Health Insurance Plans
25 biggest in US
The Top 25 Health
Insurance Companies
US News and World
Report
downloaded July 2011
The largest U.S. health
insurers collected some
$650 billion in premiums in
2009, the latest year for
which data were available
in early 2011. The top 25,
ranked below by
market share,
accounted for nearly
two-thirds of the total.
Data were provided by the
National Association of
Insurance Commissioners,
whose members direct the
state agencies that license
insurance companies.
Rank Insurer
#1
Unitedhealth Group
#2
Wellpoint Inc. Group
#3
Kaiser Foundation Group
#4
Aetna Group
#5
Humana Group
#6
HCSC Group
#7
Coventry Corp. Group
#8
Highmark Group
#9
Independence Blue
Cross Group
#10
Blue Shield of CA Group
#11
Cigna Health Group
#12
BCBS of MI Group
#13
Health Net of California,
Inc.
#14
BCBS of NJ Group
#15
BCBS of FL Group
#16
Regence Group
#17
BCBS of MA Group
#18
Carefirst Inc. Group
#19
Wellcare Group
#20
HIP Ins. Group
#21
Metropolitan Group
#22
Unumprovident Corp.
Group
#23
Universal Amer Fin Corp.
Group
#24
Lifetime Healthcare Group
#25
BCBS of NC Group
San Diego
Education Report
The Biggest in
California
The Top 10 Health Insurance
Companies in California
US News and World Report
downloaded July 2011
The 10 biggest health insurers
in California are listed below,
ranked by market
share according to the latest
data available from the National
Association of Insurance
Commissioners in early 2011.
Compare quotes from 180+
competing insurers.
Rank Insurer
#1
Kaiser Foundation Health Plan,
Inc.
#2
Blue Cross of California
#3
Health Net of California, Inc.
#4
California Physicians' Service
#5
Pacificare of California
#6
Anthem Blue Cross Life &
Health Ins. Co.
#7
Delta Dental of California
#8
Aetna Health of California, Inc.
#9
Unitedhealthcare Ins. Co.
#10
Aetna Life Ins. Co.
Health Insurance
Plans That Hide
Their Data
Health Insurance California
by Lesley Politi
November 12, 2008
More than 100 health plans
couldn’t be ranked—they
refused to release information
By Avery Comarow
Posted November 7, 2008
No data, no rank. To appear
in the annual U.S. News Best
Health Plans rankings,
managed-care providers have
to turn over data describing
their performance in a host of
clinical and member-
satisfaction measures to our
rankings partner, the National
Committee for Quality
Assurance. They also must
agree to make the information
public.
Most HMOs and point of
service plans—the two plan
types evaluated—did comply
this year. But 126 others,
some of which have hundreds
of thousands of members
(see table), declined. More
was at stake than absence
from the rankings. Publicly
disclosing performance data
is a requirement for
accreditation by NCQA,
managed care’s major
credentialing and standards-
setting body.
Blue Cross and Blue Shield of
Texas, the largest commercial
health plan to opt out, was
NCQA-accredited until 2006.
Then it chose to be
accredited by URAC, whose
requirements for data
collection and reporting are
less resource-intensive. “It
was a cost-saving move,”
says company spokesperson
Margaret Jarvis. “Senior
management decided that
NCQA accreditation did not
create a market advantage.”
America's Best
Health Care Plans
Ranked
11/8/2008
Healthy Aging
Top 10 Commercial Plans
1. Harvard Pilgrim Health Care
(Maine, Mass.)
2. Tufts Associated Health
Maintenance Organization
(Mass., N.H., R.I.)
3. Harvard Pilgrim Health Care
of New England (N.H.)
4. Grand Valley Health Plan
(Mich.)
5. Geisinger Health Plan (Pa.)
6. Health New England (Conn.,
Mass.)
7. Anthem Blue Cross and Blue
Shield - Connecticut
8. Group Health Cooperative of
South Central Wisconsin
9. Blue Cross and Blue Shield
of Massachusetts
10. CIGNA HealthCare of New
Hampshire
Top 5 Medicare Plans
1. Preferred Care (N.Y.)
2. Kaiser Foundation Health
Plan of Southern California
3. Geisinger Health Plan (Pa.)
4. Blue Cross and Blue Shield
of Massachusetts
5. Security Health Plan of
Wisconsin
Top 5 Medicaid Plans
1. Fallon Community Health
Plan (Mass.)
