2016 Medicare Supplement Loss Ratios - naic.org · INTRODUCTION Included in this report are the 2016 loss ratios on Medicare supplement business as reported to the National Association

2016 Medicare Supplement Loss Ratios

September 2017

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TABLE OF CONTENTS

2016 MEDICARE SUPPLEMENT LOSS RATIOS INTRODUCTION ................................................................................................................................. 1

Qualifications ........................................................................................................................ 2 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY ......................................................... 3

U.S. and U.S. Territories Summary .......................................................................................... 5 Ten-Year Summary ................................................................................................................ 6 By State Totals ...................................................................................................................... 7 Number of Covered Lives by State Map .................................................................................. 9

INDIVIDUAL POLICIES ISSUED THROUGH 2013 U.S. and U.S. Territories By Direct Premiums Earned .................................................................. 11 U.S. and U.S. Territories By Company Name ......................................................................... 23

INDIVIDUAL POLICIES ISSUED IN 2014, 2015, AND 2016 U.S. and U.S. Territories By Direct Premiums Earned ............................................................ 35 U.S. and U.S. Territories By Company Name ........................................................................ 45

TOTAL INDIVIDUAL POLICIES U.S. and U.S. Territories By Direct Premiums Earned ............................................................ 55 U.S. and U.S. Territories By Company Name ........................................................................ 67

GROUP POLICIES ISSUED THROUGH 2013 U.S. and U.S. Territories By Direct Premiums Earned ............................................................ 79 U.S. and U.S. Territories By Company Name ........................................................................ 85

GROUP POLICIES ISSUED IN 2014, 2015, AND 2016 U.S. and U.S. Territories By Direct Premiums Earned ............................................................ 91 U.S. and U.S. Territories By Company Name ........................................................................ 95

TOTAL GROUP POLICIES U.S. and U.S. Territories By Direct Premiums Earned ............................................................ 99 U.S. and U.S. Territories By Company Name ...................................................................... 105

TOTAL POLICIES (Individual and Group) U.S. and U.S. Territories By Direct Premiums Earned .......................................................... 111 U.S. and U.S. Territories By Company Name ...................................................................... 123

MARKET SHARE BY DIRECT PREMIUMS EARNED ........................................................................... 135 Alabama ............................................................................................................................ 137 Alaska .............................................................................................................................. 138 Arizona ............................................................................................................................. 139 Arkansas ........................................................................................................................... 140 California .......................................................................................................................... 141 Colorado ........................................................................................................................... 142 Connecticut ....................................................................................................................... 143 Delaware ........................................................................................................................... 144 District of Columbia ........................................................................................................... 145 Florida .............................................................................................................................. 146 Georgia ............................................................................................................................. 147 Hawaii .............................................................................................................................. 148 Idaho ................................................................................................................................. 149 Illinois ............................................................................................................................... 150 Indiana .............................................................................................................................. 151 Iowa .................................................................................................................................. 152

© 2017 National Association of Insurance Commissioners

Kansas ............................................................................................................................. 153 Kentucky ........................................................................................................................... 154 Louisiana ........................................................................................................................... 155 Maine ................................................................................................................................ 156 Maryland ........................................................................................................................... 157 Massachusetts .................................................................................................................... 158 Michigan ........................................................................................................................... 159 Minnesota .......................................................................................................................... 160 Mississippi ........................................................................................................................ 161 Missouri ............................................................................................................................ 162 Montana ............................................................................................................................ 163 Nebraska ........................................................................................................................... 164 Nevada .............................................................................................................................. 165 New Hampshire ................................................................................................................. 166 New Jersey ........................................................................................................................ 167 New Mexico ...................................................................................................................... 168 New York ......................................................................................................................... 169 North Carolina ................................................................................................................... 170 North Dakota ..................................................................................................................... 171 Ohio .................................................................................................................................. 172 Oklahoma .......................................................................................................................... 173 Oregon .............................................................................................................................. 174 Pennsylvania ..................................................................................................................... 175 Rhode Island ..................................................................................................................... 176 South Carolina ................................................................................................................... 177 South Dakota ..................................................................................................................... 178 Tennessee .......................................................................................................................... 179 Texas ................................................................................................................................ 180 Utah .................................................................................................................................. 181 Vermont ............................................................................................................................ 182 Virginia ............................................................................................................................. 183 Washington ....................................................................................................................... 184 West Virginia .................................................................................................................... 185 Wisconsin ......................................................................................................................... 186 Wyoming .......................................................................................................................... 187 Guam ................................................................................................................................ 188 N. Mariana Islands ....................................................................................................................... 189 Puerto Rico........................................................................................................................ 190 U.S. Virgin Islands ............................................................................................................. 191

COMPANY INDEX ..................................................................................................................... 193 Sample Medicare Supplement Insurance Exhibit ............................................................................... 207

© 2017 National Association of Insurance Commissioners

INTRODUCTION Included in this report are the 2016 loss ratios on Medicare supplement business as reported to the National Association of Insurance Commissioners (NAIC). Reporting of these loss ratios, on forms conforming to those developed by the NAIC, is required by the Medicare Catastrophic Coverage Act of 1988, Public Law 100-360. Although major provisions of the Catastrophic Coverage Act were repealed one year later, this reporting requirement was left intact. The data reported are utilized by state insurance departments to help evaluate insurers’ compliance with loss ratio standards for Medicare supplement policies. A copy of the experience exhibit, which is used to collect the data, is included. The filing deadline for the 2016 exhibit was March 1, 2017. This exhibit is submitted by companies filing the life/health, property/casualty, health and fraternal annual statement blanks. This report shows direct premiums earned, market share, direct claims incurred, loss ratios, and number of covered lives on a countrywide basis for 3,960 filings by 305 insurers filing Medicare Supplement Insurance Experience Exhibits with the NAIC. The report lists companies in descending order of direct premiums earned and in alphabetical order by name. The report also shows insurers’ experience separately for: 1) individual policies issued through 2013; 2) individual policies issued in 2014, 2015, and 2016; 3) total individual policies; 4) group policies issued through 2013; 5) group policies issued in 2014, 2015, and 2016; 6) total group policies; and 7) total individual and group policies. Also included at the beginning of the report is a table presenting aggregated data for all companies reporting. Insurers reported total direct premiums earned in 2016 of $28.1 billion, with direct claims incurred of $21.8 billion for all Medicare supplement policies. This resulted in a 77.8% loss ratio. A second table presents a 10-year summary of totals for the years 2007 through 2016. This table reflects the numbers reported in prior-year Medicare Supplement Loss Ratio Reports. Because companies report this data on a year-to-year basis, there might be some differences between the current-year data and historical data. The majority of the Medicare supplement insurance market is written through individual policies. Total direct premiums earned for individual policies were $20.6 billion, with direct claims incurred of $15.9 billion in 2016. This resulted in a 77.3% loss ratio. The loss ratio for individual policies issued through 2013 was slightly lower, at 75.7%. The loss ratio for individual policies issued in 2014, 2015, and 2016 was higher, at 81.0%. Total direct premiums earned for all group policies in 2016 were $7.5 billion, with total direct claims incurred of $5.9 billion, resulting in a 79.1% loss ratio. The loss ratio for group policies issued through 2013 was slightly higher, at 79.2%, whereas the loss ratio for group policies issued in 2014, 2015, and 2016 was slightly lower, at 78.8%. Beginning with the 1994 filings, companies are to report the number of covered lives for each policy form. Total covered lives reported in 2016 for individual and group policies was 12.7 million. In the event that a company has exited this business or was unable to provide the number of covered lives, zeros appear.

© 2017 National Association of Insurance Commissioners 1

A market share report containing the top 10 companies by direct premiums earned doing business in each state is included in this publication. A map and report with number of covered lives by state is included in the Summary section. The Company Index includes all 305 insurers, summary totals for each company’s premiums and number of covered lives for those years prior to 2013, and a summary total for premiums and number of covered lives for the years 2014, 2015, and 2016.

Qualifications The accuracy of the reports included in this publication is dependent on the accuracy of the information contained in the exhibits filed by insurers. Even though the data elements used to prepare the reports are extracted from exhibits filed with the NAIC, the NAIC cannot verify or guarantee their accuracy. While the NAIC exercises a great deal of care in capturing data from these exhibits and producing these 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 [email protected]. Links to this report and other NAIC reports can be found on the NAIC website at: NAIC Publications.


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http://www.naic.org/prod_serv_statistical.htm#medsupp_loss

MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY



NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS

2016 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY

U.S. and U.S. Territories

Direct

Direct Direct Claims Incurred

Premiums Claims To Premium

Earned Incurred Earned

Experience on

Individual Policies Issued in 2013: 14,167,707,010 10,718,698,427 75.66%

Experience on

Individual Policies Issued in 2014, 2015 and 2016: 6,452,691,577 5,224,667,134 80.97%

Experience on Total

Individual Policies: 20,620,398,587 15,943,365,561 77.32%

Experience on

Group Policies Issued through 2013: 4,854,800,514 3,846,812,777 79.24%

Experience on

Group Policies Issued in 2014, 2015 and 2016: 2,605,014,891 2,053,155,518 78.82%

Experience on Total

Group Policies 7,459,815,405 5,899,968,295 79.09%

Experience on Total

Individual and Group Policies: 28,080,213,992 21,843,333,856 77.8%


NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS2016 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY

U.S. and U.S. Territories

TEN YEAR SUMMARY

Direct Premiums Earned (000’s)

Direct Claims Incurred (000’s)

Direct Claims Incurred to

Premiums Earned

Experience on Total Individual Policies Issued :

2007 14,418,507 11,478,832 79.6%2008 14,798,924 11,754,261 79.4%2009 14,994,367 11,929,890 79.6%2010 15,791,963 12,416,101 78.6%2011 16,510,850 13,171,110 79.8%2012 17,128,702 13,274,193 77.5%2013 17,739,081 13,521,662 76.2%2014 18,546,607 14,069,529 75.9%2015 19,441,936 15,008,885 77.2%2016 20,620,399 15,943,366 77.3%

Experience on Total Group Policies Issued:

2007 4,075,756 3,316,850 81.4%2008 4,227,074 3,439,231 81.4%2009 4,472,932 3,650,329 81.6%2010 4,710,325 3,777,618 80.2%2011 4,910,974 3,957,453 80.6%2012 5,213,811 4,190,292 80.4%2013 5,662,504 4,479,003 79.1%2014 6,213,976 4,889,380 78.7%2015 6,822,324 5,334,041 78.2%2016 7,459,815 5,899,968 79.1%

Experience on Total Individual and Group Policies Issued:

2007 18,494,263 14,795,682 80.0%2008 19,025,998 15,193,491 79.9%2009 19,467,299 15,580,219 80.0%2010 20,502,288 16,193,718 79.0%2011 21,421,824 17,128,563 80.0%2012 22,342,513 17,464,486 78.2%2013 23,401,585 18,000,665 76.9%2014 24,760,583 18,958,909 76.6%2015 26,264,260 20,342,926 77.5%2016 28,080,214 21,843,334 77.8%


State Name


2016 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS

BY STATE TOTALS

Actual

Earned Premiums

Number of

Lives CoveredState Name

Actual

Earned Premiums

Number of

Lives Covered

September 12, 2017

383,325,454 199,358ALABAMA 25,363,779 13,345ALASKA

607,329,981 284,584ARIZONA 368,513,211 204,059ARKANSAS

1,145,362,503 514,026CALIFORNIA 372,051,250 177,866COLORADO

364,914,810 155,219CONNECTICUT 126,878,607 58,510DELAWARE

20,192,345 9,927DISTRICT OF COLUMBIA 2,029,815,355 834,958FLORIDA

757,136,516 346,192GEORGIA 730,038 482GUAM

16,476,842 9,088HAWAII 157,646,895 74,090IDAHO

1,775,087,982 748,367ILLINOIS 826,275,401 366,003INDIANA

626,730,705 291,945IOWA 536,181,328 233,988KANSAS

459,333,209 215,143KENTUCKY 323,592,822 141,012LOUISIANA

161,145,141 72,053MAINE 563,465,191 228,689MARYLAND

689,895,176 304,263MASSACHUSETTS 759,751,337 420,940MICHIGAN

306,166,826 116,464MINNESOTA 333,147,289 150,863MISSISSIPPI

734,204,675 315,136MISSOURI 151,411,170 71,716MONTANA

53,076 34N MARIANA ISLANDS 382,049,234 168,945NEBRASKA

198,311,714 85,417NEVADA 213,454,794 93,433NEW HAMPSHIRE

1,174,277,500 453,727NEW JERSEY 112,178,239 59,020NEW MEXICO

1,198,665,921 462,130NEW YORK 1,007,560,085 468,487NORTH CAROLINA

115,193,575 48,010NORTH DAKOTA 1,170,671,183 613,014OHIO

378,243,196 188,452OKLAHOMA 291,869,615 143,359OREGON

1,398,692,701 660,544PENNSYLVANIA 31,798,931 22,604PUERTO RICO

104,856,636 47,841RHODE ISLAND 523,099,773 250,385SOUTH CAROLINA

141,539,991 64,384SOUTH DAKOTA 631,968,846 290,214TENNESSEE

1,750,487,248 776,575TEXAS 13,328,131 8,865U.S. VIRGIN ISLANDS

145,456,300 72,672UTAH 100,370,183 49,686VERMONT

809,684,100 393,691VIRGINIA 610,964,996 273,727WASHINGTON

186,594,805 92,676WEST VIRGINIA 671,191,427 280,899WISCONSIN

95,525,954 46,469WYOMING

28,080,213,992Total for All States: 12,673,546

CAUTION: THE INFORMATION CONTAINED ON THIS PAGE IS UNAUDITED AND NOT A COMPLETE ANALYSIS NOR IS IT AN EXPRESSION OF OPINION ON ANY INSURER. THIS PAGE MAY

CONTAIN INADVERTENT ERRORS.



Medicare Supplement Insurance Experience Exhibit2016 Number of Covered Lives by States

Canada: No DataVT NH49,686 93,433

MA 304,263RI 47,841CT 155,219

NJ 453,727

DE 58,510MD 228,689DC 9,927

LEGEND0 ‐ 34,02534,025 ‐ 68,05068,050 ‐ 95,504 First Quartile95,504 ‐ 122,958122,958 ‐ 150,412150,412 ‐ 177,866177,866 ‐ 210,824 Median210,824 ‐ 243,783243,783 ‐ 276,741276,741 ‐ 309,700309,700 ‐ 484,786 Third Quartile484,786 ‐ 659,872

Guam (GU) American Samoa (AS) Northern Mariana Islands (MP) Aggregate Other Alien (OT): Puerto Rico (PR) U.S. Virgin Islands (VI) 659,872 ‐ 834,958482 No Data 34 No Data 22,604 8,865 No Data

Minimum 1st Quartile 2nd Quartile 3rd Quartile Maximum34 68,050 177,866 309,700 834,958

WA273,727

OR143,359

ID74,090

MT71,716

CA514,026

NV85,417

UT72,672

WY46,469

ND48,010

SD64,384

MN116,464

AZ284,584

CO177,866

NM59,020

TX776,575

OK188,452

KS233,988

NE168,945

MO315,136

AR204,059

LA141,012

MS150,863

AL199,358

FL834,958

GA346,192

SC250,385

NC468,487TN

290,214

KY215,143

IL748,367

IA291,945

WI280,899

MI420,940

IN366,003

OH613,014

WV92,676 VA

393,691

PA660,544

ME72,053

NY462,130

HI9,088

AK13,345



INDIVIDUAL POLICIES ISSUED THROUGH 2013

BY DIRECT PREMIUMS EARNED




MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS

In Order by Direct Premiums Earned U.S. and U.S. Territories

INDIVIDUAL POLICIES ISSUED THROUGH

Market

Direct Claims

Incurred

Loss Incurred to

Premiums Earned Number of

Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

UnitedHealthcare Ins Co CT 79413 707 2,526,742,724 2,029,040,100 1,013,71517.835 80.3

Health Care Serv Corp A Mut Legal Re IL 70670 917 1,093,102,150 806,886,449 413,4577.715 73.8

United Of Omaha Life Ins Co NE 69868 261 929,691,770 659,761,771 325,5346.562 71.0

Mutual Of Omaha Ins Co NE 71412 261 373,562,764 265,998,094 126,4392.637 71.2

United World Life Ins Co NE 72850 261 337,370,100 229,659,614 96,7752.381 68.1

BCBS of MA MA 53228 3637 325,486,476 299,355,033 138,1242.297 92.0

Wellmark Inc IA 88848 770 299,129,534 238,723,227 116,9612.111 79.8

BCBS of NC Inc NC 54631 758 290,731,795 205,716,220 112,9972.052 70.8

Bankers Life & Cas Co IL 61263 233 286,350,392 195,534,086 85,5002.021 68.3

BCBS Of FL FL 98167 536 268,164,117 228,302,401 118,4061.893 85.1

American Continental Ins Co TN 12321 1 250,691,571 198,420,467 101,7661.769 79.1

Colonial Penn Life Ins Co PA 62065 233 234,518,972 173,546,042 102,2801.655 74.0

Anthem Hlth Plans of VA Inc VA 71835 671 233,662,962 155,936,972 85,9791.649 66.7

State Farm Mut Auto Ins Co IL 25178 176 221,441,506 165,880,176 80,7501.563 74.9

Continental Life Ins Co Brentwood TN 68500 1 214,969,671 184,068,929 88,0551.517 85.6

Highmark Inc PA 54771 812 213,655,425 185,021,050 83,2691.508 86.6

Horizon Ins Co NJ 14690 1202 211,119,451 158,931,885 67,8921.490 75.3

USAble Mut Ins Co AR 83470 876 202,648,797 161,925,656 87,4361.430 79.9

BCBS Of KS Inc KS 70729 430 200,016,912 160,522,834 76,4161.412 80.3

BCBS of AL AL 55433 570 183,421,753 149,667,157 95,9251.295 81.6

USAA Life Ins Co TX 69663 200 181,423,519 142,187,102 74,8561.281 78.4

United Amer Ins Co NE 92916 290 175,097,162 119,391,700 57,1761.236 68.2

Anthem Hlth Plans Of KY Inc KY 95120 671 142,473,110 111,684,390 62,6591.006 78.4

Humana Ins Co WI 73288 119 135,119,632 99,540,174 56,4640.954 73.7

BCBS of GA Inc GA 54801 671 125,812,804 94,627,294 47,2680.888 75.2

Physicians Mut Ins Co NE 80578 367 121,692,672 85,112,107 47,3080.859 69.9

Carefirst of MD Inc MD 47058 380 119,329,272 88,894,165 38,7860.842 74.5

Anthem Ins Co Inc IN 28207 671 119,223,687 84,477,728 40,5170.842 70.9

BCBS of TN Inc TN 54518 3498 114,676,828 79,586,335 28,1690.809 69.4

BCBS Of SC Inc SC 38520 661 110,806,769 72,326,356 41,2450.782 65.3

Gerber Life Ins Co NY 70939 4483 98,611,573 72,222,950 32,4910.696 73.2

Wisconsin Physicians Serv Ins Corp WI 53139 68 94,134,691 59,863,678 28,2370.664 63.6

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.






Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Louisiana Hlth Serv & Ind Co LA 81200 438 86,403,870 67,931,079 33,3970.610 78.6

BCBS Of NE NE 77780 4858 86,358,898 62,846,657 27,8560.610 72.8

Empire Healthchoice Assur Inc NY 55093 671 78,608,604 56,910,497 26,6600.555 72.4

Continental Gen Ins Co TX 71404 78,546,567 55,143,911 23,4990.554 70.2

New Era Life Ins Co TX 78743 520 76,422,504 59,582,274 30,9640.539 78.0

Aetna Life Ins Co CT 60054 1 76,297,005 51,813,685 26,7270.539 67.9

Healthy Alliance Life Ins Co MO 78972 671 76,180,491 53,827,409 29,1960.538 70.7

Noridian Mut Ins Co ND 55891 72,545,007 56,180,687 26,9940.512 77.4

Constitution Life Ins Co TX 62359 4736 71,082,077 49,329,427 18,2350.502 69.4

Omaha Ins Co NE 13100 261 70,032,533 56,204,516 36,6930.494 80.3

Physicians Life Ins Co NE 72125 367 68,865,558 50,566,283 24,9080.486 73.4

Rocky Mountain Hospital & Medical CO 11011 671 68,168,775 44,559,266 25,7470.481 65.4

Loyal Amer Life Ins Co OH 65722 901 67,015,119 50,718,446 22,9380.473 75.7

Sterling Life Ins Co IL 77399 901 66,712,702 48,485,710 25,1420.471 72.7

Philadelphia Amer Life Ins Co TX 67784 520 66,071,686 52,604,633 28,8330.466 79.6

BCBS of WI WI 54003 671 63,137,248 43,700,064 18,5080.446 69.2

Anthem Hlth Plans Inc CT 60217 671 62,787,531 50,351,749 30,0960.443 80.2

Community Ins Co OH 10345 671 61,758,688 45,284,656 24,1970.436 73.3

Bankers Fidelity Life Ins Co GA 61239 587 61,645,153 43,267,074 27,3240.435 70.2

BCBS of AZ Inc AZ 53589 60,187,948 39,115,111 22,3690.425 65.0

Anthem Hlth Plans of NH NH 53759 671 58,466,012 44,523,892 27,0250.413 76.2

Thrivent Financial For Lutherans WI 56014 2938 57,523,657 39,919,833 20,9990.406 69.4

American Republic Ins Co IA 60836 3527 56,571,289 36,420,656 16,4550.399 64.4

Washington Natl Ins Co IN 70319 233 56,450,214 39,506,537 15,9940.398 70.0

Equitable Life & Cas Ins Co UT 62952 54,575,357 44,387,130 19,8020.385 81.3

Standard Life & Accident Ins Co TX 86355 408 53,060,692 38,961,141 22,3360.375 73.4

BCBS of KC MO 47171 537 51,528,180 34,369,379 17,4660.364 66.7

Premera Blue Cross WA 47570 962 51,069,183 36,327,800 18,7130.360 71.1

Forethought Life Ins Co IN 91642 3891 50,764,658 39,434,356 23,4330.358 77.7

Country Life Ins Co IL 62553 50 49,503,971 35,730,558 17,4250.349 72.2

Genworth Life & Ann Ins Co VA 65536 4011 49,361,374 34,101,164 16,2800.348 69.1

Order of United Commercial Travelers OH 56383 48,836,245 33,359,621 13,3180.345 68.3







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

American Republic Corp Ins Co NE 67679 3527 48,812,735 33,648,503 18,2000.345 68.9

Family Life Ins Co TX 63053 1117 47,259,965 37,382,647 15,0000.334 79.1

Wellmark Of SD Inc SD 60128 770 47,106,941 35,868,849 16,3750.332 76.1

American Family Life Assur Co of Col NE 60380 370 45,495,914 36,913,794 16,8850.321 81.1

HPHC Ins Co Inc MA 18975 595 43,165,792 33,028,515 18,4370.305 76.5

Assured Life Assn CO 56499 42,586,965 31,323,865 13,9350.301 73.6

American Retirement Life Ins Co OH 88366 901 41,301,732 32,386,418 20,3540.292 78.4

Central States Ind Co Of Omaha NE 34274 31 40,691,793 31,897,472 20,0070.287 78.4

BCBS of RI RI 53473 39,473,123 31,864,727 16,9100.279 80.7

Anthem Hlth Plans of ME Inc ME 52618 671 39,144,678 31,657,168 14,8670.276 80.9

New Era Life Ins Co Of Midwest TX 69698 520 39,120,964 32,320,741 18,0160.276 82.6

Combined Ins Co Of Amer IL 62146 626 37,613,563 27,603,957 15,0050.265 73.4

Regence BlueShield WA 53902 1207 37,075,095 25,274,939 11,8790.262 68.2

Old Surety Life Ins Co OK 67326 36,065,475 25,082,457 16,6030.255 69.5

Medico Ins Co NE 31119 3527 34,792,123 27,310,758 12,6360.246 78.5

Independence Hospital Ind Plan Inc PA 54704 936 33,322,849 25,006,803 23,2330.235 75.0

Everence Assn Inc IN 57991 4616 32,914,364 22,903,173 14,5280.232 69.6

Sentinel Security Life Ins Co UT 68802 4824 31,137,080 23,269,458 10,5160.220 74.7

Reserve Natl Ins Co OK 68462 215 29,977,016 21,233,196 10,7820.212 70.8

Christian Fidelity Life Ins Co TX 61859 574 29,973,619 19,461,377 7,4800.212 64.9

BCBS Of MS Mut Ins Co MS 60111 1126 28,432,828 23,159,525 9,6420.201 81.5

Royal Neighbors Of Amer IL 57657 28,062,261 19,175,830 7,2690.198 68.3

American Family Mut Ins Co WI 19275 473 27,107,839 17,229,616 7,8360.191 63.6

Dean Hlth Plan Inc WI 96156 1294 26,196,520 30,244,556 16,2900.185 115.5

Health Net Life Ins Co CA 66141 1295 26,016,554 20,086,048 9,2390.184 77.2

Regence BCBS of UT UT 54550 1207 25,838,160 16,154,991 8,9860.182 62.5

Government Personnel Mut Life Ins Co TX 63967 4712 23,256,506 19,151,453 10,5480.164 82.3

Capital Blue Cross PA 54720 1230 23,181,655 18,881,160 15,3740.164 81.4

Golden Rule Ins Co IN 62286 707 22,663,460 16,386,042 7,9910.160 72.3

Capital Advantage Ins Co PA 41203 1230 20,845,319 16,607,085 15,3750.147 79.7

Blue Care Network Of MI MI 95610 572 20,842,194 14,346,827 7,5850.147 68.8

First United Amer Life Ins Co NY 74101 290 20,728,443 16,218,802 8,3830.146 78.2







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Transamerica Premier Life Ins Co IA 66281 468 20,184,909 15,514,731 6,7200.142 76.9

Pekin Life Ins Co IL 67628 153 19,476,244 13,263,258 6,8490.137 68.1

Regence BCBS of OR OR 54933 1207 18,757,127 11,580,599 5,4990.132 61.7

Excellus Hlth Plan Inc NY 55107 1186 18,680,702 14,973,596 6,5880.132 80.2

Medical Mut Of OH OH 29076 730 17,781,246 12,378,266 6,3470.126 69.6

Transamerica Life Ins Co IA 86231 468 17,669,858 13,766,610 6,4980.125 77.9

Principal Life Ins Co IA 61271 332 17,628,221 14,640,323 5,0560.124 83.1

Heartland Natl Life Ins Co IN 66214 17,502,351 14,407,244 6,5430.124 82.3

Unicare Life & Hlth Ins Co IN 80314 671 16,886,415 11,577,051 5,2350.119 68.6

State Mut Ins Co GA 69132 16,205,658 10,207,747 4,1980.114 63.0

North Amer Ins Co WI 68349 574 16,037,909 13,301,770 4,4500.113 82.9

Blue Cross of ID Hlth Serv Inc ID 60095 1290 15,993,016 11,111,987 5,5780.113 69.5

Oxford Life Ins Co AZ 76112 574 15,819,619 14,447,724 5,6200.112 91.3

BCBS of WY WY 53767 15,695,721 11,202,761 6,0970.111 71.4

Group Hospitalization & Med Srvcs DC 53007 380 14,170,939 11,472,313 5,3150.100 81.0

Pyramid Life Ins Co KS 68284 4736 13,444,083 8,450,807 3,3710.095 62.9

Highmark West Virginia Inc. WV 54828 812 12,671,633 9,056,654 4,5590.089 71.5

Sierra Hlth & Life Ins Co Inc NV 71420 707 12,514,251 9,737,386 3,8250.088 77.8

Avera Hlth Plans Inc SD 95839 12,263,129 8,217,036 00.087 67.0

American Progressive L&H Ins Of NY NY 80624 953 11,571,176 7,836,078 3,3150.082 67.7

Pacificare Life & Hlth Ins Co IN 70785 707 10,571,614 8,496,855 3,8680.075 80.4

Regence Blueshield Of ID Inc ID 60131 1207 10,352,565 7,484,378 3,5140.073 72.3

Guarantee Trust Life Ins Co IL 64211 687 10,236,360 6,244,014 2,5660.072 61.0

Central States H & L Co Of Omaha NE 61751 690 10,235,093 6,782,453 2,8740.072 66.3

Provident Amer Life & Hlth Ins Co OH 67903 901 9,702,318 6,629,642 2,3500.068 68.3

Highmark BCBSD Inc DE 53287 812 9,153,891 6,654,777 3,2380.065 72.7

Sterling Investors Life Ins Co IN 89184 8,995,919 6,424,443 2,1380.063 71.4

Celtic Ins Co IL 80799 1295 8,911,917 6,355,016 2,2140.063 71.3

KSKJ Life Amer Slovenian Catholic Un IL 56227 8,106,502 6,328,022 2,9560.057 78.1

BCBS of VT VT 53295 4745 7,459,336 6,099,913 2,7710.053 81.8

Nationwide Life Ins Co OH 66869 140 7,340,407 5,099,468 2,1430.052 69.5

Globe Life & Accident Ins Co NE 91472 290 7,210,161 6,089,583 3,0210.051 84.5







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Humana Ins Co Of KY KY 60219 119 6,356,307 4,348,210 2,4590.045 68.4

Universal Fidelity Life Ins Co OK 70122 5,976,313 4,246,308 1,9550.042 71.1

United Natl Life Ins Co Of Amer IL 92703 687 5,893,177 4,785,925 2,1130.042 81.2

Pennsylvania Life Ins Co PA 67660 4667 5,657,444 3,577,318 1,2160.040 63.2

First Comm Hlth Plan Inc AL 47051 5,575,317 4,079,304 2,8930.039 73.2

Central Reserve Life Ins Co OH 61727 901 5,486,644 3,482,759 1,3340.039 63.5

CDPHP Universal Benefits Inc NY 47027 4708 5,461,985 5,284,838 1,4810.039 96.8

Health Now NY Inc NY 55204 5,433,283 4,991,472 1,6080.038 91.9

Shenandoah Life Ins Co VA 68845 4764 5,422,942 3,544,001 1,1310.038 65.4

Puritan Life Ins Co of Amer TX 71390 4826 5,409,502 3,996,578 1,3620.038 73.9

Coventry Hlth & Life Ins Co MO 81973 1 5,108,193 3,231,344 1,4370.036 63.3

Great Amer Life Ins Co OH 63312 84 5,084,460 3,505,134 1,4660.036 68.9

Lincoln Heritage Life Ins Co IL 65927 4,567,892 2,826,693 1,0030.032 61.9

Security Hlth Plan of WI Inc WI 96881 4,410,318 3,264,821 1,1060.031 74.0

Health Net Hlth Plan of OR Inc OR 95800 1295 4,325,725 4,101,550 1,7710.031 94.8

Group Hlth Inc NY 55239 1127 4,257,220 2,354,199 1,3310.030 55.3

Humana Hlth Ins Co Of FL Inc FL 69671 119 4,193,145 2,707,197 2,0150.030 64.6

Unified Life Ins Co TX 11121 4,036,791 2,144,525 1,1670.028 53.1

Geisinger Ind Ins Co PA 10244 1143 3,975,334 3,461,910 1,4780.028 87.1

The Vt Hlth Plan LLC VT 95696 4745 3,723,115 2,996,480 1,9440.026 80.5

Health Alliance Medical Plans IL 77950 1192 3,520,385 2,282,018 1,0420.025 64.8

Health Tradition Hlth Plan WI 96628 3,392,697 2,592,887 1,3430.024 76.4

Inter Cty Hospitalization Plan Inc PA 54763 936 3,070,079 2,567,584 1,0270.022 83.6

Bankers Conseco Life Ins Co NY 68560 233 2,970,939 2,063,536 1,1040.021 69.5

Sanford Hlth Plan SD 95683 1246 2,937,243 2,407,446 1,1520.021 82.0

LifeWise Hlth Plan of OR Inc OR 84930 962 2,757,647 1,646,199 6130.019 59.7

Humana Ins Co of NY NY 12634 119 2,526,377 1,837,703 9830.018 72.7

Physicians Plus Ins Corp WI 95341 2,509,643 1,674,513 1,0360.018 66.7

Paramount Ins Co OH 11518 1212 2,500,829 1,885,292 9100.018 75.4

Unity Hlth Plans Ins Corp WI 95796 4870 2,275,272 2,286,003 1,0520.016 100.5

Genworth Life Ins Co DE 70025 4011 2,252,097 2,420,552 4880.016 107.5

Liberty Natl Life Ins Co NE 65331 290 2,141,766 1,580,267 1,2860.015 73.8







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

New York Life Ins Co NY 66915 826 2,071,308 1,506,473 5670.015 72.7

Group Hlth Coop of S Central WI WI 95311 2,054,697 2,172,604 7960.015 105.7

Humana Hlth Benefit Plan of LA Inc LA 95642 119 2,054,256 1,096,333 7550.014 53.4

Group Hlth Options Inc WA 47055 1185 2,033,245 1,476,678 8160.014 72.6

BCBSM Inc MN 55026 461 1,969,623 1,243,982 5450.014 63.2

Asuris NW Hlth WA 47350 1207 1,941,096 1,257,385 6440.014 64.8

Columbian Mut Life Ins Co NY 62103 535 1,913,638 1,564,238 7450.014 81.7

Avalon Ins Co PA 12358 1230 1,759,299 1,389,933 3630.012 79.0

United Hlthcare of AL Inc AL 95784 707 1,430,449 1,082,314 5830.010 75.7

Wilco Life Ins Co IN 65900 4213 1,381,003 1,396,480 4480.010 101.1

Aetna Hlth & Life Ins Co CT 78700 1 1,293,480 1,068,437 6370.009 82.6

Connecticut Gen Life Ins Co CT 62308 901 1,230,401 944,857 4320.009 76.8

Jefferson Natl Life Ins Co TX 64017 4836 1,207,599 993,009 3230.009 82.2

American Gen Life Ins Co TX 60488 12 1,207,041 755,143 3430.009 62.6

Alliance Hlth & Life Ins Co MI 60134 1311 1,108,968 988,493 5090.008 89.1

Transamerica Financial Life Ins Co NY 70688 468 1,006,873 633,852 2240.007 63.0

MercyCare HMO Inc WI 12195 3595 867,018 823,667 6490.006 95.0

Kanawha Ins Co SC 65110 119 807,687 572,133 2360.006 70.8

Idealife Ins Co CT 97764 31 754,273 539,949 1690.005 71.6

Hartford Life Ins Co CT 88072 91 716,466 435,799 1480.005 60.8

BridgeSpan Hlth Co UT 95303 1207 709,155 461,493 2310.005 65.1

Consumers Life Ins Co OH 62375 730 701,115 420,870 2440.005 60.0

New W Hlth Serv MT 95829 686,020 531,565 3180.005 77.5

UTMB Hlth Plans Inc TX 95764 683,412 259,687 2510.005 38.0

Auto Owners Life Ins Co MI 61190 280 656,413 365,941 1720.005 55.7

Communitycare Life & Hlth Ins Co OK 89008 3487 630,579 575,568 2670.004 91.3

Shelter Life Ins Co MO 65757 123 584,432 705,493 2630.004 120.7

Humanadental Ins Co WI 70580 119 540,827 392,559 2360.004 72.6

Union Fidelity Life Ins Co KS 62596 350 531,018 359,332 1990.004 67.7

SPJST TX 57436 472,947 352,717 1320.003 74.6

Fallon Hlth & Life Assur Co MA 66828 4741 464,336 434,127 2000.003 93.5

WMI Mut Ins Co UT 68420 450,654 366,413 1430.003 81.3







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Ability Ins Co NE 71471 4824 396,459 267,604 990.003 67.5

Medico Corp Life Ins Co NE 79987 3527 394,226 276,099 1350.003 70.0

American Family Life Assur Co of NY NY 60526 370 384,517 224,183 1370.003 58.3

Southwest Serv Life Ins Co TX 82430 1339 361,928 177,767 750.003 49.1

Inter Cnty Hlth Plan Inc PA 53252 936 342,975 330,023 1,0240.002 96.2

Compcare Hlth Serv Ins Corp WI 95693 671 340,202 217,494 780.002 63.9

Jackson Natl Life Ins Co MI 65056 918 333,686 347,502 1830.002 104.1

American Family Ins Co WI 10386 473 325,894 235,522 870.002 72.3

American Income Life Ins Co IN 60577 290 325,016 161,753 730.002 49.8

John Alden Life Ins Co WI 65080 19 323,124 305,940 1020.002 94.7

Sanford Hlth Plan of MN MN 95725 1246 319,886 320,560 1190.002 100.2

Medica Hlth Plans MN 52626 1552 317,763 166,629 700.002 52.4

HMO dba Blue Plus MN 95649 461 266,548 232,664 870.002 87.3

Time Ins Co WI 69477 19 261,842 238,091 930.002 90.9

Jefferson Life Ins Co TX 94790 249,453 250,454 1220.002 100.4

Companion Life Ins Co SC 77828 661 219,449 101,961 760.002 46.5

WPS Hlth Plan Inc WI 10159 68 200,069 64,274 350.001 32.1

Union Labor Life Ins Co MD 69744 781 186,188 351,378 1160.001 188.7

Hawaii Medical Serv Assn HI 49948 180,068 146,798 670.001 81.5

Prudential Ins Co Of Amer NJ 68241 304 146,301 20,435 490.001 14.0

EPIC Life Ins Co WI 64149 68 143,384 115,493 580.001 80.5

Upmc Hlth Benefits Inc PA 11018 1324 142,559 21,368 710.001 15.0

UCare MN MN 52629 4380 140,276 110,701 440.001 78.9

THP Ins Co WV 60016 1297 122,961 99,123 6790.001 80.6

United Farm Family Life Ins Co IN 69892 542 116,151 138,481 600.001 119.2

Allianz Life Ins Co Of N Amer MN 90611 761 115,827 95,539 550.001 82.5

Trustmark Ins Co IL 61425 276 104,624 -28,124 300.001 -26.9

USAble Life AR 94358 876 100,597 102,822 170.001 102.2

American Natl Ins Co TX 60739 408 97,561 136,828 410.001 140.2

United Security Assur Co Of PA PA 42129 67,469 67,514 210.000 100.1

Natl Foundation Life Ins Co TX 98205 839 59,070 24,434 270.000 41.4

IA Amer Life Ins Co TX 91693 315 56,093 108,350 770.000 193.2







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

21st Century Premier Ins Co PA 20796 69 55,772 107,908 340.000 193.5

Cincinnati Equitable Life Ins Co OH 88064 838 52,218 33,593 180.000 64.3

Group Hlth Coop of Eau Claire WI 95192 50,780 14,337 70.000 28.2

Sagicor Life Ins Co TX 60445 42,320 36,965 170.000 87.3

Kansas City Life Ins Co MO 65129 588 32,569 51,971 90.000 159.6

Coventry Hlth Care of IL Inc IL 74160 1 30,692 31,457 00.000 102.5

United Hlthcare of AZ Inc AZ 96016 707 28,698 38,484 150.000 134.1

Medical Hlth Insuring Corp of OH OH 95828 730 27,423 43,560 70.000 158.8

Ryder Hlth Plan Inc PR 95743 24,790 17,944 280.000 72.4

Central Security Life Ins Co TX 61735 526 24,712 33,008 140.000 133.6

CSA Fraternal Life IL 56138 22,939 8,262 90.000 36.0

Members Hlth Ins Co AZ 94587 4677 22,680 23,163 130.000 102.1

Medisun Inc AZ 95982 21,784 21,048 100.000 96.6

Mid West Natl Life Ins Co Of TN TX 66087 264 17,757 2,129 110.000 12.0

Assurity Life Ins Co NE 71439 4862 16,003 42,661 210.000 266.6

Voya Retirement Ins & Ann Co CT 86509 4832 14,178 32,663 60.000 230.4

US Hlth & Life Ins Co Inc MI 97772 8,889 51,565 40.000 580.1

LifeSecure Ins Co MI 77720 572 7,913 4,908 50.000 62.0

Federated Mut Ins Co MN 13935 7 7,887 18,662 60.000 236.6

Provident Amer Ins Co TX 68179 7,445 6,302 40.000 84.6

National Hlth Ins Co TX 82538 2538 7,418 49,586 80.000 668.5

Cigna Hlth & Life Ins Co CT 67369 901 6,942 2,772 40.000 39.9

Colonial Life & Accident Ins Co SC 62049 565 6,709 4,049 20.000 60.4

Protective Life Ins Co TN 68136 458 6,345 4,641 50.000 73.1

Cincinnati Life Ins Co OH 76236 244 6,056 2,266 70.000 37.4

Medico Life & Hlth Ins Co IA 65641 3527 5,999 16,717 30.000 278.7

Federal Life Ins Co IL 63223 5,657 3,350 20.000 59.2

National Cas Co OH 11991 140 5,116 7,792 170.000 152.3

Security Life Of Denver Ins Co CO 68713 4832 3,862 3,485 30.000 90.2

United Heritage Life Ins Co ID 63983 2878 3,734 9,276 20.000 248.4

Old Amer Ins Co MO 67199 588 3,380 2,980 90.000 88.2

Metropolitan Life Ins Co NY 65978 241 1,369 1,052 10.000 76.8







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Midwestern United Life Ins Co IN 66109 4832 1,267 4,802 00.000 379.0

