Market Snapshot - Individual Medical
| Company (State of Domicile) NAIC# |
Number Insured1 |
Market Share |
| |
12/31/10 |
12/31/11 |
09/30/12 |
12/31/10 |
12/31/11 |
09/30/12 |
| Companies Currently Offering Coverage: |
| Anthem BC/BS (Maine) - 52618 |
|
|
|
|
|
|
| - PPO |
17,478 |
16,210 |
16,463 |
48% |
47% |
48% |
| - HMO Maine2 |
13 |
10 |
13 |
0% |
0% |
0% |
| Mega Life & Health (OK) 97055 |
12,969 |
12,513 |
12,635 |
36% |
37% |
37% |
| HPHC 189753 |
4,961 |
4,922 |
4,361 |
14% |
14% |
13% |
| Aetna Health (Maine) 95517 |
13 |
15 |
19 |
0% |
0% |
0% |
| Harvard Pilgrim (MA) 96911 |
2 |
2 |
2 |
0% |
0% |
0% |
| Subtotal |
35,436 |
33,672 |
33,493 |
98% |
98% |
99% |
| Companies Renewing
but Not Offering New Coverage: |
| Golden Rule (IL) 62286 |
244 |
203 |
172 |
1% |
1% |
1% |
| Washington National (IL) 70319 |
66 |
55 |
47 |
0% |
0% |
0% |
| Prudential (NJ) 68241 |
72 |
60 |
51 |
0% |
0% |
0% |
| AXA Equitable Life 62944 |
73 |
71 |
60 |
0% |
0% |
0% |
| American Republic (IA) 60836 |
52 |
48 |
41 |
0% |
0% |
0% |
| Metropolitan Life 65978 |
35 |
29 |
25 |
0% |
0% |
0% |
| Other |
84 |
67 |
57 |
0% |
0% |
0% |
| Subtotal |
626 |
533 |
453 |
2% |
2% |
1% |
| TOTAL |
36,062 |
34,205 |
33,946 |
100% |
100% |
100% |
| 1 Unavailable data is estimated
and shown in bold. Yearly totals for Number Insured
reflect actual counts submitted from 940 reports and may differ
slightly from financial statement data. |
| 2 HMO Maine is a line of business
of Anthem Blue Cross and Blue Shield. |
| 3 HPHC data is the most recent information available on the Dirigo Health website. |
| Recent Rate Increases |
| Aetna Health |
15.0% |
6 |
policies |
7/1/2006 |
|
American Republic |
13.4% |
37 |
|
4/1/2010 |
|
Anthem |
1.7% |
16,220 |
lives |
7/1/2012 |
AWLP-128240760 |
| 5.2% |
11,000 |
|
7/1/2011 |
AWLP-127007693 |
Central United Limited |
12.0% |
1 |
|
2/1/2012 |
CEUL-127709884 |
Golden Rule | 9.5% |
253 |
lives |
5/1/2011 |
AMMS-126960130 |
Harvard Pilgrim | 9.5% |
3 |
lives |
12/1/2011 |
HPHC-127614099 |
HPHC (Dirigo Choice) |
-8.8% |
909 |
contracts |
1/1/2013 |
HPHC-128747043 |
| 12.5% |
675 |
policies |
7/1/2012 |
HPHC-128237562 |
| 9.7% |
915 |
lives |
4/1/2012 |
HPHC-127951658 |
| 13.0% |
1,764 |
lives |
1/1/2012 |
HPHC-127689250 |
HPHC Standardized |
7.1% |
2 |
lives |
12/1/2012 |
HPHC-128710058 |
MEGA |
3.0% |
6,133 |
|
7/1/2011 |
MGCA-127127922 |
Metropolitan | 9.9% |
26 |
|
3/1/2011 |
HUMA-127830972 |
Principal | 13.0% |
1 |
policy |
2/1/2009 |
|
Prudential |
22.0% |
3 |
policies |
11/28/2010 |
PRUD-126796373 |
| 30.0% |
9 |
policies |
11/7/2010 |
PRUD-126764720 |
Trustmark |
32.0% |
1 |
life |
1/1/2009 |
|
United American | 10.0% |
1 |
policy |
9/15/2008 |
|
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 |
MEGA |
6.5% |
12,635 |
lives |
12/1/2012 |
MGCA-128251458 |
MEGA (New Business Rates) |
|
|
|
|
MGCA-128515571 |
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
