180
Statistical Compilation of Annual Statement Information for Health Insurance Companies in 2014

NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Statistical Compilationof Annual Statement Information for Health Insurance Companies in 2014

Page 2: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by
Page 3: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Statistical Compilation of Annual Statement Information

for Health Insurance Companies in 2014

2015

Page 4: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Accounting & ReportingInformation about statutory accounting principles and the procedures necessary for fi ling fi nancial annual statements and conducting risk-based capital calculations.

Consumer InformationImportant answers to common questions about auto, home, health and life insurance — as well as buyer’s guides on annuities, long-term care insurance and Medicare supplement plans.

Financial Regulation Useful handbooks, compliance guides and reports on fi nancial analysis, company licensing, state audit requirements and receiverships.

LegalComprehensive collection of NAIC model laws, regulations and guidelines; state laws on insurance topics; and other regulatory guidance on antifraud and consumer privacy.

Market RegulationRegulatory and industry guidance on market-related issues, including antifraud, product fi ling requirements, producer licensing and market analysis.

NAIC ActivitiesNAIC member directories, in-depth reporting of state regulatory activities and offi cial historical records of NAIC national meetings and other activities.

For more information about NAIC publications, view our online catalog at:

http://store.naic.org

Special StudiesStudies, reports, handbooks and regulatory research conducted by NAIC members on a variety of insurance-related topics.

Statistical ReportsValuable and in-demand insurance industry-wide statistical data for various lines of business, including auto, home, health and life insurance.

Supplementary ProductsGuidance manuals, handbooks, surveys and research on a wide variety of issues.

Capital Markets & Investment AnalysisInformation regarding portfolio values and procedures for complying with NAIC reporting requirements.

White Papers Relevant studies, guidance and NAIC policy positions on a variety of insurance topics.

© 2002-2015 National Association of Insurance Commissioners. All rights reserved.

ISBN: 978-1-59917-823-3

Printed in the United States of America

No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any storage or retrieval system, without written permission from the NAIC.

NAIC Executive Offi ce444 North Capitol Street, NWSuite 700Washington, DC 20001 202.471.3990

NAIC Central Offi ce1100 Walnut StreetSuite 1500Kansas City, MO 64106816.842.3600

NAIC Capital Markets& Investment Analysis Offi ceOne New York Plaza, Suite 4210New York, NY 10004212.398.9000

The NAIC is the authoritative source for insurance industry information. Our expert solutions support the efforts of regulators, insurers and researchers by providing detailed and comprehensive insurance information. The NAIC offers a wide range of publications in the following categories:

Page 5: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Statistical Compilation of Annual Statement Information for Health Insurance Companies in 2014

TABLE OF CONTENTS

INTRODUCTION ............................................................................................................................................... 1 Report Format ....................................................................................................................................................... 1 Aggregation and Calculation of Data ................................................................................................................... 1 Crosschecks and Balances .................................................................................................................................... 2 Qualifications ........................................................................................................................................................ 2 ANNUAL STATEMENT FINANCIAL DATA ............................................................................................... 3 2014 Annual Statement Page 2014 Report Page 2 2014 Assets....................................................................................................................................... 5 Graph – 2014 Distribution of Assets ................................................................................................ 7 2 2013 Assets....................................................................................................................................... 9 2 2012 Assets..................................................................................................................................... 10 2 2011 Assets..................................................................................................................................... 11 2 2010 Assets..................................................................................................................................... 12 3 2014 Liabilities, Capital and Surplus ............................................................................................. 13 3 2013 Liabilities, Capital and Surplus ............................................................................................. 14 3 2012 Liabilities, Capital and Surplus ............................................................................................. 15 3 2011 Liabilities, Capital and Surplus ............................................................................................. 16 3 2010 Liabilities, Capital and Surplus ............................................................................................. 17 4-5 Statement of Revenue and Expenses .............................................................................................. 18 6 Cash Flow ....................................................................................................................................... 20 7 Analysis of Operations by Lines of Business ................................................................................. 21 8 Underwriting and Investment Exhibit, Part 1 – Premiums ............................................................. 22 9 Underwriting and Investment Exhibit, Part 2 – Claims Incurred During the Year ........................ 23 10 Underwriting and Investment Exhibit, Part 2A – Claims Liability End of Current Year .............. 24 11 Underwriting and Investment Exhibit, Part 2B – Analysis of Claims Unpaid, Prior Year ............ 25 12 Underwriting and Investment Exhibit, Part 2C – Development of Paid and Incurred Claims ....... 26 13 Underwriting and Investment Exhibit, Part 2D – Aggregate Reserve for A & H Contracts .......... 27 14 Underwriting and Investment Exhibit, Part 3 – Analysis of Expenses ........................................... 28 15 Exhibit of Net Investment Income ................................................................................................. 29 15 Exhibit of Capital Gains (Losses) ................................................................................................... 29 16 Exhibit of Nonadmitted Assets ....................................................................................................... 30 17 Exhibit 1 – Enrollment by Product Type For Health Business Only ............................................. 31 24 Exhibit 7, Part 1 – Summary of Transactions with Providers ........................................................ 32 25 Exhibit 8 – Furniture, Equipment and Supplies Owned ................................................................. 33 SI01 Summary Investment Schedule ...................................................................................................... 34 SI04 Schedule D – Summary by Country ............................................................................................... 35 SI05-SI07 Schedule D, Part 1A, Section 1 ...................................................................................................... 36 Graph – 2010-2014 Maturity Distribution of Bonds ...................................................................... 39 SI08-SI09 Schedule D, Part 1A, Section 2 ...................................................................................................... 41 36 Schedule S, Part 6 – Five-Year Exhibit of Reinsurance Ceded Business ...................................... 44 37 Schedule S, Part 7 – Restatement of Balance Sheet ....................................................................... 45 Technical Notes .................................................................................................................................................. 46

© 2015 National Association of Insurance Commissioners

Page 6: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

COUNTRYWIDE, CANADA, AND AGG OTHER ALIEN INSURANCE DATA .................................. 47 2014 Annual Statement Page 2014 Report Page 38 Schedule T – Premiums and Other Considerations.............................................................................. 49 39 Schedule T – Part 2 – Interstate Compact Products – Exhibit of Premiums Written........................... 50 Supp17 Medicare Part D Coverage Supplement ............................................................................................... 51 Graph – 2014 Direct Premiums Written, By State ............................................................................... 53 30 Exhibit of Premiums, Enrollment and Utilization – Total (United States,

District of Columbia, U.S. Territories, Canada, Aggregate Other Alien) ............................................ 55 30 Exhibit of Premiums, Enrollment and Utilization – Alabama ............................................................. 56 30 Exhibit of Premiums, Enrollment and Utilization – Alaska ................................................................ 57 30 Exhibit of Premiums, Enrollment and Utilization – Arizona ............................................................... 58 30 Exhibit of Premiums, Enrollment and Utilization – Arkansas ............................................................. 59 30 Exhibit of Premiums, Enrollment and Utilization – California ........................................................... 60 30 Exhibit of Premiums, Enrollment and Utilization – Colorado ............................................................. 61 30 Exhibit of Premiums, Enrollment and Utilization – Connecticut ........................................................ 62 30 Exhibit of Premiums, Enrollment and Utilization – Delaware ............................................................ 63 30 Exhibit of Premiums, Enrollment and Utilization – District of Columbia ........................................... 64 30 Exhibit of Premiums, Enrollment and Utilization – Florida ................................................................ 65 30 Exhibit of Premiums, Enrollment and Utilization – Georgia ............................................................... 66 30 Exhibit of Premiums, Enrollment and Utilization – Hawaii ................................................................ 67 30 Exhibit of Premiums, Enrollment and Utilization – Idaho .................................................................. 68 30 Exhibit of Premiums, Enrollment and Utilization – Illinois ................................................................ 69 30 Exhibit of Premiums, Enrollment and Utilization – Indiana ................................................................ 70 30 Exhibit of Premiums, Enrollment and Utilization – Iowa .................................................................... 71 30 Exhibit of Premiums, Enrollment and Utilization – Kansas ................................................................ 72 30 Exhibit of Premiums, Enrollment and Utilization – Kentucky ............................................................ 73 30 Exhibit of Premiums, Enrollment and Utilization – Louisiana ............................................................ 74 30 Exhibit of Premiums, Enrollment and Utilization – Maine ................................................................. 75 30 Exhibit of Premiums, Enrollment and Utilization – Maryland ............................................................ 76 30 Exhibit of Premiums, Enrollment and Utilization – Massachusetts..................................................... 77 30 Exhibit of Premiums, Enrollment and Utilization – Michigan ............................................................ 78 30 Exhibit of Premiums, Enrollment and Utilization – Minnesota ........................................................... 79 30 Exhibit of Premiums, Enrollment and Utilization – Mississippi ......................................................... 80 30 Exhibit of Premiums, Enrollment and Utilization – Missouri ............................................................. 81 30 Exhibit of Premiums, Enrollment and Utilization – Montana ............................................................. 82 30 Exhibit of Premiums, Enrollment and Utilization – Nebraska............................................................. 83 30 Exhibit of Premiums, Enrollment and Utilization – Nevada ............................................................... 84 30 Exhibit of Premiums, Enrollment and Utilization – New Hampshire.................................................. 85 30 Exhibit of Premiums, Enrollment and Utilization – New Jersey ......................................................... 86 30 Exhibit of Premiums, Enrollment and Utilization – New Mexico ....................................................... 87 30 Exhibit of Premiums, Enrollment and Utilization – New York ........................................................... 88 30 Exhibit of Premiums, Enrollment and Utilization – North Carolina.................................................... 89 30 Exhibit of Premiums, Enrollment and Utilization – North Dakota ...................................................... 90 30 Exhibit of Premiums, Enrollment and Utilization – Ohio .................................................................... 91 30 Exhibit of Premiums, Enrollment and Utilization – Oklahoma ........................................................... 92 30 Exhibit of Premiums, Enrollment and Utilization – Oregon ................................................................ 93 30 Exhibit of Premiums, Enrollment and Utilization – Pennsylvania ...................................................... 94 30 Exhibit of Premiums, Enrollment and Utilization – Rhode Island ...................................................... 95 30 Exhibit of Premiums, Enrollment and Utilization – South Carolina.................................................... 96

© 2015 National Association of Insurance Commissioners

Page 7: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

COUNTRYWIDE, CANADA, & AGG OTHER ALIEN INSURANCE DATA (continued) 2014 Annual Statement Page 2014 Report Page 30 Exhibit of Premiums, Enrollment and Utilization – South Dakota ...................................................... 97 30 Exhibit of Premiums, Enrollment and Utilization – Tennessee ........................................................... 98 30 Exhibit of Premiums, Enrollment and Utilization – Texas .................................................................. 99 30 Exhibit of Premiums, Enrollment and Utilization – Utah .................................................................. 100 30 Exhibit of Premiums, Enrollment and Utilization – Vermont............................................................ 101 30 Exhibit of Premiums, Enrollment and Utilization – Virginia ............................................................ 102 30 Exhibit of Premiums, Enrollment and Utilization – Washington ...................................................... 103 30 Exhibit of Premiums, Enrollment and Utilization – West Virginia ................................................... 104 30 Exhibit of Premiums, Enrollment and Utilization – Wisconsin ......................................................... 105 30 Exhibit of Premiums, Enrollment and Utilization – Wyoming .......................................................... 106 30 Exhibit of Premiums, Enrollment and Utilization – Guam ................................................................ 107 30 Exhibit of Premiums, Enrollment and Utilization – Northern Mariana Islands ................................. 108 30 Exhibit of Premiums, Enrollment and Utilization – Puerto Rico ....................................................... 109 30 Exhibit of Premiums, Enrollment and Utilization – U.S. Virgin Islands ........................................... 110 30 Exhibit of Premiums, Enrollment and Utilization – Aggregate Other Alien ..................................... 111 Technical Notes ................................................................................................................................................ 112 SELECTED DATA ELEMENTS FROM COMPANY STATEMENTS................................................... 113 Selected Annual Statement Data Elements, By Company ................................................................................ 115

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

Technical Notes ................................................................................................................................................ 141 INDEX OF COMPANIES ............................................................................................................................. 143

© 2015 National Association of Insurance Commissioners

Page 8: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners

Page 9: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Statistical Compilation of Annual Statement Information for Health Insurance Companies in 2014

INTRODUCTION

The Statistical Compilation of Annual Statement Information for Health Insurance Companies was presented in a different format starting with the 2001 edition. Beginning with the 2001 data year, all health insurance entities that previously reported annual statement information on one of five different reporting blanks—including property and casualty, life, fraternal, health maintenance organization (HMO), and hospital, medical and dental services or indemnity (HMDI)—now report in a similar manner in the NAIC health insurance company annual statement blank. The health blank will serve as the Statistical Compilation format for reporting aggregate data for all health insurance companies, HMOs and HMDIs. The Market Share Reports for the Top 125 Accident and Health Insurers by State and Countrywide is issued annually as a separate publication.

Report Format This report contains three major sections:

Annual Statement Financial Data • The first section consists of aggregated countrywide financial data presented in annual

statement format for Assets, Liabilities, the Underwriting and Investment Exhibits, and Schedule D. No historical comparisons are included.

Countrywide, Canada, and Aggregate Other Alien Insurance Data • The second section consists primarily of 2014 direct insurance data from Schedule T and the

state pages (annual statement p. 30). Direct and earned premiums are shown by line of insurance and by jurisdiction.

Selected Data Elements from Company Statements • The third section consists of selected 2014 data elements from company annual statements.

The annual statement sources for these data are listed in the technical notes. Comments on this report are encouraged so that the report will continue to evolve and meet the needs of NAIC members. These data are maintained in NAIC databases and are available for additional application development.

Aggregation and Calculation of Data

This report utilizes the term “aggregated” to describe data developed by summing the annual statements of individual companies. In order to represent more completely the data as reported on the annual statements, all data are aggregated directly from the numbers reported to the NAIC. No calculations have been performed within this report.

© 2015 National Association of Insurance Commissioners 1

Page 10: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Crosschecks and Balances This Statistical Compilation presents data in the NAIC annual statement format. The data are developed from the annual statements of the 943 individual companies filing the 2014 health annual statement blank. The level of precision that is possible with an individual company statement might not be possible with these aggregated data. One reason for this is that companies are added to and deleted from the NAIC annual statement database throughout the year, resulting in a mix of companies that is different from year to year. Generally, the ending capital and surplus on one year’s Statistical Compilation will not equal the beginning capital and surplus for the following year. Similarly, because the data reported within this report are a reflection of the database, it is only a snapshot. These data are as of June 4, 2015, and companies may file or amend their annual filings with the NAIC; therefore, queries of the database after this date might differ from reported numbers. Also, while every effort has been made to ensure that all significant errors and omissions in annual statements have been identified and resolved, certain anomalous data may exist. Most anomalies have been identified and resolved. However, in some instances, providers can explain the anomalies, and the results are maintained. To minimize anomalous results, certain statements might be excluded from this Statistical Compilation. The sections displaying selected data elements for individual companies provide a complete listing of companies included in this Statistical Compilation. No company in the NAIC database with significant data is excluded.

Qualifications The accuracy of the reports included in this publication depends on the accuracy of the information contained in the annual statements filed by insurers. The NAIC system cannot always identify a misstatement in accordance with statutory requirements or errors in identifying securities. Even though the data elements used to prepare the reports are extracted from annual statements filed with the NAIC, the NAIC cannot guarantee their accuracy. While the NAIC exercises a great deal of care in capturing data from annual statements and producing various reports, as with any statistical project of a significant magnitude, errors can occur. Consequently, the NAIC makes no representations or warranties with respect to the accuracy of the data and statistics in this report. Please send any questions regarding this report to [email protected]. Links to this report and other NAIC reports can be found on the NAIC website at: NAIC Publications.

© 2015 National Association of Insurance Commissioners 2

Page 11: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Annual Statement Financial Data

© 2015 National Association of Insurance Commissioners 3

Page 12: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 4

Page 13: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Assets

2 3 4

NonadmittedAssets

Net AdmittedAssets

Net AdmittedAssets

Current Year Prior Year

2ASSETS

Assets

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

2014

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

02. Stocks (Schedule D):

02.1. Preferred stocks 296,287 36,377 259,910 351,759

02.2. Common stocks 32,988,978 1,555,175 31,433,804 36,515,265

03. Mortgage loans on real estate (Schedule B):

03.1. First liens - mortgage loans on real estate 37,739 0 37,739 46,028

03.2. Other than first liens - mortgage loans on real estate 3 0 3 7

04. Real estate (Schedule A):

04.1. Properties occupied by the company (less encumbrances) 5,605,501 44,271 5,561,230 5,584,851

04.2. Properties held for the production of income (less encumbrances) 219,523 9,478 210,046 212,313

04.3. Properties held for sale (less encumbrances) 34,067 0 34,067 8,627

05. Cash, cash equivalents and short-term investments 29,087,050 10,925 29,076,125 26,386,757

06. Contract loans (including premium notes) 465 0 465 525

07. Derivatives (Schedule DB) 6,460 0 6,460 5,437

08. Other invested assets (Schedule BA) 8,735,025 638,975 8,096,049 7,753,987

09. Receivables for securities 152,480 125 152,355 167,684

10. Securities lending reinvested collateral assets (Schedule DL) 1,638,464 0 1,638,464 1,246,861

11. Aggregate write-ins for invested assets 575,308 153,440 421,869 184,802

12. Subtotals, cash and invested assets (Lines 1 to 11) 177,021,936 2,585,749 174,436,187 174,941,583

13. Title plants less charged off (for title insurers only) 0 0 0 0

14. Investment income due and accrued 804,428 502 803,926 854,374

15. Premiums and considerations:

15.1. Uncollected premiums and agents' balances in the course of collection 15,332,191 545,743 14,786,448 12,807,865

15.2. Deferred premiums, agents' balances and installments booked but

deferred and not yet due (including earned but unbilled premiums) 2,391,209 746 2,390,462 2,346,113

15.3. Accrued retrospective premiums 1,882,935 12,659 1,870,277 1,375,430

16. Reinsurance:

16.1. Amounts recoverable from reinsurers 5,370,446 7,790 5,362,656 887,925

16.2. Funds held by or deposited with reinsured companies 181,235 0 181,235 86,378

16.3. Other amounts receivable under reinsurance contracts 203,400 3,855 199,545 167,408

17. Amounts receivable relating to uninsured plans 18,520,841 985,052 17,535,790 13,868,117

18.1. Current federal and foreign income tax recoverable and interest thereon 1,027,882 11,168 1,016,714 762,026

18.2. Net deferred tax asset 5,211,470 1,699,771 3,511,700 3,178,998

19. Guaranty funds receivable or on deposit 27,208 608 26,601 25,857

20. Electronic data processing equipment and software 2,916,362 2,406,741 509,621 532,542

21. Furniture and equipment, including health care delivery assets 1,903,293 1,350,726 552,568 598,953

22. Net adjustment in assets and liabilities due to foreign exchange rates 2 0 2 0

23. Receivables from parent, subsidiaries and affiliates 5,865,738 329,505 5,536,233 3,993,237

24. Health care and other amounts receivable 10,958,569 2,497,015 8,461,554 6,931,581

25. Aggregate write-ins for other than invested assets 10,428,541 4,270,266 6,158,275 4,103,758

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines12 to 25) 260,047,687 16,707,896 243,339,792 227,462,147

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 3,869 0 3,869 3,876

28. Totals (Lines 26 and 27) 260,051,556 16,707,896 243,343,661 227,466,024

© 2015 National Association of Insurance Commissioners 5

Page 14: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 6

Page 15: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Bonds, 40.07%

Stocks, 13.02%Mortgage Loans, 0.02%All Other Invested Assets,

16.19%

Other Assets, 28.32%

Real Estate, 2.39%

2014 Distribution of Assets

© 2015 National Association of Insurance Commissioners 7

Page 16: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 8

Page 17: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Assets

2 3 4

NonadmittedAssets

Net AdmittedAssets

Net AdmittedAssets

Current Year Prior Year

2ASSETS

Assets

(000's)

ANNUAL STATEMENT FOR THE YEAR2013 OF THE ...................................................................

2013

01. Bonds (Schedule D) 92,911,503 120,915 92,790,588 86,825,052

02. Stocks (Schedule D):

02.1. Preferred stocks 399,809 48,050 351,759 384,937

02.2. Common stocks 37,733,045 1,579,853 36,153,192 33,494,791

03. Mortgage loans on real estate (Schedule B):

03.1. First liens - mortgage loans on real estate 37,480 2 37,478 39,671

03.2. Other than first liens - mortgage loans on real estate 7 0 7 23

04. Real estate (Schedule A):

04.1. Properties occupied by the company (less encumbrances) 5,620,340 45,032 5,575,308 5,533,316

04.2. Properties held for the production of income (less encumbrances) 222,340 10,027 212,313 227,922

04.3. Properties held for sale (less encumbrances) 8,627 0 8,627 43,842

05. Cash, cash equivalents and short-term investments 26,640,087 22,150 26,617,938 28,411,154

06. Contract loans (including premium notes) 535 0 535 547

07. Derivatives (Schedule DB) 6,390 953 5,437 17,025

08. Other invested assets (Schedule BA) 8,704,535 941,234 7,763,302 6,443,075

09. Receivables for securities 167,929 242 167,687 147,346

10. Securities lending reinvested collateral assets (Schedule DL) 1,246,861 0 1,246,861 729,100

11. Aggregate write-ins for invested assets 322,486 136,022 186,464 40,882

12. Subtotals, cash and invested assets (Lines 1 to 11) 174,021,975 2,904,480 171,117,495 162,338,683

13. Title plants less charged off (for title insurers only) 0 0 0 0

14. Investment income due and accrued 809,890 1,208 808,683 768,998

15. Premiums and considerations:

15.1. Uncollected premiums and agents' balances in the course of collection 13,072,357 371,458 12,700,899 12,425,207

15.2. Deferred premiums, agents' balances and installments booked but

deferred and not yet due (including earned but unbilled premiums) 2,346,155 58 2,346,097 2,267,722

15.3. Accrued retrospective premiums 1,056,712 2,080 1,054,632 943,405

16. Reinsurance:

16.1. Amounts recoverable from reinsurers 812,192 13,653 798,539 1,219,251

16.2. Funds held by or deposited with reinsured companies 86,478 100 86,378 259,140

16.3. Other amounts receivable under reinsurance contracts 172,217 4,674 167,543 205,056

17. Amounts receivable relating to uninsured plans 14,016,762 864,967 13,151,795 9,828,270

18.1. Current federal and foreign income tax recoverable and interest thereon 762,291 3,816 758,475 877,318

18.2. Net deferred tax asset 4,393,983 1,370,057 3,023,926 2,826,518

19. Guaranty funds receivable or on deposit 25,958 400 25,557 28,792

20. Electronic data processing equipment and software 2,780,778 2,266,466 514,311 508,407

21. Furniture and equipment, including health care delivery assets 1,963,681 1,364,639 599,043 573,317

22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0 0

23. Receivables from parent, subsidiaries and affiliates 4,420,343 412,324 4,008,019 3,662,656

24. Health care and other amounts receivable 8,887,832 2,162,918 6,724,914 6,201,385

25. Aggregate write-ins for other than invested assets 8,588,790 4,477,019 4,111,771 3,756,949

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines12 to 25) 238,218,393 16,220,317 221,998,076 208,691,074

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 995 0 995 1,019

28. Totals (Lines 26 and 27) 238,219,388 16,220,317 221,999,071 208,692,093

© 2015 National Association of Insurance Commissioners 9

Page 18: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Assets

2 3 4

NonadmittedAssets

Net AdmittedAssets

Net AdmittedAssets

Current Year Prior Year

2ASSETS

Assets

(000's)

ANNUAL STATEMENT FOR THE YEAR2012 OF THE ...................................................................

2012

01. Bonds (Schedule D) 86,898,002 57,261 86,840,741 83,427,538

02. Stocks (Schedule D):

02.1. Preferred stocks 437,674 54,578 383,097 334,925

02.2. Common stocks 35,106,499 1,521,204 33,585,295 29,902,031

03. Mortgage loans on real estate (Schedule B):

03.1. First liens - mortgage loans on real estate 39,685 0 39,685 32,789

03.2. Other than first liens - mortgage loans on real estate 23 0 23 15

04. Real estate (Schedule A):

04.1. Properties occupied by the company (less encumbrances) 5,590,436 52,995 5,537,441 5,416,588

04.2. Properties held for the production of income (less encumbrances) 232,158 6,811 225,347 207,929

04.3. Properties held for sale (less encumbrances) 61,765 12,164 49,601 75,947

05. Cash, cash equivalents and short-term investments 28,489,157 32,453 28,456,703 26,514,420

06. Contract loans (including premium notes) 547 0 547 534

07. Derivatives (Schedule DB) 17,972 947 17,025 22,952

08. Other invested assets (Schedule BA) 7,282,291 826,162 6,456,129 5,598,167

09. Receivables for securities 146,963 130 146,833 197,795

10. Securities lending reinvested collateral assets (Schedule DL) 729,100 0 729,100 1,031,710

11. Aggregate write-ins for invested assets 190,314 150,774 39,540 9,223

12. Subtotals, cash and invested assets (Lines 1 to 11) 165,222,587 2,715,479 162,507,108 152,772,563

13. Title plants less charged off (for title insurers only) 0 0 0 0

14. Investment income due and accrued 769,573 109 769,463 927,852

15. Premiums and considerations:

15.1. Uncollected premiums and agents' balances in the course of collection 12,778,842 308,707 12,470,135 11,721,872

15.2. Deferred premiums, agents' balances and installments booked but

deferred and not yet due (including earned but unbilled premiums) 2,270,760 0 2,270,760 2,186,379

15.3. Accrued retrospective premiums 964,470 8,082 956,387 770,287

16. Reinsurance:

16.1. Amounts recoverable from reinsurers 1,240,883 21,637 1,219,246 1,335,255

16.2. Funds held by or deposited with reinsured companies 259,240 100 259,140 233,802

16.3. Other amounts receivable under reinsurance contracts 211,463 4,948 206,516 247,038

17. Amounts receivable relating to uninsured plans 10,577,217 731,734 9,845,482 8,928,765

18.1. Current federal and foreign income tax recoverable and interest thereon 890,910 13,851 877,059 910,174

18.2. Net deferred tax asset 4,364,197 1,509,423 2,854,774 2,693,343

19. Guaranty funds receivable or on deposit 30,109 287 29,823 27,207

20. Electronic data processing equipment and software 2,614,377 2,104,874 509,503 542,116

21. Furniture and equipment, including health care delivery assets 1,711,962 1,138,568 573,394 563,486

22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0 0

23. Receivables from parent, subsidiaries and affiliates 3,972,871 313,392 3,659,479 3,088,125

24. Health care and other amounts receivable 8,303,957 2,086,726 6,217,231 5,654,895

25. Aggregate write-ins for other than invested assets 9,560,955 5,774,389 3,786,566 3,691,466

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines12 to 25) 225,744,373 16,732,307 209,012,066 196,294,624

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 1,019 0 1,019 1,034

28. Totals (Lines 26 and 27) 225,745,392 16,732,307 209,013,085 196,295,657

© 2015 National Association of Insurance Commissioners 10

Page 19: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Assets

2 3 4

NonadmittedAssets

Net AdmittedAssets

Net AdmittedAssets

Current Year Prior Year

2ASSETS

Assets

(000's)

ANNUAL STATEMENT FOR THE YEAR 2011 OF THE ...................................................................

2011

01. Bonds (Schedule D) 83,492,215 24,133 83,468,082 78,055,744

02. Stocks (Schedule D):

02.1. Preferred stocks 345,021 10,091 334,930 316,697

02.2. Common stocks 31,301,048 1,476,936 29,824,112 26,849,407

03. Mortgage loans on real estate (Schedule B):

03.1. First liens - mortgage loans on real estate 32,789 0 32,789 51,148

03.2. Other than first liens - mortgage loans on real estate 15 0 15 19

04. Real estate (Schedule A):

04.1. Properties occupied by the company (less encumbrances) 5,472,910 46,939 5,425,971 5,292,764

04.2. Properties held for the production of income (less encumbrances) 217,064 9,135 207,929 215,066

04.3. Properties held for sale (less encumbrances) 75,947 0 75,947 68,355

05. Cash, cash equivalents and short-term investments 26,236,495 13,269 26,223,227 24,511,637

06. Contract loans (including premium notes) 524 0 524 702

07. Derivatives (Schedule DB) 23,864 911 22,952 15,433

08. Other invested assets (Schedule BA) 6,353,586 664,034 5,689,551 4,850,858

09. Receivables for securities 197,795 0 197,795 138,523

10. Securities lending reinvested collateral assets (Schedule DL) 1,031,710 0 1,031,710 1,582,842

11. Aggregate write-ins for invested assets 156,539 148,255 8,284 (263)

12. Subtotals, cash and invested assets (Lines 1 to 11) 154,937,523 2,393,703 152,543,820 141,948,933

13. Title plants less charged off (for title insurers only) 0 0 0 0

14. Investment income due and accrued 929,710 1,120 928,590 774,482

15. Premiums and considerations:

15.1. Uncollected premiums and agents' balances in the course of collection 12,015,370 287,768 11,727,602 10,602,364

15.2. Deferred premiums, agents' balances and installments booked but

deferred and not yet due (including earned but unbilled premiums) 2,186,398 19 2,186,379 1,902,598

15.3. Accrued retrospective premiums 768,055 2,588 765,466 569,334

16. Reinsurance:

16.1. Amounts recoverable from reinsurers 1,516,863 20,851 1,496,012 1,110,945

16.2. Funds held by or deposited with reinsured companies 233,802 0 233,802 43,595

16.3. Other amounts receivable under reinsurance contracts 252,738 7,790 244,948 195,349

17. Amounts receivable relating to uninsured plans 9,370,225 770,701 8,599,524 7,790,879

18.1. Current federal and foreign income tax recoverable and interest thereon 935,277 5,863 929,414 956,063

18.2. Net deferred tax asset 7,520,688 4,822,398 2,698,290 2,499,146

19. Guaranty funds receivable or on deposit 27,092 0 27,092 33,343

20. Electronic data processing equipment and software 2,608,938 2,066,810 542,129 549,994

21. Furniture and equipment, including health care delivery assets 1,708,861 1,145,292 563,570 509,812

22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0 0

23. Receivables from parent, subsidiaries and affiliates 3,346,222 264,567 3,081,656 3,803,095

24. Health care and other amounts receivable 7,286,709 1,905,704 5,381,004 4,715,452

25. Aggregate write-ins for other than invested assets 9,229,570 5,544,972 3,684,598 3,208,269

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines12 to 25) 214,874,040 19,240,145 195,633,894 181,213,653

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 1,034 0 1,034 1,112

28. Totals (Lines 26 and 27) 214,875,073 19,240,145 195,634,928 181,214,765

© 2015 National Association of Insurance Commissioners 11

Page 20: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATESANNUAL STATEMENT FOR THE YEAR 2010 OF THE ......................................................................................................

