners


14
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2016 OF THE ...................................................................
(Name) 3

LIABILITIES, CAPITAL AND SURPLUS


(000's)
Current Year Prior Year

2016 Liabilities, 1 2 3 4

Capital and Surplus


Covered Uncovered Total Total

01. Claims unpaid (less reinsurance ceded) 56,433,418 2,251,984 58,685,401 54,657,190
02. Accrued medical incentive pool and bonus amounts 2,362,574 31,121 2,393,695 1,885,920
03. Unpaid claims adjustment expenses 1,365,145 96,670 1,461,814 1,409,763
04. Aggregate health policy reserves, including the liabilityof $ ¿ for 15,088,302 695,380 15,783,682 15,353,786
medical loss ratio rebate per the Public Health Service Act
05. Aggregate life policy reserves 17,263 30 17,292 17,905
06. Property/casualty unearned premium reserves 123 0 123 0
07. Aggregate health claim reserves 139,103 36,557 175,660 152,790
08. Premiums received in advance 6,852,024 194,169 7,046,193 7,483,279
09. General expenses due or accrued 14,680,228 410,452 15,090,680 14,543,661
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses)) 1,225,086 29,583 1,254,669 1,098,620
10.2. Net deferred tax liability 66,924 0 66,924 42,103
11. Ceded reinsurance premiums payable 1,394,891 15,214 1,410,105 1,543,692
12. Amounts withheld or retained for the account of others 1,663,613 137,514 1,801,128 1,652,160
13. Remittances and items not allocated 1,561,157 144,475 1,705,632 1,385,915
14. Borrowed money (including current) and interest thereon (including current) 5,245,599 90,003 5,335,603 6,285,212
15. Amounts due to parent, subsidiaries and affiliates 9,567,086 530,093 10,097,180 8,171,089
16. Derivatives 611 611 1,222 4,984
17. Payable for securities 696,876 5,569 702,445 431,526
18. Payable for securities lending 1,111,290 141,967 1,253,257 1,374,130
19. Funds held under reinsurance treaties (with $.... authorized reinsurers,
$ ….. unauthorized reinsurers and $ …… certified reinsurers) 730,809 73 730,882 1,136,083
20. Reinsurance in unauthorized companies 42,175 3 42,177 34,755
21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
22. Liability for amounts held under uninsured plans 8,688,260 254,217 8,942,477 7,132,500
23. Aggregate write-ins for other liabilities (including current) 10,844,987 844,649 11,689,636 11,025,907
24. Total liabilities (Lines 1 to 23) 139,777,543 5,910,333 145,687,876 136,822,969
25. Aggregate write-ins for special surplus funds XXX XXX 183,083 8,554,708
26. Common capital stock XXX XXX 911,912 858,665
27. Preferred capital stock XXX XXX 142,245 140,680
28. Gross paid in and contributed surplus XXX XXX 42,161,088 35,771,438
29. Surplus notes XXX XXX 3,517,000 3,639,974
30. Aggregate write-ins for other than special surplus funds XXX XXX 9,095,207 8,730,946
31. Unassigned funds (surplus) XXX XXX 73,189,308 62,465,678
32. Less treasury stock, at cost:
32.1. (1) shares common (value included in Line 26) XXX XXX 2,265 1,743
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 129,197,577 120,160,347
34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 274,885,453 256,983,316

© 2019 National Association of Insurance Commissioners


15
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2015 OF THE ...................................................................
(Name) 3

LIABILITIES, CAPITAL AND SURPLUS


(000's)
Current Year Prior Year

2015 Liabilities, 1 2 3 4

Capital and Surplus


Covered Uncovered Total Total

01. Claims unpaid (less reinsurance ceded) 52,848,998 2,263,254 55,112,253 48,621,033
02. Accrued medical incentive pool and bonus amounts 1,861,911 21,279 1,883,191 1,626,627
03. Unpaid claims adjustment expenses 1,315,374 106,830 1,422,204 1,374,540
04. Aggregate health policy reserves, including the liabilityof $ ¿ for 14,907,489 437,044 15,344,533 13,076,458
medical loss ratio rebate per the Public Health Service Act
05. Aggregate life policy reserves 21,961 30 21,991 21,907
06. Property/casualty unearned premium reserves 0 0 0 0
07. Aggregate health claim reserves 120,374 32,379 152,753 135,756
08. Premiums received in advance 7,333,854 195,290 7,529,144 7,007,420
09. General expenses due or accrued 14,294,200 313,873 14,608,073 13,982,609
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses)) 1,040,059 67,752 1,107,811 1,107,983
10.2. Net deferred tax liability 41,912 0 41,912 113,489
11. Ceded reinsurance premiums payable 1,535,303 21,230 1,556,533 1,028,056
12. Amounts withheld or retained for the account of others 1,593,564 61,108 1,654,671 1,414,934
13. Remittances and items not allocated 1,324,221 61,873 1,386,094 1,341,142
14. Borrowed money (including current) and interest thereon (including current) 6,229,851 90,112 6,319,963 4,954,642
15. Amounts due to parent, subsidiaries and affiliates 7,607,632 613,130 8,220,762 9,343,878
16. Derivatives 4,862 122 4,984 3,712
17. Payable for securities 421,117 10,409 431,526 420,767
18. Payable for securities lending 1,240,226 133,904 1,374,130 1,635,689
19. Funds held under reinsurance treaties (with $.... authorized reinsurers,
$ ….. unauthorized reinsurers and $ …… certified reinsurers) 1,136,018 66 1,136,083 1,059,296
20. Reinsurance in unauthorized companies 34,493 262 34,755 37,631
21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0
22. Liability for amounts held under uninsured plans 6,916,876 218,443 7,135,319 6,455,239
23. Aggregate write-ins for other liabilities (including current) 10,352,118 886,927 11,239,045 11,665,623
24. Total liabilities (Lines 1 to 23) 132,182,413 5,535,316 137,717,730 126,428,430
25. Aggregate write-ins for special surplus funds XXX XXX 8,551,230 8,455,888
26. Common capital stock XXX XXX 851,528 808,528
27. Preferred capital stock XXX XXX 140,680 86,276
28. Gross paid in and contributed surplus XXX XXX 35,985,070 28,351,614
29. Surplus notes XXX XXX 4,468,127 3,338,281
30. Aggregate write-ins for other than special surplus funds XXX XXX 8,734,836 8,264,781
31. Unassigned funds (surplus) XXX XXX 61,703,982 67,267,692
32. Less treasury stock, at cost:
32.1. (1) shares common (value included in Line 26) XXX XXX 1,743 1,724
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 120,433,711 116,571,337
34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 258,151,441 242,999,768

© 2019 National Association of Insurance Commissioners


16
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................
(Name) 3

LIABILITIES, CAPITAL AND SURPLUS


(000's)
Current Year Prior Year

2014 Liabilities, 1 2 3 4

Capital and Surplus


Covered Uncovered Total Total

01. Claims unpaid (less reinsurance ceded) 46,768,906 1,972,738 48,741,644 41,846,289
02. Accrued medical incentive pool and bonus amounts 1,600,494 15,479 1,615,973 1,452,224
03. Unpaid claims adjustment expenses 1,294,063 87,728 1,381,792 1,202,038
04. Aggregate health policy reserves, including the liabilityof $ ¿ for 12,738,833 302,962 13,041,795 11,929,475
medical loss ratio rebate per the Public Health Service Act
05. Aggregate life policy reserves 17,533 30 17,563 17,027
06. Property/casualty unearned premium reserves 0 0 0 11,740
07. Aggregate health claim reserves 123,655 12,101 135,756 211,749
08. Premiums received in advance 6,902,702 157,065 7,059,767 4,441,220
09. General expenses due or accrued 13,639,136 299,951 13,939,087 11,152,328
10.1. Current federal and foreign income tax payable and interest thereon (including
capital gains (losses)) 1,049,525 58,441 1,107,965 922,310
10.2. Net deferred tax liability 117,978 0 117,978 161,553
11. Ceded reinsurance premiums payable 1,044,208 4,757 1,048,965 1,112,744
12. Amounts withheld or retained for the account of others 1,349,103 56,985 1,406,088 1,750,828
13. Remittances and items not allocated 1,284,882 44,830 1,329,713 995,127
14. Borrowed money (including current) and interest thereon (including current) 4,985,236 63,054 5,048,290 5,019,893
15. Amounts due to parent, subsidiaries and affiliates 8,329,265 773,233 9,102,498 7,262,491
16. Derivatives 3,712 0 3,712 2,811
17. Payable for securities 401,027 19,740 420,767 505,165
18. Payable for securities lending 1,504,775 131,980 1,636,755 1,246,861
19. Funds held under reinsurance treaties (with $.... authorized reinsurers,
$ ….. unauthorized reinsurers and $ …… certified reinsurers) 1,061,077 25 1,061,101 998,788
20. Reinsurance in unauthorized companies 37,631 0 37,631 37,338
21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 3
22. Liability for amounts held under uninsured plans 6,305,499 170,554 6,476,053 5,237,117
23. Aggregate write-ins for other liabilities (including current) 10,758,543 921,178 11,679,721 8,168,928
24. Total liabilities (Lines 1 to 23) 121,317,783 5,092,832 126,410,615 105,686,048
25. Aggregate write-ins for special surplus funds XXX XXX 8,537,327 633,384
26. Common capital stock XXX XXX 832,518 1,081,544
27. Preferred capital stock XXX XXX 87,566 98,564
28. Gross paid in and contributed surplus XXX XXX 28,659,208 23,910,036
29. Surplus notes XXX XXX 3,897,777 2,678,981
30. Aggregate write-ins for other than special surplus funds XXX XXX 8,265,752 9,052,632
31. Unassigned funds (surplus) XXX XXX 66,654,620 84,326,438
32. Less treasury stock, at cost:
32.1. (1) shares common (value included in Line 26) XXX XXX 1,724 1,695
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 116,933,045 121,779,885
34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 243,343,660 227,465,933

© 2019 National Association of Insurance Commissioners


17
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 4

STATEMENT OF REVENUE AND EXPENSES


(000's)

Current Year Prior Year


1 2 3
Uncovered Total Total

01. Member Months XXX 2,712,860 2,666,893


02. Net premium income (including non-health premium income) XXX 708,473,013 664,123,423
03. Change in unearned premium reserves and reserve for rate credits XXX 459,091 (988,998)
04. Fee-for-service (net of medical expenses) XXX 1,132,876 1,090,674
05. Risk revenue XXX 872,844 746,710
06. Aggregate write-ins for other health care related revenues XXX 903,000 756,679
07. Aggregate write-ins for other non-health revenues XXX 113,817 133,825
08. Total revenues (Lines 2 to 7) XXX 711,954,641 665,862,313
Hospital and Medical:
09. Hospital/medical benefits 12,302,953 424,317,006 400,275,233
10. Other professional services 678,264 40,997,002 37,858,919
11. Outside referrals 1,233,800 4,625,867 4,775,883
12. Emergency room and out-of-area 1,418,557 25,220,913 24,855,782
13. Prescription drugs 1,940,129 92,603,110 93,603,529
14. Aggregate write-ins for other hospital and medical 732,138 10,483,305 8,703,163
15. Incentive pool, withhold adjustments and bonus amounts 14,325 4,904,271 4,081,804
16. Subtotal (Lines 9 to 15) 18,320,167 603,151,472 574,154,314

Less:
17. Net reinsurance recoveries 400,489 5,021,677 5,551,517
18. Total hospital and medical (Lines 16 minus 17) 17,919,678 598,129,795 568,602,797
19. Non-health claims (net) 0 7,719 12,818
20. Claims adjustment expenses, including cost containment expenses 1,041,284 22,596,828 21,492,173
21. General administrative expenses 2,331,477 70,031,366 56,940,203
22. Increase in reserves for life and accident and health contracts (including increase in
reserves for life only) 40,011 (234,149) (69,102)
23. Total underwriting deductions (Lines 18 through 22) 21,332,450 690,531,559 646,978,889
24. Net underwriting gain or (loss) (Lines 8 minus 23) XXX 21,423,082 18,883,424
25. Net investment income earned (Exhibit of Net Investment Income, Line 17) 90,328 5,917,560 5,173,940
26. Net realized capital gains or (losses) less capital gains tax 24,915 28,401 639,968
27. Net investment gains or (losses) (Lines 25 plus 26) 115,243 5,945,961 5,813,908
28. Net gain or (loss) from agents' or premium balances charged off (41) (106,328) (142,613)
29. Aggregate write-ins for other income or expenses (53,739) (561,704) (1,044,901)
30. Net income or (loss) after capital gains tax and before all other federal
income taxes (Lines 24 plus 27 plus 28 plus 29) XXX 26,701,011 23,509,818
31. Federal and foreign income taxes incurred XXX 2,788,052 7,048,938
32. Net income (loss) (Lines 30 minus 31) XXX 23,912,960 16,460,880

© 2019 National Association of Insurance Commissioners


18
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 5
STATEMENT OF REVENUE AND EXPENSES (continued)
(000's)

1 2
Capital and Surplus Account Current Year Prior Year

GAINS AND LOSSES TO CAPITAL & SURPLUS

33. Capital and surplus prior reporting year 144,564,262 128,825,010


34. Net income or (loss) from Line 32 23,912,960 16,460,880
35. Change in valuation basis of aggregate policy and claim reserves (13,692) 17,465
36. Change in net unrealized capital gains (losses) less capital gains tax (1,782,987) 2,963,806
37. Change in net unrealized foreign exchange capital gain or (loss) (6,078) 14,390
38. Change in net deferred income tax (2,942,745) 4,217,062
39. Change in nonadmitted assets 2,800,039 (2,574,748)
40. Change in unauthorized and certified reinsurance (9,218) 3,782
41. Change in treasury stock 76 524
42. Change in surplus notes 524,055 163,671
43. Cumulative effect of changes in accounting principles (1,223) (1,830)
44. Capital Changes:
44.1. Paid in 54,793 224,406
44.2. Transferred from surplus (Stock Dividend) 0 (104,873)
44.3. Transferred to surplus (8) (7,888)
45. Surplus adjustments:
45.1. Paid in 2,444,147 3,629,623
45.2. Transferred to capital (stock dividend) 0 (1,400)
45.3. Transferred from capital (47,629) (7,606)
46. Dividends to stockholders (10,100,026) (8,099,722)
47. Aggregate write-ins for gains or (losses) in surplus 84,130 (1,211,568)
48. Net change in capital and surplus (Lines 34 to 47) 14,916,593 15,685,973
49. Capital and surplus end of reporting year (Line 33 plus 48) 159,480,855 144,527,768

© 2019 National Association of Insurance Commissioners


19
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 6
CASH FLOW
(000's)

1 2
Current Year Prior Year

Cash from Operations


01. Premiums collected net of reinsurance 705,655,329 662,912,699
02. Net investment income 6,215,128 5,782,281
03. Miscellaneous income 2,967,998 2,554,917
04. Total 714,838,454 671,249,898
05. Benefit and loss related payments 596,727,690 564,067,892
06. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts (93) 0
07. Commissions, expenses paid and aggregate write-ins for deductions 95,061,803 74,409,224
08. Dividends paid to policyholders 1,000 1,000
09. Federal and foreign income taxes paid (recovered) net of tax on capital gains (losses) 5,230,525 6,934,649
10. Total 697,020,925 645,412,765
11. Net cash from operations 17,817,529 25,837,132

Cash from Investments


12. Proceeds from investments sold, matured or repaid:
12.1. Bonds (proceeds from investments sold, matured or repaid) 63,075,144 61,818,665
12.2. Stocks (proceeds from investments sold, matured or repaid) 9,819,347 7,982,050
12.3. Mortgage loans (proceeds from investments sold, matured or repaid) 11,813 234
12.4. Real estate (proceeds from investments sold, matured or repaid) 18,572 93,310
12.5. Other invested assets (proceeds from investments sold, matured or repaid) 1,603,403 1,334,755
12.6. Net gains (losses) on cash, cash equivalents and short- term investments (224,765) (6,746)
12.7. Miscellaneous proceeds (proceeds from investments sold, matured or repaid) 950,418 1,650,830
12.8. Total investment proceeds (proceeds from investments sold, matured or repaid) 75,253,932 72,873,099
13. Cost of investments acquired (long-term only):
13.1. Bonds (cost of investments acquired - long-term only) 76,211,732 74,198,266
13.2. Stocks (cost of investments acquired - long-term only) 10,827,876 8,740,297
13.3. Mortgage loans (cost of investments acquired - long-term only) 23,079 97,432
13.4. Real estate (cost of investments acquired - long-term only) 500,832 552,204
13.5. Other invested assets (cost of investments acquired - long-term only) 2,653,211 1,670,287
13.6. Miscellaneous applications (cost of investments aquired - long-term only) 1,642,456 500,588
13.7. Total investments acquired (cost of investments aquired - long-term only) 91,859,187 85,759,075
14. Net increase (or decrease) in contract loans and premium notes (17) 12
15. Net cash from investments (16,605,238) (12,885,988)

Cash from Financing and Miscellaneous Sources


16. Cash provided (applied):
16.1. Surplus notes, capital notes (cash provided/applied) 452,816 205,486
16.2. Capital and paid in surplus, less treasury stock (cash provided/applied) 2,550,982 3,434,707
16.3. Borrowed funds (cash provided/applied) (760,499) (117,237)
16.4. Net deposits on deposit-type contracts and other insurance liabilities 200,957 175,443
16.5. Dividends to stockholders (cash provided/applied) 9,885,592 7,811,959
16.6. Other cash provided (applied) 177,201 (2,554,244)
17. Net cash from financing and miscellaneous sources
(Lines 16.1 to 16.4 minus Line 16.5 plus Line (16.6) (7,264,135) (6,667,804)

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) (6,051,844) 6,283,340
19. Cash, cash equivalents and short-term investments:
19.1. Beginning of year (cash, cash equivalents and short-term investments) 46,710,823 40,357,815
19.2. End of year (cash, cash equivalents and short-term investments) 40,658,979 46,641,156

© 2019 National Association of Insurance Commissioners


20
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 7

ANALYSIS OF OPERATIONS BY LINES OF BUSINESS (Gain and Loss Exhibit)


(000's)

1 2 3 4 5 6 7 8 9 10
Federal
Comprehensive Employees Title Title Other
(Hospital Medicare Dental Vision Health XVIII XIX Other Non-
Total & Medical) Supplement Only Only Benefit Plan Medicare Medicaid Health Health

1. Net premium income 708,473,013 240,621,845 10,242,010 13,496,335 3,624,018 37,528,632 192,625,817 191,992,220 18,328,453 13,683
2. Change in unearned premium reserves and reserve for rate credit 459,091 (677,024) (6,100) (9,871) (162) 863,469 198,498 186 89,968 126
3. Fee-for-service (net of medical expenses) 1,132,876 959,397 0 46,183 76,255 30,685 21,414 7,283 (8,340) XXX
4. Risk revenue 872,844 (4,357) 0 214,611 102,813 298 96,841 127,628 335,009 XXX
5. Aggregate write-ins for other health care related revenues 903,000 (51,055) 53 129,815 84 41,929 44,975 580,818 156,381 XXX
6. Aggregate write-ins for other non-health care related revenues 113,817 XXX XXX XXX XXX XXX XXX XXX XXX 113,817
7. Total revenues (Lines 1 to 6) 711,954,641 240,848,806 10,235,963 13,877,072 3,803,009 38,465,013 192,987,545 192,708,134 18,901,471 127,627
8. Hospital/medical benefits 424,316,712 135,213,178 7,555,824 3,765,261 151,321 24,050,032 134,173,514 114,984,910 4,422,673 XXX
9. Other professional services 40,997,059 7,232,629 332,279 6,612,122 1,790,568 1,229,755 7,043,251 16,118,171 638,284 XXX
10. Outside referrals 4,625,867 1,573,717 107,212 120,943 23,315 229,611 1,278,328 1,263,772 28,968 XXX
11. Emergency room and out-of-area 25,220,119 10,738,150 248,015 7,771 2,121 1,194,037 4,995,503 7,952,116 82,407 XXX
12. Prescription drugs 92,602,392 33,756,831 214,824 2 0 8,429,128 12,582,117 27,865,978 9,753,511 XXX
13. Aggregate write-ins for other hospital and medical 10,485,120 3,819,023 54,010 270,980 34,377 1,243,412 2,619,535 2,090,315 353,469 XXX
14. Incentive pool, withhold adjustments and bonus amounts 4,904,271 1,627,388 (1,995) 3,496 0 80,045 2,013,867 853,230 328,241 XXX
15. Subtotal (Lines 8 to 14) 603,151,539 193,960,916 8,510,169 10,780,574 2,001,701 36,456,019 164,706,115 171,128,492 15,607,553 XXX
16. Net reinsurance recoveries 5,021,677 1,074,135 444,072 194,894 (891,032) 1,210,359 107,550 2,449,328 432,371 XXX
17. Total hospital and medical (Lines 15 minus 16) 598,129,862 192,886,781 8,066,097 10,585,679 2,892,733 35,245,660 164,598,565 168,679,164 15,175,182 XXX
18. Non-health claims (net) 7,719 XXX XXX XXX XXX XXX XXX XXX XXX 7,719
19. Claims adjustment expenses including cost containment expenses 22,596,904 7,799,263 486,275 654,771 66,940 971,986 6,431,704 5,785,338 390,690 9,937
20. General administrative expenses 70,026,251 27,242,581 1,268,032 1,924,593 511,156 1,954,375 17,610,451 17,375,000 2,040,139 99,924
21. Increase in reserves for accident and health contracts (235,810) (54,698) 72,414 1,508 57 256 (88,198) (126,738) (40,411) XXX
22. Increase in reserves for life contracts 1,661 XXX XXX XXX XXX XXX XXX XXX XXX 1,661
23. Total underwriting deductions (Lines 17 to 22) 690,526,588 227,873,928 9,892,817 13,166,552 3,470,885 38,172,278 188,552,522 191,712,764 17,565,600 119,241
24. Net underwriting gain or (loss) (Line 7 minus Line 23) 21,428,054 12,974,878 343,146 710,520 332,124 292,736 4,435,023 995,371 1,335,872 8,385

© 2019 National Association of Insurance Commissioners


21
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 8

UNDERWRITING AND INVESTMENT EXHIBIT


Part 1 - Premiums
(000's)

1 2 3 4

Net Premium
Direct Reinsurance Reinsurance Income
Line of Business Business Assumed Ceded (Cols. 1 + 2 - 3)

1. Comprehensive (hospital and medical) 243,716,966 2,487,992 5,589,580 240,615,378


2. Medicare Supplement 10,815,143 251,314 824,447 10,242,010
3. Dental only 13,789,863 435,497 684,129 13,541,232
4. Vision only 2,562,820 1,075,357 14,197 3,623,980
5. Federal employees health benefits plan 38,942,739 1,181,023 2,620,989 37,502,773
6. Title XVIII - Medicare 192,340,437 5,079,418 4,791,883 192,627,971
7. Title XIX - Medicaid 194,696,991 4,749,825 7,418,344 192,028,472
8. Other health 18,803,676 805,254 1,301,350 18,307,581
9. Health subtotal (Lines 1 through 8) 715,668,636 16,065,679 23,244,919 708,489,397
10. Life 134,084 6,468 131,405 9,147
11. Property/casualty 4,536 0 0 4,536
12. Totals (Lines 9 to 11) 715,807,256 16,072,148 23,376,323 708,503,080

© 2019 National Association of Insurance Commissioners


22
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 9

UNDERWRITING AND INVESTMENT EXHIBIT


Part 2 - Claims Incurred During the Year
(000's)

1 2 3 4 5 6 7 8 9 10
Federal
Comprehensive Employees Title Title Other
(Hospital Medicare Dental Vision Health XVIII XIX Other Non-
Total & Medical) Supplement Only Only Benefit Plan Medicare Medicaid Health Health

1. Payments during the year:


1.1. Direct 596,559,391 191,774,953 8,504,907 10,740,376 2,008,446 36,136,170 161,670,997 170,169,014 15,465,921 88,607
1.2. Reinsurance assumed 13,185,885 1,811,191 225,896 325,616 905,412 850,917 4,235,878 4,205,874 620,290 4,811
1.3. Reinsurance ceded 17,889,912 2,700,917 667,570 567,447 9,146 1,988,496 4,168,743 6,663,058 1,038,997 85,538
1.4. Net 591,855,365 190,885,227 8,063,233 10,498,545 2,904,712 34,998,591 161,738,132 167,711,830 15,047,214 7,880
2. Paid medical incentive pools and bonuses 4,235,915 1,477,379 1,829 4,786 0 67,224 1,625,089 744,658 314,950 0
3. Claim liability Dec 31, current year from Part 2A:
3.1. Direct 63,110,311 21,182,911 1,070,412 639,897 126,881 3,677,677 17,181,428 17,568,068 1,638,067 24,970
3.2. Reinsurance assumed 1,623,639 403,714 28,056 8,152 21,357 182,760 515,207 346,348 116,767 1,277
3.3. Reinsurance ceded 1,958,445 541,332 94,841 22,438 392 226,185 401,194 587,387 61,131 23,545
3.4. Net 62,775,505 21,045,293 1,003,626 625,610 147,846 3,634,252 17,295,442 17,327,030 1,693,703 2,702
4. Claim reserve Dec 31, current year from Part 2D:
4.1. Direct 336,376 74,083 30,568 341 1,485 2,216 20,084 66,210 141,389 0
4.2. Reinsurance assumed 2,501 90 0 22 0 1 0 0 2,281 107
4.3. Reinsurance ceded 123,721 1,181 15,213 0 0 2 0 1,232 106,092 0
4.4. Net 215,156 72,992 15,354 362 1,485 2,215 20,084 64,979 37,578 107
5. Accrued medical incentive pools and bonuses, current year 3,677,287 1,219,101 5,834 6,089 0 72,336 1,538,110 607,043 228,775 0
6. Net healthcare receivables 2,429,534 1,063,417 29,061 548 723 32,803 1,083,543 187,474 31,966 0
7. Amounts recoverable from reinsurers Dec. 31, current year 935,054 513,058 30,833 25,734 321 44,195 24,875 243,751 51,531 756
8. Claim liability Dec 31, prior year from Part 2A:
8.1. Direct 60,771,935 20,801,491 1,032,708 659,701 127,932 3,398,520 15,847,931 17,415,686 1,463,328 24,637
8.2. Reinsurance assumed 1,136,473 270,140 29,396 7,292 27,352 1,059 332,022 378,061 90,646 505
8.3. Reinsurance ceded 1,611,090 325,721 91,090 32,180 348 8,571 427,989 636,363 65,697 23,131
8.4. Net 60,297,318 20,745,909 971,013 634,813 154,936 3,391,009 15,751,964 17,157,385 1,488,277 2,011
9. Claim reserve Dec 31, prior year from Part 2D:
9.1. Direct 288,099 53,454 28,857 398 1,790 2,399 13,486 68,196 119,518 0
9.2. Reinsurance assumed 1,606 30 0 10 0 0 0 0 1,410 156
9.3. Reinsurance ceded 109,996 838 14,360 0 0 9 220 1,610 92,959 0
9.4. Net 179,709 52,646 14,497 408 1,790 2,390 13,267 66,586 27,970 156
10. Accrued medical incentive pools and bonuses, prior year 3,154,403 1,065,396 9,658 7,379 0 59,515 1,253,306 541,798 217,350 0
11. Amounts recoverable from reinsurers Dec. 31, prior year 1,132,922 669,445 35,514 51,494 299 7,320 90,840 243,093 34,877 40
12. Incurred benefits:
12.1. Direct 596,579,490 191,124,910 8,515,261 10,719,966 2,006,366 36,382,341 161,979,205 170,131,936 15,630,565 88,940
12.2. Reinsurance assumed 13,610,966 1,933,501 224,556 326,488 899,417 1,032,619 4,367,407 4,174,161 647,282 5,534
12.3. Reinsurance ceded 18,053,123 2,760,484 667,494 531,945 9,211 2,242,978 4,075,764 6,614,361 1,064,218 86,668
12.4. Net 592,137,332 190,297,927 8,072,323 10,514,509 2,896,572 35,171,982 162,270,848 167,691,736 15,213,629 7,806
13. Incurred medical incentive pools and bonuses 4,758,800 1,631,083 (1,995) 3,496 0 80,045 1,909,893 809,903 326,375 0

© 2019 National Association of Insurance Commissioners


23
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 10

UNDERWRITING AND INVESTMENT EXHIBIT


Part 2A - Claims Liability End of Current Year
(000's)

1 2 3 4 5 6 7 8 9 10
Federal
Comprehensive Employees Title Title Other
(Hospital Medicare Dental Vision Health XVIII XIX Other Non-
Total & Medical) Supplement Only Only Benefit Plan Medicare Medicaid Health Health

1. Reported in Process of Adjustment:


1.1. Direct 14,669,759 4,805,288 186,531 141,712 40,298 510,083 4,567,220 3,830,057 582,729 5,842
1.2. Reinsurance assumed 262,285 115,196 4,085 579 4,489 103,431 24,791 462 8,806 446
1.3. Reinsurance ceded 217,670 94,987 29,870 6,650 0 37,066 13,709 38,237 (8,636) 5,788
1.4. Net 14,714,374 4,825,498 160,745 135,640 44,787 576,448 4,578,302 3,792,282 600,171 500

2. Incurred but Unreported:


2.1. Direct 47,252,251 16,179,768 883,635 475,100 86,425 3,164,115 11,713,887 13,709,910 1,020,282 19,128
2.2. Reinsurance assumed 1,362,614 288,518 23,971 7,573 16,868 79,329 490,416 345,886 109,221 831
2.3. Reinsurance ceded 1,740,775 446,346 64,971 15,788 392 189,119 387,485 549,149 69,767 17,757
2.4. Net 46,874,090 16,021,941 842,635 466,886 102,901 3,054,325 11,816,818 13,506,647 1,059,736 2,202

3. Amounts Withheld from Paid Claims and Capitations:


3.1. Direct 1,189,175 197,854 247 23,085 158 3,479 900,321 28,975 35,057 0
3.2. Reinsurance assumed (932) 0 0 0 0 0 0 0 (932) 0
3.3. Reinsurance ceded 0 0 0 0 0 0 0 0 0 0
3.4. Net 1,188,243 197,854 247 23,085 158 3,479 900,321 28,975 34,125 0

4. TOTALS:
4.1. Direct 63,111,185 21,182,911 1,070,412 639,897 126,881 3,677,677 17,181,428 17,568,942 1,638,067 24,970
4.2. Reinsurance assumed 1,623,967 403,714 28,056 8,152 21,357 182,760 515,207 346,348 117,095 1,277
4.3. Reinsurance ceded 1,958,445 541,332 94,841 22,438 392 226,185 401,194 587,387 61,131 23,545
4.4. Net 62,776,707 21,045,293 1,003,626 625,610 147,846 3,634,252 17,295,442 17,327,904 1,694,032 2,702

© 2019 National Association of Insurance Commissioners


24
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 11

UNDERWRITING AND INVESTMENT EXHIBIT


Part 2B - Analysis of Claims Unpaid - Prior Year - Net of Reinsurance
(000's)

Claims Paid Claim Reserve and Claim Liability 5 6


During the Year December 31 of Current Year Extimated Claim
1 2 3 4 Reserve and
Line of Business
On Claims Incurred On Claims Incurred On Claims Unpaid On Claims Incurred Claims Incurred Claim Liability
Prior to January 1 During the December 31 of During the in Prior Years December 31 of
of Current Year Year Prior Year Year (Columns 1 + 3) Prior Year
1. Comprehensive (hospital and medical) 15,242,310 177,754,057 881,258 20,235,551 16,123,568 20,811,169
2. Medicare Supplement 900,329 7,189,578 11,225 1,007,616 911,554 985,362
3. Dental only 544,178 10,059,204 9,786 617,475 553,964 638,169
4. Vision only 146,764 2,772,729 45 149,279 146,809 156,752
5. Federal employees health benefits plan 3,147,569 31,874,732 47,880 3,588,587 3,195,449 3,393,365
6. Title XVIII - Medicare 11,761,459 150,829,081 587,562 16,727,664 12,349,021 15,766,476
7. Title XIX - Medicaid 14,458,222 153,526,938 726,118 16,731,172 15,184,340 17,199,624
8. Other health (226,456) 15,816,095 71,279 1,596,234 (155,177) 1,533,871
9. Health subtotal (Lines 1 to 8) 45,974,375 549,822,414 2,335,154 60,653,579 48,309,528 60,484,789
10. Health care receivables (a) 1,409,380 11,420,246 108,635 1,509,147 1,518,016 8,357,972
11. Other non-health 1,555 5,660 436 2,367 1,991 2,167
12. Medical incentive pools and bonus amounts 2,515,417 1,737,516 503,286 3,173,127 3,018,702 3,150,181
13. Totals (Lines 9-10+11+12) 47,081,966 540,145,343 2,730,240 62,319,925 49,812,206 55,279,166

© 2019 National Association of Insurance Commissioners


25
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 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
1 2 3 4 5
Were Incurred
2014 2015 2016 2017 2018

01 Prior 3,111,936 879,714 878,657 880,382 886,934


02 2014 2,951,455 2,192,294 2,191,234 2,189,766 2,189,383
03 2015 XXX 2,595,596 2,879,960 2,868,804 2,868,868
04 2016 XXX XXX 2,978,353 3,235,843 3,218,685
05 2017 XXX XXX XXX 3,072,946 3,334,707
06 2018 XXX XXX XXX XXX 3,185,006

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 1 2 3 4 5
2014 2015 2016 2017 2018

01 Prior 2,971,359 702,809 702,578 708,232 716,912


02 2014 2,130,819 1,159,011 1,157,364 1,161,405 1,153,512
03 2015 XXX 1,382,874 1,277,446 1,273,091 1,267,471
04 2016 XXX XXX 1,476,205 1,360,367 1,347,590
05 2017 XXX XXX XXX 1,545,450 1,430,066
06 2018 XXX XXX XXX XXX 1,642,266

Section C - Incurred Year Health Claims and Claims Adjustment Expense Ratio

1 2 3 5 7 8 9
Years in which Premiums were Earned Claim and Claim Unpaid Claims Total Claims and Claims
Claim Adjustment
and Claims were Incurred Adjust Expense Adjustment Adjustment Expense
Premiums Earned Claims Payments Expense Payments Claims Unpaid
Payments (Col 2+3) Expenses Incurred (Col 5+7+8)
01 2014 2,654,391 2,239,934 47,103 2,287,037 87 5 2,287,130
02 2015 3,402,236 2,922,770 49,602 2,972,372 108 9 2,972,489
03 2016 3,835,626 3,274,983 54,197 3,329,180 516 17 3,329,714
04 2017 3,986,271 3,379,560 74,581 3,454,141 4,861 97 3,459,099
05 2018 4,135,527 3,186,038 77,930 3,263,968 127,676 2,842 3,394,486

© 2019 National Association of Insurance Commissioners


26
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 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 6 7 8 9
Federal
Comprehensive Employees Title Title
(Hospital Medicare Dental Vision Health XVIII XIX
Total & Medical) Supplement Only Only Benefit Plan Medicare Medicaid Other

1. Unearned premium reserves 1,774,010 493,254 196,843 24,689 770 1,006,736 18,413 3,515 29,790
2. Additional policy reserves 3,282,892 523,309 897,611 3,882 158 2,287 347,779 745,604 762,263
3. Reserve for future contingent benefits 25,056 2,743 0 0 86 0 0 15,000 7,226
4. Reserve for rate credits or experience rating refunds 9,386,883 2,918,186 151,827 41,301 1,251 4,056,694 808,922 1,001,551 407,151
5. Aggregate write-ins for other policy reserves 3,266,674 2,370,318 10,516 6,301 0 228,164 507,893 94,160 49,321
6. Totals (gross) 17,735,515 6,307,811 1,256,797 76,173 2,266 5,293,881 1,683,007 1,859,829 1,255,751
7. Reinsurance ceded 1,224,430 148,280 84,695 4,754 79 193,205 67,660 1,799 723,958
8. Totals (Net) (Page 3, Line 4) 16,511,085 6,159,530 1,172,102 71,419 2,186 5,100,677 1,615,348 1,858,030 531,793
9. Present value of amounts not yet due on claims 164,406 10,510 0 142 1,485 0 92 1,356 150,822
10. Reserve for future contingent benefits 216,207 34,372 30,568 38 0 2,216 18,103 54,714 76,197
11. Aggregate write-ins for other claim reserves 51,152 29,292 0 183 0 0 1,889 11,347 8,441
12. Totals (gross) 431,765 74,174 30,568 362 1,485 2,216 20,084 67,417 235,460
13. Reinsurance ceded 216,609 1,181 15,213 0 0 2 0 1,232 198,981
14. Totals (Net) (Page 3, Line 7) 215,156 72,992 15,354 362 1,485 2,214 20,084 66,185 36,479

© 2019 National Association of Insurance Commissioners


27
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE .....................................................................
(Name) 14
UNDERWRITING AND INVESTMENT EXHIBIT
Part 3 - Analysis of Expenses

(000's)

Claim Adjustment Expenses 3 4 5

1 2
Cost Other Claim General
Containment Adjustment Administrative Investment
Expenses Expenses Expenses Expenses Total
1. Rent ( for occupancy of own building) 266,645 335,211 1,196,530 81,501 1,879,886
2. Salaries, wages and other benefits 8,565,129 6,650,800 23,688,343 39,572 38,943,843
3. Commissions (less ceded plus assumed) 8,965 29,771 9,486,816 215 9,525,767
4. Legal fees and expenses 52,243 22,231 488,457 825 563,755
5. Certifications and accreditation fees 10,253 5,658 22,745 3 38,659
6. Auditing, actuarial and other consulting services 737,381 652,873 3,958,159 14,052 5,362,465
7. Traveling expenses 127,985 85,971 536,910 814 751,680
8. Marketing and advertising 178,635 106,219 2,014,974 1,587 2,301,415
9. Postage, express and telephone 228,451 395,077 1,064,369 1,400 1,689,298
10. Printing and office supplies 138,419 211,323 877,906 367 1,228,015
11. Occupancy, depreciation and amortization 87,823 91,056 998,279 25,891 1,203,049
12. Equipment 71,715 220,597 461,175 2,011 755,498
13. Cost or depreciation of EDP equipment and software 613,580 636,602 2,594,779 2,481 3,847,442
14. Outsourced services including EDP, claims, and other services 3,135,482 3,105,553 7,756,743 19,803 14,017,581
15. Boards, bureaus and association fees 41,757 22,879 324,417 286 389,339
16. Insurance, except on real estate 25,371 24,813 260,991 264 311,439
17. Collection and bank service charges 17,485 18,132 261,510 30,857 327,984
18. Group service and administration fees 1,112,483 923,378 1,045,148 953 3,081,962
19. Reimbursements by uninsured plans (3,186,145) (4,967,615) (11,254,706) (4,431) (19,412,896)
20. Reimbursements from fiscal intermediaries (75,987) (84,695) (538,993) 0 (699,675)
21. Real estate expenses 24,573 28,439 267,098 45,313 365,422
22. Real estate taxes 5,896 7,239 57,787 48,679 119,601
23. Taxes, licenses and fees:
23.1. State and local insurance taxes 1,266 4,873 1,076,595 20 1,082,755
23.2. State premium taxes 2,878 11,146 5,911,220 0 5,925,244
23.3. Regulatory authority licenses and fees 19,131 34,532 5,586,236 249 5,640,147
23.4. Payroll taxes 395,762 290,725 1,349,232 1,244 2,036,963
23.5. Other (excluding federal income and real estate taxes) 5,247 4,886 6,934,762 6 6,944,901
24. Investment expenses not included elsewhere (2,521) (717) 1,922 211,598 210,282
25. Aggregate write-ins for expenses 484,885 635,062 3,596,485 49,519 4,765,951
26. Total expenses incurred (Lines 1 to 25) 13,094,788 9,502,017 70,025,888 575,081 93,197,774
27. Less expenses unpaid December 31, current year 324,791 1,105,641 15,800,490 44,154 17,275,077
28. Add expenses unpaid December 31, prior year 303,595 1,080,686 15,262,228 57,233 16,703,742
29. Amounts receivable relating to uninsured plans, prior year 1,039,751 1,871,008 9,319,300 14,844 12,244,903
30. Amounts receivable relating to uninsured plans, current year 1,192,564 1,893,666 10,367,279 12,498 13,466,007
31. Total expenses paid (Lines 26 minus 27 plus 28 minus 29 plus 30) 13,226,405 9,499,719 70,535,604 585,815 93,847,543

© 2019 National Association of Insurance Commissioners


28
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ......................................................................
(Name) 15
EXHIBIT OF NET INVESTMENT INCOME
(000's)

1 2

Collected Earned
During During
Year Year
1. U.S. Government bonds 435,135 448,012
1.1. Bonds exempt from U.S. tax 33,158 27,866
1.2. Other bonds (unaffiliated) 3,173,340 3,251,041
1.3. Bonds of affiliates 34 878
2.1. Preferred stocks (unaffiliated) 25,222 25,590
2.11. Preferred stocks of affiliates 40 40
2.2. Common stocks (unaffiliated) 571,199 580,700
2.21. Common stocks of affiliates 723,993 771,371
3. Mortgage loans 6,256 6,305
4. Real estate 607,173 723,528
5. Contract loans 173 173
6. Cash, cash equivalents and short-term investments 806,519 828,173
7. Derivative instruments 1,746 1,521
8. Other invested assets 173,686 181,783
9. Aggregate write-ins for investment income 141,621 122,699
10. Total gross investment income 6,699,295 6,969,682
11. Investment expenses 532,331
12. Investment taxes, licenses and fees, excluding federal income taxes 42,658
13. Interest expense 174,809
14. Depreciation on real estate and other invested assets 272,769
15. Aggregate write-ins for deductions from investment income 29,556
16. Total deductions (Lines 11 through 15) 1,052,124
17. Net investment income (Line 10 minus Line 16) 5,917,558

EXHIBIT OF CAPITAL GAINS (LOSSES)


1 2 3 4 5
Change in
Realized Total Realized Unrealized
Gain (Loss) Other Capital Gain Change in Foreign
on Sales or Realized (Loss) (Columns Unrealized Capital Exchange Capital
Maturity 1 + 2) Gain (Loss) Gain (Loss)
Adjustments

1. Government bonds (160,566) (24,859) (185,425) 13,390 0


1.1. Bonds exempt from U.S. tax (9,118) 0 (9,118) (1,363) 0
1.2. Other bonds (unaffiliated) (82,917) (132,622) (215,539) (353,704) 73
1.3. Bonds of affiliates (7) 0 (7) (6,191) 0
2.1. Preferred stocks (unaffiliated) 1,894 (8,544) (6,651) (31,025) (104)
2.11. Preferred stocks of affiliates 0 0 0 9,593 0
2.2. Common stocks (unaffiliated) 1,209,218 (157,615) 1,051,602 (2,955,746) (8,505)
2.21. Common stocks of affiliates 1,012 (609,285) (608,273) 822,358 0
3. Mortgage loans 97 0 97 (4) 0
4. Real estate 2,527 (2,698) (171) 4,301 0
5. Contract loans 0 0 0 19 0
6. Cash, cash equivalents and short-term investments 2,106 48 2,154 (4,311) 33
7. Derivative instruments 5,849 74 5,924 9,543 0
8. Other invested assets 130,247 (68,560) 61,687 224,867 0
9. Aggregate write-ins for capital gains (losses) 239,421 (210,398) 29,023 2,385 (55)
10. Total capital gains (losses) 1,339,762 (1,214,460) 125,302 (2,265,887) (8,558)

© 2019 National Association of Insurance Commissioners


29
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ......................................................................
(Name) 16
EXHIBIT OF NONADMITTED ASSETS
(000's)

1 2 3
Current Year Prior Year Change in Total
Total Total Nonadmitted
Nonadmitted Nonadmitted Assets
Assets Assets (Col. 2-Col. 1)

01. Bonds (Schedule D) 15,403 18,926 3,524


02. Stocks (Schedule D):
02.1. Preferred stocks 6,860 5,003 (1,857)
02.2. Common stocks 932,509 1,807,780 875,271
03. Mortgage loans on real estate (Schedule B):
03.1. First liens 0 0 0
03.2. Other than first liens 0 0 0
04. Real estate (Schedule A):
04.1. Properties occupied by the company 32,914 29,847 (3,067)
04.2. Properties held for the production of income 19,898 20,513 615
04.3. Properties held for sale 2,384 0 (2,384)
05. Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and
short-term investments (Schedule DA) 5,133 19,279 14,147
06. Contract loans 0 0 0
07. Derivatives (Schedule DB) 0 0 0
08. Other invested assets (Schedule BA) 460,659 273,820 (186,839)
09. Receivables for securities 171 16 (155)
10. Securities lending reinvested collateral assets (Schedule DL) 0 0 0
11. Aggregate write-ins for invested assets 57,528 228,850 171,322
12. Subtotals, cash and invested assets (Lines 1 to 11) 1,533,458 2,404,034 870,577
13. Title plants (for title insurers only) 0 0 0
14. Investment income due and accrued 1,611 268 (1,342)
15. Premiums and considerations:
15.1. Uncollected premiums and agents' balances in the course of collection 433,263 471,736 38,473
15.2. Deferred premiums, agents' balances and installments
booked but deferred and not yet due 1 0 (1)
15.3. Accrued retrospective premiums and Contracts subject to redetermination 10,444 255,335 244,891
16. Reinsurance:
16.1. Amounts recoverable from reinsurers 4,689 17,279 12,590
16.2. Funds held by or deposited with reinsured companies 2,577 1,772 (805)
16.3. Other amounts receivable under reinsurance contracts 14,254 1,120 (13,134)
17. Amounts receivable relating to uninsured plans 1,237,827 1,176,859 (60,968)
18.1. Current federal and foreign income tax recoverable and interest thereon 7,747 13,319 5,572
18.2. Net deferred tax asset 2,195,482 4,552,497 2,357,015
19. Guaranty funds receivable or on deposit 158 1,675 1,517
20. Electronic data processing equipment and software 2,148,022 2,102,861 (45,162)
21. Furniture and equipment, including health care delivery assets 1,415,686 1,348,248 (67,438)
22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0
23. Receivables from parent, subsidiaries and affiliates 251,463 275,265 23,802
24. Health care and other amounts receivable 4,125,380 3,704,631 (420,749)
25. Aggregate write-ins for other than invested assets 4,213,671 4,062,208 (151,463)
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines 12 to 25) 17,595,733 20,389,107 2,793,374
27. From Separate Accounts, Segregated Accounts and
Protected Cell Accounts 0 0 0
28. Totals (Lines 24 and 25) 17,595,733 20,389,107 2,793,374

© 2019 National Association of Insurance Commissioners


30
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 17

EXHIBIT 1 - ENROLLMENT BY PRODUCT TYPE FOR HEALTH BUSINESS ONLY


(000's)

Total Members at End of 6

1 2 3 4 5 Current Year
Current Member
Prior First Second Third
Source of Enrollment Year Months
Year Quarter Quarter Quarter

1. Health Maintenance Organizations 68,029 69,130 69,092 69,239 68,510 824,386


2. Provider Service Organizations 2,477 2,526 2,472 2,436 2,444 29,267
3. Preferred Provider Organizations 57,915 60,147 59,932 59,654 59,777 719,565
4. Point of Service 6,508 6,192 6,118 6,060 5,998 73,196
5. Indemnity Only 8,959 8,410 8,464 8,416 8,422 100,970
6. Aggregate write-ins for other lines of business 78,751 80,449 80,322 80,592 81,131 965,703
7. Total 222,639 226,854 226,401 226,397 226,283 2,713,089

© 2019 National Association of Insurance Commissioners


31
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 24

EXHIBIT 7 - PART 1 - SUMMARY OF TRANSACTIONS WITH PROVIDERS


(000's)

1 3 5 6
Column 1
Direct Medical Total Column 1 Expenses Paid to
Payment Method
Expense Members Expenses Paid to Non-Affiliated
Payment Covered Affiliated Providers Providers

Capitation Payments:
1. Medical groups 29,108,701 59,523 7,638,234 21,470,467
2. Intermediaries 19,152,765 38,307 7,279,701 11,873,064
3. All other providers 9,395,898 46,991 3,670,044 5,725,854
4. Total capitation payments 57,657,365 129,145 18,587,980 39,069,386
Other Payments:
5. Fee-for-service 72,319,486 XXX 7,209,437 65,110,049
6. Contractual fee payments 393,951,680 XXX 37,553,264 356,398,416
7. Bonus/withhold arrangements - fee-for-service 1,242,843 XXX 49,554 1,193,289
8. Bonus/withhold arrangements - contractual fee payments 52,184,735 XXX 3,407,963 48,776,772
9. Non-contingent salaries 7,795,470 XXX 5,148,308 2,647,163
10. Aggregate cost arrangements 6,780,748 XXX 6,409,203 371,544
11. All other payments 8,385,889 XXX 3,231,897 5,153,992
12. Total other payments 542,660,852 XXX 63,009,627 479,651,225
13. Total ( Line 4 plus Line 12) 600,318,217 XXX 81,597,607 518,720,610

© 2019 National Association of Insurance Commissioners


32
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 25

EXHIBIT 8 - FURNITURE, EQUIPMENT AND SUPPLIES OWNED


(000's)

1 2 3 4 5 6

Book Value Assets


Accumulated Less Not Net Admitted
Description Cost Improvements Depreciation Encumbrances Admitted Assets

1. Administrative furniture and equipment 2,894,154 80,436 1,875,317 576,147 713,978 17,506
2. Medical furniture, equipment and fixtures 936,848 51,953 662,385 155,302 (3,470) 144,091
3. Pharmaceuticals and surgical supplies 162,115 0 (706) 160,661 2,558 157,399
4. Durable medical equipment 17,133 0 17,044 89 0 89
5. Other property and equipment 1,314,339 681,344 941,624 855,487 646,642 236,914
6. Total 5,324,588 813,732 3,495,664 1,747,686 1,359,708 555,999

© 2019 National Association of Insurance Commissioners


33
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) S101
SUMMARY INVESTMENT SCHEDULE
(000's)

1 3
Admitted Assets as
Investment Categories Gross Investment Reported in the Annual
Holdings Amount Statement Amount