Motorists Commercial Mut Ins Co OH 13331 291 597 -1,722 10.000 -288.4

CICA Life Ins Co of Amer CO 71463 612 380 125 20.000 32.9

Investors Life Ins Co N Amer TX 63487 449 -17 4,316 00.000 -25,388.2

14,167,707,010 10,718,698,427 5,365,068TOTAL 75.7




INDIVIDUAL POLICIES ISSUED THROUGH 2013 BY COMPANY NAME





In Order by Company Name U.S. and U.S. Territories


Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013


Ability Ins Co NE 71471 4824 396,459 267,604 990.003 67.5

Aetna Hlth & Life Ins Co CT 78700 1 1,293,480 1,068,437 6370.009 82.6


Alliance Hlth & Life Ins Co MI 60134 1311 1,108,968 988,493 5090.008 89.1






















Asuris NW Hlth WA 47350 1207 1,941,096 1,257,385 6440.014 64.8


Avalon Ins Co PA 12358 1230 1,759,299 1,389,933 3630.012 79.0

Avera Hlth Plans Inc SD 95839 12,263,129 8,217,036 00.087 67.0









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013


BCBS of AL AL 55433 570 183,421,753 149,667,157 95,9251.295 81.6

BCBS of AZ Inc AZ 53589 60,187,948 39,115,111 22,3690.425 65.0

BCBS Of FL FL 98167 536 268,164,117 228,302,401 118,4061.893 85.1

BCBS of GA Inc GA 54801 671 125,812,804 94,627,294 47,2680.888 75.2

BCBS of KC MO 47171 537 51,528,180 34,369,379 17,4660.364 66.7

BCBS Of KS Inc KS 70729 430 200,016,912 160,522,834 76,4161.412 80.3

BCBS of MA MA 53228 3637 325,486,476 299,355,033 138,1242.297 92.0


BCBS of NC Inc NC 54631 758 290,731,795 205,716,220 112,9972.052 70.8

BCBS Of NE NE 77780 4858 86,358,898 62,846,657 27,8560.610 72.8

BCBS of RI RI 53473 39,473,123 31,864,727 16,9100.279 80.7

BCBS Of SC Inc SC 38520 661 110,806,769 72,326,356 41,2450.782 65.3

BCBS of TN Inc TN 54518 3498 114,676,828 79,586,335 28,1690.809 69.4

BCBS of VT VT 53295 4745 7,459,336 6,099,913 2,7710.053 81.8

BCBS of WI WI 54003 671 63,137,248 43,700,064 18,5080.446 69.2

BCBS of WY WY 53767 15,695,721 11,202,761 6,0970.111 71.4

BCBSM Inc MN 55026 461 1,969,623 1,243,982 5450.014 63.2








Celtic Ins Co IL 80799 1295 8,911,917 6,355,016 2,2140.063 71.3













Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Cigna Hlth & Life Ins Co CT 67369 901 6,942 2,772 40.000 39.9









Companion Life Ins Co SC 77828 661 219,449 101,961 760.002 46.5

















Fallon Hlth & Life Assur Co MA 66828 4741 464,336 434,127 2000.003 93.5












Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013












Group Hlth Inc NY 55239 1127 4,257,220 2,354,199 1,3310.030 55.3







Health Care Serv Corp A Mut Legal Re IL 70670 917 1,093,102,150 806,886,449 413,4577.715 73.8








Highmark Inc PA 54771 812 213,655,425 185,021,050 83,2691.508 86.6



Horizon Ins Co NJ 14690 1202 211,119,451 158,931,885 67,8921.490 75.3

HPHC Ins Co Inc MA 18975 595 43,165,792 33,028,515 18,4370.305 76.5








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013


Humana Ins Co WI 73288 119 135,119,632 99,540,174 56,4640.954 73.7


Humana Ins Co of NY NY 12634 119 2,526,377 1,837,703 9830.018 72.7

Humanadental Ins Co WI 70580 119 540,827 392,559 2360.004 72.6











Kanawha Ins Co SC 65110 119 807,687 572,133 2360.006 70.8










Medical Hlth Insuring Corp of OH OH 95828 730 27,423 43,560 70.000 158.8


Medico Corp Life Ins Co NE 79987 3527 394,226 276,099 1350.003 70.0

Medico Ins Co NE 31119 3527 34,792,123 27,310,758 12,6360.246 78.5


Medisun Inc AZ 95982 21,784 21,048 100.000 96.6








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

MercyCare HMO Inc WI 12195 3595 867,018 823,667 6490.006 95.0












New W Hlth Serv MT 95829 686,020 531,565 3180.005 77.5




Old Amer Ins Co MO 67199 588 3,380 2,980 90.000 88.2


Omaha Ins Co NE 13100 261 70,032,533 56,204,516 36,6930.494 80.3




Paramount Ins Co OH 11518 1212 2,500,829 1,885,292 9100.018 75.4
















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013
























SPJST TX 57436 472,947 352,717 1320.003 74.6







THP Ins Co WV 60016 1297 122,961 99,123 6790.001 80.6








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Time Ins Co WI 69477 19 261,842 238,091 930.002 90.9





UCare MN MN 52629 4380 140,276 110,701 440.001 78.9




















USAble Life AR 94358 876 100,597 102,822 170.001 102.2





Wellmark Inc IA 88848 770 299,129,534 238,723,227 116,9612.111 79.8








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013



WMI Mut Ins Co UT 68420 450,654 366,413 1430.003 81.3


14,167,707,010 10,718,698,427 5,365,068TOTAL 75.7




INDIVIDUAL POLICIES ISSUED IN 2014, 2015 AND 2016 BY DIRECT PREMIUMS EARNED






INDIVIDUAL POLICIES ISSUED IN

Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

2016

2014 2015 2016, ,

September 12, 2017

UnitedHealthcare Ins Co CT 79413 707 613,477,269 473,765,009 339,9019.507 77.2

Health Care Serv Corp A Mut Legal Re IL 70670 917 388,521,004 330,032,016 215,2186.021 84.9

Omaha Ins Co NE 13100 261 371,563,960 293,808,356 293,3765.758 79.1


BCBS of MI Mut Ins Co MI 54291 572 284,120,723 451,608,943 186,4264.403 158.9

Humana Ins Co WI 73288 119 237,844,477 179,914,376 132,7573.686 75.6


BCBSM Inc MN 55026 461 206,197,247 162,414,364 75,7313.196 78.8



Aetna Hlth & Life Ins Co CT 78700 1 175,874,592 135,185,537 135,1922.726 76.9

BCBS Of FL FL 98167 536 163,625,289 109,194,826 64,4342.536 66.7


TRH Hlth Ins Co TN 89005 4677 133,742,955 95,751,203 60,3082.073 71.6




Manhattan Life Ins Co NY 65870 1117 93,589,103 66,942,711 73,1861.450 71.5

BCBS of NC Inc NC 54631 758 84,854,534 62,841,563 47,0281.315 74.1

BCBS of MA MA 53228 3637 83,487,519 75,486,379 44,5711.294 90.4


Wellmark Inc IA 88848 770 77,418,111 67,331,076 52,8441.200 87.0


Medico Corp Life Ins Co NE 79987 3527 70,907,222 52,465,681 53,8731.099 74.0

Horizon Ins Co NJ 14690 1202 67,265,918 66,498,563 27,9991.042 98.9


HPHC Ins Co Inc MA 18975 595 62,690,929 47,056,019 28,8690.972 75.1


BCBS Of NE NE 77780 4858 55,724,848 42,112,886 27,2800.864 75.6

BCBS of AL AL 55433 570 53,607,180 50,095,341 27,8970.831 93.4


Medical Hlth Insuring Corp of OH OH 95828 730 49,810,596 40,255,466 29,3710.772 80.8







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

2016

2014 2015 2016, ,

September 12, 2017


BCBS Of KS Inc KS 70729 430 49,251,413 36,023,166 27,6140.763 73.1

Individual Assur Co Life Hlth & Acc OK 81779 46,912,371 36,313,548 40,1600.727 77.4





Highmark Inc PA 54771 812 39,143,965 37,581,146 20,7260.607 96.0


BCBS of AZ Inc AZ 53589 37,121,699 27,361,788 16,8050.575 73.7




BCBS of GA Inc GA 54801 671 31,625,364 21,913,033 14,0460.490 69.3

BCBS Of SC Inc SC 38520 661 31,175,118 21,504,634 18,6830.483 69.0


Medico Ins Co NE 31119 3527 28,814,714 24,227,326 20,4010.447 84.1


Priority Hlth MI 95561 3383 25,797,883 18,905,422 13,2560.400 73.3



Triple S Salud Inc PR 55816 4802 23,381,183 18,478,158 16,9570.362 79.0








CSI Life Ins Co NE 82880 31 15,766,869 10,607,199 13,8550.244 67.3

Tufts Ins Co Inc MA 60117 4742 15,135,372 13,483,757 8,2860.235 89.1








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

2016

2014 2015 2016, ,

September 12, 2017




THP Ins Co WV 60016 1297 13,282,443 10,403,126 81,2550.206 78.3


Amerihealth Ins Co Of NJ NJ 60061 936 12,729,574 10,080,840 5,8750.197 79.2

Humana Ins Co of NY NY 12634 119 12,545,876 9,350,987 6,5230.194 74.5


BCBS of KC MO 47171 537 12,199,021 9,245,009 5,3280.189 75.8

BCBS of TN Inc TN 54518 3498 12,087,415 7,913,677 21,0620.187 65.5



Asuris NW Hlth WA 47350 1207 10,831,090 8,607,656 4,7870.168 79.5


BCBS of WI WI 54003 671 9,951,878 4,987,130 5,0670.154 50.1



Humanadental Ins Co WI 70580 119 9,712,371 7,363,897 7,0810.151 75.8












First Hlth Life & Hlth Ins Co TX 90328 1 7,630,608 5,665,905 3,3440.118 74.3









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

2016

2014 2015 2016, ,

September 12, 2017

Bankers Fidelity Assur Co GA 71919 587 7,225,585 4,548,604 8,1780.112 63.0







GCU PA 56693 5,565,447 3,467,846 15,2300.086 62.3



BCBS of WY WY 53767 5,183,608 3,487,018 3,0770.080 67.3

Companion Life Ins Co SC 77828 661 5,055,410 3,366,328 4,5570.078 66.6




Avera Hlth Plans Inc SD 95839 4,341,160 3,232,915 9,1620.067 74.5



Qualchoice Life & Hlth Ins Co Inc AR 70998 4807 3,994,018 3,613,185 28,6810.062 90.5