(Name)

1

Assets

2 3 4

NonadmittedAssets

Net AdmittedAssets

Net AdmittedAssets

Current Year Prior Year

2ASSETS

2010 Assets

01. Bonds (Schedule D) 77,561,585 17,755 77,543,830 70,448,064

02. Stocks (Schedule D):

02.1. Preferred stocks 327,414 10,717 316,697 390,242

02.2. Common stocks 27,806,362 1,044,222 26,762,140 24,094,972

03. Mortgage loans on real estate (Schedule B):

03.1. First liens - mortgage loans on real estate 50,853 0 50,853 51,152

03.2. Other than first liens - mortgage loans on real estate 0 0 0 0

04. Real estate (Schedule A):

04.1. Properties occupied by the company (less encumbrances) 5,266,273 44,741 5,221,532 4,617,228

04.2. Properties held for the production of income (less encumbrances) 222,681 7,615 215,066 226,794

04.3. Properties held for sale (less encumbrances) 68,355 0 68,355 37,061

05. Cash, cash equivalents and short-term investments 23,833,534 15,089 23,818,445 24,957,525

06. Contract loans (including premium notes) 690 0 690 618

07. Derivatives 15,433 0 15,433 10,023

08. Other invested assets (Schedule BA) 5,546,677 676,560 4,870,117 3,668,558

09. Receivables for securities 139,268 771 138,497 188,121

10. Securities lending reinvested collateral assets 1,582,956 114 1,582,842 242,820

11. Aggregate write-ins for invested assets 144,424 145,119 (695) 134,008

12. Subtotals, cash and invested assets (Lines 1 to 11) 142,566,506 1,962,704 140,603,802 129,067,185

13. Title plants less charged off (for title insurers only) 0 0 0 0

14. Investment income due and accrued 782,197 11,562 770,635 754,291

15. Premiums and considerations:

15.1. Uncollected premiums and agents' balances in the course of collection 10,845,531 359,252 10,486,279 9,735,093

15.2. Deferred premiums, agents' balances and installments booked but

deferred and not yet due (including earned but unbilled premiums) 1,902,745 34 1,902,711 1,663,264

15.3. Accrued retrospective premiums 573,266 2,388 570,878 868,317

16. Reinsurance:

16.1. Amounts recoverable from reinsurers 1,130,749 16,539 1,114,210 900,015

16.2. Funds held by or deposited with reinsured companies 48,081 129 47,952 54,128

16.3. Other amounts receivable under reinsurance contracts 200,501 5,853 194,648 197,331

17. Amounts receivable relating to uninsured plans 8,487,567 785,527 7,702,040 7,108,005

18.1. Current federal and foreign income tax recoverable and interest thereon 974,222 15,222 959,001 1,103,554

18.2. Net deferred tax asset 7,940,548 5,453,464 2,487,084 2,354,016

19. Guaranty funds receivable or on deposit 33,415 85 33,330 29,573

20. Electronic data processing equipment and software 2,373,766 1,846,773 526,994 529,009

21. Furniture and equipment, including health care delivery assets 1,611,981 1,108,384 503,597 429,744

22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0 0

23. Receivables from parent, subsidiaries and affiliates 4,107,310 391,235 3,716,075 3,350,516

24. Health care and other amounts receivable 6,410,672 1,795,448 4,615,224 4,660,614

25. Aggregate write-ins for other than invested assets 7,446,383 4,500,460 2,945,923 2,728,595

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines12 to 25) 197,435,440 18,255,058 179,180,382 165,533,249

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 1,112 0 1,112 1,756

28. Totals (Lines 26 and 27) 197,436,552 18,255,058 179,181,494 165,535,005

© 2015 National Association of Insurance Commissioners 12

Page 21: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Covered

2 3 4

Uncovered Total Total

Current Year Prior Year

3

LIABILITIES, CAPITAL AND SURPLUS

Liabilities, Capital and Surplus

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

2014

01. Claims unpaid (less reinsurance ceded) 46,768,906 1,972,738 48,741,644 41,846,289

02. Accrued medical incentive pool and bonus amounts 1,600,494 15,479 1,615,973 1,452,224

03. Unpaid claims adjustment expenses 1,294,063 87,728 1,381,792 1,202,038

04. Aggregate health policy reserves, including the liabilityof $ ¿ for 12,738,833 302,962 13,041,795 11,929,475

medical loss ratio rebate per the Public Health Service Act

05. Aggregate life policy reserves 17,533 30 17,563 17,027

06. Property/casualty unearned premium reserves 0 0 0 11,740

07. Aggregate health claim reserves 123,655 12,101 135,756 211,749

08. Premiums received in advance 6,902,702 157,065 7,059,767 4,441,220

09. General expenses due or accrued 13,639,136 299,951 13,939,087 11,152,328

10.1. Current federal and foreign income tax payable and interest thereon (including

capital gains (losses)) 1,049,525 58,441 1,107,965 922,310

10.2. Net deferred tax liability 117,978 0 117,978 161,553

11. Ceded reinsurance premiums payable 1,044,208 4,757 1,048,965 1,112,744

12. Amounts withheld or retained for the account of others 1,349,103 56,985 1,406,088 1,750,828

13. Remittances and items not allocated 1,284,882 44,830 1,329,713 995,127

14. Borrowed money (including current) and interest thereon (including current) 4,985,236 63,054 5,048,290 5,019,893

15. Amounts due to parent, subsidiaries and affiliates 8,329,265 773,233 9,102,498 7,262,491

16. Derivatives 3,712 0 3,712 2,811

17. Payable for securities 401,027 19,740 420,767 505,165

18. Payable for securities lending 1,504,775 131,980 1,636,755 1,246,861

19. Funds held under reinsurance treaties (with $.... authorized reinsurers,

$ ….. unauthorized reinsurers and $ …… certified reinsurers) 1,061,077 25 1,061,101 998,788

20. Reinsurance in unauthorized companies 37,631 0 37,631 37,338

21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 3

22. Liability for amounts held under uninsured plans 6,305,499 170,554 6,476,053 5,237,117

23. Aggregate write-ins for other liabilities (including current) 10,758,543 921,178 11,679,721 8,168,928

24. Total liabilities (Lines 1 to 23) 121,317,783 5,092,832 126,410,615 105,686,048

25. Aggregate write-ins for special surplus funds XXX XXX 8,537,327 633,384

26. Common capital stock XXX XXX 832,518 1,081,544

27. Preferred capital stock XXX XXX 87,566 98,564

28. Gross paid in and contributed surplus XXX XXX 28,659,208 23,910,036

29. Surplus notes XXX XXX 3,897,777 2,678,981

30. Aggregate write-ins for other than special surplus funds XXX XXX 8,265,752 9,052,632

31. Unassigned funds (surplus) XXX XXX 66,654,620 84,326,438

32. Less treasury stock, at cost:

32.1. (1) shares common (value included in Line 26) XXX XXX 1,724 1,695

32.2. (1) shares preferred (value included in Line 27) XXX XXX 0 0

33. Total capital and surplus (Lines 25 to 31 minus Line 32) XXX XXX 116,933,045 121,779,885

34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 243,343,660 227,465,933

© 2015 National Association of Insurance Commissioners 13

Page 22: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Covered

2 3 4

Uncovered Total Total

Current Year Prior Year

3

LIABILITIES, CAPITAL AND SURPLUS

Liabilities, Capital and Surplus

(000's)

ANNUAL STATEMENT FOR THE YEAR2013 OF THE ...................................................................

2013

01. Claims unpaid (less reinsurance ceded) 38,816,202 1,495,679 40,311,881 39,601,624

02. Accrued medical incentive pool and bonus amounts 1,454,375 9,903 1,464,278 1,422,886

03. Unpaid claims adjustment expenses 1,097,499 77,612 1,175,111 1,192,515

04. Aggregate health policy reserves, including the liabilityof $ ¿ for 11,250,085 303,661 11,553,746 11,846,923

medical loss ratio rebate per the Public Health Service Act

05. Aggregate life policy reserves 17,243 29 17,272 16,339

06. Property/casualty unearned premium reserves 11,740 0 11,740 7,544

07. Aggregate health claim reserves 172,232 40,136 212,368 174,521

08. Premiums received in advance 4,242,406 132,179 4,374,585 4,425,911

09. General expenses due or accrued 10,650,307 217,760 10,868,067 10,539,598

10.1. Current federal and foreign income tax payable and interest thereon (including

capital gains (losses)) 819,588 99,597 919,185 979,818

10.2. Net deferred tax liability 162,604 0 162,604 62,733

11. Ceded reinsurance premiums payable 1,004,880 5,001 1,009,881 1,696,617

12. Amounts withheld or retained for the account of others 1,697,911 52,029 1,749,940 1,576,850

13. Remittances and items not allocated 918,388 46,650 965,038 1,109,963

14. Borrowed money (including current) and interest thereon (including current) 4,997,709 37,608 5,035,317 3,779,229

15. Amounts due to parent, subsidiaries and affiliates 6,432,323 826,810 7,259,132 5,773,146

16. Derivatives 2,811 0 2,811 17,840

17. Payable for securities 489,381 16,171 505,552 453,528

18. Payable for securities lending 1,137,690 109,171 1,246,861 729,100

19. Funds held under reinsurance treaties (with $.... authorized reinsurers,

$ ….. unauthorized reinsurers and $ …… certified reinsurers) 971,745 0 971,745 1,081,752

20. Reinsurance in unauthorized companies 37,338 0 37,338 24,716

21. Net adjustments in assets and liabilities due to foreign exchange rates 3 0 3 1

22. Liability for amounts held under uninsured plans 5,081,972 123,876 5,205,848 4,239,704

23. Aggregate write-ins for other liabilities (including current) 7,368,528 684,776 8,053,304 7,887,194

24. Total liabilities (Lines 1 to 23) 98,834,961 4,278,647 103,113,608 98,640,054

25. Aggregate write-ins for special surplus funds XXX XXX 629,210 357,320

26. Common capital stock XXX XXX 1,087,613 980,833

27. Preferred capital stock XXX XXX 93,539 86,304

28. Gross paid in and contributed surplus XXX XXX 22,921,300 21,342,284

29. Surplus notes XXX XXX 2,777,541 1,977,007

30. Aggregate write-ins for other than special surplus funds XXX XXX 9,061,191 8,459,326

31. Unassigned funds (surplus) XXX XXX 82,316,764 76,851,106

32. Less treasury stock, at cost:

32.1. (1) shares common (value included in Line 26) XXX XXX 1,695 4,277

32.2. (1) shares preferred (value included in Line 27) XXX XXX 0 0

33. Total capital and surplus (Lines 25 to 31 minus Line 32) XXX XXX 118,885,463 110,049,904

34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 221,999,071 208,689,958

© 2015 National Association of Insurance Commissioners 14

Page 23: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Covered

2 3 4

Uncovered Total Total

Current Year Prior Year

3

LIABILITIES, CAPITAL AND SURPLUS

Liabilities, Capital and Surplus

(000's)

ANNUAL STATEMENT FOR THE YEAR2012 OF THE ...................................................................

2012

01. Claims unpaid (less reinsurance ceded) 38,079,598 1,568,940 39,648,538 37,282,940

02. Accrued medical incentive pool and bonus amounts 1,409,937 7,127 1,417,065 1,297,415

03. Unpaid claims adjustment expenses 1,109,416 85,110 1,194,527 1,176,759

04. Aggregate health policy reserves, including the liabilityof $ ¿ for 11,561,091 285,169 11,846,260 11,681,778

medical loss ratio rebate per the Public Health Service Act

05. Aggregate life policy reserves 15,476 32 15,508 15,639

06. Property/casualty unearned premium reserves 7,544 0 7,544 5,872

07. Aggregate health claim reserves 142,181 31,971 174,152 158,554

08. Premiums received in advance 4,287,702 147,933 4,435,635 4,419,738

09. General expenses due or accrued 10,407,241 245,150 10,652,391 9,894,784

10.1. Current federal and foreign income tax payable and interest thereon (including

capital gains (losses)) 939,725 38,488 978,213 1,016,417

10.2. Net deferred tax liability 62,311 1 62,313 28,372

11. Ceded reinsurance premiums payable 1,762,643 833 1,763,476 1,863,964

12. Amounts withheld or retained for the account of others 1,537,092 41,861 1,578,953 1,537,679

13. Remittances and items not allocated 1,072,965 35,153 1,108,118 1,043,644

14. Borrowed money (including current) and interest thereon (including current) 3,700,247 13,194 3,713,441 3,445,661

15. Amounts due to parent, subsidiaries and affiliates 5,121,221 612,481 5,733,701 5,182,510

16. Derivatives 17,825 15 17,840 29,706

17. Payable for securities 433,594 19,934 453,528 662,936

18. Payable for securities lending 693,188 35,912 729,100 1,031,710

19. Funds held under reinsurance treaties (with $.... authorized reinsurers,

$ ... unauthorized reinsurers and $ ….certified reinsurers) 1,081,752 0 1,081,752 832,776

20. Reinsurance in unauthorized companies 24,716 0 24,716 25,112

21. Net adjustments in assets and liabilities due to foreign exchange rates 1 0 1 0

22. Liability for amounts held under uninsured plans 4,141,465 112,361 4,253,826 3,879,263

23. Aggregate write-ins for other liabilities (including current) 7,119,813 753,683 7,873,496 7,925,128

24. Total liabilities (Lines 1 to 23) 94,728,744 4,035,348 98,764,092 94,438,353

25. Aggregate write-ins for special surplus funds XXX XXX 357,320 280,449

26. Common capital stock XXX XXX 988,929 941,204

27. Preferred capital stock XXX XXX 86,334 86,350

28. Gross paid in and contributed surplus XXX XXX 21,896,754 20,070,840

29. Surplus notes XXX XXX 2,009,725 1,567,964

30. Aggregate write-ins for other than special surplus funds XXX XXX 8,389,570 7,828,568

31. Unassigned funds (surplus) XXX XXX 76,525,938 71,087,373

32. Less treasury stock, at cost:

32.1. (1) shares common (value included in Line 26) XXX XXX 5,577 7,205

32.2. (1) shares preferred (value included in Line 27) XXX XXX 0 0

33. Total capital and surplus (Lines 25 to 31 minus Line 32) XXX XXX 110,248,993 101,855,544

34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 209,013,085 196,293,897

© 2015 National Association of Insurance Commissioners 15

Page 24: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Covered

2 3 4

Uncovered Total Total

Current Year Prior Year

3

LIABILITIES, CAPITAL AND SURPLUS

Liabilities, Capital and Surplus

(000's)

ANNUAL STATEMENT FOR THE YEAR 2011 OF THE ...................................................................

2011

01. Claims unpaid (less reinsurance ceded) 35,685,074 1,520,638 37,205,712 35,086,236

02. Accrued medical incentive pool and bonus amounts 1,294,250 5,150 1,299,400 1,132,808

03. Unpaid claims adjustment expenses 1,091,554 84,488 1,176,042 1,144,556

04. Aggregate health policy reserves, including the liabilityof $ ¿ for 11,143,816 411,843 11,555,658 9,980,269

medical loss ratio rebate per the Public Health Service Act

05. Aggregate life policy reserves 15,550 73 15,623 15,907

06. Property/casualty unearned premium reserves 5,872 0 5,872 4,958

07. Aggregate health claim reserves 127,936 30,618 158,554 147,380

08. Premiums received in advance 4,272,542 144,106 4,416,648 5,452,138

09. General expenses due or accrued 9,677,366 211,305 9,888,670 8,834,565

10.1. Current federal and foreign income tax payable and interest thereon (including

capital gains (losses)) 926,568 38,267 964,835 817,157

10.2. Net deferred tax liability 28,354 16 28,371 52,498

11. Ceded reinsurance premiums payable 1,860,590 3,374 1,863,964 1,349,255

12. Amounts withheld or retained for the account of others 1,541,515 37,672 1,579,187 1,404,218

13. Remittances and items not allocated 1,015,597 23,397 1,038,994 1,018,914

14. Borrowed money (including current) and interest thereon (including current) 3,432,427 13,204 3,445,631 2,367,954

15. Amounts due to parent, subsidiaries and affiliates 4,659,327 498,087 5,157,414 5,681,051

16. Derivatives 29,706 0 29,706 31,631

17. Payable for securities 646,598 17,128 663,727 387,547

18. Payable for securities lending 962,154 69,556 1,031,710 1,586,068

19. Funds held under reinsurance treaties with (authorized reinsurers and unauthoriz 956,881 0 956,881 732,451

20. Reinsurance in unauthorized companies 25,112 0 25,112 28,647

21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0

22. Liability for amounts held under uninsured plans 3,551,964 131,306 3,683,270 3,077,834

23. Aggregate write-ins for other liabilities (including current) 7,167,376 765,283 7,932,659 6,111,363

24. Total liabilities (Lines 1 to 23) 90,118,129 4,005,511 94,123,640 86,445,404

25. Aggregate write-ins for special surplus funds XXX XXX 221,783 142,038

26. Common capital stock XXX XXX 770,703 765,725

27. Preferred capital stock XXX XXX 89,941 73,624

28. Gross paid in and contributed surplus XXX XXX 20,209,773 19,362,749

29. Surplus notes XXX XXX 1,571,677 1,664,957

30. Aggregate write-ins for other than special surplus funds XXX XXX 7,878,023 7,131,835

31. Unassigned funds (surplus) XXX XXX 70,776,331 65,654,968

32. Less treasury stock, at cost:

32.1. (1) shares common (value included in Line 26) XXX XXX 7,205 7,350

32.2. (1) shares preferred (value included in Line 27) XXX XXX 0 0

33. Total capital and surplus (Lines 25 to 31 minus Line 32) XXX XXX 101,511,026 94,788,545

34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 195,634,666 181,233,948

© 2015 National Association of Insurance Commissioners 16

Page 25: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATESANNUAL STATEMENT FOR THE YEAR 2010 OF THE ......................................................................................................

(Name)

1

Covered

2 3 4

Uncovered Total Total

Current Year Prior Year

3

LIABILITIES, CAPITAL AND SURPLUS

2010 Liabilities, Capital and Surplus

(000's)

01. Claims unpaid (less reinsurance ceded) 33,280,785 1,389,855 34,670,640 34,928,333

02. Accrued medical incentive pool and bonus amounts 1,119,955 1,616 1,121,571 885,806

03. Unpaid claims adjustment expenses 1,053,817 76,722 1,130,539 1,247,625

04. Aggregate health policy reserves 9,592,466 374,326 9,966,792 9,071,593

05. Aggregate life policy reserves 15,753 110 15,863 15,207

06. Property/casualty unearned premium reserves 4,958 0 4,958 5,377

07. Aggregate health claim reserves 118,926 28,560 147,486 170,557

08. Premiums received in advance 5,186,188 125,319 5,311,507 5,189,144

09. General expenses due or accrued 8,414,674 178,168 8,592,842 7,764,572

10.1. Current federal and foreign income tax payable and interest thereon (including

capital gains (losses)) 775,188 32,613 807,801 1,917,667

10.2. Net deferred tax liability 52,477 723 53,200 32,058

11. Ceded reinsurance premiums payable 1,351,834 2,571 1,354,404 990,305

12. Amounts withheld or retained for the account of others 1,521,204 49,471 1,570,675 1,699,247

13. Remittances and items not allocated 977,882 35,801 1,013,683 1,129,631

14. Borrowed money (including current) and interest thereon (including current) 2,292,804 14,264 2,307,068 2,123,730

15. Amounts due to parent, subsidiaries and affiliates 5,179,937 361,794 5,541,731 5,258,324

16. Derivatives 29,688 0 29,688 12,502

17. Payable for securities 371,042 16,482 387,524 380,267

18. Payable for securities lending 1,458,341 127,728 1,586,068 243,934

19. Funds held under reinsurance treaties with (authorized reinsurers and unauthoriz 732,289 0 732,289 666,465

20. Reinsurance in unauthorized companies 28,647 0 28,647 30,125

21. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 0 0

22. Liability for amounts held under uninsured plans 2,948,793 124,817 3,073,610 2,736,446

23. Aggregate write-ins for other liabilities (including current) 5,144,769 670,756 5,815,525 6,028,547

24. Total liabilities (Lines 1 to 23) 81,652,415 3,611,695 85,264,110 82,527,465

25. Aggregate write-ins for special surplus funds XXX XXX 191,068 147,802

26. Common capital stock XXX XXX 761,340 755,652

27. Preferred capital stock XXX XXX 77,068 82,192

28. Gross paid in and contributed surplus XXX XXX 18,790,731 18,247,979

29. Surplus notes XXX XXX 1,655,055 1,425,838

30. Aggregate write-ins for other than special surplus funds XXX XXX 6,987,285 6,393,401

31. Unassigned funds (surplus) XXX XXX 65,462,186 55,963,169

32. Less treasury stock, at cost:

32.1. (1) shares common (value included in Line 26) XXX XXX 7,350 7,451

32.2. (1) shares preferred (value included in Line 27) XXX XXX 0 0

33. Total capital and surplus (Lines 25 to 31 minus Line 32) XXX XXX 93,917,383 83,008,582

34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 179,181,493 165,536,046

© 2015 National Association of Insurance Commissioners 17

Page 26: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

Uncovered Total Total

4

STATEMENT OF REVENUE AND EXPENSES

Current Year Prior Year1 2 3

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

01. Member Months XXX 2,385,140 2,282,455

02. Net premium income (including non-health premium income) XXX 526,883,528 470,469,429

03. Change in unearned premium reserves and reserve for rate credits XXX 54,297 276,939

04. Fee-for-service (net of medical expenses) XXX 1,046,993 960,227

05. Risk revenue XXX 830,373 1,130,645

06. Aggregate write-ins for other health care related revenues XXX 769,312 613,044

07. Aggregate write-ins for other non-health revenues XXX 238,365 39,267

08. Total revenues (Lines 2 to 7) XXX 529,822,868 473,489,551

Hospital and Medical:

09. Hospital/medical benefits 11,866,056 327,583,840 292,228,699

10. Other professional services 421,613 28,080,665 24,271,833

11. Outside referrals 745,914 4,484,279 3,871,515

12. Emergency room and out-of-area 1,122,884 17,990,333 17,927,623

13. Prescription drugs 1,655,524 74,253,215 65,526,562

14. Aggregate write-ins for other hospital and medical 1,272,417 6,833,176 7,247,185

15. Incentive pool, withhold adjustments and bonus amounts 11,863 2,133,069 2,006,939

16. Subtotal (Lines 9 to 15) 17,096,270 461,358,577 413,080,355

Less:

17. Net reinsurance recoveries 118,550 10,530,678 7,799,156

18. Total hospital and medical (Lines 16 minus 17) 16,977,720 450,827,899 405,281,199

19. Non-health claims (net) 0 65,472 90,058

20. Claims adjustment expenses, including cost containment expenses 804,111 17,843,988 16,687,885

21. General administrative expenses 2,519,337 53,646,189 40,848,912

22. Increase in reserves for life and accident and health contracts (including increase in

reserves for life only) (2,951) 747,009 151,957

23. Total underwriting deductions (Lines 18 through 22) 20,298,216 523,130,556 463,060,010

24. Net underwriting gain or (loss) (Lines 8 minus 23) XXX 6,692,312 10,429,541

25. Net investment income earned (Exhibit of Net Investment Income, Line 17) 69,686 3,930,265 4,530,803

26. Net realized capital gains or (losses) less capital gains tax 41,291 1,603,153 1,326,260

27. Net investment gains or (losses) (Lines 25 plus 26) 110,977 5,533,418 5,857,062

28. Net gain or (loss) from agents' or premium balances charged off 62 (94,822) (32,876)

29. Aggregate write-ins for other income or expenses 14,929 (270,352) (491,645)

30. Net income or (loss) after capital gains tax and before all other federal

income taxes (Lines 24 plus 27 plus 28 plus 29) XXX 11,860,557 15,762,082

31. Federal and foreign income taxes incurred XXX 5,440,638 3,908,876

32. Net income (loss) (Lines 30 minus 31) XXX 6,419,918 11,853,205

© 2015 National Association of Insurance Commissioners 18

Page 27: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

Current Year Prior Year

5

STATEMENT OF REVENUE AND EXPENSES (continued)

Capital and Surplus Account1 2

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

GAINS AND LOSSES TO CAPITAL & SURPLUS

33. Capital and surplus prior reporting year 121,779,898 112,599,738

34. Net income or (loss) from Line 32 6,419,918 11,853,205

35. Change in valuation basis of aggregate policy and claim reserves 83,569 (11,795)

36. Change in net unrealized capital gains (losses) less capital gains tax (1,973,112) 1,834,372

37. Change in net unrealized foreign exchange capital gain or (loss) (29,707) (2,413)

38. Change in net deferred income tax 223,819 191,783

39. Change in nonadmitted assets (437,562) 415,738

40. Change in unauthorized and certified reinsurance (293) (12,622)

41. Change in treasury stock (29) 2,582

42. Change in surplus notes 1,218,797 730,528

43. Cumulative effect of changes in accounting principles (21,063) (705,070)

44. Capital Changes:

44.1. Paid in 382,136 319,049

44.2. Transferred from surplus (Stock Dividend) (3,000) 22,252

44.3. Transferred to surplus (48,353) (17,100)

45. Surplus adjustments:

45.1. Paid in 4,041,825 1,542,564

45.2. Transferred to capital (stock dividend) 0 (25,252)

45.3. Transferred from capital 50,540 20,511

46. Dividends to stockholders (7,252,533) (6,785,705)

47. Aggregate write-ins for gains or (losses) in surplus (7,501,366) (192,467)

48. Net change in capital and surplus (Lines 34 to 47) (4,846,414) 9,180,160

49. Capital and surplus end of reporting year (Line 33 plus 48) 116,933,484 121,779,898

© 2015 National Association of Insurance Commissioners 19

Page 28: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

Current Year Prior Year

6

CASH FLOW

1 2

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

Cash from Operations01. Premiums collected net of reinsurance 526,862,943 468,890,41402. Net investment income 4,729,019 5,397,67103. Miscellaneous income 2,974,539 2,682,10104. Total 534,566,501 476,970,18705. Benefit and loss related payments 448,401,961 403,853,33706. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts 1,263 1,55207. Commissions, expenses paid and aggregate write-ins for deductions 73,251,253 59,321,43008. Dividends paid to policyholders 541 009. Federal and foreign income taxes paid (recovered) net of tax on capital gains (losses) 5,888,259 4,262,54110. Total 527,543,276 467,438,86011. Net cash from operations 7,023,225 9,531,327

Cash from Investments12. Proceeds from investments sold, matured or repaid: 12.1. Bonds (proceeds from investments sold, matured or repaid) 64,532,086 68,027,739 12.2. Stocks (proceeds from investments sold, matured or repaid) 12,759,828 10,592,719 12.3. Mortgage loans (proceeds from investments sold, matured or repaid) 7,885 2,114 12.4. Real estate (proceeds from investments sold, matured or repaid) 115,260 111,670 12.5. Other invested assets (proceeds from investments sold, matured or repaid) 1,955,071 681,402 12.6. Net gains (losses) on cash, cash equivalents and short- term investments (9,998) 6,198 12.7. Miscellaneous proceeds (proceeds from investments sold, matured or repaid) 580,123 490,779 12.8. Total investment proceeds (proceeds from investments sold, matured or repaid) 79,940,254 79,912,62013. Cost of investments acquired (long-term only): 13.1. Bonds (cost of investments acquired - long-term only) 66,351,080 74,272,420 13.2. Stocks (cost of investments acquired - long-term only) 9,468,227 10,830,754 13.3. Mortgage loans (cost of investments acquired - long-term only) 0 0 13.4. Real estate (cost of investments acquired - long-term only) 476,465 427,735 13.5. Other invested assets (cost of investments acquired - long-term only) 1,864,106 2,032,152 13.6. Miscellaneous applications (cost of investments aquired - long-term only) 1,145,219 1,221,852 13.7. Total investments acquired (cost of investments aquired - long-term only) 79,305,099 88,784,91414. Net increase (or decrease) in contract loans and premium notes (4,561) (11)15. Net cash from investments 639,717 (8,872,282)

Cash from Financing and Miscellaneous Sources16. Cash provided (applied): 16.1. Surplus notes, capital notes (cash provided/applied) 1,169,957 748,306 16.2. Capital and paid in surplus, less treasury stock (cash provided/applied) 3,863,426 2,129,851 16.3. Borrowed funds (cash provided/applied) 57,484 1,245,739 16.4. Net deposits on deposit-type contracts and other insurance liabilities 54,506 60,369 16.5. Dividends to stockholders (cash provided/applied) 7,148,671 6,573,322 16.6. Other cash provided (applied) (2,981,271) (166,279)17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line (16.6) (4,984,569) (2,555,338)

RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS18. Net change in cash, cash equivalents and short-term investments (Line 11 plus Lines 15 and 17) 2,678,373 (1,896,292)19. Cash, cash equivalents and short-term investments: 19.1. Beginning of year (cash, cash equivalents and short-term investments) 26,408,482 28,304,774 19.2. End of year (cash, cash equivalents and short-term investments) 29,086,855 26,408,482

© 2015 National Association of Insurance Commissioners 20

Page 29: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

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

Total

(Name) 7

Comprehensive

(Hospital& Medical)

MedicareSupplement

DentalOnly Only

Vision HealthBenefit Plan

FederalEmployees

XVIIIMedicare

Title

XIXMedicaid

Title

OtherHealth Health

1 2 3 4 5 6 7 8 9 10

OtherNon-

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Net premium income 526,883,528 207,607,743 8,690,305 11,753,002 2,147,547 34,138,570 130,961,228 115,672,065 15,805,645 107,423 2. Change in unearned premium reserves and reserve for rate credit 54,297 312,072 26,619 6,822 1,283 416,110 127,091 (878,900) 30,893 12,307 3. Fee-for-service (net of medical expenses) 1,046,993 752,872 38 43,311 55,095 24,429 23,897 5,414 141,935 XXX 4. Risk revenue 830,373 8,123 0 182,648 82,381 734 3,130 355,694 197,663 XXX 5. Aggregate write-ins for other health care related revenues 776,813 329,177 4,113 13,262 414 47,382 31,985 170,616 179,865 XXX 6. Aggregate write-ins for other non-health care related revenues 231,571 XXX XXX XXX XXX XXX XXX XXX XXX 231,571 7. Total revenues (Lines 1 to 6) 529,823,575 209,009,986 8,721,076 11,999,046 2,286,720 34,627,225 131,147,332 115,324,889 16,356,000 351,301 8. Hospital/medical benefits 327,582,999 132,813,909 6,304,521 3,815,864 275,868 20,896,052 91,195,379 68,842,609 3,438,797 XXX 9. Other professional services 28,080,479 6,224,818 427,004 5,586,639 1,347,474 1,401,735 4,936,691 7,891,452 264,667 XXX10. Outside referrals 4,484,239 2,067,724 56,842 27,952 18,947 157,013 1,074,408 1,037,171 44,183 XXX11. Emergency room and out-of-area 17,990,272 8,960,966 152,224 66,338 10,198 884,439 2,673,710 5,196,717 45,679 XXX12. Prescription drugs 74,253,224 28,929,502 213,628 (10) (48) 7,261,668 11,697,559 15,820,527 10,330,398 XXX13. Aggregate write-ins for other hospital and medical 6,833,177 1,965,615 56,339 85,107 22,179 989,463 1,921,194 1,475,776 317,503 XXX14. Incentive pool, withhold adjustments and bonus amounts 2,133,069 1,034,647 1,090 2,881 0 42,935 688,273 332,353 30,891 XXX15. Subtotal (Lines 8 to 14) 461,357,459 181,997,181 7,211,649 9,584,771 1,674,619 31,633,304 114,187,213 100,596,605 14,472,117 XXX16. Net reinsurance recoveries 10,530,678 6,844,908 301,488 452,736 (28,187) 11,019 387,864 1,669,293 891,557 XXX17. Total hospital and medical (Lines 15 minus 16) 450,826,781 175,152,273 6,910,160 9,132,035 1,702,806 31,622,285 113,799,349 98,927,312 13,580,560 XXX18. Non-health claims (net) 65,472 XXX XXX XXX XXX XXX XXX XXX XXX 65,47219. Claims adjustment expenses including cost containment expenses 17,843,847 7,462,604 378,178 426,666 36,686 780,105 4,064,179 3,636,869 1,052,099 6,46220. General administrative expenses 53,642,329 25,860,455 1,076,963 1,679,065 369,196 1,836,200 11,667,861 10,295,984 761,954 94,65021. Increase in reserves for accident and health contracts 746,199 501,553 (207,910) (4,354) 520 12,251 206,402 209,907 27,830 XXX22. Increase in reserves for life contracts 809 XXX XXX XXX XXX XXX XXX XXX XXX 80923. Total underwriting deductions (Lines 17 to 22) 523,125,437 208,976,886 8,157,392 11,233,411 2,109,207 34,250,841 129,737,791 113,070,073 15,422,443 167,39324. Net underwriting gain or (loss) (Line 7 minus Line 23) 6,698,138 33,101 563,685 765,635 177,513 376,383 1,409,541 2,254,816 933,556 183,908

© 2015 National Association of Insurance Commissioners 21

Page 30: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

UNDERWRITING AND INVESTMENT EXHIBIT

8

DirectLine of Business Business

ReinsuranceAssumed

ReinsuranceCeded

Net PremiumIncome

Part 1 - Premiums

1 2 3 4

(Cols. 1 + 2 - 3)

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Comprehensive (hospital and medical) 209,744,187 2,382,379 4,519,989 207,606,577

2. Medicare Supplement 9,089,778 19,245 418,718 8,690,305

3. Dental only 12,278,708 537,716 1,035,725 11,780,698

4. Vision only 1,952,177 217,141 21,772 2,147,547

5. Federal employees health benefits plan 34,151,502 0 30,721 34,120,781

6. Title XVIII - Medicare 131,526,670 1,966,705 2,506,632 130,986,744

7. Title XIX - Medicaid 117,560,277 230,280 1,968,839 115,821,718

8. Other health 16,590,925 519,856 1,494,248 15,616,533

9. Health subtotal (Lines 1 through 8) 532,894,224 5,873,322 11,996,643 526,770,902

10. Life 123,232 15,544 86,713 52,063

11. Property/casualty 0 55,360 0 55,360

12. Totals (Lines 9 to 11) 533,017,456 5,944,226 12,083,356 526,878,326

© 2015 National Association of Insurance Commissioners 22

Page 31: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

UNDERWRITING AND INVESTMENT EXHIBIT

Total

(Name) 9

Comprehensive(Hospital & Medical)