1. Bonds
1.1. U.S. treasury securities 17,098,630 17,111,174
1.2. U. S. government agency obligations (excl mortgage-backed securities):
1.21. Issued by U.S. government agencies 489,179 491,161
1.22. Issued by U.S. government sponsored agencies 2,691,755 2,688,755
1.3. Non-U.S. government (including Canada, excluding mortgage-backed securities) 858,501 864,722
1.4. Securities issued by states, territories, possessions & political subdivisions in the US:
1.41. States, territories and possessions general obligations 3,673,543 3,688,684
1.42. Political subdivisions of states, territories and possessions and political 3,039,544 3,041,103
subdivisions general obligations
1.43. Revenue and assessment obligations 14,048,381 14,048,583
1.44. Industrial development and similar obligations 741,157 741,382
1.5. Mortgage-backed securities (includes residential and commercial MBS):
1.51. Pass-through securities:
1.511. Issued or guaranteed by GNMA 1,811,360 1,811,360
1.512. Issued or guaranteed FNMA and FHLMC 13,558,873 13,560,145
1.513. All other 397,616 397,616
1.52. CMO's and REMIC's:
1.521. Issued or guaranteed by GNMA, FNMA, FHLMC, or VA 2,863,066 2,863,066
1.522. Issued by non-U.S. government issuers and collateralized by mortgage- 972,065 972,065
backed securities issued or guaranteed by agencies shown in Line 1.521
1.523. All other 5,699,353 5,698,791
2. Other debt and other fixed income securities (excluding short term):
2.1. Unaffiliated domestic securities (includes credit tenant loans and hybird securities) 49,879,432 49,885,632
2.2. Unaffiliated non-U.S. securities (including Canada) 10,601,950 10,611,216
2.3. Affiliated securities 15,300 15,300
3. Equity interests:
3.1. Investments in mutual funds 11,810,525 11,771,691
3.2. Preferred stocks:
3.21. Affiliated 13,602 13,602
3.22. Unaffiliated 583,988 595,471
3.3. Publicly traded equity securities (excluding preferred stocks):
3.31. Affiliated 327,077 318,656
3.32. Unaffiliated 7,251,683 7,302,646
3.4. Other equity securities:
3.41. Affiliated 16,587,400 15,812,835
3.42. Unaffiliated 348,081 346,677
3.5. Other equity interests including tangible personal property under lease:
3.51. Affiliated 224,491 199,542
3.52. Unaffiliated 65,905 65,905
4. Mortgage loans:
4.1. Construction and land development 0 0
4.2. Agricultural 0 0
4.3. Single family residential properties 0 0
4.4. Multifamily residential properties 0 0
4.5. Commercial loans 144,718 144,718
4.6. Mezzanine real estate loans 142 142
5. Real estate investments:
5.1. Property occupied by company 5,039,404 5,426,003
5.2. Property held for production of income 199,394 216,626
5.3. Property held for sale 19,269 26,337
6. Contract loans 451 451
7. Derivatives 5,652 5,652
8. Receivables for securities 230,818 234,928
9. Securities Lending (Line 10, Asset Page reinvested collateral) 998,370 998,370
10. Cash, cash equivalents and short-term investments 38,745,846 40,642,270
11. Other invested assets 13,338,058 13,189,256
12. Total invested assets 224,374,580 225,802,533

© 2019 National Association of Insurance Commissioners


34
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ......................................................................
(Name)
SCHEDULE D - SUMMARY BY COUNTRY S104
Long-Term Bonds and Stocks OWNED December 31 of Current Year
(000's)
1 2 3 4
Book/Adjusted Par Value
Description
Carrying Value Fair Value Actual Cost of Bonds

BONDS 01. United States 20,176,939 20,053,943 20,142,769 20,126,551


Governments 02. Canada 92,463 91,597 93,209 90,541
(Including all obligations guaranteed 03. Other Countries 630,646 627,029 642,385 640,067
by governments) 04. Totals 20,900,048 20,772,570 20,878,363 20,857,159

U.S. States, Territories and Possessions


(Direct and guaranteed)
05. Totals 3,798,694 3,798,611 3,972,191 3,488,420

U.S. Political Subdivisions of


States, Territories & Possessions
(Direct and guaranteed) 06. Totals 3,083,201 3,097,972 3,202,242 2,841,768
U.S. Special revenue and special assessment
obligations and all non-guaranteed
obligations of agencies and authorities
of govts and their political subdivisions 07. Totals 32,359,136 32,225,632 32,924,088 30,944,655
08. United States 57,694,205 57,033,888 58,292,221 56,539,683
Industrial and Miscellaneous, SVO Identified 09. Canada 1,675,438 1,659,595 1,690,996 1,719,638
Funds, Bank Loans and Hybrid Securities 10. Other Countries 9,077,063 8,937,155 9,137,289 9,132,341
(unaffiliated) 11. Totals 68,446,705 67,630,638 69,120,505 67,391,661
Parent Subsidiaries and Affiliates 12. Totals 15,300 15,300 15,300 15,300
13. Total Bonds 128,603,085 127,540,723 130,112,690 125,538,963
PREFERRED STOCKS 14. United States 572,652 583,924 603,050
15. Canada 2,769 2,769 2,900
16. Other Countries 8,679 7,938 9,641
17. Totals 584,099 594,630 615,591
Parent Subsidiaries and Affiliates 18. Totals 13,602 13,602 6,830
19. Total Preferred Stocks 597,701 608,231 622,421
COMMON STOCKS 20. United States 18,057,903 18,057,903 15,803,146
Industrial and Miscellaneous 21. Canada 77,434 77,434 75,692
(unaffiliated) 22. Other Countries 1,441,215 1,441,215 1,411,569
23. Totals 19,576,552 19,576,552 17,290,407
Parent Subsidiaries and Affiliates 24. Totals 17,206,581 17,189,424 10,494,901
25. Total Common Stocks 36,783,133 36,765,976 27,785,308
26. Total Stocks 37,380,834 37,374,207 28,407,728
27. Total Bonds and Stocks 165,983,919 164,914,930 158,520,418

© 2019 National Association of Insurance Commissioners


35
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ........................................................................................
(000's) (Name) S105
SCHEDULE D - PART 1A - SECTION 1
1 2 3 4 5 6 7 9 11 12
Quality Rating Per the 1 Year or Less Over 1 Year Thru Over 5 Years Over 10 Years Over 20 No Maturity Total Current Total Prior Year Total Publicly Total Privately
NAIC Designation 5 Years Thru 10 Years Thru 20 Years Date Year
Years Traded Placed

1. U.S. Governments
1.1. NAIC 1 4,999,379 10,388,586 5,000,059 782,571 1,614,460 XXX 22,785,056 23,891,212 22,779,496 5,559
1.2. NAIC 2 19 457 58 189 422 XXX 1,144 4,010 1,144 0
1.3. NAIC 3 0 0 0 0 0 XXX 0 0 0 0
1.4. NAIC 4 0 0 0 0 434 XXX 434 495 434 0
1.5. NAIC 5 0 0 0 0 0 XXX 0 0 0 0
1.6. NAIC 6 0 0 0 0 0 XXX 0 0 0 0

1.7. Totals 4,999,398 10,389,044 5,000,117 782,759 1,615,316 XXX 22,786,634 23,895,716 22,781,075 5,559

2. All Other Governments


2.1. NAIC 1 85,665 172,862 77,070 4,329 16,732 XXX 356,657 283,739 262,412 94,246
2.2. NAIC 2 3,062 44,550 92,117 27,619 40,149 XXX 207,496 191,825 186,788 20,708
2.3. NAIC 3 555 20,198 41,366 7,080 23,853 XXX 93,052 64,315 74,877 18,175
2.4. NAIC 4 1,594 24,576 24,481 24,341 11,825 XXX 86,817 28,017 76,820 9,997
2.5. NAIC 5 0 1,699 1,592 0 0 XXX 3,292 1,589 3,292 0
2.6. NAIC 6 0 0 0 0 0 XXX 0 0 0 0

2.7. Totals 90,875 263,884 236,627 63,369 92,559 XXX 747,314 569,483 604,188 143,126

3. U.S. States, Territories and Possessions etc.,


Guaranteed
3.1. NAIC 1 355,312 1,524,493 1,527,057 178,776 62,746 XXX 3,648,383 4,368,070 3,647,233 1,150
3.2. NAIC 2 42,783 62,537 41,411 12,043 2,464 XXX 161,238 163,899 161,238 0
3.3. NAIC 3 0 0 0 0 0 XXX 0 0 0 0
3.4. NAIC 4 0 0 0 0 0 XXX 0 0 0 0
3.5. NAIC 5 0 0 0 0 0 XXX 0 0 0 0
3.6. NAIC 6 357 603 0 131 0 XXX 1,090 948 1,090 0

3.7. Totals 398,451 1,587,633 1,568,467 190,950 65,211 XXX 3,810,712 4,532,917 3,809,562 1,150

4. U.S. Political Subdivisions of States, Territories, and


Possessions, Guaranteed
4.1. NAIC 1 215,097 1,015,094 1,596,448 140,448 72,500 XXX 3,039,587 3,660,787 3,038,567 1,020
4.2. NAIC 2 15,705 37,053 23,171 4,539 0 XXX 80,468 62,087 74,157 6,311
4.3. NAIC 3 0 9,301 0 1,485 386 XXX 11,172 2,660 11,172 0
4.4. NAIC 4 0 0 0 0 0 XXX 0 16,545 0 0
4.5. NAIC 5 0 0 0 0 0 XXX 0 0 0 0
4.6. NAIC 6 0 0 0 0 185 XXX 185 0 185 0

4.7. Totals 230,802 1,061,447 1,619,619 146,472 73,071 XXX 3,131,411 3,742,079 3,124,080 7,331

© 2019 National Association of Insurance Commissioners


36
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ........................................................................................
(000's) (Name) S106
SCHEDULE D - PART 1A - SECTION 1 (continued)
1 2 3 4 5 6 7 9 11 12
Quality Rating Per the 1 Year or Less Over 1 Year Thru Over 5 Years Over 10 Years Over 20 No Maturity Total Current Total Prior Year Total Publicly Total Privately
NAIC Designation 5 Years Thru 10 Years Thru 20 Years Years Date Year Traded Placed

5. U.S. Special Revenue & Assessment Obligations etc.


Non-Guaranteed
5.1. NAIC 1 3,664,336 10,228,068 10,769,134 4,140,195 3,020,846 31,822,579 31,116,062 31,781,565 41,014
5.2. NAIC 2 76,187 332,112 388,206 70,101 79,658 946,262 978,651 942,358 3,905
5.3. NAIC 3 6,798 11,317 13,522 4,770 528 36,935 27,045 36,935 0
5.4. NAIC 4 689 7,351 5,001 8,669 236 21,945 12,712 4,510 17,435
5.5. NAIC 5 0 1,380 0 2,143 692 4,215 6,348 4,215 0
5.6. NAIC 6 3,104 747 0 0 606 4,457 5,849 4,457 0

5.7. Totals 3,751,113 10,580,974 11,175,862 4,225,878 3,102,565 32,836,392 32,146,667 32,774,039 62,353

6. Industrial and Misccellaneous (unaffiliated)


6.1. NAIC 1 10,398,654 21,296,187 9,982,203 1,997,545 1,342,174 XXX 45,016,764 38,570,353 34,152,012 10,864,752
6.2. NAIC 2 2,389,950 10,124,881 6,631,359 611,075 1,045,036 XXX 20,802,302 18,403,614 17,536,080 3,266,222
6.3. NAIC 3 141,838 1,496,855 1,504,507 82,148 51,781 XXX 3,277,128 3,476,222 2,216,602 1,060,527
6.4. NAIC 4 73,306 763,983 713,508 29,277 15,839 XXX 1,595,913 2,300,120 778,328 817,585
6.5. NAIC 5 8,972 125,923 72,684 4,625 463 XXX 212,666 269,155 88,489 124,178
6.6. NAIC 6 4,984 25,556 6,563 3,642 1,235 XXX 41,980 25,057 29,650 12,330

6.7. Totals 13,017,704 33,833,385 18,910,824 2,728,313 2,456,529 XXX 70,946,753 63,044,521 54,801,161 16,145,593

7. Hybird Securities
7.1. NAIC 1 977 3,650 3,981 2,023 5,774 XXX 16,405 12,422 9,699 6,706
7.2. NAIC 2 3,761 21,695 24,148 3,225 177,120 XXX 229,949 239,384 195,856 34,093
7.3. NAIC 3 2,191 2,929 7,242 2,908 40,204 XXX 55,474 52,583 51,136 4,338
7.4. NAIC 4 0 486 0 0 1,004 XXX 1,490 3,046 1,490 0
7.5. NAIC 5 0 0 1,413 0 196 XXX 1,609 0 1,609 0
7.6. NAIC 6 2,500 0 0 0 0 XXX 2,500 2,500 2,500 0

7.7. Totals 9,430 28,759 36,784 8,156 224,298 XXX 307,427 309,935 262,290 45,137

8. Parent, Subsidiaries and Affiliates


8.1. NAIC 1 0 0 0 0 0 XXX 0 74 0 0
8.2. NAIC 2 0 0 0 15,300 0 XXX 15,300 15,300 0 15,300
8.3. NAIC 3 0 0 0 0 0 XXX 0 0 0 0
8.4. NAIC 4 0 0 0 0 0 XXX 0 0 0 0
8.5. NAIC 5 0 0 0 0 0 XXX 0 400 0 0
8.6. NAIC 6 0 0 0 0 0 XXX 0 0 0 0

8.7. Totals 0 0 0 15,300 0 XXX 15,300 15,774 0 15,300

9. SVO Identified Funds


9.1. NAIC 1 XXX XXX XXX XXX XXX 1,180,914 1,180,914 1,177,890 1,178,876 2,038
9.2. NAIC 2 XXX XXX XXX XXX XXX 245,501 245,501 282,999 245,501 0
9.3. NAIC 3 XXX XXX XXX XXX XXX XXX 0 XXX 0 0
9.4. NAIC 4 XXX XXX XXX XXX XXX 11,444 11,444 48,959 11,444 0
9.5. NAIC 5 XXX XXX XXX XXX XXX XXX 0 XXX 0 0
9.6. NAIC 6 XXX XXX XXX XXX XXX 388 388 XXX 388 0

9.7. Totals XXX XXX XXX XXX XXX 1,438,247 1,438,247 1,509,848 1,436,209 2,038

© 2019 National Association of Insurance Commissioners


37
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ..........................................................................................
(000's) (Name) S107
SCHEDULE D - PART 1A - SECTION 1 (continued)
1 2 3 4 5 6 7 9 11 12
Quality Rating Per the 1 Year or Less Over 1 Year Thru Over 5 Years Over 10 Years Over 20 No Maturity Total Current Total Prior Year Total Publicly Total Privately
NAIC Designation 5 Years Thru 10 Years Thru 20 Years Years Date Year Traded Placed

10. Bank Loans


10.1. NAIC 1 117 1,410 253 0 1,067 2,846 2,846 0
10.2. NAIC 2 1,946 55,108 50,366 0 0 107,419 96,966 10,453
10.3. NAIC 3 9,791 201,134 304,680 0 132 515,737 436,012 79,726
10.4. NAIC 4 247 366,571 607,016 0 0 973,835 904,080 69,755
10.5. NAIC 5 3,543 33,701 12,191 36 1,253 50,724 43,305 7,419
10.6. NAIC 6 220 7,285 901 0 0 8,406 8,020 387

10.7. Totals 15,865 665,209 975,407 36 2,451 1,658,968 1,491,228 167,739

11. Total Bonds Current Year


11.1. NAIC 1 19,719,537 44,630,349 28,956,204 7,245,887 6,136,298 1,180,914 107,869,191 XXX 96,852,706 11,016,485
11.2. NAIC 2 2,533,412 10,678,392 7,250,834 744,091 1,344,850 245,501 22,797,080 XXX 19,440,089 3,356,991
11.3. NAIC 3 161,173 1,741,734 1,871,317 98,390 116,884 0 3,989,498 XXX 2,826,732 1,162,766
11.4. NAIC 4 75,836 1,162,967 1,350,006 62,287 29,337 11,444 2,691,877 XXX 1,777,105 914,772
11.5. NAIC 5 12,515 162,703 87,880 6,804 2,604 0 272,505 XXX 140,909 131,596
11.6. NAIC 6 11,165 34,190 7,464 3,773 2,026 388 59,006 XXX 46,290 12,717

11.8. Line 11.7 as a % of Col. 7 16 42 29 6 6 1 100 XXX 88 12


11.7. Totals 22,513,638 58,410,335 39,523,706 8,161,232 7,632,000 1,438,247 137,679,159 XXX 121,083,831 16,595,328

12. Total Bonds Prior Year


12.1. NAIC 1 21,481,862 41,689,311 27,458,871 5,804,350 5,467,794 1,178,420 XXX 103,080,609 94,639,592 8,441,017
12.2. NAIC 2 2,843,053 8,641,502 6,568,065 787,263 1,218,887 282,999 XXX 20,341,769 17,322,004 3,019,765
12.3. NAIC 3 180,107 1,426,050 1,787,071 130,297 99,300 XXX XXX 3,622,825 2,621,590 1,001,235
12.4. NAIC 4 100,552 1,012,546 1,185,780 41,327 20,729 48,959 XXX 2,409,893 1,616,111 793,783
12.5. NAIC 5 12,552 161,008 88,721 10,546 4,666 XXX XXX 277,492 123,774 153,718
12.6. NAIC 6 4,759 21,201 4,321 2,249 1,825 XXX XXX 34,355 29,852 4,503

12.7. Totals 24,622,885 52,951,618 37,092,830 6,776,031 6,813,201 1,510,378 XXX 129,766,942 116,352,923 13,414,019
12.8. Line 12.7 as a % of Col. 9 19 41 29 5 5 1 XXX 100 90 10

13. Total Publicly Traded Bonds


13.1. NAIC 1 16,824,716 39,699,404 26,268,289 6,905,244 5,976,175 1,178,876 96,852,704 94,639,592 96,852,704 XXX
13.2. NAIC 2 1,981,583 9,235,938 6,146,390 584,955 1,244,967 246,257 19,440,089 17,322,004 19,440,089 XXX
13.3. NAIC 3 117,228 1,269,770 1,271,602 72,593 95,540 0 2,826,732 2,621,590 2,826,732 XXX
13.4. NAIC 4 43,946 784,231 871,372 37,770 28,342 11,444 1,777,105 1,616,111 1,777,105 XXX
13.5. NAIC 5 7,705 89,372 37,170 4,058 2,604 0 140,909 123,774 140,909 XXX
13.6. NAIC 6 8,696 27,960 5,962 2,012 1,273 388 46,290 29,852 46,290 XXX

13.7. Totals 18,983,874 51,106,674 34,600,785 7,606,631 7,348,900 1,436,965 121,083,829 116,352,923 121,083,829 XXX
13.8. Line 13.7 as a % of Col. 7 16 42 29 6 6 1 100 XXX 100 XXX
13.9. Line 13.7 as a % of Line 11.7, Col.7, Section 11 14 37 25 6 5 1 0 85 88 XXX

14. Total Privately Placed Bonds


14.1. NAIC 1 2,893,961 4,931,439 2,688,315 340,612 160,123 2,038 11,016,487 8,441,017 XXX 11,016,487
14.2. NAIC 2 552,071 1,442,075 1,104,551 159,167 99,127 0 3,356,991 3,019,765 XXX 3,356,991
14.3. NAIC 3 44,236 471,964 599,716 25,797 21,054 0 1,162,766 1,001,235 XXX 1,162,766
14.4. NAIC 4 31,890 378,736 478,634 24,517 995 0 914,772 793,783 XXX 914,772
14.5. NAIC 5 4,810 73,331 50,710 2,746 0 0 131,596 153,718 XXX 131,596
14.6. NAIC 6 2,369 6,231 1,602 1,761 754 0 12,717 4,503 XXX 12,717

14.7. Totals 3,529,336 7,303,775 4,923,528 554,600 282,053 2,038 16,595,330 13,414,019 XXX 16,595,330
14.8. Line 14.7 as a % of Col. 7 21 44 30 3 2 0 100 XXX XXX 100
14.9. Line 14.7 as a % of Line 11.7, Col 7, Section 11 3 5 4 0 0 0 12 XXX XXX 12

© 2019 National Association of Insurance Commissioners


38
Health Insurance Industry Aggregates
2014 through 2018
Maturity Distribution of Bonds

100%
6 7 5 5 6
5 5 5 6
90% 5

80%
25 24 26
29
29
70%

60%

50%
Percent

40 40 39
40% 41
42

30%

20%
24 24 25
10% 19 16

0%
2014 2015 2016 2017 2018
Years
1 Year or Less Over 1 Year thru 5 Years Over 5 Years thru 10 Years Over 10 Years thru 20 Years Over 20 Years

© 2019 National Association of Insurance Commissioners


39
© 2019 National Association of Insurance Commissioners
40
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE .......................................................................................... S108
SCHEDULE D - PART 1A - SECTION 2 (continued)
Maturity Distribution of All Bonds Owned December31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues (000's)

1 2 3 4 5 6 7 9 11 12
Distribution by Type 1 Year or Less Over 1 Year Thru Over 5 Years Over 10 Years Over 20 No Maturity Total Current Total Prior Year Total Publicly Total Privately
5 Years Thru 10 Years Thru 20 Years Years Date Year Traded Placed

1. U.S. Governments
1.1. Issuer obligations 4,669,445 9,550,580 4,474,636 269,642 1,362,356 XXX 20,326,660 21,256,728 20,323,976 2,684
1.2. Residential Mortgage-Backed Securities 299,139 741,281 448,339 430,144 243,952 XXX 2,162,855 2,375,059 2,161,331 1,524
1.3. Commercial Mortgage -Baced Securities 15,390 44,477 25,021 21,905 8,623 XXX 115,415 149,563 115,415 0
1.4. Other Loan-Backed and Structured Securities 15,424 50,875 54,946 60,176 283 XXX 181,704 105,989 180,353 1,352

1.5. Totals 4,999,398 10,387,213 5,002,942 781,866 1,615,214 XXX 22,786,634 23,887,340 22,781,075 5,559

2. All Other Governments


2.1. Issuer obligations 90,334 254,908 232,438 60,665 92,352 XXX 730,698 569,120 587,571 143,126
2.2. Residential Mortgage-Backed Securities 0 0 0 0 0 XXX 0 0 0 0
2.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 XXX 0 0 0 0
2.4. Other Loan-Backed and Structured Securities 541 8,976 4,189 2,704 207 XXX 16,617 363 16,617 0

2.5. Totals 90,875 263,884 236,627 63,369 92,559 XXX 747,314 569,483 604,188 143,126

3. U.S. States, Territories and Possessions, Guaranteed


3.1. Issuer obligations 398,451 1,587,633 1,568,506 190,950 65,211 XXX 3,810,751 4,532,711 3,809,600 1,150
3.2. Residential Mortgage-Backed Securities 0 0 0 0 0 XXX 0 0 0 0
3.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 XXX 0 0 0 0
3.4. Other Loan-Backed and Structured Securities 0 0 0 0 0 XXX 0 0 0 0

3.5. Totals 398,451 1,587,633 1,568,506 190,950 65,211 XXX 3,810,751 4,532,711 3,809,600 1,150

4. U.S. Political Subdivisions of States, Territories and Possessions, Guaranteed


4.1. Issuer obligations 230,802 1,057,156 1,619,619 146,472 73,071 XXX 3,127,121 3,738,416 3,119,790 7,331
4.2. Residential Mortgage-Backed Securities 0 648 0 0 0 XXX 648 0 648 0
4.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 XXX 0 0 0 0
4.4. Other Loan-Backed and Structured Securities 0 3,643 0 0 0 XXX 3,643 3,663 3,643 0

4.5. Totals 230,802 1,061,447 1,619,619 146,472 73,071 XXX 3,131,411 3,742,079 3,124,080 7,331

5. U.S. Special Revenue & Special Assessment Obligations, etc., Non-Guaranteed


5.1. Issuer obligations 2,167,887 5,751,174 7,220,345 1,021,297 596,506 XXX 16,757,208 18,779,726 16,715,259 41,949
5.2. Residential Mortgage-Backed Securities 1,445,071 4,325,495 3,447,025 3,123,249 2,498,126 XXX 14,838,966 12,547,071 14,829,135 9,831
5.3. Commercial Mortgage -Baced Securities 94,935 438,971 444,018 79,140 6,257 XXX 1,063,320 589,438 1,056,333 6,987
5.4. Other Loan-Backed and Structured Securities 43,213 65,334 64,481 2,192 1,677 XXX 176,897 228,592 173,311 3,586

5.5. Totals 3,751,106 10,580,974 11,175,869 4,225,878 3,102,565 XXX 32,836,392 32,144,828 32,774,039 62,353

6. Industrial & Miscellaneous


6.1. Issuer obligations 10,364,503 27,057,338 14,397,689 1,366,483 1,912,444 55,098,457 51,573,931 45,886,210 9,212,248
6.2. Residential Mortgage-Backed Securities 223,266 502,973 243,371 127,830 80,582 XXX 1,178,022 956,755 707,106 470,916
6.3. Commercial Mortgage -Baced Securities 431,049 1,571,255 1,886,884 284,916 418,558 XXX 4,592,662 3,455,314 3,296,832 1,295,830
6.4. Other Loan-Backed and Structured Securities 2,004,785 4,697,546 2,381,658 949,084 44,540 XXX 10,077,612 6,994,702 4,911,013 5,166,599

6.5. Totals 13,023,603 33,829,112 18,909,602 2,728,313 2,456,124 XXX 70,946,753 62,980,702 54,801,161 16,145,593

7. Hybird Securities
7.1. Issuer obligations 9,430 28,759 36,784 8,156 224,259 XXX 307,388 305,827 262,250 45,137
7.2. Residential Mortgage-Backed Securities 0 0 0 0 0 XXX 0 0 0 0
7.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 XXX 0 0 0 0
7.4. Other Loan-Backed and Structured Securities 0 0 0 0 39 XXX 39 1,527 39 0

7.5. Totals 9,430 28,759 36,784 8,156 224,298 XXX 307,427 307,354 262,290 45,137

8. Parent, Subsidiaries and Affiliates


8.1. Issuer obligations 0 0 0 15,300 0 XXX 15,300 15,774 0 15,300
8.2. Residential Mortgage-Backed Securities 0 0 0 0 0 XXX 0 0 0 0
8.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 XXX 0 0 0 0
8.4. Other Loan-Backed and Structured Securities 0 0 0 0 0 XXX 0 0 0 0

8.5. Totals 0 0 0 15,300 0 XXX 15,300 15,774 0 15,300

© 2019 National Association of Insurance Commissioners


41
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ......................................................................................... S109
(000's)

SCHEDULE D - PART 1A - SECTION 2 (continued)


1 2 3 4 5 6 7 9 11 12
Distribution by Type 1 Year or Less Over 1 Year Thru Over 5 Years Over 10 Years Over 20 No Maturity Total Current Total Prior Year Total Publicly Total Privately
5 Years Thru 10 Years Thru 20 Years Years Years Year Traded Placed
9. SVO Identified Funds
9.1. Exchange Traded Funds Identified by the SVO XXX XXX XXX XXX XXX 1,132,377 1,132,377 XXX 1,128,395 3,982
9.2. Bond Mutual Funds Identified by the SVO XXX XXX XXX XXX XXX 305,870 305,870 XXX 303,831 2,038

9.3. Totals XXX XXX XXX XXX XXX 1,438,247 1,438,247 XXX 1,432,226 6,020

10. SVO Identified Funds


10.1. Exchange Traded Funds Identified by the SVO 0 0 0 0 0 0 0 0
10.2. Bond Mutual Funds Identified by the SVO 15,865 665,209 975,407 36 2,451 1,658,968 1,491,228 167,739

10.3. Totals 15,865 665,209 975,407 36 2,451 1,658,968 1,491,228 167,739

11. Total Bonds Current Year


11.1. Issuer obligations 17,930,852 45,287,549 29,550,017 3,078,965 4,326,199 XXX 100,173,582 XXX 90,704,656 9,468,926
11.2. Residential Mortgage-Backed Securities 1,967,476 5,570,397 4,138,736 3,681,223 2,822,659 XXX 18,180,491 XXX 17,698,220 482,271
11.3. Commercial Mortgage -Baced Securities 541,373 2,054,703 2,355,923 385,961 433,437 XXX 5,771,397 XXX 4,468,580 1,302,817
11.4. Other Loan-Backed and Structured Securities 2,063,963 4,826,374 2,505,273 1,014,156 46,747 XXX 10,456,513 XXX 5,284,976 5,171,536
11.5. SVO Identified Funds XXX XXX XXX XXX XXX 1,438,247 1,438,247 XXX 1,432,226 6,020
11.6. Bank Loans 15,865 665,209 975,407 36 2,451 1,658,968 1,491,228 167,739

11.7. Total 22,519,530 58,404,232 39,525,355 8,160,339 7,631,493 1,438,247 137,679,197 XXX 121,079,887 16,599,310
11.8. Lines 11.7 as a % Col. 7 16 42 29 6 6 1 100 XXX 88 12

12. Total Bonds Prior Year


12.1. Issuer obligations 20,867,810 42,022,632 30,575,487 3,140,775 4,165,530 XXX XXX 100,772,234 91,933,455 8,838,779
12.2. Residential Mortgage-Backed Securities 2,045,034 5,559,240 3,385,270 2,695,754 2,193,587 XXX XXX 15,878,885 15,570,201 308,684
12.3. Commercial Mortgage -Baced Securities 360,177 1,384,687 1,740,482 333,217 375,751 XXX XXX 4,194,315 3,287,243 907,072
12.4. Other Loan-Backed and Structured Securities 1,356,650 3,975,124 1,409,185 540,397 53,480 XXX XXX 7,334,837 4,013,408 3,321,429
12.5. SVO Identified Funds XXX XXX XXX XXX XXX XXX XXX XXX 1,507,833 2,015
12.6. Bank Loans
12.7. Totals 24,629,672 52,941,684 37,110,425 6,710,143 6,788,348 XXX XXX 129,690,119 116,312,139 13,377,980
12.8. Line 12.7 as a % of Col. 9 21 46 32 6 6 XXX XXX 112 100 12

13. Total Publicly Traded Bonds


13.1. Issuer obligations 15,528,612 41,244,690 27,011,173 2,821,481 4,098,798 XXX 90,704,754 91,933,455 90,704,754 XXX
13.2. Residential Mortgage-Backed Securities 1,871,348 5,345,125 4,039,610 3,634,360 2,807,777 XXX 17,698,220 15,570,201 17,698,220 XXX
13.3. Commercial Mortgage -Baced Securities 295,822 1,346,566 2,048,785 356,620 420,786 XXX 4,468,580 3,287,243 4,468,580 XXX
13.4. Other Loan-Backed and Structured Securities 1,280,569 2,610,689 582,077 793,649 17,891 XXX 5,284,876 4,013,408 5,284,876 XXX
13.5. SVO Identified Funds XXX XXX XXX XXX XXX 1,432,226 1,432,226 XXX 1,432,226 XXX
13.6. Bank Loans 13,969 554,804 919,968 36 2,451 1,491,228 1,491,228
13.7. Totals 18,990,320 51,101,874 34,601,614 7,606,146 7,347,704 1,432,226 121,079,885 116,312,139 121,079,885 XXX
13.8. Line 13.7 as a % of Col. 7 16 42 29 6 6 1 100 XXX 100 XXX
13.9. Line 13.7 as a % of Line 11.7, Col 7, Section 11 1,320 3,553 2,406 529 511 100 8,419 XXX 8,419 XXX

14. Total Privately Placed Bonds


14.1. Issuer obligations 2,402,378 4,043,188 2,538,648 257,891 226,421 XXX 9,468,526 8,838,779 XXX 9,468,526
14.2. Residential Mortgage-Backed Securities 96,129 226,029 99,126 46,862 14,126 XXX 482,271 308,684 XXX 482,271
14.3. Commercial Mortgage -Baced Securities 245,551 708,137 307,137 29,340 12,651 XXX 1,302,817 907,072 XXX 1,302,817
14.4. Other Loan-Backed and Structured Securities 783,394 2,215,585 1,923,196 220,507 28,855 XXX 5,171,536 3,321,429 XXX 5,171,536
14.5. SVO Identified Funds XXX XXX XXX XXX XXX 6,020 6,020 XXX XXX 6,020
14.6. Bank Loans 2,298 110,405 55,439 0 0 168,141 168,141

14.7. Totals 3,529,750 7,303,343 4,923,546 554,600 282,053 6,020 16,599,312 13,377,980 XXX 16,599,312
14.8. Line 14.7 as a % of Col. 7 21 44 30 3 2 0 100 XXX XXX 100
14.7. Line 14.7 as a % of Line 11.7, col. 7, Section 11 245 508 342 39 20 0 1,154 XXX XXX 1,154

© 2019 National Association of Insurance Commissioners


42
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 36
SCHEDULE S - PART 6
Five-Year Exhibit of Reinsurance Ceded Business
(000's)

1 2 3 4 5

2018 2017 2016 2015 2014

A. OPERATIONS ITEMS

01. Premiums 11,035 6,556 7,163 6,717 7,059


02. Title XVIII-Medicare 4,792 5,221 5,494 4,630 2,500
03. Title XIX-Medicaid 7,418 7,183 2,413 2,157 2,154
04. Commissions and reinsurance expense allowance 1,280 1,160 1,277 714 714
05. Total medical and hospital expenses 3,724,889 3,417,234 2,479,516 2,311,270 21,195

B. BALANCE SHEET ITEMS

06. Premiums receivable 132,016 47,817 21,123 11,854 472


07. Claims payable 459,526 159,605 49,207 45,263 1,548
08. Reinsurance recoverable on paid losses 1,056 1,205 3,744 5,946 5,084
09. Experience rating refunds due or unpaid 189 143 231 187 185
10. Commissions and reinsurance expense allowances due 54,035 61,750 33,749 2,892 36
11. Unauthorized reinsurance offset 141 210 159 474 468
12. Offset for reinsurance with Certified Reinsurers 30 47 45 57 41

C. UNAUTHORIZED REINSURANCE
(DEPOSITS BY AND FUNDS WITHHELD FROM)

13. Funds deposited by and withheld from (F) 265 209 159 473 467
14. Letters of credit (L) 14 13 13 12 15
15. Trust agreements (T) 99 68 66 72 78
16. Other (O) 0 0 0 0 0

D. REINSURANCE WITH CERTIFIED REINSURERS


(DEPOSITS BY AND FUNDS WITHHELD FROM)

17. Multiple Beneficiary Trust 0 0 0 0 0


18. Funds deposited by and whitheld from (F) 29,638 46,868 45,179 56,937 40,562
19. Letters of credit (L) 0 0 0 0 0
20. Trust agreements (T) 0 0 0 0 0
21. Other (O) 0 0 0 0 0

© 2019 National Association of Insurance Commissioners


43
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ......................................................................
(Name) 37
SCHEDULE S - PART 7
Restatement of Balance Sheet to Identify Net Credit For Ceded Reinsurance
(000's)

1 2 3

As Reported Restatement Restated


(net of ceded) Adjustments (gross of ceded)

ASSETS (Page 2, Col 3)


01. Cash and invested assets (Line 12) 216,583,087 46,650 216,629,737
02. Accident and health premiums due and unpaid (Line 15) 30,721,554 142,272 30,863,826
03. Amounts recoverable from reinsurers (Line 16.1) 1,055,075 (809,453) 245,621
04. Net credit for ceded reinsurance XXX 2,459,561 2,459,561
05. All other admitted assets (Balance) 54,340,175 495,900 54,836,076
06. Total assets (Line 28) 302,699,891 2,334,929 305,034,820

LIABILITIES, CAPITAL AND SURPLUS (Page 3)


07. Claims unpaid (Line 1) 61,125,910 1,589,997 62,715,908
08. Accrued medical incentive pool and bonus payments (Line 2) 3,567,746 59,869 3,627,615
09. Premiums received in advance (Line 8) 6,804,016 143,628 6,947,644
10. Funds held under reinsurance treaties with authorized and unauthorized reinsurers (Line 19,
first inset amount plus second inset amount) 281,593 (213,653) 67,940
11. Reinsurance in unauthorized companies (Line 20 minus inset amount) 47,613 (47,353) 260
12. Reinsurance with Certified Reinsurers (Line 20 inset amount) 0 0 0
13. Funds held under reinsurance treaties with Certified Reinsurers (Line 19 third inset amount) 29,638 (29,638) 0
14. All other liabilities (Balance) 78,162,623 770,204 78,932,827
15. Total liabilities (Line 24) 150,019,140 2,273,054 152,292,194
16. Total capital and surplus (Line 33) 152,695,398 XXX 152,695,398
17. Total liabilities, capital and surplus (Line 34) 302,714,538 2,273,054 304,987,593

NET CREDIT FOR CEDED REINSURANCE


18. Claims unpaid 1,783,351
19. Accrued medical incentive pool 66,060
20. Premiums received in advance 150,812
21. Reinsurance recoverable on paid losses 766,706
22. Other ceded reinsurance recoverables (356,731)
23. Total ceded reinsurance recoverables 2,410,199
24. Premiums receivable 211,442
25. Funds held under reinsurance treaties with authorized and unauthorized reinsurers 212,653
26. Unauthorized reinsurance 47,353
27. Reinsurance with Certified Reinsurers 1,000
28. Funds held under reinsurance treaties with Certified Reinsurers 29,638
29. Other ceded reinsurance payables/offsets (551,448)
30. Total ceded reinsurance payables/offsets (49,361)
31. Total net credit for ceded reinsurance 2,459,561

© 2019 National Association of Insurance Commissioners


44
2017 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.

© 2019 National Association of Insurance Commissioners


45
© 2019 National Association of Insurance Commissioners
46
Countrywide, Canada, and Aggregate
Other Alien Insurance Data

© 2019 National Association of Insurance Commissioners


47
© 2019 National Association of Insurance Commissioners
48
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ......................................................................
(Name) 38
SCHEDULE T - PREMIUMS AND OTHER CONSIDERATIONS
(000's)
Direct Business Only
2 3 4 5 6 7 8 9
Federal Life and
States, etc. Employees Annuity
Accident Health Benefits Premiums and Property/ Total Deposit-
and Health Medicare Medicaid Program Other Casualty Columns Type
Premiums Title XVIII Title XIX Premiums Considerations Premiums 2 Through 7 Contracts

01. Alabama AL 5,013,864 4,288,233 16,942 772,805 316 0 10,092,161 0


02. Alaska AK 498,902 2,503 0 421,155 24 0 922,584 0
03. Arizona AZ 3,075,675 4,415,235 11,237 682,009 1,303 0 8,185,460 0
04. Arkansas AR 3,466,598 1,728,947 137,442 269,529 1,203 0 5,603,718 0
05. California CA 3,088,340 3,053,713 1,458,086 4,505 58,441 0 7,663,084 0
06. Colorado CO 5,519,670 3,174,940 631,257 806,450 1,086 0 10,133,403 0
07. Connecticut CT 3,442,032 2,381,523 0 291,198 186 0 6,114,939 0
08. Delaware DE 725,673 214,923 0 142,202 26 0 1,082,823 0
09. Dist. Columbia DC 1,662,239 73,791 890,428 1,555,749 95 0 4,182,302 0
10. Florida FL 23,906,998 21,360,660 13,858,778 2,453,195 5,526 0 61,585,157 0
11. Georgia GA 8,207,036 4,546,602 4,296,417 1,523,068 5,805 0 18,578,928 0
12. Hawaii HI 3,478,326 1,140,978 1,660,163 451,511 11,347 0 6,742,324 0
13. Idaho ID 2,072,397 789,317 110,763 208,596 62 0 3,181,135 0
14. Illinois IL 16,343,405 6,458,284 8,564,471 1,194,403 3,707 0 32,564,269 0
15. Indiana IN 3,482,353 2,768,829 5,943,362 671,442 2,358 0 12,868,343 0
16. Iowa IA 3,703,269 1,214,761 4,376,791 260,042 612 0 9,555,476 0
17. Kansas KS 1,232,203 860,381 3,337,235 130,891 1,020 0 5,561,729 0
18. Kentucky KY 3,703,682 3,252,814 7,451,251 444,438 7,325 0 14,859,509 0
19. Louisiana LA 4,019,588 3,462,799 7,474,656 415,469 1,557 0 15,374,068 0
20. Maine ME 1,897,947 929,634 0 205,693 18 0 3,033,292 0
21. Maryland MD 5,129,395 1,245,924 2,583,400 3,462,711 1,014 0 12,422,444 0
22. Massachusetts MA 13,337,634 2,594,396 4,490,269 753,250 414 0 21,175,962 0
23. Michigan MI 13,280,603 8,572,932 6,226,217 787,238 1,884 0 28,868,873 0
24. Minnesota MN 6,323,394 3,676,831 6,696,868 632,054 458 0 17,329,604 0
25. Mississippi MS 1,936,187 1,171,510 2,335,360 344,753 641 0 5,788,451 258,258
26. Missouri MO 4,379,564 4,467,410 2,168,542 738,631 2,263 0 11,756,410 0
27. Montana MT 984,234 357,529 0 198,065 33 0 1,539,860 0
28. Nebraska NE 2,267,984 503,759 1,312,349 261,535 582 0 4,346,211 0
29. Nevada NV 2,646,906 2,285,043 1,805,841 227,620 354 0 6,965,765 0
30. New Hampshire NH 1,942,916 346,411 637,620 278,562 45 0 3,205,553 0
31. New Jersey NJ 9,564,770 4,305,913 9,959,054 873,097 642 0 24,703,476 0
32. New Mexico NM 1,116,934 1,004,474 4,240,252 353,994 64 0 6,715,717 0
33. New York NY 22,667,814 14,380,594 9,428,074 1,691,203 48 0 48,167,733 0
34. North Carolina NC 8,454,350 6,625,852 0 1,146,240 1,033 0 16,227,476 0
35. North Dakota ND 1,584,084 132,986 296,423 125,419 56 0 2,138,968 0
36. Ohio OH 8,308,227 9,238,586 16,019,911 1,186,907 4,955 0 34,758,586 42,052
37. Oklahoma OK 3,520,664 1,515,181 0 745,188 563 0 5,781,597 0
38. Oregon OR 5,656,548 3,759,879 709,126 493,517 36 0 10,619,106 0
39. Pennsylvania PA 14,817,112 12,993,853 16,196,229 1,599,686 672 4,536 45,612,088 0
40. Rhode Island RI 1,346,665 901,580 1,842,083 124,336 25 0 4,214,689 0
41. South Carolina SC 3,880,319 1,608,795 2,993,763 543,973 825 0 9,027,675 0
42. South Dakota SD 1,243,098 223,025 0 161,335 124 0 1,627,581 0
43. Tennessee TN 4,988,819 6,082,468 5,950,650 713,047 1,448 0 17,736,433 0
44. Texas TX 19,136,302 18,527,774 21,452,969 2,926,704 8,749 0 62,052,498 0
45. Utah UT 3,255,019 1,400,244 612,088 578,807 634 0 5,846,791 0
46. Vermont VT 695,356 59,758 0 87,592 7 0 842,714 0
47. Virginia VA 7,401,725 3,060,476 6,007,911 2,685,639 903 0 19,156,653 0
48. Washington WA 8,404,010 3,876,291 4,595,475 1,057,586 82 0 17,933,445 88,873
49. West Virginia WV 1,093,293 1,489,547 1,647,460 362,454 89 0 4,592,843 0
50. Wisconsin WI 7,634,633 4,690,124 2,022,491 575,035 3,351 0 14,925,633 0
51. Wyoming WY 546,755 7,225 0 111,187 23 0 665,191 0
52. American Samoa AS 602 5 0 0 0 0 607 0
53. Guam GU 47,928 43 0 27,974 1 0 75,946 0
54. Puerto Rico PR 2,291,477 4,260,711 2,720,965 180,121 2 0 9,453,275 0
55. U.S. Virgin Islands VI 8,835 107 0 2,927 0 0 11,869 0
56. Northern Mariana Islands MP 4,579 0 0 0 0 0 4,579 0
57. Canada CN 1 0 0 0 0 0 1 0
58. Aggregate other aliien OT 1,082,162 0 0 0 76 0 1,082,238 0
59. Subtotal 289,521,093 191,486,102 195,170,670 38,942,739 134,110 4,536 715,259,249 389,183
60. Reporting entity contributions
for Employee Benefit Plans 540,906 440 0 0 0 0 541,345 0
61. Totals 290,061,998 191,486,541 195,170,670 38,942,739 134,110 4,536 715,800,594 389,183

© 2019 National Association of Insurance Commissioners


49
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 39
SCHEDULE T - PART 2
INTERSTATE COMPACT PRODUCTS - EXHIBIT OF PREMIUMS WRITTEN
Allocated By States and Territories
(000's)

Direct Business Only


1 2 3 4 5 6
Long-Term
Disability Care
Life Annuities Income Health Benefits
States, etc.
(Group and (Group and (Group and (Group and Deposit type
Individual) Individual) Individual) Individual) Contract Totals
01. Alabama AL 307 6 256 8,469 0 9,038
02. Alaska AK 24 0 (394) 0 0 (370)
03. Arizona AZ 1,290 5 (229) 57 0 1,123
04. Arkansas AR 283 2 (4) 438 0 718
05. California CA 58,343 63 15,283 2,313 0 76,002
06. Colorado CO 1,062 6 (73) 45 0 1,040
07. Connecticut CT 171 4 1 0 0 176
08. Delaware DE 22 3 4 222 0 250
09. Dist. Columbia DC 90 4 3 1 0 98
10. Florida FL 5,478 42 381 44 0 5,945
11. Georgia GA 5,783 18 199 11 0 6,011
12. Hawaii HI 11,298 0 (16) 0 0 11,282
13. Idaho ID 31 27 43 185 0 286
14. Illinois IL 3,506 76 740 277 0 4,600
15. Indiana IN 2,335 10 (801) 429 0 1,973
16. Iowa IA 561 32 185 545 0 1,323
17. Kansas KS 1,007 1 (119) 277 0 1,166
18. Kentucky KY 7,310 9 (78) 52 0 7,293
19. Louisiana LA 1,553 2 37 48 0 1,639
20. Maine ME 16 1 50 0 0 68
21. Maryland MD 886 108 146 40 0 1,180
22. Massachusetts MA 374 25 19 0 0 418
23. Michigan MI 1,847 35 252 265 0 2,399
24. Minnesota MN 451 7 294 5,155 0 5,907
25. Mississippi MS 635 6 112 121 0 874
26. Missouri MO 2,053 184 (721) 310 0 1,826
27. Montana MT 32 0 (29) 180 0 184
28. Nebraska NE 559 2 136 2,915 0 3,612
29. Nevada NV 350 1 5 12 0 369
30. New Hampshire NH 33 12 2 2 0 49
31. New Jersey NJ 570 71 10 2 0 652
32. New Mexico NM 57 1 (82) 1 0 (23)
33. New York NY 45 4 (19) 0 0 29
34. North Carolina NC 1,012 15 (182) 893 0 1,737
35. North Dakota ND 56 0 87 253 0 396
36. Ohio OH 4,847 71 (782) 723 0 4,859
37. Oklahoma OK 557 3 47 1,973 0 2,580
38. Oregon OR 25 1 252 568 0 845
39. Pennsylvania PA 573 57 166 5,991 0 6,787
40. Rhode Island RI 20 1 5 0 0 26
41. South Carolina SC 816 8 326 6 0 1,156
42. South Dakota SD 118 0 (88) 109 0 139
43. Tennessee TN 1,434 6 169 113 0 1,723
44. Texas TX 8,683 38 499 90 0 9,309
45. Utah UT 633 1 41 73 0 747
46. Vermont VT 6 1 0 0 0 7
47. Virginia VA 853 23 116 53 0 1,045
48. Washington WA 50 2 110 4,729 0 4,890
49. West Virginia WV 88 1 10 0 0 99
50. Wisconsin WI 3,189 149 124 510 0 3,972
51. Wyoming WY 15 0 8 17 0 39
52. American Samoa AS 0 0 0 0 0 0
53. Guam GU 1 0 0 0 0 1
54. Puerto Rico PR 1 0 0 0 0 2
55. U.S. Virgin Islands. VI 0 0 0 0 0 0
56. Northern Mariana Islands MP 0 0 0 0 0 0
57. Canada CN 0 0 0 0 0 0
58. Aggregate other alien OT 56 0 0 0 0 56
59. Totals 131,398 1,139 16,499 38,515 0 187,551

© 2019 National Association of Insurance Commissioners


50
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) Supp17
MEDICARE PART D COVERAGE SUPPLEMENT
(Net of Reinsurance)
Individual Coverage Group Coverage 5
1 2 3 4 Total
Insured Uninsured Insured Uninsured Cash
1. Premiums Collected
1.1. Standard Coverage
1.11. With reinsurance coverage 8,667,819,310 XXX 407,372,912 XXX 9,075,192,222
1.12. Without reinsurance coverage 910,959,440 XXX 24,714,194 XXX 935,673,634
1.13. Risk-corridor payment adjustments 286,622,575 XXX (388,812) XXX 286,233,763
1.2. Supplemental benefits 658,297,983 XXX 421,893,261 XXX 1,080,191,244
2. Premiums Due and Uncollected-change
2.1. Standard Coverage
2.11. With reinsurance coverage 82,170,937 XXX 15,690,539 XXX XXX
2.12. Without reinsurance coverage 13,284,305 XXX 130,857 XXX XXX
2.2. Supplemental benefits (2,314,906) XXX 5,407,170 XXX XXX
3. Unearned Premium and Advance Premium-change
3.1. Standard Coverage
3.11. With reinsurance coverage (5,548,725) XXX 173,130 XXX XXX
3.12. Without reinsurance coverage (402,250) XXX 100,288 XXX XXX
3.2. Supplemental benefits (107,987) XXX 213,027 XXX XXX
4. Risk-Corridor Payment Adjustments-change
4.1. Receivable (59,529,606) XXX 0 XXX XXX
4.2. Payable 9,437,050 XXX 318,519 XXX XXX
5. Earned Premiums
5.1. Standard Coverage
5.11. With reinsurance coverage 8,755,538,971 XXX 422,890,321 XXX XXX
5.12. Without reinsurance coverage 924,645,995 XXX 24,744,763 XXX XXX
5.13. Risk-corridor payment adjustments 236,530,018 XXX (70,293) XXX XXX
5.2. Supplemental benefits 655,967,662 XXX 427,080,960 XXX XXX
6. Total premiums 10,572,682,647 XXX 874,645,751 XXX 11,377,290,861
7. Claims Paid
7.1. Standard Coverage
7.11. With reinsurance coverage 7,236,616,307 XXX 381,848,472 XXX 7,618,464,778
7.12. Without reinsurance coverage 684,011,053 XXX 23,430,969 XXX 707,442,022
7.2. Supplemental benefits (claims paid) 475,473,631 XXX 264,284,944 XXX 739,758,575
8. Claim Reserves and Liabilities-change
8.1. Standard Coverage
8.11. With reinsurance coverage 61,756,976 XXX 7,211,563 XXX XXX
8.12. Without reinsurance coverage 10,152,699 XXX 14,226 XXX XXX
8.2. Supplemental benefits 1,784,872 XXX 273,627 XXX XXX
9. Health Care Receivables - change
9.1. Standard Coverage
9.11. With reinsurance coverage 16,849,199 XXX (18,548,559) XXX XXX
9.12. Without reinsurance coverage 60,950,235 XXX (117,906) XXX XXX
9.2. Supplemental benefits (8,070,962) XXX 1,784,386 XXX XXX
10. Claims Incurred
10.1. Standard Coverage
10.11. With reinsurance coverage 7,274,487,802 XXX 402,993,540 XXX XXX
10.12. Without reinsurance coverage 633,213,517 XXX 23,563,101 XXX XXX
10.2. Supplemental benefits 484,231,319 XXX 262,053,915 XXX XXX
11. Total claims 8,391,932,638 XXX 688,610,556 XXX 9,065,665,375
12. Reinsurance Coverage and Low Income Cost Sharing
12.1. Claims paid - net of reimbursements applied XXX (113,424,231) XXX 402,684,585 289,260,355
12.2. Reimbursements received but not applied - change XXX (324,705,605) XXX 33,521,121 (291,184,484)
12.3. Reimbursements receivables - change XXX (11,233,186) XXX (345,209,199) XXX
12.4. Health care receivables - change XXX 9,387,653 XXX 712,726 XXX
13. Aggregate policy reserves - change (90,448,020) 0 0 0 XXX
14. Expenses paid 1,686,314,001 XXX 56,517,619 XXX 1,742,831,191
15. Expenses incurred 1,998,327,589 XXX 55,579,271 XXX XXX
16. Underwriting gain/loss 272,870,441 XXX 130,455,923 XXX XXX
17. Cash flow result XXX XXX XXX XXX (11,650,541)