Western Catholic Union IL 57711 2,550,722 1,984,279 2,0680.040 77.8




Fallon Hlth & Life Assur Co MA 66828 4741 2,087,631 1,917,423 9620.032 91.8



Regence Blueshield Of ID Inc ID 60131 1207 1,776,787 1,228,639 8070.028 69.1

Sterling Investors Life Ins Co IN 89184 1,775,686 1,451,929 6530.028 81.8







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

2016

2014 2015 2016, ,

September 12, 2017




Standard Life & Cas Ins Co UT 71706 1,665,533 1,324,662 1,0510.026 79.5

BCBS of RI RI 53473 1,652,889 1,334,296 7080.026 80.7

Group Hlth Inc NY 55239 1127 1,618,564 1,906,055 4930.025 117.8

Cigna Hlth & Life Ins Co CT 67369 901 1,483,767 999,765 7,8900.023 67.4

Health Now NY Inc NY 55204 1,378,814 1,588,910 4210.021 115.2

State Mut Ins Co GA 69132 1,365,066 945,098 1,0580.021 69.2


MercyCare HMO Inc WI 12195 3595 1,225,616 1,139,130 9800.019 92.9

Security Hlth Plan of WI Inc WI 96881 1,223,110 961,138 1,1430.019 78.6

Alliance Hlth & Life Ins Co MI 60134 1311 1,221,005 1,088,359 4580.019 89.1

Health Tradition Hlth Plan WI 96628 1,216,823 1,080,901 6350.019 88.8

Heartland Natl Life Ins Co IN 66214 1,097,067 800,273 4300.017 72.9

New W Hlth Serv MT 95829 1,073,323 747,311 5980.017 69.6

Loyal Christian Benefit Assn PA 56758 876,872 607,363 9190.014 69.3

BCBS of MA HMO Blue Inc MA 12219 3637 778,654 1,015,853 5,3790.012 130.5

Aultcare Ins Co OH 77216 4805 762,516 463,435 3930.012 60.8

Health Alliance Medical Plans IL 77950 1192 701,336 544,729 2370.011 77.7

Americo Fin Life & Ann Ins Co TX 61999 449 691,691 415,229 1,3480.011 60.0

Sanford Hlth Plan SD 95683 1246 688,196 606,950 5030.011 88.2

Central United Life Ins Co AR 61883 1117 671,096 359,736 1940.010 53.6

KSKJ Life Amer Slovenian Catholic Un IL 56227 636,721 455,570 4420.010 71.5

United Natl Life Ins Co Of Amer IL 92703 687 626,188 504,675 3040.010 80.6

First Care Inc MD 60113 380 610,864 547,934 1,4370.009 89.7

BCBS of VT VT 53295 4745 538,148 578,315 2480.008 107.5

HNE Ins Co MA 14198 4756 535,511 436,847 3140.008 81.6

Paramount Ins Co OH 11518 1212 517,883 462,975 2440.008 89.4

Physicians Plus Ins Corp WI 95341 405,714 406,688 3580.006 100.2


Guarantee Trust Life Ins Co IL 64211 687 383,774 143,737 8520.006 37.5







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

2016

2014 2015 2016, ,

September 12, 2017

Avalon Ins Co PA 12358 1230 368,541 329,643 780.006 89.4

Order of United Commercial Travelers OH 56383 335,211 159,518 1770.005 47.6

American Natl Life Ins Co Of TX TX 71773 408 293,981 199,860 6500.005 68.0

Liberty Natl Life Ins Co NE 65331 290 272,541 221,304 1760.004 81.2

Christian Fidelity Life Ins Co TX 61859 574 258,851 217,916 1130.004 84.2

LifeWise Hlth Plan of OR Inc OR 84930 962 176,957 266,429 760.003 150.6

Polish Falcons Of Amer PA 56820 169,648 110,436 1650.003 65.1

American Family Life Assur Co of Col NE 60380 370 164,608 135,791 830.003 82.5

Liberty Bankers Life Ins Co OK 68543 3436 155,223 111,057 5280.002 71.5

Group Hlth Options Inc WA 47055 1185 153,098 87,979 860.002 57.5

Coventry Hlth & Life Ins Co MO 81973 1 139,759 101,983 660.002 73.0

Summa Ins Co Inc OH 10649 3259 132,302 119,550 490.002 90.4

Columbian Mut Life Ins Co NY 62103 535 110,727 51,255 420.002 46.3

Health First Ins Inc FL 14140 4740 104,370 86,706 350.002 83.1


Hometown Hlth Providers Ins Co NV 48305 4791 69,067 72,771 490.001 105.4

Continental Gen Ins Co TX 71404 65,435 79,501 310.001 121.5

Health Alliance Connect Inc IL 15478 1192 48,505 80,624 330.001 166.2

Pacificsource Hlth Plans OR 54976 4704 44,065 35,023 220.001 79.5

S USA Life Ins Co Inc AZ 60183 4764 28,503 15,221 1500.000 53.4

Upmc Hlth Benefits Inc PA 11018 1324 28,056 224 210.000 0.8

Humana Benefit Plan of IL Inc IL 60052 119 27,781 30,307 300.000 109.1

Constitution Life Ins Co TX 62359 4736 22,686 21,753 70.000 95.9

Royal Neighbors Of Amer IL 57657 18,425 12,256 50.000 66.5



WMI Mut Ins Co UT 68420 14,234 8,410 120.000 59.1

United Hlthcare of AL Inc AL 95784 707 14,142 11,612 60.000 82.1

Genworth Life & Ann Ins Co VA 65536 4011 9,117 1,783 50.000 19.6

Unified Life Ins Co TX 11121 8,987 7,845 310.000 87.3

SBLI USA Life Ins Co Inc NY 60176 4764 8,448 4,940 470.000 58.5

Renaissance Life & Hlth Ins Co of Am IN 61700 477 5,603 2,932 160.000 52.3







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

2016

2014 2015 2016, ,

September 12, 2017

Sierra Hlth & Life Ins Co Inc NV 71420 707 5,118 572 20.000 11.2

Celtic Ins Co IL 80799 1295 5,104 3,334 10.000 65.3

American Progressive L&H Ins Of NY NY 80624 953 2,962 196 10.000 6.6


Central States H & L Co Of Omaha NE 61751 690 0 -36 00.000 N/A

6,452,691,577 5,224,667,134 4,063,985TOTAL 81.0




INDIVIDUAL POLICIES ISSUED IN 2014, 2015 AND 2016 BY COMPANY NAME







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,







American Progressive L&H Ins Of NY NY 80624 953 2,962 196 10.000 6.6













Asuris NW Hlth WA 47350 1207 10,831,090 8,607,656 4,7870.168 79.5


Avalon Ins Co PA 12358 1230 368,541 329,643 780.006 89.4





BCBS of AL AL 55433 570 53,607,180 50,095,341 27,8970.831 93.4

BCBS of AZ Inc AZ 53589 37,121,699 27,361,788 16,8050.575 73.7

BCBS Of FL FL 98167 536 163,625,289 109,194,826 64,4342.536 66.7

BCBS of GA Inc GA 54801 671 31,625,364 21,913,033 14,0460.490 69.3

BCBS of KC MO 47171 537 12,199,021 9,245,009 5,3280.189 75.8

BCBS Of KS Inc KS 70729 430 49,251,413 36,023,166 27,6140.763 73.1







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,

BCBS of MA MA 53228 3637 83,487,519 75,486,379 44,5711.294 90.4




BCBS of NC Inc NC 54631 758 84,854,534 62,841,563 47,0281.315 74.1

BCBS Of NE NE 77780 4858 55,724,848 42,112,886 27,2800.864 75.6

BCBS of RI RI 53473 1,652,889 1,334,296 7080.026 80.7

BCBS Of SC Inc SC 38520 661 31,175,118 21,504,634 18,6830.483 69.0

BCBS of TN Inc TN 54518 3498 12,087,415 7,913,677 21,0620.187 65.5

BCBS of VT VT 53295 4745 538,148 578,315 2480.008 107.5

BCBS of WI WI 54003 671 9,951,878 4,987,130 5,0670.154 50.1

BCBS of WY WY 53767 5,183,608 3,487,018 3,0770.080 67.3

BCBSM Inc MN 55026 461 206,197,247 162,414,364 75,7313.196 78.8







Celtic Ins Co IL 80799 1295 5,104 3,334 10.000 65.3

Central States H & L Co Of Omaha NE 61751 690 0 -36 00.000 N/A



Christian Fidelity Life Ins Co TX 61859 574 258,851 217,916 1130.004 84.2

Cigna Hlth & Life Ins Co CT 67369 901 1,483,767 999,765 7,8900.023 67.4


Columbian Mut Life Ins Co NY 62103 535 110,727 51,255 420.002 46.3












Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,

Continental Gen Ins Co TX 71404 65,435 79,501 310.001 121.5




CSI Life Ins Co NE 82880 31 15,766,869 10,607,199 13,8550.244 67.3






Fallon Hlth & Life Assur Co MA 66828 4741 2,087,631 1,917,423 9620.032 91.8

First Care Inc MD 60113 380 610,864 547,934 1,4370.009 89.7





GCU PA 56693 5,565,447 3,467,846 15,2300.086 62.3






Group Hlth Inc NY 55239 1127 1,618,564 1,906,055 4930.025 117.8

Group Hlth Options Inc WA 47055 1185 153,098 87,979 860.002 57.5




Health Alliance Medical Plans IL 77950 1192 701,336 544,729 2370.011 77.7




Health Now NY Inc NY 55204 1,378,814 1,588,910 4210.021 115.2







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,

Health Tradition Hlth Plan WI 96628 1,216,823 1,080,901 6350.019 88.8


Heartland Natl Life Ins Co IN 66214 1,097,067 800,273 4300.017 72.9


Highmark Inc PA 54771 812 39,143,965 37,581,146 20,7260.607 96.0


HNE Ins Co MA 14198 4756 535,511 436,847 3140.008 81.6


Horizon Ins Co NJ 14690 1202 67,265,918 66,498,563 27,9991.042 98.9

HPHC Ins Co Inc MA 18975 595 62,690,929 47,056,019 28,8690.972 75.1




Humana Ins Co WI 73288 119 237,844,477 179,914,376 132,7573.686 75.6






KSKJ Life Amer Slovenian Catholic Un IL 56227 636,721 455,570 4420.010 71.5


Liberty Natl Life Ins Co NE 65331 290 272,541 221,304 1760.004 81.2

LifeWise Hlth Plan of OR Inc OR 84930 962 176,957 266,429 760.003 150.6









Medico Ins Co NE 31119 3527 28,814,714 24,227,326 20,4010.447 84.1







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,


MercyCare HMO Inc WI 12195 3595 1,225,616 1,139,130 9800.019 92.9




New W Hlth Serv MT 95829 1,073,323 747,311 5980.017 69.6



Omaha Ins Co NE 13100 261 371,563,960 293,808,356 293,3765.758 79.1

Order of United Commercial Travelers OH 56383 335,211 159,518 1770.005 47.6



Paramount Ins Co OH 11518 1212 517,883 462,975 2440.008 89.4




Physicians Plus Ins Corp WI 95341 405,714 406,688 3580.006 100.2



Priority Hlth MI 95561 3383 25,797,883 18,905,422 13,2560.400 73.3





Regence Blueshield Of ID Inc ID 60131 1207 1,776,787 1,228,639 8070.028 69.1




Royal Neighbors Of Amer IL 57657 18,425 12,256 50.000 66.5


Sanford Hlth Plan SD 95683 1246 688,196 606,950 5030.011 88.2








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,


Security Hlth Plan of WI Inc WI 96881 1,223,110 961,138 1,1430.019 78.6



Sierra Hlth & Life Ins Co Inc NV 71420 707 5,118 572 20.000 11.2




State Mut Ins Co GA 69132 1,365,066 945,098 1,0580.021 69.2

Sterling Investors Life Ins Co IN 89184 1,775,686 1,451,929 6530.028 81.8




THP Ins Co WV 60016 1297 13,282,443 10,403,126 81,2550.206 78.3




TRH Hlth Ins Co TN 89005 4677 133,742,955 95,751,203 60,3082.073 71.6



Unified Life Ins Co TX 11121 8,987 7,845 310.000 87.3


United Hlthcare of AL Inc AL 95784 707 14,142 11,612 60.000 82.1

United Natl Life Ins Co Of Amer IL 92703 687 626,188 504,675 3040.010 80.6



UnitedHealthcare Ins Co CT 79413 707 613,477,269 473,765,009 339,9019.507 77.2



Upmc Hlth Benefits Inc PA 11018 1324 28,056 224 210.000 0.8









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,

Wellmark Inc IA 88848 770 77,418,111 67,331,076 52,8441.200 87.0




WMI Mut Ins Co UT 68420 14,234 8,410 120.000 59.1

6,452,691,577 5,224,667,134 4,063,985TOTAL 81.0




TOTAL INDIVIDUAL POLICIES BY DIRECT PREMIUMS EARNED






TOTAL INDIVIDUAL POLICIES

Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Health Care Serv Corp A Mut Legal Re IL 70670 917 1,481,623,154 1,136,918,465 628,6757.185 76.7

United Of Omaha Life Ins Co NE 69868 261 1,030,568,745 736,545,270 394,6334.998 71.5


Omaha Ins Co NE 13100 261 441,596,493 350,012,872 330,0692.142 79.3

BCBS Of FL FL 98167 536 431,789,406 337,497,227 182,8402.094 78.2



BCBS of MA MA 53228 3637 408,973,995 374,841,412 182,6951.983 91.7


Wellmark Inc IA 88848 770 376,547,645 306,054,303 169,8051.826 81.3

BCBS of NC Inc NC 54631 758 375,586,329 268,557,783 160,0251.821 71.5

Humana Ins Co WI 73288 119 372,964,109 279,454,550 189,2211.809 74.9






Horizon Ins Co NJ 14690 1202 278,385,369 225,430,448 95,8911.350 81.0



Highmark Inc PA 54771 812 252,799,390 222,602,196 103,9951.226 88.1

BCBS Of KS Inc KS 70729 430 249,268,325 196,546,000 104,0301.209 78.8



BCBS of AL AL 55433 570 237,028,933 199,762,498 123,8221.149 84.3

BCBSM Inc MN 55026 461 208,166,870 163,658,346 76,2761.010 78.6




BCBS of GA Inc GA 54801 671 157,438,168 116,540,327 61,3140.764 74.0









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

BCBS Of NE NE 77780 4858 142,083,746 104,959,543 55,1360.689 73.9

BCBS Of SC Inc SC 38520 661 141,981,887 93,830,990 59,9280.689 66.1



TRH Hlth Ins Co TN 89005 4677 133,742,955 95,751,203 60,3080.649 71.6



BCBS of TN Inc TN 54518 3498 126,764,243 87,500,012 49,2310.615 69.0




HPHC Ins Co Inc MA 18975 595 105,856,721 80,084,534 47,3060.513 75.7



BCBS of AZ Inc AZ 53589 97,309,647 66,476,899 39,1740.472 68.3













BCBS of WI WI 54003 671 73,089,126 48,687,194 23,5750.354 66.6












Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016





BCBS of KC MO 47171 537 63,727,201 43,614,388 22,7940.309 68.4

Medico Ins Co NE 31119 3527 63,606,837 51,538,084 33,0370.308 81.0



















BCBS of RI RI 53473 41,126,012 33,199,023 17,6180.199 80.7















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016









Priority Hlth MI 95561 3383 25,797,883 18,905,422 13,2560.125 73.3







BCBS of WY WY 53767 20,879,329 14,689,779 9,1740.101 70.4









CSI Life Ins Co NE 82880 31 15,766,869 10,607,199 13,8550.076 67.3





THP Ins Co WV 60016 1297 13,405,404 10,502,249 81,9340.065 78.3


Asuris NW Hlth WA 47350 1207 12,772,186 9,865,041 5,4310.062 77.2








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016














Celtic Ins Co IL 80799 1295 8,917,021 6,358,350 2,2150.043 71.3


BCBS of VT VT 53295 4745 7,997,484 6,678,228 3,0190.039 83.5










Group Hlth Inc NY 55239 1127 5,875,784 4,260,254 1,8240.028 72.5



GCU PA 56693 5,565,447 3,467,846 15,2300.027 62.3











Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016










Humana Hlth Benefit Plan of LA Inc LA 95642 119 3,802,028 2,394,888 1,6430.018 63.0


Group Hlth Coop of S Central WI WI 95311 3,289,610 3,503,806 1,3980.016 106.5


Paramount Ins Co OH 11518 1212 3,018,712 2,348,267 1,1540.015 77.8



Fallon Hlth & Life Assur Co MA 66828 4741 2,551,967 2,351,550 1,1620.012 92.1






Avalon Ins Co PA 12358 1230 2,127,840 1,719,576 4410.010 80.8

MercyCare HMO Inc WI 12195 3595 2,092,634 1,962,797 1,6290.010 93.8



New W Hlth Serv MT 95829 1,759,343 1,278,876 9160.009 72.7


Cigna Hlth & Life Ins Co CT 67369 901 1,490,709 1,002,537 7,8940.007 67.3











Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Communitycare Life & Hlth Ins Co OK 89008 3487 1,031,550 971,474 4500.005 94.2



Kanawha Ins Co SC 65110 119 807,687 572,133 2360.004 70.8











First Care Inc MD 60113 380 610,864 547,934 1,4370.003 89.7


HNE Ins Co MA 14198 4756 535,511 436,847 3140.003 81.6


SPJST TX 57436 472,947 352,717 1320.002 74.6

WMI Mut Ins Co UT 68420 464,888 374,823 1550.002 80.6

Ability Ins Co NE 71471 4824 396,459 267,604 990.002 67.5


















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Time Ins Co WI 69477 19 261,842 238,091 930.001 90.9










UCare MN MN 52629 4380 140,276 110,701 440.001 78.9






USAble Life AR 94358 876 100,597 102,822 170.000 102.2






















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016






Medisun Inc AZ 95982 21,784 21,048 100.000 96.6



















Old Amer Ins Co MO 67199 588 3,380 2,980 90.000 88.2






20,620,398,587 15,943,365,561 9,429,053TOTAL 77.3




TOTAL INDIVIDUAL POLICIES BY COMPANY NAME







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Ability Ins Co NE 71471 4824 396,459 267,604 990.002 67.5




























Asuris NW Hlth WA 47350 1207 12,772,186 9,865,041 5,4310.062 77.2



Avalon Ins Co PA 12358 1230 2,127,840 1,719,576 4410.010 80.8







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016






BCBS of AL AL 55433 570 237,028,933 199,762,498 123,8221.149 84.3

BCBS of AZ Inc AZ 53589 97,309,647 66,476,899 39,1740.472 68.3

BCBS Of FL FL 98167 536 431,789,406 337,497,227 182,8402.094 78.2

BCBS of GA Inc GA 54801 671 157,438,168 116,540,327 61,3140.764 74.0

BCBS of KC MO 47171 537 63,727,201 43,614,388 22,7940.309 68.4

BCBS Of KS Inc KS 70729 430 249,268,325 196,546,000 104,0301.209 78.8

BCBS of MA MA 53228 3637 408,973,995 374,841,412 182,6951.983 91.7




BCBS of NC Inc NC 54631 758 375,586,329 268,557,783 160,0251.821 71.5

BCBS Of NE NE 77780 4858 142,083,746 104,959,543 55,1360.689 73.9

BCBS of RI RI 53473 41,126,012 33,199,023 17,6180.199 80.7

BCBS Of SC Inc SC 38520 661 141,981,887 93,830,990 59,9280.689 66.1

BCBS of TN Inc TN 54518 3498 126,764,243 87,500,012 49,2310.615 69.0

BCBS of VT VT 53295 4745 7,997,484 6,678,228 3,0190.039 83.5

BCBS of WI WI 54003 671 73,089,126 48,687,194 23,5750.354 66.6

BCBS of WY WY 53767 20,879,329 14,689,779 9,1740.101 70.4

BCBSM Inc MN 55026 461 208,166,870 163,658,346 76,2761.010 78.6








Celtic Ins Co IL 80799 1295 8,917,021 6,358,350 2,2150.043 71.3








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016



























CSI Life Ins Co NE 82880 31 15,766,869 10,607,199 13,8550.076 67.3













Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016





First Care Inc MD 60113 380 610,864 547,934 1,4370.003 89.7





GCU PA 56693 5,565,447 3,467,846 15,2300.027 62.3











Group Hlth Inc NY 55239 1127 5,875,784 4,260,254 1,8240.028 72.5



















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016





Highmark Inc PA 54771 812 252,799,390 222,602,196 103,9951.226 88.1



HNE Ins Co MA 14198 4756 535,511 436,847 3140.003 81.6


Horizon Ins Co NJ 14690 1202 278,385,369 225,430,448 95,8911.350 81.0

HPHC Ins Co Inc MA 18975 595 105,856,721 80,084,534 47,3060.513 75.7




Humana Ins Co WI 73288 119 372,964,109 279,454,550 189,2211.809 74.9















Kanawha Ins Co SC 65110 119 807,687 572,133 2360.004 70.8










Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016













Medico Ins Co NE 31119 3527 63,606,837 51,538,084 33,0370.308 81.0


Medisun Inc AZ 95982 21,784 21,048 100.000 96.6














New W Hlth Serv MT 95829 1,759,343 1,278,876 9160.009 72.7




Old Amer Ins Co MO 67199 588 3,380 2,980 90.000 88.2







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Omaha Ins Co NE 13100 261 441,596,493 350,012,872 330,0692.142 79.3















Priority Hlth MI 95561 3383 25,797,883 18,905,422 13,2560.125 73.3























Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016













SPJST TX 57436 472,947 352,717 1320.002 74.6









THP Ins Co WV 60016 1297 13,405,404 10,502,249 81,9340.065 78.3


Time Ins Co WI 69477 19 261,842 238,091 930.001 90.9




TRH Hlth Ins Co TN 89005 4677 133,742,955 95,751,203 60,3080.649 71.6




UCare MN MN 52629 4380 140,276 110,701 440.001 78.9








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016



















USAble Life AR 94358 876 100,597 102,822 170.000 102.2





Wellmark Inc IA 88848 770 376,547,645 306,054,303 169,8051.826 81.3





WMI Mut Ins Co UT 68420 464,888 374,823 1550.002 80.6


20,620,398,587 15,943,365,561 9,429,053TOTAL 77.3




GROUP POLICIES ISSUED THROUGH 2013 BY DIRECT PREMIUMS EARNED






GROUP POLICIES ISSUED THROUGH

Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013


United Hlthcare Ins Co Of NY NY 60093 707 601,670,096 462,782,112 205,41912.393 76.9






BCBS of MA MA 53228 3637 33,677,544 28,342,514 9,2380.694 84.2


Highmark Inc PA 54771 812 29,984,959 23,006,208 13,6580.618 76.7

BCBS of TN Inc TN 54518 3498 25,631,155 24,947,673 15,7350.528 97.3


Medico Ins Co NE 31119 3527 18,063,546 14,446,409 5,9980.372 80.0

BCBS Of KS Inc KS 70729 430 16,641,257 13,576,312 6,6970.343 81.6

BCBS of RI RI 53473 16,322,944 12,344,074 7,1170.336 75.6






Transamerica Financial Life Ins Co NY 70688 468 10,674,729 8,958,525 3,9490.220 83.9

American Natl Life Ins Co Of TX TX 71773 408 9,553,936 7,638,978 3,1640.197 80.0

BCBS Of NE NE 77780 4858 7,503,429 5,869,030 2,5220.155 78.2


Anthem Hlth Plans of NH NH 53759 671 5,922,438 5,900,443 7530.122 99.6




Amalgamated Life & Hlth Ins Co IL 60208 3,410,337 1,958,120 1,2830.070 57.4

Christian Fidelity Life Ins Co TX 61859 574 2,865,575 2,019,354 6710.059 70.5

Hartford Life Ins Co CT 88072 91 2,593,448 2,222,290 1,0520.053 85.7

Educators Mut Ins Assoc UT 81701 126 2,584,318 1,929,715 8030.053 74.7







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Medical Mut Of OH OH 29076 730 2,513,101 1,891,258 8690.052 75.3