MedicareSupplement

DentalOnly Only

Vision HealthBenefit Plan

FederalEmployees

XVIIIMedicare

TitleXIX

Medicaid

TitleOtherHealth Health

1 2 3 4 5 6 7 8 9 10

OtherNon-

Part 2 - Claims Incurred During the Year

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Payments during the year: 1.1. Direct 453,019,819 179,186,524 7,189,526 9,536,852 1,669,668 31,369,681 112,764,811 96,407,474 14,800,120 95,163 1.2. Reinsurance assumed 4,581,290 2,022,979 14,023 429,197 42,588 14,837 1,557,402 44,339 382,352 73,572 1.3. Reinsurance ceded 11,397,070 5,155,583 305,251 892,253 13,546 29,632 1,945,859 1,615,795 1,371,191 67,960 1.4. Net 446,204,039 176,053,920 6,898,298 9,073,796 1,698,710 31,354,886 112,376,354 94,836,018 13,811,281 100,775 2. Paid medical incentive pools and bonuses 2,023,459 1,043,954 742 12,253 0 35,849 630,196 291,340 9,126 0 3. Claim liability Dec 31, current year from Part 2A: 3.1. Direct 49,801,645 18,962,890 1,010,809 567,443 91,796 3,119,291 12,360,272 12,375,993 1,293,231 19,922 3.2. Reinsurance assumed 562,639 234,565 2,431 18,947 14,889 0 159,737 10,296 79,868 41,906 3.3. Reinsurance ceded 1,564,859 1,011,812 46,707 55,599 742 1,557 168,714 188,979 72,586 18,164 3.4. Net 48,799,425 18,185,643 966,533 530,790 105,943 3,117,734 12,351,296 12,197,310 1,300,513 43,664 4. Claim reserve Dec 31, current year from Part 2D: 4.1. Direct 176,232 29,205 30,042 840 1,515 2,438 2,940 27,621 81,630 0 4.2. Reinsurance assumed 86,527 30,338 0 0 0 0 0 0 10,934 45,255 4.3. Reinsurance ceded 82,994 786 14,897 0 0 0 90 1,153 66,068 0 4.4. Net 179,765 58,757 15,146 840 1,515 2,438 2,850 26,468 26,497 45,255 5. Accrued medical incentive pools and bonuses, current year 1,615,285 761,046 7,219 5,499 0 24,359 533,229 266,372 17,561 0 6. Net healthcare receivables 2,040,768 1,031,051 11,784 (216) 3 22,866 410,295 239,586 325,399 0 7. Amounts recoverable from reinsurers Dec. 31, current year 4,006,961 3,712,603 27,520 20,504 4,728 2,167 66,630 148,007 24,801 0 8. Claim liability Dec 31, prior year from Part 2A: 8.1. Direct 42,376,973 16,932,637 979,415 557,526 86,872 2,878,782 11,389,236 8,352,310 1,180,780 19,416 8.2. Reinsurance assumed 302,560 143,436 2,024 31,073 8,067 0 6,839 7,268 42,469 61,384 8.3. Reinsurance ceded 894,860 522,064 41,746 65,688 561 3,356 51,580 111,579 84,849 13,437 8.4. Net 41,784,674 16,554,009 939,692 522,911 94,378 2,875,426 11,344,495 8,247,999 1,138,400 67,363 9. Claim reserve Dec 31, prior year from Part 2D: 9.1. Direct 201,247 51,897 31,600 331 1,536 6,477 2,796 35,021 71,556 32 9.2. Reinsurance assumed 133,572 67,757 0 0 5,157 0 0 0 3,738 56,920 9.3. Reinsurance ceded 63,256 1,157 13,040 0 0 26 78 760 48,163 32 9.4. Net 271,563 118,497 18,560 331 6,693 6,451 2,718 34,261 27,131 56,92010. Accrued medical incentive pools and bonuses, prior year 1,450,162 741,591 6,813 14,871 0 18,937 473,739 192,835 1,375 011. Amounts recoverable from reinsurers Dec. 31, prior year 775,273 507,334 23,671 18,265 3,937 4,126 29,892 98,049 89,928 7112. Incurred benefits: 12.1. Direct 458,378,708 180,163,034 7,207,578 9,547,494 1,674,568 31,583,285 113,325,696 100,184,169 14,597,246 95,636 12.2. Reinsurance assumed 4,794,324 2,076,689 14,431 417,070 44,252 14,837 1,710,301 47,367 426,948 42,429 12.3. Reinsurance ceded 15,318,496 8,850,230 315,918 884,403 14,517 25,848 2,099,743 1,743,545 1,311,707 72,584 12.4. Net 447,854,536 173,389,494 6,906,091 9,080,162 1,704,303 31,572,275 112,936,253 98,487,991 13,712,487 65,48113. Incurred medical incentive pools and bonuses 2,188,582 1,063,408 1,148 2,881 0 41,271 689,686 364,876 25,312 0

© 2015 National Association of Insurance Commissioners 23

Page 32: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

UNDERWRITING AND INVESTMENT EXHIBIT

Total

(Name) 10

Comprehensive

(Hospital& Medical)

MedicareSupplement

DentalOnly Only

Vision HealthBenefit Plan

FederalEmployees

XVIIIMedicare

TitleXIX

Medicaid

TitleOtherHealth Health

1 2 3 4 5 6 7 8 9 10

OtherNon-

Part 2A - Claims Liability End of Current Year

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Reported in Process of Adjustment: 1.1. Direct 11,125,725 4,515,175 169,146 135,924 21,346 639,234 2,696,435 2,532,705 405,216 10,544 1.2. Reinsurance assumed 80,906 31,010 2 7,231 953 0 5,666 10,296 25,655 95 1.3. Reinsurance ceded 269,992 183,606 6,739 8,606 0 305 18,258 10,447 38,407 3,624 1.4. Net 10,936,639 4,362,579 162,409 134,549 22,299 638,929 2,683,843 2,532,554 392,463 7,014

2. Incurred but Unreported: 2.1. Direct 37,446,903 14,342,472 841,539 427,555 70,434 2,479,201 8,583,496 9,804,718 888,109 9,378 2.2. Reinsurance assumed 484,737 206,855 2,429 11,005 13,936 0 154,072 0 54,629 41,812 2.3. Reinsurance ceded 1,292,158 828,206 39,968 46,993 742 1,252 147,748 178,530 34,179 14,540 2.4. Net 36,639,481 13,721,120 804,000 391,568 83,627 2,477,950 8,589,820 9,626,187 908,559 36,650

3. Amounts Withheld from Paid Claims and Capitations: 3.1. Direct 1,171,980 101,943 124 4,674 16 855 1,010,087 54,280 1 0 3.2. Reinsurance assumed (415) 0 0 0 0 0 0 0 (415) 0 3.3. Reinsurance ceded 2,709 0 0 0 0 0 2,707 2 0 0 3.4. Net 1,168,856 101,943 124 4,674 16 855 1,007,380 54,278 (414) 0

4. TOTALS: 4.1. Direct 49,747,907 18,962,890 1,010,809 568,153 91,796 3,119,291 12,290,019 12,391,702 1,293,325 19,922 4.2. Reinsurance assumed 561,928 234,565 2,431 18,236 14,889 0 159,737 10,296 79,868 41,906 4.3. Reinsurance ceded 1,564,859 1,011,812 46,707 55,599 742 1,557 168,714 188,979 72,586 18,164 4.4. Net 48,744,976 18,185,642 966,533 530,790 105,943 3,117,734 12,281,043 12,213,019 1,300,608 43,665

© 2015 National Association of Insurance Commissioners 24

Page 33: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

UNDERWRITING AND INVESTMENT EXHIBIT

11

Claims Paid

Part 2B - Analysis of Claims Unpaid - Prior Year - Net of Reinsurance

During the YearClaim Reserve and Claim Liability

December 31 of Current Year

On Claims IncurredPrior to January 1of Current Year

On Claims IncurredDuring the

Year

On Claims UnpaidDecember 31 of

Prior Year

On Claims IncurredDuring the

Year

Claims Incurredin Prior Years

(Columns 1 + 3)

Claim LiabilityReserve and

Extimated Claim

December 31 ofPrior Year

Line of Business 1 2 3 4

5 6

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Comprehensive (hospital and medical) 13,782,823 160,146,287 416,937 17,783,360 14,199,760 16,739,549 2. Medicare Supplement 841,230 6,126,212 14,918 974,043 856,148 963,998 3. Dental only 449,505 8,670,727 5,574 527,328 455,079 509,161 4. Vision only 92,872 1,614,545 25 107,363 92,897 100,866 5. Federal employees health benefits plan 2,661,009 28,717,330 53,498 3,066,685 2,714,507 2,882,431 6. Title XVIII - Medicare 9,104,904 103,457,562 476,049 11,874,101 9,580,953 11,341,589 7. Title XIX - Medicaid 6,966,385 87,926,910 429,509 11,777,316 7,395,894 8,274,532 8. Other health 669,853 13,219,851 156,423 1,190,854 826,277 1,170,398 9. Health subtotal (Lines 1 to 8) 34,568,581 409,879,424 1,552,933 47,301,051 36,121,514 41,982,52410. Health care receivables (a) 877,129 5,353,636 34,951 843,850 912,080 3,460,09111. Other non-health 49,019 51,771 62,405 26,753 111,424 127,13112. Medical incentive pools and bonus amounts 1,164,619 859,572 229,076 1,386,887 1,393,695 1,450,91013. Totals (Lines 9-10+11+12) 34,905,090 405,437,131 1,809,463 47,870,841 36,714,552 40,100,475

© 2015 National Association of Insurance Commissioners 25

Page 34: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Section A - Paid Health Claims

Cumulative Net Amounts PaidYear in Which Losses

Were Incurred

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

UNDERWRITING AND INVESTMENT EXHIBIT

12

(000's)Part 2C - Development of Paid and Incurred Health Claims

1 2 3 4 520142013201220112010

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Prior 1,794,781 1,770,806 1,848,517 2,004,188 1,770,096 2. 2010 XXX XXX XXX XXX XXX 3. 2011 1,081,103 849,610 828,045 825,606 824,516 4. 2012 XXX 1,164,138 896,814 877,899 873,780 5. 2013 XXX XXX 1,825,706 1,017,544 918,583 6. 2014 XXX XXX XXX 2,260,057 1,254,737

Section B - Incurred Health Claims

Sum of Cumulative Net Amount Paid and Claim Liability, Claim Reserve and Medical Incentive Pool and Bonuses Outstanding at End of YearYear in Which Losses

Were Incurred 1 2 3 4 520142013201220112010

1. Prior 1,815,842 1,806,575 1,787,191 1,803,989 1,818,240 2. 2010 1,197,034 851,068 837,952 838,683 835,049 3. 2011 XXX 1,284,302 897,997 890,205 884,875 4. 2012 XXX XXX 1,478,292 944,333 930,319 5. 2013 XXX XXX XXX 1,796,102 1,189,227 6. 2014 XXX XXX XXX XXX 4,510,885

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

Years in which Premiums were Earnedand Claims were Incurred Premiums Earned Claims Payments Expense Payments Claims Unpaid

Total Claims and Claims1 2 3 5 7 8 9

Claim Adjustment Claim and ClaimAdjust Expense

Payments (Col 2+3)

Unpaid ClaimsAdjustmentExpenses

Adjustment ExpenseIncurred (Col 5+7+8)

1. 2010 1,785,581 1,171,981 40,647 1,212,628 1,879 1 1,214,508 2. 2011 1,525,511 1,186,945 41,673 1,228,619 84 2 1,228,705 3. 2012 2,772,068 2,128,700 43,311 2,172,011 229 3 2,172,243 4. 2013 3,097,141 2,650,024 140,894 2,790,918 3,182 88 2,794,188 5. 2014 4,592,593 4,311,506 622,167 4,933,673 97,763 2,657 5,034,094

© 2015 National Association of Insurance Commissioners 26

Page 35: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

UNDERWRITING AND INVESTMENT EXHIBIT

Total

(Name) 13

Comprehensive

(Hospital& Medical)

MedicareSupplement

DentalOnly Only

Vision HealthBenefit Plan

FederalEmployees

XVIIIMedicare

TitleXIX

Medicaid

Title

Other

1 2 3 4 5 6 7 8 9

Part 2D - Aggregate Reserve For Accident and Health Contracts Only

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Unearned premium reserves 1,431,563 343,341 181,035 42,095 780 794,500 39,721 16,137 13,953 2. Additional policy reserves 4,531,451 2,163,373 707,020 5,598 1,425 6,630 458,498 538,332 650,575 3. Reserve for future contingent benefits 13,402 8,123 0 7 24 0 1,003 0 4,246 4. Reserve for rate credits or experience rating refunds 7,516,466 1,545,457 230,923 57,093 136 3,462,026 347,736 1,544,619 328,476 5. Aggregate write-ins for other policy reserves 310,826 176,385 1,102 4,846 0 12,471 31,362 79,095 5,565 6. Totals (gross) 13,803,709 4,236,679 1,120,080 109,639 2,365 4,275,627 878,320 2,178,183 1,002,815 7. Reinsurance ceded 759,293 21,990 112,730 5,476 12 0 5,283 0 613,803 8. Totals (Net) (Page 3, Line 4) 13,044,416 4,214,689 1,007,350 104,163 2,352 4,275,627 873,038 2,178,183 389,012 9. Present value of amounts not yet due on claims 189,767 32,225 9,699 434 1,515 203 0 2,165 143,52610. Reserve for future contingent benefits 106,484 21,583 20,343 36 0 2,222 1,930 19,793 40,57711. Aggregate write-ins for other claim reserves 13,030 5,735 0 370 0 13 1,010 5,663 23912. Totals (gross) 309,282 59,543 30,042 839 1,515 2,438 2,940 27,621 184,34313. Reinsurance ceded 173,525 786 14,897 0 0 0 90 1,153 156,59914. Totals (Net) (Page 3, Line 7) 135,756 58,757 15,146 839 1,515 2,438 2,850 26,468 27,743

© 2015 National Association of Insurance Commissioners 27

Page 36: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1

Cost

2

3 4

AdjustmentExpenses Expenses

General

Total

14

UNDERWRITING AND INVESTMENT EXHIBITPart 3 - Analysis of Expenses

Other ClaimContainment

Expenses

5

Administrative

Claim Adjustment Expenses

InvestmentExpenses

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE .......................................................................

1. Rent ( for occupancy of own building) 234,909 316,011 1,040,192 67,897 1,659,009

2. Salaries, wages and other benefits 5,988,602 6,062,733 18,319,653 27,270 30,398,257

3. Commissions (less ceded plus assumed) 27,874 10,464 8,713,730 214 8,752,282

4. Legal fees and expenses 38,493 28,214 400,505 2,532 469,744

5. Certifications and accreditation fees 7,494 6,341 16,846 0 30,681

6. Auditing, actuarial and other consulting services 580,268 483,352 2,536,523 9,163 3,609,306

7. Traveling expenses 100,196 72,836 447,095 501 620,627

8. Marketing and advertising 165,050 92,378 1,634,519 841 1,892,788

9. Postage, express and telephone 197,187 425,814 1,063,459 870 1,687,330

10. Printing and office supplies 98,752 130,944 646,705 316 876,716

11. Occupancy, depreciation and amortization 56,830 75,283 605,188 39,575 776,876

12. Equipment 71,542 265,906 430,493 803 768,745

13. Cost or depreciation of EDP equipment and software 406,675 646,366 2,178,408 1,317 3,232,765

14. Outsourced services including EDP, claims, and other services 2,362,392 2,748,831 5,569,863 7,806 10,688,891

15. Boards, bureaus and association fees 25,647 18,101 219,212 248 263,208

16. Insurance, except on real estate 31,000 30,600 216,538 1,241 279,379

17. Collection and bank service charges 18,229 18,130 205,279 24,092 265,729

18. Group service and administration fees 646,388 652,548 702,452 399 2,001,787

19. Reimbursements by uninsured plans (2,415,188) (4,369,391) (9,128,483) (5,235) (15,918,298)

20. Reimbursements from fiscal intermediaries (59,524) (99,386) (496,777) 46 (655,641)

21. Real estate expenses 26,113 34,170 198,337 69,351 327,972

22. Real estate taxes 7,036 8,376 50,863 29,812 96,088

23. Taxes, licenses and fees:

23.1. State and local insurance taxes 2,522 1,736 890,755 (71) 894,942

23.2. State premium taxes 1,239 7,281 4,323,283 0 4,331,803

23.3. Regulatory authority licenses and fees 23,514 33,309 3,674,602 617 3,732,042

23.4. Payroll taxes 269,673 286,326 1,127,072 1,018 1,684,088

23.5. Other (excluding federal income and real estate taxes) 7,470 11,088 5,737,877 1,317 5,757,752

24. Investment expenses not included elsewhere 32,806 12,516 138,940 173,472 357,734

25. Aggregate write-ins for expenses 334,266 545,724 2,183,131 52,717 3,115,838

26. Total expenses incurred (Lines 1 to 25) 9,287,453 8,556,598 53,646,260 508,129 71,998,440

27. Less expenses unpaid December 31, current year 335,890 988,292 13,997,307 46,935 15,368,424

28. Add expenses unpaid December 31, prior year 313,694 850,211 11,212,066 50,570 12,426,541

29. Amounts receivable relating to uninsured plans, prior year 693,829 1,672,835 7,261,392 0 9,628,056

30. Amounts receivable relating to uninsured plans, current year 772,639 1,596,573 9,625,196 0 11,994,409

31. Total expenses paid (Lines 26 minus 27 plus 28 minus 29 plus 30) 9,344,067 8,342,255 53,224,823 511,764 71,422,909

© 2015 National Association of Insurance Commissioners 28

Page 37: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name) 15EXHIBIT OF NET INVESTMENT INCOME

1

CollectedDuring

Year

2

EarnedDuringYear

(000's)

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE .....................................................................

1. U.S. Government bonds 334,033 315,067 1.1. Bonds exempt from U.S. tax 95,564 97,878 1.2. Other bonds (unaffiliated) 2,373,898 2,358,738 1.3. Bonds of affiliates 42,221 21,186 2.1. Preferred stocks (unaffiliated) 13,985 13,644 2.11. Preferred stocks of affiliates 2 2 2.2. Common stocks (unaffiliated) 543,283 543,009 2.21. Common stocks of affiliates 700,419 701,272 3. Mortgage loans 680 869 4. Real estate 567,468 726,911 5. Contract loans 10 10 6. Cash, cash equivalents and short-term investments 41,779 32,755 7. Derivative instruments (2,768) (3,811) 8. Other invested assets 83,141 99,392 9. Aggregate write-ins for investment income 58,380 47,75110. Total gross investment income 4,852,093 4,954,673

11. Investment expenses 476,69512. Investment taxes, licenses and fees, excluding federal income taxes 31,34513. Interest expense 144,68414. Depreciation on real estate and other invested assets 334,03615. Aggregate write-ins for deductions from investment income 37,64916. Total deductions (Lines 11 through 15) 1,024,41017. Net investment income (Line 10 minus Line 16) 3,930,264

1

Realized

2 3

EXHIBIT OF CAPITAL GAINS (LOSSES)

Otheron Sales orGain (Loss)

4

MaturityRealized

Adjustments

Total Realized Capital Gain

(Loss) (Columns 1 + 2)

Change in Unrealized Capital

Gain (Loss)

5

Change in Unrealized

Foreign Exchange Capital

Gain (Loss)

1. Government bonds 84,819 (2,045) 82,774 (3,794) 0 1.1. Bonds exempt from U.S. tax 19,460 (258) 19,203 (946) 0 1.2. Other bonds (unaffiliated) 550,489 (45,130) 505,360 (64,011) (10,949) 1.3. Bonds of affiliates (51) 0 (51) (3,320) 0 2.1. Preferred stocks (unaffiliated) 7,916 (1,720) 6,196 7,987 (28) 2.11. Preferred stocks of affiliates 0 (45) (45) (14,884) 0 2.2. Common stocks (unaffiliated) 1,223,773 (65,510) 1,158,263 (467,170) (19,642) 2.21. Common stocks of affiliates 1,953 (108,795) (106,842) (1,391,039) 0 3. Mortgage loans 0 0 0 0 0 4. Real estate 83,420 (60,766) 22,654 10,451 0 5. Contract loans 2 0 2 0 0 6. Cash, cash equivalents and short-term investments 3,065 (72) 2,993 355 (36) 7. Derivative instruments (6,719) (9,090) (15,809) 5,885 951 8. Other invested assets 284,273 (2,149) 282,125 (75,149) 0 9. Aggregate write-ins for capital gains (losses) 25,608 (9,850) 15,758 (202,939) (42)10. Total capital gains (losses) 2,278,009 (305,428) 1,972,581 (2,198,575) (29,746)

© 2015 National Association of Insurance Commissioners 29

Page 38: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

Current Year Prior Year Change in Total

16

EXHIBIT OF NONADMITTED ASSETS

1 2 3

TotalNonadmitted

TotalNonadmitted

Nonadmitted Assets

Assets Assets (Col. 2-Col. 1)

(000's)

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE .....................................................................

01. Bonds (Schedule D) 136,983 120,915 (16,068)

02. Stocks (Schedule D):

02.1. Preferred stocks 36,377 48,050 11,672

02.2. Common stocks 1,555,175 1,579,896 24,722

03. Mortgage loans on real estate (Schedule B):

03.1. First liens 0 2 2

03.2. Other than first liens 0 0 0

04. Real estate (Schedule A):

04.1. Properties occupied by the company 44,271 45,067 796

04.2. Properties held for the production of income 9,478 10,027 549

04.3. Properties held for sale 0 0 0

05. Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and

short-term investments (Schedule DA) 10,925 22,150 11,224

06. Contract loans 0 0 0

07. Derivatives (Schedule DB) 0 953 953

08. Other invested assets (Schedule BA) 638,975 934,047 295,072

09. Receivables for securities 125 242 117

10. Securities lending reinvested collateral assets (Schedule DL) 0 0 0

11. Aggregate write-ins for invested assets 154,735 138,670 (16,066)

12. Subtotals, cash and invested assets (Lines 1 to 11) 2,587,045 2,900,019 312,974

13. Title plants (for title insurers only) 0 0 0

14. Investment income due and accrued 502 1,208 706

15. Premiums and considerations:

15.1. Uncollected premiums and agents' balances in the course of collection 547,565 386,523 (161,041)

15.2. Deferred premiums, agents' balances and installments

booked but deferred and not yet due 746 58 (689)

15.3. Accrued retrospective premiums 12,659 2,080 (10,579)

16. Reinsurance:

16.1. Amounts recoverable from reinsurers 7,790 13,635 5,846

16.2. Funds held by or deposited with reinsured companies 0 100 100

16.3. Other amounts receivable under reinsurance contracts 3,855 4,674 819

17. Amounts receivable relating to uninsured plans 985,052 865,428 (119,624)

18.1. Current federal and foreign income tax recoverable and interest thereon 11,168 3,816 (7,352)

18.2. Net deferred tax asset 1,700,519 1,432,207 (268,312)

19. Guaranty funds receivable or on deposit 608 460 (147)

20. Electronic data processing equipment and software 2,406,741 2,268,304 (138,437)

21. Furniture and equipment, including health care delivery assets 1,350,726 1,385,334 34,609

22. Net adjustment in assets and liabilities due to foreign exchange rates 0 0 0

23. Receivables from parent, subsidiaries and affiliates 329,505 412,434 82,929

24. Health care and other amounts receivable 2,497,015 2,162,467 (334,549)

25. Aggregate write-ins for other than invested assets 4,268,970 4,570,636 301,666

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines 12 to 25) 16,710,466 16,409,383 (301,082)

27. From Separate Accounts, Segregated Accounts and

Protected Cell Accounts 0 0 0

28. Totals (Lines 24 and 25) 16,710,466 16,409,383 (301,082)

© 2015 National Association of Insurance Commissioners 30

Page 39: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

EXHIBIT 1 - ENROLLMENT BY PRODUCT TYPE FOR HEALTH BUSINESS ONLY

17

PriorSource of Enrollment Year

FirstQuarter

SecondQuarter

Current YearMember

1 2 3 4 5

6

Months

Total Members at End of

QuarterThird

YearCurrent

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Health Maintenance Organizations 49,020 50,663 54,659 56,799 58,366 640,148

2. Provider Service Organizations 2,024 1,984 2,060 2,156 2,188 24,972

3. Preferred Provider Organizations 64,299 54,218 55,274 55,213 55,688 665,923

4. Point of Service 7,247 7,409 7,594 7,454 7,449 89,491

5. Indemnity Only 10,123 10,102 10,165 10,110 10,167 121,406

6. Aggregate write-ins for other lines of business 65,989 67,849 68,974 70,158 71,950 843,485

7. Total 198,702 192,226 198,727 201,891 205,809 2,385,424

© 2015 National Association of Insurance Commissioners 31

Page 40: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

EXHIBIT 7 - PART 1 - SUMMARY OF TRANSACTIONS WITH PROVIDERS

24

Payment

Payment MethodExpense

CoveredMembers

Column 1Expenses Paid to

1 3 5 6

Non-AffiliatedExpenses Paid toColumn 1

ProvidersAffiliated Providers

TotalDirect Medical

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

Capitation Payments:

1. Medical groups 21,208,744 55,463 4,782,901 16,425,843

2. Intermediaries 10,357,353 45,900 4,291,920 6,065,433

3. All other providers 6,576,435 50,972 2,260,949 4,315,486

4. Total capitation payments 38,142,533 142,276 11,335,770 26,806,762

Other Payments:

5. Fee-for-service 70,976,434 XXX 9,454,304 61,522,130

6. Contractual fee payments 311,902,173 XXX 37,023,950 274,878,223

7. Bonus/withhold arrangements - fee-for-service 625,343 XXX 18,805 606,538

8. Bonus/withhold arrangements - contractual fee payments 11,661,280 XXX 2,077,910 9,583,370

9. Non-contingent salaries 5,481,710 XXX 4,514,540 967,170

10. Aggregate cost arrangements 4,554,305 XXX 4,254,419 299,886

11. All other payments 8,263,779 XXX 3,920,381 4,343,398

12. Total other payments 413,465,024 XXX 61,264,310 352,200,714

13. Total ( Line 4 plus Line 12) 451,607,557 XXX 72,600,080 379,007,477

© 2015 National Association of Insurance Commissioners 32

Page 41: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

EXHIBIT 8 - FURNITURE, EQUIPMENT AND SUPPLIES OWNED

25

Book Value

Description Cost

Assets

ImprovementsAccumulatedDepreciation

Net AdmittedAssets

1 2 3 4 5 6

EncumbrancesLess

AdmittedNot

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Administrative furniture and equipment 3,036,327 202,510 2,039,130 680,819 803,770 17,171

2. Medical furniture, equipment and fixtures 1,004,065 14,546 799,137 140,566 80 146,207

3. Pharmaceuticals and surgical supplies 212,265 2,102 (1,292) 210,973 1,997 208,669

4. Durable medical equipment 17,067 0 15,431 1,636 0 1,636

5. Other property and equipment 1,118,752 441,661 822,749 703,160 535,966 178,885

6. Total 5,388,476 660,819 3,675,155 1,737,154 1,341,813 552,568

© 2015 National Association of Insurance Commissioners 33

Page 42: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

Gross InvestmentAdmitted Assets as

S101

SUMMARY INVESTMENT SCHEDULE

Investment Categories

1 3

Holdings AmountReported in the Annual

Statement Amount

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Bonds 1.1. U.S. treasury securities 11,227,910 11,224,702 1.2. U. S. government agency obligations (excl mortgage-backed securities): 1.21. Issued by U.S. government agencies 1,337,598 1,335,683 1.22. Issued by U.S. government sponsored agencies 3,156,206 3,149,950 1.3. Non-U.S. government (including Canada, excluding mortgage-backed securities) 530,312 536,731 1.4. Securities issued by states, territories, possessions & political subdivisions in the US: 1.41. States, territories and possessions general obligations 3,814,290 3,821,322 1.42. Political subdivisions of states, territories and possessions and political 3,151,651 3,151,651 subdivisions general obligations 1.43. Revenue and assessment obligations 13,218,798 13,192,561 1.44. Industrial development and similar obligations 483,262 492,664 1.5. Mortgage-backed securities (includes residential and commercial MBS): 1.51. Pass-through securities: 1.511. Issued or guaranteed by GNMA 1,932,646 1,930,031 1.512. Issued or guaranteed FNMA and FHLMC 10,012,765 9,944,737 1.513. All other 783,074 783,067 1.52. CMO's and REMIC's: 1.521. Issued or guaranteed by GNMA, FNMA, FHLMC, or VA 1,741,205 1,741,501 1.522. Issued by non-U.S. government issuers and collateralized by mortgage- 939,076 936,443 backed securities issued or guaranteed by agencies shown in Line 1.521 1.523. All other 3,906,338 3,903,2932. Other debt and other fixed income securities (excluding short term): 2.1. Unaffiliated domestic securities (includes credit tenant loans and hybird securities) 34,670,079 34,665,634 2.2. Unaffiliated non-U.S. securities (including Canada) 6,645,498 6,639,853 2.3. Affiliated securities 5,125 5,1253. Equity interests: 3.1. Investments in mutual funds 10,072,379 10,107,225 3.2. Preferred stocks: 3.21. Affiliated 41,307 4,930 3.22. Unaffiliated 276,042 276,042 3.3. Publicly traded equity securities (excluding preferred stocks): 3.31. Affiliated 173,684 173,604 3.32. Unaffiliated 8,413,109 8,450,768 3.4. Other equity securities: 3.41. Affiliated 13,184,239 12,290,929 3.42. Unaffiliated 271,224 322,959 3.5. Other equity interests including tangible personal property under lease: 3.51. Affiliated 107,633 107,633 3.52. Unaffiliated 515 5144. Mortgage loans: 4.1. Construction and land development 0 0 4.2. Agricultural 0 0 4.3. Single family residential properties 0 0 4.4. Multifamily residential properties 0 0 4.5. Commercial loans 37,563 37,563 4.6. Mezzanine real estate loans 179 1795. Real estate investments: 5.1. Property occupied by company 5,271,566 5,561,230 5.2. Property held for production of income 205,644 210,046 5.3. Property held for sale 21,107 34,0676. Contract loans 465 4657. Derivatives 6,460 6,4608. Receivables for securities 145,045 152,3559. Securities Lending (Line 10, Asset Page reinvested collateral) 1,636,427 1,638,46410. Cash, cash equivalents and short-term investments 27,606,928 29,106,85111. Other invested assets 9,049,927 8,495,20612. Total invested assets 174,077,279 174,432,438

© 2015 National Association of Insurance Commissioners 34

Page 43: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

(Name)S104

DescriptionFair Value Actual Cost

Par ValueBook/Adjustedof Bonds

SCHEDULE D - SUMMARY BY COUNTRY

Carrying Value

Long-Term Bonds and Stocks OWNED December 31 of Current Year

HEALTH INSURANCE INDUSTRY AGGREGATES

2 3 41

(000's)

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE .....................................................................