© 2019 National Association of Insurance Commissioners


51
© 2019 National Association of Insurance Commissioners
52
Health Insurance Industry Aggregates
2018 Direct Written Premium Volume by State
(In Millions)

Canada: No Data
WA VT NH
17,933 843 3,206
ME
MT 3,033
ND
1,540 2,139
OR ID MN
10,619 3,181 17,330
WI NY
SD 14,926 MI 48,168
WY 1,628 28,869
665 MA 21,176
IA PA RI 4,215
NE 9,555 45,612 CT 6,115
4,346 OH
NV UT IN 34,759
IL
CA 6,966 5,847 12,868 NJ 24,703
CO 32,564
7,663 WV
10,133 KS MO VA
4,593 DE 1,083
5,562 11,756 19,157
KY MD 12,422
14,860 DC 4,182
NC
TN 16,227
OK
AZ AR 17,736
NM 5,782 SC
8,185 5,604
6,716 9,028
AK GA
923 MS AL 18,579
5,788 10,092
LA
TX 15,374
62,052

FL
61,585

HI
6,742
LEGEND
$0 - $3,188
$3,188 - $7,314
$7,315 - $16,014
Guam (GU) American Samoa (AS) Northern Mariana Islands (MP) Aggregate Other Alien (OT): Puerto Rico (PR) U.S. Virgin Islands (VI) $16,015 - $62,052
76 1 5 1,082 9,453 12 No Data

2nd
Minimum 1st Quartile Quartile 3rd Quartile Maximum
$0.0 $3,187 $7,314 $16,014 $62,052

© 2019 National Association of Insurance Commissioners


53
© 2019 National Association of Insurance Commissioners
54
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF TOTAL DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3
Medicare Vision Dental Health Benefit Title XVIII Title XIX
Individual Group
Total Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 222,441 12,818 31,683 4,313 33,114 41,788 7,687 15,584 42,645 32,809
02. First Quarter 226,761 13,247 31,052 4,318 34,196 42,302 7,742 16,315 43,661 33,928
03. Second Quarter 226,269 12,652 30,831 4,324 34,325 42,157 7,741 16,432 44,028 33,779
04. Third Quarter 226,541 12,281 30,729 4,335 34,361 41,932 7,743 16,716 44,321 34,124
05. Current Year 226,286 11,856 30,770 4,351 34,510 41,961 7,711 16,980 43,991 34,156

06. Current Year Member Months 2,713,134 151,321 370,433 51,909 411,669 504,445 92,438 198,675 524,381 407,862

Total Member Ambulatory Encounters


for Year:
07. Physician 981,455 78,898 199,120 68,036 36 5,066 63,202 268,747 295,648 2,702
08. Non-physician 652,649 42,460 107,767 31,745 9,572 13,051 40,268 142,428 258,045 7,313
09. Total 1,634,104 121,358 306,887 99,781 9,609 18,117 103,470 411,175 553,693 10,014

10. Hospital patient days incurred 109,852 3,886 8,997 7,418 0 0 2,933 30,595 55,493 530

11. Number of inpatient admissions 14,593 685 1,641 912 0 0 594 4,444 6,268 49

12. Health premiums written (b) 712,235,426 76,022,440 165,306,432 10,815,088 2,561,023 13,783,631 38,942,817 192,330,788 193,671,516 18,801,691
13. Life premiums direct 133,731 1,676 53,594 0 0 0 0 0 0 78,461
14. Property/Casualty premiums written 5,304 0 0 0 0 768 0 0 0 4,536
15. Health premiums earned 708,516,270 75,528,352 164,871,937 10,815,293 2,546,546 11,904,750 39,673,022 192,319,722 192,162,592 18,694,057
16. Property/Casualty premiums earned 195,110 0 172,897 0 0 0 0 17,676 0 4,536

17. Amount Paid for Provision of


health care services 597,404,158 55,728,035 135,958,145 8,462,179 2,559,209 10,589,230 36,133,686 162,526,025 170,037,571 15,410,077
18. Amount Incurred for Provision of
Health Care Services 602,543,654 55,505,957 137,474,899 8,510,119 2,553,930 10,737,643 36,453,839 164,631,628 171,075,396 15,600,241

© 2019 National Association of Insurance Commissioners


55
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF ALABAMA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 2,902 194 580 130 500 734 148 340 0 276
02. First Quarter 2,870 203 583 130 502 671 147 363 0 272
03. Second Quarter 2,866 193 592 129 503 667 146 368 0 268
04. Third Quarter 2,865 187 594 128 507 663 146 372 0 268
05. Current Year 2,879 180 600 127 521 662 146 376 0 267

06. Current Year Member Months 34,437 2,323 7,093 1,544 6,077 7,997 1,754 4,422 0 3,226

Total Member Ambulatory Encounters


for Year:
07. Physician 28,977 3,360 7,875 2,280 0 2,113 4,459 8,848 41 0
08. Non-physician 12,106 1,239 5,124 1,258 156 0 303 3,837 31 158
09. Total 41,083 4,599 12,999 3,539 156 2,113 4,762 12,686 71 158

10. Hospital patient days incurred 1,029 80 149 161 0 0 71 564 4 0

11. Number of inpatient admissions 181 16 34 31 0 0 14 85 1 0

12. Health premiums written (b) 10,111,296 1,456,813 2,850,321 247,281 40,747 191,051 772,805 4,307,512 16,942 227,823
13. Life premiums direct 316 0 0 0 0 0 0 0 0 316
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 10,088,111 1,451,595 2,824,054 244,177 40,746 191,439 792,619 4,305,551 16,942 220,985
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 8,369,056 1,078,888 2,420,471 214,922 27,431 138,896 753,994 3,549,036 13,774 171,643
18. Amount Incurred for Provision of
Health Care Services 8,410,878 1,075,551 2,456,211 214,392 27,464 138,322 753,037 3,552,509 13,945 179,448

© 2019 National Association of Insurance Commissioners


56
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF ALASKA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 176 17 34 2 34 30 40 0 0 20
02. First Quarter 183 20 34 3 34 29 44 0 0 19
03. Second Quarter 179 19 34 3 32 29 44 0 0 20
04. Third Quarter 181 18 34 3 34 28 44 0 0 20
05. Current Year 182 17 34 3 35 28 44 0 0 20

06. Current Year Member Months 2,174 228 403 31 407 345 525 0 0 236

Total Member Ambulatory Encounters


for Year:
07. Physician 464 146 254 34 0 29 0 0 0 0
08. Non-physician 181 55 106 10 10 0 0 0 0 0
09. Total 645 201 360 44 10 29 0 0 0 0

10. Hospital patient days incurred 16 6 8 2 0 0 0 0 0 0

11. Number of inpatient admissions 3 1 2 0 0 0 0 0 0 0

12. Health premiums written (b) 920,039 176,991 282,435 5,497 3,080 16,445 421,155 0 0 14,436
13. Life premiums direct 24 0 0 0 0 0 0 0 0 24
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 915,996 172,575 282,686 5,497 3,080 16,433 421,155 0 0 14,570
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 831,523 176,766 225,369 3,926 2,034 12,531 399,681 0 0 11,217
18. Amount Incurred for Provision of
Health Care Services 843,076 181,812 227,421 3,982 2,070 12,459 403,979 0 0 11,353

© 2019 National Association of Insurance Commissioners


57
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF ARIZONA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 4,196 179 260 45 1,171 687 123 370 0 1,360
02. First Quarter 4,362 194 322 46 1,173 721 122 378 0 1,406
03. Second Quarter 4,308 186 275 46 1,176 719 122 379 0 1,405
04. Third Quarter 4,319 179 278 47 1,196 717 121 382 0 1,399
05. Current Year 4,305 172 289 48 1,111 727 122 417 5 1,414

06. Current Year Member Months 50,891 2,219 3,307 556 14,004 8,633 1,462 4,561 10 16,139

Total Member Ambulatory Encounters


for Year:
07. Physician 9,246 732 1,594 863 0 0 1,048 4,915 2 92
08. Non-physician 4,651 625 996 351 154 156 661 1,598 0 111
09. Total 13,897 1,356 2,590 1,215 154 156 1,709 6,513 2 202

10. Hospital patient days incurred 861 36 63 64 0 0 60 636 1 1

11. Number of inpatient admissions 126 7 14 10 0 0 11 83 0 1

12. Health premiums written (b) 8,011,801 1,215,657 1,270,627 116,347 63,490 173,905 682,088 4,244,749 11,237 233,702
13. Life premiums direct 1,303 0 0 0 0 0 0 0 0 1,303
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 8,007,950 1,215,461 1,270,442 116,347 63,398 170,932 682,597 4,243,564 11,237 233,972
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 6,927,878 770,802 989,983 84,275 665,254 116,813 609,935 3,505,922 2,625 182,269
18. Amount Incurred for Provision of
Health Care Services 7,049,159 842,667 1,022,412 84,437 663,706 118,461 607,531 3,498,938 1,450 209,557

© 2019 National Association of Insurance Commissioners


58
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF ARKANSAS DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,549 366 258 126 113 278 68 134 0 206
02. First Quarter 2,144 358 258 127 124 287 68 144 570 208
03. Second Quarter 2,156 353 259 127 130 277 68 145 590 207
04. Third Quarter 2,126 332 259 127 133 277 68 148 574 209
05. Current Year 2,105 305 259 126 137 283 67 150 569 209

06. Current Year Member Months 25,711 4,115 3,102 1,519 1,553 3,386 815 1,751 6,978 2,491

Total Member Ambulatory Encounters


for Year:
07. Physician 7,773 1,242 914 2,760 0 402 5 2,449 0 0
08. Non-physician 7,396 1,539 2,188 2,396 0 2 9 1,260 0 1
09. Total 15,168 2,781 3,103 5,157 0 404 14 3,709 0 1

10. Hospital patient days incurred 4,627 462 1,546 2,360 0 0 0 258 0 0

11. Number of inpatient admissions 101 16 15 35 0 0 0 35 0 0

12. Health premiums written (b) 5,331,509 1,502,788 1,126,096 277,490 19,568 180,042 269,529 1,665,885 137,442 152,668
13. Life premiums direct 1,203 0 912 0 0 0 0 0 0 291
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 5,247,396 1,500,809 1,126,998 277,271 19,569 179,896 270,217 1,653,990 70,268 148,378
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 4,247,429 1,139,545 903,510 223,331 11,329 133,431 236,695 1,358,293 117,350 123,944
18. Amount Incurred for Provision of
Health Care Services 4,264,144 1,117,507 930,602 224,531 11,260 133,063 237,724 1,361,232 121,994 126,232

© 2019 National Association of Insurance Commissioners


59
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF CALIFORNIA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 5,303 102 165 20 570 1,193 14 231 441 2,567
02. First Quarter 5,391 92 139 20 567 1,167 14 236 439 2,716
03. Second Quarter 5,351 88 143 20 577 1,171 14 240 435 2,663
04. Third Quarter 5,370 86 132 20 587 1,170 14 243 430 2,689
05. Current Year 5,541 84 132 20 590 1,167 14 337 426 2,772

06. Current Year Member Months 65,505 1,067 1,662 240 6,887 13,995 168 2,974 5,201 33,311

Total Member Ambulatory Encounters


for Year:
07. Physician 5,538 380 865 424 0 0 0 3,086 783 0
08. Non-physician 12,262 209 435 119 125 773 0 3,683 6,912 5
09. Total 17,799 589 1,300 543 125 773 0 6,768 7,695 5

10. Hospital patient days incurred 522 16 37 27 0 0 0 308 134 0

11. Number of inpatient admissions 83 3 7 4 0 0 0 45 24 0

12. Health premiums written (b) 7,716,603 389,177 671,774 40,124 39,749 576,458 4,505 3,169,772 1,458,086 1,366,959
13. Life premiums direct 58,441 1,676 52,683 0 0 0 0 0 0 4,081
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 7,730,358 389,177 672,912 40,124 39,680 576,153 4,505 3,180,180 1,458,086 1,369,541
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 6,599,449 341,391 586,281 32,442 25,570 390,411 4,124 2,791,046 1,292,775 1,135,408
18. Amount Incurred for Provision of
Health Care Services 6,510,684 334,479 575,511 32,397 25,400 391,389 4,006 2,737,149 1,299,853 1,110,501

© 2019 National Association of Insurance Commissioners


60
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF COLORADO DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 5,483 220 603 32 794 2,556 120 301 387 468
02. First Quarter 5,623 229 610 32 823 2,608 120 315 385 501
03. Second Quarter 5,603 224 601 33 821 2,620 119 309 376 500
04. Third Quarter 6,202 207 584 33 824 2,601 119 312 993 529
05. Current Year 6,180 197 592 34 832 2,590 119 313 975 528

06. Current Year Member Months 70,915 2,582 7,202 396 9,879 31,268 1,432 3,717 8,194 6,244

Total Member Ambulatory Encounters


for Year:
07. Physician 10,989 954 3,075 424 0 0 874 3,695 1,745 223
08. Non-physician 6,062 433 1,477 383 275 926 513 1,446 586 23
09. Total 17,052 1,387 4,552 807 275 926 1,387 5,141 2,331 246

10. Hospital patient days incurred 937 37 103 23 0 0 42 654 73 5

11. Number of inpatient admissions 169 8 24 5 0 0 9 111 11 1

12. Health premiums written (b) 10,086,269 1,318,131 3,075,491 75,054 60,237 772,267 806,450 3,089,823 596,206 292,611
13. Life premiums direct 1,086 0 0 0 0 0 0 0 0 1,086
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 10,108,999 1,313,839 3,073,650 75,008 60,236 772,367 824,787 3,092,651 601,592 294,870
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 9,135,037 1,010,068 2,912,551 54,035 43,013 711,626 761,129 2,775,741 504,004 362,869
18. Amount Incurred for Provision of
Health Care Services 9,066,483 1,009,683 2,845,462 54,204 43,052 706,467 767,864 2,777,893 505,316 356,542

© 2019 National Association of Insurance Commissioners


61
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF CONNECTICUT DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,618 129 323 47 409 192 41 162 0 315
02. First Quarter 1,679 132 303 47 401 196 40 207 0 351
03. Second Quarter 1,707 126 296 48 468 195 40 209 0 325
04. Third Quarter 1,725 123 287 49 473 193 40 235 0 327
05. Current Year 1,715 116 281 49 475 189 40 236 0 330

06. Current Year Member Months 20,447 1,511 3,530 576 5,442 2,281 481 2,654 0 3,971

Total Member Ambulatory Encounters


for Year:
07. Physician 7,340 660 1,763 819 0 87 346 3,665 0 0
08. Non-physician 4,835 488 784 596 155 146 205 2,461 0 0
09. Total 12,175 1,148 2,547 1,416 155 233 551 6,126 0 0

10. Hospital patient days incurred 547 34 72 53 0 0 19 368 0 0

11. Number of inpatient admissions 88 6 15 10 0 0 3 53 0 0

12. Health premiums written (b) 6,186,373 1,008,131 1,986,172 129,479 35,084 80,495 291,198 2,446,792 0 209,022
13. Life premiums direct 186 0 0 0 0 0 0 0 0 186
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 6,185,899 1,008,129 1,985,941 129,479 35,085 63,811 308,372 2,444,936 0 210,145
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 5,204,318 738,755 1,622,327 98,553 28,149 55,794 283,473 2,203,179 156 173,932
18. Amount Incurred for Provision of
Health Care Services 5,217,994 746,401 1,598,739 98,214 28,188 55,333 285,765 2,230,708 156 174,490

© 2019 National Association of Insurance Commissioners


62
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF DELAWARE DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 461 22 65 10 136 145 21 12 0 50
02. First Quarter 465 26 61 10 139 147 21 14 0 48
03. Second Quarter 464 25 60 10 140 146 21 15 0 48
04. Third Quarter 464 24 59 10 140 147 21 15 0 49
05. Current Year 463 23 59 10 141 145 21 16 0 49

06. Current Year Member Months 5,567 285 725 117 1,682 1,753 248 179 0 579

Total Member Ambulatory Encounters


for Year:
07. Physician 1,194 152 344 162 0 0 199 337 0 0
08. Non-physician 852 113 278 97 26 0 146 193 0 0
09. Total 2,046 265 622 259 26 0 345 530 0 0

10. Hospital patient days incurred 88 9 16 15 0 0 14 33 0 0

11. Number of inpatient admissions 12 2 3 2 0 0 2 4 0 0

12. Health premiums written (b) 1,043,269 219,792 377,531 21,738 10,682 59,050 142,202 175,426 0 36,850
13. Life premiums direct 26 0 0 0 0 0 0 0 0 26
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 1,030,695 212,929 369,240 21,738 10,682 58,942 144,174 175,462 0 37,528
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 827,683 146,618 296,196 15,465 8,248 47,906 134,963 148,126 0 30,161
18. Amount Incurred for Provision of
Health Care Services 827,281 142,324 295,208 15,337 8,259 48,018 135,803 150,234 0 32,099

© 2019 National Association of Insurance Commissioners


63
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF DISTRICT OF COLUMBIA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 2,176 33 253 2 48 164 1,445 9 193 28
02. First Quarter 2,202 34 229 2 51 139 1,521 9 188 29
03. Second Quarter 2,221 33 229 2 55 141 1,535 9 188 29
04. Third Quarter 2,230 33 229 2 55 142 1,544 9 187 29
05. Current Year 2,235 31 230 2 52 142 1,548 9 190 29

06. Current Year Member Months 26,621 403 2,751 25 640 1,689 18,374 112 2,275 353

Total Member Ambulatory Encounters


for Year:
07. Physician 6,125 258 1,300 33 0 0 3,394 69 1,071 0
08. Non-physician 4,209 120 950 14 19 0 2,738 41 328 0
09. Total 10,335 378 2,249 47 19 0 6,132 110 1,399 0

10. Hospital patient days incurred 227 13 39 1 0 0 74 22 77 0

11. Number of inpatient admissions 49 3 13 0 0 0 13 6 14 0

12. Health premiums written (b) 4,204,346 157,251 1,366,329 4,256 15,540 92,680 1,555,749 95,939 890,428 26,174
13. Life premiums direct 95 0 0 0 0 0 0 0 0 95
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 4,209,543 157,251 1,350,961 4,256 15,540 92,635 1,575,912 95,957 890,428 26,603
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 3,492,711 180,113 1,075,721 3,553 14,831 70,370 1,354,359 89,612 683,541 20,611
18. Amount Incurred for Provision of
Health Care Services 3,461,119 179,872 1,072,472 3,527 14,852 71,752 1,356,913 89,594 650,158 21,979

© 2019 National Association of Insurance Commissioners


64
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF FLORIDA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 13,891 1,676 1,585 196 2,026 2,299 420 1,490 3,154 1,045
02. First Quarter 14,055 2,005 1,587 196 2,027 2,123 424 1,545 3,113 1,033
03. Second Quarter 13,888 1,897 1,579 197 2,046 2,113 425 1,556 3,045 1,030
04. Third Quarter 13,864 1,853 1,570 199 2,072 2,090 427 1,572 3,033 1,048
05. Current Year 13,812 1,798 1,579 200 2,093 2,093 392 1,587 2,985 1,086

06. Current Year Member Months 166,968 22,920 18,921 2,371 24,605 25,336 4,691 18,729 36,740 12,655

Total Member Ambulatory Encounters


for Year:
07. Physician 77,726 11,420 10,536 3,517 0 0 3,925 25,807 22,484 37
08. Non-physician 60,116 8,620 12,550 2,139 308 87 2,718 11,046 20,870 1,777
09. Total 137,842 20,041 23,087 5,656 308 87 6,644 36,853 43,354 1,814

10. Hospital patient days incurred 12,567 345 391 91 0 0 122 2,847 8,434 337

11. Number of inpatient admissions 1,522 76 99 18 0 0 27 432 865 4

12. Health premiums written (b) 59,800,130 10,901,635 9,884,981 480,968 128,843 491,423 2,453,195 20,657,725 13,678,113 1,123,249
13. Life premiums direct 5,526 0 0 0 0 0 0 0 0 5,526
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 59,862,798 10,880,778 9,848,926 480,968 128,546 490,674 2,520,774 20,673,071 13,710,743 1,128,319
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 49,772,967 7,708,883 8,349,949 394,350 91,095 345,034 2,312,035 17,526,981 12,151,362 893,278
18. Amount Incurred for Provision of
Health Care Services 49,851,778 7,823,049 8,407,305 393,405 91,164 343,380 2,324,020 17,475,900 12,069,776 923,780

© 2019 National Association of Insurance Commissioners


65
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF GEORGIA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 6,544 513 986 74 1,103 1,046 218 388 1,387 830
02. First Quarter 6,667 505 963 75 1,172 1,040 218 397 1,414 884
03. Second Quarter 6,642 473 942 75 1,168 1,023 217 400 1,418 925
04. Third Quarter 6,773 462 925 76 1,156 1,010 217 405 1,372 1,149
05. Current Year 6,575 440 916 77 1,160 1,008 218 409 1,374 972

06. Current Year Member Months 79,653 5,729 11,244 907 13,978 12,275 2,608 4,814 16,660 11,437

Total Member Ambulatory Encounters


for Year:
07. Physician 21,509 1,961 4,951 1,234 0 0 1,937 6,168 5,207 52
08. Non-physician 12,045 1,336 1,784 1,018 415 335 772 2,781 3,589 15
09. Total 33,554 3,297 6,735 2,252 415 335 2,709 8,949 8,795 67

10. Hospital patient days incurred 1,631 88 133 84 0 0 89 646 591 0

11. Number of inpatient admissions 281 19 26 16 0 0 16 84 121 0

12. Health premiums written (b) 18,479,454 2,999,613 4,145,740 190,362 84,799 336,443 1,523,068 4,453,344 4,296,417 449,670
13. Life premiums direct 5,805 0 0 0 0 0 0 0 0 5,805
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 18,487,271 2,999,613 4,160,103 189,478 84,606 335,269 1,523,068 4,449,204 4,296,417 449,515
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 15,181,611 2,185,492 3,559,668 139,424 61,211 245,501 1,405,570 3,720,068 3,508,843 355,833
18. Amount Incurred for Provision of
Health Care Services 15,230,497 2,134,237 3,547,551 139,181 60,942 244,690 1,414,742 3,759,323 3,556,912 372,917

© 2019 National Association of Insurance Commissioners


66
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF HAWAII DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,240 40 698 1 0 3 78 91 311 16
02. First Quarter 1,252 41 709 1 0 3 78 93 310 16
03. Second Quarter 1,239 38 706 1 0 3 78 93 303 16
04. Third Quarter 1,251 38 705 1 0 3 78 94 299 33
05. Current Year 1,245 36 707 1 0 3 78 94 293 32

06. Current Year Member Months 14,965 467 8,464 16 0 36 937 1,116 3,639 290

Total Member Ambulatory Encounters


for Year:
07. Physician 7,365 257 3,620 25 15 61 646 907 1,825 8
08. Non-physician 1,426 28 435 13 0 1 25 353 546 23
09. Total 8,790 286 4,055 39 15 62 671 1,261 2,371 32

10. Hospital patient days incurred 741 22 292 1 0 0 56 165 201 4

11. Number of inpatient admissions 48 1 12 0 0 0 1 11 21 3

12. Health premiums written (b) 6,773,071 229,865 3,113,098 2,343 11,948 61,422 451,511 1,132,623 1,660,163 110,097
13. Life premiums direct 11,347 0 0 0 0 0 0 0 0 11,347
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 6,773,781 229,865 3,110,088 2,343 11,948 61,442 451,511 1,132,623 1,663,048 110,912
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 5,942,967 196,012 2,693,860 2,696 10,289 9,833 394,322 1,033,522 1,528,987 73,446
18. Amount Incurred for Provision of
Health Care Services 6,000,379 201,512 2,714,031 2,714 10,289 42,953 397,200 1,036,947 1,522,833 71,900

© 2019 National Association of Insurance Commissioners


67
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF IDAHO DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,247 121 237 14 177 198 43 75 293 90
02. First Quarter 1,318 124 238 14 193 206 41 77 274 152
03. Second Quarter 1,302 122 239 14 187 196 41 78 272 153
04. Third Quarter 1,321 119 239 14 190 205 42 79 277 155
05. Current Year 1,332 115 241 14 190 207 43 80 282 160

06. Current Year Member Months 15,826 1,454 2,864 166 2,298 2,433 507 939 3,314 1,851

Total Member Ambulatory Encounters


for Year:
07. Physician 3,633 477 1,492 196 1 1 512 946 2 5
08. Non-physician 4,319 247 1,408 184 106 464 844 932 131 3
09. Total 7,952 724 2,900 381 107 465 1,356 1,878 133 8

10. Hospital patient days incurred 276 34 47 18 0 0 18 107 52 0

11. Number of inpatient admissions 43 8 12 3 0 0 3 16 2 0

12. Health premiums written (b) 3,154,658 677,844 1,120,581 36,141 17,847 106,390 208,596 763,434 110,763 113,062
13. Life premiums direct 62 0 0 0 0 0 0 0 0 62
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 3,098,307 677,205 1,118,619 36,141 17,847 106,380 209,534 763,745 54,875 113,961
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 2,587,099 535,779 949,539 27,662 11,191 87,035 181,311 633,947 79,189 81,446
18. Amount Incurred for Provision of
Health Care Services 2,606,018 535,706 940,181 27,245 11,571 86,584 191,353 649,331 83,106 80,941

© 2019 National Association of Insurance Commissioners


68
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF ILLINOIS DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 10,123 427 1,926 382 2,016 1,206 189 529 1,606 1,843
02. First Quarter 10,092 443 1,902 382 2,065 1,218 187 573 1,418 1,903
03. Second Quarter 10,546 423 1,896 381 2,066 1,208 187 575 1,899 1,910
04. Third Quarter 10,607 406 1,902 380 2,068 1,253 186 580 1,912 1,920
05. Current Year 10,517 389 1,910 378 2,055 1,227 185 581 1,861 1,930

06. Current Year Member Months 125,425 4,973 22,809 4,573 24,756 14,675 2,235 6,928 21,490 22,985

Total Member Ambulatory Encounters


for Year:
07. Physician 46,873 2,330 15,630 6,561 1 81 1,750 8,870 11,476 174
08. Non-physician 26,179 1,364 7,607 1,827 683 424 625 4,442 9,147 60
09. Total 73,052 3,694 23,237 8,388 684 505 2,375 13,312 20,623 234

10. Hospital patient days incurred 5,456 235 549 701 0 0 96 1,550 2,315 11

11. Number of inpatient admissions 793 49 140 122 0 0 23 184 274 2

12. Health premiums written (b) 33,149,168 2,858,217 10,795,417 1,006,036 149,332 433,801 1,194,403 7,117,468 8,564,471 1,030,024
13. Life premiums direct 3,707 0 0 0 0 0 0 0 0 3,707
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 33,095,911 2,870,190 10,725,485 1,000,868 148,956 433,055 1,218,941 7,119,570 8,548,768 1,030,078
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 28,336,609 2,091,169 9,002,571 798,630 121,442 302,563 1,104,866 6,039,293 8,013,122 862,953
18. Amount Incurred for Provision of
Health Care Services 28,244,990 2,049,443 8,886,257 805,832 121,117 303,241 1,123,860 6,162,567 7,964,074 828,599

© 2019 National Association of Insurance Commissioners


69
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF INDIANA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 5,015 125 347 57 959 648 96 226 1,132 1,425
02. First Quarter 5,115 149 326 56 1,000 680 96 226 1,121 1,463
03. Second Quarter 5,087 142 315 56 999 684 96 223 1,103 1,470
04. Third Quarter 5,099 135 326 57 999 691 96 242 1,084 1,469
05. Current Year 5,096 129 327 57 998 692 96 252 1,076 1,471

06. Current Year Member Months 61,286 1,673 3,954 674 11,977 8,152 1,149 2,855 13,239 17,614

Total Member Ambulatory Encounters


for Year:
07. Physician 13,538 2,962 1,457 872 0 3 710 3,777 3,753 6
08. Non-physician 11,238 2,365 1,161 730 393 231 474 2,426 3,454 3
09. Total 24,776 5,327 2,618 1,602 393 233 1,184 6,203 7,207 9

10. Hospital patient days incurred 1,245 216 84 69 0 0 38 433 405 0

11. Number of inpatient admissions 219 44 18 14 0 0 8 55 80 0

12. Health premiums written (b) 12,434,926 632,163 1,752,312 151,331 65,624 201,187 671,442 2,527,798 5,943,362 489,708
13. Life premiums direct 2,358 0 0 0 0 0 0 0 0 2,358
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 12,268,563 632,163 1,574,615 151,821 65,017 200,808 694,910 2,530,222 5,926,458 492,549
16. Property/Casualty premiums earned 172,897 0 172,897 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 10,719,012 511,790 1,401,782 109,725 48,988 153,782 638,678 2,108,218 5,321,243 424,807
18. Amount Incurred for Provision of
Health Care Services 10,637,013 510,817 1,385,203 108,527 49,119 153,507 643,975 2,116,554 5,243,967 425,344

© 2019 National Association of Insurance Commissioners


70
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF IOWA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 2,493 134 443 176 145 89 49 91 635 730
02. First Quarter 2,512 130 426 175 143 88 49 101 657 744
03. Second Quarter 2,508 126 422 176 140 89 49 103 666 737
04. Third Quarter 2,513 123 418 177 142 90 48 105 671 739
05. Current Year 2,521 121 414 177 144 91 48 106 675 744

06. Current Year Member Months 30,079 1,480 5,054 2,114 1,698 1,071 582 1,235 7,946 8,898

Total Member Ambulatory Encounters


for Year:
07. Physician 12,221 730 2,142 1,765 0 0 346 2,206 5,031 0
08. Non-physician 10,862 333 1,421 900 48 0 206 877 7,078 0
09. Total 23,083 1,063 3,563 2,665 48 0 552 3,082 12,109 0

10. Hospital patient days incurred 4,486 20 73 124 0 0 16 302 3,951 0

11. Number of inpatient admissions 291 4 20 29 0 0 4 38 196 0

12. Health premiums written (b) 9,325,422 712,148 2,156,271 426,605 11,763 30,424 260,042 985,848 4,376,791 365,529
13. Life premiums direct 612 0 0 0 0 0 0 0 0 612
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 9,372,859 712,906 2,156,096 426,676 11,763 30,373 271,013 989,617 4,407,580 366,835
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 8,238,959 510,621 1,806,989 345,917 8,284 22,952 239,088 789,275 4,210,381 305,452
18. Amount Incurred for Provision of
Health Care Services 8,231,380 517,909 1,802,653 345,932 8,307 23,248 243,679 799,875 4,178,869 310,907

© 2019 National Association of Insurance Commissioners


71
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF KANSAS DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,511 148 202 12 176 325 20 78 348 201
02. First Quarter 1,466 82 199 12 184 326 20 83 354 207
03. Second Quarter 1,451 78 195 12 183 325 20 84 347 208
04. Third Quarter 1,439 76 190 12 180 324 20 85 342 209
05. Current Year 1,456 78 189 12 182 326 20 86 350 214

06. Current Year Member Months 17,518 940 2,327 139 2,186 3,902 239 1,010 4,276 2,499

Total Member Ambulatory Encounters


for Year:
07. Physician 5,228 336 792 121 0 515 98 1,236 2,130 0
08. Non-physician 6,844 250 278 35 59 2 41 566 5,612 0
09. Total 12,072 587 1,071 156 59 517 139 1,802 7,742 0

10. Hospital patient days incurred 523 18 43 12 0 0 7 180 262 0

11. Number of inpatient admissions 96 4 11 3 0 0 2 23 53 0

12. Health premiums written (b) 5,614,220 351,812 575,036 32,540 14,683 118,585 130,891 915,514 3,337,235 137,924
13. Life premiums direct 1,020 0 0 0 0 0 0 0 0 1,020
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 5,506,756 329,109 573,131 32,540 14,630 16,706 130,942 922,854 3,348,053 138,791
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 4,611,454 289,074 438,030 21,438 10,295 88,368 124,094 740,279 2,796,195 103,681
18. Amount Incurred for Provision of
Health Care Services 4,613,164 256,702 436,714 20,527 10,335 88,754 125,472 741,745 2,826,070 106,847

© 2019 National Association of Insurance Commissioners


72
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF KENTUCKY DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 4,190 146 383 77 544 813 82 246 1,262 636
02. First Quarter 4,241 138 371 77 532 846 81 262 1,276 657
03. Second Quarter 4,210 132 369 77 535 854 81 265 1,264 633
04. Third Quarter 4,213 118 369 78 534 860 80 269 1,267 638
05. Current Year 4,238 117 368 78 538 868 80 271 1,250 668

06. Current Year Member Months 51,112 1,515 4,432 928 6,422 10,304 969 3,191 15,214 8,138

Total Member Ambulatory Encounters


for Year:
07. Physician 20,708 669 2,223 1,184 0 0 663 5,103 10,867 0
08. Non-physician 16,346 500 1,338 1,193 137 103 458 3,168 9,449 0
09. Total 37,054 1,169 3,561 2,377 137 103 1,121 8,271 20,316 0

10. Hospital patient days incurred 1,749 30 93 81 0 0 35 668 841 0

11. Number of inpatient admissions 289 6 20 16 0 0 7 77 163 0

12. Health premiums written (b) 14,808,401 679,670 1,900,560 182,330 35,506 225,326 444,438 3,209,084 7,451,251 680,237
13. Life premiums direct 7,325 0 0 0 0 0 0 0 0 7,325
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 14,815,542 680,913 1,896,714 182,401 34,349 225,501 462,399 3,208,071 7,442,485 682,709
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 12,697,292 539,721 1,517,588 135,794 23,145 172,009 427,243 2,627,876 6,680,064 573,853
18. Amount Incurred for Provision of
Health Care Services 12,672,601 535,671 1,516,283 135,672 22,926 172,393 422,637 2,637,355 6,649,454 580,209

© 2019 National Association of Insurance Commissioners


73
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF LOUISIANA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 4,976 175 469 47 259 345 73 289 2,990 330
02. First Quarter 5,085 169 468 46 275 361 73 290 3,014 390
03. Second Quarter 5,075 160 467 46 276 370 73 294 3,002 388
04. Third Quarter 5,065 155 459 46 278 369 73 297 3,007 383
05. Current Year 5,093 149 458 46 283 380 72 301 3,013 390

06. Current Year Member Months 60,681 1,900 5,562 548 3,342 4,428 870 3,536 35,852 4,643

Total Member Ambulatory Encounters


for Year:
07. Physician 23,872 1,410 4,578 1,158 0 0 977 6,089 9,659 1
08. Non-physician 16,680 775 2,065 389 45 0 412 3,004 9,988 2
09. Total 40,552 2,185 6,643 1,547 45 0 1,389 9,093 19,646 2

10. Hospital patient days incurred 1,870 41 100 87 0 0 35 652 956 0

11. Number of inpatient admissions 296 9 22 9 0 0 7 82 167 0

12. Health premiums written (b) 15,312,288 1,018,913 2,540,705 116,273 20,758 108,569 415,469 3,402,719 7,474,656 214,226
13. Life premiums direct 1,557 0 0 0 0 0 0 0 0 1,557
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 15,169,336 1,019,511 2,541,226 116,455 20,756 97,478 434,690 3,402,735 7,324,643 211,845
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 12,791,873 749,941 2,080,046 96,091 15,576 83,819 389,910 2,861,957 6,355,216 159,316
18. Amount Incurred for Provision of
Health Care Services 12,750,989 736,108 2,057,342 90,505 15,791 85,857 391,441 2,859,952 6,346,442 167,551

© 2019 National Association of Insurance Commissioners


74
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MAINE DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 924 72 178 24 252 185 36 73 0 105
02. First Quarter 911 76 179 24 225 186 36 77 0 108
03. Second Quarter 911 72 180 24 226 185 36 79 0 108
04. Third Quarter 921 70 181 24 228 186 36 81 0 114
05. Current Year 921 68 182 25 230 187 36 82 0 109

06. Current Year Member Months 10,958 872 2,163 290 2,716 2,231 435 952 0 1,298

Total Member Ambulatory Encounters


for Year:
07. Physician 3,107 308 1,105 261 0 0 222 1,211 0 0
08. Non-physician 2,102 201 551 404 18 0 207 721 0 0
09. Total 5,209 509 1,657 665 18 0 429 1,932 0 0

10. Hospital patient days incurred 169 13 39 29 0 0 12 76 0 0

11. Number of inpatient admissions 33 3 9 5 0 0 2 13 0 0

12. Health premiums written (b) 2,844,670 586,280 1,101,373 56,924 12,983 76,789 205,693 741,033 0 63,595
13. Life premiums direct 18 0 0 0 0 0 0 0 0 18
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 2,847,807 586,284 1,099,464 56,987 12,987 76,791 209,334 741,386 0 64,574
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 2,403,494 419,418 979,579 50,564 9,087 66,571 192,045 634,782 0 51,448
18. Amount Incurred for Provision of
Health Care Services 2,363,422 424,935 942,719 48,228 9,057 59,854 191,076 637,079 0 50,474

© 2019 National Association of Insurance Commissioners


75
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MARYLAND DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 3,493 311 627 63 388 514 580 100 551 359
02. First Quarter 3,553 265 588 62 527 502 579 105 565 360
03. Second Quarter 3,525 255 583 62 525 505 577 106 553 358
04. Third Quarter 3,530 250 582 61 532 506 577 108 554 361
05. Current Year 3,562 242 586 61 536 504 576 109 553 394

06. Current Year Member Months 42,753 3,061 7,014 739 6,344 6,064 6,930 1,279 6,629 4,692

Total Member Ambulatory Encounters


for Year:
07. Physician 18,708 1,349 3,093 1,094 0 12 8,898 2,039 2,216 7
08. Non-physician 16,310 1,012 1,942 477 160 48 9,254 1,950 1,464 3
09. Total 35,017 2,361 5,035 1,571 160 59 18,152 3,988 3,681 10

10. Hospital patient days incurred 814 62 90 51 0 0 222 153 236 0

11. Number of inpatient admissions 164 13 27 11 0 0 51 18 45 0

12. Health premiums written (b) 12,489,793 1,505,310 3,072,574 180,066 50,888 212,089 3,462,711 1,207,978 2,583,400 214,777
13. Life premiums direct 1,014 0 0 0 0 0 0 0 0 1,014
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 12,341,853 1,502,648 3,050,763 180,066 50,888 211,842 3,536,934 1,052,729 2,538,755 217,230
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 10,604,034 1,227,290 2,383,594 131,542 43,100 149,836 3,185,332 1,194,449 2,125,126 163,764
18. Amount Incurred for Provision of
Health Care Services 10,593,982 1,216,172 2,380,685 130,560 43,459 149,933 3,210,407 1,165,687 2,126,677 170,402

© 2019 National Association of Insurance Commissioners


76
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MASSACHUSETTS DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 5,694 399 1,497 309 604 1,351 116 197 745 477
02. First Quarter 5,756 411 1,468 312 637 1,418 116 200 696 497
03. Second Quarter 5,744 399 1,460 313 644 1,406 115 202 711 494
04. Third Quarter 5,679 423 1,399 301 656 1,393 115 204 700 488
05. Current Year 5,711 414 1,397 303 665 1,438 116 205 686 488

06. Current Year Member Months 68,693 4,965 17,149 3,673 7,761 16,911 1,393 2,425 8,529 5,889

Total Member Ambulatory Encounters


for Year:
07. Physician 21,557 2,132 6,026 3,243 0 0 635 1,979 7,415 127
08. Non-physician 16,866 1,618 4,789 2,174 148 0 540 895 6,647 55
09. Total 38,423 3,750 10,815 5,417 148 0 1,175 2,874 14,062 182

10. Hospital patient days incurred 2,025 150 394 326 0 0 65 448 625 17

11. Number of inpatient admissions 348 23 83 62 0 0 12 57 109 3

12. Health premiums written (b) 21,185,153 2,297,573 8,923,015 712,409 48,126 674,216 753,250 2,331,103 4,759,920 685,539
13. Life premiums direct 414 0 0 0 0 0 0 0 0 414
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 20,656,694 2,284,432 8,921,691 712,392 48,124 413,952 765,537 2,331,627 4,489,191 689,748
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 18,564,963 2,407,303 7,424,826 633,378 32,948 488,550 737,008 2,108,626 4,172,532 559,790
18. Amount Incurred for Provision of
Health Care Services 18,419,297 2,092,812 7,582,531 637,549 33,072 502,663 733,501 2,082,000 4,193,285 561,882

© 2019 National Association of Insurance Commissioners


77
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MICHIGAN DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 9,208 358 1,770 188 1,253 2,629 132 629 1,776 473
02. First Quarter 9,035 365 1,724 183 1,232 2,507 134 692 1,727 470
03. Second Quarter 9,082 346 1,730 181 1,221 2,518 134 695 1,796 459
04. Third Quarter 9,055 335 1,733 180 1,216 2,484 135 699 1,806 469
05. Current Year 8,999 322 1,759 178 1,219 2,453 130 701 1,766 471

06. Current Year Member Months 108,450 4,151 21,000 2,172 14,366 29,842 1,597 8,350 21,375 5,598

Total Member Ambulatory Encounters


for Year:
07. Physician 31,439 1,720 6,777 589 0 29 281 7,490 14,507 46
08. Non-physician 19,343 649 2,541 198 296 4 191 4,549 10,886 29
09. Total 50,782 2,369 9,317 787 296 33 472 12,040 25,393 75

10. Hospital patient days incurred 2,718 45 281 33 0 0 11 880 1,465 3

11. Number of inpatient admissions 436 10 70 6 0 0 3 115 231 1

12. Health premiums written (b) 28,682,905 2,004,501 9,023,647 522,505 110,071 860,267 787,238 8,386,896 6,226,116 761,664
13. Life premiums direct 1,884 0 0 0 0 0 0 0 0 1,884
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 28,669,956 2,005,274 9,022,540 522,511 100,784 855,629 787,238 8,377,860 6,226,469 771,650
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 21,050,605 1,145,562 6,178,375 405,680 86,019 701,271 688,876 5,918,879 5,390,244 535,699
18. Amount Incurred for Provision of
Health Care Services 23,861,290 1,357,640 7,416,219 430,373 85,350 691,950 716,831 7,291,563 5,337,770 533,595

© 2019 National Association of Insurance Commissioners


78
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MINNESOTA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 4,382 149 947 81 543 798 95 528 867 372
02. First Quarter 4,575 160 963 80 597 794 95 538 863 485
03. Second Quarter 4,604 153 961 80 593 798 95 541 894 490
04. Third Quarter 4,590 147 955 82 595 794 95 543 887 493
05. Current Year 4,545 141 948 82 594 787 95 543 861 493

06. Current Year Member Months 54,965 1,809 11,500 972 7,140 9,535 1,136 6,489 10,499 5,885

Total Member Ambulatory Encounters


for Year:
07. Physician 18,845 840 4,566 988 0 0 157 6,430 5,854 9
08. Non-physician 10,111 176 1,462 254 159 132 74 1,793 6,053 7
09. Total 28,956 1,017 6,028 1,242 159 132 231 8,224 11,907 16

10. Hospital patient days incurred 1,854 31 190 146 0 0 41 580 863 2

11. Number of inpatient admissions 334 7 38 17 0 0 9 93 169 0

12. Health premiums written (b) 17,363,927 871,339 4,207,630 235,112 48,190 253,589 632,054 3,711,700 6,696,868 707,444
13. Life premiums direct 458 0 0 0 0 0 0 0 0 458
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 17,366,829 871,330 4,209,007 235,158 48,099 253,077 638,841 3,711,700 6,692,784 706,834
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 14,930,732 655,269 3,551,305 182,593 36,452 187,958 575,271 3,128,477 5,978,089 635,318
18. Amount Incurred for Provision of
Health Care Services 15,122,187 616,048 3,670,219 183,836 36,246 187,782 589,024 3,159,456 6,028,994 650,582

© 2019 National Association of Insurance Commissioners


79
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MISSISSIPPI DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,917 128 195 14 116 256 67 99 493 550
02. First Quarter 1,907 144 196 14 124 228 66 105 474 554
03. Second Quarter 1,886 135 196 14 125 226 66 107 465 551
04. Third Quarter 1,863 131 195 14 125 223 66 108 448 552
05. Current Year 1,868 128 195 14 126 220 66 108 458 552

06. Current Year Member Months 22,645 1,650 2,352 172 1,498 2,697 793 1,280 5,571 6,632

Total Member Ambulatory Encounters


for Year:
07. Physician 7,663 783 1,116 284 0 0 540 1,861 3,065 15
08. Non-physician 6,325 747 875 150 39 19 441 1,071 2,944 40
09. Total 13,988 1,530 1,991 433 39 19 981 2,932 6,009 55

10. Hospital patient days incurred 743 39 50 16 0 0 37 243 351 7

11. Number of inpatient admissions 125 8 12 3 0 0 7 30 61 5

12. Health premiums written (b) 5,739,952 784,876 841,233 39,911 9,500 92,960 344,753 1,123,707 2,335,360 167,650
13. Life premiums direct 641 0 0 0 0 0 0 0 0 641
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 5,731,898 784,954 841,467 39,877 9,499 92,763 344,753 1,114,733 2,335,360 168,491
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 4,768,118 566,520 716,717 34,776 6,098 55,034 312,965 894,041 2,052,648 129,317
18. Amount Incurred for Provision of
Health Care Services 4,797,010 570,683 716,449 34,777 6,108 54,919 317,348 897,376 2,066,807 132,542

© 2019 National Association of Insurance Commissioners


80
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MISSOURI DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 5,867 210 565 52 1,234 2,034 106 357 701 608
02. First Quarter 5,852 176 544 52 1,254 2,064 104 374 694 591
03. Second Quarter 5,848 167 541 52 1,265 2,051 104 377 695 595
04. Third Quarter 5,752 163 537 52 1,206 2,045 104 381 661 603
05. Current Year 5,789 156 536 53 1,279 2,042 104 383 628 609

06. Current Year Member Months 69,991 2,018 6,496 625 15,103 24,642 1,247 4,529 8,132 7,200

Total Member Ambulatory Encounters


for Year:
07. Physician 12,512 781 2,365 717 0 5 701 5,579 2,364 0
08. Non-physician 11,051 604 1,489 613 400 2,808 413 2,600 2,123 0
09. Total 23,563 1,385 3,854 1,330 400 2,812 1,114 8,180 4,487 0

10. Hospital patient days incurred 1,250 53 142 67 0 0 52 637 299 0

11. Number of inpatient admissions 233 11 38 13 0 0 12 93 67 0

12. Health premiums written (b) 11,390,875 883,996 2,406,814 141,173 122,290 251,572 738,631 4,346,314 2,168,379 331,707
13. Life premiums direct 1,911 0 0 0 0 0 0 0 0 1,911
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 11,390,523 871,054 2,420,408 141,395 121,469 250,234 739,907 4,343,631 2,168,379 334,047
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 9,328,312 647,251 1,990,522 105,126 76,008 190,988 697,603 3,484,760 1,893,583 242,472
18. Amount Incurred for Provision of
Health Care Services 9,272,933 609,285 1,993,995 104,545 75,937 190,848 695,304 3,482,438 1,874,563 246,019

© 2019 National Association of Insurance Commissioners


81
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF MONTANA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 445 57 84 23 73 46 33 43 0 85
02. First Quarter 449 56 82 25 67 47 33 40 0 100
03. Second Quarter 446 53 81 25 67 47 32 40 0 101
04. Third Quarter 449 52 81 25 68 47 32 40 0 103
05. Current Year 451 50 82 26 70 47 32 40 0 103

06. Current Year Member Months 5,385 646 975 303 815 566 390 478 0 1,210

Total Member Ambulatory Encounters


for Year:
07. Physician 1,785 210 442 331 0 0 347 455 0 1
08. Non-physician 773 68 165 102 15 25 53 345 0 0
09. Total 2,558 278 607 433 15 25 400 800 0 1

10. Hospital patient days incurred 127 15 18 26 0 0 10 58 0 0

11. Number of inpatient admissions 26 3 5 5 0 0 3 9 0 0

12. Health premiums written (b) 1,526,808 400,489 436,787 64,026 3,392 18,946 198,065 344,828 0 60,275
13. Life premiums direct 33 0 0 0 0 0 0 0 0 33
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 1,529,433 400,489 434,778 62,893 3,392 18,901 204,693 344,127 0 60,161
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 1,227,049 264,870 368,822 46,048 2,143 11,447 185,125 303,645 0 44,947
18. Amount Incurred for Provision of
Health Care Services 1,233,097 262,493 365,058 46,444 2,149 11,369 187,220 309,167 0 49,197

© 2019 National Association of Insurance Commissioners


82
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NEBRASKA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,246 96 194 67 119 42 35 35 483 175
02. First Quarter 1,258 101 179 66 124 43 35 40 496 175
03. Second Quarter 1,250 97 177 65 125 43 35 40 493 174
04. Third Quarter 1,250 93 177 65 125 43 35 41 494 176
05. Current Year 1,242 90 177 65 126 43 35 42 490 177