Central States H & L Co Of Omaha NE 61751 690 2,404,931 1,719,321 7900.050 71.5

Highmark West Virginia Inc. WV 54828 812 2,291,865 1,745,922 7490.047 76.2

First United Amer Life Ins Co NY 74101 290 1,207,115 1,012,391 4790.025 83.9

Physicians Benefits Trust Life Ins IL 68519 2358 1,157,179 832,015 4240.024 71.9

Continental Gen Ins Co TX 71404 1,107,089 707,561 2830.023 63.9


Physicians Mut Ins Co NE 80578 367 968,363 742,662 3560.020 76.7

Regence BCBS of UT UT 54550 1207 934,248 616,843 3940.019 66.0


Hartford Life & Accident Ins Co CT 70815 91 807,537 806,592 2790.017 99.9

Wisconsin Physicians Serv Ins Corp WI 53139 68 680,702 429,823 2100.014 63.1

Oxford Life Ins Co AZ 76112 574 614,357 536,447 2880.013 87.3

BCBS of VT VT 53295 4745 594,104 528,279 3070.012 88.9

BCBS Of FL FL 98167 536 444,398 223,044 1510.009 50.2

American Progressive L&H Ins Of NY NY 80624 953 431,048 343,168 1390.009 79.6


BCBSM Inc MN 55026 461 357,416 226,176 1990.007 63.3

Globe Life & Accident Ins Co NE 91472 290 339,851 285,212 1440.007 83.9



Aetna Life Ins Co CT 60054 1 215,744 140,758 470.004 65.2

Gerber Life Ins Co NY 70939 4483 169,277 256,482 440.003 151.5

Combined Ins Co Of Amer IL 62146 626 155,762 245,788 740.003 157.8




North Amer Ins Co WI 68349 574 58,518 14,784 110.001 25.3


Allianz Life Ins Co Of NY NY 64190 761 23,666 48,677 350.000 205.7

CMFG Life Ins Co IA 62626 306 8,097 12,179 50.000 150.4

BCBS Of MS Mut Ins Co MS 60111 1126 6,432 5,285 20.000 82.2







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013

Cigna Hlth & Life Ins Co CT 67369 901 6,186 650 20.000 10.5

Reliastar Life Ins Co MN 67105 4832 5,640 9,603 30.000 170.3

Anthem Hlth Plans of ME Inc ME 52618 671 3,274 620 10.000 18.9

Washington Natl Ins Co IN 70319 233 2,363 73,351 20.000 3,104.1

National Benefit Life Ins Co NY 61409 4750 2,146 9 60.000 0.4

London Life Reins Co PA 76694 769 1,781 158,105 10.000 8,877.3


Health Net Life Ins Co CA 66141 1295 -75 -1,973 00.000 2,630.7

4,854,800,514 3,846,812,777 1,910,362TOTAL 79.2




GROUP POLICIES ISSUED THROUGH 2013 BY COMPANY NAME







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013















BCBS Of FL FL 98167 536 444,398 223,044 1510.009 50.2

BCBS Of KS Inc KS 70729 430 16,641,257 13,576,312 6,6970.343 81.6

BCBS of MA MA 53228 3637 33,677,544 28,342,514 9,2380.694 84.2


BCBS Of NE NE 77780 4858 7,503,429 5,869,030 2,5220.155 78.2

BCBS of RI RI 53473 16,322,944 12,344,074 7,1170.336 75.6

BCBS of TN Inc TN 54518 3498 25,631,155 24,947,673 15,7350.528 97.3

BCBS of VT VT 53295 4745 594,104 528,279 3070.012 88.9

BCBSM Inc MN 55026 461 357,416 226,176 1990.007 63.3



Cigna Hlth & Life Ins Co CT 67369 901 6,186 650 20.000 10.5













Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013


Educators Mut Ins Assoc UT 81701 126 2,584,318 1,929,715 8030.053 74.7







Hartford Life & Accident Ins Co CT 70815 91 807,537 806,592 2790.017 99.9





Highmark Inc PA 54771 812 29,984,959 23,006,208 13,6580.618 76.7






Medico Ins Co NE 31119 3527 18,063,546 14,446,409 5,9980.372 80.0



















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2013









4,854,800,514 3,846,812,777 1,910,362TOTAL 79.2




GROUP POLICIES ISSUED IN 2014, 2015 AND 2016 BY DIRECT PREMIUMS EARNED






GROUP POLICICES ISSUED IN

Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,



BCBS of MA MA 53228 3637 25,691,180 19,629,801 10,1300.986 76.4

BCBS Of NE NE 77780 4858 24,462,343 17,174,890 13,0580.939 70.2



BCBSM Inc MN 55026 461 15,845,767 13,972,688 6,7470.608 88.2


Highmark Inc PA 54771 812 11,362,207 8,273,707 6,5530.436 72.8





BCBS Of KS Inc KS 70729 430 3,998,099 2,482,345 1,8490.153 62.1


Hartford Life & Accident Ins Co CT 70815 91 2,509,655 1,892,401 9260.096 75.4

American Continental Ins Co TN 12321 1 1,978,695 1,515,039 9820.076 76.6



Members Hlth Ins Co AZ 94587 4677 1,596,850 1,111,328 9840.061 69.6

Medico Ins Co NE 31119 3527 1,194,814 983,776 6020.046 82.3

Hartford Life Ins Co CT 88072 91 1,037,664 670,807 4450.040 64.6

Educators Mut Ins Assoc UT 81701 126 856,281 630,090 3310.033 73.6

Transamerica Premier Life Ins Co IA 66281 468 780,452 610,235 4960.030 78.2




BCBS of VT VT 53295 4745 339,851 172,730 2170.013 50.8

Highmark West Virginia Inc. WV 54828 812 321,727 341,603 1720.012 106.2

First United Amer Life Ins Co NY 74101 290 296,964 267,235 1330.011 90.0









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

2014 2015 2016, ,

BCBS of RI RI 53473 182,890 138,309 800.007 75.6

Health Care Serv Corp A Mut Legal Re IL 70670 917 129,200 73,487 950.005 56.9

Anthem Hlth Plans of NH NH 53759 671 104,073 83,774 170.004 80.5

Connecticut Gen Life Ins Co CT 62308 901 56,260 13,964 190.002 24.8

Physicians Benefits Trust Life Ins IL 68519 2358 47,940 15,007 250.002 31.3


Amalgamated Life & Hlth Ins Co IL 60208 22,704 19,779 430.001 87.1

Educators Hlth Plans Life Accident & UT 12515 126 944 0 110.000 0.0

Health Alliance Medical Plans IL 77950 1192 556 0 30.000 0.0

2,605,014,891 2,053,155,518 1,334,131TOTAL 78.8



GROUP POLICIES ISSUED IN 2014, 2015 AND 2016 BY COMPANY NAME







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017

2014 2015 2016, ,

2016



Amalgamated Life & Hlth Ins Co IL 60208 22,704 19,779 430.001 87.1

American Continental Ins Co TN 12321 1 1,978,695 1,515,039 9820.076 76.6

Anthem Hlth Plans of NH NH 53759 671 104,073 83,774 170.004 80.5

BCBS Of KS Inc KS 70729 430 3,998,099 2,482,345 1,8490.153 62.1

BCBS of MA MA 53228 3637 25,691,180 19,629,801 10,1300.986 76.4

BCBS Of NE NE 77780 4858 24,462,343 17,174,890 13,0580.939 70.2

BCBS of RI RI 53473 182,890 138,309 800.007 75.6

BCBS of VT VT 53295 4745 339,851 172,730 2170.013 50.8

BCBSM Inc MN 55026 461 15,845,767 13,972,688 6,7470.608 88.2





Educators Mut Ins Assoc UT 81701 126 856,281 630,090 3310.033 73.6


First United Amer Life Ins Co NY 74101 290 296,964 267,235 1330.011 90.0

Hartford Life & Accident Ins Co CT 70815 91 2,509,655 1,892,401 9260.096 75.4

Hartford Life Ins Co CT 88072 91 1,037,664 670,807 4450.040 64.6



Health Care Serv Corp A Mut Legal Re IL 70670 917 129,200 73,487 950.005 56.9


Highmark Inc PA 54771 812 11,362,207 8,273,707 6,5530.436 72.8

Highmark West Virginia Inc. WV 54828 812 321,727 341,603 1720.012 106.2


Medico Ins Co NE 31119 3527 1,194,814 983,776 6020.046 82.3

Members Hlth Ins Co AZ 94587 4677 1,596,850 1,111,328 9840.061 69.6

Physicians Benefits Trust Life Ins IL 68519 2358 47,940 15,007 250.002 31.3









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017

2014 2015 2016, ,

2016




Transamerica Premier Life Ins Co IA 66281 468 780,452 610,235 4960.030 78.2






2,605,014,891 2,053,155,518 1,334,131TOTAL 78.8



TOTAL GROUP POLICIES BY DIRECT PREMIUMS EARNED






TOTAL GROUP POLICIES

Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016




BCBS of MA MA 53228 3637 59,368,724 47,972,315 19,3680.796 80.8



Highmark Inc PA 54771 812 41,347,166 31,279,915 20,2110.554 75.7




BCBS Of NE NE 77780 4858 31,965,772 23,043,920 15,5800.429 72.1


BCBS of TN Inc TN 54518 3498 25,631,155 24,947,673 15,7350.344 97.3

BCBS Of KS Inc KS 70729 430 20,639,356 16,058,657 8,5460.277 77.8

Medico Ins Co NE 31119 3527 19,258,360 15,430,185 6,6000.258 80.1


BCBS of RI RI 53473 16,505,834 12,482,383 7,1970.221 75.6

BCBSM Inc MN 55026 461 16,203,183 14,198,864 6,9460.217 87.6





















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Educators Mut Ins Assoc UT 81701 126 3,440,599 2,559,805 1,1340.046 74.4


Hartford Life & Accident Ins Co CT 70815 91 3,317,192 2,698,993 1,2050.044 81.4




Members Hlth Ins Co AZ 94587 4677 2,427,383 1,674,492 1,3970.033 69.0




Health Alliance Connect Inc IL 15478 1192 1,465,034 1,125,104 5970.020 76.8

Regence BCBS of UT UT 54550 1207 1,228,766 791,417 5830.016 64.4


Physicians Mut Ins Co NE 80578 367 1,173,341 874,260 4510.016 74.5


BCBS of VT VT 53295 4745 933,955 701,009 5240.013 75.1




BCBS Of FL FL 98167 536 444,398 223,044 1510.006 50.2


















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016















7,459,815,405 5,899,968,295 3,244,493TOTAL 79.1




TOTAL GROUP POLICIES BY COMPANY NAME







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016
















BCBS Of FL FL 98167 536 444,398 223,044 1510.006 50.2

BCBS Of KS Inc KS 70729 430 20,639,356 16,058,657 8,5460.277 77.8

BCBS of MA MA 53228 3637 59,368,724 47,972,315 19,3680.796 80.8


BCBS Of NE NE 77780 4858 31,965,772 23,043,920 15,5800.429 72.1

BCBS of RI RI 53473 16,505,834 12,482,383 7,1970.221 75.6

BCBS of TN Inc TN 54518 3498 25,631,155 24,947,673 15,7350.344 97.3

BCBS of VT VT 53295 4745 933,955 701,009 5240.013 75.1

BCBSM Inc MN 55026 461 16,203,183 14,198,864 6,9460.217 87.6















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016



















Highmark Inc PA 54771 812 41,347,166 31,279,915 20,2110.554 75.7






Medico Ins Co NE 31119 3527 19,258,360 15,430,185 6,6000.258 80.1







Physicians Mut Ins Co NE 80578 367 1,173,341 874,260 4510.016 74.5







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016



Regence BCBS of UT UT 54550 1207 1,228,766 791,417 5830.016 64.4












7,459,815,405 5,899,968,295 3,244,493TOTAL 79.1




TOTAL POLICIES (INDIVIDUAL AND GROUP) BY DIRECT PREMIUMS EARNED






TOTAL POLICIES (INDIVIDUAL AND GROUP)

Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016






BCBS of MA MA 53228 3637 468,342,719 422,813,727 202,0631.668 90.3

Omaha Ins Co NE 13100 261 441,596,493 350,012,872 330,0691.573 79.3

BCBS Of FL FL 98167 536 432,233,804 337,720,271 182,9911.539 78.1




Wellmark Inc IA 88848 770 376,547,645 306,054,303 169,8051.341 81.3

BCBS of NC Inc NC 54631 758 375,586,329 268,557,783 160,0251.338 71.5

Humana Ins Co WI 73288 119 372,964,109 279,454,550 189,2211.328 74.9



Highmark Inc PA 54771 812 294,146,556 253,882,111 124,2061.048 86.3




Horizon Ins Co NJ 14690 1202 278,385,369 225,430,448 95,8910.991 81.0


BCBS Of KS Inc KS 70729 430 269,907,681 212,604,657 112,5760.961 78.8




BCBS of AL AL 55433 570 237,028,933 199,762,498 123,8220.844 84.3

BCBSM Inc MN 55026 461 224,370,053 177,857,210 83,2220.799 79.3



BCBS Of NE NE 77780 4858 174,049,518 128,003,463 70,7160.620 73.5








Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

BCBS of GA Inc GA 54801 671 157,438,168 116,540,327 61,3140.561 74.0


BCBS of TN Inc TN 54518 3498 152,395,398 112,447,685 64,9660.543 73.8



BCBS Of SC Inc SC 38520 661 141,981,887 93,830,990 59,9280.506 66.1



TRH Hlth Ins Co TN 89005 4677 133,742,955 95,751,203 60,3080.476 71.6









HPHC Ins Co Inc MA 18975 595 105,856,721 80,084,534 47,3060.377 75.7



BCBS of AZ Inc AZ 53589 97,309,647 66,476,899 39,1740.347 68.3







Medico Ins Co NE 31119 3527 82,865,197 66,968,269 39,6370.295 80.8











Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016




BCBS of WI WI 54003 671 73,089,126 48,687,194 23,5750.260 66.6






BCBS of KC MO 47171 537 63,727,201 43,614,388 22,7940.227 68.4



BCBS of RI RI 53473 57,631,846 45,681,406 24,8150.205 79.3


























Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

















Priority Hlth MI 95561 3383 25,797,883 18,905,422 13,2560.092 73.3






BCBS of WY WY 53767 20,879,329 14,689,779 9,1740.074 70.4







CSI Life Ins Co NE 82880 31 15,766,869 10,607,199 13,8550.056 67.3









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016



THP Ins Co WV 60016 1297 13,405,404 10,502,249 81,9340.048 78.3


Asuris NW Hlth WA 47350 1207 12,772,186 9,865,041 5,4310.045 77.2
















BCBS of VT VT 53295 4745 8,931,439 7,379,237 3,5430.032 82.6

Celtic Ins Co IL 80799 1295 8,917,021 6,358,350 2,2150.032 71.3

















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Group Hlth Inc NY 55239 1127 5,875,784 4,260,254 1,8240.021 72.5



GCU PA 56693 5,565,447 3,467,846 15,2300.020 62.3


































Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016





Avalon Ins Co PA 12358 1230 2,127,840 1,719,576 4410.008 80.8




New W Hlth Serv MT 95829 1,759,343 1,278,876 9160.006 72.7











Kanawha Ins Co SC 65110 119 807,687 572,133 2360.003 70.8










First Care Inc MD 60113 380 610,864 547,934 1,4370.002 89.7


HNE Ins Co MA 14198 4756 535,511 436,847 3140.002 81.6







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


SPJST TX 57436 472,947 352,717 1320.002 74.6

WMI Mut Ins Co UT 68420 464,888 374,823 1550.002 80.6


Ability Ins Co NE 71471 4824 396,459 267,604 990.001 67.5












Time Ins Co WI 69477 19 261,842 238,091 930.001 90.9











UCare MN MN 52629 4380 140,276 110,701 440.000 78.9











Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016

USAble Life AR 94358 876 100,597 102,822 170.000 102.2



















Medisun Inc AZ 95982 21,784 21,048 100.000 96.6



















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016









Old Amer Ins Co MO 67199 588 3,380 2,980 90.000 88.2









28,080,213,992 21,843,333,856 12,673,546TOTAL 77.8



TOTAL POLICIES (INDIVIDUAL AND GROUP) BY COMPANY NAME







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016


Ability Ins Co NE 71471 4824 396,459 267,604 990.001 67.5






























Asuris NW Hlth WA 47350 1207 12,772,186 9,865,041 5,4310.045 77.2







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016



Avalon Ins Co PA 12358 1230 2,127,840 1,719,576 4410.008 80.8






BCBS of AL AL 55433 570 237,028,933 199,762,498 123,8220.844 84.3

BCBS of AZ Inc AZ 53589 97,309,647 66,476,899 39,1740.347 68.3

BCBS Of FL FL 98167 536 432,233,804 337,720,271 182,9911.539 78.1

BCBS of GA Inc GA 54801 671 157,438,168 116,540,327 61,3140.561 74.0

BCBS of KC MO 47171 537 63,727,201 43,614,388 22,7940.227 68.4

BCBS Of KS Inc KS 70729 430 269,907,681 212,604,657 112,5760.961 78.8

BCBS of MA MA 53228 3637 468,342,719 422,813,727 202,0631.668 90.3




BCBS of NC Inc NC 54631 758 375,586,329 268,557,783 160,0251.338 71.5

BCBS Of NE NE 77780 4858 174,049,518 128,003,463 70,7160.620 73.5

BCBS of RI RI 53473 57,631,846 45,681,406 24,8150.205 79.3

BCBS Of SC Inc SC 38520 661 141,981,887 93,830,990 59,9280.506 66.1

BCBS of TN Inc TN 54518 3498 152,395,398 112,447,685 64,9660.543 73.8

BCBS of VT VT 53295 4745 8,931,439 7,379,237 3,5430.032 82.6

BCBS of WI WI 54003 671 73,089,126 48,687,194 23,5750.260 66.6

BCBS of WY WY 53767 20,879,329 14,689,779 9,1740.074 70.4

BCBSM Inc MN 55026 461 224,370,053 177,857,210 83,2220.799 79.3












Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016



Celtic Ins Co IL 80799 1295 8,917,021 6,358,350 2,2150.032 71.3





























CSI Life Ins Co NE 82880 31 15,766,869 10,607,199 13,8550.056 67.3







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016













First Care Inc MD 60113 380 610,864 547,934 1,4370.002 89.7





GCU PA 56693 5,565,447 3,467,846 15,2300.020 62.3











Group Hlth Inc NY 55239 1127 5,875,784 4,260,254 1,8240.021 72.5










Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016















Highmark Inc PA 54771 812 294,146,556 253,882,111 124,2061.048 86.3



HNE Ins Co MA 14198 4756 535,511 436,847 3140.002 81.6


Horizon Ins Co NJ 14690 1202 278,385,369 225,430,448 95,8910.991 81.0

HPHC Ins Co Inc MA 18975 595 105,856,721 80,084,534 47,3060.377 75.7




Humana Ins Co WI 73288 119 372,964,109 279,454,550 189,2211.328 74.9














Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016








Kanawha Ins Co SC 65110 119 807,687 572,133 2360.003 70.8

















Medico Ins Co NE 31119 3527 82,865,197 66,968,269 39,6370.295 80.8


Medisun Inc AZ 95982 21,784 21,048 100.000 96.6












Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016










New W Hlth Serv MT 95829 1,759,343 1,278,876 9160.006 72.7




Old Amer Ins Co MO 67199 588 3,380 2,980 90.000 88.2


Omaha Ins Co NE 13100 261 441,596,493 350,012,872 330,0691.573 79.3
















Priority Hlth MI 95561 3383 25,797,883 18,905,422 13,2560.092 73.3







Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016






























SPJST TX 57436 472,947 352,717 1320.002 74.6









Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016







THP Ins Co WV 60016 1297 13,405,404 10,502,249 81,9340.048 78.3


Time Ins Co WI 69477 19 261,842 238,091 930.001 90.9




TRH Hlth Ins Co TN 89005 4677 133,742,955 95,751,203 60,3080.476 71.6




UCare MN MN 52629 4380 140,276 110,701 440.000 78.9






















Market

Direct Claims

Incurred

Loss Incurred to


Lives Covered

Direct Premiums

Earned

Company Name

State

Dom

Cocode Group

Code

of Share

% %

September 12, 2017 2016






USAble Life AR 94358 876 100,597 102,822 170.000 102.2





Wellmark Inc IA 88848 770 376,547,645 306,054,303 169,8051.341 81.3





WMI Mut Ins Co UT 68420 464,888 374,823 1550.002 80.6


28,080,213,992 21,843,333,856 12,673,546TOTAL 77.8



MARKET SHARE BY DIRECT PREMIUMS EARNED



FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

ALABAMA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives

September 13, 20172016

BCBS of AL 55433 570 237,028,933123,822 61.835 61.8AL

UnitedHealthcare Ins Co 79413 707 67,734,91532,702 17.670 79.5CT

United Of Omaha Life Ins Co 69868 261 8,258,0055,144 2.154 81.7NE

First Comm Hlth Plan Inc 47051 7,685,2564,211 2.005 83.7AL

Humana Ins Co 73288 119 5,634,8262,935 1.470 85.1WI

United World Life Ins Co 72850 261 5,491,8671,782 1.433 86.6NE

Physicians Mut Ins Co 80578 367 5,366,5482,855 1.400 88.0NE

Philadelphia Amer Life Ins Co 67784 520 5,338,4743,180 1.393 89.4TX

American Retirement Life Ins Co 88366 901 5,317,2233,244 1.387 90.7OH

American Continental Ins Co 12321 1 4,272,5753,235 1.115 91.9TN

**TOTAL** 383,325,454199,358 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

ALASKA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Premera Blue Cross 47570 962 3,407,9601,579 13.436 75.9WA