BONDS 01. United States 15,808,959 16,080,737 15,821,504 15,717,556 Governments 02. Canada 149,829 151,408 150,467 147,780 (Including all obligations guaranteed 03. Other Countries 328,098 335,193 337,289 319,156 by governments) 04. Totals 16,286,886 16,567,337 16,309,260 16,184,492

U.S. States, Territories and Possessions (Direct and guaranteed)

05. Totals 3,923,893 4,070,741 4,061,849 3,617,504

U.S. Political Subdivisions of States, Territories & Possessions (Direct and guaranteed) 06. Totals 3,174,762 3,295,661 3,271,631 2,963,897

U.S. Special revenue and special assessment obligations and all non-guaranteed obligations of agencies and authorities of govts and their political subdivisions 07. Totals 26,948,433 27,853,430 27,337,445 25,812,468

08. United States 40,206,680 41,311,868 40,722,027 39,498,514 Industrial and Miscellaneous 09. Canada 1,220,669 1,230,191 1,232,160 1,211,900 and Credit Tenant Loans and 10. Other Countries 5,878,123 5,954,123 5,916,405 5,841,746 Hybird Securities (unaffiliated) 11. Totals 47,305,471 48,496,182 47,870,592 46,552,161

Parent Subsidiaries and Affiliates 12. Totals 5,125 5,125 5,125 5,125

13. Total Bonds 97,644,569 100,288,476 98,855,901 95,135,648

PREFERRED STOCKS 14. United States 240,814 251,363 225,34115. Canada 0 0 016. Other Countries 12,477 15,095 12,86017. Totals 253,291 266,457 238,201

Parent Subsidiaries and Affiliates 18. Totals 42,996 42,996 35,380

19. Total Preferred Stocks 296,287 309,453 273,581

COMMON STOCKS 20. United States 18,077,791 18,077,764 14,199,144 Industrial and Miscellaneous 21. Canada 78,277 78,277 62,711 (unaffiliated) 22. Other Countries 1,121,678 1,121,678 966,573

23. Totals 19,277,747 19,277,719 15,228,428

Parent Subsidiaries and Affiliates 24. Totals 13,711,231 13,692,325 8,766,490

25. Total Common Stocks 32,988,978 32,970,043 23,994,918

26. Total Stocks 33,285,265 33,279,497 24,268,499

27. Total Bonds and Stocks 130,929,834 133,567,973 123,124,400

© 2015 National Association of Insurance Commissioners 35

Page 44: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)SCHEDULE D - PART 1A - SECTION 1

Over 1 Year Thru Over 5 Years Over 10 Years Total Current YearOver 20 Years Total Prior Year Total Privately5 Years Thru 10 Years Thru 20 Years Traded Placed

Quality Rating Per theNAIC Designation

Total Publicly

S105

1 Year or Less1 2 3 4 5 6 8 10 11

(000's)

Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. U.S. Governments 1.1. NAIC 1 7,664,300 8,930,712 3,286,215 750,566 1,310,104 21,941,898 23,790,257 114,16521,827,732 1.2. NAIC 2 2,125 76 281 90 187 2,757 4,228 02,757 1.3. NAIC 3 0 909 0 0 0 909 0 0909 1.4. NAIC 4 0 0 0 0 0 0 0 00 1.5. NAIC 5 0 0 0 0 0 0 0 00 1.6. NAIC 6 0 0 0 0 0 0 2,962 00 1.7. Totals 7,666,425 8,931,697 3,286,496 750,656 1,310,290 21,945,564 23,797,447 114,16521,831,399

2. All Other Governments 2.1. NAIC 1 66,922 190,874 71,458 16,448 17,650 363,352 434,620 29,627333,725 2.2. NAIC 2 2,894 21,174 41,946 17,329 30,831 114,174 105,779 13,916100,258 2.3. NAIC 3 2,999 2,013 22,411 1,422 4,211 33,056 25,113 8,51324,543 2.4. NAIC 4 70 3,290 6,755 2,059 0 12,175 5,887 92511,250 2.5. NAIC 5 0 0 0 0 0 0 0 00 2.6. NAIC 6 0 0 0 0 0 0 0 00 2.7. Totals 72,885 217,351 142,570 37,258 52,692 522,757 571,399 52,981469,776

3. U.S. States, Territories and Possessions etc., Guaranteed 3.1. NAIC 1 342,969 1,410,913 1,748,623 287,738 133,772 3,924,014 4,202,670 73,0083,851,006 3.2. NAIC 2 68 8,800 8,659 0 0 17,527 49,046 017,527 3.3. NAIC 3 6,499 1,116 0 0 0 7,615 0 07,615 3.4. NAIC 4 0 4,444 0 0 0 4,444 3,100 04,444 3.5. NAIC 5 0 0 0 0 0 0 2,199 00 3.6. NAIC 6 0 0 0 0 0 0 1,052 00 3.7. Totals 349,536 1,425,273 1,757,282 287,738 133,772 3,953,600 4,258,068 73,0083,880,592

4. U.S. Political Subdivisions of States, Territories, and Possessions, Guaranteed 4.1. NAIC 1 249,586 1,151,114 1,368,021 264,970 125,264 3,158,955 3,225,088 1,0203,157,936 4.2. NAIC 2 2,312 7,834 2,444 6,375 1,906 20,872 32,042 020,872 4.3. NAIC 3 110 0 27 0 0 137 2,027 0137 4.4. NAIC 4 0 341 0 191 0 532 0 0532 4.5. NAIC 5 0 816 0 0 0 816 6,879 0816 4.6. NAIC 6 0 0 0 0 0 0 0 00 4.7. Totals 252,009 1,160,106 1,370,492 271,536 127,170 3,181,313 3,266,036 1,0203,180,293

5. U.S. Special Revenue & Assessment Obligations etc. Non-Guaranteed 5.1. NAIC 1 3,341,325 9,615,480 8,660,151 3,138,150 2,446,646 27,201,753 27,625,898 36,17527,165,578 5.2. NAIC 2 18,866 144,010 130,377 69,511 65,851 428,614 534,045 4,192424,422 5.3. NAIC 3 13,582 11,630 14,417 13,032 8,666 61,327 31,543 55060,777 5.4. NAIC 4 442 2,514 3,172 13,340 123 19,590 27,199 16,5053,085 5.5. NAIC 5 0 9,369 0 0 0 9,369 13,555 09,369 5.6. NAIC 6 408 0 0 0 0 408 3,511 0408 5.7. Totals 3,374,623 9,783,004 8,808,117 3,234,032 2,521,286 27,721,062 28,235,752 57,42227,663,640

© 2015 National Association of Insurance Commissioners 36

Page 45: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

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

Over 1 Year Thru Over 5 Years Over 10 Years Total Current YearOver 20 Years Total Prior Year Total Privately5 Years Thru 10 Years Thru 20 Years Traded Placed

Quality Rating Per theNAIC Designation

Total Publicly

S106

1 Year or Less1 2 3 4 5 6 8 10 11

(000's)

Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

6. Industrial and Misccellaneous (unaffiliated) 6.1. NAIC 1 13,485,187 16,279,437 5,874,432 1,004,862 1,900,767 38,544,686 35,913,683 4,264,46234,280,224 6.2. NAIC 2 2,090,067 5,919,608 4,551,427 546,995 851,069 13,959,165 13,475,122 1,578,35712,380,809 6.3. NAIC 3 101,360 927,234 1,822,743 72,327 71,579 2,995,243 2,818,627 590,8412,404,401 6.4. NAIC 4 78,932 622,030 878,246 50,691 85,539 1,715,438 1,664,468 447,7451,267,693 6.5. NAIC 5 8,388 105,835 67,943 23,379 3,188 208,732 255,917 91,366117,366 6.6. NAIC 6 3,779 53,299 51,763 10,786 7,128 126,755 27,667 68,81657,939 6.7. Totals 15,767,713 23,907,443 13,246,554 1,709,041 2,919,268 57,550,019 54,155,485 7,041,58650,508,433

7. Hybird Securities 7.1. NAIC 1 0 41,969 0 4,524 9,520 56,013 67,017 15,99140,022 7.2. NAIC 2 4,067 18,501 2,010 1,547 117,908 144,033 196,751 21,020123,013 7.3. NAIC 3 1,515 1,135 0 0 6,735 9,386 23,116 1,7787,608 7.4. NAIC 4 0 11,835 0 0 0 11,835 7,311 011,835 7.5. NAIC 5 0 3,376 2,371 429 0 6,175 3,111 3,2472,928 7.6. NAIC 6 0 0 0 1,699 0 1,699 1 01,699 7.7. Totals 5,583 76,817 4,380 8,199 134,163 229,142 297,306 42,036187,106

8. Parent, Subsidiaries and Affiliates 8.1. NAIC 1 282 0 0 0 0 282 190 2820 8.2. NAIC 2 4,000 1,125 0 0 0 5,125 5,125 5,1250 8.3. NAIC 3 0 0 0 0 0 0 0 00 8.4. NAIC 4 0 0 0 0 0 0 0 00 8.5. NAIC 5 0 0 0 0 0 0 528,649 00 8.6. NAIC 6 0 0 0 0 0 0 45,181 00 8.7. Totals 4,282 1,125 0 0 0 5,407 579,144 5,4070

© 2015 National Association of Insurance Commissioners 37

Page 46: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

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

Over 1 Year Thru Over 5 Years Over 10 Years Total Current YearOver 20 Years Total Prior Year Total Privately5 Years Thru 10 Years Thru 20 Years Traded Placed

Quality Rating Per theNAIC Designation

Total Publicly

S107

1 Year or Less1 2 3 4 5 6 8 10 11

(000's)Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

9. Total Bonds Current Year 9.1. NAIC 1 25,150,572 37,620,500 21,008,900 5,467,258 5,943,723 95,190,953 XXX 4,534,72990,656,223 9.2. NAIC 2 2,124,399 6,121,128 4,737,143 641,848 1,067,751 14,692,268 XXX 1,622,61013,069,659 9.3. NAIC 3 126,066 944,037 1,859,599 86,781 91,191 3,107,673 XXX 601,6822,505,991 9.4. NAIC 4 79,444 644,455 888,173 66,281 85,661 1,764,015 XXX 465,1751,298,840 9.5. NAIC 5 8,388 119,396 70,313 23,808 3,188 225,092 XXX 94,613130,480 9.6. NAIC 6 4,187 53,299 51,763 12,485 7,128 128,862 XXX 68,81660,046 9.7. Totals 27,493,055 45,502,815 28,615,891 6,298,460 7,198,641 115,108,863 XXX 7,387,624107,721,239 9.8. Line 9.7 as a % of Col. 6 24 40 25 5 6 100 0 694

10. Total Bonds Prior Year 10.1. NAIC 1 26,086,779 35,494,374 21,121,467 6,075,507 6,481,297 XXX 95,259,424 3,778,07691,481,349 10.2. NAIC 2 1,733,576 6,131,938 4,980,730 583,170 972,725 XXX 14,402,138 1,576,53412,825,604 10.3. NAIC 3 206,534 875,554 1,647,984 72,080 98,274 XXX 2,900,426 517,6072,382,819 10.4. NAIC 4 97,333 624,940 855,881 72,105 57,706 XXX 1,707,965 320,8431,387,122 10.5. NAIC 5 24,780 179,289 183,732 224,510 197,998 XXX 810,310 87,570722,740 10.6. NAIC 6 7,514 12,326 6,981 22,714 30,839 XXX 80,373 1,05879,315 10.7. Totals 28,156,516 43,318,421 28,796,775 7,050,086 7,838,839 XXX 115,160,636 6,281,688108,878,948 10.8. Line 10.7 as a % of Col. 8 24 38 25 6 7 0 100 595

11. Total Publicly Traded Bonds 11.1. NAIC 1 24,110,182 35,545,209 19,961,114 5,272,130 5,767,289 90,655,923 91,481,349 XXX90,655,923 11.2. NAIC 2 1,927,201 5,430,992 4,167,946 572,809 970,710 13,069,659 12,825,604 XXX13,069,659 11.3. NAIC 3 109,814 756,134 1,493,660 67,113 79,270 2,505,991 2,382,819 XXX2,505,991 11.4. NAIC 4 62,742 475,589 632,601 43,358 84,550 1,298,840 1,387,122 XXX1,298,840 11.5. NAIC 5 6,521 66,117 32,982 21,679 3,180 130,480 722,740 XXX130,480 11.6. NAIC 6 4,131 24,520 13,266 11,124 7,005 60,046 79,315 XXX60,046 11.7. Totals 26,220,591 42,298,561 26,301,570 5,988,212 6,912,004 107,720,938 108,878,948 XXX107,720,938 11.8. Line 11.7 as a % of Col. 6 24 39 24 6 6 100 0 0100 11.9. Line 11.7 as a % of Line 9.7, Col.6, Section 9 23 37 23 5 6 94 0 094

12. Total Privately Placed Bonds 12.1. NAIC 1 1,041,091 2,074,587 1,047,397 195,131 176,524 4,534,729 3,778,076 4,534,729XXX 12.2. NAIC 2 197,198 690,136 569,197 69,038 97,041 1,622,610 1,576,534 1,622,610XXX 12.3. NAIC 3 16,252 187,903 365,938 19,668 11,920 601,682 517,607 601,682XXX 12.4. NAIC 4 16,702 168,866 255,573 22,923 1,111 465,175 320,843 465,175XXX 12.5. NAIC 5 1,867 53,278 37,331 2,129 8 94,613 87,570 94,613XXX 12.6. NAIC 6 56 28,779 38,496 1,361 123 68,816 1,058 68,816XXX 12.7. Totals 1,273,166 3,203,550 2,313,932 310,250 286,727 7,387,624 6,281,688 7,387,624XXX 12.8. Line 12.7 as a % of Col. 6 17 43 31 4 4 100 0 1000 12.9. Line 12.7 as a % of Line 9.7, Col 6, Section 9 1 3 2 0 0 6 0 60

© 2015 National Association of Insurance Commissioners 38

Page 47: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

31 29 29 25 24

34 36 3738 40

22 23 23 24 25

7 6 5 6 5

6 5 6 6 6

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2010 2011 2012 2013 2014

Per

cent

Years

Health Insurance Industry Aggregates 2010 through 2014

Maturity Distribution of Bonds

1 Year or Less Over 1 Year thru 5 Years Over 5 Years thru 10 Years Over 10 Years thru 20 Years Over 20 Years

© 2015 National Association of Insurance Commissioners 39

Page 48: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 40

Page 49: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

SCHEDULE D - PART 1A - SECTION 2

Over 1 Year Thru Over 5 Years Over 10 Years Total Current YearOver 20 Years Total Prior Year Total Privately5 Years Thru 10 Years Thru 20 Years Traded PlacedDistribution by Type

Total Publicly

S108

1 Year or Less1 2 3 4 5 6 8 10 11

(000's)

Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE .....................................................................

1. U.S. Governments 1.1. Issuer obligations 7,414,074 8,200,612 2,809,596 190,076 774,381 19,388,739 20,888,079 110,88719,277,852 1.2. Residential Mortgage-Backed Securities 223,981 624,602 387,385 491,491 494,725 2,222,184 2,592,208 3,2922,218,892 1.3. Commercial Mortgage -Baced Securities 18,696 60,500 22,605 25,608 40,078 167,487 108,175 510166,977 1.4. Other Loan-Backed and Structured Securities 10,641 45,162 66,808 43,481 1,062 167,154 162,499 0167,154 1.5. Totals 7,667,393 8,930,876 3,286,393 750,656 1,310,246 21,945,564 23,750,961 114,69021,830,875

2. All Other Governments 2.1. Issuer obligations 70,747 208,771 135,495 25,023 40,410 480,445 573,396 49,036431,410 2.2. Residential Mortgage-Backed Securities 741 4,684 4,966 11,355 12,122 33,867 6,558 033,867 2.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 0 0 00 2.4. Other Loan-Backed and Structured Securities 1,398 3,896 2,110 881 160 8,445 0 3,9454,499 2.5. Totals 72,885 217,351 142,570 37,258 52,692 522,757 579,954 52,981469,776

3. U.S. States, Territories and Possessions, Guaranteed 3.1. Issuer obligations 349,427 1,424,849 1,757,225 287,735 133,772 3,953,007 4,250,017 73,0083,879,999 3.2. Residential Mortgage-Backed Securities 100 200 0 0 0 300 935 0300 3.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 0 126 00 3.4. Other Loan-Backed and Structured Securities 9 235 46 3 0 293 0 0293 3.5. Totals 349,536 1,425,284 1,757,271 287,738 133,772 3,953,600 4,251,078 73,0083,880,592

4. U.S. Political Subdivisions of States, Territories and Possessions, Guaranteed 4.1. Issuer obligations 251,695 1,159,134 1,369,567 271,222 127,170 3,178,788 3,250,064 1,0203,177,769 4.2. Residential Mortgage-Backed Securities 302 927 888 313 0 2,431 420 02,431 4.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 0 1,181 00 4.4. Other Loan-Backed and Structured Securities 11 45 36 1 0 93 14,370 093 4.5. Totals 252,009 1,160,106 1,370,492 271,536 127,170 3,181,313 3,266,036 1,0203,180,293

5. U.S. Special Revenue & Special Assessment Obligations, etc., Non-Guaranteed 5.1. Issuer obligations 1,904,458 5,912,786 6,365,199 1,443,571 721,201 16,347,215 16,238,083 42,76116,304,454 5.2. Residential Mortgage-Backed Securities 1,436,211 3,725,694 2,309,080 1,781,013 1,735,417 10,987,415 11,585,288 4,77910,982,636 5.3. Commercial Mortgage -Baced Securities 20,920 88,074 104,089 2,815 39,245 255,144 237,883 8,838246,306 5.4. Other Loan-Backed and Structured Securities 13,034 56,449 29,749 6,633 25,423 131,288 143,476 1,044130,243 5.5. Totals 3,374,623 9,783,004 8,808,117 3,234,032 2,521,286 27,721,061 28,204,730 57,42227,663,640

© 2015 National Association of Insurance Commissioners 41

Page 50: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

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

Over 1 Year Thru Over 5 Years Over 10 Years Total Current YearOver 20 Years Total Prior Year Total Privately5 Years Thru 10 Years Thru 20 Years Traded PlacedDistribution by Type

Total Publicly

S108

1 Year or Less1 2 3 4 5 6 8 10 11

(000's)

Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

6. Industrial & Miscellaneous 6.1. Issuer obligations 13,558,295 19,557,553 11,655,836 1,174,454 1,944,039 47,890,178 46,191,973 5,159,77542,730,403 6.2. Residential Mortgage-Backed Securities 103,708 255,219 150,652 198,239 88,849 796,668 875,477 64,405732,263 6.3. Commercial Mortgage -Baced Securities 1,020,032 1,674,575 778,840 149,193 848,264 4,470,904 3,951,542 386,9704,083,934 6.4. Other Loan-Backed and Structured Securities 1,086,282 2,418,154 661,926 187,748 38,160 4,392,269 3,186,849 1,388,7953,003,474 6.5. Totals 15,768,318 23,905,501 13,247,254 1,709,633 2,919,312 57,550,019 54,205,841 6,999,94550,550,074

7. Hybird Securities 7.1. Issuer obligations 4,067 54,669 2,010 1,567 129,074 191,387 253,440 32,584158,803 7.2. Residential Mortgage-Backed Securities 0 0 0 0 0 0 0 00 7.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 0 0 00 7.4. Other Loan-Backed and Structured Securities 1,515 22,148 2,371 6,632 5,089 37,755 25,098 9,45228,303 7.5. Totals 5,583 76,817 4,380 8,199 134,163 229,142 278,537 42,036187,106

8. Parent, Subsidiaries and Affiliates 8.1. Issuer obligations 4,282 1,125 0 0 0 5,407 579,144 5,4070 8.2. Residential Mortgage-Backed Securities 0 0 0 0 0 0 0 00 8.3. Commercial Mortgage -Baced Securities 0 0 0 0 0 0 0 00 8.4. Other Loan-Backed and Structured Securities 0 0 0 0 0 0 0 00 8.5. Totals 4,282 1,125 0 0 0 5,407 579,144 5,4070

© 2015 National Association of Insurance Commissioners 42

Page 51: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

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

Over 1 Year Thru Over 5 Years Over 10 Years Total Current YearOver 20 Years Total Prior Year Total Privately5 Years Thru 10 Years Thru 20 Years Traded PlacedDistribution by Type

Total Publicly

S109

1 Year or Less1 2 3 4 5 6 8 10 11

(000's)

Maturity Distribution of All Bonds Owned December31, at Book/Adjust Carrying Values by Major Type and Subtype of Issues

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE .....................................................................

9. Total Bonds Current Year 9.1. Issuer obligations 23,557,046 36,519,500 24,094,927 3,393,647 3,870,046 91,435,167 XXX 5,474,47885,960,689 9.2. Residential Mortgage-Backed Securities 1,765,043 4,611,326 2,852,970 2,482,411 2,331,115 14,042,864 XXX 72,47513,970,389 9.3. Commercial Mortgage -Baced Securities 1,059,648 1,823,150 905,534 177,616 927,587 4,893,535 XXX 396,3174,497,217 9.4. Other Loan-Backed and Structured Securities 1,112,890 2,546,089 763,046 245,379 69,894 4,737,297 XXX 1,403,2373,334,061 9.5. Total 27,494,628 45,500,064 28,616,477 6,299,052 7,198,641 115,108,863 XXX 7,346,507107,762,356 9.6. Lines 9.5 as a % Col. 6 24 40 25 5 6 100 XXX 694

10. Total Bonds Prior Year 10.1. Issuer obligations 24,870,909 35,017,646 25,231,138 3,547,288 3,557,215 XXX 92,224,195 4,854,21287,369,983 10.2. Residential Mortgage-Backed Securities 1,971,089 4,853,037 2,780,724 2,824,132 2,631,905 XXX 15,060,886 77,98114,982,905 10.3. Commercial Mortgage -Baced Securities 554,582 2,177,169 588,338 135,733 843,085 XXX 4,298,907 347,2433,951,664 10.4. Other Loan-Backed and Structured Securities 853,445 1,813,212 476,594 281,447 107,593 XXX 3,532,292 923,4382,608,854 10.5. Totals 28,250,025 43,861,064 29,076,794 6,788,599 7,139,798 XXX 115,116,281 6,202,874108,913,406 10.6. Line 10.5 as a % of Col. 8 25 38 25 6 6 XXX 100 595

11. Total Publicly Traded Bonds 11.1. Issuer obligations 22,644,812 34,099,971 22,386,824 3,218,272 3,617,142 85,967,021 87,369,983 XXX85,967,021 11.2. Residential Mortgage-Backed Securities 1,748,122 4,585,085 2,840,382 2,471,237 2,322,945 13,967,772 14,982,905 XXX13,967,772 11.3. Commercial Mortgage -Baced Securities 991,598 1,655,082 778,280 154,548 911,151 4,490,658 3,951,664 XXX4,490,658 11.4. Other Loan-Backed and Structured Securities 876,721 1,955,510 298,067 145,541 60,766 3,336,604 2,608,854 XXX3,336,604 11.5. Totals 26,261,253 42,295,648 26,303,553 5,989,597 6,912,004 107,762,055 108,913,406 XXX107,762,055 11.6. Line 11.5 as a % of Col. 6 24 39 24 6 6 100 XXX XXX100 11.7. Line 11.5 as a % of Line 9.5, Col 6, Section 9 23 37 23 5 6 94 XXX XXX94

12. Total Privately Placed Bonds 12.1. Issuer obligations 913,082 2,423,966 1,708,747 175,688 252,994 5,474,478 4,854,212 5,474,478XXX 12.2. Residential Mortgage-Backed Securities 16,724 25,328 11,380 10,831 8,212 72,475 77,981 72,475XXX 12.3. Commercial Mortgage -Baced Securities 66,396 162,857 127,574 23,098 16,393 396,317 347,243 396,317XXX 12.4. Other Loan-Backed and Structured Securities 236,169 593,123 464,979 99,838 9,128 1,403,237 923,438 1,403,237XXX 12.5. Totals 1,232,372 3,205,274 2,312,680 309,455 286,727 7,346,507 6,202,874 7,346,507XXX 12.6. Line 12.5 as a % of Col. 6 17 44 31 4 4 100 XXX 100XXX 12.7. Line 12.5 as a % of Line 9.5, col. 6, Section 9 1 3 2 0 0 6 XXX 6XXX

© 2015 National Association of Insurance Commissioners 43

Page 52: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

(000's)

36

SCHEDULE S - PART 6

1 2 3 4 5

Five-Year Exhibit of Reinsurance Ceded Business

2014 2013 2012 2011 2010

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

A. OPERATIONS ITEMS

01. Premiums 7,534 9,897 15,177 14,355 10,152

02. Title XVIII-Medicare 2,507 672 799 503 511

03. Title XIX-Medicaid 1,969 1,190 529 421 484

04. Commissions and reinsurance expense allowance 721 541 878 794 295

05. Total medical and hospital expenses 3,473,039 3,955,188 3,869,913 204,368 212,867

B. BALANCE SHEET ITEMS

06. Premiums receivable 79,364 123,160 107,157 9,122 8,562

07. Claims payable 416,354 392,878 432,078 17,685 17,551

08. Reinsurance recoverable on paid losses 5,363 888 1,226 1,336 1,107

09. Experience rating refunds due or unpaid 184 79 175 305 282

10. Commissions and reinsurance expense allowances due 36 36 90 137 135

11. Unauthorized reinsurance offset 470 248 703 753 654

12. Offset for reinsurance with Certified Reinsurers 41 442 0 XXX XXX

C. UNAUTHORIZED REINSURANCE

(DEPOSITS BY AND FUNDS WITHHELD FROM)

13. Funds deposited by and withheld from (F) 469 247 694 591 654

14. Letters of credit (L) 22 21 21 19 17

15. Trust agreements (T) 78 75 82 85 100

16. Other (O) 0 2 0 12 13,079

D. REINSURANCE WITH CERTIFIED REINSURERS

(DEPOSITS BY AND FUNDS WITHHELD FROM)

17. Multiple Beneficiary Trust 0 0 0 XXX XXX

18. Funds deposited by and whitheld from (F) 40,562 161,366 0 XXX XXX

19. Letters of credit (L) 0 0 0 XXX XXX

20. Trust agreements (T) 0 0 0 XXX XXX

21. Other (O) 0 0 0 XXX XXX

© 2015 National Association of Insurance Commissioners 44

Page 53: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1 2 3

Restatement(gross of ceded)(net of ceded)

As Reported Restated

37SCHEDULE S - PART 7

Restatement of Balance Sheet to Identify Net Credit For Ceded Reinsurance

Adjustments

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

ASSETS (Page 2, Col 3)01. Cash and invested assets (Line 12) 167,492,689 (65,977) 167,426,71202. Accident and health premiums due and unpaid (Line 15) 18,393,335 56,898 18,450,23203. Amounts recoverable from reinsurers (Line 16.1) 5,327,975 (3,018,665) 2,309,31004. Net credit for ceded reinsurance XXX 5,371,638 5,371,638

05. All other admitted assets (Balance) 43,360,067 171,287 43,531,354

06. Total assets (Line 28) 234,574,066 2,515,180 237,089,246

LIABILITIES, CAPITAL AND SURPLUS (Page 3)07. Claims unpaid (Line 1) 47,061,334 1,126,236 48,187,57108. Accrued medical incentive pool and bonus payments (Line 2) 1,537,528 17,644 1,555,17109. Premiums received in advance (Line 8) 6,937,568 65,626 7,003,19410. Funds held under reinsurance treaties with authorized and unauthorized reinsurers (Line 19, first inset amount plus second inset amount) 1,020,539 (829,831) 190,70811. Reinsurance in unauthorized companies (Line 20 minus inset amount) 37,631 (29,214) 8,41712. Reinsurance with Certified Reinsurers (Line 20 inset amount) 0 0 013. Funds held under reinsurance treaties with Certified Reinsurers (Line 19 third inset amount) 40,562 (40,562) 014. All other liabilities (Balance) 66,369,615 823,664 67,193,279

15. Total liabilities (Line 24) 123,004,777 1,133,563 124,138,34016. Total capital and surplus (Line 33) 111,569,288 XXX 111,569,288

17. Total liabilities, capital and surplus (Line 34) 234,574,065 1,133,563 235,707,628

NET CREDIT FOR CEDED REINSURANCE18. Claims unpaid 1,305,04819. Accrued medical incentive pool 23,99320. Premiums received in advance 65,76921. Reinsurance recoverable on paid losses 4,394,921

22. Other ceded reinsurance recoverables (41,492)

23. Total ceded reinsurance recoverables 5,748,239

24. Premiums receivable 174,98325. Funds held under reinsurance treaties with authorized and unauthorized reinsurers 829,83126. Unauthorized reinsurance 33,26227. Reinsurance with Certified Reinsurers 028. Funds held under reinsurance treaties with Certified Reinsurers 40,562

29. Other ceded reinsurance payables/offsets (702,301)

30. Total ceded reinsurance payables/offsets 376,337

31. Total net credit for ceded reinsurance 5,371,903

© 2015 National Association of Insurance Commissioners 45

Page 54: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

2014 HEALTH

ANNUAL STATEMENT FINANCIAL DATA TECHNICAL NOTES

All Lines on All Pages are Aggregated Data. Page 36 (Schedule S, Part 6) As Part 6 is the only part in Schedule S that requires amounts to be filed in thousands, occasional anomolies will be present in the data as a result of incorrect reporting, and companies not rounding their amounts to thousands.

© 2015 National Association of Insurance Commissioners 46

Page 55: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Countrywide, Canada, and Aggregate Other Alien Insurance Data

© 2015 National Association of Insurance Commissioners 47

Page 56: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 48

Page 57: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

States, etc.

Premiums

4

Medicaid

Direct Business Only

38

Medicare

32

SCHEDULE T - PREMIUMS AND OTHER CONSIDERATIONS

Title XVIII

5

Health BenefitsProgram

PremiumsTitle XIXand HealthAccident

6 7

EmployeesFederal

AnnuityPremiums and

OtherConsiderations

Life and

Property/Casualty

Premiums

8 9

Total Columns

2 Through 7

Deposit-Type

Contracts

(000's)

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE .....................................................................

01. Alabama 3,834,366 2,283,680 7,315 736,012AL 395 0 6,861,769 3502. Alaska 392,023 0 0 235,116AK 41 0 627,180 003. Arizona 2,209,648 3,364,655 759,260 622,910AZ 3,204 0 6,959,678 004. Arkansas 2,444,500 890,671 0 245,609AR 1,307 0 3,582,086 005. California 5,060,124 802,735 891,200 0CA 52,784 0 6,806,844 006. Colorado 4,327,350 2,461,195 149,338 716,313CO 1,246 0 7,655,442 007. Connecticut 3,140,604 1,301,632 0 245,492CT 357 0 4,688,086 008. Delaware 695,945 91,167 0 116,630DE 43 0 903,785 009. Dist. Columbia 1,393,533 159,698 752,226 2,125,944DC 107 0 4,431,508 010. Florida 15,301,990 15,328,390 6,956,823 2,135,911FL 4,223 0 39,727,337 011. Georgia 6,415,611 4,344,297 3,473,355 1,308,068GA 5,057 0 15,546,388 012. Hawaii 2,783,870 939,465 1,257,241 404,106HI 4 0 5,384,686 013. Idaho 1,655,223 630,361 0 134,606ID 132 0 2,420,323 014. Illinois 14,666,704 2,294,883 2,060,765 1,109,393IL 5,514 0 20,137,259 015. Indiana 3,447,087 1,509,830 1,306,621 627,491IN 2,751 0 6,893,781 016. Iowa 3,108,922 592,155 142,565 240,418IA 793 0 4,084,853 017. Kansas 1,285,778 535,645 2,668,095 140,667KS 1,233 0 4,631,419 018. Kentucky 3,485,786 2,022,589 5,785,763 412,580KY 277 0 11,706,995 019. Louisiana 3,607,418 2,486,635 1,364,892 378,762LA 1,490 0 7,839,197 020. Maine 1,434,713 379,174 0 178,007ME 20 0 1,991,914 021. Maryland 4,340,318 613,551 2,430,745 2,287,364MD 1,360 0 9,673,338 1422. Massachusetts 11,593,553 1,970,483 4,184,252 681,764MA 621 0 18,430,674 023. Michigan 11,728,364 4,887,084 5,840,034 667,889MI 4,369 0 23,127,739 024. Minnesota 5,594,844 3,289,525 4,746,190 528,653MN 616 0 14,159,828 6,04025. Mississippi 1,404,983 729,211 896,080 319,865MS 968 0 3,351,107 026. Missouri 4,180,911 2,748,893 1,061,630 629,167MO 2,012 0 8,622,613 127. Montana 759,572 255,197 0 172,926MT 76 0 1,187,772 028. Nebraska 1,699,505 300,474 500,508 233,318NE 822 0 2,734,628 029. Nevada 2,116,249 1,556,731 888,988 180,449NV 823 0 4,743,240 030. New Hampshire 1,364,670 75,962 493,350 228,421NH 75 0 2,162,477 031. New Jersey 9,459,674 2,223,581 6,268,553 794,211NJ 936 0 18,746,954 10732. New Mexico 1,001,144 827,770 3,626,006 330,909NM 85 0 5,785,914 033. New York 23,677,527 11,521,705 5,663,159 1,439,283NY 72 0 42,301,747 034. North Carolina 5,998,636 3,710,014 0 1,018,750NC 1,041 0 10,728,442 035. North Dakota 1,374,523 89,850 119,380 95,086ND 94 0 1,678,933 036. Ohio 8,889,595 6,997,852 10,618,207 1,010,296OH 5,293 0 27,521,243 3937. Oklahoma 2,878,620 1,029,803 0 669,591OK 1,010 0 4,579,023 038. Oregon 4,715,713 2,663,476 473,777 428,616OR 55 0 8,281,637 039. Pennsylvania 14,839,632 11,160,914 10,362,043 1,527,253PA 938 0 37,890,780 040. Rhode Island 1,263,282 722,783 1,352,217 112,337RI 44 0 3,450,663 041. South Carolina 2,652,267 1,968,685 2,527,254 535,743SC 1,183 0 7,685,132 042. South Dakota 1,029,945 167,599 0 136,086SD 181 0 1,333,811 043. Tennessee 3,945,181 4,030,565 5,508,075 656,023TN 1,841 0 14,141,684 044. Texas 15,319,971 10,688,057 12,712,805 2,522,649TX 11,936 0 41,255,417 045. Utah 2,488,850 979,149 462,324 448,525UT 949 0 4,379,796 046. Vermont 625,354 9,835 0 72,966VT 15 0 708,170 047. Virginia 6,752,970 1,744,378 2,875,856 2,303,253VA 1,057 0 13,677,514 048. Washington 7,393,414 3,061,774 4,267,450 936,344WA 322 0 15,659,306 80,25149. West Virginia 1,027,481 1,081,970 621,373 307,352WV 124 0 3,038,300 050. Wisconsin 6,587,598 3,069,159 1,481,360 487,481WI 3,321 0 11,628,920 051. Wyoming 329,901 (3) 0 86,380WY 42 0 416,320 052. American Samoa 0 0 0 0AS 0 0 0 053. Guam 52,632 0 0 33,883GU 2 0 86,517 054. Puerto Rico 1,242,482 4,709,308 11,489 162,388PR 0 0 6,125,666 055. U.S. Virgin Islands 17,312 0 0 2,858VI 0 0 20,170 056. Northern Mariana Islands 3,063 0 0 0MP 0 0 3,063 057. Canada 0 0 0 0CN 0 0 0 058. Aggregate other aliien 429,116 637 0 0OT 87 0 429,840 059. Subtotal 249,470,046 131,304,829 117,568,566 34,162,115 123,348 0 532,628,906 86,48960. Reporting entity contributions for Employee Benefit Plans 386,505 287 0 0 0 0 386,793 061. Totals 249,856,552 131,305,117 117,568,566 34,162,115 123,348 0 533,015,698 86,489

© 2015 National Association of Insurance Commissioners 49

Page 58: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

States, etc.