06. Current Year Member Months 14,993 1,121 2,133 785 1,493 514 421 486 5,934 2,104

Total Member Ambulatory Encounters


for Year:
07. Physician 5,165 732 1,264 480 0 0 250 725 1,714 0
08. Non-physician 2,587 115 88 10 45 0 14 364 1,950 0
09. Total 7,752 847 1,352 490 45 0 263 1,089 3,665 0

10. Hospital patient days incurred 546 37 193 2 0 0 39 73 201 0

11. Number of inpatient admissions 79 7 23 0 0 0 5 9 35 0

12. Health premiums written (b) 4,306,739 890,117 1,035,719 180,021 9,746 11,707 261,535 464,942 1,312,349 140,603
13. Life premiums direct 582 0 0 0 0 0 0 0 0 582
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 4,227,680 890,117 1,047,117 180,020 9,744 11,511 261,535 465,228 1,221,359 141,049
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 3,577,703 652,410 911,636 136,836 7,238 7,961 235,145 387,374 1,108,870 130,233
18. Amount Incurred for Provision of
Health Care Services 3,537,962 639,867 899,044 137,098 7,262 7,996 237,768 393,843 1,103,777 111,307

© 2019 National Association of Insurance Commissioners


83
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NEVADA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,863 128 408 11 207 313 39 175 476 106
02. First Quarter 2,326 136 401 11 178 802 39 179 478 102
03. Second Quarter 2,339 129 401 11 189 809 39 181 480 102
04. Third Quarter 2,329 124 389 12 182 814 39 182 484 103
05. Current Year 2,315 120 389 12 184 808 39 184 476 103

06. Current Year Member Months 27,882 1,526 4,738 137 2,192 9,705 467 2,171 5,717 1,229

Total Member Ambulatory Encounters


for Year:
07. Physician 8,506 569 2,127 206 0 17 330 2,295 2,962 0
08. Non-physician 4,914 334 857 118 53 287 144 1,097 2,024 0
09. Total 13,420 903 2,985 324 53 304 474 3,392 4,986 0

10. Hospital patient days incurred 643 26 73 12 0 0 18 245 269 0

11. Number of inpatient admissions 117 6 17 2 0 0 4 33 55 0

12. Health premiums written (b) 6,926,685 635,331 1,769,040 31,331 13,818 163,312 227,620 2,212,893 1,805,841 67,499
13. Life premiums direct 354 0 0 0 0 0 0 0 0 354
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 6,950,665 635,566 1,767,460 31,334 13,797 162,875 238,384 2,218,756 1,813,102 69,393
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 5,615,646 413,121 1,303,190 22,634 9,398 123,646 209,724 1,984,190 1,498,009 51,735
18. Amount Incurred for Provision of
Health Care Services 5,771,205 416,113 1,391,464 22,729 9,467 128,121 214,918 2,032,690 1,504,469 51,234

© 2019 National Association of Insurance Commissioners


84
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NEW HAMPSHIRE DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 810 72 168 42 110 135 34 21 131 96
02. First Quarter 857 95 169 42 120 143 34 27 131 97
03. Second Quarter 855 91 169 42 119 143 34 28 132 96
04. Third Quarter 857 89 166 43 122 143 34 30 131 101
05. Current Year 853 83 166 43 122 143 34 30 130 101

06. Current Year Member Months 10,273 1,089 2,012 511 1,444 1,711 409 344 1,570 1,181

Total Member Ambulatory Encounters


for Year:
07. Physician 3,304 494 796 508 0 0 250 398 858 0
08. Non-physician 4,032 558 436 613 31 21 231 259 1,884 0
09. Total 7,336 1,052 1,231 1,121 31 21 480 657 2,742 0

10. Hospital patient days incurred 256 40 39 44 0 0 14 34 84 0

11. Number of inpatient admissions 49 7 9 8 0 0 3 5 16 0

12. Health premiums written (b) 3,051,681 538,724 1,068,427 106,856 9,006 74,252 278,562 269,239 637,620 68,995
13. Life premiums direct 45 0 0 0 0 0 0 0 0 45
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 3,060,111 530,777 1,064,614 106,445 9,006 74,225 290,521 276,554 637,620 70,349
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 2,465,768 344,500 842,023 81,631 5,376 62,023 271,454 239,011 562,772 56,977
18. Amount Incurred for Provision of
Health Care Services 2,499,205 356,375 851,771 81,568 5,378 55,102 270,800 245,545 575,859 56,806

© 2019 National Association of Insurance Commissioners


85
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NEW JERSEY DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 11,322 342 898 104 1,060 1,760 129 536 1,618 4,875
02. First Quarter 11,687 361 867 104 1,181 1,757 128 581 1,819 4,889
03. Second Quarter 11,622 346 870 105 1,197 1,751 127 581 1,842 4,803
04. Third Quarter 11,282 332 845 106 1,161 1,543 127 585 1,812 4,771
05. Current Year 11,171 316 841 107 1,168 1,557 131 587 1,763 4,700

06. Current Year Member Months 137,473 4,101 10,282 1,263 14,069 19,877 1,527 7,000 21,762 57,592

Total Member Ambulatory Encounters


for Year:
07. Physician 46,940 4,533 11,409 2,939 0 1,183 2,059 9,065 15,645 106
08. Non-physician 29,075 1,713 6,458 1,367 314 630 2,895 3,955 10,978 765
09. Total 76,015 6,247 17,867 4,306 314 1,813 4,955 13,020 26,623 871

10. Hospital patient days incurred 4,409 52 206 282 0 0 59 1,022 2,757 32

11. Number of inpatient admissions 454 8 42 32 0 0 7 149 211 5

12. Health premiums written (b) 27,492,482 2,103,546 6,025,387 305,891 86,609 498,314 873,097 7,096,160 9,959,054 544,424
13. Life premiums direct 642 0 0 0 0 0 0 0 0 642
14. Property/Casualty premiums written 768 0 0 0 0 768 0 0 0 0
15. Health premiums earned 26,958,852 2,008,784 5,966,495 306,320 86,508 243,488 874,525 7,113,226 9,979,471 380,035
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 23,566,002 1,637,642 4,970,241 251,126 65,574 412,875 805,219 6,046,845 8,772,851 603,629
18. Amount Incurred for Provision of
Health Care Services 23,572,470 1,624,087 4,945,089 252,570 64,812 412,619 807,682 6,124,005 8,720,453 621,154

© 2019 National Association of Insurance Commissioners


86
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NEW MEXICO DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,490 59 108 9 158 188 61 108 665 134
02. First Quarter 1,512 62 107 9 161 195 58 108 671 141
03. Second Quarter 1,501 58 106 9 161 194 58 108 662 145
04. Third Quarter 1,494 56 106 9 162 195 58 108 655 144
05. Current Year 1,500 54 105 9 164 195 58 108 660 146

06. Current Year Member Months 18,095 699 1,277 110 1,938 2,334 698 1,295 8,012 1,731

Total Member Ambulatory Encounters


for Year:
07. Physician 6,322 322 565 123 0 0 402 1,481 3,428 0
08. Non-physician 8,867 212 281 61 46 21 292 934 7,022 0
09. Total 15,190 535 845 184 46 21 694 2,416 10,450 0

10. Hospital patient days incurred 1,894 11 22 10 0 0 23 214 1,614 0

11. Number of inpatient admissions 172 2 6 2 0 0 5 30 127 0

12. Health premiums written (b) 6,701,580 345,361 570,288 20,914 12,173 71,707 353,994 990,670 4,240,252 96,222
13. Life premiums direct 64 0 0 0 0 0 0 0 0 64
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 6,716,090 335,830 570,119 20,863 12,173 71,603 359,965 984,960 4,265,236 95,342
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 5,625,563 235,227 474,258 15,366 8,052 54,879 335,233 853,159 3,569,037 80,352
18. Amount Incurred for Provision of
Health Care Services 5,589,818 228,113 476,757 15,442 8,045 54,909 331,256 839,880 3,556,083 79,333

© 2019 National Association of Insurance Commissioners


87
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NEW YORK DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 12,881 416 2,706 435 1,832 2,049 259 1,098 1,223 2,863
02. First Quarter 12,979 401 2,621 440 1,885 2,070 252 1,116 1,238 2,956
03. Second Quarter 12,958 401 2,602 442 1,878 2,076 250 1,128 1,235 2,947
04. Third Quarter 13,109 397 2,706 444 1,888 2,076 248 1,223 1,222 2,906
05. Current Year 13,135 396 2,700 445 1,890 2,078 246 1,238 1,221 2,922

06. Current Year Member Months 156,458 4,762 31,901 5,308 22,652 24,892 2,989 14,056 14,715 35,182

Total Member Ambulatory Encounters


for Year:
07. Physician 73,111 2,809 22,390 8,549 0 58 2,638 23,541 12,117 1,010
08. Non-physician 34,962 1,131 8,302 948 506 759 1,542 13,886 7,411 478
09. Total 108,073 3,939 30,691 9,497 506 818 4,180 37,427 19,527 1,487

10. Hospital patient days incurred 4,759 77 762 210 0 0 509 1,808 1,329 64

11. Number of inpatient admissions 820 15 158 97 0 0 116 259 165 9

12. Health premiums written (b) 47,448,097 1,886,483 17,519,724 1,240,186 125,986 634,212 1,691,203 14,300,746 8,184,914 1,864,643
13. Life premiums direct 48 0 0 0 0 0 0 0 0 48
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 47,456,316 1,883,769 17,501,409 1,252,715 125,720 628,668 1,760,929 14,272,993 8,151,858 1,878,254
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 41,319,848 1,632,087 14,432,737 981,280 103,217 483,265 1,612,737 12,873,653 7,799,338 1,401,533
18. Amount Incurred for Provision of
Health Care Services 41,782,945 1,627,694 14,682,075 989,270 103,523 486,406 1,629,804 12,991,499 7,855,798 1,416,876

© 2019 National Association of Insurance Commissioners


88
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NORTH CAROLINA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 4,051 544 547 166 1,100 464 168 520 0 543
02. First Quarter 4,142 568 542 165 1,100 484 166 577 0 538
03. Second Quarter 4,103 533 541 166 1,093 484 166 587 0 533
04. Third Quarter 4,107 509 539 166 1,097 489 167 596 0 543
05. Current Year 4,107 489 541 168 1,105 487 167 601 0 549

06. Current Year Member Months 49,432 6,413 6,490 1,994 13,195 5,807 2,000 7,062 0 6,473

Total Member Ambulatory Encounters


for Year:
07. Physician 18,287 1,894 2,861 3,840 0 3 90 9,599 0 0
08. Non-physician 4,626 40 114 43 316 0 0 4,113 0 1
09. Total 22,912 1,933 2,975 3,883 316 3 90 13,712 0 1

10. Hospital patient days incurred 1,624 157 186 315 0 0 32 933 0 0

11. Number of inpatient admissions 256 31 40 40 0 0 7 138 0 0

12. Health premiums written (b) 16,333,675 4,551,370 2,767,861 394,194 88,290 183,298 1,146,240 6,679,792 0 522,629
13. Life premiums direct 1,033 0 0 0 0 0 0 0 0 1,033
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 16,394,420 4,551,954 2,771,134 394,194 88,221 180,754 1,194,809 6,687,796 0 525,558
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 12,753,158 3,112,127 2,247,551 296,770 72,888 136,310 1,032,498 5,460,487 0 394,525
18. Amount Incurred for Provision of
Health Care Services 12,844,512 3,135,271 2,181,772 302,395 73,093 136,837 1,076,525 5,523,675 0 414,944

© 2019 National Association of Insurance Commissioners


89
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF NORTH DAKOTA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 595 49 190 39 71 111 20 21 20 75
02. First Quarter 602 49 192 39 72 112 20 22 21 76
03. Second Quarter 603 48 192 39 74 113 19 22 20 77
04. Third Quarter 605 47 194 39 73 115 19 22 20 77
05. Current Year 608 46 195 39 73 115 19 22 19 78

06. Current Year Member Months 7,245 574 2,311 469 870 1,359 234 264 242 922

Total Member Ambulatory Encounters


for Year:
07. Physician 3,702 417 1,583 1,017 0 0 202 378 103 2
08. Non-physician 3,298 403 1,465 594 68 254 236 154 121 1
09. Total 7,000 821 3,048 1,611 68 254 438 532 224 3

10. Hospital patient days incurred 155 12 44 47 0 0 8 19 25 0

11. Number of inpatient admissions 37 3 13 11 0 0 2 4 5 0

12. Health premiums written (b) 2,135,311 261,666 999,742 97,918 6,631 42,817 125,419 129,399 296,423 175,296
13. Life premiums direct 56 0 0 0 0 0 0 0 0 56
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 2,135,490 261,712 999,743 97,918 6,630 42,749 125,419 129,399 296,423 175,496
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 1,856,495 226,075 891,718 80,022 5,072 36,919 110,640 91,094 278,299 136,657
18. Amount Incurred for Provision of
Health Care Services 1,885,740 228,181 906,849 81,234 5,085 36,874 113,465 92,805 279,364 141,882

© 2019 National Association of Insurance Commissioners


90
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF OHIO DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 10,147 290 1,022 159 1,881 1,795 167 678 2,463 1,692
02. First Quarter 10,214 291 973 164 1,903 1,794 167 711 2,492 1,719
03. Second Quarter 10,169 277 957 168 1,896 1,792 167 717 2,455 1,741
04. Third Quarter 10,127 264 939 173 1,901 1,782 167 723 2,431 1,747
05. Current Year 10,064 252 931 178 1,901 1,786 167 729 2,371 1,749

06. Current Year Member Months 122,192 3,283 11,457 2,026 22,807 21,492 2,007 8,615 29,620 20,885

Total Member Ambulatory Encounters


for Year:
07. Physician 39,070 1,492 4,839 2,806 0 2 1,354 12,218 16,353 7
08. Non-physician 43,731 1,097 3,773 1,785 586 300 870 10,435 24,882 4
09. Total 82,802 2,589 8,612 4,591 586 301 2,224 22,653 41,235 11

10. Hospital patient days incurred 7,638 72 220 228 0 0 82 1,643 5,392 0

11. Number of inpatient admissions 766 15 50 36 0 0 16 208 440 0

12. Health premiums written (b) 34,597,617 1,520,349 4,970,388 377,980 136,542 495,359 1,186,907 8,752,144 16,340,263 817,686
13. Life premiums direct 4,955 0 0 0 0 0 0 0 0 4,955
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 34,649,559 1,519,719 4,968,208 375,696 135,087 494,769 1,216,332 8,770,865 16,346,221 822,662
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 28,875,274 1,203,234 4,057,032 283,958 99,556 388,847 1,127,956 7,339,686 13,728,264 646,741
18. Amount Incurred for Provision of
Health Care Services 29,005,303 1,190,127 4,057,533 285,282 98,566 385,301 1,130,367 7,336,559 13,855,981 665,587

© 2019 National Association of Insurance Commissioners


91
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF OKLAHOMA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 2,267 137 326 64 599 512 125 120 0 384
02. First Quarter 2,319 151 320 64 607 512 125 127 0 413
03. Second Quarter 2,318 147 321 64 606 512 125 128 0 414
04. Third Quarter 2,315 146 324 64 605 512 125 130 0 408
05. Current Year 2,332 144 333 64 610 519 125 131 0 407

06. Current Year Member Months 27,846 1,778 3,877 770 7,283 6,151 1,501 1,544 0 4,942

Total Member Ambulatory Encounters


for Year:
07. Physician 7,213 1,084 1,995 1,010 0 0 1,175 1,949 0 0
08. Non-physician 3,343 356 880 269 229 147 387 1,075 0 0
09. Total 10,556 1,440 2,876 1,278 229 147 1,562 3,024 0 0

10. Hospital patient days incurred 700 69 84 102 0 0 53 391 0 0

11. Number of inpatient admissions 135 17 23 19 0 0 13 63 0 0

12. Health premiums written (b) 5,693,322 1,158,288 1,732,207 139,814 47,817 203,165 745,188 1,430,936 0 235,906
13. Life premiums direct 563 0 0 0 0 0 0 0 0 563
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 5,509,911 1,158,396 1,719,440 139,982 47,767 40,313 736,754 1,431,075 0 236,184
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 4,364,778 771,681 1,413,313 111,764 35,851 25,394 670,693 1,143,110 0 192,971
18. Amount Incurred for Provision of
Health Care Services 4,484,320 776,307 1,326,988 112,164 35,915 163,532 676,332 1,201,261 0 191,822

© 2019 National Association of Insurance Commissioners


92
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF OREGON DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 2,727 198 764 11 364 385 74 321 270 340
02. First Quarter 2,765 204 756 11 361 392 74 328 286 354
03. Second Quarter 2,689 193 754 11 296 388 73 330 289 355
04. Third Quarter 2,684 186 756 11 288 387 73 332 294 357
05. Current Year 2,735 177 764 11 289 392 73 334 337 358

06. Current Year Member Months 32,550 2,298 9,065 129 3,691 4,670 883 3,963 3,588 4,265

Total Member Ambulatory Encounters


for Year:
07. Physician 11,690 822 3,725 216 4 225 943 5,056 696 1
08. Non-physician 11,687 572 4,269 347 117 369 906 3,526 1,580 0
09. Total 23,377 1,394 7,995 564 121 594 1,849 8,583 2,276 2

10. Hospital patient days incurred 725 29 118 9 0 0 27 482 59 0

11. Number of inpatient admissions 145 7 31 2 0 0 6 87 13 0

12. Health premiums written (b) 10,746,946 1,130,468 4,148,209 30,239 24,638 353,160 493,517 3,709,179 709,126 148,410
13. Life premiums direct 36 0 0 0 0 0 0 0 0 36
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 10,748,425 1,130,290 4,149,857 30,238 24,719 353,266 493,530 3,708,318 709,126 149,081
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 9,750,645 1,033,311 3,585,190 23,229 16,670 303,863 448,674 3,368,237 666,341 305,131
18. Amount Incurred for Provision of
Health Care Services 9,654,535 1,010,585 3,568,744 23,199 16,588 304,210 449,264 3,317,680 657,806 306,458

© 2019 National Association of Insurance Commissioners


93
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF PENNSYLVANIA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 12,661 638 1,656 203 1,684 2,610 401 978 3,493 999
02. First Quarter 12,870 667 1,569 199 1,765 2,625 398 996 3,610 1,041
03. Second Quarter 12,811 649 1,568 197 1,750 2,608 396 997 3,603 1,043
04. Third Quarter 12,714 635 1,544 195 1,752 2,583 395 1,003 3,551 1,057
05. Current Year 12,645 623 1,507 193 1,750 2,556 395 1,014 3,531 1,075

06. Current Year Member Months 153,305 7,720 18,623 2,353 21,012 31,181 4,757 12,107 42,941 12,611

Total Member Ambulatory Encounters


for Year:
07. Physician 81,879 4,016 15,037 2,910 5 82 2,340 17,369 40,111 10
08. Non-physician 36,323 1,399 6,640 1,554 459 4 2,019 10,100 11,246 2,901
09. Total 118,202 5,415 21,676 4,464 464 87 4,359 27,470 51,356 2,911

10. Hospital patient days incurred 7,975 165 512 439 0 0 209 2,404 4,244 2

11. Number of inpatient admissions 891 29 102 49 0 0 29 341 338 1

12. Health premiums written (b) 45,182,593 3,871,194 8,784,436 393,751 138,550 719,831 1,599,686 12,570,188 16,196,229 908,728
13. Life premiums direct 672 0 0 0 0 0 0 0 0 672
14. Property/Casualty premiums written 4,536 0 0 0 0 0 0 0 0 4,536
15. Health premiums earned 45,242,701 3,809,510 8,785,761 393,751 138,526 717,990 1,648,779 12,606,294 16,233,539 908,551
16. Property/Casualty premiums earned 4,536 0 0 0 0 0 0 0 0 4,536

17. Amount Paid for Provision of


health care services 38,382,522 2,647,150 7,396,740 320,580 107,541 583,813 1,528,942 10,762,270 14,327,356 708,132
18. Amount Incurred for Provision of
Health Care Services 38,439,930 2,708,434 7,335,433 317,458 107,729 579,235 1,536,798 10,701,606 14,422,085 731,151

© 2019 National Association of Insurance Commissioners


94
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF RHODE ISLAND DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,418 42 147 26 318 408 22 74 281 101
02. First Quarter 1,425 45 141 26 336 406 22 75 284 92
03. Second Quarter 1,439 44 139 26 344 413 22 75 283 92
04. Third Quarter 1,433 44 139 26 344 408 22 76 280 93
05. Current Year 1,414 42 138 26 342 405 22 76 270 92

06. Current Year Member Months 17,107 528 1,673 311 4,081 4,881 267 905 3,357 1,104

Total Member Ambulatory Encounters


for Year:
07. Physician 11,043 622 803 21 0 0 171 1,228 8,198 0
08. Non-physician 3,220 202 606 5 108 0 138 704 1,457 0
09. Total 14,263 824 1,409 26 108 0 309 1,933 9,655 0

10. Hospital patient days incurred 1,676 15 59 2 0 0 3 90 1,509 0

11. Number of inpatient admissions 149 3 13 0 0 0 1 17 115 0

12. Health premiums written (b) 4,179,641 230,511 822,485 61,664 28,341 152,188 124,336 866,041 1,842,083 51,991
13. Life premiums direct 25 0 0 0 0 0 0 0 0 25
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 4,183,413 230,511 822,486 61,664 28,341 152,205 124,336 871,604 1,842,181 50,086
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 3,611,991 171,133 673,725 50,029 23,003 120,709 111,752 719,632 1,704,588 37,420
18. Amount Incurred for Provision of
Health Care Services 3,590,394 171,615 679,245 50,984 23,048 120,611 112,748 722,080 1,671,730 38,333

© 2019 National Association of Insurance Commissioners


95
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF SOUTH CAROLINA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 3,109 216 368 67 499 609 83 124 776 366
02. First Quarter 3,213 248 366 67 527 657 82 131 778 356
03. Second Quarter 3,176 234 369 68 528 658 82 132 749 357
04. Third Quarter 3,220 223 379 68 537 666 83 133 772 359
05. Current Year 3,236 221 377 69 541 670 83 135 785 355

06. Current Year Member Months 38,471 2,784 4,441 814 6,377 7,948 991 1,586 9,254 4,276

Total Member Ambulatory Encounters


for Year:
07. Physician 12,887 1,535 1,992 1,251 0 4 1,006 2,502 4,543 54
08. Non-physician 6,448 384 537 376 45 983 290 1,213 2,589 30
09. Total 19,335 1,919 2,529 1,627 45 987 1,296 3,716 7,132 84

10. Hospital patient days incurred 1,105 72 62 94 0 0 32 342 488 14

11. Number of inpatient admissions 178 16 15 13 0 0 7 37 86 3

12. Health premiums written (b) 8,847,794 1,659,030 1,683,566 161,622 39,803 142,294 543,973 1,442,655 2,980,973 193,879
13. Life premiums direct 825 0 0 0 0 0 0 0 0 825
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 8,866,883 1,659,030 1,686,308 161,622 39,773 142,257 556,455 1,443,903 2,982,112 195,424
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 7,138,702 1,114,753 1,355,182 111,095 32,281 106,253 505,419 1,168,012 2,589,682 156,024
18. Amount Incurred for Provision of
Health Care Services 7,201,953 1,143,365 1,372,199 112,529 28,823 108,422 511,003 1,177,962 2,583,340 164,311

© 2019 National Association of Insurance Commissioners


96
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF SOUTH DAKOTA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 649 60 131 33 135 79 28 33 0 151
02. First Quarter 674 59 127 34 163 78 28 33 0 153
03. Second Quarter 674 58 126 34 165 77 28 33 0 153
04. Third Quarter 677 56 125 34 168 78 27 33 0 156
05. Current Year 680 54 125 34 169 78 27 33 0 157

06. Current Year Member Months 7,595 684 1,513 409 1,914 495 331 401 0 1,848

Total Member Ambulatory Encounters


for Year:
07. Physician 2,236 194 963 251 0 0 213 615 0 0
08. Non-physician 1,274 125 626 129 63 0 62 269 0 0
09. Total 3,510 319 1,589 380 63 0 275 884 0 0

10. Hospital patient days incurred 123 17 24 40 0 0 8 34 0 0

11. Number of inpatient admissions 26 4 7 7 0 0 2 6 0 0

12. Health premiums written (b) 1,653,224 354,825 674,386 80,065 12,030 62,925 161,335 214,272 0 93,387
13. Life premiums direct 124 0 0 0 0 0 0 0 0 124
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 1,662,109 354,888 675,265 80,070 12,946 62,918 167,807 214,484 0 93,732
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 1,383,422 303,001 567,293 64,693 10,488 51,300 149,375 161,338 0 75,933
18. Amount Incurred for Provision of
Health Care Services 1,396,150 303,216 572,596 64,270 10,389 51,289 152,994 164,637 0 76,760

© 2019 National Association of Insurance Commissioners


97
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF TENNESSEE DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 5,286 196 560 118 966 884 106 466 1,384 605
02. First Quarter 5,322 185 553 117 996 926 106 485 1,347 608
03. Second Quarter 5,263 177 551 117 988 916 105 489 1,317 603
04. Third Quarter 5,192 173 548 118 988 892 105 493 1,268 606
05. Current Year 5,234 170 552 119 987 898 106 496 1,295 612

06. Current Year Member Months 63,244 2,139 6,617 1,413 11,897 10,907 1,267 5,870 15,849 7,285

Total Member Ambulatory Encounters


for Year:
07. Physician 34,608 4,737 4,592 1,638 0 0 1,931 11,226 10,484 1
08. Non-physician 12,591 269 506 577 274 672 182 3,732 5,992 389
09. Total 47,199 5,007 5,097 2,214 274 672 2,113 14,958 16,476 390

10. Hospital patient days incurred 5,111 45 140 237 0 0 81 1,181 3,426 1

11. Number of inpatient admissions 490 8 28 38 0 0 12 139 264 0

12. Health premiums written (b) 17,599,463 1,457,523 2,524,361 287,458 66,520 352,255 713,047 5,947,230 5,950,650 300,418
13. Life premiums direct 1,448 0 0 0 0 0 0 0 0 1,448
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 17,572,512 1,443,482 2,522,517 287,640 66,310 338,194 713,032 5,961,327 5,938,002 302,009
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 13,879,542 865,350 1,934,342 208,027 46,341 277,039 651,743 4,694,129 4,968,316 234,256
18. Amount Incurred for Provision of
Health Care Services 13,918,521 829,333 1,940,799 209,004 46,436 275,455 652,801 4,757,673 4,964,669 242,350

© 2019 National Association of Insurance Commissioners


98
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF TEXAS DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 19,224 1,345 1,901 172 3,052 4,089 457 1,394 5,114 1,699
02. First Quarter 19,522 1,475 1,897 174 3,168 4,080 456 1,494 5,027 1,750
03. Second Quarter 19,287 1,378 1,883 175 3,167 3,989 455 1,504 4,977 1,759
04. Third Quarter 19,313 1,320 1,879 176 3,167 4,107 454 1,520 4,944 1,746
05. Current Year 19,172 1,268 1,891 177 3,178 4,004 455 1,535 4,949 1,715

06. Current Year Member Months 232,188 16,558 22,749 2,103 37,958 48,345 5,463 18,159 59,980 20,873

Total Member Ambulatory Encounters


for Year:
07. Physician 81,176 8,203 10,205 3,033 1 4 4,352 25,068 30,186 125
08. Non-physician 69,109 4,418 3,978 664 892 1,027 1,403 12,855 43,800 72
09. Total 150,284 12,621 14,183 3,697 892 1,031 5,755 37,922 73,987 197

10. Hospital patient days incurred 14,193 506 479 225 0 0 186 3,266 9,523 9

11. Number of inpatient admissions 1,898 83 105 39 0 0 48 407 1,213 3

12. Health premiums written (b) 62,257,977 6,718,056 8,990,402 413,133 218,899 1,287,477 2,926,704 19,308,007 21,406,396 988,904
13. Life premiums direct 8,749 0 0 0 0 0 0 0 0 8,749
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 59,999,669 6,570,833 9,000,393 412,105 218,823 532,352 2,988,257 19,322,964 19,966,912 987,031
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 52,912,609 4,991,048 7,420,622 313,589 195,644 1,083,618 2,736,111 16,589,259 18,835,535 747,184
18. Amount Incurred for Provision of
Health Care Services 53,332,956 5,005,177 7,417,736 314,397 194,550 1,076,226 2,771,789 16,772,603 19,036,815 743,662

© 2019 National Association of Insurance Commissioners


99
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF UTAH DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,843 225 417 20 294 346 99 125 185 133
02. First Quarter 1,992 243 405 20 330 357 99 130 185 224
03. Second Quarter 1,983 234 401 20 334 356 99 131 182 225
04. Third Quarter 1,995 230 406 21 330 336 98 133 215 227
05. Current Year 2,012 224 406 21 355 334 98 133 209 231

06. Current Year Member Months 23,882 2,809 4,856 247 3,998 4,204 1,173 1,579 2,308 2,708

Total Member Ambulatory Encounters


for Year:
07. Physician 8,149 964 2,157 333 1 2 1,155 2,016 983 538
08. Non-physician 5,732 598 1,257 339 72 275 912 1,321 627 332
09. Total 13,881 1,562 3,414 672 73 277 2,067 3,337 1,610 870

10. Hospital patient days incurred 532 64 90 14 0 0 38 229 88 9

11. Number of inpatient admissions 111 14 22 3 0 0 8 41 20 3

12. Health premiums written (b) 5,783,633 1,236,554 1,723,256 50,651 19,063 99,041 578,807 1,338,838 612,088 125,336
13. Life premiums direct 634 0 0 0 0 0 0 0 0 634
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 5,722,835 1,180,132 1,715,900 50,651 19,063 98,560 578,366 1,345,315 608,851 125,996
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 4,844,727 986,024 1,458,591 35,046 12,840 76,141 532,610 1,121,831 528,216 93,428
18. Amount Incurred for Provision of
Health Care Services 4,789,702 959,934 1,440,936 35,423 12,872 75,469 528,959 1,116,829 519,151 100,129

© 2019 National Association of Insurance Commissioners


100
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF VERMONT DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 430 33 66 12 69 72 14 4 0 161
02. First Quarter 436 34 63 12 73 68 14 5 0 167
03. Second Quarter 436 33 63 13 73 68 14 5 0 166
04. Third Quarter 438 33 63 13 72 69 14 5 0 168
05. Current Year 440 32 64 13 73 70 15 6 0 168

06. Current Year Member Months 5,243 397 757 153 873 822 174 62 0 2,005

Total Member Ambulatory Encounters


for Year:
07. Physician 628 189 339 25 0 0 0 75 0 0
08. Non-physician 612 200 334 16 20 0 0 42 0 0
09. Total 1,240 389 673 41 20 0 0 116 0 0

10. Hospital patient days incurred 29 8 15 2 0 0 0 4 0 0

11. Number of inpatient admissions 6 2 3 0 0 0 0 1 0 0

12. Health premiums written (b) 824,769 208,085 379,676 27,524 5,160 32,581 87,592 41,822 0 42,329
13. Life premiums direct 7 0 0 0 0 0 0 0 0 7
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 823,038 208,085 379,676 27,524 5,160 32,568 86,031 41,537 0 42,457
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 747,232 202,896 340,494 22,323 3,646 31,853 79,093 35,829 0 31,099
18. Amount Incurred for Provision of
Health Care Services 738,481 202,838 336,619 22,728 3,654 24,883 79,126 36,045 0 32,588

© 2019 National Association of Insurance Commissioners


101
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF VIRGINIA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 6,045 443 731 137 1,018 1,188 469 234 868 957
02. First Quarter 6,506 336 698 138 1,149 1,216 469 240 1,297 964
03. Second Quarter 6,481 319 690 139 1,145 1,204 468 247 1,313 956
04. Third Quarter 6,508 311 681 141 1,168 1,195 467 252 1,326 966
05. Current Year 6,536 289 682 142 1,182 1,193 468 257 1,349 974

06. Current Year Member Months 72,440 3,799 8,277 1,672 13,938 14,429 5,621 2,963 10,572 11,169

Total Member Ambulatory Encounters


for Year:
07. Physician 35,108 1,600 4,264 1,874 0 0 5,528 4,419 17,384 39
08. Non-physician 17,297 1,050 2,248 1,670 519 324 3,538 2,683 5,246 18
09. Total 52,405 2,651 6,511 3,545 519 324 9,067 7,103 22,630 56

10. Hospital patient days incurred 1,390 49 118 125 0 0 178 507 405 7

11. Number of inpatient admissions 227 9 29 26 0 0 35 61 64 2

12. Health premiums written (b) 18,904,290 2,203,729 3,870,900 326,546 98,462 435,190 2,685,639 2,809,199 6,007,911 466,714
13. Life premiums direct 903 0 0 0 0 0 0 0 0 903
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 18,557,163 2,191,184 3,846,082 326,546 98,379 166,793 2,703,764 2,790,954 5,970,281 463,180
16. Property/Casualty premiums earned 17,676 0 0 0 0 0 0 17,676 0 0

17. Amount Paid for Provision of


health care services 15,859,228 1,703,351 3,052,185 236,719 76,798 313,220 2,471,354 2,298,771 5,351,222 355,609
18. Amount Incurred for Provision of
Health Care Services 16,052,104 1,616,724 3,066,863 237,375 78,110 315,353 2,495,133 2,313,622 5,575,591 353,333

© 2019 National Association of Insurance Commissioners


102
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF WASHINGTON DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 6,199 316 1,023 87 957 1,425 234 341 1,531 285
02. First Quarter 6,194 311 1,028 89 953 1,416 233 352 1,521 291
03. Second Quarter 6,287 299 1,034 89 1,059 1,425 232 354 1,504 290
04. Third Quarter 6,285 292 1,038 90 1,063 1,430 232 357 1,490 293
05. Current Year 6,320 284 1,052 92 1,059 1,453 232 360 1,494 294

06. Current Year Member Months 75,608 3,583 12,427 1,076 12,698 17,141 2,789 4,262 18,136 3,496

Total Member Ambulatory Encounters


for Year:
07. Physician 23,161 1,403 6,959 1,278 8 149 1,645 4,795 6,925 0
08. Non-physician 17,431 835 4,124 1,213 288 157 825 2,522 7,466 0
09. Total 40,592 2,238 11,084 2,491 296 306 2,469 7,316 14,390 0

10. Hospital patient days incurred 1,570 55 179 70 0 0 16 576 672 0

11. Number of inpatient admissions 302 12 44 13 0 0 3 96 134 0

12. Health premiums written (b) 17,830,900 1,570,071 5,663,723 229,826 67,228 667,974 1,057,586 3,778,258 4,595,475 200,758
13. Life premiums direct 56 0 0 0 0 0 0 0 0 56
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 17,860,529 1,570,071 5,671,039 229,826 67,232 666,626 1,071,286 3,780,785 4,601,815 201,848
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 14,980,874 1,177,701 4,531,242 159,228 52,236 557,012 973,271 3,400,218 3,939,882 190,083
18. Amount Incurred for Provision of
Health Care Services 15,077,269 1,164,728 4,562,754 160,061 53,440 557,777 983,245 3,435,081 3,963,950 196,234

© 2019 National Association of Insurance Commissioners


103
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF WEST VIRGINIA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 1,041 31 107 10 51 143 61 103 415 120
02. First Quarter 1,027 29 107 10 49 126 60 111 411 123
03. Second Quarter 1,025 26 107 10 49 127 60 112 411 123
04. Third Quarter 1,019 25 105 10 48 129 60 112 405 125
05. Current Year 1,010 23 104 10 50 128 60 112 397 126

06. Current Year Member Months 12,274 307 1,271 120 589 1,537 723 1,340 4,895 1,491

Total Member Ambulatory Encounters


for Year:
07. Physician 7,353 184 727 179 0 0 439 2,337 3,485 1
08. Non-physician 4,495 140 461 118 12 0 397 1,538 1,825 3
09. Total 11,848 324 1,188 297 12 0 836 3,875 5,311 4

10. Hospital patient days incurred 704 12 32 21 0 0 29 319 291 1

11. Number of inpatient admissions 101 2 6 3 0 0 4 34 51 0

12. Health premiums written (b) 4,534,890 257,113 640,109 25,217 6,196 36,461 362,454 1,429,219 1,647,460 130,661
13. Life premiums direct 89 0 0 0 0 0 0 0 0 89
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 4,546,565 257,113 640,109 25,217 6,172 36,464 385,686 1,429,723 1,635,218 130,864
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 3,864,617 202,468 530,500 20,551 4,296 24,958 356,351 1,218,097 1,412,470 94,926
18. Amount Incurred for Provision of
Health Care Services 3,904,075 196,409 533,808 20,716 4,301 24,633 364,767 1,227,514 1,433,746 98,181

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104
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF WISCONSIN DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 4,642 232 935 88 930 772 69 438 738 441
02. First Quarter 4,716 233 913 87 926 790 69 451 756 492
03. Second Quarter 4,689 224 890 88 921 790 69 454 763 491
04. Third Quarter 4,696 216 892 88 926 782 69 459 759 505
05. Current Year 4,704 208 894 89 935 785 69 462 749 514

06. Current Year Member Months 56,361 2,657 10,773 1,052 11,120 9,442 824 5,463 9,055 5,975

Total Member Ambulatory Encounters


for Year:
07. Physician 16,031 481 3,571 1,133 1 0 434 6,232 4,172 8
08. Non-physician 16,927 249 2,721 715 161 103 315 3,336 9,324 4
09. Total 32,958 730 6,292 1,847 162 103 749 9,568 13,496 11

10. Hospital patient days incurred 1,454 42 196 205 0 0 29 678 304 1

11. Number of inpatient admissions 294 9 44 20 0 0 6 126 89 0

12. Health premiums written (b) 14,846,780 1,843,865 4,807,281 292,650 64,430 324,395 575,035 4,597,759 2,022,491 318,875
13. Life premiums direct 3,351 0 0 0 0 0 0 0 0 3,351
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 14,954,901 1,842,231 4,811,004 292,769 64,411 335,721 604,679 4,658,296 2,022,729 323,061
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 12,544,853 1,349,996 4,244,445 209,278 45,707 255,788 564,263 3,934,662 1,685,439 255,275
18. Amount Incurred for Provision of
Health Care Services 12,618,884 1,373,549 4,259,747 210,771 45,394 255,453 569,905 3,920,501 1,724,758 258,807

© 2019 National Association of Insurance Commissioners


105
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF WYOMING DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 241 31 25 11 0 114 17 0 0 43
02. First Quarter 247 32 24 11 0 117 17 0 0 44
03. Second Quarter 245 31 24 11 0 117 17 0 0 44
04. Third Quarter 247 30 26 11 0 117 17 0 0 45
05. Current Year 247 29 26 11 0 118 17 0 0 45

06. Current Year Member Months 2,888 372 302 135 6 1,338 203 3 0 530

Total Member Ambulatory Encounters


for Year:
07. Physician 857 232 164 276 0 0 183 2 0 0
08. Non-physician 980 300 214 170 0 33 262 1 0 0
09. Total 1,836 532 379 446 0 33 445 2 0 0

10. Hospital patient days incurred 2 0 0 2 0 0 0 0 0 0

11. Number of inpatient admissions 7 2 1 2 0 0 1 0 0 0

12. Health premiums written (b) 665,432 312,375 163,107 24,783 353 22,189 111,187 2,186 0 29,251
13. Life premiums direct 23 0 0 0 0 0 0 0 0 23
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 668,271 312,375 164,000 24,783 352 22,184 112,337 2,186 0 30,055
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 488,493 216,423 119,735 19,509 260 17,577 92,287 1,636 0 21,066
18. Amount Incurred for Provision of
Health Care Services 500,172 218,904 124,600 19,903 260 17,568 96,471 1,671 0 20,796

© 2019 National Association of Insurance Commissioners


106
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF AMERICAN SAMOA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 0 0 0 0 0 0 0 0 0 0
02. First Quarter 0 0 0 0 0 0 0 0 0 0
03. Second Quarter 0 0 0 0 0 0 0 0 0 0
04. Third Quarter 0 0 0 0 0 0 0 0 0 0
05. Current Year 0 0 0 0 0 0 0 0 0 0

06. Current Year Member Months 5 0 5 0 0 0 0 0 0 0

Total Member Ambulatory Encounters


for Year:
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) 602 0 602 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
15. Health premiums earned 602 0 602 0 0 0 0 0 0 0
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 4 0 4 0 0 0 0 0 0 0
18. Amount Incurred for Provision of
Health Care Services 170 0 170 0 0 0 0 0 0 0

© 2019 National Association of Insurance Commissioners


107
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF GUAM DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 26 0 18 0 0 0 7 0 0 0
02. First Quarter 23 0 16 0 0 0 7 0 0 0
03. Second Quarter 22 0 16 0 0 0 7 0 0 0
04. Third Quarter 23 0 16 0 0 0 7 0 0 0
05. Current Year 24 0 18 0 0 0 7 0 0 0

06. Current Year Member Months 279 0 198 0 0 0 80 0 0 1

Total Member Ambulatory Encounters


for Year:
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) 75,902 116 47,778 0 0 0 27,974 0 0 35


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
15. Health premiums earned 73,061 116 45,813 0 0 0 27,098 0 0 35
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 79,018 0 53,655 0 0 0 25,357 0 0 6
18. Amount Incurred for Provision of
Health Care Services 79,063 0 53,572 0 0 0 25,482 0 0 9

© 2019 National Association of Insurance Commissioners


108
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF N MARIANA ISLANDS DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 2 0 2 0 0 0 0 0 0 0
02. First Quarter 2 0 2 0 0 0 0 0 0 0
03. Second Quarter 2 0 2 0 0 0 0 0 0 0
04. Third Quarter 3 0 3 0 0 0 0 0 0 0
05. Current Year 3 0 3 0 0 0 0 0 0 0

06. Current Year Member Months 33 0 33 0 0 0 0 0 0 0

Total Member Ambulatory Encounters


for Year:
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) 4,579 17 4,561 0 0 0 0 0 0 1


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
15. Health premiums earned 4,346 17 4,328 0 0 0 0 0 0 1
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


17. Amount Paid for Provision of
health care services 1,019 0 1,019 0 0 0 0 0 0 0
Health Care Services 1,726 0 1,726 0 0 0 0 0 0 0

© 2019 National Association of Insurance Commissioners


109
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF PUERTO RICO DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 3,173 203 582 15 0 531 55 550 1,236 1
02. First Quarter 3,140 182 540 14 0 537 56 550 1,260 1
03. Second Quarter 3,167 185 527 14 0 538 55 554 1,293 1
04. Third Quarter 3,128 185 518 13 0 531 56 559 1,264 1
05. Current Year 3,185 185 514 13 0 637 56 563 1,216 1

06. Current Year Member Months 37,831 2,125 6,278 162 0 6,808 668 6,669 15,112 11

Total Member Ambulatory Encounters


for Year:
07. Physician 17,080 794 2,896 203 0 0 441 8,941 3,805 0
08. Non-physician 7,593 41 393 17 0 0 85 4,273 2,783 0
09. Total 24,673 835 3,289 220 0 0 527 13,214 6,588 0

10. Hospital patient days incurred 1,462 28 94 12 0 0 16 634 678 0

11. Number of inpatient admissions 485 6 21 2 0 0 3 300 152 0

12. Health premiums written (b) 8,883,898 285,654 831,147 20,533 1 20,929 180,121 5,394,420 2,150,312 780
13. Life premiums direct 2 0 0 0 0 0 0 0 0 2
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 9,420,363 279,190 829,941 20,533 0 2,015 180,121 5,389,806 2,717,977 780
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 7,441,198 229,319 715,993 14,962 1 13,569 164,506 4,462,587 1,840,036 225
18. Amount Incurred for Provision of
Health Care Services 8,043,012 228,381 695,137 14,679 1 14,099 161,276 4,521,679 2,407,500 259

© 2019 National Association of Insurance Commissioners


110
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF U.S. VIRGIN ISLANDS DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 3 0 1 0 0 0 1 1 0 0
02. First Quarter 2 0 1 0 0 0 1 0 0 0
03. Second Quarter 3 0 1 0 0 0 1 0 0 0
04. Third Quarter 3 0 2 0 0 0 1 0 0 0
05. Current Year 3 0 2 0 0 0 1 0 0 0

06. Current Year Member Months 32 5 16 0 0 3 7 0 0 1

Total Member Ambulatory Encounters


for Year:
07. Physician 4 1 2 0 0 0 0 0 0 0
08. Non-physician 1 0 0 0 0 0 0 0 0 0
09. Total 4 1 3 0 0 0 1 0 0 0

10. Hospital patient days incurred 2 1 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) 11,343 1,332 7,245 0 11 207 2,927 (420) 0 40
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
15. Health premiums earned 11,384 1,376 7,249 0 11 200 2,927 (420) 0 40
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 9,079 1,994 4,534 0 1 71 1,585 877 0 18
18. Amount Incurred for Provision of
Health Care Services 8,328 1,939 4,735 0 1 72 1,453 111 0 18

© 2019 National Association of Insurance Commissioners


111
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF CANADA DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 0 0 0 0 0 0 0 0 0 0
02. First Quarter 0 0 0 0 0 0 0 0 0 0
03. Second Quarter 0 0 0 0 0 0 0 0 0 0
04. Third Quarter 0 0 0 0 0 0 0 0 0 0
05. Current Year 0 0 0 0 0 0 0 0 0 0

06. Current Year Member Months 0 0 0 0 0 0 0 0 0 0

Total Member Ambulatory Encounters


for Year:
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
15. Health premiums earned 0 0 0 0 0 0 0 0 0 0
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 0 0 0 0 0 0 0 0 0 0
18. Amount Incurred for Provision of
Health Care Services 0 0 0 0 0 0 0 0 0 0

© 2019 National Association of Insurance Commissioners


112
HEALTH INSURANCE INDUSTRY AGGREGATES
ANNUAL STATEMENT FOR THE YEAR 2018 OF THE ....................................................................
(Name) 30
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION
(000's)
BUSINESS IN THE STATE OF AGGR OTHER ALIEN DURING THE YEAR

1 Comprehensive 4 5 6 7 8 9 10
(Hospital and Medical) Federal
Employees
2 3 Medicare Vision Dental Health Benefit Title XVIII Title XIX
Total Individual Group Supplement Only Only Plan Medicare Medicaid Other

Total Members at end of:


01. Prior Year 27 24 2 0 0 0 0 0 0 1
02. First Quarter 26 23 2 0 0 0 0 0 0 1
03. Second Quarter 25 21 3 0 0 0 0 0 0 1
04. Third Quarter 23 21 2 0 0 0 0 0 0 1
05. Current Year 23 20 2 0 0 0 0 0 0 1

06. Current Year Member Months 291 255 28 0 0 0 0 0 0 9

Total Member Ambulatory Encounters


for Year:
07. Physician 13 12 1 0 0 0 0 0 0 0
08. Non-physician 6 6 0 0 0 0 0 0 0 0
09. Total 19 18 1 0 0 0 0 0 0 0

10. Hospital patient days incurred 73 71 2 0 0 0 0 0 0 0

11. Number of inpatient admissions 4 4 0 0 0 0 0 0 0 0

12. Health premiums written (b) 1,026,257 949,715 75,872 0 0 0 0 0 0 670


13. Life premiums direct 76 0 0 0 0 0 0 0 0 76
14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0
15. Health premiums earned 1,027,339 950,813 75,862 0 0 0 0 0 0 663
16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of


health care services 71,916 69,101 2,783 0 0 0 0 0 0 32
18. Amount Incurred for Provision of
Health Care Services 69,908 67,172 2,705 0 0 0 0 0 0 30

© 2019 National Association of Insurance Commissioners


113
2017 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

© 2019 National Association of Insurance Commissioners


114
Selected Data Elements From Company
Statements

© 2019 National Association of Insurance Commissioners


115
© 2019 National Association of Insurance Commissioners
116
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

12959 Absolute Total Care Inc SC 129,000,933 70,757,539 270,131 2,475,388 336,167 544,918,302 63,559,488
63444 Accendo Ins Co UT 59,663,808 27,306,581 9,329,498 413,858 7,535,715 0 26,498,569
15307 Access Dental Plan of NV Inc NV 672,843 407,913 35,013 0 35,761 110,616 27,266
15494 Access Dental Plan of UT Inc UT 600,347 600,282 (635) 2,125 1,390 0 635
14158 AccessCare Gen Inc IL 1,668,405 962,806 297,538 1,034 298,572 8,031,377 2,927,905
14119 AccessCare Gen LLC KS 374,989 268,118 88,476 1,020 89,496 2,329,345 843,915
14343 Accesscare Gen OK LLC OK 291,723 91,706 46,371 435 46,806 1,214,281 421,047
16425 AccessCare Gen WI Ins Inc WI 106,099 106,099 (901) 0 (901) 0 901
47006 Advantage Dental Plan Inc OR 1,906,545 1,868,671 (54,190) 9,216 (44,973) 441,417 184,273
12278 Advantica Ins Co MO 10,092,788 9,300,904 378,909 92,496 434,487 7,466,573 5,631,234
15146 Advicare Corp SC 13,740,836 13,160,988 1,130 (111,590) 159,280 0 324,233
15611 Aetna Better Hlth Inc NJ 133,013,144 52,889,343 19,036,868 2,607,347 17,263,819 346,108,671 43,899,624
14043 Aetna Better Hlth Inc IL 134,054,827 46,912,026 (4,288,647) 5,374,344 (1,260,003) 195,796,647 47,875,314
13735 Aetna Better Hlth Inc PA 353,846,617 131,611,548 66,522,131 7,839,346 56,064,713 1,015,975,999 166,992,241
14229 Aetna Better Hlth Inc OH 331,684,279 189,489,939 124,586,285 5,369,952 102,503,856 965,142,871 98,185,192
15616 Aetna Better Hlth Inc LA 219,493,929 64,533,940 (12,456,300) 2,070,934 (14,370,142) 635,055,355 91,842,817
13174 Aetna Better Hlth Inc CT 3,221,845 3,210,154 444 68,265 54,355 0 32
12328 Aetna Better Hlth Inc a GA Corp GA 3,365,319 3,358,906 (4,654) 8,672 (7,072) 0 4,564
16072 Aetna Better Hlth of KS Inc KS 2,038,477 2,033,165 (2,921) 36,131 26,235 0 2,921
15761 Aetna Better Hlth of KY Ins Co KY 496,012,938 326,498,199 69,126,082 12,744,353 59,141,277 1,121,827,068 121,619,937
12193 Aetna Better Hlth of MI Inc MI 136,487,095 54,596,492 15,739,667 2,297,748 12,916,343 295,484,513 49,171,903
95318 Aetna Better Hlth of MO LLC MO 40,895,608 40,492,407 3,018,760 1,668,496 966,738 953,452 1,345,561
15919 Aetna Better Hlth of OK Inc OK 2,039,474 2,033,818 (3,246) 37,492 27,106 0 3,246
95040 Aetna Better Hlth of TX Inc TX 103,534,542 50,198,934 20,132,981 1,404,596 16,614,562 314,486,796 39,775,308
16242 Aetna Better Hlth of WA Inc WA 3,555,964 3,547,079 (5,010) 63,900 46,547 0 5,010
95910 Aetna Dental Inc TX 12,722,420 7,516,044 4,116,002 74,631 3,216,809 30,438,672 6,376,583
11183 Aetna Dental Inc NJ Corp NJ 5,785,163 5,726,738 121,873 121,168 167,131 9,008,731 1,696,255
95173 Aetna Health Inc LA LA 35,178,989 25,337,563 6,281,907 498,000 5,118,471 95,878,970 14,799,582
15827 Aetna Hlth Assur PA Inc PA 84,409,730 51,522,180 1,358,577 2,258,149 1,927,562 294,912,549 44,247,004
95935 Aetna Hlth Inc CT Corp CT 86,869,478 45,455,301 (5,545,924) 2,174,849 (3,450,972) 157,209,832 27,314,643
95088 Aetna Hlth Inc FL Corp FL 499,861,511 174,506,752 (44,988,078) 7,424,461 (34,842,030) 1,671,225,774 242,701,525
95094 Aetna Hlth Inc GA Corp GA 193,508,276 65,132,111 505,428 5,097,237 4,918,592 256,851,895 43,549,106
95517 Aetna Hlth Inc ME Corp ME 37,243,971 22,575,874 6,221,552 709,833 5,247,706 67,115,396 11,157,594
95287 Aetna Hlth Inc NJ Corp NJ 301,110,677 170,513,467 (1,413,198) 7,180,323 2,468,135 707,729,255 107,677,556
95234 Aetna Hlth Inc NY Corp NY 289,666,045 221,728,122 (12,984,850) 7,176,217 (5,780,101) 116,157,259 21,090,878
95109 Aetna Hlth Inc PA Corp PA 1,064,297,845 489,511,836 107,097,564 26,537,071 96,319,039 3,377,645,584 519,045,048
95490 Aetna Hlth Inc TX Corp TX 170,203,740 58,093,515 (31,386,715) 2,626,919 (23,575,608) 485,208,157 72,917,352