Mutual Of Omaha Ins Co 71412 261 1,978,551817 7.801 83.7NE

Humana Ins Co 73288 119 1,342,645790 5.294 88.9WI

State Farm Mut Auto Ins Co 25178 176 1,065,994666 4.203 93.2IL

USAA Life Ins Co 69663 200 669,974370 2.641 95.8TX

Transamerica Life Ins Co 86231 468 283,857192 1.119 96.9IA

Loyal Amer Life Ins Co 65722 901 214,054197 0.844 97.8OH

Transamerica Premier Life Ins Co 66281 468 122,65594 0.484 98.2IA

United Amer Ins Co 92916 290 85,59946 0.337 98.6NE

**TOTAL** 25,363,77913,345 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

ARIZONA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



BCBS of AZ Inc 53589 97,309,64739,174 16.023 61.8AZ




USAA Life Ins Co 69663 200 14,108,8977,502 2.323 80.7TX

Omaha Ins Co 13100 261 13,392,32610,699 2.205 82.9NE

Mutual Of Omaha Ins Co 71412 261 9,083,2453,057 1.496 84.4NE

American Republic Ins Co 60836 3527 7,014,6932,276 1.155 85.5IA

Medico Corp Life Ins Co 79987 3527 6,416,7854,471 1.057 86.6NE

**TOTAL** 607,329,981284,584 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

ARKANSAS

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


USAble Mut Ins Co 83470 876 245,615,618117,136 66.650 66.7AR



Old Surety Life Ins Co 67326 6,805,4654,383 1.847 82.8OK


Humana Ins Co 73288 119 4,765,2912,906 1.293 85.7WI


Qualchoice Life & Hlth Ins Co Inc 70998 4807 3,994,01828,681 1.084 88.0AR

Loyal Amer Life Ins Co 65722 901 2,973,6271,602 0.807 88.8OH


**TOTAL** 368,513,211204,059 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

CALIFORNIA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Health Net Life Ins Co 66141 1295 64,596,81527,397 5.640 71.2CA



Continental Life Ins Co Brentwood 68500 1 31,189,0419,930 2.723 79.7TN

Humana Ins Co 73288 119 28,726,13315,636 2.508 82.2WI

Colonial Penn Life Ins Co 62065 233 27,616,49713,931 2.411 84.7PA

Aetna Life Ins Co 60054 1 27,458,6629,276 2.397 87.1CT

United Amer Ins Co 92916 290 25,646,93812,123 2.239 89.3NE


**TOTAL** 1,145,362,503514,026 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

COLORADO

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Rocky Mountain Hospital & Medical 11011 671 59,187,93525,797 15.909 58.5CO





Humana Ins Co 73288 119 9,779,8774,960 2.629 76.5WI


Bankers Life & Cas Co 61263 233 6,554,5891,857 1.762 80.5IL

State Farm Mut Auto Ins Co 25178 176 6,471,0972,140 1.739 82.3IL

**TOTAL** 372,051,250177,866 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

CONNECTICUT

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Anthem Hlth Plans Inc 60217 671 86,391,16245,235 23.674 92.6CT


Humana Ins Co 73288 119 3,060,5331,382 0.839 94.8WI

Loyal Amer Life Ins Co 65722 901 2,071,640748 0.568 95.4OH

Bankers Life & Cas Co 61263 233 2,054,537921 0.563 96.0IL

Combined Ins Co Of Amer 62146 626 1,718,350637 0.471 96.4IL



Transamerica Life Ins Co 86231 468 1,386,948673 0.380 97.7IA

**TOTAL** 364,914,810155,219 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

DELAWARE

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Highmark BCBSD Inc 53287 812 15,218,2166,810 11.994 78.5DE

Humana Ins Co 73288 119 3,140,5151,947 2.475 81.0WI

Standard Life & Accident Ins Co 86355 408 2,563,5861,237 2.021 83.0TX



Guarantee Trust Life Ins Co 64211 687 2,022,461496 1.594 88.3IL

Colonial Penn Life Ins Co 62065 233 2,001,557937 1.578 89.9PA

USAA Life Ins Co 69663 200 1,528,749612 1.205 91.1TX

Transamerica Premier Life Ins Co 66281 468 1,366,956986 1.077 92.2IA

**TOTAL** 126,878,60758,510 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

DISTRICT OF COLUMBIA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Group Hospitalization & Med Srvcs 53007 380 4,155,4491,619 20.579 88.1DC


Colonial Penn Life Ins Co 62065 233 461,947280 2.288 93.5PA

Mutual Of Omaha Ins Co 71412 261 270,623104 1.340 94.8NE

Bankers Life & Cas Co 61263 233 253,51876 1.256 96.1IL

Humana Ins Co 73288 119 244,311151 1.210 97.3WI



United Amer Ins Co 92916 290 82,93730 0.411 99.3NE

**TOTAL** 20,192,3459,927 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

FLORIDA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


UnitedHealthcare Ins Co 79413 707 1,130,866,001466,589 55.713 55.7CT

BCBS Of FL 98167 536 432,233,804182,991 21.294 77.0FL




Constitution Life Ins Co 62359 4736 32,513,36011,340 1.602 88.8TX



Transamerica Life Ins Co 86231 468 15,475,4466,623 0.762 92.3IA


**TOTAL** 2,029,815,355834,958 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

GEORGIA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



BCBS of GA Inc 54801 671 157,438,16861,314 20.794 57.3GA

Omaha Ins Co 13100 261 43,172,92435,861 5.702 63.0NE




Humana Ins Co 73288 119 18,858,3679,708 2.491 76.8WI


New Era Life Ins Co Of Midwest 69698 520 17,689,2389,937 2.336 81.5TX


**TOTAL** 757,136,516346,192 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

HAWAII

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Humana Ins Co 73288 119 1,943,6651,232 11.796 88.0WI


State Farm Mut Auto Ins Co 25178 176 263,654139 1.600 93.9IL


Hawaii Medical Serv Assn 49948 180,06867 1.093 96.4HI




Physicians Mut Ins Co 80578 367 38,13813 0.231 99.6NE

**TOTAL** 16,476,8429,088 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

IDAHO

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Blue Cross of ID Hlth Serv Inc 60095 1290 18,892,4796,710 11.984 33.8ID



Regence Blueshield Of ID Inc 60131 1207 12,073,5814,310 7.659 61.4ID


Transamerica Premier Life Ins Co 66281 468 6,515,2214,311 4.133 72.7IA

Sterling Life Ins Co 77399 901 4,619,7601,932 2.930 75.6IL


Bankers Fidelity Life Ins Co 61239 587 3,819,7782,150 2.423 80.5GA

**TOTAL** 157,646,89574,090 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

ILLINOIS

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Health Care Serv Corp A Mut Legal Re 70670 917 976,728,907386,968 55.024 55.0IL




Country Life Ins Co 62553 50 55,900,57021,713 3.149 82.4IL



Pekin Life Ins Co 67628 153 12,933,4135,212 0.729 87.0IL

Aetna Hlth & Life Ins Co 78700 1 12,905,85810,743 0.727 87.7CT

Equitable Life & Cas Ins Co 62952 11,889,1936,941 0.670 88.4UT

**TOTAL** 1,775,087,982748,367 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

INDIANA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Anthem Ins Co Inc 28207 671 136,073,32548,711 16.468 43.9IN



Medico Ins Co 31119 3527 24,704,86817,073 2.990 61.3NE


Gerber Life Ins Co 70939 4483 19,720,0958,142 2.387 66.3NY


Omaha Ins Co 13100 261 17,687,98614,288 2.141 70.7NE


**TOTAL** 826,275,401366,003 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

IOWA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Wellmark Inc 88848 770 376,547,645169,805 60.081 60.1IA






Omaha Ins Co 13100 261 12,192,4039,823 1.945 83.8NE

American Republic Corp Ins Co 67679 3527 9,028,1093,371 1.441 85.3NE



**TOTAL** 626,730,705291,945 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

KANSAS

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBS Of KS Inc 70729 430 269,907,681112,576 50.339 50.3KS



BCBS of KC 47171 537 21,988,6498,560 4.101 71.4MO







**TOTAL** 536,181,328233,988 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

KENTUCKY

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Anthem Hlth Plans Of KY Inc 95120 671 171,452,51278,451 37.326 37.3KY



Omaha Ins Co 13100 261 21,161,06315,251 4.607 73.7NE


Humana Ins Co Of KY 60219 119 11,890,3045,354 2.589 79.1KY


Forethought Life Ins Co 91642 3891 8,579,4224,168 1.868 83.0IN

Continental Gen Ins Co 71404 5,497,1381,685 1.197 84.2TX


**TOTAL** 459,333,209215,143 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

LOUISIANA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Louisiana Hlth Serv & Ind Co 81200 438 107,559,26543,967 33.239 33.2LA



New Era Life Ins Co 78743 520 11,710,5256,125 3.619 67.1TX




Physicians Life Ins Co 72125 367 6,063,8052,133 1.874 79.4NE



**TOTAL** 323,592,822141,012 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MAINE

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Anthem Hlth Plans of ME Inc 52618 671 44,889,04920,412 27.856 86.0ME

HPHC Ins Co Inc 18975 595 7,224,4413,292 4.483 90.5MA





United Of Omaha Life Ins Co 69868 261 881,991389 0.547 96.3NE

Principal Life Ins Co 61271 332 864,760191 0.537 96.9IA

Central States Ind Co Of Omaha 34274 31 785,353885 0.487 97.4NE

**TOTAL** 161,145,14172,053 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MARYLAND

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Carefirst of MD Inc 47058 380 151,086,94153,587 26.814 70.1MD

Omaha Ins Co 13100 261 30,171,08219,737 5.355 75.5NE





Group Hospitalization & Med Srvcs 53007 380 12,402,4915,644 2.201 88.7DC


Humana Ins Co 73288 119 5,680,7032,625 1.008 91.8WI

**TOTAL** 563,465,191228,689 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MASSACHUSETTS

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBS of MA 53228 3637 468,342,719202,063 67.886 67.9MA


HPHC Ins Co Inc 18975 595 76,810,67435,003 11.134 91.7MA

Tufts Ins Co Inc 60117 4742 32,508,67816,212 4.712 96.5MA

Humana Ins Co 73288 119 10,511,1433,602 1.524 98.0WI


Fallon Hlth & Life Assur Co 66828 4741 2,551,9671,162 0.370 99.4MA

BCBS of MA HMO Blue Inc 12219 3637 778,6545,379 0.113 99.5MA

Hartford Life Ins Co 88072 91 597,558121 0.087 99.6CT


**TOTAL** 689,895,176304,263 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MICHIGAN

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBS of MI Mut Ins Co 54291 572 284,120,723186,426 37.397 37.4MI



Blue Care Network Of MI 95610 572 33,763,74513,990 4.444 74.8MI

Priority Hlth 95561 3383 25,797,88313,256 3.396 78.2MI

Omaha Ins Co 13100 261 25,274,92320,552 3.327 81.5NE





**TOTAL** 759,751,337420,940 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MINNESOTA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBSM Inc 55026 461 224,370,05383,222 73.284 73.3MN








Omaha Ins Co 13100 261 2,562,8991,651 0.837 94.1NE

Combined Ins Co Of Amer 62146 626 2,207,746657 0.721 94.8IL

**TOTAL** 306,166,826116,464 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MISSISSIPPI

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



BCBS Of MS Mut Ins Co 60111 1126 33,436,59912,122 10.037 29.4MS


Philadelphia Amer Life Ins Co 67784 520 30,722,18417,051 9.222 48.2TX


Omaha Ins Co 13100 261 17,272,57210,068 5.185 60.7NE


Manhattan Life Ins Co 65870 1117 11,908,4038,632 3.575 69.3NY



**TOTAL** 333,147,289150,863 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MISSOURI

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives




Healthy Alliance Life Ins Co 78972 671 85,873,80033,464 11.696 57.2MO


BCBS of KC 47171 537 41,738,55214,234 5.685 69.6MO




Humana Ins Co 73288 119 12,066,1095,595 1.643 78.8WI


**TOTAL** 734,204,675315,136 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

MONTANA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives









Humana Ins Co 73288 119 4,373,4722,664 2.888 71.1WI



**TOTAL** 151,411,17071,716 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NEBRASKA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBS Of NE 77780 4858 174,049,51870,716 45.557 45.6NE




Omaha Ins Co 13100 261 19,333,20316,805 5.060 67.1NE



Thrivent Financial For Lutherans 56014 2938 9,682,0684,096 2.534 76.3WI

Manhattan Life Ins Co 65870 1117 7,792,6256,182 2.040 78.3NY


**TOTAL** 382,049,234168,945 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NEVADA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Rocky Mountain Hospital & Medical 11011 671 23,746,4657,691 11.974 61.3CO




Humana Ins Co 73288 119 7,633,5853,431 3.849 78.7WI





**TOTAL** 198,311,71485,417 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NEW HAMPSHIRE

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Anthem Hlth Plans of NH 53759 671 73,556,50931,707 34.460 34.5NH


HPHC Ins Co Inc 18975 595 21,821,6069,011 10.223 78.4MA





United Of Omaha Life Ins Co 69868 261 1,769,377526 0.829 95.7NE

Humana Ins Co 73288 119 1,554,421973 0.728 96.4WI


**TOTAL** 213,454,79493,433 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NEW JERSEY

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Horizon Ins Co 14690 1202 278,385,36995,891 23.707 76.6NJ




Genworth Life & Ann Ins Co 65536 4011 31,120,95410,356 2.650 89.3VA




Amerihealth Ins Co Of NJ 60061 936 12,729,5745,875 1.084 94.6NJ

**TOTAL** 1,174,277,500453,727 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NEW MEXICO

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives








Humana Ins Co 73288 119 3,487,8912,001 3.109 84.4WI




**TOTAL** 112,178,23959,020 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NEW YORK

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


United Hlthcare Ins Co Of NY 60093 707 974,687,521369,307 81.314 81.3NY

Empire Healthchoice Assur Inc 55093 671 78,608,60426,660 6.558 87.9NY

First United Amer Life Ins Co 74101 290 36,027,68926,352 3.006 90.9NY

Excellus Hlth Plan Inc 55107 1186 28,925,21511,397 2.413 93.3NY

Humana Ins Co of NY 12634 119 15,072,2537,506 1.257 94.5NY

Transamerica Financial Life Ins Co 70688 468 14,718,7315,500 1.228 95.8NY


CDPHP Universal Benefits Inc 47027 4708 9,478,7952,607 0.791 97.5NY

Health Now NY Inc 55204 6,812,0972,029 0.568 98.0NY

Bankers Conseco Life Ins Co 68560 233 6,223,9743,123 0.519 98.5NY

**TOTAL** 1,198,665,921462,130 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NORTH CAROLINA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBS of NC Inc 54631 758 375,586,329160,025 37.277 37.3NC










**TOTAL** 1,007,560,085468,487 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

NORTH DAKOTA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Noridian Mut Ins Co 55891 85,857,01834,794 74.533 74.5ND



Omaha Ins Co 13100 261 2,331,1792,014 2.024 83.2NE


American Republic Ins Co 60836 3527 1,892,205603 1.643 86.9IA

Thrivent Financial For Lutherans 56014 2938 1,652,421819 1.434 88.3WI

American Continental Ins Co 12321 1 1,346,777755 1.169 89.5TN

American Republic Corp Ins Co 67679 3527 1,320,487527 1.146 90.6NE

Humana Ins Co 73288 119 1,223,890688 1.062 91.7WI

**TOTAL** 115,193,57548,010 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

OHIO

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Community Ins Co 10345 671 128,256,60453,076 10.956 57.5OH

Humana Ins Co 73288 119 93,451,10648,524 7.983 65.5WI

Medical Hlth Insuring Corp of OH 95828 730 49,838,01929,378 4.257 69.7OH

Omaha Ins Co 13100 261 30,459,14217,977 2.602 72.3NE

Medical Mut Of OH 29076 730 30,040,34712,616 2.566 74.9OH



Forethought Life Ins Co 91642 3891 17,587,0638,606 1.502 80.6IN


**TOTAL** 1,170,671,183613,014 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

OKLAHOMA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives





Omaha Ins Co 13100 261 21,793,92019,229 5.762 70.9NE






Universal Fidelity Life Ins Co 70122 4,612,0942,023 1.219 81.0OK

**TOTAL** 378,243,196188,452 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

OREGON

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives





Regence BCBS of OR 54933 1207 23,112,1017,685 7.919 59.6OR

Individual Assur Co Life Hlth & Acc 81779 20,367,39619,640 6.978 66.6OK

Omaha Ins Co 13100 261 12,154,02611,684 4.164 70.7NE





**TOTAL** 291,869,615143,359 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

PENNSYLVANIA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Highmark Inc 54771 812 294,146,556124,206 21.030 52.8PA


Independence Hospital Ind Plan Inc 54704 936 53,345,92842,405 3.814 60.7PA






Capital Advantage Ins Co 41203 1230 31,383,38523,895 2.244 77.0PA

**TOTAL** 1,398,692,701660,544 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

RHODE ISLAND

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBS of RI 53473 57,631,84624,815 54.963 55.0RI




Humana Ins Co 73288 119 1,862,933834 1.777 97.2WI

USAA Life Ins Co 69663 200 1,267,731608 1.209 98.5TX



American Retirement Life Ins Co 88366 901 185,053122 0.176 99.3OH

Continental Life Ins Co Brentwood 68500 1 140,01983 0.134 99.4TN

**TOTAL** 104,856,63647,841 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

SOUTH CAROLINA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



BCBS Of SC Inc 38520 661 141,981,88759,928 27.142 57.6SC


Omaha Ins Co 13100 261 19,749,83515,161 3.776 66.1NE





Humana Ins Co 73288 119 8,380,2824,553 1.602 78.4WI


**TOTAL** 523,099,773250,385 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

SOUTH DAKOTA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Wellmark Of SD Inc 60128 770 55,105,10621,556 38.933 38.9SD

Avera Hlth Plans Inc 95839 15,582,9888,616 11.010 49.9SD






Thrivent Financial For Lutherans 56014 2938 2,873,4651,381 2.030 79.9WI

Sanford Hlth Plan 95683 1246 2,655,8361,054 1.876 81.8SD


**TOTAL** 141,539,99164,384 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

TENNESSEE

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


BCBS of TN Inc 54518 3498 152,395,39864,966 24.114 24.1TN

TRH Hlth Ins Co 89005 4677 133,742,95560,308 21.163 45.3TN






Humana Ins Co 73288 119 8,178,3424,027 1.294 80.7WI



**TOTAL** 631,968,846290,214 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

TEXAS

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives






Omaha Ins Co 13100 261 76,995,14747,017 4.398 68.1NE




New Era Life Ins Co Of Midwest 69698 520 26,517,24711,523 1.515 75.7TX


**TOTAL** 1,750,487,248776,575 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

UTAH

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Regence BCBS of UT 54550 1207 38,648,57016,202 26.571 67.0UT

Standard Life & Accident Ins Co 86355 408 3,980,9612,067 2.737 69.7TX




Educators Mut Ins Assoc 81701 126 3,420,2171,128 2.351 79.6UT

United World Life Ins Co 72850 261 2,923,051964 2.010 81.6NE


Humana Ins Co 73288 119 1,801,656960 1.239 84.6WI

**TOTAL** 145,456,30072,672 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

VERMONT

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



The Vt Hlth Plan LLC 95696 4745 10,806,8976,175 10.767 55.0VT

BCBS of VT 53295 4745 8,931,4393,543 8.898 63.9VT



Genworth Life & Ann Ins Co 65536 4011 4,791,8052,839 4.774 80.2VA


Washington Natl Ins Co 70319 233 3,896,6182,734 3.882 88.0IN

Humana Ins Co 73288 119 2,619,4691,459 2.610 90.6WI


**TOTAL** 100,370,18349,686 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

VIRGINIA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Anthem Hlth Plans of VA Inc 71835 671 284,516,703122,998 35.139 35.1VA




Omaha Ins Co 13100 261 34,322,73930,084 4.239 80.7NE


Humana Ins Co 73288 119 13,205,6137,858 1.631 84.3WI




**TOTAL** 809,684,100393,691 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

WASHINGTON

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Premera Blue Cross 47570 962 107,375,61042,688 17.575 64.2WA