Individual)

3

(Group and

Direct Business Only

39

(Group and

21

SCHEDULE T - PART 2

Individual)

4

Health Benefits(Group andIndividual)Individual)

(Group andLife

5 6

Care

INTERSTATE COMPACT PRODUCTS - EXHIBIT OF PREMIUMS WRITTEN

Annuities IncomeDeposit type

Contract

Allocated By States and Territories

DisabilityLong-Term

Totals

(000's)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

01. Alabama 383 12 829 7,875AL 35 9,13402. Alaska 41 0 26 3AK 0 7003. Arizona 57,031 7 162 67AZ 0 57,26604. Arkansas 520 8 19 461AR 0 1,00905. California 52,702 82 7,652 4,934CA 0 65,37006. Colorado 1,235 11 182 78CO 0 1,50507. Connecticut 352 5 3 0CT 0 35908. Delaware 39 4 3 0DE 0 4609. Dist. Columbia 98 9 6 2DC 0 11510. Florida 4,135 87 606 41FL 0 4,86911. Georgia 5,027 30 292 21GA 0 5,37012. Hawaii 3 1 3 0HI 0 713. Idaho 129 3 82 411ID 0 62514. Illinois 5,382 132 1,105 216IL 0 6,83615. Indiana 2,725 26 666 626IN 0 4,04416. Iowa 786 8 356 471IA 0 1,62017. Kansas 1,232 1 249 322KS 0 1,80518. Kentucky 260 18 216 71KY 0 56519. Louisiana 1,486 4 119 566LA 0 2,17420. Maine 19 2 65 2ME 0 8821. Maryland 1,182 178 216 68MD 14 1,65822. Massachusetts 576 45 28 0MA 0 64923. Michigan 4,273 96 835 429MI 0 5,63324. Minnesota 608 8 758 6,424MN 0 7,79825. Mississippi 960 7 228 127MS 0 1,32226. Missouri 1,997 15 458 324MO 1 2,79527. Montana 75 1 73 30MT 0 17928. Nebraska 817 5 498 3,803NE 0 5,12329. Nevada 821 2 9 15NV 0 84730. New Hampshire 70 4 4 1NH 0 8031. New Jersey 828 108 19 2NJ 107 1,06432. New Mexico 83 2 37 3NM 0 12533. New York 67 6 18 0NY 0 9034. North Carolina 1,016 25 707 1,131NC 0 2,87935. North Dakota 94 0 132 214ND 0 44136. Ohio 5,152 141 841 810OH 39 6,98437. Oklahoma 1,005 5 85 2,739OK 0 3,83338. Oregon 54 1 434 823OR 0 1,31239. Pennsylvania 788 150 263 6,017PA 0 7,21840. Rhode Island 42 2 7 0RI 0 5141. South Carolina 1,169 14 457 24SC 0 1,66442. South Dakota 181 0 210 168SD 0 56043. Tennessee 1,831 10 272 138TN 0 2,25044. Texas 11,872 64 625 185TX 0 12,74645. Utah 944 5 48 143UT 0 1,14046. Vermont 14 1 1 0VT 0 1647. Virginia 1,013 41 231 72VA 0 1,35848. Washington 203 1 154 5,860WA 0 6,21849. West Virginia 121 2 37 1WV 0 16250. Wisconsin 3,126 195 749 674WI 0 4,74451. Wyoming 42 0 21 31WY 0 9352. American Samoa 0 0 0 0AS 0 053. Guam 2 0 0 0GU 0 254. Puerto Rico 0 0 0 0PR 0 055. U.S. Virgin Islands. 0 0 0 0VI 0 056. Northern Mariana Islands 0 0 0 0MP 0 057. Canada 0 0 0 0CN 0 058. Aggregate other alien 87 0 0 0OT 0 8759. Totals 174,698 1,585 21,097 46,422 198 243,999

© 2015 National Association of Insurance Commissioners 50

Page 59: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(Name)

1Insured

2 3

5

4Uninsured Insured

TotalCash

Individual Coverage Group Coverage

Supp17

Uninsured

MEDICARE PART D COVERAGE SUPPLEMENT(Net of Reinsurance)

ANNUAL STATEMENT FOR THE YEAR2014 OF THE ...................................................................

1. Premiums Collected 1.1. Standard Coverage 1.11. With reinsurance coverage 7,405,528,525 XXX 380,014,549 7,785,543,073XXX 1.12. Without reinsurance coverage 1,657,837,046 XXX 134,333,570 1,792,170,616XXX 1.13. Risk-corridor payment adjustments 418,364,011 XXX (33,060,630) 385,303,381XXX 1.2. Supplemental benefits 537,114,366 XXX 227,296,290 764,410,656XXX2. Premiums Due and Uncollected-change 2.1. Standard Coverage 2.11. With reinsurance coverage (8,207,299) XXX 7,184,916 XXXXXX 2.12. Without reinsurance coverage (33,278,257) XXX (14,447,284) XXXXXX 2.2. Supplemental benefits (24,560) XXX 5,104,653 XXXXXX3. Unearned Premium and Advance Premium-change 3.1. Standard Coverage 3.11. With reinsurance coverage (3,054,707) XXX 86,205 XXXXXX 3.12. Without reinsurance coverage 434,886 XXX (53,765) XXXXXX 3.2. Supplemental benefits 10,657,247 XXX 13,150 XXXXXX4. Risk-Corridor Payment Adjustments-change 4.1. Receivable (29,512,789) XXX 18,199,783 XXXXXX 4.2. Payable 118,585,896 XXX 0 XXXXXX5. Earned Premiums 5.1. Standard Coverage 5.11. With reinsurance coverage 7,400,375,932 XXX 387,113,262 XXXXXX 5.12. Without reinsurance coverage 1,624,123,903 XXX 119,940,051 XXXXXX 5.13. Risk-corridor payment adjustments 507,437,118 XXX (14,860,847) XXXXXX 5.2. Supplemental benefits 526,435,560 XXX 232,387,793 XXXXXX6. Total premiums 10,058,372,513 XXX 724,580,259 10,727,427,726XXX7. Claims Paid 7.1. Standard Coverage 7.11. With reinsurance coverage 6,447,267,020 XXX 394,551,922 6,841,818,941XXX 7.12. Without reinsurance coverage 1,724,347,537 XXX 65,499,418 1,789,846,955XXX 7.2. Supplemental benefits (claims paid) 687,500,594 XXX 171,786,019 859,286,613XXX8. Claim Reserves and Liabilities-change 8.1. Standard Coverage 8.11. With reinsurance coverage (45,435,750) XXX 6,933,238 XXXXXX 8.12. Without reinsurance coverage (94,341,541) XXX (2,706,133) XXXXXX 8.2. Supplemental benefits (10,132,554) XXX 4,725,473 XXXXXX9. Health Care Receivables - change 9.1. Standard Coverage 9.11. With reinsurance coverage 197,249,843 XXX 4,478,349 XXXXXX 9.12. Without reinsurance coverage 129,551,744 XXX (18,422,673) XXXXXX 9.2. Supplemental benefits 5,868,788 XXX 2,229,471 XXXXXX10. Claims Incurred 10.1. Standard Coverage 10.11. With reinsurance coverage 6,200,498,537 XXX 390,250,280 XXXXXX 10.12. Without reinsurance coverage 1,500,454,252 XXX 81,175,823 XXXXXX 10.2. Supplemental benefits 670,879,100 XXX 174,322,156 XXXXXX11. Total claims 8,371,831,889 XXX 645,748,259 9,490,952,510XXX12. Reinsurance Coverage and Low Income Cost Sharing 12.1. Claims paid - net of reimbursements applied XXX 647,912,176 XXX 755,668,579107,756,403 12.2. Reimbursements received but not applied - change XXX (83,029,391) XXX (26,964,111)56,065,280 12.3. Reimbursements receivables - change XXX 297,912,647 XXX XXX53,287,239 12.4. Health care receivables - change XXX 217,877 XXX XXX816,09313. Aggregate policy reserves - change 1,502,594 0 (3,944,277) XXX014. Expenses paid 1,465,968,847 XXX (78,054,525) 1,387,914,322XXX15. Expenses incurred 1,471,526,184 XXX (61,734,969) XXXXXX16. Underwriting gain/loss 213,511,846 XXX 144,511,246 XXXXXX17. Cash flow result XXX XXX XXX (934,071,796)XXX

© 2015 National Association of Insurance Commissioners 51

Page 60: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 52

Page 61: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Health Insurance Industry Aggregates2014 Direct Written Premium Volume by State

(In Millions)

WY416

VT708

ND1,679

AK627

DC4,432

SD1,334

MT1,188

RI3,451

ID2,420

ME1,992

DE904

NH2,162

HI5,385

WV3,038

NM5,786

UT4,380

NE2,735

AR3,582

MS3,351

NV4,743

KS4,631

IA4,085

OK4,579

OR8,282

KY11,707

AL6,862

SC7,685

CT4,688

AZ6,960

LA7,839

MD9,673

WI11,629

TN14,142

WA15,659

MO8,623

MN14,160

CO7,655 VA

13,678

IN6,894

NC10,728

MA18,431

GA15,546

NJ18,747

MI23,128

PA37,891

OH27,521IL

20,137

FL39,727

TX41,255

NY42,302

CA6,807

American Samoa 0Guam 87Puerto Rico 6,126Virgin Islands 20No. Mariana Islands 3Agg. Other Alien 430

Canada 0

© 2015 National Association of Insurance Commissioners 53

Page 62: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 54

Page 63: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

TOTAL

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of:

01. Prior Year 197,975 9,947 41,523 3,891 35,672 35,927 7,284 11,359 25,654 26,720

02. First Quarter 193,184 11,486 37,936 3,977 28,313 37,374 7,246 12,284 27,562 27,005

03. Second Quarter 198,834 14,334 37,332 3,995 28,438 38,045 7,257 12,145 30,380 26,907

04. Third Quarter 201,856 14,033 35,743 4,030 28,543 39,473 7,258 12,371 32,276 28,130

05. Current Year 202,521 13,502 35,466 4,041 28,731 39,962 7,137 12,507 33,600 27,575

06. Current Year Member Months 2,372,469 158,015 440,580 48,055 341,461 461,817 85,717 146,663 364,739 325,422

Total Member Ambulatory Encounters

for Year:

07. Physician 835,908 76,173 247,296 57,612 172 4,930 60,061 186,859 200,683 2,121

08. Non-physician 1,032,568 29,533 113,534 19,608 7,751 614,187 27,057 88,088 127,428 5,383

09. Total 1,868,476 105,705 360,830 77,221 7,922 619,117 87,119 274,947 328,111 7,503

10. Hospital patient days incurred 82,932 3,846 17,264 7,437 0 0 3,281 25,070 25,125 910

11. Number of inpatient admissions 11,639 697 2,499 873 0 0 621 3,364 3,510 76

12. Health premiums written (b) 530,792,231 43,372,123 166,282,053 9,089,512 1,952,114 12,022,707 34,151,486 129,760,763 117,334,457 16,827,015

13. Life premiums direct 123,292 3,256 47,189 0 60 0 0 0 0 72,787

14. Property/Casualty premiums written 111,984 39,504 57,063 15,417 0 0 0 0 0 0

15. Health premiums earned 523,813,773 42,927,841 165,338,990 9,010,263 1,869,251 10,726,453 34,464,880 128,429,097 114,421,676 16,625,322

16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of

health care services 449,887,028 39,095,215 139,905,396 7,277,618 1,409,180 9,401,019 31,405,900 111,299,109 95,496,289 14,597,302

18. Amount Incurred for Provision of

Health Care Services 458,703,473 42,256,365 138,933,898 7,211,561 1,538,409 9,551,628 31,633,772 112,605,110 100,503,907 14,468,824

© 2015 National Association of Insurance Commissioners 55

Page 64: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

ALABAMA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 2,547 157 610 133 358 712 151 204 0 220 02. First Quarter 2,574 166 605 134 385 696 150 211 0 226 03. Second Quarter 2,622 203 604 134 388 704 150 213 0 226 04. Third Quarter 2,633 201 603 134 401 703 149 215 0 227 05. Current Year 2,658 194 602 134 408 705 149 217 0 249

06. Current Year Member Months 31,341 2,267 7,247 1,610 4,725 8,402 1,797 2,561 0 2,733

Total Member Ambulatory Encountersfor Year: 07. Physician 25,353 3,007 8,242 2,374 0 2,140 4,160 5,431 0 0 08. Non-physician 10,378 985 4,763 1,197 107 0 282 3,043 0 0 09. Total 35,731 3,992 13,005 3,571 107 2,140 4,442 8,474 0 1

10. Hospital patient days incurred 1,051 58 150 183 0 0 77 583 0 0

11. Number of inpatient admissions 180 12 34 34 0 0 15 85 0 0

12. Health premiums written (b) 6,861,818 651,915 2,495,411 242,867 30,930 183,569 736,012 2,290,975 0 230,139 13. Life premiums direct 395 0 0 0 0 0 0 0 0 395 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 6,854,693 640,750 2,514,402 237,050 30,930 185,336 731,303 2,290,272 0 224,651 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 5,925,933 582,394 2,194,642 208,004 22,173 131,052 690,826 1,908,433 0 188,410 18. Amount Incurred for Provision of Health Care Services 5,991,314 665,735 2,190,164 207,520 22,188 130,180 686,339 1,904,812 0 184,375

© 2015 National Association of Insurance Commissioners 56

Page 65: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

ALASKA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 153 10 35 2 30 32 31 0 0 14 02. First Quarter 163 16 34 2 31 35 31 0 0 15 03. Second Quarter 172 22 34 2 32 36 31 0 0 15 04. Third Quarter 169 21 35 2 28 37 31 0 0 15 05. Current Year 171 21 36 2 29 37 32 0 0 15

06. Current Year Member Months 2,010 232 413 23 357 432 374 0 0 179

Total Member Ambulatory Encountersfor Year: 07. Physician 387 100 233 21 0 33 0 0 0 0 08. Non-physician 169 49 105 6 9 0 0 0 0 0 09. Total 556 149 338 27 9 33 0 0 0 0

10. Hospital patient days incurred 16 5 8 2 0 0 0 0 0 0

11. Number of inpatient admissions 4 1 2 0 0 0 0 0 0 0

12. Health premiums written (b) 627,139 104,505 248,120 3,657 2,702 18,762 235,116 0 0 14,277 13. Life premiums direct 41 0 0 0 0 0 0 0 0 41 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 642,896 105,948 251,901 3,657 2,702 18,754 245,668 0 0 14,266 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 562,909 110,119 194,741 2,743 1,931 13,443 228,607 0 0 11,324 18. Amount Incurred for Provision of Health Care Services 594,659 131,045 201,289 2,765 1,930 13,725 233,145 0 0 10,760

© 2015 National Association of Insurance Commissioners 57

Page 66: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

ARIZONA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,440 149 275 30 849 646 121 318 0 1,052 02. First Quarter 3,555 180 268 33 842 658 120 324 0 1,130 03. Second Quarter 4,408 226 267 34 878 658 120 326 763 1,136 04. Third Quarter 4,471 219 265 36 891 650 120 328 826 1,136 05. Current Year 4,484 211 268 37 901 647 120 329 833 1,139

06. Current Year Member Months 50,522 2,478 3,203 418 10,467 7,847 1,439 3,914 7,138 13,617

Total Member Ambulatory Encountersfor Year: 07. Physician 8,712 1,081 1,654 612 0 0 1,170 3,967 223 5 08. Non-physician 5,271 683 900 233 127 117 690 1,806 712 2 09. Total 13,983 1,764 2,555 845 127 117 1,860 5,773 935 7

10. Hospital patient days incurred 720 49 60 49 0 0 60 381 120 0

11. Number of inpatient admissions 103 11 14 7 0 0 11 47 12 0

12. Health premiums written (b) 6,960,913 617,582 1,123,528 83,223 46,045 141,181 622,910 3,364,625 782,806 179,012 13. Life premiums direct 3,204 0 0 0 0 0 0 0 0 3,204 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 6,994,991 649,165 1,131,179 83,234 45,627 140,986 624,785 3,358,022 782,806 179,187 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 5,959,657 621,839 893,212 54,772 38,077 96,029 558,609 2,931,827 655,837 109,454 18. Amount Incurred for Provision of Health Care Services 6,077,736 678,102 894,288 56,141 35,292 97,883 558,356 2,907,458 703,635 146,582

© 2015 National Association of Insurance Commissioners 58

Page 67: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

ARKANSAS

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,090 99 247 112 90 227 55 103 0 157 02. First Quarter 1,207 180 253 114 94 239 55 105 0 166 03. Second Quarter 1,266 235 253 115 95 241 57 106 0 166 04. Third Quarter 1,288 249 258 115 95 242 55 107 0 168 05. Current Year 1,316 252 274 116 96 246 55 108 0 169

06. Current Year Member Months 15,075 2,661 3,088 1,379 1,137 2,892 658 1,270 0 1,990

Total Member Ambulatory Encountersfor Year: 07. Physician 5,030 182 863 1,920 0 445 4 1,617 0 0 08. Non-physician 4,659 605 1,628 1,785 0 2 1 639 0 0 09. Total 9,689 787 2,491 3,705 0 446 4 2,256 0 0

10. Hospital patient days incurred 3,871 549 1,315 1,778 0 0 0 230 0 0

11. Number of inpatient admissions 81 3 16 33 0 0 0 28 0 0

12. Health premiums written (b) 3,582,277 781,417 937,947 245,035 12,619 147,682 245,609 1,035,967 0 176,002 13. Life premiums direct 1,307 778 0 0 0 0 0 0 0 529 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 3,583,134 782,440 937,730 244,801 12,620 147,759 242,305 1,039,699 0 175,781 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 2,905,534 622,489 754,644 184,036 6,884 112,515 218,273 862,110 0 144,581 18. Amount Incurred for Provision of Health Care Services 2,996,694 731,619 753,124 185,847 6,969 112,460 217,383 850,472 0 138,820

© 2015 National Association of Insurance Commissioners 59

Page 68: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

CALIFORNIA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 5,475 620 703 5 763 1,100 0 44 0 2,239 02. First Quarter 5,371 208 622 8 753 1,094 0 71 330 2,284 03. Second Quarter 5,303 178 600 9 760 1,104 0 73 334 2,245 04. Third Quarter 5,284 170 574 10 785 1,123 0 75 358 2,188 05. Current Year 5,142 164 555 10 655 1,145 0 76 370 2,167

06. Current Year Member Months 62,534 2,312 7,152 110 7,914 13,434 0 883 4,139 26,590

Total Member Ambulatory Encountersfor Year: 07. Physician 5,080 917 3,391 150 0 0 0 621 0 0 08. Non-physician 3,394 594 2,184 42 12 174 0 361 0 27 09. Total 8,474 1,512 5,575 193 12 174 0 982 0 27

10. Hospital patient days incurred 279 50 170 11 0 0 0 49 0 0

11. Number of inpatient admissions 52 9 34 1 0 0 0 8 0 0

12. Health premiums written (b) 6,754,415 581,934 2,611,823 16,518 41,812 535,553 0 802,735 891,200 1,272,838 13. Life premiums direct 52,784 2,478 47,189 0 0 0 0 0 0 3,118 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 5,516,551 599,118 2,658,232 16,511 41,962 538,480 0 387,012 0 1,275,235 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 4,585,174 572,102 2,169,175 12,205 26,362 361,054 0 332,994 0 1,111,282 18. Amount Incurred for Provision of Health Care Services 5,540,553 434,810 2,132,694 12,875 26,299 364,335 0 707,422 777,039 1,085,080

© 2015 National Association of Insurance Commissioners 60

Page 69: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

COLORADO

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,045 249 617 28 766 703 118 247 146 172 02. First Quarter 3,272 274 620 29 800 728 115 256 182 268 03. Second Quarter 3,354 312 619 30 794 738 115 258 193 295 04. Third Quarter 3,472 300 599 30 802 717 115 261 335 313 05. Current Year 3,513 290 608 30 817 718 115 263 346 325

06. Current Year Member Months 40,648 3,435 7,340 356 9,632 8,712 1,380 3,107 3,155 3,531

Total Member Ambulatory Encountersfor Year: 07. Physician 27,413 7,293 14,894 524 0 0 1,451 2,802 444 4 08. Non-physician 5,335 1,130 2,554 97 264 46 312 928 2 2 09. Total 32,748 8,423 17,448 621 264 46 1,763 3,731 446 6

10. Hospital patient days incurred 964 198 413 18 0 0 64 253 19 0

11. Number of inpatient admissions 208 51 107 5 0 0 9 35 2 0

12. Health premiums written (b) 7,712,163 932,494 2,859,649 61,976 52,058 340,689 716,313 2,461,191 149,399 138,394 13. Life premiums direct 1,246 0 0 0 0 0 0 0 0 1,246 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 7,601,490 941,057 2,875,364 64,394 52,089 181,756 737,052 2,461,694 149,338 138,747 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 6,709,112 854,473 2,389,982 43,184 38,791 276,190 668,080 2,122,640 119,075 196,696 18. Amount Incurred for Provision of Health Care Services 6,792,766 884,235 2,413,339 43,309 38,798 272,097 677,219 2,134,213 135,125 194,431

© 2015 National Association of Insurance Commissioners 61

Page 70: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

CONNECTICUT

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,623 56 418 49 448 147 48 125 0 332 02. First Quarter 1,698 93 378 48 470 160 49 128 0 372 03. Second Quarter 1,679 118 361 48 453 162 50 129 0 358 04. Third Quarter 2,151 119 351 48 450 164 50 132 0 838 05. Current Year 1,611 118 335 47 435 170 41 133 0 330

06. Current Year Member Months 19,691 1,304 4,334 576 5,590 1,943 497 1,564 0 3,883

Total Member Ambulatory Encountersfor Year: 07. Physician 6,376 747 2,526 1,132 0 0 0 1,971 0 0 08. Non-physician 3,118 419 1,297 371 104 22 0 904 0 0 09. Total 9,494 1,166 3,824 1,503 104 22 0 2,875 0 0

10. Hospital patient days incurred 494 38 107 96 0 0 0 253 0 0

11. Number of inpatient admissions 84 7 23 13 0 0 0 42 0 0

12. Health premiums written (b) 4,693,233 544,166 2,184,381 126,816 31,239 71,976 245,492 1,301,632 0 187,529 13. Life premiums direct 357 0 0 0 0 0 0 0 0 357 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 4,700,794 544,158 2,183,263 127,308 31,240 71,610 253,239 1,302,307 0 187,670 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 3,911,879 434,002 1,781,209 101,347 23,903 46,625 232,352 1,144,107 (279) 148,615 18. Amount Incurred for Provision of Health Care Services 3,939,964 489,197 1,757,694 100,595 24,015 46,909 234,355 1,140,208 268 146,724

© 2015 National Association of Insurance Commissioners 62

Page 71: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

DELAWARE

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,145 11 115 6 846 104 20 8 0 34 02. First Quarter 446 18 108 6 134 115 20 8 0 37 03. Second Quarter 453 26 103 7 135 119 20 8 0 37 04. Third Quarter 456 26 102 7 136 120 20 8 0 37 05. Current Year 465 28 98 7 146 122 20 8 0 37

06. Current Year Member Months 5,435 282 1,241 78 1,653 1,415 240 91 0 434

Total Member Ambulatory Encountersfor Year: 07. Physician 1,188 46 570 111 0 0 223 112 0 127 08. Non-physician 402 8 196 31 17 0 52 74 0 23 09. Total 1,590 54 766 142 17 0 275 186 0 151

10. Hospital patient days incurred 41 1 18 4 0 0 5 12 0 0

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

12. Health premiums written (b) 903,804 103,117 488,045 14,379 10,503 43,703 116,630 91,167 0 36,260 13. Life premiums direct 43 0 0 0 0 0 0 0 0 43 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 907,266 103,117 488,073 14,378 10,503 43,613 120,105 91,167 0 36,310 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 777,767 108,184 402,268 10,059 3,076 35,339 108,555 78,933 0 31,353 18. Amount Incurred for Provision of Health Care Services 795,796 116,990 406,626 10,117 8,560 35,295 110,620 77,152 0 30,436

© 2015 National Association of Insurance Commissioners 63

Page 72: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

DISTRICT OF COLUMBIA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 2,228 17 246 2 65 519 1,157 17 164 40 02. First Quarter 1,832 20 261 2 50 77 1,197 17 168 40 03. Second Quarter 1,844 22 262 2 49 78 1,197 18 177 40 04. Third Quarter 1,849 22 261 2 50 79 1,196 18 182 40 05. Current Year 1,858 21 269 2 50 80 1,193 18 186 40

06. Current Year Member Months 21,958 249 3,139 21 596 841 14,342 211 2,108 451

Total Member Ambulatory Encountersfor Year: 07. Physician 5,446 127 1,366 25 0 1 2,909 115 902 0 08. Non-physician 2,839 59 666 9 20 0 1,821 78 185 0 09. Total 8,284 187 2,033 34 20 1 4,730 193 1,087 0

10. Hospital patient days incurred 212 3 44 1 0 0 108 18 38 0

11. Number of inpatient admissions 49 1 12 0 0 0 23 4 9 0

12. Health premiums written (b) 4,420,027 69,327 1,231,277 4,482 12,742 45,800 2,125,944 159,581 740,979 29,897 13. Life premiums direct 107 0 0 0 0 0 0 0 0 107 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 4,443,230 69,912 1,237,020 4,482 12,741 43,700 2,144,878 159,589 740,979 29,928 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 3,654,210 67,795 978,106 2,617 11,015 32,020 1,789,711 153,192 595,864 23,891 18. Amount Incurred for Provision of Health Care Services 3,709,745 70,260 998,000 2,731 11,163 31,146 1,809,107 153,796 609,606 23,934

© 2015 National Association of Insurance Commissioners 64

Page 73: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

FLORIDA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 10,222 809 1,782 161 1,634 2,093 357 1,011 1,294 1,080 02. First Quarter 10,460 1,073 1,713 169 1,685 2,223 356 1,154 1,314 774 03. Second Quarter 11,321 1,537 1,723 170 1,703 2,302 354 1,171 1,586 774 04. Third Quarter 11,877 1,497 1,701 174 1,705 2,275 357 1,239 2,141 789 05. Current Year 12,011 1,394 1,699 176 1,743 2,285 359 1,268 2,299 788

06. Current Year Member Months 135,139 16,070 20,369 2,060 20,417 27,059 4,278 14,410 21,117 9,359

Total Member Ambulatory Encountersfor Year: 07. Physician 51,430 7,093 9,240 3,291 0 0 3,840 17,837 10,120 9 08. Non-physician 26,973 2,577 7,012 731 234 158 1,325 7,922 6,247 769 09. Total 78,403 9,670 16,252 4,022 234 158 5,164 25,759 16,367 777

10. Hospital patient days incurred 11,212 270 6,313 15 0 0 74 2,490 1,417 633

11. Number of inpatient admissions 1,179 67 340 24 0 0 39 440 241 27

12. Health premiums written (b) 39,711,208 4,491,017 9,043,807 393,838 101,019 455,145 2,135,911 15,328,291 6,814,167 948,012 13. Life premiums direct 4,223 0 0 0 0 0 0 0 0 4,223 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 39,739,737 4,490,823 9,041,917 393,834 100,677 454,550 2,174,703 15,321,616 6,811,538 950,080 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 33,788,671 3,748,800 7,541,764 303,066 74,945 316,192 1,999,853 12,992,322 5,951,698 860,031 18. Amount Incurred for Provision of Health Care Services 34,744,423 4,140,162 7,570,682 311,961 74,617 316,006 2,012,737 12,955,379 6,502,605 860,274

© 2015 National Association of Insurance Commissioners 65

Page 74: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

GEORGIA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 4,863 487 1,008 69 466 776 215 253 1,000 589 02. First Quarter 5,589 642 966 69 486 878 215 688 1,053 593 03. Second Quarter 5,716 891 939 70 491 915 214 409 1,191 595 04. Third Quarter 5,700 853 917 70 489 928 214 419 1,216 593 05. Current Year 5,746 803 893 70 529 929 214 426 1,226 657

06. Current Year Member Months 67,464 9,380 11,226 837 6,311 10,965 2,569 4,746 13,734 7,695

Total Member Ambulatory Encountersfor Year: 07. Physician 23,844 3,018 4,335 1,290 0 0 1,819 7,805 5,577 0 08. Non-physician 10,366 1,112 1,548 302 301 510 951 2,371 3,271 0 09. Total 34,211 4,130 5,882 1,592 301 510 2,770 10,176 8,849 0

10. Hospital patient days incurred 2,187 115 193 172 0 0 196 949 562 0

11. Number of inpatient admissions 326 23 42 18 0 0 24 110 109 0

12. Health premiums written (b) 15,541,710 1,833,451 3,673,209 169,807 38,858 304,915 1,309,053 4,369,927 3,473,355 369,136 13. Life premiums direct 5,057 0 0 0 0 0 0 0 0 5,057 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 15,542,058 1,820,369 3,681,167 168,879 38,610 304,824 1,309,559 4,370,856 3,473,355 374,438 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 12,965,510 1,615,792 3,049,425 127,835 28,449 225,526 1,200,011 3,575,504 2,810,877 332,091 18. Amount Incurred for Provision of Health Care Services 13,322,110 1,724,115 3,054,600 126,088 28,642 226,083 1,222,853 3,741,094 2,876,928 321,708

© 2015 National Association of Insurance Commissioners 66

Page 75: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

HAWAII

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,217 34 702 0 0 3 79 87 269 44 02. First Quarter 1,212 37 698 1 0 4 79 92 288 13 03. Second Quarter 1,207 39 694 1 0 4 79 93 285 12 04. Third Quarter 1,193 39 694 1 0 4 79 93 272 12 05. Current Year 1,196 38 695 1 0 4 79 93 274 12

06. Current Year Member Months 14,426 459 8,350 7 2 44 945 1,112 3,358 150

Total Member Ambulatory Encountersfor Year: 07. Physician 7,081 196 3,640 10 0 66 652 884 1,632 0 08. Non-physician 1,113 26 351 8 0 5 21 225 471 5 09. Total 8,194 222 3,991 19 0 70 674 1,109 2,104 5

10. Hospital patient days incurred 657 12 245 1 0 0 46 187 166 0

11. Number of inpatient admissions 45 1 12 0 0 0 1 10 22 0

12. Health premiums written (b) 5,440,915 115,347 2,600,978 1,153 1,798 50,811 404,106 939,192 1,275,467 52,062 13. Life premiums direct 4 0 0 0 0 0 0 0 0 4 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 5,419,842 115,347 2,597,720 1,152 1,798 50,798 404,106 939,465 1,257,241 52,214 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 4,875,845 118,003 2,263,259 1,573 1,818 1,667 367,654 940,143 1,133,091 48,636 18. Amount Incurred for Provision of Health Care Services 4,966,741 127,828 2,264,968 1,603 1,888 37,756 370,366 946,505 1,151,999 63,826

© 2015 National Association of Insurance Commissioners 67

Page 76: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

IDAHO

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,011 90 278 16 144 318 41 65 0 59 02. First Quarter 1,047 112 266 16 148 331 41 69 0 64 03. Second Quarter 1,079 139 264 16 147 340 41 70 0 64 04. Third Quarter 1,077 140 264 16 139 343 41 71 0 65 05. Current Year 1,075 136 264 16 132 349 41 72 0 65

06. Current Year Member Months 12,794 1,551 3,175 192 1,719 4,062 490 838 0 767

Total Member Ambulatory Encountersfor Year: 07. Physician 3,793 621 1,609 186 0 3 447 927 0 0 08. Non-physician 3,653 320 1,089 163 42 440 749 849 0 0 09. Total 7,447 941 2,698 350 42 444 1,196 1,776 0 0

10. Hospital patient days incurred 237 35 56 22 0 0 19 105 0 0

11. Number of inpatient admissions 42 8 14 3 0 0 3 14 0 0

12. Health premiums written (b) 2,420,164 380,767 1,038,658 38,678 9,100 98,018 134,606 630,361 0 89,976 13. Life premiums direct 132 0 0 0 0 0 0 0 0 132 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 2,441,176 396,822 1,043,961 38,706 9,101 98,052 134,902 629,813 0 89,819 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 2,142,200 345,393 898,535 27,692 6,912 82,072 122,099 590,347 0 69,151 18. Amount Incurred for Provision of Health Care Services 2,224,037 422,471 890,662 27,390 6,938 87,249 121,427 598,111 0 69,788

© 2015 National Association of Insurance Commissioners 68

Page 77: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

ILLINOIS

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 8,346 371 2,249 363 1,754 1,055 191 173 223 1,968 02. First Quarter 8,710 473 2,199 368 1,782 1,317 191 190 226 1,964 03. Second Quarter 8,831 577 2,182 369 1,788 1,291 190 215 251 1,968 04. Third Quarter 8,857 571 2,161 370 1,782 1,282 190 231 315 1,954 05. Current Year 9,273 558 2,161 373 1,802 1,272 189 240 723 1,954

06. Current Year Member Months 105,660 6,345 26,179 4,444 21,415 15,292 2,283 2,550 3,935 23,216

Total Member Ambulatory Encountersfor Year: 07. Physician 31,172 3,162 14,780 5,964 1 106 1,720 3,346 1,879 214 08. Non-physician 14,826 1,174 7,021 1,513 575 355 583 1,699 1,858 48 09. Total 45,998 4,336 21,801 7,477 576 461 2,302 5,046 3,737 262

10. Hospital patient days incurred 3,500 151 701 894 0 0 129 543 1,073 9

11. Number of inpatient admissions 579 38 168 125 0 0 23 130 94 2

12. Health premiums written (b) 20,126,299 1,840,298 10,452,070 945,410 119,631 408,500 1,109,393 2,294,883 2,060,765 895,350 13. Life premiums direct 5,514 0 0 0 0 0 0 0 0 5,514 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 20,164,391 1,846,336 10,438,617 945,095 119,392 407,308 1,147,558 2,293,695 2,070,668 895,721 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 17,196,776 2,087,023 8,820,318 803,991 4,761 287,236 1,053,887 1,816,235 1,500,147 823,177 18. Amount Incurred for Provision of Health Care Services 17,582,205 2,066,058 8,784,823 713,487 101,928 290,514 1,056,326 1,931,363 1,837,870 799,836

© 2015 National Association of Insurance Commissioners 69

Page 78: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

INDIANA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,761 113 427 60 949 511 111 152 715 722 02. First Quarter 3,775 151 416 59 879 533 95 154 730 759 03. Second Quarter 3,838 204 409 59 881 546 94 155 733 756 04. Third Quarter 3,859 203 407 59 882 554 94 157 729 774 05. Current Year 3,833 186 401 58 884 549 94 158 727 775

06. Current Year Member Months 45,675 2,194 4,917 709 10,594 6,479 1,134 1,849 8,666 9,135

Total Member Ambulatory Encountersfor Year: 07. Physician 11,347 1,369 2,204 965 0 8 779 3,270 2,753 0 08. Non-physician 5,525 506 1,335 368 341 259 425 1,624 667 0 09. Total 16,872 1,875 3,540 1,333 341 266 1,203 4,895 3,420 0