© 2019 National Association of Insurance Commissioners


117
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

72052 Aetna Hlth Ins Co PA 23,065,163 14,326,146 (3,341,327) 866,492 (2,447,581) 29,453,887 10,666,723
84450 Aetna Hlth Ins Co of NY NY 10,442,769 10,353,693 (11,617) 181,314 136,950 0 24,493
95241 Aetna Hlth of IA Inc IA 53,997,097 39,873,513 3,207,047 814,036 2,004,575 31,105,777 9,774,250
95756 Aetna Hlth of MI Inc MI 2,334,561 2,330,968 (8,731) 15,993 5,737 0 10,265
15805 Aetna Hlth of OH Inc OH 1,915,681 1,913,368 (99) 19,834 15,590 0 99
95407 Aetna Hlth of Utah Inc UT 78,182,608 38,142,470 5,464,339 1,816,131 4,764,477 227,068,905 32,617,337
16197 AHF MCO of GA Inc GA 4,174,215 4,029,768 (58,081) 25,667 (32,414) 248,082 74,904
12973 Aids Hlthcare Found MCO of FL Inc FL 39,055,832 9,908,175 (14,993,017) 463,051 (14,529,966) 137,786,519 14,816,242
16331 Alignment Hlth Plan of IL Inc IL 2,133,083 2,105,438 (27,645) 26,814 (831) 0 650
12253 Allcare Hlth Plan Inc OR 11,157,262 5,636,980 (1,129,805) 57,771 (1,076,342) 33,492,191 3,227,695
12346 Allegian Ins Co TX 6,649,963 5,003,999 2,750,874 998,221 2,910,449 253,688 263,259
12814 Allegiance Life & Hlth Ins Co Inc MT 16,662,698 13,311,940 1,050,680 461,704 1,139,420 15,905,598 2,078,693
60134 Alliance Hlth & Life Ins Co MI 133,961,538 53,752,140 9,940,474 2,233,716 12,149,922 294,998,483 70,067,859
11256 Alliant Hlth Plans Inc GA 156,080,144 71,064,729 70,736,246 1,493,775 55,709,288 484,014,966 53,519,046
16194 Allina Hlth & Aetna Ins Co MN 5,519,736 4,656,978 (7,449,184) 59,955 (9,639,257) 230,614 7,380,788
11109 Allways Hlth Partners Inc MA 412,967,113 271,421,437 (6,807,327) 8,676,320 794,659 1,045,908,240 142,941,900
95853 Aloha Care HI 163,138,303 88,318,875 332,112 2,080,384 2,412,496 374,237,231 43,018,397
95366 Alpha Dental of AZ Inc AZ 2,435,428 1,367,781 797,371 13,600 624,886 3,709,852 504,198
47092 Alpha Dental of NM Inc NM 498,619 418,646 28,428 5,358 26,635 327,631 58,255
95778 Alpha Dental of NV Inc NV 3,405,761 2,880,040 509,001 21,521 417,418 3,471,744 472,150
11174 Alpha Dental of UT Inc UT 2,412,648 2,148,276 429,407 15,309 349,248 1,190,984 110,391
95163 Alpha Dental Programs Inc TX 30,964,201 25,289,266 7,551,467 411,530 5,949,897 35,633,938 6,534,190
52632 Altus Dental Ins Co Inc RI 41,055,933 33,299,811 6,048,850 854,623 5,226,806 66,710,722 11,647,293
15762 Ambetter of Magnolia Inc MS 136,872,489 58,761,833 51,941,147 1,534,813 40,337,717 498,883,470 114,061,949
16395 AmBetter of NC Inc NC 9,667,665 8,504,624 (5,318) 11,171 (41,950) 0 5,318
15729 Ambetter of Peach State Inc GA 328,688,770 116,663,086 107,127,571 5,090,875 84,618,322 1,144,207,981 224,187,031
52041 AMERICAN DENTAL PLAN OF WI INC WI 156,223 80,933 5,584 1,341 6,925 1,357,762 287,403
52623 American Hlth Ntwrk of IN LLC IN 33,480,725 15,860,835 (2,970,664) 34,205 (2,936,459) 0 33,202,245
16196 American Hlth Plan Inc TN 1,843,860 1,843,860 (59,828) 0 (59,828) 0 63,086
84697 American Specialty Hlth Ins Co IN 9,635,297 8,437,468 (56,773) 60,273 2,765 0 558,489
11866 American Specialty Hlth ODS of NJ NJ 3,771,456 2,304,022 (39,875) 25,726 269,862 0 2,671,933
12910 Americas 1st Choice Hlth Plans Inc SC 8,012,685 8,012,685 365,348 17,595 382,944 25 24,772
13044 Americas 1st Choice Ins Co of NC Inc NC 4,339,794 4,339,793 (19,567) 5,257 (14,316) 0 33,786
15544 Americas 1st Choice of SC Inc SC 3,897,480 1,988,636 (935,865) 11,178 (862,033) 7,347,005 918,842
95497 Americhoice of NJ Inc NJ 587,710,133 283,267,370 (34,295,597) 12,498,882 (26,072,006) 2,718,447,428 344,385,440
12354 AMERIGROUP Comm Care of NM Inc NM 74,083,172 69,362,330 5,201,483 1,574,188 5,610,057 15,873,461 3,363,619
16168 Amerigroup DC Inc DC 124,792,222 80,559,139 63,476,176 1,270,542 50,720,258 220,060,143 30,618,247

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HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

14078 Amerigroup Ins Co TX 267,620,504 146,308,087 31,239,114 7,366,607 27,039,712 1,015,518,383 135,394,056
15807 Amerigroup Iowa Inc IA 317,907,158 169,352,834 7,197,408 1,744,242 4,252,966 1,394,103,374 115,188,033
14276 Amerigroup KS Inc KS 289,271,831 173,619,016 (4,777,558) 3,906,834 (4,306,909) 1,067,719,119 171,002,035
14064 Amerigroup LA Inc LA 394,513,353 174,538,032 (13,812,692) 6,220,730 (9,958,651) 1,114,889,569 172,450,258
95832 AMERIGROUP MD Inc MD 448,619,434 162,088,061 95,152,699 12,133,619 82,748,410 1,156,053,701 141,395,015
16376 Amerigroup MI Inc MI 2,527,212 2,520,017 0 11,818 9,336 0 4,713
16145 Amerigroup MS Inc MS 4,035,861 4,034,572 (2,341) 23,955 20,582 0 10,369
95373 AMERIGROUP NJ Inc NJ 359,018,068 163,828,289 52,264,532 5,863,541 41,593,012 1,384,972,022 176,380,581
12586 AMERIGROUP NV Inc NV 189,113,867 82,155,791 12,921,284 2,695,446 9,795,945 644,947,942 114,781,751
10767 AMERIGROUP OH Inc dba Comm Care OH 12,127,864 11,511,019 3,525 124,135 143,912 0 13,667
15994 Amerigroup OK Inc OK 1,542,470 1,542,093 (65) 10,331 12,477 0 9,468
16339 Amerigroup PA Inc PA 6,621,229 6,499,400 0 (1,003) (600) 0 2,233
12941 AMERIGROUP TN Inc TN 515,468,373 187,159,719 6,138,184 17,826,676 14,836,314 1,751,003,218 287,442,573
95314 AMERIGROUP TX Inc TX 946,105,664 443,828,574 54,278,498 21,192,312 47,541,223 4,225,137,952 502,781,191
14073 Amerigroup Washington Inc WA 280,493,273 151,501,753 22,723,837 6,842,536 22,571,116 491,084,681 116,786,642
15088 AmeriHealth Caritas DC Inc DC 127,251,010 44,080,377 (18,227,567) 2,345,175 (15,156,955) 563,484,513 86,371,397
15800 AmeriHealth Caritas IA Inc IA 136,433,865 131,602,350 13,555,671 2,120,447 31,114,976 2,831,245 11,572,819
14143 AmeriHealth Caritas LA Inc LA 261,675,252 86,978,761 5,239,754 3,521,316 2,633,675 1,100,184,370 161,333,324
16422 AmeriHealth Caritas NM Inc NM 1,505,561 1,505,103 (93) 6,566 5,103 0 93
16451 AmeriHealth Caritas TX Inc TX 1,508,600 1,508,039 (145) 10,321 8,039 0 145
95044 AmeriHealth Hmo Inc PA 107,784,987 23,275,492 450,271 1,259,481 1,007,921 170,799,244 5,638,155
60061 AmeriHealth Ins Co Of NJ NJ 551,450,939 209,644,394 41,721,695 9,229,093 50,950,788 934,317,197 229,803,483
15104 AmeriHealth MI Inc MI 26,036,310 10,669,736 (13,041,981) 291,933 (10,741,247) 75,596,056 14,988,296
60250 AmFirst Ins Co OK 67,498,068 55,922,921 5,523,236 2,496,874 6,546,329 38,805,600 30,188,469
12229 AMGP GA Managed Care Co Inc GA 321,539,221 153,081,596 39,315,099 7,083,172 30,540,168 1,233,573,966 218,005,969
62825 Anthem Blue Cross Life & Hlth Ins Co CA 2,423,944,269 1,264,783,551 197,702,843 42,988,650 181,551,996 1,877,230,042 275,322,117
60217 Anthem Hlth Plans Inc CT 770,215,496 360,256,649 87,043,456 5,213,860 79,768,180 1,987,041,495 167,978,711
95120 Anthem Hlth Plans Of KY Inc KY 837,999,247 314,190,546 171,022,921 22,094,064 144,984,135 2,120,684,028 228,177,683
52618 Anthem Hlth Plans of ME Inc ME 493,935,763 120,058,373 45,836,743 10,391,698 58,641,784 988,919,994 97,291,977
53759 Anthem Hlth Plans of NH NH 398,938,103 202,301,599 26,110,176 44,091,978 58,538,633 728,159,226 79,495,162
71835 Anthem Hlth Plans of VA Inc VA 1,799,829,383 661,741,027 289,042,158 69,484,658 293,564,217 3,615,605,772 333,911,731
28207 Anthem Ins Co Inc IN 3,480,937,549 1,180,301,662 609,234,376 54,437,269 498,885,098 7,233,358,157 452,209,994
15543 Anthem KY Managed Care Plan Inc KY 250,798,262 164,602,189 14,010,308 5,770,302 13,569,685 746,423,164 87,480,591
16298 APC Passe LLC AR 20,379,986 7,229,247 435,042 25,179 363,575 0 (435,042)
12151 Arcadian Hlth Plan Inc WA 834,259,468 511,484,723 76,707,085 17,518,789 59,729,263 3,417,678,000 462,796,212
53597 Arizona Dental Ins Serv Inc AZ 67,247,616 52,535,269 1,385,422 2,000,003 3,483,428 87,697,997 21,025,015
16130 Arkansas Hlth & Wellness Hlth Plan I AR 21,794,367 7,440,150 (10,453,160) 145,592 (9,099,118) 42,598,755 5,121,573

© 2019 National Association of Insurance Commissioners


119
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

15135 Arkansas Superior Select Inc AR 14,927,170 5,012,159 (4,253,150) 77,136 (4,176,014) 27,979,131 6,990,577
16256 Arkansas Total Care Inc AR 9,277,134 6,872,810 1,094,652 88,915 672,810 0 6,401,771
15926 Aspirus Arise Hlth Plan of WI Inc WI 43,233,113 15,909,794 (3,423,899) 413,370 (3,010,529) 92,782,011 13,380,610
47350 Asuris NW Hlth WA 112,265,612 82,217,954 12,562,193 1,773,164 10,990,079 172,953,182 32,815,285
11217 Atlantic Southern Dental Found NJ 3,487,611 2,728,894 148,837 36,795 185,632 6,808,178 1,168,621
10123 Atrio Hlth Plans Inc OR 62,854,744 18,638,215 3,907,146 533,554 2,669,507 204,495,664 37,096,634
15461 Aultcare Hlth Insuring Corp OH 105,811,397 87,147,126 7,903,331 836,077 7,132,570 242,960,334 29,769,045
77216 Aultcare Ins Co OH 94,472,371 48,311,523 3,426,744 997,049 3,756,539 289,821,070 49,365,307
12587 Auxilio Salud Plus Inc PR 1,056,182 444,083 (149,844) 4,483 (145,361) 7,120 144,865
12358 Avalon Ins Co PA 42,910,996 18,606,307 (24,182,125) 462,154 (18,655,803) 63,030,983 19,561,371
95839 Avera Hlth Plans Inc SD 77,746,308 39,751,068 11,085,510 1,892,456 12,977,966 249,810,149 22,133,947
11163 Avesis Ins Inc AZ 12,451,430 7,411,785 (2,112,409) 92,765 (1,636,260) 9,770,861 25,731,841
95263 AvMed Inc FL 251,751,320 94,044,404 8,189,396 6,701,121 14,890,517 928,307,304 126,757,225
71013 Bankers Reserve Life Ins Co Of WI WI 436,327,355 230,802,852 14,784,687 5,793,393 14,142,917 2,096,263,885 211,761,316
16058 Banner Hlth & Aetna Hlth Ins Co AZ 129,358,620 60,520,548 1,594,093 892,740 (7,303,609) 79,109,357 49,235,049
16059 Banner Hlth & Aetna Hlth Plan Inc AZ 25,858,411 10,498,491 374,823 146,529 (535,838) 16,427,472 3,358,699
95071 Baptist Hlth Plan Inc KY 16,487,661 8,753,252 (5,468,057) 1,040,939 (4,381,826) 16,639,048 15,463,066
16282 BayCare Select Hlth Plans Inc FL 22,405,561 21,710,216 (8,458,886) 284,846 (8,174,040) 0 7,922,495
15481 BC BS KS Solutions Inc KS 56,586,430 53,461,844 2,482,720 2,021,527 3,863,028 3,894,561 22,615,682
96962 BCBS Hlthcare Plan of GA Inc GA 1,438,093,581 514,677,410 301,300,287 13,390,363 235,266,699 3,730,453,470 463,400,395
55433 BCBS of AL AL 3,959,993,680 2,001,668,851 316,995,079 86,240,354 403,225,654 6,046,478,013 645,785,740
53589 BCBS of AZ Inc AZ 2,268,147,418 1,504,794,611 155,179,499 52,887,372 158,746,428 2,211,959,730 324,239,418
98167 BCBS Of FL FL 5,645,207,643 1,927,491,490 864,882,974 78,565,286 694,556,673 10,856,706,759 1,404,414,790
54801 BCBS of GA Inc GA 889,040,721 458,466,216 89,702,446 20,108,010 86,242,595 349,061,178 27,821,458
47171 BCBS of KC MO 1,246,047,473 758,144,188 34,293,995 55,119,207 66,610,802 1,575,355,491 217,939,009
53228 BCBS of MA MA 2,386,129,513 779,297,635 (115,276,573) 20,741,002 65,558,348 3,000,606,507 523,783,257
12219 BCBS of MA HMO Blue Inc MA 2,266,462,239 1,413,755,330 45,171,390 48,862,686 94,000,926 5,094,091,242 579,513,590
54291 BCBS of MI Mut Ins Co MI 8,990,372,003 4,933,243,464 194,115,471 124,920,886 559,452,541 9,165,218,581 1,445,034,123
60111 BCBS Of MS Mut Ins Co MS 1,000,594,163 676,737,726 23,326,445 35,986,285 43,242,397 1,374,690,774 167,236,818
54631 BCBS of NC Inc NC 5,707,644,445 3,416,546,681 613,231,769 196,180,013 650,382,086 9,072,896,543 1,622,420,730
15999 BCBS of NC Senior Hlth NC 1,500,000 1,500,000 0 0 0 0 0
55891 BCBS of ND ND 793,614,964 495,742,406 (78,095,321) 15,144,405 (30,523,471) 1,188,417,685 203,607,533
77780 BCBS Of NE NE 912,251,871 387,725,884 29,521,811 15,730,896 6,321,761 1,587,136,026 229,130,207
16359 BCBS of NM Ins Co NM 1,453,369 1,453,368 0 23,371 23,198 0 0
53473 BCBS of RI RI 638,242,440 298,658,624 36,858,723 (1,111,740) 9,411,398 1,710,953,677 262,715,058
38520 BCBS Of SC Inc SC 4,475,538,344 2,941,891,209 345,461,531 53,129,990 261,738,696 3,704,027,296 387,278,203
54518 BCBS of TN Inc TN 3,995,908,300 3,139,287,117 683,434,135 157,800,065 679,210,467 5,429,731,869 718,425,363

© 2019 National Association of Insurance Commissioners


120
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

53295 BCBS of VT VT 257,580,641 110,154,828 (15,492,550) 6,003,294 (6,670,376) 526,540,091 63,402,950


54003 BCBS of WI WI 565,487,616 302,848,126 82,477,596 61,311,617 123,042,224 813,310,381 23,823,315
53767 BCBS of WY WY 547,791,226 335,433,646 37,585,225 15,055,046 40,481,633 614,351,141 106,864,360
16030 BCBSIL GP HMO NFP IL 1,973,803 1,946,484 (21,547) 33,941 12,405 0 1,578
55026 BCBSM Inc MN 2,582,162,975 1,034,450,272 (83,399,298) 49,624,518 36,627,576 3,925,292,314 706,131,887
15851 BCBSOK Government Programs HMO Co OK 1,595,916 1,592,154 0 29,095 29,107 0 0
15964 BCBSTX Government Programs HMO TX 1,604,999 1,601,176 0 30,167 30,178 0 0
15118 BeHealthy Florida Inc FL 44,970,075 19,302,489 2,404,409 595,857 1,023,863 108,200,203 11,307,543
95387 Block Vision Of TX Inc TX 7,589,170 3,494,748 1,158,898 8,898 1,020,270 14,311,636 9,336,111
10753 Blue Advantage Plus of KC Inc MO 34,017,742 9,985,961 (12,166,420) 366,323 (9,112,751) 100,601,053 21,361,504
95610 Blue Care Network Of MI MI 2,402,759,194 1,609,353,975 205,899,477 45,082,438 250,612,170 4,244,142,605 646,510,307
11557 Blue Cross Complete of MI LLC MI 271,082,933 106,593,625 41,172,760 3,483,915 31,416,663 755,846,476 119,345,548
15022 Blue Cross of ID Care Plus Inc ID 147,477,482 76,671,940 7,039,346 (4,528,974) 993,918 351,999,992 48,498,586
60095 Blue Cross of ID Hlth Serv Inc ID 937,384,035 632,939,169 31,765,433 39,838,254 48,545,103 1,248,348,654 164,069,204
95741 BlueChoice Hlthplan of SC Inc SC 368,679,426 247,602,118 22,166,661 7,151,493 19,840,235 834,799,437 88,261,613
13203 Boston Medical Center Hlth Plan Inc MA 474,523,302 217,414,560 (22,045,447) 4,497,384 (17,548,063) 2,293,083,387 158,853,271
10095 Bravo Hlth Mid Atlantic Inc MD 73,049,884 27,916,447 6,392,330 1,831,844 7,884,001 259,192,043 30,464,487
11524 Bravo Hlth PA Inc PA 186,273,677 100,671,236 26,034,216 5,938,433 24,395,867 623,093,674 96,152,675
95303 BridgeSpan Hlth Co UT 42,867,042 37,285,033 10,530,429 484,291 9,106,258 16,157,137 8,426,749
16310 Bridgeway Hlth Solutions of AZ Inc AZ 17,126,464 9,740,713 6,346,244 483,506 4,104,303 13,807,815 6,286,612
16122 Bright Hlth Co of AZ AZ 16,900,976 10,055,937 (8,075,008) 135,615 (7,940,878) 11,557,807 9,528,289
15963 Bright Hlth Ins Co CO 62,625,884 15,617,983 (9,530,485) 629,741 (9,400,474) 104,156,487 38,660,566
16102 Bright Hlth Ins Co of AL Inc AL 8,074,648 3,512,738 (2,637,602) 85,082 (2,585,212) 4,959,184 2,856,023
16388 Bright Hlth Ins Co of NY NY 23,679,675 23,567,360 (7,675) 406,629 325,579 0 20,250
16353 Bright Hlth Ins Co of OH Inc OH 7,264,322 7,238,142 (1,783) 117,974 97,026 0 3,936
16341 Bright Hlth Ins Co of TN TN 17,256,489 15,989,298 (3,954) 51,668 (10,701) 0 4,788
11834 Buckeye Comm Hlth Plan Inc OH 624,352,755 334,961,254 115,213,516 9,950,412 90,889,242 2,563,871,245 348,815,991
16112 Buckeye Hlth Plan Comm Solutions Inc OH 7,199,507 3,014,510 (3,073,260) 48,853 (2,705,620) 9,223,627 1,119,205
81647 Bupa Ins Co FL 309,804,448 138,527,990 (15,770,019) 5,423,228 (5,894,987) 105,552,124 96,911,458
12217 Canyon Ins Serv Inc AZ 624,627 620,135 (13,331) 1,375 (11,956) 0 9,128
14411 Capital Advantage Assur Co PA 667,418,695 347,577,422 114,972,113 5,231,036 88,564,383 1,402,811,885 230,542,012
41203 Capital Advantage Ins Co PA 645,524,180 431,580,829 637,179 1,250,521 1,463,760 244,638,591 28,353,629
54720 Capital Blue Cross PA 1,143,040,407 699,988,475 (2,610,897) 15,639,272 10,170,163 318,654,351 38,653,220
95491 Capital District Physicians Hlthpln NY 585,971,166 378,835,252 36,977,198 5,587,978 42,955,113 1,513,648,272 168,364,487
95112 Capital Hlth Plan Inc FL 546,721,789 418,986,525 7,895,434 17,218,368 25,038,083 863,171,411 54,838,702
15143 Care 1st Health Plan CA 996,033,965 543,228,887 54,568,548 7,357,749 50,797,138 2,353,867,878 253,146,174
12558 Care Improvement Plus of TX Ins Co TX 557,483,046 223,565,669 61,108,794 9,522,604 48,912,299 1,678,237,376 197,497,763

© 2019 National Association of Insurance Commissioners


121
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

12567 Care Improvement Plus S Central Ins AR 727,698,573 473,046,981 159,144,003 7,685,157 125,940,462 1,673,020,300 202,692,266
14041 Care Improvement Plus WI Ins Co WI 78,228,837 47,054,427 23,837,845 (718) 18,174,270 244,289,595 31,116,216
13151 Care N Care Ins Co Inc TX 45,162,955 23,412,204 (282,059) 215,909 (757,888) 108,989,525 17,974,804
15685 Care N Care Ins Co of NC NC 37,581,136 16,052,937 (11,938,482) 628,828 (11,362,429) 128,810,693 28,660,342
55450 Care Plus Dental Plans Inc WI 1,446,743 0 0 0 0 26,241,982 536,739
12248 Care WI Hlth Plan Inc WI 59,037,344 36,923,132 (2,270,120) 823,566 2,417,857 150,814,076 22,385,739
14403 CareCentrix of NJ Inc NJ 10,812,630 4,636,249 1,070,133 0 802,600 24,022,056 2,522,168
10144 Carecore NJ LLC NJ 30,424,086 7,919,853 203,288 144,950 256,891 147,245,613 14,734,078
96202 CareFirst BlueChoice Inc DC 1,213,808,907 721,055,178 85,452,822 21,350,837 63,916,927 3,660,982,963 728,913,383
47021 Carefirst Inc MD 500,163 500,000 0 (28,195) 0 0 4,457
47058 Carefirst of MD Inc MD 1,803,826,927 724,475,046 13,762,231 11,492,827 110,061,321 1,887,358,964 197,072,806
13562 Caremore Hlth Plan of AZ Inc AZ 55,317,546 36,749,384 6,624,303 1,320,190 5,573,467 167,201,860 31,941,827
13605 CareMore Hlth Plan of NV NV 30,490,445 19,399,996 1,840,253 645,238 2,517,732 (827,906) 8,843,018
16307 CarePartners of Connecticut Inc CT 20,733,529 12,985,035 (16,896,840) 92,576 (16,804,264) 0 11,694,840
95092 CarePlus Hlth Plans Inc FL 461,833,249 158,168,382 131,703,064 11,172,932 109,596,178 1,771,316,132 197,885,671
95201 Caresource OH 1,655,820,310 753,040,054 22,393,516 53,724,761 76,118,278 8,221,000,917 1,066,161,052
15710 Caresource GA Co GA 183,979,336 79,166,471 (21,198,547) 546,552 (20,651,995) 660,980,701 63,569,583
10142 CareSource IN IN 302,075,738 73,358,932 7,610,251 2,109,583 9,719,834 789,872,503 87,719,262
15479 CareSource KY Co KY 85,473,161 32,219,241 (241,610) 313,271 71,661 283,579,994 38,751,300
15728 CareSource W VA Co WV 30,326,982 9,826,831 (6,214,459) 236,383 (5,978,076) 50,411,512 7,751,475
95754 Cariten Hlth Plan Inc TN 454,580,664 203,585,317 121,172,750 10,439,845 100,229,132 1,403,098,579 172,321,045
12976 Catholic Special Needs Plan LLC NY 14,328,553 5,929,693 (2,461,235) 21,904 (2,439,331) 47,386,385 7,446,008
13630 CBHNP Serv Inc PA 2,805,156 2,805,156 25,147 0 25,147 0 0
16345 CCHA LLC CO 65,030,416 4,774,912 (370) 7,818 6,876 76,540,660 85
47027 CDPHP Universal Benefits Inc NY 197,956,040 134,852,644 6,159,468 2,652,812 9,109,245 561,793,574 80,012,052
80799 Celtic Ins Co IL 1,918,556,757 459,159,074 188,251,605 30,680,193 162,079,625 4,853,974,928 454,772,772
13632 Celticare Hlth Plan of MA Inc MA 23,637,876 13,612,820 5,949,011 641,656 4,651,296 29,607,091 6,768,475
95158 CHA Hmo Inc KY 42,447,203 16,619,556 3,064,315 884,243 4,791,765 190,243,336 27,549,351
13739 Childrens Comm Hlth Plan Inc WI 159,023,881 71,368,899 32,283,068 632,102 32,915,171 440,686,745 46,574,215
15485 Childrens Medical Center Hlth Plan TX 101,024,154 40,693,297 (53,783,642) 40,017 (53,743,573) 266,099,546 36,200,075
52039 Christiana Care Hlth Plans Inc DE 34,561 31,458 (17,467) 0 (17,467) 0 17,769
14154 Christus Hlth Plan TX 84,292,155 36,522,380 16,672,285 136,352 16,808,637 170,286,702 38,052,633
11175 Cigna Dental Hlth of CO Inc CO 2,239,385 1,973,404 3,151,410 34,410 2,483,937 8,753,048 755,091
95380 Cigna Dental Hlth of DE Inc DE 276,696 263,167 (17,982) 270 (13,422) 133,340 13,772
52021 Cigna Dental Hlth of FL Inc FL 6,453,401 3,740,450 13,306,957 107,119 10,454,744 37,244,168 16,485,105
52024 Cigna Dental Hlth of KS Inc KS 644,219 554,143 508,823 5,297 399,774 1,675,579 229,172
52108 Cigna Dental Hlth of KY Inc KY 2,269,149 1,926,108 4,552,026 34,399 3,580,546 11,336,277 1,212,293

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HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

48119 Cigna Dental Hlth of MD Inc MD 2,846,214 2,531,571 4,156,295 54,057 3,288,947 10,767,956 1,223,911
11160 Cigna Dental Hlth of MO Inc MO 1,929,439 1,590,354 946,520 25,982 749,319 5,064,965 526,662
95179 Cigna Dental Hlth of NC Inc NC 3,121,278 2,762,810 666,939 41,683 539,850 5,329,892 667,118
11167 Cigna Dental Hlth of NJ Inc NJ 4,950,185 1,765,802 745,760 46,084 325,671 13,600,301 1,971,078
47805 Cigna Dental Hlth of OH Inc OH 2,540,758 2,099,142 3,103,775 43,956 2,454,376 8,487,380 930,991
47041 Cigna Dental Hlth of PA Inc PA 1,708,382 1,500,227 2,253,788 24,439 1,777,528 5,865,882 879,125
95037 Cigna Dental Hlth of TX Inc TX 6,738,915 5,696,790 13,133,232 153,523 10,369,550 33,822,845 4,807,056
52617 Cigna Dental Hlth of VA Inc VA 3,099,285 2,894,920 1,926,328 49,711 1,540,389 5,534,530 725,594
47013 Cigna Dental Hlth Plan of AZ Inc AZ 3,825,233 2,495,398 6,058,286 49,144 5,208,013 20,566,523 2,387,136
95525 Cigna Hltcare of IN Inc IN 1,655,045 1,589,773 51,194 21,718 81,865 26,474 11,443
95493 Cigna Hlthcare NH Inc NH 8,222,316 8,202,144 (5,113) 154,832 132,157 0 13,480
95125 Cigna Hlthcare of AZ Inc AZ 131,134,716 74,258,846 5,906,380 5,833,258 11,258,103 594,385,934 59,275,994
95604 Cigna Hlthcare of CO Inc CO 3,364,738 3,150,309 (678,083) 64,146 (453,572) 2,671,401 709,577
95660 Cigna Hlthcare of CT Inc CT 5,660,990 4,952,095 2,912,857 (8,679) 2,272,057 9,482,458 1,358,837
95136 Cigna Hlthcare of FL Inc FL 3,168,747 2,910,181 (56,171) 57,692 7,333 1,114,702 76,642
96229 Cigna Hlthcare of GA Inc GA 79,800,499 43,519,005 (375,754) 1,964,977 1,744,951 254,005,809 43,857,715
95602 Cigna Hlthcare of IL Inc IL 87,930,539 19,588,058 9,085,680 1,997,083 8,743,534 83,288,444 29,990,492
95132 Cigna Hlthcare of NC Inc NC 82,936,452 36,992,666 18,952,068 2,165,970 15,576,988 168,625,576 36,052,684
95500 Cigna Hlthcare of NJ Inc NJ 13,913,898 10,031,337 (1,438,503) 79,117 (788,097) 4,853,655 333,645
95708 Cigna Hlthcare of SC Inc SC 27,725,448 19,922,094 2,125,006 738,450 2,047,847 56,109,440 9,691,226
95635 Cigna Hlthcare of St Louis Inc MO 14,471,328 9,237,963 1,770,848 277,427 1,601,242 19,913,088 3,272,725
95606 Cigna Hlthcare of TN Inc TN 8,663,565 5,705,427 (1,499,965) 124,432 (1,169,323) 20,438,579 5,898,231
95383 Cigna Hlthcare of TX Inc TX 32,652,713 23,239,178 2,791,523 644,549 1,904,960 77,205,003 12,917,471
16278 Clear Spring Hlth of IL Inc IL 7,507,462 2,141,318 (5,366,144) 5,198 (5,360,946) 0 1
15493 ClearRiver Hlth TN 5,366,283 5,255,553 (9,328) 39,304 30,557 0 22,439
16347 Clover HMO of NJ Inc NJ 8,312,889 8,311,303 0 7,555 6,092 0 1,000
86371 Clover Ins Co NJ 107,664,889 35,059,313 (41,288,854) 360,716 (40,923,511) 357,997,434 47,594,318
95733 Colorado Access CO 63,010,195 23,139,613 (1,910,557) 18,292 5,836,713 362,958,252 28,874,066
55875 Colorado Dental Serv Inc CO 77,030,151 48,978,008 5,854,313 3,771,605 2,711,380 204,069,201 30,187,416
15061 Common Ground Hlthcare Coop WI 217,899,361 144,752,165 133,981,964 1,508,889 135,490,853 564,943,967 44,460,718
15209 Community Care Alliance of IL NFP IL 6,822,818 (32,807,912) (39,255,551) (3,744) (39,259,295) 66,839,287 7,850,245
47024 Community Care Behavioral Hlth Org PA 347,058,663 227,706,185 18,270,244 3,318,788 18,626,309 953,751,004 118,342,207
10756 Community Care Hlth Plan Inc WI 23,058,662 14,665,720 1,321,209 136,466 1,457,675 94,920,957 7,387,851
11143 Community First Grp Hospital Serv Co TX 790,140 749,137 (558) 12,770 12,212 0 654
95248 Community First Hlth Plans Inc TX 142,685,015 71,732,158 (16,710,902) 2,093,521 (14,617,381) 539,593,799 62,779,147
95615 Community Hlth Choice Inc TX 175,071,407 57,261,882 32,420,529 2,940,113 35,360,642 711,477,330 99,406,168
16133 Community Hlth Choice TX Inc TX 186,214,854 88,214,364 14,184 1,801,371 1,815,555 959,876,042 91,035,098

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123
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

47049 Community Hlth Plan of WA WA 458,483,292 171,147,564 8,039,567 12,430,714 20,476,289 865,757,978 105,133,936
10345 Community Ins Co OH 1,812,303,254 802,181,164 400,190,812 95,875,283 386,618,759 5,627,463,290 549,032,568
15732 Communitycare Government Programs In OK 8,964,771 4,391,793 101,292 108,118 209,410 26,319,874 1,421,579
11691 CommunityCare HMO Inc OK 188,082,632 102,598,142 548,039 2,839,957 1,425,455 592,595,019 77,577,177
89008 Communitycare Life & Hlth Ins Co OK 17,144,849 5,979,546 (2,716,780) 162,268 (2,255,741) 57,090,429 10,043,487
52015 Compbenefits Co FL 18,962,156 10,518,929 5,422,322 306,289 5,282,925 70,908,335 27,832,851
11228 Compbenefits Dental Inc IL 3,517,332 2,577,931 239,382 59,884 212,630 7,862,586 3,240,395
60984 Compbenefits Ins Co TX 29,754,993 21,475,515 (696,288) 550,433 (45,042) 38,831,716 11,735,417
95693 Compcare Hlth Serv Ins Corp WI 329,254,977 167,879,600 49,281,697 19,713,564 59,098,502 913,943,033 124,892,219
15238 Comprehensive Mobile Ins Co Inc AZ 2,470,157 2,381,948 424,402 9,630 363,067 4,400,747 1,946,305
15360 Comprehensive Mobile Plan UT Inc UT 1,041,610 990,704 215,877 2,654 177,103 1,328,485 473,829
14913 Connecticare Benefits Inc CT 173,706,143 46,694,878 69,781,041 3,445,039 56,617,329 566,641,736 90,541,635
95675 Connecticare Inc CT 216,473,962 66,825,502 (59,409,006) 3,203,044 (49,004,229) 680,252,515 121,202,482
11209 Connecticare Ins Co Inc CT 245,122,043 108,413,376 8,131,514 51,775,434 54,765,213 594,884,413 122,290,128
95299 Connecticare Of MA Inc MA 3,761,756 2,704,431 971,839 44,470 721,995 3,213,167 496,338
16338 Connecticut Dental Practice Organiza CT 1,516,527 1,512,977 4,468 7,409 11,877 20,610 2,473
95822 Cook Childrens Hlth Plan TX 155,308,955 84,550,417 9,018,754 2,029,609 11,048,362 554,916,257 66,946,482
95831 Coordinated Care Corp IN 460,268,584 203,581,582 52,971,122 3,968,422 37,410,352 1,730,233,058 219,109,213
15352 Coordinated Care of WA Inc WA 229,904,272 84,459,483 (27,604,350) 3,168,013 (19,861,683) 596,970,097 113,865,888
81973 Coventry Hlth & Life Ins Co MO 1,251,183,894 963,923,714 36,958,591 30,633,437 47,633,487 1,715,673,602 270,909,328
95114 Coventry Hlth Care of FL Inc FL 345,994,922 73,220,062 (146,983,585) 6,201,427 (113,112,831) 482,885,577 54,583,272
74160 Coventry Hlth Care of IL Inc IL 138,885,192 66,122,361 3,847,441 2,362,371 5,236,683 235,631,276 38,398,992
95489 Coventry Hlth Care of KS Inc KS 21,723,150 13,701,044 (188,115) 2,270,318 2,970,501 7,579,840 2,114,165
96377 Coventry Hlth Care of MO Inc MO 279,188,087 118,044,326 2,704,383 7,367,958 6,243,374 894,539,957 100,614,398
95925 Coventry Hlth Care of NE Inc NE 36,066,976 22,056,005 1,244,418 2,188,406 2,753,706 9,835,501 3,171,984
96555 Coventry Hlth Care of VA Inc VA 231,713,789 78,708,757 (15,347,606) 2,174,586 (10,277,628) 742,941,166 82,683,190
95408 Coventry Hlth Care of W VA Inc WV 208,263,171 89,745,454 27,373,967 3,839,728 22,549,951 640,337,821 51,695,334
95266 Coventry Hlth Plan of FL Inc FL 6,107,192 3,852,530 (273,775) 118,175 (118,821) (27,847) (98,520)
95530 Cox Hlth System HMO Inc MO 22,032,447 22,031,447 (12,207) 5,510,091 5,497,884 0 12,207
60040 Cox Hlth Systems Ins Co MO 53,757,821 18,719,628 (5,440,395) 488,321 (4,952,074) 154,718,406 19,086,953
15677 Crystal Run Hlth Ins Co Inc NY 11,980,875 2,980,450 (5,628,975) 64,275 (5,550,316) 13,254,173 5,044,143
15797 Crystal Run Hlth Plan LLC NY 14,051,334 1,974,913 (6,837,378) 49,814 (6,800,233) 17,733,804 6,382,592
95748 DC Chartered Hlth Plan Inc DC 5,176,466 (15,524,381) (339,163) 38,653 (322,528) 0 644,554
60067 Dean Hlth Ins Inc WI 161,790,373 160,975,690 710,083 42,003 594,086 0 (704,823)
96156 Dean Hlth Plan Inc WI 280,626,913 155,797,663 35,280,922 5,135,031 27,811,560 1,372,327,429 157,948,744
16436 Delsure Hlth Ins Inc DE 513,649 496,567 (219,350) 0 (219,350) 0 203,849
81396 Delta Dental Ins Co DE 321,064,759 171,652,897 25,503,193 5,685,856 20,662,550 825,872,813 174,028,383

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124
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

15987 Delta Dental of CT Inc CT 10,591,011 9,123,629 (808,951) 0 (1,506,054) 16,677,473 4,905,145
11132 Delta Dental of DE Inc DE 10,144,631 3,349,039 381,664 117,727 489,586 37,184,223 5,078,574
47589 Delta Dental of IL IL 223,854,123 112,053,031 883,091 2,761,334 4,520,578 223,052,841 47,719,980
54674 Delta Dental of KY Inc KY 86,033,384 74,276,665 2,796,369 918,461 2,014,718 137,121,785 24,002,256
55034 Delta Dental of MN MN 180,300,327 135,215,038 (17,783,046) 10,715,623 (7,250,127) 181,765,072 72,232,511
55697 Delta Dental of MO MO 153,675,497 120,736,104 2,673,341 3,464,726 6,138,067 195,582,533 39,461,078
54658 Delta Dental of NC NC 14,617,837 8,047,795 3,586,657 (505,543) 2,846,537 59,065,800 7,868,601
47091 Delta Dental of NE NE 10,718,948 8,232,714 831,752 145,375 979,957 9,262,453 1,898,527
55085 Delta Dental of NJ Inc NJ 272,131,177 227,422,201 (2,068,220) 6,980,092 3,396,205 253,778,216 60,482,937
55263 Delta Dental of NY NY 98,327,953 72,951,889 14,792,690 2,860,664 17,528,117 180,465,602 22,806,632
53937 Delta Dental of OK OK 70,193,497 55,443,990 (150,604) 1,974,663 1,982,394 162,035,925 26,095,976
54798 Delta Dental of PA PA 217,018,140 168,659,300 13,135,792 16,255,573 28,572,612 222,756,138 38,647,500
55301 Delta Dental of RI RI 145,101,266 126,885,014 3,091,452 2,795,094 6,059,655 118,505,348 22,045,084
54526 Delta Dental of TN TN 82,377,170 61,010,345 5,860,284 3,429,861 4,211,319 167,770,822 25,569,983
55611 Delta Dental of VA VA 121,401,931 76,026,503 17,592,825 1,597,440 19,190,265 279,952,877 51,176,028
12329 Delta Dental of W VA WV 13,948,560 9,061,791 184,858 1,100,366 1,281,567 27,310,403 6,214,761
47341 Delta Dental of WA WA 218,135,438 156,333,195 12,106,857 6,805,725 18,974,188 498,870,261 63,285,034
54046 Delta Dental of WI Inc WI 240,776,124 191,327,632 823,051 2,858,929 3,666,438 237,389,433 53,124,577
47155 Delta Dental Plan of AR Inc AR 128,200,365 89,196,625 5,458,171 440,174 5,218,068 207,751,439 44,099,852
47791 Delta Dental Plan of ID Inc ID 54,459,407 41,384,913 1,080,642 1,828,310 2,908,952 58,535,109 11,021,621
52634 Delta Dental Plan of IN Inc IN 82,108,847 74,559,816 5,876,382 2,611,024 7,991,069 84,667,265 8,861,618
54615 Delta Dental Plan of KS Inc KS 79,277,508 70,461,937 5,991,535 2,437,964 8,443,714 102,416,355 18,379,387
54305 Delta Dental Plan of MI Inc MI 622,400,633 439,498,126 24,812,704 15,582,800 41,315,137 687,986,348 102,087,671
47079 Delta Dental Plan of NH NH 67,908,751 53,646,009 1,707,781 1,420,874 3,115,603 64,114,211 13,828,129
47287 Delta Dental Plan of NM Inc NM 53,785,430 48,975,361 2,069,709 1,392,566 3,474,532 46,375,032 7,792,640
54402 Delta Dental Plan of OH Inc OH 224,992,846 200,292,851 14,687,934 7,286,159 20,482,438 256,091,915 26,653,297
54941 Delta Dental Plan of OR OR 178,963,189 144,196,347 2,668,668 156,045,483 158,499,387 159,627,825 16,005,816
47085 Delta Dental Plan of PR Inc PR 30,331,022 23,596,865 525,542 747,212 1,757,838 18,906,662 4,838,530
54097 Delta Dental Plan of SD SD 48,729,835 39,471,366 612,818 1,329,489 1,942,307 61,204,377 11,256,899
53279 Delta Dental Plan of VT VT 30,281,732 27,147,543 898,058 1,193,149 2,091,207 31,227,843 6,726,221
15200 Delta Dental Plan of WY WY 16,172,759 13,054,781 836,237 646,877 1,456,297 17,700,069 2,795,871
52025 DENCAP DENTAL PLANS INC MI 528,794 368,123 4,243 2,457 818 2,087,745 1,209,785
47074 Denta Chek of MD Inc MD 102,913 75,218 (2,357) (35) (2,393) 133,739 75,110
52053 DENTAL BENEFIT PROVIDERS OF IL INC IL 3,347,457 3,345,539 225,465 1,743 186,626 195,322 91,780
96265 Dental Care Plus Inc OH 23,162,922 14,449,584 2,153,856 183,558 1,676,586 79,495,926 23,688,478
11195 Dental Delivery Systems Inc NJ 983,932 943,619 42,260 56,109 60,399 3,807,260 609,497
11241 Dental Grp of NJ Inc NJ 139,733 114,860 62 339 401 92,234 18,285

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125
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

47490 Dental Hlth Serv WA 11,144,052 9,595,352 (846,534) 93,337 (667,106) 10,748,412 6,717,466
12213 Dental Practice Assn of NJ Inc NJ 364,176 358,474 16,043 0 18,843 119,310 62,073
52060 Dental Serv of MA Inc MA 427,668,057 348,931,385 23,952,023 8,067,747 32,019,770 244,228,707 36,902,952
11234 Dental Serv Org Inc NJ 677,501 654,264 251,098 477 251,575 5,019,952 313,627
16647 DentaQuest of NJ LLC NJ 408,655 377,131 (114,652) 0 (90,307) 0 855,203
12307 DentaQuest USA Ins Co Inc TX 158,202,547 109,991,697 14,463,629 687,234 8,286,971 768,963,667 65,342,143
47112 Dentcare Delivery Systems Inc NY 21,071,189 11,704,863 242,634 182,097 424,731 60,826,945 9,611,421
73474 Dentegra Ins Co DE 82,705,949 46,978,106 (3,153,621) 499,110 (3,067,444) 308,716,845 78,104,568
12210 Dentegra Ins Co of New England MA 6,650,349 6,139,422 (15,364) 28,473 3,783 3,199,828 1,135,748
95161 Denticare Inc TX 7,989,799 4,109,552 2,671,095 98,732 2,137,921 25,831,328 9,916,713
95750 Denver Hlth Medical Plan Inc CO 66,484,468 28,938,754 (1,545,951) 892,775 (653,176) 180,148,085 18,623,462
16385 Devoted Hlth Ins Co FL 5,244,865 5,044,412 (103,223) 47,635 (55,588) 0 91,223
16358 Devoted Hlth Plan of FL Inc FL 7,549,716 4,147,546 (1,037,501) 52,540 (984,961) 0 86,412
16487 Devoted Hlth Plan of TX Inc TX 1,800,003 1,500,003 0 3 3 0 0
16271 Doctors Healthcare Plans Inc FL 10,782,701 9,155,385 (5,618,620) 7,517 (5,611,103) 0 4,627,210
95657 Dominion Dental Serv Inc VA 16,521,146 9,493,764 4,334,161 155,230 3,352,596 48,414,130 22,301,079
16003 Dominion Natl Ins Co NJ 3,721,189 3,588,710 7,175 5,017 5,346 468,725 106,635
95809 Driscoll Childrens Hlth Plan TX 142,745,756 67,193,524 (15,434,833) 2,709,060 (12,725,773) 669,387,128 85,682,356
15497 DSM MA Ins Co Inc MA 11,194,193 9,917,697 602,780 0 442,715 15,267,825 2,689,193
67636 DSM USA Ins Co Inc TX 10,182,551 8,984,214 2,275,511 22,509 1,807,253 2,837,242 3,225,909
47029 Eastern Vision Serv Plan Inc NY 38,307,265 18,326,103 (14,274,989) 1,703,361 (10,220,412) 97,365,247 38,369,835
12515 Educators Hlth Plans Life Accident & UT 73,556,368 37,918,110 3,614,248 1,007,069 3,616,831 87,856,606 (1,430,166)
81701 Educators Mut Ins Assoc UT 159,285,953 99,740,708 6,923,440 4,020,310 10,846,414 33,700,552 (681,346)
52635 El Paso First Hlth Plans Inc TX 61,738,608 45,434,490 (711,432) 850,027 78,595 196,194,166 21,878,316
16074 Elan Ins USVI Inc VI 4,148,055 2,736,724 5,753 16,642 22,395 7,150,672 2,382,177
95662 Elderplan Inc NY 256,313,266 101,207,176 18,059,273 3,157,321 21,216,594 1,088,067,731 148,398,127
88595 Emphesys Ins Co TX 4,361,161 4,322,650 (39,546) 80,695 32,482 (3,175) 36,810
55093 Empire Healthchoice Assur Inc NY 1,982,572,573 820,988,633 112,851,070 48,762,725 164,652,986 2,588,542,607 255,157,972
95433 Empire Healthchoice HMO Inc NY 434,637,489 187,011,169 (23,482,197) 9,810,633 (15,792,130) 990,349,910 107,900,516
53090 Employers Dental Serv AZ 3,698,416 2,359,133 2,268,669 2,709 1,794,389 8,257,285 1,659,499
16244 Empower Healthcare Solutions LLC AR 8,834,977 6,187,314 156,314 0 156,314 0 (163,674)
12747 Envision Ins Co OH 496,667,034 51,821,232 4,947,481 608,765 1,581,830 402,570,047 25,225,999
16106 Envolve Dental of TX Inc TX 1,323,638 731,905 (19,132) 679 (30,479) 657,693 73,530
95302 Envolve Vision of TX Inc TX 23,105,408 11,525,628 (118,868) 215,390 (30,483) 0 7,900,378
16005 Eon Hlth Inc GA 9,556,567 3,348,183 (4,035,558) 116,919 (3,918,639) 4,909,390 3,725,264
15988 Eon Hlth Inc SC 5,997,908 2,413,626 (2,027,317) 47,846 (1,979,471) 3,438,844 2,759,350
15378 Erlanger Hlth Plan Trust TN 1,652,649 1,652,649 0 16,149 16,149 0 5,000

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HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

