Market Snapshot - Small Group Health
| Company (State of Domicile) NAIC# |
Number Insured |
Market Share |
| HMO (Including Standardized and POS): |
| HMO Maine
(Anthem BC/BS) (Maine)1 52618 |
9,291 |
4,668 |
9% |
5% |
| Harvard Pilgrim (MA) 96911 |
5,954 |
4,824 |
6% |
5% |
| Aetna Health (Maine) 95517 |
1,268 |
941 |
1% |
1% |
| Subtotal |
16,513 |
10,433 |
17% |
11% |
| Indemnity (Including Standardized) and PPO: |
| Aetna Life (CT) 60054 |
29,916 |
25,411 |
30% |
27% |
| Anthem BC/BS (Maine) - PPO 52618 |
41,478 |
42,946 |
42% |
46% |
| HPHC (MA) 18975 |
7,438 |
12,196 |
8% |
13% |
| MEGA Life & Health (OK) 97055 |
1,560 |
1,351 |
2% |
1% |
| Excellus (NY) 551072 |
1,213 |
1,155 |
1% |
1% |
| United Healthcare (CT) 79413 |
284 |
554 |
0% |
1% |
| HM Life (PA) 93440 |
206 |
156 |
0% |
0% |
| Guardian (NY) 64246 |
139 |
124 |
0% |
0% |
| John Alden (MN) 65080 |
6 |
0 |
0% |
0% |
| Transamerica Life (IA) 79413 |
3 |
3 |
0% |
0% |
| Subtotal |
82,243 |
83,896 |
83% |
89% |
| Total |
98,756 |
94,329 |
100% |
100% |
| 1 HMO Maine is a line of business
of Anthem Blue Cross and Blue Shield. |
| 2 Excellus is not licensed in
Maine but covers some small employers through a group plan issued
to Dairylea, an agricultural cooperative. |
| Average Rate Increases |
| Following
are the average small group rate increases weighted by premium across the entire market
by calendar year. Figures for 2001 and for the current year are based on a partial
year's data, but represent an annual increase. |
2001 |
33% |
2002 |
29% |
2003 |
16% |
2004 |
6% |
2005 |
13% |
2006 |
8% |
2007 |
14% |
2008 |
10% |
2009 |
15% |
2010 |
21% |
2011 |
17% |
2012
|
11% |
| Recent Rate Increases |
Aetna Health |
2.5% |
196 |
HMO |
10/1/2012 |
AETN-128611788 |
| -4.2% |
139 |
HMO |
7/1/2012 |
AETN-128320978 |
| -6.1% |
129 |
HMO |
4/1/2012 |
AETN-128056758 |
| -6.1% |
273 |
HMO |
1/1/2012 |
AETN-127783341 |
| -1.3% |
154 |
HMO |
10/1/2011 |
AETN-127341086 |
Aetna Life |
11.8% |
6,748 |
PPO |
7/1/2012 |
AETN-128319145 |
| 7.3% |
4,274 |
PPO |
4/1/2012 |
AETN-128056900 |
| 6.7% |
9,540 |
PPO |
1/1/2012 |
AETN-127783507 |
| 8.8% |
5,184 |
PPO |
10/1/2011 |
AETN-127341970 |
| 11.0% |
6,894 |
PPO |
7/1/2011 |
AETN-127137916 |
Anthem BC/BS (HMO and PPO) |
13.9% |
7,860 |
All |
10/1/2012 |
AWLP-128603150 |
| 14% |
8,999 |
HMO & PPO |
7/1/2012 |
AWLP-128307870 |
| 10.5% |
7,886 |
HMO & PPO |
4/1/2012 |
AWLP-128016900 |
| 13% |
16,799 |
HMO & PPO |
1/1/2012 |
|
| 21.2% |
9,163 |
HMO & PPO |
10/1/2011 |
AWLP-127339393 |
Excellus (Dairylea) |
13% |
1,033 |
All others |
1/1/2011 |
MUSA-126885032 |
| 4.5% |
101 |
Senior Plan |
1/1/2011 |
MUSA-126885094 |
Guardian |
4% |
0 |
PPO & Indemnity |
10/1/2010 |
GARD-126743785 |
| 10% |
135 |
PPO & Indemnity |
7/1/2010 |
GARD-126587928 |
| 2% |
0 |
PPO & Indemnity |
4/1/2010 |
GARD-126467704 |
| 6% |
0 |
PPO & Indemnity |
1/1/2010 |
|
Harvard Pilgrim |
5.6% |
1,531 |
HMO |
10/1/2012 |
HPHC-128610909 |
| 6.5% |
880 |
HMO |
7/1/2012 |
HPHC-128052944 |
| 6.3% |
797 |
HMO |
4/1/2012 |
HPHC-128052944 |
| 10.8% |
2,049 |
HMO |
1/1/2012 |
HPHC-127344906 |
| 9.7% |
1,490 |
HMO |
10/1/2011 |
HPHC-127344906 |
HPHC Ins Co |
5.6% |
2,196 |
PPO |
10/1/2012 |
HPHC-128610933 |
| 6.5% |
1,452 |
PPO |
7/1/2012 |
HPHC-128052536 |
| 6.3% |
1,045 |
PPO |
4/1/2012 |
HPHC-128052536 |
| 10.8% |
3,945 |
PPO |
1/1/2012 |
HPHC-127342408 |
| 9.7% |
2,354 |
PPO |
10/1/2011 |
HPHC-127342408 |
HPHC Ins Co (DirigoChoice) |
7.25% |
808 |
DirigoChoice |
10/1/2012 |
HPHC-128588680 |
| 8.9% |
727 |
DirigoChoice |
7/1/2012 |
HPHC-128236998 |
| 12.7% |
783 |
DirigoChoice |
4/1/2012 |
HPHC-127951074 |
| 8.7% |
1,417 |
DirigoChoice |
1/1/2012 |
HPHC-127688229 |
| 8% |
758 |
DirigoChoice |
10/1/2011 |
HPHC-127313025 |
John Alden |
14% |
40 |
PPO & Indemnity |
12/1/2009 |
|
| 14% |
34 |
PPO & Indemnity |
1/1/2009 |
|
United Healthcare |
-6.5% |
181 |
POS & PPO |
10/1/2011 |
UHLC-127341635 |
1 To link to SERFF to view filings, go to .http://www.maine.gov/pfr/insurance/PPACA/HFAI.htm#. Under The Health Filing Access Interface (HFAI), select "Click here to Search Public Filings." You must first agree to the terms of use. Then on the search screen enter a SERFF Tracking Number (displayed above) in the Tracking Number field and click on the Search button. Details about the filing will appear and you can click on the "View Filing" link on left side to see the actual filing. |
| Pending Rate Increases |
Aetna Life |
5% |
5,295 |
PPO |
10/1/2012 |
AETN-128611773 |
United Healthcare |
7.5% |
184 |
PPO and POS |
10/1/2012 |
UHLC-128572021 |
1 To link to SERFF to view filings, go to .http://www.maine.gov/pfr/insurance/PPACA/HFAI.htm#. Under The Health Filing Access Interface (HFAI), select "Click here to Search Public Filings." You must first agree to the terms of use. Then on the search screen enter a SERFF Tracking Number (displayed above) in the Tracking Number field and click on the Search button. Details about the filing will appear and you can click on the "View Filing" link on left side to see the actual filing. |
Source: Bureau of Insurance
Last Updated:
August 23, 2012
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