10. Hospital patient days incurred 1,394 63 161 275 0 0 98 594 205 0

11. Number of inpatient admissions 191 15 29 20 0 0 13 62 52 0

12. Health premiums written (b) 6,890,997 778,879 1,904,015 156,987 55,058 158,756 627,491 1,509,830 1,306,621 393,361 13. Life premiums direct 2,751 0 0 0 0 0 0 0 0 2,751 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 6,758,754 780,265 1,908,700 156,390 25,712 158,868 636,808 1,391,573 1,306,052 394,385 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 5,654,605 611,515 1,497,944 112,323 43,790 117,684 577,008 1,324,251 1,047,322 322,768 18. Amount Incurred for Provision of Health Care Services 5,716,308 663,271 1,503,126 110,757 42,576 118,154 592,178 1,318,150 1,047,340 320,757

© 2015 National Association of Insurance Commissioners 70

Page 79: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

IOWA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,819 140 481 154 111 90 54 73 40 676 02. First Quarter 1,832 136 469 156 114 91 54 70 50 693 03. Second Quarter 1,863 156 463 158 114 91 53 74 58 696 04. Third Quarter 1,867 153 459 159 115 91 53 75 62 701 05. Current Year 1,877 152 457 160 115 92 53 77 68 703

06. Current Year Member Months 22,335 1,820 5,539 1,892 1,375 1,087 640 920 692 8,369

Total Member Ambulatory Encountersfor Year: 07. Physician 6,211 614 2,215 1,414 0 0 343 1,226 398 0 08. Non-physician 3,085 325 1,155 796 41 0 164 436 166 0 09. Total 9,295 940 3,370 2,210 41 0 507 1,662 564 0

10. Hospital patient days incurred 455 24 89 111 0 0 16 191 24 0

11. Number of inpatient admissions 88 5 23 27 0 0 4 23 7 0

12. Health premiums written (b) 4,083,676 451,448 1,934,545 354,770 9,263 28,923 240,418 592,155 142,565 329,589 13. Life premiums direct 793 0 0 0 0 0 0 0 0 793 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 4,091,642 450,242 1,938,198 354,799 9,263 28,916 246,116 592,354 141,937 329,819 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 3,528,726 417,767 1,673,979 285,186 7,086 21,100 227,898 490,428 118,997 286,285 18. Amount Incurred for Provision of Health Care Services 3,509,824 435,074 1,639,484 278,821 7,101 21,170 219,055 495,611 136,712 276,798

© 2015 National Association of Insurance Commissioners 71

Page 80: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

KANSAS

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,316 119 194 11 172 289 26 53 328 124 02. First Quarter 1,345 138 167 12 180 300 25 43 339 142 03. Second Quarter 1,357 159 164 12 174 292 25 43 345 143 04. Third Quarter 1,353 154 165 12 173 296 25 42 344 143 05. Current Year 1,355 152 158 12 176 298 25 43 344 147

06. Current Year Member Months 16,257 1,787 1,955 145 2,109 3,557 298 514 4,172 1,719

Total Member Ambulatory Encountersfor Year: 07. Physician 4,937 587 737 116 0 0 140 729 2,628 0 08. Non-physician 6,852 250 263 39 52 442 39 372 5,395 0 09. Total 11,789 836 1,000 155 52 442 179 1,102 8,023 0

10. Hospital patient days incurred 883 24 35 11 0 0 11 148 654 0

11. Number of inpatient admissions 136 5 8 2 0 0 2 14 103 0

12. Health premiums written (b) 4,629,928 329,907 672,625 30,258 13,206 97,326 140,667 535,645 2,668,095 142,198 13. Life premiums direct 1,233 0 0 0 0 0 0 0 0 1,233 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 4,549,453 329,586 672,679 30,244 13,174 17,962 140,667 535,653 2,666,709 142,780 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 4,198,160 328,757 563,605 20,535 9,489 73,327 124,785 450,051 2,498,699 128,912 18. Amount Incurred for Provision of Health Care Services 4,212,135 352,231 552,501 21,306 9,506 73,678 125,531 447,422 2,502,406 127,554

© 2015 National Association of Insurance Commissioners 72

Page 81: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

KENTUCKY

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,370 157 442 80 497 796 96 183 664 456 02. First Quarter 3,670 177 424 81 515 795 81 192 912 493 03. Second Quarter 3,758 189 418 81 515 794 81 194 996 490 04. Third Quarter 3,860 188 413 80 522 802 81 197 1,069 507 05. Current Year 3,919 174 416 80 530 808 81 199 1,111 521

06. Current Year Member Months 45,216 2,372 5,015 967 6,230 9,577 972 2,334 11,636 6,112

Total Member Ambulatory Encountersfor Year: 07. Physician 15,521 1,039 2,473 1,390 2 2 753 3,493 6,369 0 08. Non-physician 9,206 426 1,351 575 128 151 408 1,901 4,267 0 09. Total 24,727 1,465 3,823 1,965 129 152 1,161 5,394 10,637 0

10. Hospital patient days incurred 1,768 68 113 300 0 0 82 478 727 0

11. Number of inpatient admissions 273 13 25 25 0 0 11 53 145 0

12. Health premiums written (b) 11,708,735 728,542 1,786,332 172,151 32,269 202,555 412,580 2,022,589 5,785,763 565,953 13. Life premiums direct 277 0 0 0 0 0 0 0 0 277 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 11,680,249 719,092 1,789,546 172,081 31,431 202,368 412,580 2,029,081 5,757,351 566,719 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 9,273,385 658,273 1,419,799 130,288 21,547 150,532 376,855 1,743,851 4,289,984 482,257 18. Amount Incurred for Provision of Health Care Services 9,786,012 730,911 1,423,751 129,452 21,645 150,419 377,035 1,755,095 4,716,970 480,736

© 2015 National Association of Insurance Commissioners 73

Page 82: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

LOUISIANA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 2,396 188 476 51 183 228 73 196 698 304 02. First Quarter 2,425 215 478 50 185 241 72 209 673 300 03. Second Quarter 2,502 261 481 50 190 250 72 211 683 304 04. Third Quarter 3,588 251 483 50 196 1,315 72 214 698 309 05. Current Year 3,613 240 487 50 199 1,327 72 217 707 313

06. Current Year Member Months 36,177 2,839 5,774 596 2,298 9,371 864 2,545 8,225 3,665

Total Member Ambulatory Encountersfor Year: 07. Physician 13,407 1,440 3,565 848 0 0 673 4,431 2,449 0 08. Non-physician 7,032 890 1,644 226 34 0 348 2,457 1,431 1 09. Total 20,439 2,330 5,209 1,074 34 0 1,021 6,889 3,881 1

10. Hospital patient days incurred 1,071 43 99 71 0 0 40 486 332 0

11. Number of inpatient admissions 167 10 22 7 0 0 7 59 63 0

12. Health premiums written (b) 7,837,707 822,472 2,277,094 119,016 14,167 149,499 378,762 2,486,635 1,364,892 225,172 13. Life premiums direct 1,490 0 0 0 0 0 0 0 0 1,490 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 7,032,859 780,587 2,281,850 119,178 14,166 75,657 387,512 1,786,979 1,364,892 222,039 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 6,560,640 730,171 1,850,940 91,254 9,949 115,496 351,653 2,014,347 1,209,527 187,303 18. Amount Incurred for Provision of Health Care Services 6,719,577 785,698 1,866,725 91,804 9,912 122,345 351,653 2,034,040 1,273,531 183,869

© 2015 National Association of Insurance Commissioners 74

Page 83: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MAINE

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 700 21 203 22 154 151 36 38 0 74 02. First Quarter 746 38 200 22 161 159 41 46 0 78 03. Second Quarter 765 56 196 23 162 161 41 47 0 78 04. Third Quarter 772 57 198 23 162 162 41 48 0 80 05. Current Year 771 56 192 23 168 165 36 49 0 80

06. Current Year Member Months 9,130 573 2,397 272 2,011 1,939 427 562 0 949

Total Member Ambulatory Encountersfor Year: 07. Physician 2,999 331 1,573 408 0 0 0 687 0 0 08. Non-physician 1,471 121 746 272 19 0 0 312 0 0 09. Total 4,470 453 2,320 680 19 0 0 998 0 0

10. Hospital patient days incurred 151 12 56 28 0 0 0 55 0 0

11. Number of inpatient admissions 29 2 11 6 0 0 0 10 0 0

12. Health premiums written (b) 1,991,894 246,512 1,011,647 48,147 9,410 65,458 178,007 379,174 0 53,539 13. Life premiums direct 20 0 0 0 0 0 0 0 0 20 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 1,996,424 246,633 1,009,923 48,140 9,410 65,438 184,897 380,027 0 51,955 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 1,725,567 196,943 863,737 43,575 6,829 56,537 166,875 344,394 0 46,678 18. Amount Incurred for Provision of Health Care Services 1,751,477 231,104 860,524 40,239 6,887 52,446 169,096 347,905 0 43,275

© 2015 National Association of Insurance Commissioners 75

Page 84: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MARYLAND

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,431 161 716 55 540 748 423 55 455 278 02. First Quarter 3,486 211 701 59 461 772 429 59 502 293 03. Second Quarter 3,597 270 686 59 462 782 429 59 555 295 04. Third Quarter 3,556 274 676 62 452 782 430 59 536 287 05. Current Year 3,562 275 689 63 449 786 431 59 529 281

06. Current Year Member Months 42,366 2,994 8,254 723 5,476 9,362 5,156 705 6,234 3,462

Total Member Ambulatory Encountersfor Year: 07. Physician 19,086 1,264 3,608 1,047 0 71 9,171 635 3,276 13 08. Non-physician 10,762 657 1,773 389 118 45 5,437 391 1,946 6 09. Total 29,848 1,921 5,381 1,436 118 116 14,608 1,026 5,222 19

10. Hospital patient days incurred 693 41 131 55 0 0 190 79 197 0

11. Number of inpatient admissions 151 11 35 12 0 0 39 15 40 0

12. Health premiums written (b) 9,742,563 646,471 3,095,132 167,878 36,104 249,442 2,287,364 613,551 2,430,745 215,877 13. Life premiums direct 1,360 0 0 0 0 0 0 0 0 1,360 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 9,758,761 631,375 3,089,633 167,877 36,100 230,201 2,344,446 613,797 2,429,758 215,573 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 8,139,868 584,517 2,382,492 118,311 29,550 174,950 2,135,091 574,781 1,971,825 168,351 18. Amount Incurred for Provision of Health Care Services 8,255,389 630,106 2,374,185 121,733 29,781 174,083 2,146,899 568,240 2,046,815 163,547

© 2015 National Association of Insurance Commissioners 76

Page 85: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MASSACHUSETTS

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 5,256 326 1,698 242 454 1,352 119 159 530 375 02. First Quarter 5,372 215 1,680 247 433 1,374 119 160 750 395 03. Second Quarter 5,357 211 1,665 251 438 1,348 118 161 772 394 04. Third Quarter 5,374 197 1,653 255 444 1,364 118 162 780 400 05. Current Year 5,404 186 1,652 258 448 1,374 118 163 784 423

06. Current Year Member Months 64,251 2,431 19,890 3,013 5,273 16,351 1,418 1,933 9,193 4,748

Total Member Ambulatory Encountersfor Year: 07. Physician 20,530 1,157 7,256 2,464 0 0 665 1,634 7,223 131 08. Non-physician 14,693 1,049 3,926 1,408 117 0 481 410 7,263 39 09. Total 35,223 2,206 11,183 3,872 117 0 1,146 2,045 14,486 169

10. Hospital patient days incurred 1,804 91 419 303 0 0 61 359 554 17

11. Number of inpatient admissions 325 15 87 50 0 0 12 51 108 3

12. Health premiums written (b) 18,195,547 1,147,470 8,701,974 601,001 30,785 339,058 681,764 1,970,462 4,184,153 538,881 13. Life premiums direct 621 0 0 0 0 0 0 0 0 621 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 18,208,752 1,145,859 8,689,629 600,983 30,785 338,545 707,756 1,970,433 4,184,153 540,608 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 16,704,034 1,016,190 7,889,959 519,153 22,552 458,770 645,877 1,795,524 3,895,018 460,992 18. Amount Incurred for Provision of Health Care Services 16,652,894 1,020,534 7,716,853 540,395 22,817 457,921 664,422 1,774,849 4,016,404 438,700

© 2015 National Association of Insurance Commissioners 77

Page 86: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MICHIGAN

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 7,541 255 2,117 229 1,005 1,757 133 391 1,249 403 02. First Quarter 7,844 341 2,029 231 1,090 1,851 132 447 1,294 428 03. Second Quarter 8,276 452 1,988 230 1,094 1,975 133 453 1,518 434 04. Third Quarter 8,175 444 1,927 230 1,077 1,985 132 459 1,482 438 05. Current Year 8,309 430 1,918 229 1,083 2,108 132 463 1,504 443

06. Current Year Member Months 96,385 4,908 23,511 2,757 12,726 23,548 1,589 5,433 17,159 4,753

Total Member Ambulatory Encountersfor Year: 07. Physician 24,455 1,077 7,049 342 0 41 226 4,451 11,269 0 08. Non-physician 13,027 321 1,968 118 243 1 79 1,918 8,379 0 09. Total 37,482 1,398 9,017 461 243 41 305 6,369 19,648 0

10. Hospital patient days incurred 1,816 49 301 18 0 0 12 624 812 0

11. Number of inpatient admissions 367 13 77 4 0 0 3 88 182 0

12. Health premiums written (b) 23,699,282 1,369,458 9,171,598 327,126 81,531 692,230 667,889 4,886,740 5,841,685 661,026 13. Life premiums direct 4,369 0 0 0 0 0 0 0 0 4,369 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 23,866,861 1,331,155 9,354,690 349,168 71,135 695,766 664,530 4,897,282 5,841,508 661,627 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 19,926,318 1,145,673 7,596,191 497,062 62,935 606,646 604,500 4,237,046 4,675,938 500,327 18. Amount Incurred for Provision of Health Care Services 20,209,019 1,234,748 7,472,664 495,590 62,628 610,983 602,684 4,326,000 4,909,862 493,859

© 2015 National Association of Insurance Commissioners 78

Page 87: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MINNESOTA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,558 233 938 102 398 556 91 413 568 259 02. First Quarter 3,765 266 907 100 459 591 91 430 621 299 03. Second Quarter 3,874 288 895 99 454 614 91 436 695 302 04. Third Quarter 3,929 288 889 99 447 635 91 443 724 313 05. Current Year 4,043 283 893 97 452 706 91 447 759 316

06. Current Year Member Months 46,416 3,353 10,752 1,189 5,440 7,446 1,093 5,251 8,215 3,676

Total Member Ambulatory Encountersfor Year: 07. Physician 15,938 680 4,192 986 0 0 152 4,891 5,037 0 08. Non-physician 6,377 327 1,162 182 135 115 41 1,237 3,180 0 09. Total 22,316 1,008 5,354 1,168 135 115 193 6,128 8,216 0

10. Hospital patient days incurred 1,382 53 173 134 0 0 11 588 424 0

11. Number of inpatient admissions 278 12 41 29 0 0 2 95 98 0

12. Health premiums written (b) 14,164,997 955,967 3,554,871 256,379 37,462 206,380 528,653 3,290,607 4,750,894 583,786 13. Life premiums direct 616 0 0 0 0 0 0 0 0 616 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 14,251,915 952,068 3,555,073 256,387 37,349 205,813 538,940 3,377,500 4,746,190 582,595 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 12,136,878 1,045,904 2,986,840 193,028 30,207 156,211 487,251 2,675,367 4,088,652 473,417 18. Amount Incurred for Provision of Health Care Services 12,254,334 1,106,945 2,965,635 190,767 30,336 157,470 489,139 2,684,998 4,149,307 479,736

© 2015 National Association of Insurance Commissioners 79

Page 88: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MISSISSIPPI

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,318 62 200 15 84 211 66 64 143 473 02. First Quarter 1,301 81 188 15 87 164 66 68 146 485 03. Second Quarter 1,345 116 187 15 90 169 66 69 152 481 04. Third Quarter 1,337 114 184 15 91 167 66 70 159 470 05. Current Year 1,388 111 183 15 91 167 66 71 185 500

06. Current Year Member Months 15,983 1,233 2,211 184 1,068 1,990 795 827 1,854 5,821

Total Member Ambulatory Encountersfor Year: 07. Physician 5,497 529 1,042 279 0 0 533 1,113 1,982 19 08. Non-physician 3,312 322 625 128 25 17 415 613 1,108 60 09. Total 8,809 851 1,667 407 25 17 948 1,727 3,089 79

10. Hospital patient days incurred 322 25 45 20 0 0 37 185 7 3

11. Number of inpatient admissions 52 6 10 3 0 0 7 22 1 2

12. Health premiums written (b) 3,350,139 362,962 749,311 41,051 6,868 68,564 319,865 729,211 896,080 176,226 13. Life premiums direct 968 0 0 0 0 0 0 0 0 968 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 3,344,107 357,360 750,287 41,111 6,866 68,533 319,865 729,223 896,080 174,783 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 2,788,316 272,165 623,262 32,239 4,713 42,226 307,366 595,944 764,898 145,503 18. Amount Incurred for Provision of Health Care Services 2,806,527 314,336 604,072 32,516 4,768 42,112 296,501 594,129 777,850 140,242

© 2015 National Association of Insurance Commissioners 80

Page 89: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MISSOURI

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 5,479 189 640 61 1,630 1,827 117 244 396 374 02. First Quarter 4,856 240 595 60 930 1,877 105 270 384 395 03. Second Quarter 4,922 307 583 60 946 1,877 105 272 378 395 04. Third Quarter 4,944 327 559 60 964 1,889 104 274 362 404 05. Current Year 4,949 314 538 59 981 1,889 103 276 382 407

06. Current Year Member Months 58,856 3,673 6,871 721 11,394 22,616 1,241 3,272 4,330 4,737

Total Member Ambulatory Encountersfor Year: 07. Physician 10,760 1,400 2,846 809 0 8 744 3,502 1,452 0 08. Non-physician 7,371 433 1,298 299 293 3,083 344 1,208 412 0 09. Total 18,131 1,833 4,144 1,108 293 3,091 1,088 4,710 1,864 0

10. Hospital patient days incurred 1,328 89 166 168 0 0 80 664 161 0

11. Number of inpatient admissions 203 19 41 17 0 0 14 79 34 0

12. Health premiums written (b) 8,620,575 951,511 2,426,173 151,311 67,835 252,096 629,167 2,748,893 1,061,630 331,960 13. Life premiums direct 2,012 0 0 0 0 0 0 0 0 2,012 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 8,656,445 950,555 2,424,326 151,362 67,212 251,940 641,991 2,770,703 1,061,630 336,726 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 7,246,350 839,403 1,926,467 109,102 49,475 189,146 600,162 2,282,109 947,851 302,636 18. Amount Incurred for Provision of Health Care Services 7,271,354 905,331 1,896,012 108,627 51,764 188,658 598,727 2,291,906 930,585 299,744

© 2015 National Association of Insurance Commissioners 81

Page 90: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

MONTANA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 368 41 108 27 23 32 33 27 0 78 02. First Quarter 416 47 103 27 41 60 33 30 0 77 03. Second Quarter 454 63 118 27 42 68 33 30 0 73 04. Third Quarter 434 62 92 27 47 66 33 31 0 77 05. Current Year 439 62 91 26 50 68 33 31 0 78

06. Current Year Member Months 5,157 664 1,178 320 531 773 391 360 0 938

Total Member Ambulatory Encountersfor Year: 07. Physician 1,643 360 519 182 0 0 257 325 0 0 08. Non-physician 1,725 319 523 322 10 62 53 435 0 0 09. Total 3,368 679 1,042 504 10 62 309 761 0 0

10. Hospital patient days incurred 178 27 33 52 0 0 14 53 0 0

11. Number of inpatient admissions 24 4 6 5 0 0 3 7 0 0

12. Health premiums written (b) 1,187,695 206,835 421,667 58,835 2,558 15,448 172,926 255,197 0 54,228 13. Life premiums direct 76 0 0 0 0 0 0 0 0 76 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 1,185,494 206,593 423,296 58,829 2,558 15,428 169,301 255,197 0 54,291 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 1,027,363 185,781 356,379 40,871 1,705 8,154 153,878 238,097 0 42,499 18. Amount Incurred for Provision of Health Care Services 1,099,074 257,465 348,905 41,252 1,710 8,420 152,549 247,997 0 40,777

© 2015 National Association of Insurance Commissioners 82

Page 91: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NEBRASKA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,109 74 244 65 99 30 37 24 408 126 02. First Quarter 1,107 76 226 67 97 34 37 30 403 137 03. Second Quarter 1,124 82 222 68 97 38 37 30 412 139 04. Third Quarter 1,137 102 223 69 98 38 37 30 399 141 05. Current Year 1,127 100 211 69 102 38 37 30 397 142

06. Current Year Member Months 13,491 1,197 2,672 818 1,177 438 446 353 4,716 1,674

Total Member Ambulatory Encountersfor Year: 07. Physician 4,124 491 1,214 400 0 0 212 510 1,298 0 08. Non-physician 2,351 49 104 8 33 5 10 221 1,921 0 09. Total 6,475 540 1,318 407 33 5 222 731 3,219 0

10. Hospital patient days incurred 443 60 163 2 0 0 31 104 83 0

11. Number of inpatient admissions 72 10 27 0 0 0 5 12 18 0

12. Health premiums written (b) 2,733,806 300,253 1,065,583 165,326 7,508 9,261 233,318 300,474 500,508 151,573 13. Life premiums direct 822 0 0 0 0 0 0 0 0 822 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 2,710,866 298,214 1,055,721 165,327 7,509 2,050 233,318 300,731 500,508 147,487 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 2,478,553 299,630 923,646 124,436 5,725 6,260 215,363 254,441 505,981 143,071 18. Amount Incurred for Provision of Health Care Services 2,470,856 318,268 908,304 125,375 5,734 6,307 215,864 255,992 505,551 129,462

© 2015 National Association of Insurance Commissioners 83

Page 92: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NEVADA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,445 88 438 13 176 292 36 131 197 74 02. First Quarter 1,543 107 433 13 182 304 36 139 247 82 03. Second Quarter 1,663 121 429 13 184 335 36 140 323 81 04. Third Quarter 1,732 120 423 13 184 347 37 142 382 83 05. Current Year 1,714 116 424 13 186 323 37 143 388 83

06. Current Year Member Months 19,727 1,369 5,118 156 2,197 3,898 440 1,727 3,835 988

Total Member Ambulatory Encountersfor Year: 07. Physician 14,185 2,852 7,050 269 42 7 470 1,735 1,761 0 08. Non-physician 3,608 422 1,427 33 9 49 89 865 715 0 09. Total 17,794 3,274 8,476 302 51 56 559 2,599 2,476 0

10. Hospital patient days incurred 679 92 267 9 0 0 26 154 132 0

11. Number of inpatient admissions 140 20 62 2 0 0 3 25 28 0

12. Health premiums written (b) 4,748,917 330,919 1,596,628 32,174 11,416 85,443 180,449 1,556,731 888,988 66,168 13. Life premiums direct 823 0 0 0 0 0 0 0 0 823 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 4,727,001 333,561 1,601,279 33,238 4,048 85,138 183,825 1,541,521 877,948 66,443 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 3,918,288 265,950 1,337,872 24,093 7,734 60,677 168,634 1,370,152 625,908 57,268 18. Amount Incurred for Provision of Health Care Services 3,972,080 288,190 1,327,552 24,064 7,919 60,767 168,405 1,360,793 680,635 53,756

© 2015 National Association of Insurance Commissioners 84

Page 93: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NEW HAMPSHIRE

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 606 30 179 37 53 109 38 6 102 52 02. First Quarter 653 42 174 37 58 117 38 8 114 65 03. Second Quarter 680 57 172 38 60 122 39 8 118 66 04. Third Quarter 705 55 168 38 61 122 39 8 146 67 05. Current Year 697 52 169 39 69 121 33 9 138 68

06. Current Year Member Months 8,074 604 2,051 454 779 1,446 401 98 1,448 794

Total Member Ambulatory Encountersfor Year: 07. Physician 3,248 389 1,140 687 0 0 0 123 909 0 08. Non-physician 2,522 220 530 467 11 0 0 89 1,204 0 09. Total 5,770 609 1,670 1,155 11 0 0 212 2,113 0

10. Hospital patient days incurred 189 13 46 54 0 0 0 21 56 0

11. Number of inpatient admissions 38 3 10 9 0 0 0 3 13 0

12. Health premiums written (b) 2,162,403 213,293 944,319 90,679 6,022 62,645 228,421 75,962 493,350 47,712 13. Life premiums direct 75 0 0 0 0 0 0 0 0 75 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 2,158,139 203,539 942,457 90,266 6,022 62,628 236,821 75,935 492,762 47,710 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 1,734,204 127,296 746,358 66,481 3,778 51,938 219,047 68,067 412,866 38,373 18. Amount Incurred for Provision of Health Care Services 1,779,123 148,279 749,376 68,710 3,803 47,783 220,756 69,149 434,765 36,503

© 2015 National Association of Insurance Commissioners 85

Page 94: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NEW JERSEY

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 9,694 477 1,353 93 1,103 1,705 137 216 1,258 3,352 02. First Quarter 9,414 492 1,285 101 864 1,731 136 191 1,370 3,246 03. Second Quarter 9,574 573 1,230 101 860 1,780 136 193 1,510 3,192 04. Third Quarter 9,316 557 1,184 101 861 1,861 135 194 1,646 2,777 05. Current Year 9,251 527 1,166 100 856 1,904 135 195 1,714 2,654

06. Current Year Member Months 112,331 6,294 14,667 1,203 10,321 21,733 1,628 2,303 18,296 35,885

Total Member Ambulatory Encountersfor Year: 07. Physician 40,575 3,010 15,771 2,977 0 1,074 1,590 4,537 11,532 85 08. Non-physician 25,554 941 10,140 1,413 263 826 2,010 2,638 6,955 369 09. Total 66,130 3,951 25,911 4,390 263 1,900 3,600 7,175 18,487 454

10. Hospital patient days incurred 2,099 105 352 493 0 0 36 363 702 49

11. Number of inpatient admissions 323 19 77 35 0 0 7 56 122 7

12. Health premiums written (b) 18,733,371 1,286,481 6,774,949 262,241 62,872 499,855 794,211 2,223,456 6,262,869 566,438 13. Life premiums direct 936 0 0 0 0 0 0 0 0 936 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 18,357,145 1,264,751 6,849,107 262,801 62,753 282,513 794,114 2,171,030 6,261,885 408,191 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 15,291,051 903,168 5,590,834 217,274 50,294 391,655 721,701 1,841,407 4,989,728 584,990 18. Amount Incurred for Provision of Health Care Services 15,811,695 1,121,746 5,588,191 217,288 51,183 393,617 728,475 1,927,465 5,211,490 572,238

© 2015 National Association of Insurance Commissioners 86

Page 95: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NEW MEXICO

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,203 53 140 7 136 208 65 89 408 97 02. First Quarter 1,300 59 139 7 140 202 65 92 493 103 03. Second Quarter 1,344 75 133 8 140 202 66 86 532 104 04. Third Quarter 1,380 72 128 8 137 203 65 93 568 105 05. Current Year 1,397 69 127 8 137 203 65 93 587 108

06. Current Year Member Months 16,476 800 1,594 90 1,658 2,426 780 1,110 6,760 1,260

Total Member Ambulatory Encountersfor Year: 07. Physician 5,880 313 744 91 0 0 464 1,191 3,078 0 08. Non-physician 6,423 183 360 38 41 23 264 619 4,895 0 09. Total 12,304 496 1,103 129 41 23 727 1,811 7,972 0

10. Hospital patient days incurred 1,856 13 32 8 0 0 32 189 1,582 0

11. Number of inpatient admissions 178 3 8 1 0 0 6 22 137 0

12. Health premiums written (b) 5,785,829 224,796 617,572 15,373 9,531 65,081 330,909 827,770 3,626,006 68,791 13. Life premiums direct 85 0 0 0 0 0 0 0 0 85 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 5,700,614 230,776 616,590 15,379 9,531 65,086 340,124 828,239 3,525,559 69,330 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 4,583,802 208,526 494,538 10,575 6,841 49,319 313,785 742,468 2,699,851 57,899 18. Amount Incurred for Provision of Health Care Services 4,797,042 231,737 492,917 10,773 6,858 49,095 315,543 763,937 2,868,869 57,312

© 2015 National Association of Insurance Commissioners 87

Page 96: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NEW YORK

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 14,814 181 6,709 343 1,362 1,574 274 1,096 966 2,310 02. First Quarter 12,833 291 4,513 363 1,715 1,662 260 1,008 963 2,059 03. Second Quarter 12,887 369 4,394 364 1,735 1,687 278 1,016 1,031 2,013 04. Third Quarter 12,942 368 3,341 369 1,732 1,783 272 1,028 1,061 2,988 05. Current Year 12,919 364 3,265 370 1,757 1,826 252 1,032 1,090 2,963

06. Current Year Member Months 154,075 4,008 46,903 4,394 20,975 20,641 3,076 11,895 12,295 29,887

Total Member Ambulatory Encountersfor Year: 07. Physician 67,071 2,372 25,758 7,337 55 194 2,188 18,145 9,955 1,068 08. Non-physician 31,416 809 13,808 681 402 609 651 8,975 5,091 391 09. Total 98,487 3,181 39,566 8,018 457 803 2,839 27,120 15,046 1,459

10. Hospital patient days incurred 4,750 81 1,464 288 0 0 410 1,852 503 152

11. Number of inpatient admissions 921 16 307 113 0 0 97 265 100 23

12. Health premiums written (b) 42,306,306 1,588,846 19,199,691 952,727 111,914 506,582 1,439,283 11,520,776 5,624,545 1,361,942 13. Life premiums direct 72 0 0 0 0 0 0 0 0 72 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 42,385,957 1,530,963 19,282,444 945,380 111,637 506,598 1,485,620 11,502,868 5,571,375 1,449,071 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 36,908,804 1,187,868 16,750,648 738,675 85,450 380,450 1,331,651 10,445,951 4,725,834 1,262,278 18. Amount Incurred for Provision of Health Care Services 36,820,474 1,500,720 16,129,087 745,914 87,210 387,988 1,352,173 10,560,949 4,824,855 1,231,577

© 2015 National Association of Insurance Commissioners 88

Page 97: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NORTH CAROLINA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,149 394 701 148 543 536 160 299 0 368 02. First Quarter 3,631 504 672 153 837 553 160 373 0 380 03. Second Quarter 3,764 640 659 155 839 553 160 377 0 381 04. Third Quarter 3,758 646 634 157 848 547 161 383 0 383 05. Current Year 3,736 605 646 158 847 544 161 386 0 389

06. Current Year Member Months 44,427 7,017 7,856 1,862 10,091 6,593 1,927 4,540 0 4,540

Total Member Ambulatory Encountersfor Year: 07. Physician 14,550 2,069 2,547 3,496 0 206 82 6,149 0 0 08. Non-physician 2,395 29 148 18 224 0 0 1,975 0 0 09. Total 16,944 2,098 2,694 3,515 224 207 82 8,125 0 0

10. Hospital patient days incurred 1,630 170 133 349 0 0 0 979 0 0

11. Number of inpatient admissions 221 30 27 41 0 0 0 122 0 0

12. Health premiums written (b) 10,798,071 2,270,877 2,762,834 343,845 54,707 200,124 1,018,750 3,710,014 0 436,921 13. Life premiums direct 1,041 0 0 0 0 0 0 0 0 1,041 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 10,802,850 2,270,881 2,762,819 343,848 54,634 200,075 1,018,247 3,713,245 0 439,102 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 9,340,784 2,167,170 2,252,919 253,793 43,839 148,184 889,728 3,215,139 0 370,011 18. Amount Incurred for Provision of Health Care Services 9,668,220 2,082,583 2,524,356 255,447 43,798 149,357 931,665 3,322,206 0 358,809

© 2015 National Association of Insurance Commissioners 89

Page 98: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

NORTH DAKOTA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 510 43 215 37 42 77 20 15 0 61 02. First Quarter 563 46 204 37 56 118 20 15 4 64 03. Second Quarter 592 49 204 37 64 130 20 16 9 64 04. Third Quarter 593 49 203 38 62 129 20 16 13 64 05. Current Year 583 48 205 37 63 111 20 17 17 64

06. Current Year Member Months 6,769 575 2,454 450 718 1,270 237 191 109 765

Total Member Ambulatory Encountersfor Year: 07. Physician 4,053 233 2,238 952 0 0 276 292 61 2 08. Non-physician 3,462 232 1,854 589 77 372 218 80 40 1 09. Total 7,514 465 4,092 1,541 77 372 493 372 101 3

10. Hospital patient days incurred 186 7 65 51 0 0 9 43 11 0

11. Number of inpatient admissions 39 2 17 12 0 0 2 4 3 0

12. Health premiums written (b) 1,678,840 188,403 896,034 81,976 5,525 42,257 95,086 89,850 119,380 160,329 13. Life premiums direct 94 0 0 0 0 0 0 0 0 94 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 348,463 13,918 66,938 1,690 1,355 19,031 393 89,825 119,380 35,932 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 1,432,259 164,218 777,469 68,081 4,087 30,147 91,593 67,893 93,317 135,453 18. Amount Incurred for Provision of Health Care Services 1,472,841 178,875 778,808 67,532 4,213 31,368 88,404 66,760 117,691 139,189

© 2015 National Association of Insurance Commissioners 90

Page 99: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

OHIO

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 8,879 252 1,399 68 1,733 1,388 193 647 1,707 1,492 02. First Quarter 9,073 295 1,325 69 1,793 1,482 166 665 1,750 1,528 03. Second Quarter 9,414 358 1,284 69 1,788 1,506 166 670 2,014 1,560 04. Third Quarter 9,587 342 1,246 70 1,792 1,501 168 675 2,230 1,563 05. Current Year 9,718 329 1,222 71 1,798 1,503 166 676 2,382 1,570