2. Neighborhood Health Plan
(Mass.)
3. Excellus BlueCross
BlueShield (N.Y.)
4. Neighborhood Health Plan of
Rhode Island
5. Kaiser Foundation Health
Plan of Hawaii
SOURCE: BUSINESS WIRE
NCQA Ratings 2010-2011
Rank Plan Name Type Score Accreditaion States URL
1 Harvard Pilgrim Health Care HMO/POS 90.5 Yes MA, ME http://www.harvardpilgrim.org
2 Tufts Associated Health Maintenance HMO/POS 90.4 Yes MA, NH, RI http://www.tufts-healthplan.com
3 Harvard Pilgrim Health Care of New England HMO/POS 89.8 Yes NH http://www.harvardpilgrim.org
4 Capital Health Plan HMO 89.2 Yes FL http://www.capitalhealth.com
5 Geisinger Health Plan HMO/POS 89 Yes PA http://www.thehealthplan.com
6 Grand Valley Health Plan HMO 88.9 Yes MI http://www.gvhp.com
7 Group Health Cooperative of South Central Wisconsin HMO 88.4 Yes WI http://www.ghcscw.com
8 Fallon Community Health Plan HMO/POS 88.1 Yes MA http://www.fchp.org
9 Kaiser Foundation Health Plan of Colorado HMO 87.9 Yes CO http://www.kp.org
10 Health New England HMO/POS 87.7 Yes MA http://www.healthnewengland.com
11 Blue Cross and Blue Shield of Massachusetts HMO/POS 87.6 Yes MA http://www.bcbsma.com
12 CIGNA HealthCare of New Hampshire HMO/POS 87.5 Yes NH http://www.cigna.com
13 Priority Health HMO 87.3 Yes MI http://www.priorityhealth.com
14 HealthAmerica Pennsylvania HMO/POS 87.1 Yes PA http://www.cvty.com
15 Health Net of Connecticut HMO/POS 87.1 Yes CT http://www.healthnet.com
16 Independent Health Association HMO/POS 87 Yes NY http://www.independenthealth.com
17 Anthem Blue Cross and Blue Shield in New Hampshire HMO/POS 86.9 Yes NH http://www.anthem.com
17 Anthem Health Plan of New Hampshire HMO/POS 86.9 Yes NH http://www.anthem.com
19 HealthPartners HMO/POS 86.8 Yes MN http://www.healthpartners.com
20 Anthem Blue Cross and Blue Shield in Maine HMO/POS 86.8 Yes ME http://www.anthem.com
21 Kaiser Foundation Health Plan of Northern California HMO 86.8 Yes CA http://www.kp.org
22 ConnectiCare HMO/POS 86.7 Yes CT, MA http://www.connecticare.com
22 ConnectiCare of Massachusetts HMO/POS 86.7 Yes MA http://www.connecticare.com
Anthem Cross and Blue Shield - Connecticut HMO/POS 86.7 24 Blue Yes CT http://www.anthem.com
25 Health Alliance Medical Plans HMO/POS 86.6 Yes IA, IL http://www.healthalliance.org
26 HealthPlus of Michigan HMO/POS 86.5 Yes MI http://www.healthplus.org
27 PersonalCare Insurance of Illinois HMO/POS 86.4 Yes IL http://www.personalcare.org
28 Capital District Physicians' Health Plan HMO 86.4 Yes NY http://www.cdphp.com
29 CIGNA HealthCare of Maine HMO/POS 86.4 Yes ME http://www.cigna.com
30 Excellus BlueCross BlueShield HMO/POS 86.2 Yes NY http://www.excellusbcbs.com
31 Kaiser Foundation Health Plan of Southern California HMO 86.2 Yes CA
http://www.kp.org
32 Blue Cross and Blue Shield of Vermont POS 86.2 Yes VT http://www.bcbsvt.com
33 CIGNA HealthCare of Massachusetts HMO/POS 86.2 Yes MA http://www.cigna.com
34 Capital District Physicians' Healthcare Network HMO/POS 86.1 Yes NY http://www.cdphp.com
35 WPS Health Plan HMO/POS 86 Yes WI http://www.wecareforwisconsin.com
36 Security Health Plan of Wisconsin HMO 85.9 Yes WI http://www.securityhealth.org