11699 Essence Hlthcare Inc MO 212,683,460 86,798,243 14,560,267 2,715,616 10,760,803 743,609,902 107,963,694
55107 Excellus Hlth Plan Inc NY 3,385,426,128 1,137,494,884 105,990,622 97,670,277 150,101,348 5,780,629,007 698,954,855
16328 Experience Hlth Inc NC 1,896,252 1,711,151 (4,971,854) 6,080 (4,965,774) 0 0
14421 Eyemed Ins Co AZ 135,600,888 117,639,139 30,893,501 771,170 24,882,091 0 6,929,441
95522 Eyemed Vision Care HMO of TX Inc TX 1,486,236 1,387,354 262,272 9,952 215,054 0 102,496
95541 Fallon Comm Hlth Plan Inc MA 401,194,571 160,336,268 4,802,554 3,881,683 8,763,490 1,514,983,657 128,270,910
66828 Fallon Hlth & Life Assur Co MA 18,846,245 6,847,243 (5,501,081) 19,700 (5,481,381) 23,619,983 1,874,140
15774 Family Hlth Network Inc IL (19,477,770) (42,047,447) (44,119,829) 5,724 (48,759,480) 0 18,031,690
47084 Familycare Hlth Plans Inc OR 18,608,227 17,900,962 2,631,848 72,152 2,696,181 20,398,500 4,074,138
28231 Fidelio Ins Co PA 7,657,892 6,603,972 216,720 327,016 420,439 12,438,648 4,218,761
60113 First Care Inc MD 17,565,436 14,466,695 (12,582,406) 48,654 (12,529,902) 15,246,543 14,317,944
47051 First Comm Hlth Plan Inc AL 8,913,173 7,545,536 940,459 65,642 1,011,152 7,971,681 1,786,041
60239 First Commonwealth Ins Co IL 16,319,965 8,532,841 7,365,575 197,284 5,843,697 28,281,505 4,612,688
11221 First Commonwealth Ltd Hlth Serv Cor IL 1,342,618 1,192,132 72,487 16,365 68,908 320,486 61,753
12146 First Commonwealth Ltd Hlth Serv Cor MI 3,741,667 2,685,846 1,072,364 37,269 860,698 3,372,059 682,934
47716 First Commonwealth of MO Inc MO 916,098 723,627 117,069 8,036 93,578 1,221,254 210,353
95722 First Medical Hlth Plan Inc PR 217,750,880 57,344,847 3,670,969 413,315 6,934,409 1,080,486,891 107,077,274
60147 First Priority Life Ins Co Inc PA 17,229,572 14,935,200 572,221 315,749 939,680 270,543,099 (133,148)
12962 FirstCarolinaCare Ins Co Inc NC 26,911,278 12,108,068 (5,539,492) 523,845 (5,015,647) 132,510,769 20,841,777
11179 Flagship Hlth Systems Inc NJ 2,421,846 1,903,057 (566,827) 54 (924,648) 5,619,593 1,464,689
13567 Florida Hlth Care Plan Inc FL 202,445,948 103,842,441 32,255,081 595,706 25,606,508 612,581,421 81,522,897
14447 Florida MHS Inc FL 104,340,216 31,118,552 28,732,933 3,704,794 23,631,806 576,848,866 85,438,412
14378 Florida True Hlth Inc FL 166,146,961 42,567,732 (69,862,483) (171,121,202) (240,983,685) 1,207,944,730 154,535,617
16300 Forevercare Inc AR 11,940,904 9,438,522 (3,061,478) 0 (3,061,478) 0 3,061,477
10119 Freedom Hlth Inc FL 196,790,920 49,516,052 13,785,032 3,031,738 6,667,830 1,093,397,326 161,645,940
15019 Freedom Hlth Solutions LLC NJ 135,746 134,287 11,647 613 12,260 0 58,894
13564 Freelancers Ins Co Inc NY 3,267,288 2,985,783 (680,842) 9,173 (6,504,426) 0 795,883
85286 Fresenius Hlth Plans Ins Co IN 46,672,529 29,172,274 2,253,175 62,047 2,252,526 24,106,545 3,755,372
12288 Fresenius Hlth Plans of NC Inc NC 17,547,909 4,827,027 (352,753) 7,866 (344,886) 14,582,088 2,742,662
15939 Fresenius Hlth Plans of NY Inc NY 4,982,035 1,000,712 (687,157) 4,592 (682,565) 3,429,910 1,457,118
12597 Fresenius Hlth Plans of TX Inc TX 6,170,279 2,687,572 (142,308) 10,012 (133,221) 3,434,605 1,448,906
95774 Friday Hlth Plans of CO Inc CO 19,913,226 6,751,901 3,839,366 393 841,253 77,202,299 17,783,432
96938 Gateway Hlth Plan Inc PA 702,432,625 403,005,470 78,261,372 19,026,797 85,095,132 2,358,454,148 272,601,640
12325 Gateway Hlth Plan of OH Inc OH 29,043,837 14,047,536 (1,793,283) 384,679 (1,456,217) 109,340,271 16,342,622
95923 Geisinger Hlth Plan PA 635,226,695 286,372,628 82,125,418 17,003,104 100,307,243 2,670,676,399 321,067,240
10244 Geisinger Ind Ins Co PA 78,738,072 33,574,765 (14,083,068) 462,431 (13,195,229) 242,911,226 30,938,819
12743 Geisinger Quality Options Inc PA 66,179,930 32,815,998 (2,333,474) 768,473 (2,409,219) 267,583,741 31,884,458

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HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

16494 Georgia Chamber Federation Benefit P GA 852,446 852,446 0 2,446 2,446 0 0


11814 GHS HMO Inc dba BlueLincs HMO OK 50,081,557 26,975,805 136,515 (23,423,046) (23,332,364) 39,586,603 7,250,377
29718 GHS Ins Co OK 39,544,158 14,312,787 (15,265,948) 560,621 (14,191,976) 52,854,687 12,904,086
14048 GHS Managed Hlth Care Plans Inc OK 2,399,959 2,393,831 (16,051) 42,192 10,407 0 16,051
13667 Globalhealth Inc OK 58,751,486 6,950,657 (3,063,787) 312,480 (13,401,833) 326,563,560 47,924,081
11113 Golden Dental Plans Inc MI 1,227,498 555,204 79,322 (13,397) 65,925 3,487,973 1,285,417
65463 Golden Security Ins Co TN 49,189,767 33,287,279 1,898,692 744,666 2,022,265 67,885,684 10,840,512
95315 Good Hlth Hmo Inc MO 75,052,227 58,736,346 2,361,509 863,751 1,732,538 164,006,648 22,023,563
16154 Good Samaritan Ins Plan of ND LLC ND 1,690,755 1,060,985 (255,811) 10,772 (244,703) 3,354,094 352,148
16151 Good Samaritan Ins Plan of NE Inc NE 2,309,227 1,112,006 (1,256,893) 7,881 (1,247,962) 8,013,085 758,066
16153 Good Samaritan Ins Plan of SD Inc SD 2,157,002 1,157,127 (437,049) 2,555 (434,321) 4,347,855 441,273
15100 Granite Alliance Ins Co UT 8,077,905 3,866,112 1,383,613 103,514 1,152,716 0 (1,388,192)
14226 Granite State Hlth Plan Inc NH 70,571,347 29,873,857 (8,487,016) 34,880 (6,460,735) 290,196,302 40,426,999
11246 Group Dental Hlth Administrators Inc NJ 250,623 219,880 19,579 187 15,602 473,889 56,712
95846 Group Dental Serv Of MD Inc MD 13,302,517 12,578,641 3,236,006 174,118 2,650,590 9,951,940 626,580
95192 Group Hlth Coop of Eau Claire WI 52,034,770 22,744,444 155,481 253,583 409,064 163,693,863 18,658,069
95311 Group Hlth Coop of S Central WI WI 94,992,248 45,135,965 159,452 2,418,975 2,554,407 396,643,700 43,171,014
55239 Group Hlth Inc NY 706,538,671 365,146,772 1,908,727 (17,920,555) 21,259,753 807,257,621 160,660,202
52628 Group Hlth Plan Inc MN 837,781,395 105,932,152 (27,413,539) 5,911,191 (21,502,348) 768,592,819 93,684,605
53007 Group Hospitalization & Med Srvcs DC 2,761,606,940 1,200,102,655 20,282,000 24,367,738 100,247,719 3,378,282,933 403,847,583
69060 Guaranty Assur Co LA 822,315 92,161 (1,352,365) 3,049 (1,066,136) 10,256,665 3,080,457
14202 Gundersen Hlth Plan MN MN 4,870,990 2,728,075 (163,535) 4,713 (158,822) 8,852,437 716,612
60078 Hallmark Life Ins Co AZ 494,498,457 103,166,025 (64,335,950) 3,956,832 (51,862,490) 0 69,591,973
95814 HAP Midwest Hlth Plan Inc MI 55,701,374 20,989,254 (9,405,784) 858,094 (5,410,721) 116,557,759 28,118,677
79480 Harken Hlth Ins Co WI 25,248,694 23,844,099 95,704 537,262 568,674 (120,388) 192,903
11229 Harmony Hlth Plan Inc IL 595,185,923 203,172,978 99,528,398 7,184,605 88,798,601 1,671,148,687 261,396,002
96717 Harvard Pilgrim Health Care New Eng MA 154,494,698 58,930,834 (318,170) 2,775,406 2,457,295 552,569,748 87,559,896
96911 Harvard Pilgrim Hlth Care Inc MA 970,728,081 552,747,959 48,933,380 16,261,372 42,178,099 1,825,510,856 220,320,944
15492 Harvard Pilgrim Hlth Care of CT Inc CT 18,199,021 13,329,649 (1,573,930) 330,676 (1,243,254) 12,126,049 2,623,045
15752 HarvestPlains Hlth of IA IA 3,152,531 3,028,156 (43,157) 42,993 (6,984) 0 22,019
49948 Hawaii Medical Serv Assn HI 1,295,163,992 562,408,904 78,519,735 13,497,458 68,894,702 3,603,159,350 354,834,470
48330 Hawaii Mgmt Alliance Assn HI 45,805,680 19,504,435 1,572,043 374,345 734,699 206,762,777 23,377,559
78611 HCSC Ins Serv Co IL 1,043,871,963 247,811,799 (181,527,541) 17,212,615 (156,280,285) 1,528,970,139 351,596,123
15478 Health Alliance Connect Inc IL 54,390,814 25,123,786 4,563,044 3,946,955 6,560,612 227,850,918 32,619,434
77950 Health Alliance Medical Plans IL 507,944,099 220,615,611 14,141,295 17,983,211 17,103,996 1,189,701,520 168,641,693
95513 Health Alliance Midwest Inc IL 8,390,632 3,259,328 (434,546) 77,528 (352,696) 12,699,889 382,946
15082 Health Alliance NW Hlth Plan WA 15,589,072 11,495,953 579,844 185,107 764,415 64,983,106 7,882,470

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HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95844 Health Alliance Plan Of MI MI 515,796,618 254,710,592 (10,516,629) 13,496,790 3,510,638 1,470,810,514 181,918,858
70670 Health Care Serv Corp A Mut Legal Re IL 26,725,564,236 16,859,339,073 2,493,693,873 (83,568,681) 4,114,719,998 36,033,735,817 5,127,905,907
14481 Health Choice Utah Inc UT 26,445,870 14,718,321 5,593,546 0 4,341,398 62,059,045 6,413,479
16486 Health CO Inc CO 11,627,902 5,829,153 3,010,282 4,918 2,394,765 35,050,942 6,040,398
16272 Health First Commercial Plans In FL 87,057,013 46,981,327 11,685,617 933,582 12,619,199 260,522,225 47,216,135
15880 Health First Hlth Plans Inc FL 143,897,919 93,046,429 16,476,690 1,467,441 17,944,131 407,942,022 53,685,444
14140 Health First Ins Inc FL 5,282,161 4,914,127 191,530 1,941 193,471 1,420,627 492,971
13992 Health Ins Co of Amer Inc NY 316,224 296,760 (72,115) 2,150 (69,965) 0 106,397
55247 Health Ins Plan of Greater NY NY 1,220,792,855 360,747,488 (69,970,905) 36,913,703 (48,777,341) 5,007,371,612 659,136,274
15895 Health Net Comm Solutions of AZ AZ 14,986,297 8,139,901 5,219,937 101,321 4,585,213 32,048,066 3,844,924
95800 Health Net Hlth Plan of OR Inc OR 155,551,443 73,730,318 (4,746,594) 3,544,834 (136,638) 499,860,170 69,867,164
95206 Health Net of AZ Inc AZ 419,765,273 163,857,484 46,849,967 7,432,058 43,022,830 935,158,452 193,862,072
95673 Health New England Inc MA 185,688,742 80,863,830 4,409,948 2,478,263 6,477,593 772,614,647 95,756,108
55204 Health Now NY Inc NY 1,113,326,232 624,623,850 13,241,743 17,453,534 47,038,980 2,652,249,710 341,841,526
95089 Health Options Inc FL 2,077,399,658 992,924,206 529,968,310 36,746,121 415,254,603 5,513,863,814 890,430,740
95066 Health Partners Plans Inc PA 556,676,106 159,311,881 13,530,542 6,707,265 20,237,806 1,962,566,742 357,192,361
12277 Health Plan of CareOregon Inc OR 67,176,507 32,407,751 (3,014,766) 1,511,751 (1,503,015) 189,500,421 25,763,983
96342 Health Plan Of NV NV 672,361,079 348,066,702 256,960,860 11,896,454 201,079,944 2,941,180,591 324,924,064
16361 Health Pointe of NY LLC NY 2,269,468 2,147,766 (208,243) 0 (208,243) 0 86,541
96687 Health Resources Inc IN 32,159,833 24,559,526 7,967,306 260,115 6,385,431 64,213,578 8,140,055
10122 Health Sun Hlth Plans FL 249,599,798 95,284,516 52,612,422 3,027,344 44,041,012 900,080,413 101,605,626
96628 Health Tradition Hlth Plan Inc WI 17,170,224 9,846,902 (3,982,876) 89,723 (3,893,153) 35,347,876 6,109,274
48011 Health Ventures Ntwrk Inc MN 874,749 708,554 (50,443) 9,850 (101,721) 148,620 32,361
11102 HealthAssurance PA Inc PA 239,237,607 100,044,964 33,696,032 7,917,479 31,114,490 786,017,019 129,375,103
95794 Healthcare DE Inc DE 1,841,265 1,841,230 (2,143) 356 (1,412) 0 2,143
15749 Healthcare Partners NV Inc NV 2,532,417 2,528,831 16,059 27,594 32,730 0 (19,645)
13035 Healthfirst Healthplan of NJ Inc NJ 30,413,127 14,262,824 (1,448,458) 285,446 (1,163,012) 0 42,784
95284 Healthfirst Hlth Plan Inc NY 775,865,850 338,997,635 14,617,355 14,363,863 28,700,435 2,620,562,639 383,615,719
16031 Healthfirst Ins Co Inc NY 40,087,171 14,841,147 (5,650,276) 354,009 (5,296,267) 35,038,194 10,173,019
95169 Healthkeepers Inc VA 1,234,616,735 566,871,633 196,565,032 4,835,701 146,778,850 3,527,254,077 373,619,304
96475 Healthlink Hmo Inc MO 17,216,154 15,098,001 6,432,037 124,057 5,167,448 0 (8,450,197)
95766 Healthpartners Inc MN 1,358,690,177 944,762,026 44,715,633 12,900,833 57,616,466 1,940,669,523 148,452,695
44547 Healthpartners Ins Co MN 375,789,451 233,213,775 42,362,655 2,722,786 31,758,027 993,063,124 114,787,642
15888 HealthPartners UnityPoint Hlth Inc IA 27,880,688 13,404,093 (5,881,052) 299,199 (5,581,853) 33,615,253 13,614,889
11172 Healthplex Ins Co NY 7,325,562 6,358,102 677,358 7,096 540,719 7,269,915 1,417,520
12830 Healthplex of NJ Inc NJ 3,355,073 3,255,525 1,282,872 24,375 1,307,247 0 551,166
15284 HealthSpan Inc OH 12,924,260 12,924,260 263,112 85,357 348,470 47,235 60,632

© 2019 National Association of Insurance Commissioners


129
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95204 HealthSpan Integrated Care OH 122,747,170 113,051,912 (424,985) 0 (358,655) 37,951 1,591,257
12902 Healthspring Life & Hlth Ins Co Inc TX 1,060,303,946 562,745,751 95,093,205 31,428,727 90,299,905 4,135,887,500 661,367,131
11532 HealthSpring of FL Inc FL 153,347,508 85,477,054 30,298,420 4,558,319 26,193,235 826,393,755 106,080,393
78972 Healthy Alliance Life Ins Co MO 985,563,397 365,756,086 246,892,151 18,754,942 198,567,445 2,303,260,758 266,277,752
95827 Healthy Palm Beaches Inc FL 2,961,303 2,951,881 (32,587) 36,736 4,149 0 49,421
15488 HeartlandPlains Hlth NE 4,338,000 3,611,582 (134,981) 42,317 (20,602) 4,997,537 988,328
52627 Hennepin Hlth MN 99,959,532 46,803,023 5,508,434 973,819 6,482,253 236,030,540 29,069,421
11204 Heritage Vision Plans Inc MI 2,542,536 1,879,285 (32,111) 3,735 178,771 4,674,435 1,770,523
53287 Highmark BCBSD Inc DE 543,832,894 304,194,030 51,824,625 11,854,825 85,196,844 739,153,736 75,109,514
15508 Highmark Benefits Grp Inc PA 5,457,610 1,478,504 0 (1,963) 32,138 48,402,201 4,370
95048 Highmark Choice Co PA 49,829,365 16,806,230 1,289,025 1,401,318 2,200,561 1,521,402,891 (2,595,995)
15507 Highmark Coverage Advantage Inc PA 1,927,996 1,432,414 0 (2,653) 5,390 14,349,088 2,923
54771 Highmark Inc PA 6,935,447,343 3,704,172,650 369,814,637 144,719,137 163,308,308 3,588,655,710 1,065,399,111
10131 Highmark Select Resources Inc PA 5,404,440 5,381,092 0 78,393 357,450 711,041 402
15460 Highmark Senior Hlth Co PA 33,293,461 11,885,932 0 1,019,037 854,346 1,874,766,736 1,800
15459 Highmark Senior Solutions Co WV 4,615,083 2,513,859 0 59,711 162,970 60,419,752 39
54828 Highmark West Virginia Inc. WV 837,036,721 473,265,368 77,340,308 53,156,568 95,010,671 1,138,305,471 121,180,363
60094 HIP Ins Co Of NY NY 49,124,541 41,024,993 (219,299) 740,686 190,149 8,338,872 888,813
71768 HM Hlth Ins Co PA 27,922,514 22,148,154 (169,063) 28,860 (120,253) 513,747,653 (94,505)
95473 Hmo CO Inc CO 285,305,831 160,561,933 123,480,270 3,282,551 96,804,645 825,291,924 99,630,298
95649 HMO dba Blue Plus MN 1,103,210,172 587,352,735 119,460,766 21,576,582 141,037,348 2,445,275,554 216,115,953
95643 Hmo LA Inc LA 762,318,998 417,676,943 50,116,008 22,643,163 53,862,426 1,141,721,695 190,122,323
95358 Hmo MO Inc MO 88,189,235 35,619,822 6,785,200 1,699,924 5,798,675 204,515,176 31,719,044
95289 Hmo Of MS Inc MS 2,605,252 2,587,210 (54,241) 60,819 9,809 0 53,991
96601 Hmo Of NE PA PA 14,521,436 11,588,392 294,763 56,367 432,341 152,510,164 1,116,650
95442 Hmo Partners Inc AR 128,331,714 68,141,934 (635,353) 7,959,064 6,409,698 328,299,579 34,380,373
15014 HN1 Therapy Network of NJ LLC NJ 2,556,032 2,338,716 439,115 19,307 458,422 0 1,036,056
14198 HNE Ins Co MA 5,404,613 5,050,897 38,103 52,719 66,845 1,398,182 85,062
15521 HNE of CT Inc CT 4,309,235 4,283,150 328,456 16,250 344,706 0 (7,479)
14218 Home State Hlth Plan Inc MO 227,320,351 108,370,867 447,302 1,634,029 959,944 919,576,499 91,268,418
95350 Hometown Hlth Plan Inc NV 91,807,878 35,899,789 (17,206,896) 1,251,789 (15,955,106) 261,597,144 29,021,519
48305 Hometown Hlth Providers Ins Co NV 68,530,219 33,348,413 5,676,542 1,092,887 4,866,106 181,627,931 33,362,540
27952 Hoosier Motor Mut Ins Co IN 10,450,343 10,039,186 320,630 318,263 (370,904) 650,219 933,378
15700 Hopkins Hlth Advantage Inc MD 61,482,776 16,512,129 (32,349,062) 215,891 (32,133,171) 138,952,855 19,460,549
11146 Horizon Hlthcare Dental Inc NJ 4,585,685 3,696,216 524,264 36,222 372,863 16,447,728 3,030,875
95529 Horizon Hlthcare of NJ Inc NJ 1,228,001,571 1,055,861,781 (497,398) 48,171,715 26,311,583 5,390,874,287 68,444,546
55069 Horizon Hlthcare Serv Inc NJ 5,527,795,121 2,985,261,367 (92,511,493) 119,230,902 336,109,706 6,542,702,784 1,807,015,286

© 2019 National Association of Insurance Commissioners


130
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

14690 Horizon Ins Co NJ 155,707,139 29,929,402 (3,332,945) 3,058,410 (1,571,364) 1,352,168,412 15,510,158
18975 HPHC Ins Co Inc MA 255,553,235 100,776,991 15,762,084 4,556,089 29,531,253 754,323,102 129,411,924
15886 Humana Behavioral Hlth Inc TX 11,235,958 8,448,759 (343,362) (115,776) 333,592 0 7,443,098
60052 Humana Benefit Plan of IL Inc IL 551,034,591 328,463,353 48,012,589 11,214,043 40,207,009 1,906,328,810 232,157,207
95519 Humana Employers Hlth Plan GA Inc GA 533,307,997 367,011,975 7,259,307 12,142,107 16,164,116 1,323,800,037 216,533,332
95642 Humana Hlth Benefit Plan of LA Inc LA 504,294,189 252,866,515 45,237,329 13,388,824 45,176,844 2,000,012,643 285,112,424
13558 Humana Hlth Co of NY Inc NY 95,373,433 36,895,141 (39,545,411) 1,174,310 (32,761,991) 197,390,663 36,360,656
69671 Humana Hlth Ins Co Of FL Inc FL 212,530,016 127,413,528 1,269,498 4,371,413 13,839,977 41,235,703 14,408,184
95885 Humana Hlth Plan Inc KY 1,430,696,632 757,922,419 128,772,013 32,607,587 125,697,980 4,866,961,043 562,754,216
16280 Humana Hlth Plan of CA Inc CA 24,912,621 13,692,661 (1,363,196) 471,759 (508,135) (1,177,476) (336,364)
95348 Humana Hlth Plan of OH Inc OH 91,558,733 61,786,123 3,114,800 1,408,723 5,396,656 225,262,228 48,033,883
95024 Humana Hlth Plan of TX Inc TX 206,178,921 94,584,521 (11,910,630) 3,628,656 (6,586,823) 749,879,888 149,954,202
95721 Humana Hlth Plans of PR PR 128,485,517 23,059,559 (31,079,828) 1,756,213 (23,596,016) 324,575,785 58,619,793
73288 Humana Ins Co WI 7,233,381,293 3,720,672,880 1,013,633,338 382,724,568 1,140,036,958 24,923,339,290 3,606,095,874
12634 Humana Ins Co of NY NY 133,976,438 80,442,853 9,611,932 2,873,659 8,864,655 271,053,447 47,525,686
95270 Humana Medical Plan Inc FL 2,108,137,497 867,431,004 324,415,628 49,318,629 281,646,827 8,928,245,200 1,133,076,708
14224 Humana Medical Plan of MI Inc MI 41,264,303 29,301,661 3,462,200 772,064 3,743,478 88,678,194 11,921,937
14462 Humana Medical Plan of PA Inc PA 24,783,112 22,000,806 (1,373,138) 420,674 (483,097) (191,275) 95,724
12908 Humana Medical Plan of UT Inc UT 17,371,188 11,961,992 2,145,984 409,835 1,981,470 29,849,860 5,269,207
12282 Humana Regional Hlth Plan Inc AR 16,813,359 14,453,948 (64,070) 356,854 513,511 (177,215) 75,067
95342 Humana WI Hlth Org Ins Corp WI 679,577,151 296,415,747 15,305,085 12,255,941 11,485,624 2,572,097,797 337,939,747
70580 Humanadental Ins Co WI 101,009,207 55,617,462 12,217,480 1,855,514 17,608,078 210,212,817 61,267,365
14053 Illinicare Hlth Plan Inc IL 450,019,273 165,337,776 42,149,938 1,997,215 30,152,099 1,846,017,964 143,339,483
16013 Illinois BCBS Ins Co IL 2,069,020 2,043,585 (20,750) 20,368 (154) 0 790
16053 Independence Assur Co PA 5,036,969 5,036,969 0 36,959 36,959 0 0
54704 Independence Hospital Ind Plan Inc PA 272,288,144 32,932,111 (34,675,848) 7,136,766 (27,811,129) 342,526,883 23,574,820
11695 Independent Care Hlth Plan WI 87,278,189 32,506,939 6,410,738 766,739 4,572,146 286,174,637 44,931,611
95308 Independent Hlth Assn NY 688,817,966 387,132,828 18,111,401 10,227,363 26,549,838 1,400,459,676 182,253,428
47034 Independent Hlth Benefits Corp NY 247,340,586 96,372,896 2,621,545 1,582,251 2,203,350 632,636,545 88,126,007
16175 Indiana University Hlth Plan Ins Co IN 2,156,233 2,154,248 (155,631) 38,546 (117,085) 0 153,646
13164 Indiana University Hlth Plans Inc IN 14,337,002 3,561,678 (3,581,916) 196,217 (3,385,699) 39,541,216 10,921,279
15450 Indiana University Hlth Plans NFP In IN 38,105,358 13,455,255 (4,671,083) 417,027 (4,254,056) 157,213,689 21,927,509
15097 Innovation Hlth Ins Co VA 119,307,781 82,728,847 11,423,450 1,098,757 12,407,592 69,925,058 31,082,555
15098 Innovation Hlth Plan Inc VA 53,065,161 26,914,092 5,215,212 634,604 3,296,121 94,952,444 17,647,494
12168 Instil Hlth Ins Co SC 116,075,853 112,232,312 5,100,040 2,890,550 6,331,169 0 (9,095,247)
11670 Insurance Co of Scott & White TX 31,932,847 15,518,026 (4,647,220) 211,244 (4,435,976) 86,778,474 (2,600,931)
53252 Inter Cnty Hlth Plan Inc PA 359,338 154,749 0 7,789 7,789 2,173 10,245

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131
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

54763 Inter Cty Hospitalization Plan Inc PA 2,895,051 2,304,816 0 41,596 41,596 57,399 75,354
11173 International Hlthcare Serv Inc NJ 1,102,571 867,501 91,393 547 72,633 5,575,721 1,099,865
15713 Iowa Total Care Inc IA 1,000,000 1,000,000 0 0 0 0 0
11182 John D Kernan DMD PA NJ 201,677 183,727 936 0 936 767,578 55,679
11538 Kaiser Found Hlth Plan Inc HI Region HI 584,336,996 144,714,492 (27,551,305) 5,653,276 (26,745,512) 1,553,052,838 92,279,971
95639 Kaiser Found Hlth Plan Mid Atlanti MD 1,654,761,122 436,957,951 (4,705,428) 37,852,458 23,848,771 4,122,886,846 326,676,464
95669 Kaiser Found Hlth Plan of CO CO 1,698,724,577 437,450,961 (232,339,148) 90,631,483 (147,887,781) 3,764,841,382 330,577,788
96237 Kaiser Found Hlth Plan of GA Inc GA 720,465,135 182,850,742 (200,783,489) 3,932,469 (201,271,645) 2,017,672,032 191,301,461
95540 Kaiser Found Hlth Plan of the NW OR 1,254,529,077 463,083,695 (15,907,981) 10,578,938 (6,991,477) 3,777,445,468 305,061,464
47055 Kaiser Found Hlth Plan of WA Options WA 289,888,110 119,710,750 (6,942,117) 1,906,268 (7,319,894) 947,129,379 147,690,308
95672 Kaiser Foundation Hlth Plan of WA WA 1,631,026,222 822,649,099 (40,167,286) 13,597,880 (24,508,097) 2,977,950,529 370,051,938
60053 Kaiser Permanente Ins Co CA 181,487,979 119,766,751 1,348,901 2,053,193 2,139,038 118,193,299 14,998,965
16159 Kansas Superior Select Inc KS 2,934,981 1,427,049 (707,306) 4,467 (702,839) 3,301,519 1,268,170
14100 Kentucky Spirit Health Plan Inc KY 7,315,356 6,303,033 1,998,068 17,448 1,598,022 0 15,388
95199 Keystone Hlth Plan Central Inc PA 81,052,474 42,775,931 (6,929,424) 1,221,014 (5,380,486) 250,718,177 43,335,732
95056 Keystone Hlth Plan E Inc PA 1,202,959,105 476,708,025 175,327,814 38,066,693 154,491,567 3,277,780,231 561,775,302
12827 KS Plan Administrators LLC TX 104,256,811 66,039,811 2,699,358 1,687,213 2,221,998 376,242,614 27,248,666
47061 Legal Serv Plans of VA Inc VA 1,703,047 1,232,233 2,529,982 17,063 2,547,045 9,504,609 3,915,539
16170 Liberty Advantage LLC NC 4,862,040 2,165,820 (537,632) 14,132 (523,162) 15,343,447 2,356,696
14057 Liberty Dental Plan of MO Inc MO 2,320,284 1,586,338 1,370,458 483 1,083,496 623,800 611,699
11159 Liberty Dental Plan of NJ Inc NJ 5,803,227 3,016,245 (112,559) 141 (87,306) 22,949 770,100
13566 Liberty Dental Plan of NV Inc NV 14,389,735 6,404,877 3,685,756 845 2,901,789 78,252,009 7,052,665
16372 Liberty Dental Plan Org of NJ Inc NJ 131,060 126,392 1,495 267 1,392 9,003 955
66753 Liberty Union Life Assur Co MI 14,407,397 8,132,594 5,928,147 315,887 5,022,240 11,839,976 7,155,804
84930 LifeWise Hlth Plan of OR Inc OR 12,275,263 10,315,983 534,752 615,361 958,262 49,861 (420,501)
52633 LifeWise Hlth Plan of WA WA 108,332,040 83,152,064 14,975,694 2,539,037 13,229,266 139,945,561 24,580,923
15959 Lifeworks Advantage LLC VA 3,893,533 1,852,001 (412,724) 18,571 (394,153) 17,676,107 2,905,676
16350 Longevity Hlth Plan of IL Inc IL 2,112,712 2,108,470 (569) 28,849 24,038 0 569
16364 Longevity Hlth Plan of NY Inc NY 4,968,670 4,968,670 0 0 0 0 0
13970 Louisiana Healthcare Connections Inc LA 561,250,957 133,181,770 (13,280,116) 4,186,015 (17,995,536) 2,280,753,808 363,497,548
81200 Louisiana Hlth Serv & Ind Co LA 2,094,475,693 1,371,694,562 76,666,609 63,060,814 127,467,651 2,401,544,523 398,926,272
12632 Magellan Behavioral Hlth of NJ LLC NJ 265,257 227,901 (9,646) 9,844 142 0 5,518
47019 Magellan Behavioral Hlth of PA Inc PA 124,285,612 63,909,814 18,149,263 1,282,928 13,348,603 543,445,192 45,990,330
14641 Magellan Complete Care of AZ Inc AZ 17,435,213 9,781,617 (3,015,334) 181,543 (2,320,912) 5,690,927 3,172,143
15550 Magellan Complete Care of LA Inc LA 12,003,975 3,851,268 934,457 21,005 754,815 12,425,589 1,324,371
15681 Magellan Complete Care of NE Inc NE 1,971,077 1,933,557 (7,675) 27,943 14,641 0 5,595
15924 Magellan Complete Care of PA Inc PA 1,632,990 1,609,913 (5,699) 27,689 17,171 0 2,665

© 2019 National Association of Insurance Commissioners


132
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

16043 Magellan Complete Care of VA LLC VA 149,892,292 61,226,151 (52,964,310) 1,270,193 (42,397,505) 443,910,974 38,083,534
97292 Magellan Life Ins Co DE 10,993,530 10,030,865 469,495 325,427 627,988 7,741,682 1,646,092
61018 Magna Ins Co MS 6,018,998 3,229,739 (246,205) 29,606 (447,039) 255,536 4,982,183
13923 Magnolia Hlth Plan Inc MS 220,269,254 91,623,528 (61,671,755) 2,929,227 (50,147,824) 1,281,098,885 195,471,276
15077 Maine Comm Hlth Options ME 170,659,367 57,333,556 25,006,650 1,860,984 25,286,819 381,321,778 56,487,648
14369 Maine Dental Serv Corp ME 56,596,460 51,648,300 282,699 745,005 1,027,704 65,404,287 13,899,846
60321 Mamsi Life & Hlth Ins Co MD 40,335,032 22,982,490 11,301,751 546,944 8,933,875 131,858,912 22,188,808
11199 Managed Dental Guard Inc NJ 1,771,108 869,288 209,537 3,261 153,336 5,860,667 962,039
14142 Managed Dentalguard Inc OH 702,562 642,806 98,816 9,944 84,527 345,738 56,072
52556 Managed DentalGuard Inc TX 7,101,237 6,318,507 2,929,464 107,567 2,345,757 10,800,293 1,953,417
96822 Managed Hlth Serv Ins Corp WI 86,156,944 51,208,802 15,171,650 1,646,698 12,937,134 120,993,618 16,753,142
15937 Marquis Advantage Hlth Plan OR 5,235,844 3,097,767 (33,640) 25,335 (577) 9,448,492 1,775,212
15850 Martins Point Generations Advantage ME 120,737,731 66,688,173 14,377,910 1,312,961 15,690,871 400,639,765 40,881,770
12751 Maryland Care Medicare Inc MD 1,528,646 1,528,646 (4,920) 3,211 (1,709) 0 4,920
95527 Matthew Thorton Hlth Plan Inc NH 288,248,373 135,464,490 100,973,474 3,420,158 80,363,662 724,217,208 105,330,687
14217 McLaren Hlth Plan Comm MI 40,166,939 18,926,552 3,953,378 624,644 4,578,022 145,835,456 15,120,558
95562 McLaren Hlth Plan Inc MI 227,932,953 115,890,818 10,859,486 4,711,943 15,571,429 699,480,698 36,255,997
14063 MCNA Ins Co TX 184,113,991 121,706,432 14,555,623 2,886,278 17,441,902 939,685,954 138,340,196
13022 MCS Advantage Inc PR 396,161,332 205,154,386 107,211,787 6,784,396 53,346,059 1,926,221,185 216,375,418
95779 MCS Hlth Mgmt Options Inc PR 1,618,990 574,014 (17,622) 6,131 (11,491) (1,366,982) 17,622
96310 MD Individual Practice Assn Inc MD 81,741,590 51,942,512 32,179,290 766,267 24,777,791 282,081,567 21,189,492
95807 MDwise Inc IN 356,077,743 100,385,358 22,566,699 1,346,538 23,913,237 1,274,472,840 35,295,609
34720 Medco Containment Ins Co Of NY NY 69,970,327 51,162,454 2,292,347 290,222 779,105 120,634,206 15,416,127
63762 Medco Containment Life Ins Co PA 1,163,620,269 388,355,836 14,801,675 8,901,899 11,629,647 805,664,170 52,359,888
95232 Medica Comm Hlth Plan WI 144,111,572 91,291,652 17,162,671 827,344 17,990,015 82,981,784 10,554,429
52626 Medica Hlth Plans MN 539,695,899 293,067,215 26,749,844 12,865,518 39,605,752 732,669,651 36,676,192
12756 Medica Hlth Plans of FL Inc FL 4,441,747 4,384,881 (42,081) 20,736 (11,369) 0 43,235
12155 Medica HlthCare Plans Inc FL 154,196,888 43,304,213 16,856,603 2,822,976 13,257,377 659,977,843 63,935,477
12459 Medica Ins Co MN 1,397,785,523 695,236,010 332,811,361 29,180,514 242,415,234 3,747,166,490 413,296,490
95782 Medical Assoc Clinic Hlth Plan of WI WI 5,382,457 3,173,129 197,591 59,478 265,664 25,777,256 2,820,136
52559 Medical Assoc Hlth Plan Inc IA 38,355,806 21,213,280 1,375,776 697,709 171,413 86,301,345 9,573,042
95828 Medical Hlth Insuring Corp of OH OH 230,917,085 84,213,827 31,793,331 2,772,556 24,372,479 497,723,634 90,077,303
29076 Medical Mut Of OH OH 2,453,868,031 1,793,094,383 121,794,807 42,394,667 128,037,370 2,627,869,417 295,854,589
95982 Medisun Inc AZ 101,964,516 58,730,207 12,013,545 724,012 5,328,338 552,038,477 62,279,956
14227 Medstar Family Choice MD 199,817,553 72,427,942 (13,710,766) 2,154,028 (11,556,738) 556,373,651 73,785,875
94587 Members Hlth Ins Co AZ 37,932,339 32,238,025 (7,201,534) 1,138,646 (3,710,638) 10,888,499 5,772,671
16433 Memorial Hermann Comm Hlth Plan Inc TX 3,180,000 2,750,000 0 0 0 0 0

© 2019 National Association of Insurance Commissioners


133
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

10076 Memorial Hermann Hlth Ins Co TX 27,298,935 18,096,798 3,042,457 235,012 3,277,469 38,682,933 7,830,746
15489 Memorial Hermann Hlth Plan Inc TX 40,454,108 16,681,759 (1,792,484) 415,494 (1,376,990) 79,466,403 17,515,178
15950 Mercy Hlth Plans Inc MO 2,520,585 2,455,802 (33,265) 11,234 (22,031) 0 180
15949 Mercy Hlth Plans of MO Inc MO 8,876,377 6,415,882 (47,197) 11,234 (35,963) 0 180
12195 MercyCare HMO Inc WI 35,678,910 10,806,465 (3,370,678) 980,938 (2,389,740) 107,457,878 10,523,903
60215 Mercycare Ins Co WI 12,332,970 10,332,970 224,606 36,771 261,377 392,066 97,027
13189 Meridian Hlth Plan of IL Inc IL 685,523,716 231,787,833 (210,817,425) 1,912,991 (179,380,638) 2,396,452,685 284,595,017
52563 Meridian Hlth Plan of MI Inc MI 423,196,163 169,850,043 (93,402,798) 3,048,080 (87,999,753) 1,937,285,600 308,363,281
18750 Merit Hlth Ins Co IL 127,559,044 53,455,717 (1,858,178) 71,575 (1,877,273) 92,484,227 18,416,781
14170 MetLife Hlth Plans Inc NJ 2,086,222 2,007,637 (12,231) 25,180 13,396 349,126 75,533
15613 MG Ins Co AZ 24,646,835 24,625,719 2,120,893 4,923 1,510,816 0 (7,284)
12509 MHNet Life & Hlth Ins Co TX 4,822,139 4,817,198 18,006 18,327 25,633 0 523
10769 Michigan Complete Hlth Inc MI 10,964,356 6,549,906 (5,107,876) 22,845 (5,022,927) 63,740,249 14,485,838
11107 Midwestern Dental Plans Inc MI 514,459 461,960 (19,865) 2,552 (27,221) 4,215,076 102,708
61522 MII Life Ins Inc MN 1,196,542,688 35,977,675 (24,878,421) 27,797,971 384,250 37,768,895 47,564,538
16162 Mississippi True MS 14,206,128 14,047,406 (231,672) 5,271 (226,401) 0 220,931
12913 Missouri Care Inc MO 218,638,345 100,320,501 10,614,036 1,958,776 7,759,395 767,508,053 88,788,856
16235 Missouri Chamber Federation Benefit MO 11,916,597 1,185,942 617,735 9,004 626,739 27,760,111 (525,101)
15757 Missouri Medicare Select LLC MO 1,113,552 673,789 (504,506) 8,039 (496,467) 1,979,297 545,216
76040 Missouri Valley Life & Hlth Ins Co MO 33,809,046 25,586,934 6,248,341 405,569 5,275,076 48,172,162 3,432,320
11157 MMM Hlthcare Inc PR 377,218,883 132,089,387 22,522,783 6,473,335 24,019,933 2,039,786,134 312,878,622
12534 MMM MULTI HLTH INC PR 140,178,279 49,647,423 17,693,672 1,787,009 11,958,156 570,652,756 52,646,592
16177 MMM of FL Inc FL 7,120,310 3,350,935 (9,296,430) 171,186 (9,125,244) 0 8,596,694
47098 Moda Hlth Plan Inc OR 316,994,497 130,757,252 (249,003,037) 4,127,926 (227,092,210) 690,422,283 69,496,001
13128 Molina Hlthcare of FL Inc FL 662,019,464 334,696,958 110,857,131 15,673,949 93,825,434 1,846,188,826 251,459,515
14104 Molina Hlthcare of IL Inc IL 242,267,454 113,696,347 59,174,753 1,821,156 38,695,319 1,007,896,499 112,091,278
52630 Molina Hlthcare of MI MI 498,543,217 237,187,171 127,087,565 7,128,155 97,494,702 1,791,677,928 239,803,142
16301 Molina Hlthcare of MS Inc MS 40,919,877 28,915,372 (3,720,265) 17,290 (3,018,068) 22,833,124 5,507,146
95739 Molina Hlthcare of NM NM 423,647,137 174,770,796 25,068,055 3,444,324 14,847,572 1,421,979,488 231,461,730
12334 Molina Hlthcare of OH Inc OH 609,105,390 277,920,351 153,082,812 7,817,777 120,276,172 2,590,552,411 385,913,236
15600 Molina Hlthcare of PR Inc PR 217,489,676 106,502,284 22,646,845 2,309,866 17,463,922 715,397,035 72,730,904
15329 Molina Hlthcare of SC Inc SC 144,731,608 70,876,619 23,482,191 1,795,380 17,113,181 524,776,932 65,408,885
10757 Molina Hlthcare of TX Inc TX 1,094,163,375 408,066,349 226,778,562 18,911,682 186,972,779 3,289,358,881 514,801,892
95502 Molina Hlthcare of UT Inc DBA Amfam UT 151,414,671 70,149,425 46,703,445 2,777,900 37,558,659 383,687,177 65,675,948
15133 Molina Hlthcare of VA Inc VA 4,589,458 4,584,154 39,503 35,386 115,947 17,864 336,214
96270 Molina Hlthcare of WA Inc WA 855,062,287 338,985,658 75,334,693 8,184,475 53,338,960 2,464,182,965 493,525,331
12007 Molina Hlthcare of WI Inc WI 58,924,232 30,942,657 12,795,734 771,621 8,817,931 157,591,012 43,125,658

© 2019 National Association of Insurance Commissioners


134
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

15958 Montana Blue Government Programs HMO MT 812,330 811,902 (625) 16,724 16,113 0 625
16022 Montana Blue Ins Co MT 1,079,835 1,077,014 (1,900) 13,262 12,004 0 1,900
14933 Montana Hlth Cooperative MT 125,482,191 41,885,546 11,204,286 2,157,492 13,361,778 311,465,312 36,378,798
15743 Motivhealth Ins Co UT 7,244,690 2,029,417 643,723 108,151 770,668 12,113,139 1,625,568
13123 Mount Carmel Hlth Ins Co OH 7,251,841 6,309,650 71,712 46,585 118,297 8,683,205 980,154
95655 Mount Carmel Hlth Plan Inc OH 335,501,961 238,402,878 37,379,262 7,801,344 45,180,606 583,181,451 50,830,773
16456 Mount Carmel Hlth Plan of ID Inc ID 2,141,652 2,141,652 0 17,390 17,390 0 0
12868 Mutual Benefit Assn of HI HI 4,361,199 4,184,904 (67,873) 18,046 (35,417) 0 70,169
16260 Mutual of Omaha Medicare Advantage C NE 53,158,859 35,351,439 (35,027,388) 179,246 (34,848,142) 0 18,627,727
11125 MVP Hlth Ins Co NY 7,309,338 4,251,611 (771,017) 53,350 (717,667) 20,096,287 2,460,338
95521 MVP Hlth Plan Inc NY 736,698,430 404,730,554 15,679,608 9,375,837 24,471,029 2,654,015,131 247,373,568
47062 MVP Hlth Serv Corp NY 167,188,925 85,650,292 13,119,563 2,710,166 15,850,414 734,025,597 100,550,568
12844 National Dental Care Inc IL 479,160 247,849 69,946 127 75,618 1,594,866 500,359
95251 National Pacific Dental Inc TX 4,419,234 4,090,889 1,919,806 69,862 1,536,014 5,707,132 1,181,838
16135 National Preventive Solutions Corp IL 446,039 170,139 67,432 0 67,432 2,191,969 735,078
14692 Navicent Hlthplan Inc GA 4,011,938 4,011,938 0 11,938 11,938 0 0
15902 Nebraska Total Care Inc NE 98,152,769 34,926,522 (21,346,125) 1,588,825 (16,343,830) 449,984,918 56,117,647
95123 Neighborhood Hlth Partnership Inc FL 156,163,886 37,463,036 22,383,890 3,658,136 17,783,008 708,765,415 94,667,093
95402 Neighborhood Hlth Plan of RI Inc RI 333,881,490 101,566,289 3,402,842 3,220,105 6,070,668 1,377,464,664 135,725,069
15087 Network Hlth Ins Corp WI 161,323,564 74,550,195 (7,586,264) 2,349,550 (2,333,871) 590,745,687 66,668,279
95737 Network Hlth Plan WI 106,495,412 58,332,415 12,465,739 1,239,030 10,179,161 404,550,785 52,350,420
13813 Nevada Dental Benefits Ltd NV 8,042,611 2,956,028 (561,357) 3,201,639 2,640,282 33,307,525 8,167,231
95758 Nevada Pacific Dental Inc NV 7,169,923 4,239,789 41,083 136,328 133,631 1,621,429 426,847
15106 New Hlth Ventures Inc CO 1,602,052 1,589,205 (17,251) 26,620 9,369 0 16,281
15011 New Mexico Hlth Connections NM 45,194,818 1,472,511 6,109,088 209,404 6,318,492 118,069,286 12,374,877
95829 New W Hlth Serv MT 5,307,102 4,551,784 (466,632) (5,773) (260,390) 0 761,931
15094 Nexdent Dental Plans Inc OR 1,080,754 1,053,837 (111,986) 13,466 (98,520) 272,299 132,248
16277 NextLevel Hlth Partners Inc IL 72,916,847 22,174,564 6,607,461 490,199 6,597,660 265,684,156 45,686,049
16000 NHC Advantage LLC MO 2,492,630 1,830,124 (1,023,352) 24,408 (998,944) 2,745,395 1,243,967
15309 North Shore LIJ CareConnect Ins Co NY 97,369,960 43,587,479 (30,551,961) 1,238,917 (29,313,044) 44,461,927 56,040,207
16445 Northwest Dental Benefits LLC ID 59,000 59,000 0 0 0 0 0
15907 Oklahoma Blue Ins Co OK 1,601,879 1,596,877 (510) 27,272 26,959 0 510
12284 Oklahoma Superior Select Inc OK 3,551,502 1,809,283 60,617 15,721 76,338 5,434,387 690,605
88080 Omaha Hlth Ins Co NE 19,527,549 9,407,350 (17,519,795) 293,194 (17,226,576) 1,773 13,386,429
12533 Opticare of UT UT 1,679,436 1,275,349 364,932 72,823 437,755 4,864,672 2,106,625
16413 Optilegra Inc SD 853,642 767,567 213,984 2,057 216,041 915,989 255,985
95481 Optima Hlth Grp Inc VA 2,424,705 2,417,663 (1,489) 32,473 25,431 0 1,489

© 2019 National Association of Insurance Commissioners


135
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

70715 Optima Hlth Ins Co VA 30,103,677 14,343,960 (2,209,652) 344,357 296,547 44,369,916 7,596,126
95281 Optima Hlth Plan VA 791,861,884 315,612,837 129,425,534 9,458,618 139,305,813 2,385,809,078 229,610,369
96940 Optimum Choice Inc MD 99,020,071 33,897,415 25,539,231 2,088,603 21,053,057 279,180,244 47,827,373
12259 Optimum Hlthcare Inc FL 144,945,192 49,944,454 18,644,186 2,415,883 12,834,347 722,108,541 103,956,904
11068 Optum Networks of NJ Inc NJ 3,582,215 3,513,996 60,007 9,686 50,285 0 6,370
16416 Oscar Buckeye State Ins Corp OH 12,409,788 10,964,689 (1,101,467) 4,590 (1,096,877) 0 1,101,700
16231 Oscar Garden State Ins Corp NJ 43,305,354 8,734,884 (9,364,920) 235,423 (9,129,497) 38,322,607 11,842,015
16337 Oscar Hlth Plan Inc AZ 4,070,401 3,440,633 (606,182) 9,883 (596,299) 0 606,182
15777 Oscar Ins Co TX 301,078,214 58,407,788 (18,693,867) 2,830,691 (15,863,176) 476,952,505 79,501,064
16374 Oscar Ins Co of FL FL 11,462,284 5,712,688 (5,400,264) 12,438 (5,387,826) 0 5,400,264
15281 Oscar Ins Corp NY 187,468,190 28,018,776 (7,794,912) 2,554,040 (5,240,872) 298,796,458 59,963,583
15585 Oscar Ins Corp of NJ NJ 5,401,615 5,367,779 6,153 100,175 106,328 254,453 140,876
16202 Oscar Ins Corp of OH OH 36,789,867 21,326,735 (2,074,405) 48,600 (2,052,337) 86,951,772 12,292,294
78026 Oxford Hlth Ins Inc NY 2,624,107,669 1,334,314,220 460,172,531 44,264,030 410,672,817 8,184,442,116 1,142,732,649
96798 Oxford Hlth Plans CT Inc CT 554,572,425 183,841,217 100,649,391 9,941,678 80,904,088 1,664,579,388 247,629,255
95506 Oxford Hlth Plans NJ Inc NJ 269,481,689 147,160,409 48,682,218 4,097,034 40,916,572 581,126,820 76,386,740
95479 Oxford Hlth Plans NY Inc NY 471,568,664 240,908,918 (10,538,877) 10,808,322 (739,746) 867,757,376 128,119,163
84506 Pacificare Life Assur Co CO 6,181,822 2,138,413 (3,299,780) 94,708 (3,100,159) 0 133,632
95617 Pacificare Of AZ Inc AZ 35,281,160 12,506,413 4,596,035 620,155 4,137,673 2,867,158 53,009
95434 Pacificare Of CO Inc CO 664,600,853 387,247,227 176,607,001 12,989,134 137,580,699 3,243,153,335 386,272,275
95685 Pacificare Of NV Inc NV 6,812,036 5,318,573 684,562 121,242 641,656 727,837 62,493
12595 Pacificsource Comm Hlth Plans OR 127,914,945 86,419,316 (1,849,803) 1,734,804 (2,359,282) 309,204,045 44,632,507
54976 Pacificsource Hlth Plans OR 319,877,838 208,999,829 22,710,664 4,080,398 13,947,770 807,435,833 131,068,573
12353 Paramount Advantage OH 289,630,119 140,241,233 (27,889,605) 4,433,831 (23,455,774) 1,335,303,775 178,093,956
95566 Paramount Care Of MI Inc MI 15,271,958 12,220,784 2,511,092 78,520 1,528,130 22,891,880 1,248,221
95189 Paramount Hlth Care OH 92,356,179 62,906,050 3,163,203 2,056,603 468,411 170,853,438 11,118,120
11518 Paramount Ins Co OH 86,187,536 41,896,027 19,672,493 1,243,749 13,521,356 185,640,816 22,683,738
95414 Parkland Comm Hlth Plan Inc TX 150,006,958 89,934,314 (12,200,904) 2,534,398 (9,666,506) 576,208,810 92,891,547
12315 Peach State Hlth Plan Inc GA 357,843,247 232,340,383 63,286,988 5,786,158 49,982,434 1,090,768,144 137,444,766
16041 Pennsylvania Hlth & Wellness Inc PA 126,333,057 68,730,255 2,064,607 444,399 1,540,324 483,429,559 13,860,008
67660 Pennsylvania Life Ins Co PA 21,072,687 19,565,228 (367,149) 234,778 3,989,158 25,482,928 957,894
13607 Peoples Hlth Inc LA 63,022,140 44,691,364 5,844,631 71,138 1,597,592 843,665,247 120,104,529
10160 Phoenix Hlth Plans Inc AZ 11,448,333 9,943,945 3,448,003 (1,799,633) 1,718,579 (3,301) (64,161)
12816 PHP Ins Co MI 17,361,573 12,916,444 184,734 292,286 591,038 26,991,992 4,826,828
12331 PHP Ins Co of IN Inc IN 2,961,336 2,334,485 (1,043) 35,926 31,779 610,137 86,781
11494 Physicians Hlth Choice of TX LLC TX 137,385,765 54,772,016 (6,746,256) 2,042,261 (6,085,874) 979,415,763 109,912,335
95849 Physicians Hlth Plan MI 83,135,306 49,498,476 2,369,522 3,594,123 5,963,645 200,702,129 25,290,639