06. Current Year Member Months 112,592 3,887 15,287 835 21,527 17,933 1,992 8,040 24,462 18,629

Total Member Ambulatory Encountersfor Year: 07. Physician 33,046 1,665 6,065 1,125 0 3 1,637 10,018 12,419 113 08. Non-physician 30,666 2,292 6,141 480 538 379 893 7,108 11,974 859 09. Total 63,712 3,956 12,207 1,605 538 382 2,530 17,127 24,393 972

10. Hospital patient days incurred 6,804 83 344 217 0 0 172 2,379 3,589 21

11. Number of inpatient admissions 752 18 72 20 0 0 23 236 377 6

12. Health premiums written (b) 27,012,243 1,155,800 5,462,511 161,071 121,549 403,376 1,006,316 7,010,451 10,643,880 1,047,289 13. Life premiums direct 5,293 0 0 0 0 0 0 0 0 5,293 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 27,002,396 1,158,117 5,462,202 164,138 119,863 402,494 1,006,316 7,035,222 10,602,426 1,051,618 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 21,827,942 1,000,423 4,440,984 119,153 93,942 310,242 946,473 6,127,091 8,051,297 738,336 18. Amount Incurred for Provision of Health Care Services 22,644,413 1,101,368 4,422,094 118,811 94,109 311,158 939,830 6,151,704 8,675,259 830,080

© 2015 National Association of Insurance Commissioners 91

Page 100: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

OKLAHOMA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 2,182 88 432 62 535 541 122 95 0 307 02. First Quarter 2,242 117 427 63 535 555 122 101 0 322 03. Second Quarter 2,288 154 426 63 540 560 122 101 0 322 04. Third Quarter 2,298 153 421 63 549 568 122 101 0 321 05. Current Year 2,340 149 428 64 560 588 122 101 0 328

06. Current Year Member Months 27,139 1,679 5,099 759 6,512 6,543 1,461 1,213 0 3,874

Total Member Ambulatory Encountersfor Year: 07. Physician 6,236 786 2,273 894 0 0 1,161 1,123 0 0 08. Non-physician 3,010 242 1,017 213 190 192 345 812 0 0 09. Total 9,246 1,028 3,289 1,107 190 192 1,506 1,934 0 0

10. Hospital patient days incurred 498 35 119 104 0 0 76 164 0 0

11. Number of inpatient admissions 92 9 29 17 0 0 14 22 0 0

12. Health premiums written (b) 4,575,536 408,779 1,900,080 128,367 41,622 187,128 669,591 1,029,803 0 210,165 13. Life premiums direct 1,010 0 0 0 0 0 0 0 0 1,010 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 4,468,010 412,195 1,903,199 128,463 41,566 53,414 688,258 1,030,062 0 210,854 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 3,809,608 414,861 1,547,396 90,497 32,345 34,904 623,523 880,363 0 185,719 18. Amount Incurred for Provision of Health Care Services 3,961,013 458,291 1,558,011 89,744 32,557 143,207 631,969 866,737 0 180,498

© 2015 National Association of Insurance Commissioners 92

Page 101: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

OREGON

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 2,145 150 804 16 301 323 74 227 75 175 02. First Quarter 2,236 178 774 17 304 355 74 243 110 183 03. Second Quarter 2,299 212 761 17 304 369 74 246 123 193 04. Third Quarter 2,320 208 763 17 305 378 74 249 131 195 05. Current Year 2,329 200 770 17 309 382 74 252 127 197

06. Current Year Member Months 27,454 2,365 9,222 201 3,683 4,417 889 2,956 1,445 2,276

Total Member Ambulatory Encountersfor Year: 07. Physician 10,285 746 3,659 241 19 213 912 3,688 807 0 08. Non-physician 9,113 568 2,952 246 137 364 850 3,576 421 0 09. Total 19,398 1,314 6,611 487 156 577 1,762 7,264 1,228 0

10. Hospital patient days incurred 510 39 131 13 0 0 29 251 47 0

11. Number of inpatient admissions 114 9 35 3 0 0 6 51 10 0

12. Health premiums written (b) 8,318,993 688,272 3,699,864 41,440 21,033 275,843 428,616 2,660,689 373,389 129,847 13. Life premiums direct 55 0 0 0 0 0 0 0 0 55 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 8,431,704 688,897 3,695,479 41,436 21,017 275,677 442,719 2,662,482 473,389 130,608 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 7,571,300 771,684 3,063,895 32,578 16,986 232,668 395,000 2,443,031 367,687 247,772 18. Amount Incurred for Provision of Health Care Services 7,711,025 831,624 3,068,045 32,915 17,093 232,857 400,409 2,490,867 388,975 248,241

© 2015 National Association of Insurance Commissioners 93

Page 102: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

PENNSYLVANIA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 19,386 514 2,623 274 8,777 2,078 446 916 2,547 1,212 02. First Quarter 12,775 614 2,470 268 1,594 2,589 448 936 2,568 1,289 03. Second Quarter 12,819 738 2,389 265 1,579 2,578 446 940 2,602 1,281 04. Third Quarter 12,713 717 2,299 263 1,578 2,565 445 945 2,600 1,302 05. Current Year 12,699 706 2,225 260 1,585 2,588 445 959 2,618 1,314

06. Current Year Member Months 152,813 7,980 28,308 3,165 19,037 30,962 5,350 11,487 31,089 15,434

Total Member Ambulatory Encountersfor Year: 07. Physician 88,396 4,034 27,715 1,331 47 127 2,624 14,419 38,022 78 08. Non-physician 25,920 1,076 7,690 558 243 0 1,036 6,651 5,981 2,684 09. Total 114,316 5,110 35,405 1,889 290 127 3,660 21,070 44,003 2,761

10. Hospital patient days incurred 5,585 129 697 172 0 0 213 2,248 2,126 1

11. Number of inpatient admissions 879 27 177 25 0 0 45 290 315 0

12. Health premiums written (b) 37,888,775 2,287,875 10,504,768 450,570 116,045 701,606 1,517,557 11,159,961 10,366,510 783,882 13. Life premiums direct 938 0 0 0 0 0 0 0 0 938 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 37,577,666 2,282,495 10,515,531 450,629 116,041 701,963 1,527,562 11,159,539 10,037,816 786,089 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 32,910,748 2,306,556 9,020,688 362,895 71,384 571,257 1,417,781 9,637,264 8,841,192 681,730 18. Amount Incurred for Provision of Health Care Services 33,255,297 2,457,703 8,949,720 359,808 97,168 563,921 1,416,428 9,617,640 9,118,984 673,925

© 2015 National Association of Insurance Commissioners 94

Page 103: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

RHODE ISLAND

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,047 17 187 25 237 259 23 65 147 86 02. First Quarter 1,077 28 164 25 242 251 23 67 188 90 03. Second Quarter 1,124 39 161 25 247 252 23 67 219 91 04. Third Quarter 1,156 37 160 25 246 248 23 68 219 129 05. Current Year 1,165 37 159 26 250 249 23 66 224 132

06. Current Year Member Months 13,747 417 1,942 303 2,961 2,999 273 803 2,497 1,553

Total Member Ambulatory Encountersfor Year: 07. Physician 5,102 197 897 6 0 0 0 983 3,019 0 08. Non-physician 1,967 108 452 2 80 0 0 380 946 0 09. Total 7,069 305 1,349 8 80 0 0 1,362 3,965 0

10. Hospital patient days incurred 1,104 8 35 0 0 0 0 123 938 0

11. Number of inpatient admissions 66 2 8 0 0 0 0 22 34 0

12. Health premiums written (b) 3,451,473 147,808 856,797 56,017 18,251 122,534 112,337 723,070 1,352,217 62,442 13. Life premiums direct 44 0 0 0 0 0 0 0 0 44 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 3,447,628 146,045 856,748 56,017 18,251 122,207 112,337 723,824 1,352,217 59,983 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 2,868,765 134,206 683,069 46,456 15,395 92,888 101,600 648,254 1,102,595 44,301 18. Amount Incurred for Provision of Health Care Services 2,965,128 132,543 710,363 46,402 15,480 92,402 101,349 632,861 1,190,649 43,080

© 2015 National Association of Insurance Commissioners 95

Page 104: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

SOUTH CAROLINA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 2,477 92 417 58 357 461 80 165 488 359 02. First Quarter 2,773 130 401 58 388 501 80 180 690 344 03. Second Quarter 2,855 184 392 59 388 509 80 183 724 337 04. Third Quarter 2,870 159 388 60 393 510 80 185 753 342 05. Current Year 2,911 171 387 60 397 513 81 188 770 346

06. Current Year Member Months 34,089 1,926 4,697 706 4,699 6,103 963 2,206 8,706 4,082

Total Member Ambulatory Encountersfor Year: 07. Physician 13,327 719 1,789 1,020 0 2 880 3,921 4,931 65 08. Non-physician 4,478 152 407 303 33 487 257 1,252 1,573 14 09. Total 17,805 871 2,195 1,323 33 489 1,137 5,173 6,504 79

10. Hospital patient days incurred 1,114 38 70 100 0 0 37 517 337 16

11. Number of inpatient admissions 183 8 17 13 0 0 8 54 80 3

12. Health premiums written (b) 7,683,949 579,384 1,581,517 140,906 29,310 114,017 535,743 1,968,685 2,527,254 207,134 13. Life premiums direct 1,183 0 0 0 0 0 0 0 0 1,183 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 7,516,614 574,767 1,577,611 140,919 29,276 113,986 477,585 1,971,830 2,423,136 207,504 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 6,162,840 454,958 1,247,723 88,286 22,463 89,614 438,461 1,671,346 1,976,439 173,549 18. Amount Incurred for Provision of Health Care Services 6,441,299 532,880 1,245,750 88,343 22,724 90,596 440,500 1,687,506 2,168,994 164,006

© 2015 National Association of Insurance Commissioners 96

Page 105: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

SOUTH DAKOTA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 518 64 132 34 69 56 27 22 0 113 02. First Quarter 527 67 129 34 72 61 27 25 0 112 03. Second Quarter 537 73 128 34 73 62 28 26 0 114 04. Third Quarter 540 72 129 34 72 64 28 27 0 115 05. Current Year 540 71 130 34 71 65 27 25 0 116

06. Current Year Member Months 6,350 844 1,547 407 860 710 330 284 0 1,368

Total Member Ambulatory Encountersfor Year: 07. Physician 2,159 299 913 250 0 0 190 507 0 0 08. Non-physician 804 131 334 112 24 0 52 151 0 0 09. Total 2,964 430 1,247 361 24 0 242 658 1 0

10. Hospital patient days incurred 120 10 22 19 0 0 8 61 0 0

11. Number of inpatient admissions 22 3 7 5 0 0 2 6 0 0

12. Health premiums written (b) 1,333,233 238,069 587,510 77,056 5,047 44,640 136,086 167,599 0 77,226 13. Life premiums direct 181 0 0 0 0 0 0 0 0 181 14. Property/Casualty premiums written 111,984 39,504 57,063 15,417 0 0 0 0 0 0 15. Health premiums earned 1,224,291 197,913 530,514 61,643 5,047 44,632 139,615 167,604 0 77,322 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 1,168,888 239,881 508,525 56,735 3,888 36,739 126,067 133,059 0 63,996 18. Amount Incurred for Provision of Health Care Services 1,175,458 250,829 500,615 55,933 3,896 36,785 128,491 136,237 0 62,672

© 2015 National Association of Insurance Commissioners 97

Page 106: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

TENNESSEE

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 4,240 200 639 65 711 548 103 349 1,150 476 02. First Quarter 4,539 267 613 65 868 552 103 363 1,192 516 03. Second Quarter 4,653 331 605 66 878 553 103 372 1,233 511 04. Third Quarter 4,701 325 601 66 897 554 103 377 1,257 520 05. Current Year 4,763 312 604 67 910 561 103 380 1,297 528

06. Current Year Member Months 55,731 3,657 7,298 793 10,629 6,712 1,232 4,465 14,753 6,193

Total Member Ambulatory Encountersfor Year: 07. Physician 30,538 2,528 4,860 1,040 0 0 2,041 8,426 11,643 1 08. Non-physician 11,079 215 556 107 624 1,282 190 2,629 5,475 2 09. Total 41,618 2,744 5,415 1,147 624 1,282 2,231 11,055 17,118 2

10. Hospital patient days incurred 6,404 37 159 179 0 0 83 1,124 4,821 0

11. Number of inpatient admissions 543 8 31 14 0 0 12 133 345 0

12. Health premiums written (b) 14,139,844 868,005 2,421,601 149,040 53,762 157,505 656,023 4,030,565 5,508,075 295,267 13. Life premiums direct 1,841 0 0 0 0 0 0 0 0 1,841 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 14,132,691 868,786 2,427,954 149,147 53,507 157,555 656,787 4,033,880 5,497,526 287,550 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 11,587,862 905,448 1,867,213 112,254 39,790 114,723 583,700 3,441,556 4,272,814 250,364 18. Amount Incurred for Provision of Health Care Services 11,612,019 955,413 1,870,329 112,270 39,812 115,513 588,893 3,420,951 4,267,350 241,489

© 2015 National Association of Insurance Commissioners 98

Page 107: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

TEXAS

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 17,190 869 2,216 105 2,535 5,078 437 824 3,350 1,776 02. First Quarter 17,588 1,069 2,163 116 2,687 5,113 437 877 3,295 1,830 03. Second Quarter 18,313 1,425 2,156 119 2,688 5,281 436 889 3,496 1,821 04. Third Quarter 18,834 1,350 2,158 122 2,778 5,392 437 903 3,806 1,887 05. Current Year 18,779 1,263 2,108 125 2,782 5,459 438 921 3,923 1,760

06. Current Year Member Months 218,954 15,155 25,709 1,435 32,655 63,098 5,244 10,787 43,163 21,708

Total Member Ambulatory Encountersfor Year: 07. Physician 59,416 6,763 11,283 1,784 2 24 4,197 14,749 20,548 66 08. Non-physician 637,797 2,701 4,697 414 802 602,849 1,252 6,538 18,529 14 09. Total 697,213 9,465 15,980 2,198 805 602,873 5,449 21,287 39,077 80

10. Hospital patient days incurred 4,718 296 540 171 0 0 259 1,837 1,613 3

11. Number of inpatient admissions 822 63 119 26 0 0 48 208 358 0

12. Health premiums written (b) 41,341,560 3,699,489 8,455,577 262,373 191,110 1,755,545 2,524,725 10,690,717 12,709,698 1,052,327 13. Life premiums direct 11,936 0 0 0 0 0 0 0 0 11,936 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 39,817,472 3,712,518 8,297,540 259,630 176,998 1,189,719 2,552,770 10,670,273 11,912,412 1,045,612 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 35,426,932 3,627,888 7,078,285 188,748 178,028 1,461,450 2,323,775 8,908,315 10,710,635 949,808 18. Amount Incurred for Provision of Health Care Services 35,790,494 3,935,536 7,028,806 193,278 179,011 1,452,177 2,353,184 8,895,127 10,832,560 920,815

© 2015 National Association of Insurance Commissioners 99

Page 108: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

UTAH

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1,657 168 529 16 188 333 70 105 142 106 02. First Quarter 1,736 179 515 16 230 355 71 106 151 112 03. Second Quarter 1,795 222 511 17 231 367 71 107 157 113 04. Third Quarter 1,785 219 511 17 225 367 71 108 156 111 05. Current Year 1,788 213 509 17 228 371 71 109 155 116

06. Current Year Member Months 21,190 2,483 6,144 199 2,695 4,356 853 1,285 1,835 1,340

Total Member Ambulatory Encountersfor Year: 07. Physician 7,940 873 2,753 281 0 3 1,070 1,931 920 109 08. Non-physician 5,732 500 1,483 283 52 282 919 1,618 534 59 09. Total 13,672 1,374 4,236 564 52 285 1,990 3,550 1,454 168

10. Hospital patient days incurred 465 75 110 12 0 0 34 162 66 6

11. Number of inpatient admissions 100 14 28 3 0 0 7 28 17 2

12. Health premiums written (b) 4,379,544 473,938 1,778,095 40,807 11,969 92,810 448,525 979,149 462,324 91,926 13. Life premiums direct 949 0 0 0 0 0 0 0 0 949 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 4,471,125 540,972 1,792,385 40,798 11,968 92,794 458,172 979,759 462,324 91,951 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 3,870,262 469,317 1,525,772 26,643 7,638 79,076 430,676 854,397 404,034 72,710 18. Amount Incurred for Provision of Health Care Services 3,966,002 554,668 1,526,490 25,985 7,815 80,672 429,393 863,690 404,897 72,393

© 2015 National Association of Insurance Commissioners 100

Page 109: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

VERMONT

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 364 22 109 7 52 58 14 0 0 103 02. First Quarter 393 27 83 8 55 61 14 1 0 143 03. Second Quarter 397 32 80 8 56 62 14 1 0 144 04. Third Quarter 401 34 79 9 58 62 14 1 0 144 05. Current Year 400 32 79 9 58 62 14 1 0 144

06. Current Year Member Months 4,754 372 963 100 677 741 173 13 0 1,716

Total Member Ambulatory Encountersfor Year: 07. Physician 529 130 373 13 0 0 0 14 0 0 08. Non-physician 505 143 329 8 16 0 0 9 0 0 09. Total 1,034 272 702 21 16 0 0 23 0 0

10. Hospital patient days incurred 30 8 20 1 0 0 0 1 0 0

11. Number of inpatient admissions 6 1 4 0 0 0 0 0 0 0

12. Health premiums written (b) 712,651 147,982 389,581 17,511 3,736 29,337 72,966 9,835 0 41,704 13. Life premiums direct 15 0 0 0 0 0 0 0 0 15 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 716,287 147,982 391,026 17,511 3,736 29,328 74,983 9,835 0 41,887 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 652,083 143,636 348,544 13,640 2,802 27,336 68,399 8,679 0 39,048 18. Amount Incurred for Provision of Health Care Services 651,725 152,731 343,477 13,394 2,800 22,891 68,420 9,052 0 38,961

© 2015 National Association of Insurance Commissioners 101

Page 110: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

VIRGINIA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 5,125 274 974 111 812 890 514 146 705 699 02. First Quarter 5,314 325 932 117 816 960 523 159 700 784 03. Second Quarter 5,429 412 928 119 834 970 523 161 709 772 04. Third Quarter 5,435 400 921 121 808 974 529 175 734 773 05. Current Year 5,456 405 921 122 883 992 451 180 725 777

06. Current Year Member Months 64,373 4,802 11,165 1,436 10,638 11,703 5,399 2,016 8,316 8,898

Total Member Ambulatory Encountersfor Year: 07. Physician 19,743 2,141 5,340 2,182 1 0 3,948 2,897 3,220 14 08. Non-physician 12,184 784 2,449 768 270 0 1,484 1,817 4,605 7 09. Total 31,927 2,925 7,789 2,950 270 0 5,432 4,715 7,825 20

10. Hospital patient days incurred 1,394 82 185 128 0 0 295 446 258 0

11. Number of inpatient admissions 239 17 44 26 0 0 48 51 54 0

12. Health premiums written (b) 13,673,255 1,328,917 4,325,722 283,608 67,613 339,299 2,303,253 1,744,378 2,872,599 407,866 13. Life premiums direct 1,117 0 0 0 60 0 0 0 0 1,057 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 13,672,269 1,328,249 4,323,048 285,106 67,570 332,461 2,317,108 1,745,264 2,872,599 400,863 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 11,544,396 1,101,810 3,461,875 196,160 54,147 262,830 2,121,931 1,463,320 2,569,008 313,315 18. Amount Incurred for Provision of Health Care Services 11,672,894 1,213,725 3,425,717 193,994 54,599 264,874 2,129,791 1,510,034 2,567,506 312,654

© 2015 National Association of Insurance Commissioners 102

Page 111: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

WASHINGTON

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 4,955 273 1,146 74 666 1,244 235 290 819 208 02. First Quarter 5,318 310 1,042 76 781 1,278 235 297 1,076 223 03. Second Quarter 5,504 337 1,032 77 776 1,285 235 301 1,237 224 04. Third Quarter 5,541 325 1,020 79 792 1,284 235 305 1,275 226 05. Current Year 5,611 317 1,026 80 776 1,308 236 307 1,333 227

06. Current Year Member Months 65,663 4,092 12,400 933 9,275 15,436 2,822 3,617 14,408 2,680

Total Member Ambulatory Encountersfor Year: 07. Physician 21,486 2,211 7,021 929 1 153 1,615 3,589 5,967 0 08. Non-physician 15,297 1,606 4,728 777 167 251 847 2,449 4,472 0 09. Total 36,782 3,816 11,749 1,705 168 404 2,462 6,038 10,439 0

10. Hospital patient days incurred 1,077 73 222 74 0 0 19 273 415 0

11. Number of inpatient admissions 219 16 56 12 0 0 5 43 87 0

12. Health premiums written (b) 15,657,937 1,280,621 5,077,785 177,602 41,015 610,286 936,344 3,061,711 4,267,450 205,124 13. Life premiums direct 206 0 0 0 0 0 0 0 0 206 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 15,000,593 1,237,614 5,071,508 177,613 41,014 607,520 952,414 3,065,017 3,640,340 207,553 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 12,830,531 1,047,968 4,204,684 131,385 31,484 511,904 850,355 2,775,319 3,105,519 171,914 18. Amount Incurred for Provision of Health Care Services 13,236,865 1,135,527 4,216,338 134,166 31,432 509,920 859,598 2,800,446 3,381,288 168,149

© 2015 National Association of Insurance Commissioners 103

Page 112: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

WEST VIRGINIA

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 918 15 159 8 186 116 60 88 186 100 02. First Quarter 876 25 149 8 109 120 60 97 205 104 03. Second Quarter 881 35 142 9 109 120 60 97 204 105 04. Third Quarter 818 35 138 9 47 124 59 97 203 106 05. Current Year 810 37 133 9 47 124 59 96 198 106

06. Current Year Member Months 10,124 379 1,691 102 930 1,456 715 1,159 2,429 1,262

Total Member Ambulatory Encountersfor Year: 07. Physician 4,691 210 831 174 2 0 538 1,789 1,145 0 08. Non-physician 1,647 46 172 53 20 0 157 1,023 176 0 09. Total 6,338 256 1,003 228 23 0 695 2,813 1,321 0

10. Hospital patient days incurred 417 7 23 5 0 0 11 282 89 0

11. Number of inpatient admissions 66 2 6 2 0 0 4 30 23 0

12. Health premiums written (b) 3,039,129 139,332 686,265 20,965 8,011 34,450 307,352 1,082,923 621,373 138,458 13. Life premiums direct 124 0 0 0 0 0 0 0 0 124 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 3,046,192 139,332 686,264 20,968 7,983 34,414 314,420 1,082,982 621,373 138,458 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 2,602,821 149,409 582,844 15,631 5,383 22,571 290,677 937,739 480,614 117,953 18. Amount Incurred for Provision of Health Care Services 2,611,228 161,367 568,579 15,386 5,592 22,732 292,606 949,549 480,406 115,011

© 2015 National Association of Insurance Commissioners 104

Page 113: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

WISCONSIN

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 4,060 126 1,008 104 583 726 79 304 696 434 02. First Quarter 4,240 175 986 105 693 746 70 317 687 462 03. Second Quarter 4,274 237 984 105 689 752 70 320 653 463 04. Third Quarter 4,330 234 983 106 691 766 70 323 691 465 05. Current Year 4,368 225 989 106 688 770 70 326 730 464

06. Current Year Member Months 51,322 2,552 11,829 1,266 8,303 9,082 841 3,846 8,205 5,398

Total Member Ambulatory Encountersfor Year: 07. Physician 13,914 682 4,074 669 0 0 496 4,194 3,799 0 08. Non-physician 10,301 295 2,377 287 122 171 281 1,821 4,947 0 09. Total 24,215 976 6,451 955 122 171 777 6,015 8,746 0

10. Hospital patient days incurred 1,366 67 205 164 0 0 47 622 261 0

11. Number of inpatient admissions 241 15 43 17 0 0 7 94 64 0

12. Health premiums written (b) 11,603,543 930,752 4,774,960 256,246 44,739 276,620 487,466 3,066,859 1,481,289 284,612 13. Life premiums direct 3,321 0 0 0 0 0 0 0 0 3,321 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 11,631,001 931,545 4,785,927 259,442 32,536 282,525 502,335 3,069,260 1,483,028 284,405 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 10,174,362 789,765 4,321,032 180,752 36,643 222,268 468,787 2,673,027 1,267,913 214,176 18. Amount Incurred for Provision of Health Care Services 10,273,154 870,465 4,311,651 175,749 32,750 221,875 474,382 2,685,532 1,284,568 216,181

© 2015 National Association of Insurance Commissioners 105

Page 114: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

WYOMING

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 202 15 31 9 0 101 16 0 0 29 02. First Quarter 207 20 30 9 0 101 16 0 0 31 03. Second Quarter 212 25 30 9 0 101 16 0 0 31 04. Third Quarter 212 24 29 9 0 101 16 0 0 31 05. Current Year 213 22 31 10 0 103 16 0 0 32

06. Current Year Member Months 2,462 259 367 112 3 1,157 195 0 0 369

Total Member Ambulatory Encountersfor Year: 07. Physician 728 97 256 220 0 0 155 0 0 0 08. Non-physician 708 83 251 129 0 41 202 0 0 0 09. Total 1,436 181 507 349 0 41 357 0 0 0

10. Hospital patient days incurred 6 2 1 2 0 0 0 0 0 0

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

12. Health premiums written (b) 419,938 111,377 161,033 19,336 236 17,866 86,380 (3) 0 23,714 13. Life premiums direct 42 0 0 0 0 0 0 0 0 42 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 416,728 111,377 158,780 19,336 236 17,861 84,781 (3) 0 24,360 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 374,940 100,196 146,548 13,838 192 13,955 79,798 83 0 20,329 18. Amount Incurred for Provision of Health Care Services 377,102 101,681 148,780 14,112 195 13,982 78,696 34 0 19,623

© 2015 National Association of Insurance Commissioners 106

Page 115: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

GUAM

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 31 0 22 0 0 0 9 0 0 0 02. First Quarter 31 0 22 0 0 0 8 0 0 0 03. Second Quarter 30 0 22 0 0 0 8 0 0 0 04. Third Quarter 30 0 21 0 0 0 8 0 0 0 05. Current Year 29 0 21 0 0 0 8 0 0 0

06. Current Year Member Months 359 1 259 0 0 0 99 0 0 0

Total Member Ambulatory Encountersfor Year: 07. Physician 0 0 0 0 0 0 0 0 0 0 08. Non-physician 0 0 0 0 0 0 0 0 0 0 09. Total 0 0 0 0 0 0 0 0 0 0

10. Hospital patient days incurred 4 0 4 0 0 0 0 0 0 0

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

12. Health premiums written (b) 86,515 120 52,500 0 0 12 33,883 0 0 0 13. Life premiums direct 2 0 0 0 0 0 0 0 0 2 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 83,408 120 49,837 0 0 12 33,439 0 0 0 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 84,964 0 51,516 0 0 9 33,439 0 0 0 18. Amount Incurred for Provision of Health Care Services 85,867 0 54,350 0 0 9 31,508 0 0 0

© 2015 National Association of Insurance Commissioners 107

Page 116: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

N MARIANA ISLANDS

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 1 0 1 0 0 0 0 0 0 0 02. First Quarter 2 0 2 0 0 0 0 0 0 0 03. Second Quarter 2 0 2 0 0 0 0 0 0 0 04. Third Quarter 2 0 2 0 0 0 0 0 0 0 05. Current Year 2 0 2 0 0 0 0 0 0 0

06. Current Year Member Months 20 0 20 0 0 0 0 0 0 0

Total Member Ambulatory Encountersfor Year: 07. Physician 0 0 0 0 0 0 0 0 0 0 08. Non-physician 0 0 0 0 0 0 0 0 0 0 09. Total 0 0 0 0 0 0 0 0 0 0

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

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

12. Health premiums written (b) 3,063 3 3,060 0 0 0 0 0 0 0 13. Life premiums direct 0 0 0 0 0 0 0 0 0 0 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 2,887 3 2,884 0 0 0 0 0 0 0 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of 17. Amount Paid for Provision of health care services 4,392 0 4,392 0 0 0 0 0 0 0 Health Care Services 4,241 0 4,241 0 0 0 0 0 0 0

© 2015 National Association of Insurance Commissioners 108

Page 117: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

PUERTO RICO

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 3,242 210 775 25 0 213 52 538 1,420 9 02. First Quarter 3,107 194 707 24 0 214 53 503 1,398 14 03. Second Quarter 3,099 194 688 23 0 211 52 507 1,409 14 04. Third Quarter 3,082 186 669 23 0 209 52 513 1,416 14 05. Current Year 3,080 178 664 23 0 207 52 514 1,429 14

06. Current Year Member Months 37,691 2,224 8,449 277 0 2,525 628 6,503 16,913 171

Total Member Ambulatory Encountersfor Year: 07. Physician 10,001 899 4,096 384 0 0 480 4,108 34 0 08. Non-physician 671 4 34 13 0 0 31 573 17 0 09. Total 10,672 903 4,130 396 0 0 511 4,681 51 0

10. Hospital patient days incurred 663 57 225 30 0 0 25 319 6 0

11. Number of inpatient admissions 121 12 46 4 0 0 5 53 0 0

12. Health premiums written (b) 4,391,467 223,426 952,646 29,510 0 16,424 162,388 2,978,124 11,489 17,460 13. Life premiums direct 0 0 0 0 0 0 0 0 0 0 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 3,759,187 104,520 608,270 29,510 0 1,686 162,388 2,823,864 11,489 17,460 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 3,714,852 87,116 932,641 22,508 0 10,102 152,370 2,475,766 18,037 16,314 18. Amount Incurred for Provision of Health Care Services 3,815,069 88,154 910,833 20,480 0 10,156 148,072 2,625,567 (4,240) 16,046

© 2015 National Association of Insurance Commissioners 109

Page 118: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

U.S. VIRGIN ISLANDS

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 6 1 4 0 0 0 1 0 0 0 02. First Quarter 5 1 4 0 0 0 1 0 0 0 03. Second Quarter 5 1 4 0 0 0 1 0 0 0 04. Third Quarter 5 1 4 0 0 0 1 0 0 0 05. Current Year 5 1 3 0 0 0 1 0 0 0

06. Current Year Member Months 64 8 43 0 0 1 11 0 0 0

Total Member Ambulatory Encountersfor Year: 07. Physician 7 1 0 0 0 0 5 0 0 0 08. Non-physician 0 0 0 0 0 0 0 0 0 0 09. Total 7 2 0 0 0 0 5 0 0 0

10. Hospital patient days incurred 2 1 0 0 0 0 0 0 0 0

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

12. Health premiums written (b) 20,170 1,715 15,508 0 0 69 2,858 0 0 21 13. Life premiums direct 0 0 0 0 0 0 0 0 0 0 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 20,228 1,764 15,508 0 0 67 2,858 0 0 31 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 20,914 3,066 13,942 0 0 29 3,870 0 0 7 18. Amount Incurred for Provision of Health Care Services 23,885 2,957 17,646 0 0 29 3,267 0 0 (14)

© 2015 National Association of Insurance Commissioners 110

Page 119: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

HEALTH INSURANCE INDUSTRY AGGREGATES

(000's)EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION

2

Individual Group

4

Medicare

5

Vision

6 8

BUSINESS IN THE STATE OF

Total

3

(Name)

DURING THE YEAR

97

30

1

Supplement OnlyDentalOnly

FederalEmployees

Health BenefitPlan

Title XVIIIMedicare

Title XIXMedicaid

10Comprehensive(Hospital and Medical)

Other

AGGR OTHER ALIEN

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE ...................................................................