37 UPMC Benefit Management Services HMO/POS 85.9 Yes PA http://www.upmchealthplan.com
37 UPMC Health Plan HMO/POS 85.9 Yes PA http://www.upmchealthplan.com
39 CIGNA HealthCare Mid-Atlantic HMO/POS 85.9 Yes DC, MD, VA http://www.cigna.com
40 Physicians Health Plan of Mid-Michigan HMO/POS 85.8 Yes MI http://www.phpmm.org
41 AultCare HMO HMO 85.8 Yes OH http://www.aultcare.com
42 Unity Health Plans Insurance HMO/POS 85.7 Yes WI http://www.unityhealth.com
43 Health Alliance Plan of Michigan HMO 85.7 Yes MI http://www.hap.org
44 Medical Associates Health Plan HMO/POS 85.6 Yes IA, IL http://www.mahealthcare.com
44 Medical Associates Health Plans HMO/POS 85.6 Yes WI http://www.mahealthcare.com
46 MVP Health Care HMO/POS 85.6 Yes NY, VT http://www.mvphealthcare.com
47 Kaiser Foundation Health Plan of Hawaii HMO 85.4 Yes HI http://www.kp.org
48 Group Health Cooperative HMO 85.3 Yes ID, WA http://www.ghc.org
49 Keystone Health Plan West HMO 85.2 Yes PA http://www.highmarkbcbs.com
50 Network Health Plan HMO 85.2 Yes WI http://www.networkhealth.com
51 Empire BlueCross BlueShield HMO/POS 85.2 Yes NY http://www.empireblue.com
52 Aetna Health - Connecticut HMO/POS 85.2 Yes CT http://www.aetna.com
53 Kaiser Foundation Health Plan of the Northwest HMO 85.1 Yes OR, WA http://www.kp.org
54 HealthNow New York HMO/POS 85.1 Yes NY http://www.healthnow.org
55 Neighborhood Health Plan HMO 85 Yes MA http://www.nhp.org
56 Aetna Health (New Jersey) - Southern New Jersey HMO/POS 85 Yes NJ http://www.aetna.com
57 CIGNA HealthCare of Connecticut HMO/POS 85 Yes CT http://www.cigna.com
58 Health Net of New York (HMO) HMO 84.8 Yes NY http://www.healthnet.com
58 Health Net of New York (HMO/POS) HMO/POS 84.8 Yes NY http://www.healthnet.com
60 UnitedHealthcare of New England HMO/POS 84.7 Yes CT, MA, NH, RI http://www.uhc.com
61 Kaiser Foundation Health Plan of Georgia (HMO) HMO 84.7 Yes GA http://www.kp.org
62 Dean Health Plan HMO 84.7 Yes WI http://www.deancare.com
63 Oxford Health Plans (CT) HMO/POS 84.7 Yes CT http://www.oxhp.com
64 Medica HMO/POS 84.7 Yes MN, ND, WI http://www.medica.com
65 CIGNA HealthCare of Georgia HMO/POS 84.6 Yes GA http://www.cigna.com
66 Blue Care Network of Michigan HMO 84.5 Yes MI http://www.mibcn.com
67 CIGNA HealthCare of Pennsylvania HMO/POS 84.4 Yes PA http://www.cigna.com
68 SummaCare HMO/POS 84.4 Yes OH http://www.summacare.com
69 Keystone Health Plan Central HMO 84.4 Yes PA http://www.capbluecross.com
70 CIGNA HealthCare of New Jersey HMO/POS 84.4 Yes NJ http://www.cigna.com
71 CIGNA HealthCare of North Carolina HMO/POS 84.4 Yes NC http://www.cigna.com
72 Capital Advantage Insurance POS 84.3 Yes PA http://www.capbluecross.com
73 Kaiser Foundation Health Plan of the Mid-Atlantic States HMO 84.3 Yes DC, MD, VA http://www.kp.org
74 CIGNA HealthCare of Colorado HMO/POS 84.3 Yes CO http://www.cigna.com
75 Aetna Health (Pennsylvania) - Massachusetts HMO/POS 84.3 Yes MA http://www.aetna.com
76 Southern Health Services HMO/POS 84.3 Yes VA http://www.southernhealth.com
77 Optima Health Plan HMO/POS 84.3 Yes VA http://www.optimahealth.com
78 Aetna Health - Maine HMO/POS 84.2 Yes ME http://www.aetna.com
79 Wellmark Health Plan of Iowa HMO/POS 84.1 Yes IA http://www.wellmark.com