Regence BlueShield 53902 1207 80,228,02231,236 13.131 77.4WA




Asuris NW Hlth 47350 1207 12,772,1865,431 2.090 90.7WA




**TOTAL** 610,964,996273,727 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

WEST VIRGINIA

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



Highmark West Virginia Inc. 54828 812 19,355,6257,584 10.373 56.8WV


Omaha Ins Co 13100 261 10,045,0208,124 5.383 67.7NE





Humana Ins Co 73288 119 3,524,7151,524 1.889 81.1WI


**TOTAL** 186,594,80592,676 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

WISCONSIN

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Wisconsin Physicians Serv Ins Corp 53139 68 127,159,40343,795 18.945 18.9WI


BCBS of WI 54003 671 73,089,12623,575 10.889 46.8WI



Dean Hlth Plan Inc 96156 1294 34,070,47522,706 5.076 65.0WI



Physicians Life Ins Co 72125 367 16,280,6605,994 2.426 73.8NE


**TOTAL** 671,191,427280,899 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

WYOMING

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives



BCBS of WY 53767 20,879,3299,174 21.857 54.6WY






Humana Ins Co 73288 119 2,734,8391,549 2.863 80.5WI



**TOTAL** 95,525,95446,469 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

GUAM

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


UnitedHealthcare Ins Co 79413 707 730,038482 100.000 100.0CT

**TOTAL** 730,038482 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

N MARIANA ISLANDS

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


UnitedHealthcare Ins Co 79413 707 53,07634 100.000 100.0CT

**TOTAL** 53,07634 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

PUERTO RICO

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives


Triple S Salud Inc 55816 4802 23,381,18316,957 73.528 73.5PR



Ryder Hlth Plan Inc 95743 24,79028 0.078 100.0PR

**TOTAL** 31,798,93122,604 100.000 100.0




FOR THE STATE OF:


Company Name

State

Company Group

DirectNumber Market

U.S. VIRGIN ISLANDS

MARKET SHARE



of

Domicile Code Code

Premiums

Earned

Share

Percentage

Cumulative

Market

Share

of Covered

Lives




Continental Gen Ins Co 71404 3,7231 0.028 100.0TX

**TOTAL** 13,328,1318,865 100.000 100.0





COMPANY INDEX




INDEX OF COMPANIES

Company Name

Individual

Company

Code

Group Code Group Name

Prior

Three Year

Premiums

Prior Current Current

Three Year Three Year Three Year

Covered Lives Premiums Covered Lives

2016

21st Century Premier Ins Co 20796 69 FARMERS INS GRP 178,479 93 0 0

Ability Ins Co 71471 4824 ADVANTAGE CAPITAL GRP 396,459 99 0 0

Aetna Hlth & Life Ins Co 78700 1 AETNA GRP 1,293,480 637 177,817,309 137,309

Aetna Life Ins Co 60054 1 AETNA GRP 76,512,749 26,774 23,102,766 9,367

Alliance Hlth & Life Ins Co 60134 1311 HENRY FORD HLTH SYSTEM GRP 1,108,968 509 1,221,005 458

Allianz Life Ins Co Of N Amer 90611 761 ALLIANZ INS GRP 206,492 103 0 0

Allianz Life Ins Co Of NY 64190 761 ALLIANZ INS GRP 23,666 35 0 0

Amalgamated Life & Hlth Ins Co 60208 3,410,337 1,283 22,704 43

American Continental Ins Co 12321 1 AETNA GRP 257,706,891 104,883 164,982,952 112,734

American Family Ins Co 10386 473 AMERICAN FAMILY INS GRP 325,894 87 0 0

American Family Life Assur Co of Col 60380 370 AFLAC GRP 45,722,695 16,961 164,608 83

American Family Life Assur Co of NY 60526 370 AFLAC GRP 384,517 137 0 0

American Family Mut Ins Co 19275 473 AMERICAN FAMILY INS GRP 27,107,839 7,836 0 0

American Gen Life Ins Co 60488 12 AMERICAN INTL GRP 1,207,041 343 0 0

American Income Life Ins Co 60577 290 TORCHMARK CORP GRP 325,016 73 0 0

American Natl Ins Co 60739 408 AMERICAN NATL FIN GRP 97,561 41 0 0

American Natl Life Ins Co Of TX 71773 408 AMERICAN NATL FIN GRP 9,553,936 3,164 293,981 650

American Progressive L&H Ins Of NY 80624 953 UNIVERSAL AMER FIN CORP GRP 12,002,224 3,454 2,962 1

American Republic Corp Ins Co 67679 3527 AMERICAN ENTERPRISE MUT GRP 48,812,735 18,200 2,304,172 1,295

American Republic Ins Co 60836 3527 AMERICAN ENTERPRISE MUT GRP 103,713,732 30,638 16,379,597 8,831

American Retirement Life Ins Co 88366 901 CIGNA HLTH GRP 41,301,732 20,354 212,857,882 132,602

Americo Fin Life & Ann Ins Co 61999 449 FINANCIAL HOLDINGS GRP 0 0 691,691 1,348

Amerihealth Ins Co Of NJ 60061 936 INDEPENDENCE HLTH GRP INC GRP 0 0 12,729,574 5,875

Anthem Hlth Plans Inc 60217 671 ANTHEM INC GRP 77,642,802 41,277 8,748,360 3,958

Anthem Hlth Plans Of KY Inc 95120 671 ANTHEM INC GRP 142,473,110 62,659 28,979,402 15,792

Anthem Hlth Plans of ME Inc 52618 671 ANTHEM INC GRP 39,147,952 14,868 5,741,097 5,544



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Anthem Hlth Plans of NH 53759 671 ANTHEM INC GRP 64,388,450 27,778 9,168,059 3,929

Anthem Hlth Plans of VA Inc 71835 671 ANTHEM INC GRP 233,662,962 85,979 50,853,741 37,019

Anthem Ins Co Inc 28207 671 ANTHEM INC GRP 119,223,687 40,517 16,849,638 8,194

Assured Life Assn 56499 42,586,965 13,935 1,717,309 1,000

Assurity Life Ins Co 71439 4862 ASSURITY GRP 16,003 21 0 0

Asuris NW Hlth 47350 1207 CAMBIA HEALTH SOLUTIONS INC 1,941,096 644 10,831,090 4,787

Aultcare Ins Co 77216 4805 AULTMAN HLTH FOUNDATION GRP 0 0 762,516 393

Auto Owners Life Ins Co 61190 280 AUTO OWNERS GRP 656,413 172 0 0

Avalon Ins Co 12358 1230 CAPITAL BLUE CROSS GRP 1,759,299 363 368,541 78

Avera Hlth Plans Inc 95839 12,263,129 0 4,341,160 9,162

Bankers Conseco Life Ins Co 68560 233 CNO FINANCIAL GRP 2,970,939 1,104 3,253,035 2,019

Bankers Fidelity Assur Co 71919 587 ATLANTIC AMER GRP 0 0 7,225,585 8,178

Bankers Fidelity Life Ins Co 61239 587 ATLANTIC AMER GRP 61,645,153 27,324 20,529,453 18,176

Bankers Life & Cas Co 61263 233 CNO FINANCIAL GRP 316,634,607 96,690 0 0

BCBS of AL 55433 570 BCBS OF AL GRP 183,421,753 95,925 53,607,180 27,897

BCBS of AZ Inc 53589 60,187,948 22,369 37,121,699 16,805

BCBS Of FL 98167 536 GUIDEWELL MUT HOLDING GRP 268,608,515 118,557 163,625,289 64,434

BCBS of GA Inc 54801 671 ANTHEM INC GRP 125,812,804 47,268 31,625,364 14,046

BCBS of KC 47171 537 BCBS OF KC GRP 51,528,180 17,466 12,199,021 5,328

BCBS Of KS Inc 70729 430 BCBS OF KS GRP 216,658,169 83,113 53,249,512 29,463

BCBS of MA 53228 3637 BCBS OF MA GRP 359,164,020 147,362 109,178,699 54,701

BCBS of MA HMO Blue Inc 12219 3637 BCBS OF MA GRP 0 0 778,654 5,379

BCBS of MI Mut Ins Co 54291 572 BCBS OF MI GRP 0 0 284,120,723 186,426

BCBS Of MS Mut Ins Co 60111 1126 MISSISSIPPI INS GRP 28,439,260 9,644 4,997,339 2,478

BCBS of NC Inc 54631 758 BCBS OF NC GRP 290,731,795 112,997 84,854,534 47,028

BCBS Of NE 77780 4858 BCBS OF NE GRP 93,862,327 30,378 80,187,191 40,338



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

BCBS of RI 53473 55,796,067 24,027 1,835,779 788

BCBS Of SC Inc 38520 661 BCBS OF SC GRP 110,806,769 41,245 31,175,118 18,683

BCBS of TN Inc 54518 3498 BCBS OF TN GRP 140,307,983 43,904 12,087,415 21,062

BCBS of VT 53295 4745 BCBS OF VT GRP 8,053,440 3,078 877,999 465

BCBS of WI 54003 671 ANTHEM INC GRP 63,137,248 18,508 9,951,878 5,067

BCBS of WY 53767 15,695,721 6,097 5,183,608 3,077

BCBSM Inc 55026 461 BCBS OF MN GRP 2,327,039 744 222,043,014 82,478

Blue Care Network Of MI 95610 572 BCBS OF MI GRP 20,842,194 7,585 12,921,551 6,405

Blue Cross of ID Hlth Serv Inc 60095 1290 BLUE CROSS OF ID GRP 15,993,016 5,578 2,899,463 1,132

BridgeSpan Hlth Co 95303 1207 CAMBIA HEALTH SOLUTIONS INC 709,155 231 0 0

Capital Advantage Ins Co 41203 1230 CAPITAL BLUE CROSS GRP 20,845,319 15,375 10,538,066 8,520

Capital Blue Cross 54720 1230 CAPITAL BLUE CROSS GRP 23,181,655 15,374 2,070,693 1,497

Carefirst of MD Inc 47058 380 CAREFIRST INC GRP 119,329,272 38,786 31,757,669 14,801

CDPHP Universal Benefits Inc 47027 4708 CDPHP INC GRP 5,461,985 1,481 4,016,810 1,126

Celtic Ins Co 80799 1295 CENTENE CORP GRP 8,911,917 2,214 5,104 1

Central Reserve Life Ins Co 61727 901 CIGNA HLTH GRP 5,486,644 1,334 0 0

Central Security Life Ins Co 61735 526 MAXIMUM CORP GRP 24,712 14 0 0

Central States H & L Co Of Omaha 61751 690 CENTRAL STATES GRP 12,640,024 3,664 0 0

Central States Ind Co Of Omaha 34274 31 BERKSHIRE HATHAWAY GRP 40,691,793 20,007 39,305,773 25,369

Central United Life Ins Co 61883 1117 MANHATTAN LIFE GRP 0 0 671,096 194

Christian Fidelity Life Ins Co 61859 574 AMERCO CORP GRP 32,839,194 8,151 258,851 113

CICA Life Ins Co of Amer 71463 612 CITIZENS GRP 380 2 0 0

Cigna Hlth & Life Ins Co 67369 901 CIGNA HLTH GRP 13,128 6 7,137,014 9,862

Cincinnati Equitable Life Ins Co 88064 838 CINCINNATI EQUITABLE CO GRP 52,218 18 0 0

Cincinnati Life Ins Co 76236 244 CINCINNATI FIN GRP 6,056 7 0 0

CMFG Life Ins Co 62626 306 CUNA MUT GRP 8,097 5 0 0



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Colonial Life & Accident Ins Co 62049 565 UNUM GRP 6,709 2 0 0

Colonial Penn Life Ins Co 62065 233 CNO FINANCIAL GRP 234,518,972 102,280 183,974,468 115,495

Columbian Mut Life Ins Co 62103 535 COLUMBIAN LIFE GRP 1,913,638 745 110,727 42

Combined Ins Co Of Amer 62146 626 CHUBB LTD GRP 37,769,325 15,079 26,419,590 13,100

Community Ins Co 10345 671 ANTHEM INC GRP 105,231,463 41,073 23,025,141 12,003

Communitycare Life & Hlth Ins Co 89008 3487 COMMUNITYCARE GRP 630,579 267 400,971 183

Companion Life Ins Co 77828 661 BCBS OF SC GRP 219,449 76 5,055,410 4,557

Compcare Hlth Serv Ins Corp 95693 671 ANTHEM INC GRP 340,202 78 0 0

Connecticut Gen Life Ins Co 62308 901 CIGNA HLTH GRP 1,230,401 432 56,260 19

Constitution Life Ins Co 62359 4736 GGC GRP 84,348,274 23,091 658,075 262

Consumers Life Ins Co 62375 730 MEDICAL MUT OF OH GRP 701,115 244 0 0

Continental Gen Ins Co 71404 79,653,656 23,782 65,435 31

Continental Life Ins Co Brentwood 68500 1 AETNA GRP 219,625,817 89,528 180,490,274 113,828

Country Life Ins Co 62553 50 COUNTRY INS & FIN SERV GRP 49,503,971 17,425 6,402,619 4,292

Coventry Hlth & Life Ins Co 81973 1 AETNA GRP 5,206,094 1,468 139,759 66

Coventry Hlth Care of IL Inc 74160 1 AETNA GRP 30,692 0 0 0

CSA Fraternal Life 56138 22,939 9 0 0

CSI Life Ins Co 82880 31 BERKSHIRE HATHAWAY GRP 0 0 15,766,869 13,855

Dean Hlth Plan Inc 96156 1294 DEAN HLTH GRP 26,196,520 16,290 7,873,955 6,416

Educators Hlth Plans Life Accident & 12515 126 EDUCATORS MUT GRP 0 0 944 11

Educators Mut Ins Assoc 81701 126 EDUCATORS MUT GRP 2,584,318 803 856,281 331

Empire Healthchoice Assur Inc 55093 671 ANTHEM INC GRP 78,608,604 26,660 0 0

EPIC Life Ins Co 64149 68 WISCONSIN PHYSICIANS SERV INS GRP 143,384 58 77,698 45

Equitable Life & Cas Ins Co 62952 54,575,357 19,802 77,612,359 46,845

Everence Assn Inc 57991 4616 EVERENCE GRP 32,914,364 14,528 7,619,190 4,416

Excellus Hlth Plan Inc 55107 1186 LIFETIME HLTHCARE GRP 24,290,330 9,219 4,634,885 2,178



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Fallon Hlth & Life Assur Co 66828 4741 FALLON GRP 464,336 200 2,087,631 962

Family Life Ins Co 63053 1117 MANHATTAN LIFE GRP 47,259,965 15,000 0 0

Federal Life Ins Co 63223 5,657 2 0 0

Federated Mut Ins Co 13935 7 FEDERATED MUT GRP 7,887 6 0 0

First Care Inc 60113 380 CAREFIRST INC GRP 0 0 610,864 1,437

First Comm Hlth Plan Inc 47051 5,575,317 2,893 2,109,939 1,318

First Hlth Life & Hlth Ins Co 90328 1 AETNA GRP 0 0 7,630,608 3,344

First United Amer Life Ins Co 74101 290 TORCHMARK CORP GRP 21,935,558 8,862 14,092,131 17,490

Forethought Life Ins Co 91642 3891 GOLDMAN SACHS GRP 50,764,658 23,433 7,820,189 4,346

GCU 56693 0 0 5,565,447 15,230

Geisinger Ind Ins Co 10244 1143 GEISINGER INS GRP 3,975,334 1,478 0 0

Genworth Life & Ann Ins Co 65536 4011 GENWORTH FIN GRP 49,363,117 16,283 9,117 5

Genworth Life Ins Co 70025 4011 GENWORTH FIN GRP 2,252,097 488 0 0

Gerber Life Ins Co 70939 4483 NESTLE SA GRP 98,780,850 32,535 7,968,985 3,611

Globe Life & Accident Ins Co 91472 290 TORCHMARK CORP GRP 7,550,012 3,165 2,699,333 2,934

Golden Rule Ins Co 62286 707 UNITEDHEALTH GRP 22,663,460 7,991 0 0

Government Personnel Mut Life Ins Co 63967 4712 GPM LIFE GRP 23,256,506 10,548 9,393,950 5,406

Great Amer Life Ins Co 63312 84 AMERICAN FINANCIAL GRP 5,084,460 1,466 0 0

Group Hlth Coop of Eau Claire 95192 50,780 7 0 0

Group Hlth Coop of S Central WI 95311 2,054,697 796 1,234,913 602

Group Hlth Inc 55239 1127 EMBLEM HLTH GRP 4,257,220 1,331 1,618,564 493

Group Hlth Options Inc 47055 1185 GROUP HLTH COOP GRP 2,033,245 816 153,098 86

Group Hospitalization & Med Srvcs 53007 380 CAREFIRST INC GRP 14,170,939 5,315 9,639,630 5,212

Guarantee Trust Life Ins Co 64211 687 GUARANTEE TRUST GRP 10,597,167 2,658 383,774 852

Hartford Life & Accident Ins Co 70815 91 HARTFORD FIRE & CAS GRP 807,537 279 2,509,655 926

Hartford Life Ins Co 88072 91 HARTFORD FIRE & CAS GRP 3,309,914 1,200 1,037,664 445



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Hawaii Medical Serv Assn 49948 180,068 67 0 0

Health Alliance Connect Inc 15478 1192 CARLE HOLDING CO GRP 982,996 378 530,543 252

Health Alliance Medical Plans 77950 1192 CARLE HOLDING CO GRP 3,520,385 1,042 701,892 240

Health Care Serv Corp A Mut Legal Re 70670 917 HCSC GRP 1,105,968,244 416,734 388,650,204 215,313

Health First Ins Inc 14140 4740 HEALTH FIRST GRP 0 0 104,370 35

Health Net Hlth Plan of OR Inc 95800 1295 CENTENE CORP GRP 4,325,725 1,771 0 0

Health Net Life Ins Co 66141 1295 CENTENE CORP GRP 26,016,479 9,239 38,605,736 18,169

Health Now NY Inc 55204 5,433,283 1,608 1,378,814 421

Health Tradition Hlth Plan 96628 3,392,697 1,343 1,216,823 635

Healthy Alliance Life Ins Co 78972 671 ANTHEM INC GRP 76,180,491 29,196 9,700,285 4,271

Heartland Natl Life Ins Co 66214 17,502,351 6,543 9,220,781 5,544

Highmark BCBSD Inc 53287 812 HIGHMARK GRP 9,153,891 3,238 6,064,325 3,572

Highmark Inc 54771 812 HIGHMARK GRP 243,640,384 96,927 50,506,172 27,279

Highmark West Virginia Inc. 54828 812 HIGHMARK GRP 14,963,498 5,308 4,392,127 2,276

HMO dba Blue Plus 95649 461 BCBS OF MN GRP 266,548 87 0 0

HNE Ins Co 14198 4756 BAYSTATE HLTH GRP 0 0 535,511 314

Hometown Hlth Providers Ins Co 48305 4791 RENOWN HLTH GRP 0 0 69,067 49

Horizon Ins Co 14690 1202 BCBS OF NJ GRP 211,119,451 67,892 67,265,918 27,999

HPHC Ins Co Inc 18975 595 HARVARD PILGRIM HLTH CARE GRP 43,165,792 18,437 62,690,929 28,869

Humana Benefit Plan of IL Inc 60052 119 HUMANA GRP 0 0 27,781 30

Humana Hlth Benefit Plan of LA Inc 95642 119 HUMANA GRP 2,054,256 755 1,747,772 888

Humana Hlth Ins Co Of FL Inc 69671 119 HUMANA GRP 4,193,145 2,015 8,775,712 4,575