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136
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95436 Physicians Hlth Plan of N IN Inc IN 94,856,486 57,917,588 2,553,492 4,663,387 7,224,218 174,634,404 28,881,028
13134 PICA Hlth LLC PR 659,390 50,517 (5,373) 19,407 14,034 0 9,525
15791 Piedmont Comm Hlthcare HMO Inc VA 36,258,845 19,197,808 6,598,896 382,283 6,981,179 185,648,980 25,633,750
95811 Piedmont Comm Hlthcare Inc VA 24,765,101 11,102,903 (8,311,862) 235,748 (8,076,114) 78,367,815 10,920,174
15009 Piedmont WellStar Hlth Plans Inc GA 10,116,228 7,677,075 (1,486,337) 1,960 (1,484,377) 67,759 1,897,091
12619 Pioneer Educators Hlth Trust OR 3,919,690 2,053,564 (75,298) 35,968 (39,330) 14,635,515 945,092
95730 Plan de Salud Menonita Inc PR 46,051,009 6,207,773 (8,667,399) 122,867 (8,231,284) 70,582,368 16,199,081
95762 Plan Medico Serv de Salud Bella Vist PR 3,191,690 1,316,982 503,418 10 503,428 6,496,585 885,498
12178 PMC Medicare Choice Inc PR 2,295,417 895,061 0 4,177 4,177 0 0
13208 Pre Paid Dental Serv Inc OK 416,144 7,030 61,492 312 47,097 2,350,302 1,195,032
11176 Preferred Care Partners Inc FL 451,692,482 139,580,561 83,341,533 10,009,334 66,593,253 2,251,917,495 254,241,546
15595 Preferred Ins Affil Inc WI 237,766 137,732 (17,115) 1,550 (15,565) 202,190 130,180
14080 Preferred Ins Serv Inc IL 691,322 324,706 (71,326) 3,878 (67,448) 850,286 528,144
95724 PreferredOne Comm Hlth Plan MN 3,538,212 2,689,726 (335,866) 60,352 (275,514) 2,721,726 425,515
11817 PreferredOne Ins Co MN 80,921,776 38,741,782 (15,077,569) 1,561,193 (11,377,685) 232,280,691 29,474,001
47570 Premera Blue Cross WA 3,133,806,660 2,193,020,861 81,125,558 118,569,963 400,911,687 3,570,607,795 578,536,794
60237 Premier Access Ins Co CA 56,305,584 28,500,508 13,768,608 837,193 11,353,173 103,479,768 23,796,569
95224 PREMIER CHOICE DENTAL INC AZ 327,392 58,886 (87,799) 13 (69,349) 0 96,916
15530 Premier Hlth Insuring Corp OH 11,511,017 8,461,317 (6,771,148) (25,087) (5,166,235) 22,011,610 10,441,434
15484 Premier Hlth Plan Inc OH 7,293,978 5,944,591 (3,296,496) 6,007 (1,660,489) 4,153,978 4,095,501
95330 Presbyterian Hlth Plan Inc NM 575,762,197 182,538,785 42,793,311 11,602,178 37,608,604 2,154,971,534 293,595,874
11504 Presbyterian Ins Co Inc NM 46,636,950 28,758,412 (4,353,948) 1,181,491 (2,667,391) 137,874,476 23,093,068
95561 Priority Hlth MI 1,253,779,697 759,816,230 102,561,992 20,649,648 123,828,056 3,183,461,568 379,579,842
11520 Priority Hlth Choice Inc MI 129,322,829 76,212,980 6,106,407 2,619,254 8,725,661 397,029,468 30,344,075
12208 Priority Hlth Ins Co MI 119,713,237 55,630,807 5,143,294 2,107,197 4,667,639 249,046,903 33,968,567
16477 ProCare Advantage LLC TX 2,848,041 2,848,041 (652,343) 384 (651,959) 0 652,389
95793 Prominence HealthFirst NV 95,868,545 63,345,129 (10,924,326) 1,180,162 (9,744,164) 121,418,291 33,615,968
15452 Prominence HealthFirst of TX Inc TX 21,553,931 18,614,964 1,340,464 357,696 1,698,160 12,833,926 5,464,278
11079 Prominence Preferred Hlth ins Co NV 37,961,995 34,882,686 146,962 586,765 733,727 13,144,736 2,709,873
15203 Providence Hlth Assur OR 416,679,084 284,406,429 33,132,141 4,336,028 37,106,992 827,567,838 60,493,962
95005 Providence Hlth Plan OR 863,933,481 555,462,903 30,641,776 9,378,667 39,076,913 1,386,361,156 144,589,425
15719 Provider Partners Hlth Plan Inc MD 2,810,367 1,195,217 (2,669,177) 22,495 (2,646,682) 8,009,083 4,664,553
16362 Provider Partners Hlth Plan of OH In OH 1,877,642 1,873,580 (458,408) 6,988 (451,420) 0 458,408
14458 Provider Partners Hlth Plan of PA In PA 3,402,915 1,204,058 (1,880,600) 1,130 (1,879,470) 12,984,435 5,057,846
15730 PruittHealth Premier Inc GA 10,662,768 3,541,633 (480,635) 15,753 (464,882) 39,253,745 4,620,783
16360 PruittHealth Premier NC LLC NC 1,427,860 1,421,831 (1,050,878) 6,961 (1,043,917) 0 1,045,501
55271 Pupil Benefits Plan Inc NY 15,325,992 7,220,313 1,549,055 313,568 1,505,261 8,308,507 2,204,400

© 2019 National Association of Insurance Commissioners


137
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95448 QCA Hlth Plan Inc AR 112,687,646 59,972,190 21,028,462 1,127,121 16,714,432 207,578,182 30,966,097
93688 QCC Ins Co PA 1,194,876,769 544,573,757 211,123,602 37,598,851 193,180,122 2,018,246,627 283,838,732
15751 Qualchoice Advantage Inc AR 5,620,126 2,628,044 (1,231,596) 50,121 (946,479) 9,303,656 2,326,602
70998 Qualchoice Life & Hlth Ins Co Inc AR 74,808,044 50,908,495 23,379,920 817,134 23,142,858 128,242,888 20,051,698
13691 Quality Hlth Plans of NY Inc NY 5,008,549 (21,358,054) (10,133,065) 10,335 (10,122,730) 42,004,572 6,310,564
95796 Quartz Hlth Benefit Plans Corp WI 240,963,261 82,603,076 11,765,889 1,602,459 5,815,676 1,278,158,021 122,039,329
95341 Quartz Hlth Ins Corp WI 133,139,398 100,100,941 3,885,090 (308,708) 2,762,078 193,107,035 25,194,775
95101 Quartz Hlth Plan Corp WI 45,411,614 16,954,638 (2,506,352) 450,973 (2,055,304) 215,641,853 17,398,329
13646 Red Tree Ins Co Inc NH 3,578,984 3,198,174 399,329 51,102 355,399 2,507,141 809,009
54933 Regence BCBS of OR OR 1,255,584,792 776,568,709 71,956,953 28,805,610 62,224,117 1,939,031,473 261,620,111
54550 Regence BCBS of UT UT 715,915,421 425,372,931 63,790,321 12,409,840 77,177,422 1,029,003,805 125,082,364
53902 Regence BlueShield WA 1,634,214,058 1,195,157,505 46,614,134 54,120,747 75,897,390 1,746,926,463 352,018,947
60131 Regence Blueshield Of ID Inc ID 356,443,942 214,367,751 38,527,970 7,651,862 32,985,533 448,133,371 70,007,610
96250 Regence Hlth Maintenance of OR Inc OR 5,298,667 5,232,673 (2,544) 94,681 72,788 0 4,906
95699 Regence Hmo OR OR 3,189,293 3,174,459 (1,698) 58,214 44,648 0 2,646
12812 Region 6 Rx Corp PA 1,797,624 1,796,671 (2,237) 30,420 22,265 0 2,237
61700 Renaissance Life & Hlth Ins Co of Am IN 95,262,469 67,841,442 2,033,369 2,623,560 3,218,317 144,617,119 48,588,145
15499 RiverLink Hlth OH 6,996,020 5,846,982 1,114,818 50,346 1,155,572 8,885,493 812,934
15486 RiverLink Hlth of KY Inc KY 6,585,385 5,308,445 316,815 50,655 348,467 8,730,683 534,204
95482 Rocky Mountain Hmo Inc CO 161,889,027 74,244,695 25,650,487 2,379,817 21,768,650 403,776,685 64,026,508
11011 Rocky Mountain Hospital & Medical CO 964,083,977 449,849,390 80,421,121 35,151,810 91,482,499 1,911,297,657 218,576,536
95743 Ryder Hlth Plan Inc PR 1,462,528 581,149 67,634 7,286 74,920 2,010,771 458,437
52009 SAFEGUARD HLTH PLANS INC FL 12,728,318 11,751,827 1,670,746 146,477 2,059,422 14,749,202 3,984,509
95051 Safeguard Hlth Plans Inc TX 15,632,890 14,362,477 1,379,313 219,359 1,231,874 7,688,341 2,567,119
79014 Safehealth Life Ins Co CA 12,697,542 12,642,170 (87,882) 252,378 356,137 114,234 189,212
12257 Samaritan Hlth Plans Inc OR 25,473,999 11,530,681 (4,928,299) 273,755 (3,062,532) 85,259,312 13,519,391
52554 Sanford Heart of Amer Hlth Plan ND 2,878,473 2,265,851 (647,241) 38,331 (608,910) 3,051,971 364,329
95683 Sanford Hlth Plan SD 270,783,140 131,373,240 2,650,557 6,861,526 9,665,647 911,148,900 75,856,649
95725 Sanford Hlth Plan of MN MN 3,115,653 1,807,969 (914,658) 12,425 (902,233) 3,829,826 871,953
15901 Sapphire Edge Inc NE 7,311,178 2,367,332 (806,833) 25,408 (781,644) 10,568,109 971,939
16426 Scott & White Care Plans TX 43,059,161 41,696,229 0 628,373 628,373 0 (242,431)
95099 Scott & White Hlth Plan TX 381,247,168 213,326,272 24,501,303 3,179,741 27,655,133 726,511,289 98,041,660
96881 Security Hlth Plan of WI Inc WI 395,926,459 146,586,909 8,347,029 20,301,913 28,714,027 1,340,072,854 126,389,301
15005 SecurityCare of TN Inc TN 7,883,826 7,878,623 260,176 26,345 207,432 (16,550) (457,559)
95458 Select Hlth of SC Inc SC 336,743,078 152,570,831 23,716,081 8,498,417 19,560,201 1,465,959,101 151,977,540
10768 Selectcare Hlth Plans Inc TX 10,221,069 6,757,401 1,114,700 199,744 974,264 22,817,855 3,773,776
10096 Selectcare of TX Inc TX 179,695,956 75,351,699 17,725,239 3,568,625 14,371,653 870,889,278 127,241,934

© 2019 National Association of Insurance Commissioners


138
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

63245 SelectHealth Benefit Assur Co Inc UT 29,154,929 17,541,563 1,693,311 78,076 1,303,357 7,083,288 3,964,144
95153 SelectHealth Inc UT 1,123,037,490 539,954,238 111,097,093 30,701,228 141,798,321 3,172,477,769 318,328,239
14151 Sendero Hlth Plans Inc TX 56,580,614 13,101,373 (19,130,808) 207,034 (18,923,774) 121,628,995 30,971,959
12776 Senior Whole Hlth of NY Inc NY 176,162,385 38,371,584 (27,274,337) 2,394,063 (24,587,687) 688,258,929 840,623
13211 SeniorDent Dental Plan Inc WI 377,491 375,538 (14,913) 1,886 (14,948) 168,309 99,655
15637 Sentara Hlth Ins Co of NC NC 2,553,111 2,539,582 (1,565) 29,988 22,791 0 1,565
95240 Seton Hlth Plan Inc TX 49,478,763 29,629,663 4,870,887 1,301,194 6,124,259 61,886,544 1,954,560
15906 Seton Ins Co TX 8,264,622 7,725,330 (532,525) 175,756 (355,423) 76,588 781,027
95138 SHA LLC TX 152,779,924 64,358,154 (62,211,083) 492,188 (61,718,895) 592,706,775 83,408,591
54259 Sidney Hillman Hlth Centre IL 1,000,394 846,872 155,316 523 155,839 3,073,650 605,875
71420 Sierra Hlth & Life Ins Co Inc NV 4,126,484,433 2,116,486,810 982,680,443 48,991,001 762,826,337 16,205,339,414 1,564,945,311
47012 Sightcare Inc AZ 2,121,594 2,045,671 324,352 1,529 266,630 11,190,832 1,676,563
15731 Signature Advantage LLC KY 2,540,023 1,291,558 (68,457) 3,185 (65,272) 4,772,596 931,398
12575 SilverScript Ins Co TN 2,371,801,053 998,843,851 53,727,773 12,562,204 28,262,634 3,348,767,453 416,660,381
16143 SilverSummit Healthplan Inc NV 146,364,186 74,512,265 (4,153,758) 1,119,085 (2,838,678) 375,070,793 62,550,356
13726 Simply Hlthcare Plans Inc FL 599,773,378 245,903,454 60,988,096 12,233,376 46,637,206 3,135,137,774 385,974,707
16103 SIMPRA Advantage Inc AL 16,216,486 6,688,155 (728,282) 99,732 (628,333) 41,085,236 5,412,903
11082 Single Vision Solution Inc MI 2,658,209 2,470,541 297,875 22,967 320,842 10,516,164 1,448,420
16313 Solis Hlth Plans Inc FL 12,727,304 12,148,095 (13,016,859) (12,109) (13,028,968) 0 12,437,650
12341 Solstice Benefits Inc FL 8,458,416 4,830,151 508,110 17,347 542,331 7,501,351 8,705,352
13971 Solstice Health Ins Co NY 17,216,177 2,957,419 1,168,700 17,350 920,088 14,360,570 7,122,496
12909 Soundpath Hlth WA 71,505,085 45,497,061 5,771,369 399,802 6,055,221 189,863,458 16,998,368
96598 South Dakota State Med Holding Co SD 22,869,433 9,025,364 2,378,324 247,729 1,370,509 36,539,962 9,265,619
95812 Southeastern IN Hlth Org Inc IN 13,602,312 8,915,373 525,086 427,710 596,749 35,778,691 4,132,350
66117 Southwest Life & Hlth Ins Co TX 10,948,666 8,423,154 (202,758) 105,045 (97,713) 10,439,733 1,778,118
16150 Spartan Plan IL Inc IL 2,899,790 2,481,063 (875,856) 6,680 (868,601) 1,525,611 403,804
16166 Spartan Plan NY Inc NY 2,327,008 2,056,360 (720,978) 2,758 (717,139) 1,241,553 352,246
16127 Spartan Plan PA Inc PA 1,717,405 1,218,349 (1,203,533) 1,761 (1,201,651) 1,957,013 412,172
16149 Spartan Plan VA Inc VA 3,612,593 3,381,928 (594,523) 11,203 (582,471) 1,027,007 314,466
16474 SSM Hlth Plan MO 6,634,131 6,391,820 (242,311) 2,931 (239,380) 0 242,311
15487 Stableview Hlth Inc KY 5,177,256 5,173,060 (12,485) 43,382 30,929 0 29,373
15462 Sterling Dental of N Amer LLC KS 349,386 105,585 (13,012) 0 (13,012) 3,224,198 1,783,469
11953 Sterling Dental Serv LLC OK 637,967 62,364 46,330 0 46,330 3,323,586 1,302,668
15081 Steward Hlth Choice Inc AZ 7,817,083 7,817,083 217,961 10,827 228,788 13,088 140
10649 Summa Ins Co Inc OH 50,010,096 23,972,094 (12,520,098) 395,243 (11,897,506) 171,921,680 28,759,988
95202 Summacare Inc OH 78,199,782 40,047,622 (958,045) 540,684 (280,544) 258,923,853 31,800,467
14345 Sunflower State Hlth Plan Inc KS 284,481,539 143,780,339 14,038,692 2,902,093 9,822,906 1,379,759,865 257,159,706

© 2019 National Association of Insurance Commissioners


139
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

15927 Sunshine Hlth Comm Solutions Inc FL 18,719,214 8,174,514 (4,256,765) 302,878 (2,524,722) 21,733,435 2,166,914
13148 Sunshine State Hlth Plan Inc FL 752,487,765 353,219,602 (19,636,578) 14,258,673 (15,481,914) 3,946,721,011 271,671,444
96280 Superior Dental Care Inc OH 12,006,884 8,245,784 1,560,292 300,175 1,212,267 52,702,646 11,249,292
15912 Superior HealthPlan Comm Solutions I TX 10,855,738 4,797,370 (2,471,496) 125,740 (2,096,295) 10,338,438 1,463,744
95647 Superior Hlthplan Inc TX 839,736,137 437,078,313 85,128,211 13,090,284 63,008,928 4,328,285,500 395,888,454
60188 Superior Vision Ins Inc AZ 51,916,761 23,665,872 21,932,071 322,496 16,772,369 0 85,783,980
52005 Superior Vision Ins Plan of WI Inc WI 5,949,903 1,688,114 1,516,203 1,596 1,201,341 14,079,317 4,121,013
14189 Superior Vision of NJ Inc NJ 124,893 122,124 (2,059) 218 (1,474) 0 420
84549 Symphonix Hlth Ins Inc IL 338,035,215 104,884,264 (24,864,573) 92,742 (17,742,863) 491,044,660 151,432,281
11093 Takecare Ins Co Inc GU 36,374,058 15,154,956 3,047,388 4,784 3,052,172 81,129,055 6,568,699
15941 Texas BCBS Ins Co TX 1,478,593 1,472,922 0 17,401 17,690 0 0
15813 Texas Bluebonnet Ins Co TX 4,728,356 4,728,356 (12,196) 0 (12,196) 0 17,253
95329 Texas Childrens Hlth Plan Inc TX 348,554,784 141,036,813 (67,241,870) 4,077,081 (63,164,789) 1,678,937,239 171,371,475
16121 Texas Hlth + Aetna Hlth Ins Co TX 164,152,257 80,713,147 13,008,032 1,335,051 (15,459,243) 27,134,280 40,356,440
16132 Texas Hlth + Aetna Hlth Plan Inc TX 18,603,678 8,709,860 (3,173,744) 102,486 (3,247,563) 10,204,055 2,496,855
54739 The Dental Concern Inc KY 12,341,818 7,629,792 2,374,706 187,370 2,564,414 34,577,988 9,421,291
13130 The Dental Network Inc MD 1,503,596 480,897 0 38,065 27,585 3,688,753 (2,946)
95195 The Hlth Plan of OH Inc OH 2,686,844 2,686,844 (3,085) 34,726 31,641 0 3,340
95677 The Hlth Plan of WVA Inc WV 232,379,264 125,973,518 (20,083,849) 5,185,668 (14,898,181) 576,198,074 56,632,335
95696 The Vt Hlth Plan LLC VT 38,254,806 31,776,696 (1,579,064) 875,802 (696,909) 31,879,738 6,148,158
60016 THP Ins Co WV 61,036,815 19,364,135 (8,446,160) 1,023,745 (7,358,383) 99,789,691 3,420,504
12239 Timber Products Manufacturers Trust WA 17,362,256 13,981,146 7,500,273 155,462 7,655,735 41,822,090 3,589,947
52120 Total Dental Administrators Hlth Pla AZ 4,132,637 3,215,514 105,468 129 54,684 2,979,476 1,312,738
11560 Total Dental Administrators of UT UT 862,648 517,370 133,847 998 49,138 1,757,315 652,378
95644 Total Hlth Care Inc MI 84,979,908 50,379,693 (7,762,640) 14,461,164 6,698,524 183,700,458 26,973,065
12326 Total Hlth Care USA Inc MI 76,781,614 42,563,170 9,341,235 1,252,132 10,593,367 191,151,638 33,447,395
89005 TRH Hlth Ins Co TN 104,677,414 66,681,092 22,209,529 4,369,070 19,699,909 290,230,572 41,215,284
12559 Trillium Comm Hlth Plan Inc OR 153,215,038 57,118,293 (14,616,960) 2,728,347 (13,622,863) 517,922,409 58,438,005
12834 Trilogy Hlth Ins Inc WI 10,461,811 3,781,682 462,416 42,427 544,067 28,624,518 3,877,986
11152 Triple S Advantage Inc PR 396,073,658 112,595,466 10,050,753 6,056,186 14,767,206 1,132,525,320 185,006,539
55816 Triple S Salud Inc PR 795,186,024 362,825,404 4,123,389 16,684,391 27,687,776 1,566,962,764 226,807,364
92525 TruAssure Ins Co IL 11,051,783 7,217,587 (2,216,904) 77,211 (1,927,784) 10,982,850 3,539,200
16007 TruAssure Ins Co of CO CO 2,030,909 2,030,276 (3,613) 25,445 21,832 0 4,738
16281 True Hlth NM Inc NM 65,834,238 22,295,322 1,663,126 199,516 1,450,253 91,419,529 28,213,452
14225 Trusted Hlth Plan DC Inc DC 58,623,346 19,380,617 8,321,177 899,413 7,238,979 156,627,984 45,395,961
11081 Trusted Hlth Plan MI Inc MI 12,766,126 4,817,094 (4,427,404) 68,940 (3,643,789) 26,985,590 10,505,884
16363 TSG Guard Inc OH 1,720,540 1,699,787 (979,822) 8,895 (970,927) 0 959,069

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HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95688 Tufts Associated Hlth Maintenance Or MA 1,085,064,306 642,456,738 72,911,773 15,922,380 89,095,745 2,581,958,897 332,007,129
15737 Tufts Hlth Freedom Ins Co NH 44,552,512 18,403,876 (1,778,700) 449,041 (1,329,659) 95,935,231 14,062,746
14131 Tufts Hlth Public Plans Inc MA 653,961,794 278,729,459 25,371,246 28,592,467 53,963,713 2,173,137,975 204,101,112
60117 Tufts Ins Co Inc MA 113,491,153 70,788,023 10,256,311 1,423,565 9,377,708 294,435,615 41,377,537
12924 UCare Hlth Inc WI 35,339,402 35,291,983 261,437 420,764 682,201 6,698,793 106,992
52629 UCare MN MN 1,340,525,928 662,837,644 13,400,519 27,375,824 39,823,211 3,427,561,248 265,340,243
11111 UDC of MI Inc MI 906,955 819,699 (38,906) 4,471 (34,435) 138,558 111,059
52022 UDC OH INC DBA UNITED DENTAL CARE OH OH 838,736 741,087 96,730 4,394 101,124 551,992 234,945
14243 Ultimate Hlth Plans Inc FL 17,557,385 3,913,914 (8,029,103) 5,911 (8,023,192) 62,202,713 12,125,759
11810 Unicare Hlth Plan of WV Inc WV 150,909,795 85,279,052 26,050,871 2,749,777 21,357,012 455,069,809 55,619,117
52553 Union Hlth Serv Inc IL 27,426,588 14,320,785 (119,538) 1,042,547 923,009 75,124,660 2,720,308
54127 Union Medical Center IL 2,447,238 2,011,995 270,255 (87,190) 182,875 5,960,565 2,268,797
11244 Union Security DentalCare of NJ Inc NJ 2,835,677 2,681,632 (6,351) 827 (2,704) 241,054 48,248
89070 United Concordia Companies Inc PA 441,280,913 335,348,100 35,573,978 53,108,111 79,276,921 516,228,685 80,596,865
47089 United Concordia Dental Plan PA Inc PA 3,345,285 2,316,112 237,575 44,536 183,276 9,313,710 1,814,609
95253 UNITED CONCORDIA DENTAL PLANS MD 13,453,613 12,303,639 346,356 240,964 450,086 3,260,204 987,218
95160 United Concordia Dental Plans TX Inc TX 965,881 893,095 (14,108) 6,476 (7,421) 505,370 162,890
96150 UNITED CONCORDIA DENTAL PLNS OF MW MI 7,335,942 6,952,389 286,222 90,276 266,610 6,534,584 564,868
85766 United Concordia Ins Co AZ 316,224,025 222,061,354 42,575,105 6,969,135 35,867,584 699,653,413 143,348,606
60222 United Concordia Ins Co Of NY NY 5,056,642 4,065,113 (332,221) 17,818 (253,088) 6,943,864 1,666,936
47708 United Dental Care of AZ Inc AZ 6,737,031 5,867,313 1,134,114 26,828 912,728 4,294,689 849,770
52032 United Dental Care of CO Inc CO 4,544,324 4,313,311 364,157 9,147 294,251 1,236,903 196,874
47044 UNITED DENTAL CARE OF MO INC MO 2,478,983 2,239,741 105,202 1,578 105,632 782,825 257,389
47042 United Dental Care of NM Inc NM 2,675,801 2,588,959 57,550 4,303 50,868 140,018 33,456
95142 United Dental Care Of TX Inc TX 9,698,073 9,195,673 858,600 68,680 734,106 3,476,454 1,181,566
95450 United Dental Care Of UT Inc UT 866,760 756,135 (16,050) 861 (15,189) 255,634 140,987
95716 United Hlth Care of MS Inc MS 277,013,930 164,751,725 35,365,748 4,287,777 32,626,842 1,144,487,491 139,791,365
60318 United Hlthcare Ins Co Of IL IL 361,635,469 162,487,788 89,627,673 5,350,022 71,416,187 1,251,594,833 173,637,081
60093 United Hlthcare Ins Co Of NY NY 1,350,427,643 601,386,435 124,600,499 21,417,077 102,188,085 3,348,362,344 355,634,280
95025 United Hlthcare Mid Atlantic Inc MD 338,342,275 155,676,875 59,543,513 4,883,801 47,154,871 988,159,319 154,010,875
95784 United Hlthcare of AL Inc AL 78,651,900 35,951,715 2,013,643 783,523 2,066,572 94,890,450 12,083,830
95446 United Hlthcare of AR Inc AR 28,878,268 18,826,755 6,310,892 42,118 4,863,224 65,936,607 9,383,382
96016 United Hlthcare of AZ Inc AZ 49,132,190 23,838,026 10,905,000 893,103 9,132,614 125,148,771 18,962,507
95090 United Hlthcare of CO Inc CO 43,119,858 15,429,086 5,480,617 602,478 4,851,746 93,298,338 18,825,219
95264 United Hlthcare of FL Inc FL 534,919,399 231,143,481 40,416,477 9,895,940 32,874,893 2,494,414,160 303,562,977
95850 United Hlthcare of GA Inc GA 95,523,318 31,527,353 (10,148,327) 1,805,399 (8,320,826) 364,968,664 45,915,853
96644 United Hlthcare of KY Ltd KY 44,209,984 18,854,852 5,253,044 706,657 4,221,820 158,733,374 24,485,240

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HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95833 United Hlthcare of LA Inc LA 562,150,028 168,266,903 (911,404) 6,755,415 (3,609,021) 2,257,443,108 352,644,831
95591 United Hlthcare of Midlands Inc NE 729,653,661 302,716,367 158,044,301 13,516,069 124,257,240 3,113,747,087 418,584,033
95186 United Hlthcare of OH Inc OH 58,199,678 47,502,029 7,618,060 1,199,282 6,298,572 58,063,923 7,985,803
95501 United Hlthcare of UT Inc UT 181,801,957 78,123,373 19,954,147 3,226,851 15,385,695 809,736,106 83,506,801
95174 UnitedHealthCare Benefits of TX Inc TX 504,310,318 292,531,498 70,846,085 9,065,844 49,549,363 3,570,247,666 370,525,100
95467 UnitedHealthcare Comm Plan Inc MI 260,934,886 131,257,927 32,127,318 3,229,868 25,140,037 876,723,252 142,735,749
13168 Unitedhealthcare Comm Plan of GA Inc GA 3,085,357 3,082,830 (12,529) 1,671 (8,578) 0 12,820
12323 UnitedHealthcare Comm Plan of OH Inc OH 576,744,345 362,777,071 156,660,119 10,257,851 124,717,714 2,536,259,575 348,370,441
11141 Unitedhealthcare Comm Plan of TX LLC TX 559,046,906 194,598,031 (35,348,503) 10,696,879 (18,178,328) 2,562,463,400 311,003,193
12231 UnitedHealthcare Ins Co of the River IL 395,119,447 142,475,747 42,797,353 6,415,206 35,202,489 1,395,615,043 212,765,441
95776 UnitedHealthcare of IL Inc IL 58,761,276 28,477,849 12,326,690 1,327,293 10,083,845 179,618,393 31,581,499
96385 UnitedHealthcare of Midwest Inc MO 451,130,028 190,313,309 53,034,633 2,693,102 40,255,155 1,855,249,449 133,738,344
95103 UnitedHealthcare of NC Inc NC 180,675,911 81,752,049 (2,185,258) 3,517,249 (1,246,184) 497,275,499 79,830,590
95149 UnitedHealthcare of New England Inc RI 330,975,171 132,604,785 22,251,770 6,211,653 18,396,761 1,162,202,679 165,408,125
13214 Unitedhealthcare of NM Inc NM 237,993,797 161,007,096 32,448,723 4,151,111 52,868,229 543,016,935 107,036,226
95085 UnitedHealthcare Of NY Inc NY 1,295,798,718 612,960,314 58,849,726 23,209,637 46,641,453 5,339,310,164 814,797,407
95893 UnitedHealthcare of OR Inc OR 402,276,577 202,418,113 67,443,488 8,004,375 56,168,471 1,409,464,773 187,780,574
95220 UnitedHealthcare of PA Inc PA 400,648,744 190,575,019 58,347,423 3,815,562 45,201,990 1,232,756,786 207,892,787
95765 UnitedHealthcare of TX Inc TX 55,153,452 22,302,602 14,077,497 1,053,214 11,447,527 128,287,718 21,151,867
48038 UnitedHealthCare of WA Inc WA 287,182,288 152,131,668 19,648,352 5,450,022 17,245,054 921,938,046 157,954,516
95710 UnitedHealthcare of WI Inc WI 1,705,514,441 833,400,784 482,175,942 35,255,445 383,830,969 6,362,164,971 855,398,177
95378 UnitedHealthcare Plan of the River V IL 1,274,736,990 462,998,137 (54,734,263) 17,454,275 (29,958,562) 6,113,188,720 762,206,208
96903 UnitedHeathcare of OK Inc OK 116,986,735 62,713,813 33,641,040 2,574,909 26,900,670 490,299,761 57,664,119
47953 University Hlth Alliance HI 137,767,243 86,953,813 35,024,886 2,879,808 28,684,463 330,892,190 37,206,432
52621 University Hlth Care Inc KY 363,602,288 69,720,775 (129,665,025) 4,282,599 (125,295,339) 1,953,210,500 187,652,218
15528 University of MD Hlth Advantage Inc MD 28,725,055 3,076,510 (32,519,614) 149,621 (32,369,993) 155,177,958 22,888,444
15648 University of UT Hlth Plans UT 110,574,295 44,089,063 29,589,802 1,932,922 24,254,379 183,144,116 16,958,697
11995 UPMC For You Inc PA 810,401,844 413,903,098 28,494,020 8,331,098 36,825,118 3,368,226,203 395,416,074
15451 UPMC Hlth Coverage Inc PA 19,141,179 15,816,972 1,287,548 186,703 1,019,318 25,645,235 4,722,116
11994 UPMC Hlth Ntwrk Inc PA 43,123,116 34,853,024 6,592,813 406,251 8,405,821 97,964,807 8,657,920
15345 UPMC Hlth Options Inc PA 461,772,888 240,033,967 17,041,587 9,727,719 19,366,321 2,213,108,558 214,173,370
95216 UPMC Hlth Plan Inc PA 566,574,402 190,180,725 59,359,591 (1,267,464) 52,882,976 1,738,239,754 165,684,065
52615 Upper Peninsula Hlth Plan LLC MI 108,190,040 55,745,856 9,550,908 1,317,224 10,868,132 251,395,396 23,207,272
97772 US Hlth & Life Ins Co Inc MI 28,420,964 13,668,907 (1,277,661) 669,690 (544,773) 28,067,526 2,808,017
83470 USAble Mut Ins Co AR 1,747,304,961 830,545,432 (13,472,612) 36,447,109 (21,330,429) 2,430,053,287 361,232,421
95764 UTMB Hlth Plans Inc TX 5,506,190 5,424,643 25,203 160,304 185,507 558,618 232,113
47025 Value Behavioral Hlth of PA Inc PA 24,329,002 14,797,962 12,954,466 0 10,223,060 10,158,782 (8,973,233)

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142
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95799 Value Options of TX Inc TX 1,993,641 1,993,641 287,675 3,862 230,315 0 13,130
15448 ValueOptions of NJ Inc NJ 18,977,726 9,246,194 10,142,581 83,210 8,198,371 0 34,829,363
95584 Vantage Hlth Plan Inc LA 98,269,082 37,929,592 4,671,666 1,130,895 3,049,148 405,350,612 67,513,899
15793 Vibra Hlth Plan Inc PA 7,764,171 3,637,195 (10,279,803) 24,467 (10,255,336) 12,723,926 9,735,625
95612 Virginia Premier Hlth Plan Inc VA 355,720,235 161,442,437 (88,165,408) 5,402,013 (82,763,395) 1,467,752,976 186,965,922
13750 Vision Benefits of Amer II Inc PA 7,445,596 6,985,485 (193,061) 220,530 21,366 2,653,076 1,110,634
53953 Vision Benefits of Amer Inc PA 50,408,377 43,475,010 860,676 1,342,646 2,054,322 38,878,449 8,070,047
54380 Vision Serv Plan OH 34,318,567 22,281,077 11,560,391 1,313,167 9,756,295 98,818,960 16,617,701
39616 Vision Serv Plan Ins Co OH 295,689,699 174,481,127 62,805,803 3,316,494 47,174,816 1,136,109,656 224,227,311
32395 Vision Serv Plan Ins Co MO 100,699,762 54,522,063 38,068,248 1,261,822 29,917,242 225,543,498 40,473,387
12516 Vision Serv Plan of IL NFP IL 61,342,123 45,547,950 6,547,138 775,992 5,103,341 142,790,136 23,698,685
96660 Vista Hlth Plan Inc PA 982,831,689 327,667,517 19,740,692 7,112,477 3,570,771 5,009,813,319 255,583,670
95322 Viva Hlth Inc AL 207,219,860 123,225,905 12,525,867 3,088,294 12,309,563 739,162,569 95,269,845
12867 Voluntary Employees Benefit Assn of HI 8,314,200 8,298,122 (69,008) 134,352 65,344 0 123,792
14046 Volunteer State Hlth Plan Inc TN 859,979,207 410,918,440 (21,538,034) 18,680,199 (12,205,181) 2,576,762,067 533,424,582
53031 VSP Vision Care Inc VA 49,258,856 22,672,280 11,264,651 4,049,767 11,945,026 200,333,257 41,464,267
16343 WellCare Hlth Ins Co of Amer AR 2,121,066 2,119,476 (199) 8,243 6,355 0 36
83445 WellCare Hlth Ins of AZ Inc AZ 201,695,810 64,634,123 (4,608,770) 2,247,074 (3,801,054) 708,910,977 117,312,668
64467 WellCare Hlth Ins of KY Inc KY 811,503,793 362,949,494 152,964,507 17,284,356 126,689,995 3,025,322,032 328,294,325
10884 WellCare Hlth Ins of NY Inc NY 6,136,757 6,078,655 (57,891) 40,261 (14,416) 491,953 50,554
16253 WellCare Hlth Plans of AZ Inc AZ 4,020,950 2,908,426 (1,110,849) 15,404 (1,098,556) 0 227
15510 WellCare Hlth Plans of KY Inc KY 4,841,650 4,276,977 154,510 61,171 171,729 (383) (31,041)
13020 WellCare Hlth Plans of NJ Inc NJ 184,323,224 82,504,204 4,347,036 1,827,975 4,524,909 717,406,126 105,097,761
16342 WellCare Natl Hlth Ins Co TX 1,411,325 1,409,028 (287) 11,919 9,189 0 42
16239 WellCare of AL Inc AL 1,603,980 1,592,629 (1,206) 10,349 7,223 0 209
95310 WellCare of CT Inc CT 42,086,333 25,908,517 (5,785,402) 513,496 (4,552,422) 99,841,918 17,850,701
95081 WellCare of Fl Inc FL 749,108,514 274,417,579 176,481,518 13,296,520 138,132,011 3,751,222,552 473,915,553
10760 WellCare of GA Inc GA 494,753,387 206,671,188 65,533,513 6,466,432 38,996,958 2,078,907,984 309,168,850
14404 WellCare of KS Inc KS 1,848,638 1,844,787 (834) 23,551 17,946 0 296
16344 WellCare of ME Inc ME 5,162,353 5,152,517 (1,831) 51,715 39,420 0 364
16329 WellCare of MS Inc MS 2,014,592 2,013,219 (611) 13,196 9,944 0 359
15951 WellCare of NE Inc NE 168,364,760 46,766,216 16,033,628 2,944,913 13,998,031 370,830,186 34,758,391
12749 WellCare of OH Inc OH 15,084,925 14,319,735 9,554 137,961 116,508 0 (29,504)
16117 WellCare of OK Inc OK 2,028,626 2,024,032 (3,091) 26,239 18,287 0 1,759
11775 WellCare of SC Inc SC 104,942,384 60,960,107 9,406,563 1,686,620 7,590,359 303,264,320 45,438,897
12964 WellCare of TX Inc TX 132,293,487 59,958,436 14,908,155 1,844,442 11,717,792 422,848,972 66,126,620
10155 WellCare Prescription Ins Inc FL 1,136,511,455 191,645,558 106,089,660 16,466,148 91,919,881 762,405,119 110,921,487

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143
HEALTH INSURANCE INDUSTRY AGGREGATES
Individual Company Data
Total
NAIC Total Capital Net Underwriting Net Investment Net Income Direct Total Expenses

Code Company Name DOM Assets and Surplus Gain or (Loss) Gains or (Losses) (Loss) Business Paid

95531 Wellmark Hlth Plan of IA Inc IA 286,098,511 191,150,033 39,640,527 6,530,069 35,050,161 420,248,190 62,507,069
88848 Wellmark Inc IA 2,438,665,980 1,567,303,983 (4,028,901) 157,999,161 127,475,750 2,615,762,137 371,924,691
60128 Wellmark Of SD Inc SD 472,745,060 283,051,803 40,449,607 16,582,852 48,730,108 772,548,405 98,147,746
15935 Wellmark Synergy Hlth Inc IA 15,013,511 13,593,927 141,862 321,916 365,778 1,156,360 384,751
15934 Wellmark Value Hlth Plan Inc IA 8,622,544 6,655,663 74,303 176,809 178,112 1,217,927 474,102
15020 West Virginia Family Hlth Plan Inc WV 79,090,517 35,943,543 11,000,514 (5,607,327) 1,752,122 337,723,788 30,857,204
15955 West Virginia Senior Advantage Inc WV 5,021,802 2,712,334 310,253 6,032 316,285 10,308,437 1,113,420
12339 Western Grocers Employee Benefit Tru OR 6,604,624 3,279,182 (286,931) 88,199 (198,732) 22,264,344 2,266,649
16351 Western Sky Community Care Inc NM 1,516,779 1,510,608 (185) 13,613 10,608 0 (3,065)
52555 Willamette Dental Ins Inc OR 11,370,543 10,014,967 1,434,586 96,116 1,043,563 67,408,588 4,247,910
95819 Willamette Dental of ID Inc ID 25,468,243 25,270,359 171,642 1,920 130,517 11,685,291 970,968
47050 Willamette Dental of WA Inc WA 15,079,761 14,432,009 1,500,854 140,186 1,094,320 63,596,376 4,186,215
15929 Wisconsin Collaborative Ins Co WI 26,390,846 16,334,950 53,318 0 53,318 44,087,678 2,322,336
53139 Wisconsin Physicians Serv Ins Corp WI 289,267,998 127,736,909 14,208,725 3,538,529 (1,281,708) 389,268,814 57,836,021
68420 WMI Mut Ins Co UT 14,815,239 10,686,416 528,643 352,428 714,750 18,549,443 3,295,802
10159 WPS Hlth Plan Inc WI 28,446,015 13,147,738 (4,539,212) 528,480 (3,535,314) 89,413,050 15,721,144
12352 Wyssta Ins Co Inc WI 13,361,239 10,875,977 1,845,189 185,200 1,558,686 15,051,510 2,612,189

TOTAL 313,296,070,508 159,480,858,539 21,423,081,987 5,945,961,324 23,912,959,726 715,807,255,637 93,847,543,211

© 2019 National Association of Insurance Commissioners


144
2018 HEALTH SELECTED DATA
ELEMENTS FROM COMPANY ANNUAL
STATEMENTS TECHNICAL NOTES

Data Element Health Annual Statement Source

Total Assets Page 2, Line 28, Column 3


Capital and Surplus Page 3, Line 33, Column 3
Net Underwriting Gain (Loss) Page 4, Line 24, Column 2
Net Investment Gain (Loss) Page 4, Line 27, Column 2
Net Income (Loss) Page 4, Line 32, Column 2
Direct Business Page 8, Line 12, Column 1
Total Expenses Paid Page 14, Line 31, Column 5

© 2019 National Association of Insurance Commissioners


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© 2019 National Association of Insurance Commissioners
146
Index of Companies

© 2019 National Association of Insurance Commissioners


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© 2019 National Association of Insurance Commissioners
148
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

AHF MCO of GA Inc 16197 04833 AHF GRP


AMERICAN DENTAL PLAN OF WI INC 52041 00000
AMERIGROUP Comm Care of NM Inc 12354 00671 ANTHEM INC GRP
AMERIGROUP MD Inc 95832 00671 ANTHEM INC GRP
AMERIGROUP NJ Inc 95373 00671 ANTHEM INC GRP
AMERIGROUP NV Inc 12586 00671 ANTHEM INC GRP
AMERIGROUP OH Inc dba Comm Care 10767 00671 ANTHEM INC GRP
AMERIGROUP TN Inc 12941 00671 ANTHEM INC GRP
AMERIGROUP TX Inc 95314 00671 ANTHEM INC GRP
AMGP GA Managed Care Co Inc 12229 00671 ANTHEM INC GRP
APC Passe LLC 16298 00671 ANTHEM INC GRP
Absolute Total Care Inc 12959 01295 CENTENE CORP GRP
Accendo Ins Co 63444 00001 CVS GRP
Access Dental Plan of NV Inc 15307 00429 GUARDIAN LIFE GRP
Access Dental Plan of UT Inc 15494 00429 GUARDIAN LIFE GRP
AccessCare Gen Inc 14158 04744 L S S GRP
AccessCare Gen LLC 14119 04744 L S S GRP
AccessCare Gen WI Ins Inc 16425 04744 L S S GRP
Accesscare Gen OK LLC 14343 04744 L S S GRP
Advantage Dental Plan Inc 47006 04512 DENTAQUEST GRP
Advantica Ins Co 12278 03680 DELTA DENTAL PLAN OF MO GRP
Advicare Corp 15146 00000
Aetna Better Hlth Inc 14229 00001 CVS GRP
Aetna Better Hlth Inc 15611 00001 CVS GRP
Aetna Better Hlth Inc 13735 00001 CVS GRP
Aetna Better Hlth Inc 14043 00001 CVS GRP
Aetna Better Hlth Inc 13174 00001 CVS GRP
Aetna Better Hlth Inc 15616 00001 CVS GRP
Aetna Better Hlth Inc a GA Corp 12328 00001 CVS GRP
Aetna Better Hlth of KS Inc 16072 00001 CVS GRP
Aetna Better Hlth of KY Ins Co 15761 00001 CVS GRP
Aetna Better Hlth of MI Inc 12193 00001 CVS GRP
Aetna Better Hlth of MO LLC 95318 00001 CVS GRP
Aetna Better Hlth of OK Inc 15919 00001 CVS GRP
Aetna Better Hlth of TX Inc 95040 00001 CVS GRP
Aetna Better Hlth of WA Inc 16242 00001 CVS GRP
Aetna Dental Inc 95910 00001 CVS GRP

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149
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Aetna Dental Inc NJ Corp 11183 00001 CVS GRP


Aetna Health Inc LA 95173 00001 CVS GRP
Aetna Hlth Assur PA Inc 15827 00001 CVS GRP
Aetna Hlth Inc CT Corp 95935 00001 CVS GRP
Aetna Hlth Inc FL Corp 95088 00001 CVS GRP
Aetna Hlth Inc GA Corp 95094 00001 CVS GRP
Aetna Hlth Inc ME Corp 95517 00001 CVS GRP
Aetna Hlth Inc NJ Corp 95287 00001 CVS GRP
Aetna Hlth Inc NY Corp 95234 00001 CVS GRP
Aetna Hlth Inc PA Corp 95109 00001 CVS GRP
Aetna Hlth Inc TX Corp 95490 00001 CVS GRP
Aetna Hlth Ins Co 72052 00001 CVS GRP
Aetna Hlth Ins Co of NY 84450 00001 CVS GRP
Aetna Hlth of IA Inc 95241 00001 CVS GRP
Aetna Hlth of MI Inc 95756 00001 CVS GRP
Aetna Hlth of OH Inc 15805 00001 CVS GRP
Aetna Hlth of Utah Inc 95407 00001 CVS GRP
Aids Hlthcare Found MCO of FL Inc 12973 04833 AHF GRP
Alignment Hlth Plan of IL Inc 16331 00000
Allcare Hlth Plan Inc 12253 00000
Allegian Ins Co 12346 04759 TENET HEALTHCARE CORP 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
Allina Hlth & Aetna Ins Co 16194 00001 CVS GRP
Allways Hlth Partners Inc 11109 04934 PARTNERS HEALTHCARE SYSTEM GRP
Aloha Care 95853 00000
Alpha Dental Programs Inc 95163 02479 DENTEGRA GRP
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
Altus Dental Ins Co Inc 52632 01571 DELTA DENTAL OF RI GRP
AmBetter of NC Inc 16395 01295 CENTENE CORP GRP
AmFirst Ins Co 60250 04719 AMFIRST HOLDINGS GRP
Ambetter of Magnolia Inc 15762 01295 CENTENE CORP GRP
Ambetter of Peach State Inc 15729 01295 CENTENE CORP GRP

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150
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

AmeriHealth Caritas DC Inc 15088 00936 INDEPENDENCE HLTH GRP INC GRP
AmeriHealth Caritas IA Inc 15800 00936 INDEPENDENCE HLTH GRP INC GRP
AmeriHealth Caritas LA Inc 14143 00936 INDEPENDENCE HLTH GRP INC GRP
AmeriHealth Caritas NM Inc 16422 00936 INDEPENDENCE HLTH GRP INC GRP
AmeriHealth Caritas TX Inc 16451 00936 INDEPENDENCE HLTH GRP INC GRP
AmeriHealth Hmo Inc 95044 00936 INDEPENDENCE HLTH GRP INC GRP
AmeriHealth Ins Co Of NJ 60061 00936 INDEPENDENCE HLTH GRP INC GRP
AmeriHealth MI Inc 15104 00936 INDEPENDENCE HLTH GRP INC GRP
American Hlth Ntwrk of IN LLC 52623 00707 UNITEDHEALTH GRP
American Hlth Plan Inc 16196 04916 AMERICAN HLTH CO 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
Americas 1st Choice of SC Inc 15544 00671 ANTHEM INC GRP
Americhoice of NJ Inc 95497 00707 UNITEDHEALTH GRP
Amerigroup DC Inc 16168 00671 ANTHEM INC GRP
Amerigroup Ins Co 14078 00671 ANTHEM INC GRP
Amerigroup Iowa Inc 15807 00671 ANTHEM INC GRP
Amerigroup KS Inc 14276 00671 ANTHEM INC GRP
Amerigroup LA Inc 14064 00671 ANTHEM INC GRP
Amerigroup MI Inc 16376 00671 ANTHEM INC GRP
Amerigroup MS Inc 16145 00671 ANTHEM INC GRP
Amerigroup OK Inc 15994 00671 ANTHEM INC GRP
Amerigroup PA Inc 16339 00671 ANTHEM INC GRP
Amerigroup Washington Inc 14073 00671 ANTHEM INC GRP
Anthem Blue Cross Life & Hlth Ins Co 62825 00671 ANTHEM INC GRP
Anthem Hlth Plans Inc 60217 00671 ANTHEM INC GRP
Anthem Hlth Plans Of KY Inc 95120 00671 ANTHEM INC GRP
Anthem Hlth Plans of ME Inc 52618 00671 ANTHEM INC GRP
Anthem Hlth Plans of NH 53759 00671 ANTHEM INC GRP
Anthem Hlth Plans of VA Inc 71835 00671 ANTHEM INC GRP
Anthem Ins Co Inc 28207 00671 ANTHEM INC GRP
Anthem KY Managed Care Plan Inc 15543 00671 ANTHEM INC GRP
Arcadian Hlth Plan Inc 12151 00119 HUMANA GRP
Arizona Dental Ins Serv Inc 53597 03658 DELTA DENTAL PLAN OF AZ GRP
Arkansas Hlth & Wellness Hlth Plan I 16130 01295 CENTENE CORP GRP