80 Health First Health Plans HMO 84.1 Yes FL http://www.health-first.org
81 Univera Healthcare HMO/POS 84.1 Yes NY http://www.univerahealthcare.com
82 Vermont Health Plan, The HMO/POS 84.1 Yes VT http://www.bcbsvt.com
83 CIGNA HealthCare of St. Louis HMO/POS 84 Yes IL, MO http://www.cigna.com
84 CIGNA HealthCare of Tennessee HMO/POS 83.9 Yes TN http://www.cigna.com
85 Kaiser Foundation Health Plan of Ohio HMO 83.8 Yes OH http://www.kp.org
86 CIGNA HealthCare of New York HMO/POS 83.7 Yes NY http://www.cigna.com
87 Blue Cross Blue Shield of Delaware HMO/POS 83.7 Yes DE http://www.bcbsde.com
88 Anthem Blue Cross and Blue Shield in Kentucky HMO/POS 83.7 Yes KY http://www.anthem.com
89 Anthem Blue Cross and Blue Shield in Ohio HMO/POS 83.6 Yes OH http://www.anthem.com
90 UnitedHealthcare of Wisconsin HMO/POS 83.5 Yes WI http://www.uhc.com
91 CIGNA HealthCare of Florida HMO/POS 83.4 Yes FL http://www.cigna.com
92 Aetna Health (Pennsylvania) - Delaware HMO/POS 83.4 Yes DE http://www.aetna.com
93 Blue Cross and Blue Shield of Kansas City, Good Health HMO HMO 83.4 Yes KS, MO
http://www.bcbskc.com
94 Paramount Health Care HMO 83.3 Yes OH http://www.paramounthealthcare.com
95 Anthem Blue Cross and Blue Shield in Indiana HMO/POS 83.3 Yes IN http://www.anthem.com
96 MercyCare HMO 83.3 Yes WI http://www.mercycarehealthplans.com
97 Aetna Health - Pennsylvania HMO/POS 83.2 Yes PA http://www.aetna.com
98 HealthKeepers HMO/POS 83.2 Yes VA http://www.anthem.com
98 Peninsula Health Care HMO/POS 83.2 Yes VA http://www.anthem.com
98 Priority Health Care HMO/POS 83.2 Yes VA http://www.anthem.com
101 UnitedHealthcare of New York POS 83.1 Yes NY http://www.uhc.com
102 Oxford Health Plans (NY) HMO/POS 83.1 Yes NY http://www.oxhp.com
103 First Priority Health HMO 83 Yes PA http://www.bcnepa.com
104 Connecticut General Life Insurance Company (CIGNA OH
Managed Care)
HMO/POS 83 Yes IN, KY, OH http://www.cigna.com
105 Humana Wisconsin Health Organization Insurance HMO/POS 83 Yes WI http://www.humana.com
106 UnitedHealthcare Plan of the River Valley HMO 82.9 Yes IA, IL, TN, VA http://www.uhcrivervalley.com
106 UnitedHealthcare Services of the River Valley HMO 82.9 Yes IA, IL, TN, VA
http://www.uhcrivervalley.com
108 Hawaii Medical Service Association (HMSA) HMO 82.8 Yes HI http://www.HMSA.com
109 PreferredOne Community Health Plan POS 82.7 Yes MN http://www.preferredone.com
110 Aetna Health - New York HMO/POS 82.7 Yes NY http://www.aetna.com
111 AvMed Health Plans HMO/POS 82.7 Yes FL http://www.avmed.org
112 CIGNA HealthCare of Kansas/Missouri HMO/POS 82.7 Yes KS, MO http://www.cigna.com
113 UnitedHealthcare of North Carolina HMO/POS 82.7 Yes NC, SC http://www.uhc.com
114 Medical Mutual of Ohio HMO/POS 82.7 Yes OH http://www.medmutual.com
115 Humana Health Plan of Ohio HMO/POS 82.6 Yes IN, KY, OH http://www.humana.com
116 Kaiser Foundation Health Plan of Georgia (POS) POS 82.6 Yes GA http://www.kp.org
117 BlueChoice HealthPlan of South Carolina HMO/POS 82.6 Yes SC http://www.bluechoicesc.com
118 CIGNA HealthCare of Indiana HMO/POS 82.6 Yes IN http://www.cigna.com
119 Health Net of Arizona HMO 82.6 Yes AZ http://www.healthnet.com