Humana Ins Co 73288 119 HUMANA GRP 135,119,632 56,464 237,844,477 132,757

Humana Ins Co Of KY 60219 119 HUMANA GRP 6,356,307 2,459 5,533,997 2,895

Humana Ins Co of NY 12634 119 HUMANA GRP 2,526,377 983 12,545,876 6,523

Humanadental Ins Co 70580 119 HUMANA GRP 540,827 236 9,712,371 7,081



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

IA Amer Life Ins Co 91693 315 INDUSTRIAL ALLIANCE GRP 56,093 77 0 0

Idealife Ins Co 97764 31 BERKSHIRE HATHAWAY GRP 754,273 169 0 0

Independence Hospital Ind Plan Inc 54704 936 INDEPENDENCE HLTH GRP INC GRP 44,205,050 34,537 9,140,878 7,868

Individual Assur Co Life Hlth & Acc 81779 0 0 46,912,371 40,160

Inter Cnty Hlth Plan Inc 53252 936 INDEPENDENCE HLTH GRP INC GRP 342,975 1,024 0 0

Inter Cty Hospitalization Plan Inc 54763 936 INDEPENDENCE HLTH GRP INC GRP 3,070,079 1,027 0 0

Investors Life Ins Co N Amer 63487 449 FINANCIAL HOLDINGS GRP -17 0 0 0

Jackson Natl Life Ins Co 65056 918 JACKSON NATL GRP 333,686 183 0 0

Jefferson Life Ins Co 94790 249,453 122 0 0

Jefferson Natl Life Ins Co 64017 4836 JEFFERSON NATIONAL GRP 1,207,599 323 0 0

John Alden Life Ins Co 65080 19 ASSURANT INC GRP 323,124 102 0 0

Kanawha Ins Co 65110 119 HUMANA GRP 807,687 236 0 0

Kansas City Life Ins Co 65129 588 KANSAS CITY LIFE INS GRP 32,569 9 0 0

KSKJ Life Amer Slovenian Catholic Un 56227 8,106,502 2,956 636,721 442

Liberty Bankers Life Ins Co 68543 3436 LIBERTY LIFE GRP TRUST GRP 0 0 155,223 528

Liberty Natl Life Ins Co 65331 290 TORCHMARK CORP GRP 2,141,766 1,286 272,541 176

LifeSecure Ins Co 77720 572 BCBS OF MI GRP 7,913 5 0 0

LifeWise Hlth Plan of OR Inc 84930 962 PREMERA BLUE CROSS GRP 2,757,647 613 176,957 76

Lincoln Heritage Life Ins Co 65927 4,567,892 1,003 0 0

London Life Reins Co 76694 769 GREAT WEST GRP 1,781 1 0 0

Louisiana Hlth Serv & Ind Co 81200 438 LOUISIANA HLTH SERV GRP 86,403,870 33,397 21,155,395 10,570

Loyal Amer Life Ins Co 65722 901 CIGNA HLTH GRP 67,015,119 22,938 76,604,829 38,769

Loyal Christian Benefit Assn 56758 0 0 876,872 919

Manhattan Life Ins Co 65870 1117 MANHATTAN LIFE GRP 0 0 93,589,103 73,186

Medica Hlth Plans 52626 1552 MEDICA GRP 365,130 75 17,193 1

Medical Hlth Insuring Corp of OH 95828 730 MEDICAL MUT OF OH GRP 27,423 7 49,810,596 29,371



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Medical Mut Of OH 29076 730 MEDICAL MUT OF OH GRP 20,294,347 7,216 9,746,000 5,400

Medico Corp Life Ins Co 79987 3527 AMERICAN ENTERPRISE MUT GRP 394,226 135 70,907,222 53,873

Medico Ins Co 31119 3527 AMERICAN ENTERPRISE MUT GRP 52,855,669 18,634 30,009,528 21,003

Medico Life & Hlth Ins Co 65641 3527 AMERICAN ENTERPRISE MUT GRP 5,999 3 0 0

Medisun Inc 95982 21,784 10 0 0

Members Hlth Ins Co 94587 4677 TENNESSEE RURAL HLTH GRP 853,213 426 1,614,873 997

MercyCare HMO Inc 12195 3595 MERCY HLTH CORP GRP 867,018 649 1,225,616 980

Metropolitan Life Ins Co 65978 241 METROPOLITAN GRP 1,369 1 0 0

Mid West Natl Life Ins Co Of TN 66087 264 HEALTHMARKETS GRP 17,757 11 0 0

Midwestern United Life Ins Co 66109 4832 VOYA FINANCIAL GRP 1,267 0 0 0

Motorists Commercial Mut Ins Co 13331 291 MOTORISTS MUT GRP 597 1 0 0

Mutual Of Omaha Ins Co 71412 261 MUTUAL OF OMAHA GRP 408,340,108 137,979 326,189,800 235,593

National Benefit Life Ins Co 61409 4750 PRIMERICA GRP 2,146 6 0 0

National Cas Co 11991 140 NATIONWIDE CORP GRP 5,116 17 0 0

National Hlth Ins Co 82538 2538 AMTRUST NGH GRP 7,418 8 0 0

Nationwide Life Ins Co 66869 140 NATIONWIDE CORP GRP 7,340,407 2,143 0 0

Natl Foundation Life Ins Co 98205 839 WESTBRIDGE CAPITAL GRP 59,070 27 0 0

New Era Life Ins Co 78743 520 NEW ERA LIFE GRP 76,422,504 30,964 25,150,886 17,537

New Era Life Ins Co Of Midwest 69698 520 NEW ERA LIFE GRP 39,120,964 18,016 7,317,788 4,316

New W Hlth Serv 95829 686,020 318 1,073,323 598

New York Life Ins Co 66915 826 NEW YORK LIFE GRP 2,071,308 567 0 0

Noridian Mut Ins Co 55891 72,545,007 26,994 13,312,011 7,800

North Amer Ins Co 68349 574 AMERCO CORP GRP 16,096,427 4,461 0 0

Old Amer Ins Co 67199 588 KANSAS CITY LIFE INS GRP 3,380 9 0 0

Old Surety Life Ins Co 67326 36,065,475 16,603 14,660,212 9,491

Omaha Ins Co 13100 261 MUTUAL OF OMAHA GRP 70,032,533 36,693 371,563,960 293,376



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Order of United Commercial Travelers 56383 48,836,245 13,318 335,211 177

Oxford Life Ins Co 76112 574 AMERCO CORP GRP 16,433,976 5,908 33,247,332 17,224

Pacificare Life & Hlth Ins Co 70785 707 UNITEDHEALTH GRP 10,571,614 3,868 0 0

Pacificsource Hlth Plans 54976 4704 PACIFICSOURCE HLTH PLAN GRP 0 0 44,065 22

Paramount Ins Co 11518 1212 VANGUARD HLTH VENTURES GRP 2,500,829 910 517,883 244

Pekin Life Ins Co 67628 153 PEKIN INS GRP 19,476,244 6,849 9,767,047 6,541

Pennsylvania Life Ins Co 67660 4667 CVS CAREMARK GRP 5,657,444 1,216 0 0

Philadelphia Amer Life Ins Co 67784 520 NEW ERA LIFE GRP 66,071,686 28,833 41,238,036 27,683

Physicians Benefits Trust Life Ins 68519 2358 ISMIE GRP 1,157,179 424 47,940 25

Physicians Life Ins Co 72125 367 PHYSICIANS MUT GRP 68,865,558 24,908 0 0

Physicians Mut Ins Co 80578 367 PHYSICIANS MUT GRP 122,661,035 47,664 60,740,309 45,382

Physicians Plus Ins Corp 95341 2,509,643 1,036 405,714 358

Polish Falcons Of Amer 56820 0 0 169,648 165

Premera Blue Cross 47570 962 PREMERA BLUE CROSS GRP 75,096,990 27,820 35,686,580 16,447

Principal Life Ins Co 61271 332 PRINCIPAL FIN GRP 52,338,235 15,473 0 0

Priority Hlth 95561 3383 SPECTRUM HLTH GRP 0 0 25,797,883 13,256

Protective Life Ins Co 68136 458 PROTECTIVE LIFE INS GRP 6,345 5 0 0

Provident Amer Ins Co 68179 7,445 4 0 0

Provident Amer Life & Hlth Ins Co 67903 901 CIGNA HLTH GRP 9,702,318 2,350 0 0

Prudential Ins Co Of Amer 68241 304 PRUDENTIAL OF AMER GRP 146,301 49 0 0

Puritan Life Ins Co of Amer 71390 4826 ECG GRP 5,409,502 1,362 0 0

Pyramid Life Ins Co 68284 4736 GGC GRP 13,444,083 3,371 0 0

Qualchoice Life & Hlth Ins Co Inc 70998 4807 CATHOLIC HLTH INITIATIVES GRP 0 0 3,994,018 28,681

Regence BCBS of OR 54933 1207 CAMBIA HEALTH SOLUTIONS INC 18,757,127 5,499 5,934,092 2,781

Regence BCBS of UT 54550 1207 CAMBIA HEALTH SOLUTIONS INC 26,772,408 9,380 11,876,162 6,822

Regence BlueShield 53902 1207 CAMBIA HEALTH SOLUTIONS INC 37,075,095 11,879 43,152,927 19,357



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Regence Blueshield Of ID Inc 60131 1207 CAMBIA HEALTH SOLUTIONS INC 10,352,565 3,514 1,776,787 807

Reliastar Life Ins Co 67105 4832 VOYA FINANCIAL GRP 5,640 3 0 0

Renaissance Life & Hlth Ins Co of Am 61700 477 RENAISSANCE HLTH SERV CORP GRP 0 0 5,603 16

Reserve Natl Ins Co 68462 215 KEMPER CORP GRP 29,977,016 10,782 11,032,600 7,357

Rocky Mountain Hospital & Medical 11011 671 ANTHEM INC GRP 68,168,775 25,747 14,765,625 7,741

Royal Neighbors Of Amer 57657 28,062,261 7,269 18,425 5

Ryder Hlth Plan Inc 95743 24,790 28 0 0

S USA Life Ins Co Inc 60183 4764 RESERVOIR CAPITAL GRP 0 0 28,503 150

Sagicor Life Ins Co 60445 42,320 17 0 0

Sanford Hlth Plan 95683 1246 SANFORD HLTH GRP 2,937,243 1,152 688,196 503

Sanford Hlth Plan of MN 95725 1246 SANFORD HLTH GRP 319,886 119 2,537 1

SBLI USA Life Ins Co Inc 60176 4764 RESERVOIR CAPITAL GRP 0 0 8,448 47

Security Hlth Plan of WI Inc 96881 4,410,318 1,106 1,223,110 1,143

Security Life Of Denver Ins Co 68713 4832 VOYA FINANCIAL GRP 3,862 3 0 0

Sentinel Security Life Ins Co 68802 4824 ADVANTAGE CAPITAL GRP 31,137,080 10,516 5,665,375 5,515

Shelter Life Ins Co 65757 123 SHELTER INS GRP 584,432 263 0 0

Shenandoah Life Ins Co 68845 4764 RESERVOIR CAPITAL GRP 5,422,942 1,131 2,513,411 2,264

Sierra Hlth & Life Ins Co Inc 71420 707 UNITEDHEALTH GRP 12,514,251 3,825 5,118 2

Southwest Serv Life Ins Co 82430 1339 CROY HALL MGMT GRP 361,928 75 0 0

SPJST 57436 472,947 132 0 0

Standard Life & Accident Ins Co 86355 408 AMERICAN NATL FIN GRP 53,060,692 22,336 5,509,280 7,167

Standard Life & Cas Ins Co 71706 0 0 1,665,533 1,051

State Farm Mut Auto Ins Co 25178 176 STATE FARM GRP 221,441,506 80,750 49,528,377 27,828

State Mut Ins Co 69132 16,205,658 4,198 1,365,066 1,058

Sterling Investors Life Ins Co 89184 8,995,919 2,138 1,775,686 653

Sterling Life Ins Co 77399 901 CIGNA HLTH GRP 66,712,702 25,142 8,310,563 3,619



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

Summa Ins Co Inc 10649 3259 SUMMA HLTH GRP 0 0 132,302 49

The Vt Hlth Plan LLC 95696 4745 BCBS OF VT GRP 3,723,115 1,944 7,083,782 4,231

THP Ins Co 60016 1297 HEALTH PLAN GRP 122,961 679 13,282,443 81,255

Thrivent Financial For Lutherans 56014 2938 THRIVENT FINANCIAL FOR LUTHERANS 57,523,657 20,999 12,249,303 11,863

Time Ins Co 69477 19 ASSURANT INC GRP 261,842 93 0 0

Transamerica Financial Life Ins Co 70688 468 AEGON US HOLDING GRP 11,681,602 4,173 3,037,129 1,327

Transamerica Life Ins Co 86231 468 AEGON US HOLDING GRP 93,479,444 37,434 46,376,906 25,531

Transamerica Premier Life Ins Co 66281 468 AEGON US HOLDING GRP 34,102,711 12,408 120,182,078 64,200

TRH Hlth Ins Co 89005 4677 TENNESSEE RURAL HLTH GRP 0 0 133,742,955 60,308

Triple S Salud Inc 55816 4802 TRIPLE S GRP 0 0 23,381,183 16,957

Trustmark Ins Co 61425 276 TRUSTMARK MUT HOLDING CO GRP 104,624 30 0 0

Tufts Ins Co Inc 60117 4742 TUFTS GRP 0 0 32,508,678 16,212

UCare MN 52629 4380 UCARE GRP 140,276 44 0 0

Unicare Life & Hlth Ins Co 80314 671 ANTHEM INC GRP 16,886,415 5,235 0 0

Unified Life Ins Co 11121 4,036,791 1,167 8,987 31

Union Fidelity Life Ins Co 62596 350 GENERAL ELECTRIC GRP 531,018 199 0 0

Union Labor Life Ins Co 69744 781 UNION LABOR GRP 440,508 232 0 0

United Amer Ins Co 92916 290 TORCHMARK CORP GRP 180,369,091 59,188 69,860,856 52,913

United Farm Family Life Ins Co 69892 542 INDIANA FARM BUREAU GRP 116,151 60 0 0

United Heritage Life Ins Co 63983 2878 UNITED HERITAGE MUT GRP 3,734 2 0 0

United Hlthcare Ins Co Of NY 60093 707 UNITEDHEALTH GRP 601,670,096 205,419 373,017,425 163,888

United Hlthcare of AL Inc 95784 707 UNITEDHEALTH GRP 1,430,449 583 14,142 6

United Hlthcare of AZ Inc 96016 707 UNITEDHEALTH GRP 28,698 15 0 0

United Natl Life Ins Co Of Amer 92703 687 GUARANTEE TRUST GRP 5,893,177 2,113 626,188 304

United Of Omaha Life Ins Co 69868 261 MUTUAL OF OMAHA GRP 929,691,770 325,534 100,876,975 69,099

United Security Assur Co Of PA 42129 67,469 21 0 0



INDEX OF COMPANIES

Company Name

Individual

Company

Code


Prior

Three Year

Premiums




2016

United World Life Ins Co 72850 261 MUTUAL OF OMAHA GRP 337,370,100 96,775 4,365,512 21,506

UnitedHealthcare Ins Co 79413 707 UNITEDHEALTH GRP 6,195,350,820 2,488,715 2,666,743,885 1,421,339

Unity Hlth Plans Ins Corp 95796 4870 UNIVERSITY HLTH CARE & GUNDERSEN 2,275,272 1,052 1,752,835 1,056

Universal Fidelity Life Ins Co 70122 5,976,313 1,955 1,801,287 1,042

Upmc Hlth Benefits Inc 11018 1324 UPMC HLTH SYSTEM GRP 142,559 71 28,056 21

US Hlth & Life Ins Co Inc 97772 8,889 4 0 0

USAA Life Ins Co 69663 200 UNITED SERV AUTOMOBILE ASSN GRP 181,423,519 74,856 103,798,763 58,005

USAble Life 94358 876 ARKANSAS BCBS GRP 100,597 17 0 0

USAble Mut Ins Co 83470 876 ARKANSAS BCBS GRP 202,648,797 87,436 42,966,821 29,700

UTMB Hlth Plans Inc 95764 683,412 251 0 0

Voya Retirement Ins & Ann Co 86509 4832 VOYA FINANCIAL GRP 14,178 6 0 0

Washington Natl Ins Co 70319 233 CNO FINANCIAL GRP 56,452,577 15,996 0 0

Wellmark Inc 88848 770 WELLMARK INC GRP 299,129,534 116,961 77,418,111 52,844

Wellmark Of SD Inc 60128 770 WELLMARK INC GRP 47,106,941 16,375 7,998,165 5,181

Western Catholic Union 57711 0 0 2,550,722 2,068

Wilco Life Ins Co 65900 4213 WILTON RE GRP 1,381,003 448 0 0

Wisconsin Physicians Serv Ins Corp 53139 68 WISCONSIN PHYSICIANS SERV INS GRP 94,815,393 28,447 33,073,577 15,597

WMI Mut Ins Co 68420 450,654 143 14,234 12

WPS Hlth Plan Inc 10159 68 WISCONSIN PHYSICIANS SERV INS GRP 200,069 35 0 0


SAMPLE MEDICARE SUPPLEMENT INSURANCE EXHIBIT



...........................................

Affix Bar Code Above

MEDICARE SUPPLEMENT INSURANCE EXPERIENCE EXHIBIT For The Year Ended December 31, 2016

(To Be Filed by March 1) FOR THE STATE OF _________________________ NAIC Group Code _____________________________________________________ NAIC Company Code ___________________ Address (City, State and Zip Code) ___________________________________________________________________________________________________________________________________________________________________________________________________________

Person Completing This Exhibit _____________________________________________________________________________________________________________________________________________________________________________________________________________

Title _________________________________________ Telephone Number __________________________________________

1 2 3 4 5 6 7 8 9 10 Policies Issued Through 2013 Policies Issued in 2014, 2015, 2016

Compliance with

OBRA

Policy Form

Number

Standardized

Medicare Supplement Benefit Plan

Medicare Select

Plan Characteristics

Date Approved

Date Approval

Withdrawn

Date Last

Amended

Date Closed

Policy

Marketing Trade Name

11 Incurred Claims 14 15 Incurred Claims 18

Premiums Earned

12

Amount

13 Percent of Premiums

Earned

Number of

Covered Lives

Premiums Earned

16

Amount

17 Percent of Premiums

Earned

Number of

Covered Lives

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.................... .................... ................... .................... .................... ................... .................... .................... .................... .................... ................... .................... 0299999 TOTAL EXPERIENCE ON GROUP POLICIES

GENERAL INTERROGATORIES

1. If response in Column 1 is no, give full and complete details ......................................................................................................................................................................................................................................................................................................................................................................................

2. Claims address and contact person provided to the Secretary of Health and Human Services as required by 42 U.S.C. 1395ss(c) (3) (E) for this state

2.1 Address: ...............................................................................................................................................................................................................................................................................................................................................................................................................................................................

2.2 Contact Person and Phone Number: ..................................................................................................................................................................................................................................................................................................................................................................................................................

3. Billing address and contact person for user fees established under 41 U.S.C. 1395u(h) (3) (B).

3.1 Address: ...............................................................................................................................................................................................................................................................................................................................................................................................................................................................

3.2 Contact Person and Phone Number: ..................................................................................................................................................................................................................................................................................................................................................................................................................

4. Explain any policies identified above as policy type “O” .............................................................................................................................................................................................................................................................................................................................................................................................


Documents

2016 Medicare Supplement Loss Ratios - naic.org · INTRODUCTION Included in this report are the 2016 loss ratios on Medicare supplement business as reported to the National Association