© 2019 National Association of Insurance Commissioners


151
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Arkansas Superior Select Inc 15135 00000


Arkansas Total Care Inc 16256 01295 CENTENE CORP GRP
Aspirus Arise Hlth Plan of WI Inc 15926 00000
Asuris NW Hlth 47350 01207 CAMBIA HEALTH SOLUTIONS INC
Atlantic Southern Dental Found 11217 04917 BENECARE DENTAL PLANS GRP
Atrio Hlth Plans Inc 10123 04961 CASCADE COMPREHENSIVE CARE GRP
Aultcare Hlth Insuring Corp 15461 04805 AULTMAN HLTH FOUNDATION GRP
Aultcare Ins Co 77216 04805 AULTMAN HLTH FOUNDATION GRP
Auxilio Salud Plus Inc 12587 00000
AvMed Inc 95263 00000
Avalon Ins Co 12358 01230 CAPITAL BLUE CROSS GRP
Avera Hlth Plans Inc 95839 00000
Avesis Ins Inc 11163 00429 GUARDIAN LIFE GRP
BC BS KS Solutions Inc 15481 00430 BCBS OF KS GRP
BCBS Hlthcare Plan of GA Inc 96962 00671 ANTHEM 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 04858 BCBS OF NE GRP
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 ANTHEM 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
BCBS of NC Inc 54631 00758 BCBS OF NC GRP
BCBS of NC Senior Hlth 15999 00758 BCBS OF NC GRP
BCBS of ND 55891 00000
BCBS of NM Ins Co 16359 00917 HCSC GRP
BCBS of RI 53473 00000
BCBS of TN Inc 54518 03498 BCBS OF TN GRP
BCBS of VT 53295 04745 BCBS OF VT GRP
BCBS of WI 54003 00671 ANTHEM INC GRP
BCBS of WY 53767 00000
BCBSIL GP HMO NFP 16030 00917 HCSC GRP
BCBSM Inc 55026 00461 BCBS OF MN GRP

© 2019 National Association of Insurance Commissioners


152
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

BCBSOK Government Programs HMO Co 15851 00917 HCSC GRP


BCBSTX Government Programs HMO 15964 00917 HCSC GRP
Bankers Reserve Life Ins Co Of WI 71013 01295 CENTENE CORP GRP
Banner Hlth & Aetna Hlth Ins Co 16058 00001 CVS GRP
Banner Hlth & Aetna Hlth Plan Inc 16059 00001 CVS GRP
Baptist Hlth Plan Inc 95071 00000
BayCare Select Hlth Plans Inc 16282 00000
BeHealthy Florida Inc 15118 00536 GUIDEWELL MUT HOLDING GRP
Block Vision Of TX Inc 95387 04879 CENTERBRIDGE CAPITAL PARTNERS 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 Cross Complete of MI LLC 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
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
Bridgeway Hlth Solutions of AZ Inc 16310 01295 CENTENE CORP GRP
Bright Hlth Co of AZ 16122 04887 BRIGHT HLTH GRP
Bright Hlth Ins Co 15963 04887 BRIGHT HLTH GRP
Bright Hlth Ins Co of AL Inc 16102 04887 BRIGHT HLTH GRP
Bright Hlth Ins Co of NY 16388 04887 BRIGHT HLTH GRP
Bright Hlth Ins Co of OH Inc 16353 04887 BRIGHT HLTH GRP
Bright Hlth Ins Co of TN 16341 04887 BRIGHT HLTH GRP
Buckeye Comm Hlth Plan Inc 11834 01295 CENTENE CORP GRP
Buckeye Hlth Plan Comm Solutions Inc 16112 01295 CENTENE CORP GRP
Bupa Ins Co 81647 00000
CBHNP Serv Inc 13630 00936 INDEPENDENCE HLTH GRP INC GRP
CCHA LLC 16345 00671 ANTHEM INC GRP
CDPHP Universal Benefits Inc 47027 04708 CDPHP INC GRP
CHA Hmo Inc 95158 00119 HUMANA 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

© 2019 National Association of Insurance Commissioners


153
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Capital District Physicians Hlthpln 95491 04708 CDPHP INC GRP


Capital Hlth Plan Inc 95112 00536 GUIDEWELL MUT HOLDING GRP
Care 1st Health Plan 15143 02798 BLUE SHIELD OF CA GRP
Care Improvement Plus S Central Ins 12567 00707 UNITEDHEALTH GRP
Care Improvement Plus WI Ins Co 14041 00707 UNITEDHEALTH GRP
Care Improvement Plus of TX Ins Co 12558 00707 UNITEDHEALTH GRP
Care N Care Ins Co Inc 13151 00000
Care N Care Ins Co of NC 15685 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 ANTHEM INC GRP
CarePartners of Connecticut Inc 16307 04742 TUFTS GRP
CarePlus Hlth Plans Inc 95092 00119 HUMANA GRP
CareSource IN 10142 03683 CARESOURCE GRP
CareSource KY Co 15479 03683 CARESOURCE GRP
CareSource W VA Co 15728 03683 CARESOURCE GRP
Carecore NJ LLC 10144 00901 CIGNA HLTH GRP
Carefirst Inc 47021 00380 CAREFIRST INC GRP
Carefirst of MD Inc 47058 00380 CAREFIRST INC GRP
Caremore Hlth Plan of AZ Inc 13562 00671 ANTHEM INC GRP
Caresource 95201 03683 CARESOURCE GRP
Caresource GA Co 15710 03683 CARESOURCE GRP
Cariten Hlth Plan Inc 95754 00119 HUMANA GRP
Catholic Special Needs Plan LLC 12976 00000
Celtic Ins Co 80799 01295 CENTENE CORP GRP
Celticare Hlth Plan of MA Inc 13632 01295 CENTENE CORP GRP
Childrens Comm Hlth Plan Inc 13739 00000
Childrens Medical Center Hlth Plan 15485 04828 CHILDRENS HLTH SYSTEM OF TX GRP
Christiana Care Hlth Plans Inc 52039 00000
Christus Hlth Plan 14154 04958 CHRISTUS HLTH GRP
Cigna Dental Hlth Plan of AZ Inc 47013 00901 CIGNA HLTH 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
Cigna Dental Hlth of KS Inc 52024 00901 CIGNA HLTH GRP

© 2019 National Association of Insurance Commissioners


154
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

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
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 NC Inc 95132 00901 CIGNA HLTH GRP
Cigna Hlthcare of NJ Inc 95500 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
Clear Spring Hlth of IL Inc 16278 04794 GROUP ONE THOUSAND ONE GRP
ClearRiver Hlth 15493 04807 CATHOLIC HLTH INITIATIVES GRP
Clover HMO of NJ Inc 16347 04918 CLOVER HLTH GRP
Clover Ins Co 86371 04918 CLOVER HLTH GRP
Colorado Access 95733 04781 COLORADO ACCESS GRP
Colorado Dental Serv Inc 55875 00000
Common Ground Hlthcare Coop 15061 00000
Community Care Alliance of IL NFP 15209 04794 GROUP ONE THOUSAND ONE GRP
Community Care Behavioral Hlth Org 47024 01324 UPMC HLTH SYSTEM GRP
Community Care Hlth Plan Inc 10756 00000
Community First Grp Hospital Serv Co 11143 02738 COMMUNITY FIRST GRP
Community First Hlth Plans Inc 95248 02738 COMMUNITY FIRST GRP
Community Hlth Choice Inc 95615 04892 HARRIS HLTH GRP
Community Hlth Choice TX Inc 16133 04892 HARRIS HLTH GRP

© 2019 National Association of Insurance Commissioners


155
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Community Hlth Plan of WA 47049 00000


Community Ins Co 10345 00671 ANTHEM INC GRP
CommunityCare HMO Inc 11691 03487 COMMUNITYCARE GRP
Communitycare Government Programs In 15732 00000
Communitycare Life & Hlth Ins Co 89008 03487 COMMUNITYCARE GRP
Compbenefits Co 52015 00119 HUMANA GRP
Compbenefits Dental Inc 11228 00119 HUMANA GRP
Compbenefits Ins Co 60984 00119 HUMANA GRP
Compcare Hlth Serv Ins Corp 95693 00671 ANTHEM INC GRP
Comprehensive Mobile Ins Co Inc 15238 04933 COMPREHENSIVE MOBILE GRP
Comprehensive Mobile Plan UT Inc 15360 04933 COMPREHENSIVE MOBILE GRP
Connecticare Benefits Inc 14913 01127 EMBLEM HLTH GRP
Connecticare Inc 95675 01127 EMBLEM HLTH GRP
Connecticare Ins Co Inc 11209 01127 EMBLEM HLTH GRP
Connecticare Of MA Inc 95299 01127 EMBLEM HLTH GRP
Connecticut Dental Practice Organiza 16338 04917 BENECARE DENTAL PLANS GRP
Cook Childrens Hlth Plan 95822 00000
Coordinated Care Corp 95831 01295 CENTENE CORP GRP
Coordinated Care of WA Inc 15352 01295 CENTENE CORP GRP
Coventry Hlth & Life Ins Co 81973 00001 CVS GRP
Coventry Hlth Care of FL Inc 95114 00001 CVS GRP
Coventry Hlth Care of IL Inc 74160 00001 CVS GRP
Coventry Hlth Care of KS Inc 95489 00001 CVS GRP
Coventry Hlth Care of MO Inc 96377 00001 CVS GRP
Coventry Hlth Care of NE Inc 95925 00001 CVS GRP
Coventry Hlth Care of VA Inc 96555 00001 CVS GRP
Coventry Hlth Care of W VA Inc 95408 00001 CVS GRP
Coventry Hlth Plan of FL Inc 95266 00001 CVS GRP
Cox Hlth System HMO Inc 95530 01203 COX INS GRP
Cox Hlth Systems Ins Co 60040 01203 COX INS GRP
Crystal Run Hlth Ins Co Inc 15677 04847 CRYSTAL RUN HLTH GRP
Crystal Run Hlth Plan LLC 15797 04847 CRYSTAL RUN HLTH GRP
DC Chartered Hlth Plan Inc 95748 00000
DENCAP DENTAL PLANS INC 52025 00000
DENTAL BENEFIT PROVIDERS OF IL INC 52053 00707 UNITEDHEALTH GRP
DSM MA Ins Co Inc 15497 04512 DENTAQUEST GRP
DSM USA Ins Co Inc 67636 04512 DENTAQUEST GRP

© 2019 National Association of Insurance Commissioners


156
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Dean Hlth Ins Inc 60067 01294 DEAN HLTH GRP


Dean Hlth Plan Inc 96156 01294 DEAN HLTH GRP
Delsure Hlth Ins Inc 16436 00000
Delta Dental Ins Co 81396 02479 DENTEGRA GRP
Delta Dental Plan of AR Inc 47155 00000
Delta Dental Plan of ID Inc 47791 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 OR 54941 01313 OREGON DENTAL SERV 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 WY 15200 00000
Delta Dental of CT Inc 15987 02918 DELTA DENTAL PLAN OF NJ GRP
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 04959 STRATACOR GRP
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 04959 STRATACOR GRP
Delta Dental of NJ Inc 55085 02918 DELTA DENTAL PLAN OF NJ GRP
Delta Dental of NY 55263 02479 DENTEGRA GRP
Delta Dental of OK 53937 00000
Delta Dental of PA 54798 02479 DENTEGRA GRP
Delta Dental of RI 55301 01571 DELTA DENTAL OF RI GRP
Delta Dental of TN 54526 00477 RENAISSANCE HLTH SERV CORP GRP
Delta Dental of VA 55611 04729 CORVESTA GRP
Delta Dental of W VA 12329 02479 DENTEGRA GRP
Delta Dental of WA 47341 00000
Delta Dental of WI Inc 54046 03849 DELTA DENTAL OF WI GRP
Denta Chek of MD Inc 47074 00000
DentaQuest USA Ins Co Inc 12307 04512 DENTAQUEST GRP

© 2019 National Association of Insurance Commissioners


157
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

DentaQuest of NJ LLC 16647 04512 DENTAQUEST GRP


Dental Care Plus Inc 96265 00000
Dental Delivery Systems Inc 11195 04881 M MELE GRP
Dental Grp of NJ Inc 11241 00000
Dental Hlth Serv 47490 00000
Dental Practice Assn of NJ Inc 12213 04917 BENECARE DENTAL PLANS GRP
Dental Serv Org Inc 11234 00000
Dental Serv of MA Inc 52060 04512 DENTAQUEST GRP
Dentcare Delivery Systems Inc 47112 00000
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
Devoted Hlth Ins Co 16385 04924 DEVOTED HLTH GRP
Devoted Hlth Plan of FL Inc 16358 04924 DEVOTED HLTH GRP
Devoted Hlth Plan of TX Inc 16487 04924 DEVOTED HLTH GRP
Doctors Healthcare Plans Inc 16271 00000
Dominion Dental Serv Inc 95657 01230 CAPITAL BLUE CROSS GRP
Dominion Natl Ins Co 16003 01230 CAPITAL BLUE CROSS GRP
Driscoll Childrens Hlth Plan 95809 00000
Eastern Vision Serv Plan Inc 47029 01189 VISION SERV PLAN 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
Elan Ins USVI Inc 16074 00000
Elderplan Inc 95662 00000
Emphesys Ins Co 88595 00119 HUMANA GRP
Empire Healthchoice Assur Inc 55093 00671 ANTHEM INC GRP
Empire Healthchoice HMO Inc 95433 00671 ANTHEM INC GRP
Employers Dental Serv 53090 00332 PRINCIPAL FIN GRP
Empower Healthcare Solutions LLC 16244 00965 FHC HLTH SYSTEMS GRP
Envision Ins Co 12747 00000
Envolve Dental of TX Inc 16106 01295 CENTENE CORP GRP
Envolve Vision of TX Inc 95302 01295 CENTENE CORP GRP
Eon Hlth Inc 16005 04794 GROUP ONE THOUSAND ONE GRP
Eon Hlth Inc 15988 04794 GROUP ONE THOUSAND ONE GRP
Erlanger Hlth Plan Trust 15378 00000

© 2019 National Association of Insurance Commissioners


158
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Essence Hlthcare Inc 11699 00000


Excellus Hlth Plan Inc 55107 01186 LIFETIME HLTHCARE GRP
Experience Hlth Inc 16328 00000
Eyemed Ins Co 14421 04936 LUXOTTICA US HOLDINGS GRP
Eyemed Vision Care HMO of TX Inc 95522 04936 LUXOTTICA US HOLDINGS GRP
Fallon Comm Hlth Plan Inc 95541 04741 FALLON GRP
Fallon Hlth & Life Assur Co 66828 04741 FALLON GRP
Family Hlth Network Inc 15774 00000
Familycare Hlth Plans Inc 47084 00000
Fidelio Ins Co 28231 04881 M MELE 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 Priority Life Ins Co Inc 60147 00812 HIGHMARK 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 MHS Inc 14447 01260 MAGELLAN HLTH INC GRP
Florida True Hlth Inc 14378 00936 INDEPENDENCE HLTH GRP INC GRP
Forevercare Inc 16300 00812 HIGHMARK GRP
Freedom Hlth Inc 10119 00671 ANTHEM INC GRP
Freedom Hlth Solutions LLC 15019 00000
Freelancers Ins Co Inc 13564 00000
Fresenius Hlth Plans Ins Co 85286 04846 FRESENIUS MEDICAL CARE HOLDINGS GR
Fresenius Hlth Plans of NC Inc 12288 04846 FRESENIUS MEDICAL CARE HOLDINGS GR
Fresenius Hlth Plans of NY Inc 15939 04846 FRESENIUS MEDICAL CARE HOLDINGS GR
Fresenius Hlth Plans of TX Inc 12597 04846 FRESENIUS MEDICAL CARE HOLDINGS GR
Friday Hlth Plans of CO Inc 95774 00000
GHS HMO Inc dba BlueLincs HMO 11814 00917 HCSC GRP
GHS Ins Co 29718 00917 HCSC GRP
GHS Managed Hlth Care Plans Inc 14048 00917 HCSC GRP
Gateway Hlth Plan Inc 96938 00812 HIGHMARK GRP
Gateway Hlth Plan of OH Inc 12325 00812 HIGHMARK GRP

© 2019 National Association of Insurance Commissioners


159
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Geisinger Hlth Plan 95923 01143 GEISINGER INS GRP


Geisinger Ind Ins Co 10244 01143 GEISINGER INS GRP
Geisinger Quality Options Inc 12743 01143 GEISINGER INS GRP
Georgia Chamber Federation Benefit P 16494 00000
Globalhealth Inc 13667 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
Good Samaritan Ins Plan of ND LLC 16154 04895 GOOD SAMARITAN INS PLAN GRP
Good Samaritan Ins Plan of NE Inc 16151 04895 GOOD SAMARITAN INS PLAN GRP
Good Samaritan Ins Plan of SD Inc 16153 04895 GOOD SAMARITAN INS PLAN GRP
Granite Alliance Ins Co 15100 01260 MAGELLAN HLTH 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 CVS GRP
Group Hlth Coop of Eau Claire 95192 00000
Group Hlth Coop of S Central WI 95311 00000
Group Hlth Inc 55239 01127 EMBLEM HLTH 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 MN 14202 04870 UNIVERSITY HLTH CARE & GUNDERSEN L
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 EMBLEM HLTH 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
HNE of CT Inc 15521 04756 BAYSTATE HLTH GRP
HPHC Ins Co Inc 18975 00595 HARVARD PILGRIM HLTH CARE GRP
Hallmark Life Ins Co 60078 01295 CENTENE CORP GRP
Harken Hlth Ins Co 79480 00707 UNITEDHEALTH GRP
Harmony Hlth Plan Inc 11229 01199 WELLCARE GRP
Harvard Pilgrim Health Care New Eng 96717 00595 HARVARD PILGRIM HLTH CARE GRP
Harvard Pilgrim Hlth Care Inc 96911 00595 HARVARD PILGRIM HLTH CARE GRP
Harvard Pilgrim Hlth Care of CT Inc 15492 00595 HARVARD PILGRIM HLTH CARE GRP

© 2019 National Association of Insurance Commissioners


160
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

HarvestPlains Hlth of IA 15752 04807 CATHOLIC HLTH INITIATIVES GRP


Hawaii Medical Serv Assn 49948 00000
Hawaii Mgmt Alliance Assn 48330 00000
Health Alliance Connect Inc 15478 01192 CARLE HOLDING CO GRP
Health Alliance Medical Plans 77950 01192 CARLE HOLDING CO GRP
Health Alliance Midwest Inc 95513 01192 CARLE HOLDING CO GRP
Health Alliance NW Hlth Plan 15082 01192 CARLE HOLDING CO GRP
Health Alliance Plan Of MI 95844 01311 HENRY FORD HLTH SYSTEM GRP
Health CO Inc 16486 00000
Health Care Serv Corp A Mut Legal Re 70670 00917 HCSC GRP
Health Choice Utah Inc 14481 00000
Health First Commercial Plans In 16272 04740 HEALTH FIRST GRP
Health First Hlth Plans Inc 15880 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 EMBLEM HLTH GRP
Health Net Comm Solutions of AZ 15895 01295 CENTENE CORP GRP
Health Net Hlth Plan of OR Inc 95800 01295 CENTENE CORP GRP
Health Net of AZ Inc 95206 01295 CENTENE CORP 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 UNITEDHEALTH GRP
Health Plan of CareOregon Inc 12277 00000
Health Pointe of NY LLC 16361 00000
Health Resources Inc 96687 01212 VANGUARD HLTH VENTURES GRP
Health Sun Hlth Plans 10122 00671 ANTHEM INC GRP
Health Tradition Hlth Plan Inc 96628 04939 WEA GRP
Health Ventures Ntwrk Inc 48011 04959 STRATACOR GRP
HealthAssurance PA Inc 11102 00001 CVS GRP
HealthPartners UnityPoint Hlth Inc 15888 04870 UNIVERSITY HLTH CARE & GUNDERSEN L
HealthSpan Inc 15284 04831 HEALTHSPAN PARTNERS GRP
HealthSpan Integrated Care 95204 04831 HEALTHSPAN PARTNERS GRP
HealthSpring of FL Inc 11532 00901 CIGNA HLTH GRP
Healthcare DE Inc 95794 00936 INDEPENDENCE HLTH GRP INC GRP
Healthcare Partners NV Inc 15749 00000

© 2019 National Association of Insurance Commissioners


161
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Healthfirst Healthplan of NJ Inc 13035 00000


Healthfirst Hlth Plan Inc 95284 04778 HEALTHFIRST INC GRP
Healthfirst Ins Co Inc 16031 04778 HEALTHFIRST INC GRP
Healthkeepers Inc 95169 00671 ANTHEM INC GRP
Healthlink Hmo Inc 96475 00671 ANTHEM 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
Healthspring Life & Hlth Ins Co Inc 12902 00901 CIGNA HLTH GRP
Healthy Alliance Life Ins Co 78972 00671 ANTHEM INC GRP
Healthy Palm Beaches Inc 95827 00000
HeartlandPlains Hlth 15488 04807 CATHOLIC HLTH INITIATIVES GRP
Hennepin Hlth 52627 00000
Heritage Vision Plans Inc 11204 00000
Highmark BCBSD Inc 53287 00812 HIGHMARK GRP
Highmark Benefits Grp Inc 15508 00812 HIGHMARK GRP
Highmark Choice Co 95048 00812 HIGHMARK GRP
Highmark Coverage Advantage Inc 15507 00812 HIGHMARK GRP
Highmark Inc 54771 00812 HIGHMARK GRP
Highmark Select Resources Inc 10131 00812 HIGHMARK GRP
Highmark Senior Hlth Co 15460 00812 HIGHMARK GRP
Highmark Senior Solutions Co 15459 00812 HIGHMARK GRP
Highmark West Virginia Inc. 54828 00812 HIGHMARK GRP
Hmo CO Inc 95473 00671 ANTHEM INC GRP
Hmo LA Inc 95643 00438 LOUISIANA HLTH SERV GRP
Hmo MO Inc 95358 00671 ANTHEM INC GRP
Hmo Of MS Inc 95289 01126 MISSISSIPPI INS GRP
Hmo Of NE PA 96601 00812 HIGHMARK GRP
Hmo Partners Inc 95442 00876 ARKANSAS BCBS GRP
Home State Hlth Plan Inc 14218 01295 CENTENE CORP GRP
Hometown Hlth Plan Inc 95350 04791 RENOWN HLTH GRP
Hometown Hlth Providers Ins Co 48305 04791 RENOWN HLTH GRP
Hoosier Motor Mut Ins Co 27952 00000
Hopkins Hlth Advantage Inc 15700 00000
Horizon Hlthcare Dental Inc 11146 01202 BCBS OF NJ GRP
Horizon Hlthcare Serv Inc 55069 01202 BCBS OF NJ GRP

© 2019 National Association of Insurance Commissioners


162
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Horizon Hlthcare of NJ Inc 95529 01202 BCBS OF NJ GRP


Horizon Ins Co 14690 01202 BCBS OF NJ GRP
Humana Behavioral Hlth Inc 15886 00119 HUMANA GRP
Humana Benefit Plan of IL Inc 60052 00119 HUMANA GRP
Humana Employers Hlth Plan GA Inc 95519 00119 HUMANA GRP
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 CA Inc 16280 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 73288 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
Humanadental Ins Co 70580 00119 HUMANA GRP
Illinicare Hlth Plan Inc 14053 01295 CENTENE CORP GRP
Illinois BCBS Ins Co 16013 00917 HCSC GRP
Independence Assur Co 16053 00936 INDEPENDENCE HLTH GRP INC GRP
Independence Hospital Ind Plan Inc 54704 00936 INDEPENDENCE HLTH GRP INC GRP
Independent Care Hlth Plan 11695 00119 HUMANA GRP
Independent Hlth Assn 95308 04894 INDEPENDENT HLTH ASSN GRP
Independent Hlth Benefits Corp 47034 04894 INDEPENDENT HLTH ASSN GRP
Indiana University Hlth Plan Ins Co 16175 04637 INDIANA UNIVERSITY HLTH GRP
Indiana University Hlth Plans Inc 13164 04637 INDIANA UNIVERSITY HLTH GRP
Indiana University Hlth Plans NFP In 15450 04637 INDIANA UNIVERSITY HLTH GRP
Innovation Hlth Ins Co 15097 00001 CVS GRP
Innovation Hlth Plan Inc 15098 00001 CVS 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 HLTH GRP INC GRP

© 2019 National Association of Insurance Commissioners


163
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Inter Cty Hospitalization Plan Inc 54763 00936 INDEPENDENCE HLTH GRP INC GRP
International Hlthcare Serv Inc 11173 00085 HEALTHPLEX GRP
Iowa Total Care Inc 15713 01295 CENTENE CORP GRP
John D Kernan DMD PA 11182 00000
KS Plan Administrators LLC 12827 04945 KELSEY SEYBOLD MEDICAL GRP
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
Kaiser Found Hlth Plan of GA Inc 96237 00601 KAISER FOUNDATION GRP
Kaiser Found Hlth Plan of WA Options 47055 00601 KAISER FOUNDATION GRP
Kaiser Found Hlth Plan of the NW 95540 00601 KAISER FOUNDATION GRP
Kaiser Foundation Hlth Plan of WA 95672 00601 KAISER FOUNDATION GRP
Kaiser Permanente Ins Co 60053 00601 KAISER FOUNDATION GRP
Kansas Superior Select Inc 16159 00000
Kentucky Spirit Health Plan Inc 14100 01295 CENTENE CORP GRP
Keystone Hlth Plan Central Inc 95199 01230 CAPITAL BLUE CROSS GRP
Keystone Hlth Plan E Inc 95056 00936 INDEPENDENCE HLTH GRP INC GRP
Legal Serv Plans of VA Inc 47061 00000
Liberty Advantage LLC 16170 00000
Liberty Dental Plan Org of NJ Inc 16372 04692 LIBERTY DENTAL PLAN GRP
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
Lifeworks Advantage LLC 15959 00000
Longevity Hlth Plan of IL Inc 16350 04920 LONGEVITY HLTH GRP
Longevity Hlth Plan of NY Inc 16364 04920 LONGEVITY HLTH GRP
Louisiana Healthcare Connections Inc 13970 01295 CENTENE CORP GRP
Louisiana Hlth Serv & Ind Co 81200 00438 LOUISIANA 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 04700 MCLAREN HLTH GRP
MG Ins Co 15613 00000

© 2019 National Association of Insurance Commissioners


164
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

MHNet Life & Hlth Ins Co 12509 00001 CVS GRP


MII Life Ins Inc 61522 00461 BCBS OF MN GRP
MMM Hlthcare Inc 11157 04812 INNOVACARE INC GRP
MMM MULTI HLTH INC 12534 04812 INNOVACARE INC GRP
MMM of FL Inc 16177 04812 INNOVACARE INC GRP
MVP Hlth Ins Co 11125 01198 MVP GRP
MVP Hlth Plan Inc 95521 01198 MVP GRP
MVP Hlth Serv Corp 47062 01198 MVP GRP
Magellan Behavioral Hlth of NJ LLC 12632 01260 MAGELLAN HLTH INC GRP
Magellan Behavioral Hlth of PA Inc 47019 01260 MAGELLAN HLTH INC GRP
Magellan Complete Care of AZ Inc 14641 01260 MAGELLAN HLTH INC GRP
Magellan Complete Care of LA Inc 15550 01260 MAGELLAN HLTH INC GRP
Magellan Complete Care of NE Inc 15681 01260 MAGELLAN HLTH INC GRP
Magellan Complete Care of PA Inc 15924 01260 MAGELLAN HLTH INC GRP
Magellan Complete Care of VA LLC 16043 01260 MAGELLAN HLTH INC GRP
Magellan Life Ins Co 97292 01260 MAGELLAN HLTH INC GRP
Magna Ins Co 61018 00000
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 Serv Ins Corp 96822 01295 CENTENE CORP GRP
Marquis Advantage Hlth Plan 15937 00000
Martins Point Generations Advantage 15850 00000
Maryland Care Medicare Inc 12751 00000
Matthew Thorton Hlth Plan Inc 95527 00671 ANTHEM 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 00901 CIGNA HLTH GRP
Medco Containment Life Ins Co 63762 00901 CIGNA HLTH GRP
Medica Comm Hlth Plan 95232 01552 MEDICA GRP
Medica Hlth Plans 52626 01552 MEDICA GRP
Medica Hlth Plans of FL Inc 12756 00707 UNITEDHEALTH GRP
Medica HlthCare Plans Inc 12155 00707 UNITEDHEALTH GRP

© 2019 National Association of Insurance Commissioners


165
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

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 00000
Members Hlth Ins Co 94587 04677 TENNESSEE RURAL HLTH GRP
Memorial Hermann Comm Hlth Plan Inc 16433 04808 MEMORIAL HERMANN GRP
Memorial Hermann Hlth Ins Co 10076 04808 MEMORIAL HERMANN GRP
Memorial Hermann Hlth Plan Inc 15489 04808 MEMORIAL HERMANN GRP
Mercy Hlth Plans Inc 15950 04864 MERCY HLTH GRP
Mercy Hlth Plans of MO Inc 15949 04864 MERCY HLTH GRP
MercyCare HMO Inc 12195 03595 MERCY HLTH CORP GRP
Mercycare Ins Co 60215 03595 MERCY HLTH CORP GRP
Meridian Hlth Plan of IL Inc 13189 01199 WELLCARE GRP
Meridian Hlth Plan of MI Inc 52563 01199 WELLCARE GRP
Merit Hlth Ins Co 18750 01260 MAGELLAN HLTH INC GRP
MetLife Hlth Plans Inc 14170 00241 METROPOLITAN GRP
Michigan Complete Hlth Inc 10769 01295 CENTENE CORP GRP
Midwestern Dental Plans Inc 11107 00000
Mississippi True 16162 00000
Missouri Care Inc 12913 01199 WELLCARE GRP
Missouri Chamber Federation Benefit 16235 00000
Missouri Medicare Select LLC 15757 04916 AMERICAN HLTH CO INC GRP
Missouri Valley Life & Hlth Ins Co 76040 00537 BCBS OF KC GRP
Moda Hlth Plan Inc 47098 01313 OREGON DENTAL SERV 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 MS Inc 16301 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 PR Inc 15600 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

© 2019 National Association of Insurance Commissioners


166
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

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 Blue Government Programs HMO 15958 00917 HCSC GRP
Montana Blue Ins Co 16022 00917 HCSC GRP
Montana Hlth Cooperative 14933 00000
Motivhealth Ins Co 15743 00000
Mount Carmel Hlth Ins Co 13123 02838 CHE TRINITY INC GRP
Mount Carmel Hlth Plan Inc 95655 02838 CHE TRINITY INC GRP
Mount Carmel Hlth Plan of ID Inc 16456 02838 CHE TRINITY INC GRP
Mutual Benefit Assn of HI 12868 00000
Mutual of Omaha Medicare Advantage C 16260 00261 MUTUAL OF OMAHA GRP
NHC Advantage LLC 16000 04905 NATIONAL HEALTHCARE CORP GRP
National Dental Care Inc 12844 04822 F&R HOLDINGS GRP
National Pacific Dental Inc 95251 00707 UNITEDHEALTH GRP
National Preventive Solutions Corp 16135 00000
Navicent Hlthplan Inc 14692 00000
Nebraska Total Care Inc 15902 01295 CENTENE CORP GRP
Neighborhood Hlth Partnership Inc 95123 00707 UNITEDHEALTH GRP
Neighborhood Hlth Plan of RI Inc 95402 00000
Network Hlth Ins Corp 15087 02678 NETWORK HLTH GRP
Network Hlth Plan 95737 02678 NETWORK HLTH GRP
Nevada Dental Benefits Ltd 13813 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
Nexdent Dental Plans Inc 15094 00000
NextLevel Hlth Partners Inc 16277 00000
North Shore LIJ CareConnect Ins Co 15309 04793 NORTH SHORE LIJ HLTH CARE GRP
Northwest Dental Benefits LLC 16445 00000
Oklahoma Blue Ins Co 15907 00917 HCSC GRP
Oklahoma Superior Select Inc 12284 04916 AMERICAN HLTH CO INC GRP
Omaha Hlth Ins Co 88080 00261 MUTUAL OF OMAHA GRP
Opticare of UT 12533 00000
Optilegra Inc 16413 00000
Optima Hlth Grp Inc 95481 01183 SENTARA HLTH MGMT GRP

© 2019 National Association of Insurance Commissioners


167
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

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 00671 ANTHEM INC GRP
Optum Networks of NJ Inc 11068 00707 UNITEDHEALTH GRP
Oscar Buckeye State Ins Corp 16416 04818 MULBERRY HLTH GRP
Oscar Garden State Ins Corp 16231 04818 MULBERRY HLTH GRP
Oscar Hlth Plan Inc 16337 04818 MULBERRY HLTH GRP
Oscar Ins Co 15777 04818 MULBERRY HLTH GRP
Oscar Ins Co of FL 16374 04818 MULBERRY HLTH GRP
Oscar Ins Corp 15281 04818 MULBERRY HLTH GRP
Oscar Ins Corp of NJ 15585 04818 MULBERRY HLTH GRP
Oscar Ins Corp of OH 16202 04818 MULBERRY HLTH GRP
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 Ins Co 12816 03408 PHYSICIANS HLTH PLAN OF MID MI GRP
PHP Ins Co of IN Inc 12331 03828 PHP INDIANA GRP
PICA Hlth LLC 13134 00000
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
Pacificare Of NV Inc 95685 00707 UNITEDHEALTH GRP
Pacificsource Comm Hlth Plans 12595 04704 PACIFICSOURCE HLTH PLAN GRP
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 Hlth & Wellness Inc 16041 01295 CENTENE CORP GRP
Pennsylvania Life Ins Co 67660 00001 CVS GRP
Peoples Hlth Inc 13607 00707 UNITEDHEALTH GRP

© 2019 National Association of Insurance Commissioners


168
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Phoenix Hlth Plans Inc 10160 04759 TENET HEALTHCARE CORP 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
Piedmont Comm Hlthcare HMO Inc 15791 04845 PIEDMONT COMM HLTH GRP
Piedmont Comm Hlthcare Inc 95811 04845 PIEDMONT COMM HLTH GRP
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 04822 F&R HOLDINGS GRP
Preferred Care Partners Inc 11176 00707 UNITEDHEALTH GRP
Preferred Ins Affil Inc 15595 04819 PREFERRED INS GRP
Preferred Ins Serv Inc 14080 04819 PREFERRED INS GRP
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 00429 GUARDIAN LIFE GRP
Premier Hlth Insuring Corp 15530 04816 PREMIER HLTH PARTNERS GRP
Premier Hlth Plan Inc 15484 04816 PREMIER HLTH PARTNERS GRP
Presbyterian Hlth Plan Inc 95330 00481 PRESBYTERIAN HLTHCARE SERV GRP
Presbyterian 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
Priority Hlth Ins Co 12208 03383 SPECTRUM HLTH GRP
ProCare Advantage LLC 16477 00000
Prominence HealthFirst 95793 04954 UNIVERSAL HLTH SERV INC GRP
Prominence HealthFirst of TX Inc 15452 04954 UNIVERSAL HLTH SERV INC GRP
Prominence Preferred Hlth ins Co 11079 04954 UNIVERSAL HLTH SERV INC GRP
Providence Hlth Assur 15203 04788 PROVIDENCE HLTH GRP
Providence Hlth Plan 95005 04788 PROVIDENCE HLTH GRP
Provider Partners Hlth Plan Inc 15719 04842 PROVIDER PARTNERS HLTH GRP
Provider Partners Hlth Plan of OH In 16362 04842 PROVIDER PARTNERS HLTH GRP
Provider Partners Hlth Plan of PA In 14458 04842 PROVIDER PARTNERS HLTH GRP
PruittHealth Premier Inc 15730 04921 UNICO PREMIER GRP
PruittHealth Premier NC LLC 16360 04921 UNICO PREMIER GRP
Pupil Benefits Plan Inc 55271 00000

© 2019 National Association of Insurance Commissioners


169
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

QCA Hlth Plan Inc 95448 01295 CENTENE CORP GRP


QCC Ins Co 93688 00936 INDEPENDENCE HLTH GRP INC GRP
Qualchoice Advantage Inc 15751 04807 CATHOLIC HLTH INITIATIVES GRP
Qualchoice Life & Hlth Ins Co Inc 70998 01295 CENTENE CORP GRP
Quality Hlth Plans of NY Inc 13691 04685 QHP GRP
Quartz Hlth Benefit Plans Corp 95796 04870 UNIVERSITY HLTH CARE & GUNDERSEN L
Quartz Hlth Ins Corp 95341 04870 UNIVERSITY HLTH CARE & GUNDERSEN L
Quartz Hlth Plan Corp 95101 04870 UNIVERSITY HLTH CARE & GUNDERSEN L
Red Tree Ins Co Inc 13646 04763 NORTHEAST DELTA DENTAL 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 HLTH GRP INC GRP
Renaissance Life & Hlth Ins Co of Am 61700 00477 RENAISSANCE HLTH SERV CORP GRP
RiverLink Hlth 15499 04807 CATHOLIC HLTH INITIATIVES GRP
RiverLink Hlth of KY Inc 15486 04807 CATHOLIC HLTH INITIATIVES GRP
Rocky Mountain Hmo Inc 95482 00707 UNITEDHEALTH GRP
Rocky Mountain Hospital & Medical 11011 00671 ANTHEM INC GRP
Ryder Hlth Plan Inc 95743 00000
SAFEGUARD HLTH PLANS INC 52009 00241 METROPOLITAN GRP
SHA LLC 95138 00600 SCOTT & WHITE GRP
SIMPRA Advantage Inc 16103 00000
SSM Hlth Plan 16474 01294 DEAN HLTH GRP
Safeguard Hlth Plans Inc 95051 00241 METROPOLITAN GRP
Safehealth Life Ins Co 79014 00241 METROPOLITAN GRP
Samaritan Hlth Plans Inc 12257 04960 SAMARITAN HLTH SERV GRP
Sanford Heart of Amer Hlth Plan 52554 01246 SANFORD HLTH GRP
Sanford Hlth Plan 95683 01246 SANFORD HLTH GRP
Sanford Hlth Plan of MN 95725 01246 SANFORD HLTH GRP
Sapphire Edge Inc 15901 04858 BCBS OF NE GRP
Scott & White Care Plans 16426 00600 SCOTT & WHITE GRP
Scott & White Hlth Plan 95099 00600 SCOTT & WHITE GRP
Security Hlth Plan of WI Inc 96881 00000
SecurityCare of TN Inc 15005 03498 BCBS OF TN GRP

© 2019 National Association of Insurance Commissioners


170
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Select Hlth of SC Inc 95458 00936 INDEPENDENCE HLTH GRP INC GRP
SelectHealth Benefit Assur Co Inc 63245 00880 IHC INC GRP
SelectHealth Inc 95153 00880 IHC INC GRP
Selectcare Hlth Plans Inc 10768 01199 WELLCARE GRP
Selectcare of TX Inc 10096 01199 WELLCARE GRP
Sendero Hlth Plans Inc 14151 00000
Senior Whole Hlth of NY Inc 12776 01260 MAGELLAN HLTH INC GRP
SeniorDent Dental Plan Inc 13211 04822 F&R HOLDINGS GRP
Sentara Hlth Ins Co of NC 15637 01183 SENTARA HLTH MGMT GRP
Seton Hlth Plan Inc 95240 04859 ASCENSION HLTH GRP
Seton Ins Co 15906 04859 ASCENSION HLTH GRP
Sidney Hillman Hlth Centre 54259 00000
Sierra Hlth & Life Ins Co Inc 71420 00707 UNITEDHEALTH GRP
Sightcare Inc 47012 00000
Signature Advantage LLC 15731 00000
SilverScript Ins Co 12575 00001 CVS GRP
SilverSummit Healthplan Inc 16143 01295 CENTENE CORP GRP
Simply Hlthcare Plans Inc 13726 00671 ANTHEM INC GRP
Single Vision Solution Inc 11082 00000
Solis Hlth Plans Inc 16313 00000
Solstice Benefits Inc 12341 04866 SOLSTICE GRP
Solstice Health Ins Co 13971 04866 SOLSTICE GRP
Soundpath Hlth 12909 04807 CATHOLIC HLTH INITIATIVES GRP
South Dakota State Med Holding Co 96598 00000
Southeastern IN Hlth Org Inc 95812 00000
Southwest Life & Hlth Ins Co 66117 00600 SCOTT & WHITE GRP
Spartan Plan IL Inc 16150 04896 SPARTAN PLAN HOLDINGS GRP
Spartan Plan NY Inc 16166 04896 SPARTAN PLAN HOLDINGS GRP
Spartan Plan PA Inc 16127 04896 SPARTAN PLAN HOLDINGS GRP
Spartan Plan VA Inc 16149 04896 SPARTAN PLAN HOLDINGS GRP
Stableview Hlth Inc 15487 04807 CATHOLIC HLTH INITIATIVES GRP
Sterling Dental Serv LLC 11953 04927 STERLING DENTAL GRP
Sterling Dental of N Amer LLC 15462 04927 STERLING DENTAL GRP
Steward Hlth Choice Inc 15081 00000
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

© 2019 National Association of Insurance Commissioners


171
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Sunshine Hlth Comm Solutions Inc 15927 01295 CENTENE CORP GRP
Sunshine State Hlth Plan Inc 13148 01295 CENTENE CORP GRP
Superior Dental Care Inc 96280 00730 MEDICAL MUT OF OH GRP
Superior HealthPlan Comm Solutions I 15912 01295 CENTENE CORP GRP
Superior Hlthplan Inc 95647 01295 CENTENE CORP GRP
Superior Vision Ins Inc 60188 04879 CENTERBRIDGE CAPITAL PARTNERS GRP
Superior Vision Ins Plan of WI Inc 52005 04879 CENTERBRIDGE CAPITAL PARTNERS GRP
Superior Vision of NJ Inc 14189 04879 CENTERBRIDGE CAPITAL PARTNERS GRP
Symphonix Hlth Ins Inc 84549 00707 UNITEDHEALTH GRP
THP Ins Co 60016 01297 HEALTH PLAN GRP
TRH Hlth Ins Co 89005 04677 TENNESSEE RURAL HLTH GRP
TSG Guard Inc 16363 00000
Takecare Ins Co Inc 11093 00000
Texas BCBS Ins Co 15941 00917 HCSC GRP
Texas Bluebonnet Ins Co 15813 04828 CHILDRENS HLTH SYSTEM OF TX GRP
Texas Childrens Hlth Plan Inc 95329 00000
Texas Hlth + Aetna Hlth Ins Co 16121 00001 CVS GRP
Texas Hlth + Aetna Hlth Plan Inc 16132 00001 CVS GRP
The Dental Concern Inc 54739 00119 HUMANA GRP
The Dental Network Inc 13130 00380 CAREFIRST INC GRP
The Hlth Plan of OH Inc 95195 01297 HEALTH PLAN GRP
The Hlth Plan of WVA Inc 95677 01297 HEALTH PLAN GRP
The Vt Hlth Plan LLC 95696 04745 BCBS OF VT GRP
Timber Products Manufacturers Trust 12239 00000
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
Trillium Comm Hlth Plan Inc 12559 01295 CENTENE CORP GRP
Trilogy Hlth Ins Inc 12834 00000
Triple S Advantage Inc 11152 04802 TRIPLE S GRP
Triple S Salud Inc 55816 04802 TRIPLE S GRP
TruAssure Ins Co 92525 00115 DELTA DENTAL PLAN OF IL GRP
TruAssure Ins Co of CO 16007 00115 DELTA DENTAL PLAN OF IL GRP
True Hlth NM Inc 16281 04946 EVOLENT HLTH GRP
Trusted Hlth Plan DC Inc 14225 04893 TRUSTED HLTH PLANS GRP
Trusted Hlth Plan MI Inc 11081 04893 TRUSTED HLTH PLANS GRP

© 2019 National Association of Insurance Commissioners


172
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Tufts Associated Hlth Maintenance Or 95688 04742 TUFTS GRP


Tufts Hlth Freedom Ins Co 15737 04742 TUFTS GRP
Tufts Hlth Public Plans Inc 14131 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 00549 SUN LIFE ASSUR CO OF CN GRP
UDC of MI Inc 11111 00549 SUN LIFE ASSUR CO OF CN GRP
UNITED CONCORDIA DENTAL PLANS 95253 00812 HIGHMARK GRP
UNITED CONCORDIA DENTAL PLNS OF MW 96150 00812 HIGHMARK GRP
UNITED DENTAL CARE OF MO INC 47044 00549 SUN LIFE ASSUR CO OF CN GRP
UPMC For You Inc 11995 01324 UPMC HLTH SYSTEM GRP
UPMC Hlth Coverage Inc 15451 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
US Hlth & Life Ins Co Inc 97772 00000
USAble Mut Ins Co 83470 00876 ARKANSAS BCBS GRP
UTMB Hlth Plans Inc 95764 00000
Ultimate Hlth Plans Inc 14243 00000
Unicare Hlth Plan of WV Inc 11810 00671 ANTHEM INC GRP
Union Hlth Serv Inc 52553 00000
Union Medical Center 54127 00000
Union Security DentalCare of NJ Inc 11244 00549 SUN LIFE ASSUR CO OF CN 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 Dental Care Of TX Inc 95142 00549 SUN LIFE ASSUR CO OF CN GRP
United Dental Care Of UT Inc 95450 00549 SUN LIFE ASSUR CO OF CN GRP
United Dental Care of AZ Inc 47708 00549 SUN LIFE ASSUR CO OF CN GRP
United Dental Care of CO Inc 52032 00549 SUN LIFE ASSUR CO OF CN GRP
United Dental Care of NM Inc 47042 00549 SUN LIFE ASSUR CO OF CN 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

© 2019 National Association of Insurance Commissioners


173
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

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 OH Inc 95186 00707 UNITEDHEALTH GRP
United Hlthcare of UT Inc 95501 00707 UNITEDHEALTH GRP
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 Midwest Inc 96385 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 GA Inc 13168 00707 UNITEDHEALTH GRP
Unitedhealthcare Comm Plan of TX LLC 11141 00707 UNITEDHEALTH GRP
Unitedhealthcare of NM Inc 13214 00707 UNITEDHEALTH GRP
University Hlth Alliance 47953 00000
University Hlth Care Inc 52621 00000
University of MD Hlth Advantage Inc 15528 04854 UMMS HLTH PLAN GRP
University of UT Hlth Plans 15648 00000
Upper Peninsula Hlth Plan LLC 52615 04734 APOLLO GLOBAL MGMT GRP
VSP Vision Care Inc 53031 01189 VISION SERV PLAN GRP

© 2019 National Association of Insurance Commissioners


174
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

Value Behavioral Hlth of PA Inc 47025 00965 FHC HLTH SYSTEMS GRP
Value Options of TX Inc 95799 00965 FHC HLTH SYSTEMS GRP
ValueOptions of NJ Inc 15448 00965 FHC HLTH SYSTEMS GRP
Vantage Hlth Plan Inc 95584 00438 LOUISIANA HLTH SERV GRP
Vibra Hlth Plan Inc 15793 01230 CAPITAL BLUE CROSS 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 Serv Plan 54380 01189 VISION SERV PLAN GRP
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 IL NFP 12516 01189 VISION SERV PLAN GRP
Vista Hlth Plan Inc 96660 00936 INDEPENDENCE HLTH GRP INC GRP
Viva Hlth Inc 95322 00000
Voluntary Employees Benefit Assn of 12867 00000
Volunteer State Hlth Plan Inc 14046 03498 BCBS OF TN GRP
WMI Mut Ins Co 68420 00000
WPS Hlth Plan Inc 10159 00068 WISCONSIN PHYSICIANS SERV INS GRP
WellCare Hlth Ins Co of Amer 16343 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 AZ Inc 16253 01199 WELLCARE GRP
WellCare Hlth Plans of KY Inc 15510 01199 WELLCARE GRP
WellCare Hlth Plans of NJ Inc 13020 01199 WELLCARE GRP
WellCare Natl Hlth Ins Co 16342 01199 WELLCARE GRP
WellCare Prescription Ins Inc 10155 01199 WELLCARE GRP
WellCare of AL Inc 16239 01199 WELLCARE GRP
WellCare of CT Inc 95310 01199 WELLCARE GRP
WellCare of Fl Inc 95081 01199 WELLCARE GRP
WellCare of GA Inc 10760 01199 WELLCARE GRP
WellCare of KS Inc 14404 01199 WELLCARE GRP
WellCare of ME Inc 16344 01199 WELLCARE GRP
WellCare of MS Inc 16329 01199 WELLCARE GRP
WellCare of NE Inc 15951 01199 WELLCARE GRP
WellCare of OH Inc 12749 01199 WELLCARE GRP
WellCare of OK Inc 16117 01199 WELLCARE GRP

© 2019 National Association of Insurance Commissioners


175
HEALTH INSURANCE INDUSTRY AGGREGATES

INDEX OF COMPANIES

Individual
Company Name Company Group Code Group Name
Code

WellCare of SC Inc 11775 01199 WELLCARE GRP


WellCare of TX Inc 12964 01199 WELLCARE 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
Wellmark Synergy Hlth Inc 15935 00770 WELLMARK INC GRP
Wellmark Value Hlth Plan Inc 15934 00770 WELLMARK INC GRP
West Virginia Family Hlth Plan Inc 15020 00812 HIGHMARK GRP
West Virginia Senior Advantage Inc 15955 00000
Western Grocers Employee Benefit Tru 12339 00000
Western Sky Community Care Inc 16351 01295 CENTENE CORP GRP
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
Wisconsin Collaborative Ins Co 15929 00671 ANTHEM INC GRP
Wisconsin Physicians Serv Ins Corp 53139 00068 WISCONSIN PHYSICIANS SERV INS GRP
Wyssta Ins Co Inc 12352 03849 DELTA DENTAL OF WI GRP

© 2019 National Association of Insurance Commissioners


176

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