Total Members at end of: 01. Prior Year 104 94 10 0 0 0 0 0 0 0 02. First Quarter 108 99 9 0 0 0 0 0 0 0 03. Second Quarter 111 102 9 0 0 0 0 0 0 0 04. Third Quarter 109 100 9 0 0 0 0 0 0 0 05. Current Year 109 100 9 0 0 0 0 0 0 0

06. Current Year Member Months 1,310 1,203 106 0 0 0 0 0 0 0

Total Member Ambulatory Encountersfor Year: 07. Physician 40 24 16 0 0 0 0 0 0 0 08. Non-physician 24 12 11 0 0 0 0 0 0 0 09. Total 64 37 27 0 0 0 0 0 0 0

10. Hospital patient days incurred 131 115 16 0 0 0 0 0 0 0

11. Number of inpatient admissions 10 8 1 0 0 0 0 0 0 0

12. Health premiums written (b) 252,051 210,820 41,175 0 0 56 0 0 0 0 13. Life premiums direct 87 0 0 0 0 0 0 0 0 87 14. Property/Casualty premiums written 0 0 0 0 0 0 0 0 0 0 15. Health premiums earned 250,393 209,293 41,045 0 0 55 0 0 0 0 16. Property/Casualty premiums earned 0 0 0 0 0 0 0 0 0 0

17. Amount Paid for Provision of health care services 118,490 101,735 16,669 0 0 87 0 0 0 0 18. Amount Incurred for Provision of Health Care Services 114,295 98,125 16,079 0 0 91 0 0 0 0

© 2015 National Association of Insurance Commissioners 111

Page 120: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

2014 HEALTH STATE AND COUNTRYWIDE, CANADA, AND AGGREGATE OTHER ALIEN DATA

TECHNICAL NOTES Page 38 (Schedule T) All data are aggregated Page 30 (State Pages) All data are aggregated

© 2015 National Association of Insurance Commissioners 112

Page 121: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Selected Data Elements From Company Statements

© 2015 National Association of Insurance Commissioners 113

Page 122: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 114

Page 123: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

12959 Absolute Total Care Inc SC 45,391,537 (9,290,041) 676,636 (8,447,046) 398,240,273 55,913,57192,112,944

63444 Accendo Ins Co UT 8,808,114 3,861,414 10,438 2,574,158 0 395,24015,817,216

15307 Access Dental Plan of NV Inc NV 267,924 46,636 0 19,218 172,425 93,273349,638

15494 Access Dental Plan of UT Inc UT 745,276 (284,833) 1,845 (208,586) 0 284,833745,276

14158 AccessCare Gen Inc IL 281,286 59,121 385 59,506 3,236,692 783,885465,683

14119 AccessCare Gen LLC KS 178,472 70,753 323 71,076 2,211,653 495,598235,799

14343 Accesscare Gen OK LLC OK 42,177 (581) 152 (429) 153,201 51,64351,380

47006 Advantage Dental Plan Inc OR 1,649,265 78,624 20,721 99,345 155,249 756,2641,789,979

52568 Advantage Hlth Solutions Inc IN 26,547,261 (10,754,354) 5,380 (10,748,974) 399,774,265 48,749,46274,476,946

47035 Advantica Dental Benefits Inc MO 2,293,806 13,270 18,847 (24,825) 16,386,526 2,740,2713,548,293

12278 Advantica Ins Co MO 6,020,055 (391,769) 30,493 (347,682) 1,172,908 2,027,6786,682,509

15146 Advicare Corp SC 12,958,089 1,470,294 0 1,452,886 104,117,575 11,116,85026,770,891

95302 Aecc Total Vision Hlth Plan Of TX TX 10,753,064 1,883,459 18,905 1,312,702 0 3,234,23513,245,804

13735 Aetna Better Hlth Inc PA 108,580,346 14,527,569 1,940,163 11,122,047 481,906,335 70,624,936304,836,507

13174 Aetna Better Hlth Inc CT 2,978,057 81,223 28,517 66,083 0 03,538,349

14229 Aetna Better Hlth Inc OH 44,666,567 (28,483,183) 102,220 (19,588,189) 335,487,663 47,383,513159,134,565

14043 Aetna Better Hlth Inc IL 87,277,884 14,626,692 2,297,684 10,277,020 625,085,825 52,771,516252,553,794

12328 Aetna Better Hlth Inc a GA Corp GA 3,408,243 (5,046) 55,567 33,599 0 5,0463,415,845

12193 Aetna Better Hlth of MI Inc MI 23,609,396 8,976,284 397,972 6,158,983 187,987,462 27,143,61549,064,064

95910 Aetna Dental Inc TX 13,338,864 9,723,407 135,912 6,531,043 42,156,501 9,463,22417,618,136

11183 Aetna Dental Inc NJ Corp NJ 4,889,931 635,326 7,108 424,776 11,586,334 1,782,5945,278,122

95935 Aetna Hlth Inc CT Corp CT 67,158,480 (17,379,780) 2,506,430 (8,640,574) 301,571,240 55,861,686102,832,721

95088 Aetna Hlth Inc FL Corp FL 130,417,850 67,975,695 10,268,405 53,897,679 1,100,634,899 144,872,449266,496,515

95094 Aetna Hlth Inc GA Corp GA 56,438,325 11,533,304 2,921,625 11,472,135 265,434,073 39,558,50884,154,652

95517 Aetna Hlth Inc ME Corp ME 15,669,848 2,098,187 718,033 2,559,654 105,168,193 14,331,37127,908,162

95756 Aetna Hlth Inc MI Corp MI 1,513,679 (5,054) 8,845 2,461 0 5,0541,514,059

95287 Aetna Hlth Inc NJ Corp NJ 198,353,477 47,976,224 8,463,162 40,162,673 1,185,332,062 169,125,482323,686,813

95234 Aetna Hlth Inc NY Corp NY 176,501,341 23,756,615 10,091,357 25,405,030 491,405,046 69,798,818285,199,591

95109 Aetna Hlth Inc PA Corp PA 446,755,219 151,639,835 22,815,773 117,023,153 3,249,069,572 393,190,084858,725,518

95490 Aetna Hlth Inc TX Corp TX 112,475,554 28,858,238 5,135,026 23,564,401 673,177,722 89,307,797223,390,160

72052 Aetna Hlth Ins Co PA 38,859,177 (4,241,340) 2,112,370 (1,549,609) 42,585,600 10,569,41459,122,912

84450 Aetna Hlth Ins Co of NY NY 10,157,272 (352) 105,650 17,622 1,238,215 141,22510,686,193

12973 Aids Hlthcare Found MCO of FL Inc FL 6,229,822 (6,330,170) (270,585) (6,600,755) 88,185,994 8,885,05620,076,565

47201 Alaska Vision Serv Inc AK 8,780,314 750,095 62,231 511,431 2,651,202 222,4959,244,548

12253 Allcare Hlth Plan Inc OR 6,546,013 (3,892,224) 42,983 (2,586,838) 41,758,001 4,933,45311,754,321

12346 Allegian Ins Co TX 16,523,126 1,409,300 709,872 1,377,462 56,500,677 13,726,24925,211,481

12814 Allegiance Life & Hlth Ins Co Inc MT 8,717,924 55,627 682,867 241,575 38,150,298 4,690,93815,228,264

© 2015 National Association of Insurance Commissioners 115

Page 124: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

60134 Alliance Hlth & Life Ins Co MI 26,011,786 (904,025) (24,678) (2,046,174) 236,441,463 43,928,32670,108,832

11256 Alliant Hlth Plans Inc GA 15,292,904 (1,927,600) 785,088 (413,357) 120,372,270 20,694,38734,832,907

95853 Aloha Care HI 70,788,025 (5,425,380) 171,054 (5,254,325) 237,515,522 31,330,816114,826,782

95366 Alpha Dental of AZ Inc AZ 439,516 207,457 8,876 140,616 1,835,060 240,760887,621

47092 Alpha Dental of NM Inc NM 333,678 61,480 4,574 42,935 350,956 54,058451,135

95778 Alpha Dental of NV Inc NV 1,791,534 1,527,534 6,266 996,970 3,780,730 651,5312,584,404

11174 Alpha Dental of UT Inc UT 1,093,515 185,350 13,564 129,294 644,990 113,3881,296,603

95163 Alpha Dental Programs Inc TX 9,168,266 6,230,911 61,367 4,089,433 22,981,437 3,916,74714,937,880

15280 Alphacare of NY Inc NY 23,675,048 (16,332,221) 0 (16,332,221) 40,273,846 21,395,40641,777,891

95407 Altius Hlth Plans Inc UT 50,583,012 4,690,089 2,633,674 5,003,977 475,504,602 65,457,025124,249,965

52632 Altus Dental Ins Co Inc RI 18,146,993 4,276,813 455,036 3,235,724 48,880,597 8,364,25223,805,522

52041 AMERICAN DENTAL PLAN OF WI INC WI 92,101 (723) 789 66 2,761,758 318,134218,398

11152 American Hlth Inc PR 55,891,064 12,066,243 3,086,403 10,378,516 539,750,312 66,426,345238,735,128

52623 American Hlth Ntwrk of IN LLC IN 10,582,952 1,100,284 3,023 999,021 0 37,714,98043,614,450

84697 American Specialty Hlth Ins Co IL 7,528,562 577,797 9,653 445,950 195,409 1,349,9268,119,190

11866 American Specialty Hlth ODS of NJ NJ 509,387 143,513 632 86,497 0 945,726719,576

12910 Americas 1st Choice Hlth Plans Inc SC 10,285,611 1,518,147 30,005 702,793 52,949,804 2,614,43916,446,326

13044 Americas 1st Choice Ins Co of NC Inc NC 7,962,695 (2,183,387) 67,072 (1,677,801) 23,044,507 2,946,36711,256,110

13178 Americhoice of CT Inc CT 4,097,140 (323,812) 8,330 (206,387) 0 3,1434,761,955

13168 Americhoice of GA Inc GA 3,097,024 (4,559) 2,340 (1,442) 0 4,5593,097,248

95497 Americhoice of NJ Inc NJ 247,598,925 149,910,590 9,234,980 97,135,590 1,993,584,084 232,320,006532,658,705

12354 AMERIGROUP Comm Care of NM Inc NM 60,210,679 (7,046,914) 2,283,396 (2,516,016) 37,734,289 4,982,44671,083,038

95093 AMERIGROUP FL INC FL 83,605,928 (36,114,093) 3,183,244 (26,651,523) 938,450,419 106,738,599219,433,430

14078 Amerigroup Ins Co TX 96,933,102 114,992 3,674,499 1,497,747 383,356,003 51,875,977141,699,270

14276 Amerigroup KS Inc KS 87,137,081 (75,179,001) 766,685 (68,532,258) 900,957,557 71,213,246253,845,360

14064 Amerigroup LA Inc LA 47,548,745 (1,942,203) 2,293,324 (1,619,452) 396,014,684 61,005,760102,674,051

95832 AMERIGROUP MD Inc MD 114,209,397 88,084,742 4,024,800 51,278,734 1,070,633,833 113,450,379307,154,788

95373 AMERIGROUP NJ Inc NJ 174,509,837 122,165,957 2,576,673 77,743,879 965,274,095 115,743,548290,792,668

12586 AMERIGROUP NV Inc NV 41,877,656 24,098,305 709,405 14,147,955 415,344,068 66,244,62492,140,450

10767 AMERIGROUP OH Inc dba Comm Care OH 10,090,290 (114,465) 443,465 189,667 293,313 1,180,75614,808,042

12941 AMERIGROUP TN Inc TN 156,552,359 53,290,127 4,592,265 26,120,954 1,009,709,859 162,165,059428,976,884

95314 AMERIGROUP TX Inc TX 312,040,687 50,158,408 20,026,099 37,668,978 2,747,697,944 415,107,060629,833,844

14073 Amerigroup Washington Inc WA 103,410,046 (1,720,246) 1,985,885 (4,552,162) 585,160,220 46,296,930413,185,076

14143 AmeriHealth Caritas LA Inc LA 48,680,618 574,063 53,905 (1,417,935) 537,287,466 64,375,923183,024,429

15088 Amerihealth DC Inc DC 45,074,502 26,240,083 29,192 16,406,529 447,028,149 69,514,676115,532,837

95044 Amerihealth Hmo Inc PA 51,408,436 6,221,642 1,096,901 (779,654) 605,259,814 56,139,058293,786,750

60061 Amerihealth Ins Co Of NJ NJ 143,574,013 23,128,791 2,770,720 15,122,511 784,740,383 109,191,515431,857,413

© 2015 National Association of Insurance Commissioners 116

Page 125: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

15104 Amerihealth MI Inc MI 2,032,977 (2,566,446) 1,039 (2,565,407) 0 2,565,9462,055,977

14261 Amerihealth NE Inc NE 11,091,825 (87,957) 4,674 (94,430) 66,068,595 10,476,91921,292,690

60250 AmFirst Ins Co OK 34,968,741 895,015 3,840,153 4,299,372 18,560,660 15,163,74441,452,630

12229 AMGP GA Managed Care Co Inc GA 136,320,637 63,180,659 2,436,821 36,662,406 1,054,814,486 163,864,719270,657,664

62825 Anthem Blue Cross Life & Hlth Ins Co CA 1,352,529,189 351,314,636 71,164,588 309,429,070 4,013,050,876 678,309,7882,572,186,593

60217 Anthem Hlth Plans Inc CT 311,734,534 157,289,732 16,025,707 108,409,004 1,801,952,364 207,625,840719,451,785

95120 Anthem Hlth Plans Of KY Inc KY 331,379,413 176,213,845 25,904,107 123,377,647 2,334,190,651 295,293,762897,493,464

52618 Anthem Hlth Plans of ME Inc ME 141,216,540 26,661,598 9,176,727 19,151,955 1,009,403,696 107,321,618386,331,134

53759 Anthem Hlth Plans of NH NH 157,928,657 9,479,824 27,917,353 31,815,357 486,699,163 55,865,316327,666,930

71835 Anthem Hlth Plans of VA Inc VA 623,103,595 354,637,593 33,012,526 242,472,979 3,927,940,716 315,116,1281,962,549,905

28207 Anthem Ins Co Inc IN 832,942,311 563,833,020 63,863,690 389,098,648 4,792,048,609 662,680,8473,231,715,945

15543 Anthem KY Managed Care Plan Inc KY 26,879,012 13,892,124 (4,423) 8,939,374 91,447,965 5,295,94970,719,017

12151 Arcadian Hlth Plan Inc WA 57,878,059 8,312,351 2,518,207 7,509,418 70,060,671 12,460,50769,112,690

15079 Arches Mut Ins Co UT 24,709,119 (20,429,564) 522,205 (19,907,360) 53,498,760 18,864,24855,280,147

53597 Arizona Dental Ins Serv Inc AZ 42,269,066 655,075 1,773,766 2,678,419 53,833,316 11,633,88750,683,966

15135 Arkansas Superior Select Inc AR 2,415,162 (1,155,840) (2,868) (1,158,708) 0 1,215,8532,420,173

47350 Asuris NW Hlth WA 60,241,929 (4,312,179) 1,673,625 (2,573,890) 171,229,413 36,467,84390,543,856

95691 Athens Area Hlth Plan Select Inc GA 9,332,367 (3,093,643) 40,125 (3,053,518) 40,750,467 6,508,80114,978,045

11217 Atlantic Southern Dental Found NJ 2,589,756 (389,791) 18,988 (370,803) 10,102,598 1,268,7043,824,018

52624 Atlantis Hlth Plan NY (4,012,873) (6,003,927) 1,245 (5,963,748) 39,548,832 10,391,3925,107,269

10123 Atrio Hlth Plans Inc OR 23,351,536 4,622,926 58,558 2,540,047 160,490,042 21,439,78940,332,291

15461 Aultcare Hlth Insuring Corp OH 66,342,640 (753) 21,681 21,024 0 066,342,640

77216 Aultcare Ins Co OH 62,441,652 5,902,771 3,338,213 5,386,415 474,895,889 55,978,692115,984,356

12587 Auxilio Platino Inc PR 819,675 (7,430) 7,358 (72) 0 12,7451,450,322

12358 Avalon Ins Co PA 13,778,644 (10,140,146) 300,306 (6,144,006) 55,972,376 16,081,80833,891,368

95839 Avera Hlth Plans Inc SD 11,486,927 99,931 529,736 576,666 121,919,234 10,797,71132,506,344

11163 Avesis Ins Inc AZ 4,555,510 (268,493) 21,282 (150,348) 3,280,422 20,745,0558,199,256

95263 AvMed Inc FL 115,203,274 (56,498,804) 7,967,065 (48,531,739) 721,981,110 121,731,888253,637,778

12214 Baltas Vision LLC KY 177,155 (11,855) 222 (11,633) 336,690 158,872186,433

71013 Bankers Reserve Life Ins Co Of WI WI 268,032,064 22,451,818 3,264,123 11,216,417 2,351,846,103 295,114,226468,762,090

15481 BC BS KS Solutions Inc KS 10,228,999 (18,816) 141,445 (70,581) 0 22,08510,872,903

96962 BCBS Hlthcare Plan of GA Inc GA 261,504,790 75,028,422 8,463,901 46,835,678 1,596,597,093 314,081,985717,804,858

55433 BCBS of AL AL 1,077,383,706 29,567,954 53,180,862 52,786,557 4,574,133,922 511,076,6772,865,283,518

53589 BCBS of AZ Inc AZ 1,030,077,878 (33,780,747) 42,227,212 4,414,548 1,698,938,279 284,762,7051,657,139,052

98167 BCBS Of FL FL 1,439,041,395 7,059,809 107,716,386 64,921,425 8,044,573,972 1,309,041,6294,969,136,332

54801 BCBS of GA Inc GA 430,287,902 122,442,853 14,450,763 73,607,882 3,046,578,724 380,008,0821,364,731,161

47171 BCBS of KC MO 502,049,210 (108,901,356) 24,273,077 (82,495,170) 1,344,859,119 256,872,3251,008,071,695

© 2015 National Association of Insurance Commissioners 117

Page 126: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

53228 BCBS of MA MA 671,173,241 (55,413,405) 47,244,137 4,748,112 2,489,548,023 289,369,8021,994,090,887

12219 BCBS of MA HMO Blue Inc MA 1,124,246,078 (63,382,713) 63,520,822 3,201,039 4,135,547,769 500,828,1451,928,590,782

54291 BCBS of MI Mut Ins Co MI 3,340,126,143 97,592,445 208,397,413 295,003,437 7,123,487,637 1,409,247,4047,646,206,033

60111 BCBS Of MS Mut Ins Co MS 564,752,084 10,297,991 32,065,435 18,342,555 1,213,039,498 164,554,598845,212,289

54631 BCBS of NC Inc NC 2,298,315,012 (363,960,993) 169,187,702 (137,577,232) 7,353,537,575 1,121,146,4494,206,136,280

77780 BCBS Of NE NE 429,927,572 (54,080,877) 53,421,504 5,421,470 1,652,212,367 245,942,877896,750,172

53473 BCBS of RI RI 264,045,437 (10,502,677) 14,518,426 113,234 1,645,108,534 240,194,118614,611,830

38520 BCBS Of SC Inc SC 2,166,320,543 124,227,604 (21,214,889) 38,110,590 2,284,960,831 347,145,4503,195,931,515

54518 BCBS of TN Inc TN 1,733,530,512 (18,817,310) 158,645,448 63,400,238 4,223,667,434 737,931,2062,442,420,846

53295 BCBS of VT VT 138,363,389 5,141,227 4,626,710 9,891,577 475,687,235 47,654,303256,062,656

54003 BCBS of WI WI 232,138,984 73,076,709 41,347,398 84,327,346 681,404,043 31,680,538454,225,963

53767 BCBS of WY WY 251,333,845 10,033,923 10,912,022 12,675,253 294,278,377 33,504,652405,011,204

55026 BCBSM Inc MN 726,460,460 (54,365,151) 63,531,711 (8,951,572) 3,250,416,421 560,022,7531,942,072,125

15118 BeHealthy Amer Inc FL 2,179,993 (3,016,460) 3,602 (3,012,859) 5,123,588 2,574,7863,565,999

95387 Block Vision Of TX Inc TX 4,630,329 2,802,039 17,514 2,053,227 14,032,508 7,197,9138,319,807

10753 Blue Advantage Plus of KC Inc MO 24,003,281 (2,072,321) 621,284 (1,020,554) 0 2,221,35526,198,509

95610 Blue Care Network Of MI MI 1,013,489,565 (11,298,466) 29,428,352 17,316,778 3,083,675,325 460,037,0031,799,329,626

52037 Blue Care Of MI Inc MI 6,542,554 (178,521) (3,971) (182,492) 1,606,374 414,0306,584,501

11557 Blue Cross Complete of MI MI 30,690,527 (13,893,604) 191,017 (13,702,587) 260,412,375 40,475,52789,224,770

15022 Blue Cross of ID Care Plus Inc ID 3,471,224 (14,448,333) 211,252 (14,237,081) 75,120,644 11,380,32835,757,587

60095 Blue Cross of ID Hlth Serv Inc ID 524,764,084 (3,570,721) 20,911,122 5,927,752 1,372,457,686 138,649,838821,462,565

95741 BlueChoice Hlthplan of SC Inc SC 215,139,178 12,696,885 8,430,388 11,344,765 696,526,962 70,792,371306,178,589

95071 Bluegrass Family Hlth Inc KY 71,656,681 (9,734,284) 3,412,443 (6,317,063) 146,086,398 21,064,993100,638,993

13203 Boston Medical Center Hlth Plan Inc MA 204,244,791 (23,760,780) 4,316,046 (19,444,734) 1,775,857,092 109,369,701391,997,599

10095 Bravo Hlth Mid Atlantic Inc MD 35,406,749 18,083,018 1,927,110 10,179,623 306,679,103 36,649,38984,035,370

11524 Bravo Hlth PA Inc PA 129,262,319 12,995,104 5,871,893 14,828,412 900,624,435 144,163,518232,154,909

95303 BridgeSpan Hlth Co UT 2,956,630 (10,614,717) (27,150) (7,390,418) 22,336,563 6,139,40916,983,053

15447 Bridgeway Advantage Solutions Inc AZ 1,525,093 (42) 1,249 785 0 421,525,557

11834 Buckeye Comm Hlth Plan Inc OH 123,144,159 6,041,123 2,337,235 (946,839) 1,335,526,096 205,211,218368,211,634

81647 Bupa Ins Co FL 124,733,019 30,010,680 (1,244,962) 17,932,278 194,379,964 126,356,299401,193,988

81000 Cambridge Life Ins Co MO 50,279,851 (1,602,659) 999,301 (252,009) 17,649,063 3,366,30372,268,679

12217 Canyon Ins Serv Inc AZ 505,813 213,145 538 3,982 1,384,576 142,177575,357

14411 Capital Advantage Assur Co PA 190,969,258 (49,288,200) 6,416,118 (38,328,435) 1,027,355,359 200,802,838412,229,933

41203 Capital Advantage Ins Co PA 319,244,252 10,389,830 14,425,066 22,660,250 258,426,430 35,964,247442,869,146

54720 Capital Blue Cross PA 824,749,733 (8,732,864) 43,197,043 16,034,681 270,812,004 25,272,1401,123,573,395

95491 Capital District Physicians Hlthpln NY 248,923,114 5,030,552 18,662,793 23,693,345 1,428,803,217 149,664,215440,683,921

95112 Capital Hlth Plan Inc FL 368,772,143 (11,691,506) 15,247,969 3,598,720 677,967,654 49,965,172461,291,187

© 2015 National Association of Insurance Commissioners 118

Page 127: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

15143 Care 1st Health Plan CA 118,947,457 46,017,344 0 14,526,984 1,349,121,625 103,622,479462,050,630

12313 Care Improvement Plus of MD Inc MD 5,038,891 801,390 (1,391) 522,152 (49,449) 58,6385,252,713

12558 Care Improvement Plus of TX Ins Co TX 165,098,419 69,150,224 3,298,187 42,441,936 1,164,591,707 167,399,303287,339,726

12567 Care Improvement Plus S Central Ins AR 348,584,843 129,138,768 8,731,714 77,967,046 2,978,264,143 444,394,817646,874,788

14041 Care Improvement Plus WI Ins Co WI 11,609,938 (4,312,169) 0 (3,130,287) 45,081,096 8,575,72922,161,079

13151 Care N Care Ins Co Inc TX 17,859,705 1,572,939 37,407 866,712 90,626,035 10,724,30524,993,305

55450 Care Plus Dental Plans Inc WI 0 0 0 0 21,111,114 602,3101,782,210

12248 Care WI Hlth Plan Inc WI 10,754,003 (9,969,803) 677,096 (9,357,909) 102,289,381 14,379,42228,567,679

14403 CareCentrix of NJ Inc NJ 930,136 148,475 0 114,974 618,211 123,5532,835,116

10144 Carecore NJ LLC NJ 11,657,061 31,295,929 34,163 31,330,092 155,779,425 8,901,29516,724,321

96202 CareFirst BlueChoice Inc DC 757,050,329 (24,787,138) 28,100,959 22,090,620 2,714,566,633 643,410,0441,152,312,506

47021 Carefirst Inc MD 500,000 0 (33,101) 0 0 3,6342,918,194

47058 Carefirst of MD Inc MD 537,643,058 (28,227,914) 11,624,815 (15,826,951) 1,742,616,306 296,399,4551,369,030,041

13562 Caremore Hlth Plan of AZ Inc AZ 34,584,629 1,018,734 1,695,025 1,999,112 187,971,710 36,952,67467,209,122

13753 Caremore Hlth Plan of CO Inc CO 4,248,166 (1,448) 42,210 26,890 0 10,1374,256,571

13605 CareMore Hlth Plan of NV NV 17,851,870 (1,420,004) 440,395 994,768 71,693,978 15,450,28232,722,317

95092 CarePlus Hlth Plans Inc FL 111,397,000 87,076,909 10,495,399 56,871,535 1,379,238,204 173,234,814336,057,068

14203 Carepoint Ins Co NJ 4,979,612 402,686 0 265,773 24,974,274 3,413,49112,721,704

95201 Caresource OH 743,533,386 136,726,555 23,937,053 160,663,608 5,629,382,816 707,859,2321,720,930,640

10142 CareSource IN IN 2,240,375 (322,657) 870 (321,787) 0 327,1772,973,187

15479 CareSource KY Co KY 3,667,344 (332,656) 0 (332,656) 0 330,6563,793,635

13628 Carilion Clinic Medicare Resources L VA 12,773,495 (127,955) 9,661 (325,584) 47,140,485 8,755,51017,011,023

95754 Cariten Hlth Plan Inc TN 162,174,097 20,588,064 6,676,456 12,187,721 1,094,093,424 143,855,881258,433,848

12976 Catholic Special Needs Plan LLC NY 4,864,065 482,332 15,373 1,016,519 42,084,782 7,182,59712,038,283

13630 CBHNP Serv Inc PA 2,752,202 (183,500) 25,320 (105,180) 0 1,463,3472,771,803

47027 CDPHP Universal Benefits Inc NY 77,505,720 (64,561,668) 2,562,782 (61,998,886) 761,624,002 118,944,534154,026,169

13632 Celticare Hlth Plan of MA Inc MA 29,418,183 22,708,294 268,769 14,595,504 181,296,308 20,957,51162,864,062

12525 Cenpatico Behavioral Hlth of TX TX 1,673,344 (5,073) 1,114 (2,511) 0 5,0731,691,359

14704 Cenpatico of AZ Inc AZ 1,525,408 0 360 360 0 01,525,410

15357 Cenpatico of LA Inc LA 3,000,102 (7,592) 427 (7,165) 0 7,5923,000,326

95158 CHA Hmo Inc KY 27,164,550 (3,402,642) 1,180,691 (1,594,128) 33,258,583 7,610,06432,658,138

13739 Childrens Comm Hlth Plan Inc WI 29,797,830 95,516,005 71,397 9,677,748 228,400,704 17,900,75670,302,553

15485 Childrens Medical Center Hlth Plan TX 3,288,546 (4,054,770) 1,784 (4,052,986) 0 4,054,7704,783,644

52039 Christiana Care Hlth Plans Inc DE 29,437 (13,757) 4 (13,753) 0 13,75732,541

14154 Christus Hlth Plan TX 12,219,648 (3,148,978) 2,305 (3,506,710) 20,763,824 6,931,50215,804,941

11175 Cigna Dental Hlth of CO Inc CO 2,119,330 2,127,145 (692) 1,336,557 9,243,696 969,7402,655,007

95380 Cigna Dental Hlth of DE Inc DE 254,601 (49,846) 116 (36,602) 115,416 13,704280,155

© 2015 National Association of Insurance Commissioners 119

Page 128: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

52021 Cigna Dental Hlth of FL Inc FL 4,777,727 11,681,324 112,723 7,501,201 33,448,798 16,406,1806,180,447

52024 Cigna Dental Hlth of KS Inc KS 965,147 523,497 1,026 331,870 1,778,043 204,9431,159,041

52108 Cigna Dental Hlth of KY Inc KY 1,661,154 4,333,336 (508) 2,760,209 10,828,070 1,354,7522,077,557

48119 Cigna Dental Hlth of MD Inc MD 2,695,235 4,587,176 5,581 2,924,353 12,356,086 1,564,4233,141,281

11160 Cigna Dental Hlth of MO Inc MO 1,311,124 953,048 (354) 590,792 5,721,178 607,1051,755,324

95179 Cigna Dental Hlth of NC Inc NC 1,438,458 29,963 1,786 32,721 5,194,964 599,1412,042,530

11167 Cigna Dental Hlth of NJ Inc NJ 1,395,096 760,352 1,381 31,151 12,194,388 1,697,5095,217,859

47805 Cigna Dental Hlth of OH Inc OH 2,956,035 3,218,267 (1,572) 2,044,172 9,303,409 1,048,5543,513,033

47041 Cigna Dental Hlth of PA Inc PA 2,680,567 2,397,542 (2,334) 1,529,309 5,608,056 868,1232,889,860

95037 Cigna Dental Hlth of TX Inc TX 7,355,197 14,284,591 (6,944) 9,118,094 33,656,804 4,445,9188,746,927

52617 Cigna Dental Hlth of VA Inc VA 1,803,666 2,046,238 2,891 1,303,061 5,744,165 806,6052,034,640

47013 Cigna Dental Hlth Plan of AZ Inc AZ 2,655,616 4,969,514 (67) 3,791,335 14,428,406 1,599,1713,991,553

95525 Cigna Hltcare of IN Inc IN 1,441,542 (42,561) 12,202 (65,196) 984,019 207,7931,659,229

95493 Cigna Hlthcare NH Inc NH 7,737,554 6,106 132,021 123,591 0 10,2327,787,737

95125 Cigna Hlthcare of AZ Inc AZ 38,432,969 (29,810,401) 4,942,279 (16,903,040) 482,594,388 41,230,90884,225,732

95604 Cigna Hlthcare of CO Inc CO 3,151,012 217,331 166,683 220,079 8,099,805 1,006,0754,759,428

95660 Cigna Hlthcare of CT Inc CT 32,668,733 2,911,128 592,906 2,243,484 10,292,656 942,56933,704,453

95136 Cigna Hlthcare of FL Inc FL 4,004,183 (303,837) 82,846 (174,339) 1,300,374 260,3494,354,287

96229 Cigna Hlthcare of GA Inc GA 3,787,732 (7,775,114) 155,035 (7,445,666) 12,525,771 2,096,27813,191,917

95602 Cigna Hlthcare of IL Inc IL 3,946,236 (154,190) (1,002) (105,862) 1,072,276 276,8344,064,934

95132 Cigna Hlthcare of NC Inc NC 6,024,240 (4,215,598) 227,004 (4,488,944) 23,168,628 3,840,76714,303,602

95500 Cigna Hlthcare of NJ Inc NJ 4,584,094 (802,410) 68,324 (450,427) 1,368,618 405,9775,303,240

95708 Cigna Hlthcare of SC Inc SC 6,066,105 (2,862,769) 27,847 (2,158,429) 55,265,080 9,108,60013,050,241

95635 Cigna Hlthcare of St Louis Inc MO 2,086,993 (1,871,620) 55,853 (1,163,254) 5,533,142 2,322,3356,420,477

95606 Cigna Hlthcare of TN Inc TN 5,228,849 (1,655,093) 294,889 (1,350,468) 17,539,565 4,950,3988,665,165

95383 Cigna Hlthcare of TX Inc TX 15,582,578 2,119,729 528,682 938,849 91,539,855 16,754,76225,198,417

15493 ClearRiver Hlth TN 6,923,764 0 35,419 23,764 0 06,936,559

13611 CMD Hlth Inc KY 340,580 165,905 785 166,690 0 12,619589,647

95733 Colorado Access CO 19,287,657 2,541,747 444,824 3,814,697 223,069,553 29,832,46355,603,659

95774 Colorado Choice Hlth Plan CO 7,656,191 2,383,912 36,156 2,434,225 50,687,364 5,410,30719,727,120

55875 Colorado Dental Serv Inc CO 51,164,720 8,048,722 8,050,215 8,895,561 158,523,959 21,304,11874,785,540

15126 Colorado Hlth Ins Coop Inc CO 24,015,934 (23,318,831) 235,528 (23,000,961) 58,078,513 22,042,47364,985,545

47047 Columbia United Providers Inc WA 18,997,530 (5,816,609) 202,663 (4,810,977) 0 11,719,76932,839,314

15061 Common Ground Hlthcare Coop WI 36,881,074 (36,520,728) (23,938) (36,544,666) 128,065,467 16,031,240105,608,799

15209 Community Care Alliance of IL NFP IL 2,597,648 (385,668) 1,352 (384,316) 7,388,701 1,756,5155,209,982

47024 Community Care Behavioral Hlth Org PA 172,319,932 21,514,767 1,299,562 19,555,147 769,929,152 63,156,223253,270,984

10756 Community Care Hlth Plan Inc WI 10,051,950 (5,638,005) 61,411 (5,576,594) 92,339,004 7,238,95817,526,843

© 2015 National Association of Insurance Commissioners 120

Page 129: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

11214 Community Dental Assoc NJ 101,421 1 0 1 853,260 37,906308,603

11143 Community First Grp Hospital Serv Co TX 723,505 4,648 1,564 6,212 7,226 2,544765,625

95248 Community First Hlth Plans Inc TX 58,852,054 11,812,210 279,446 12,091,906 323,713,174 31,091,056104,918,319

15144 Community Hlth Alliance Mut Ins Co TN 22,903,972 (22,370,602) 211,365 (22,130,737) 6,631,214 9,723,78658,198,100

95615 Community Hlth Choice Inc TX 100,357,387 15,393,115 881,516 16,274,631 721,999,497 65,170,759192,137,284

92681 Community Hlth Plan Ins Co MO 1,278,459 (24,913) 14,660 (10,253) 0 24,9131,322,800

47049 Community Hlth Plan of WA WA 111,959,521 (31,634,072) 8,935,734 (25,232,461) 1,123,889,426 120,351,422600,032,212

10345 Community Ins Co OH 812,152,476 392,877,479 64,085,296 276,872,294 5,281,170,320 577,274,6302,014,267,869

11691 CommunityCare HMO Inc OK 121,030,758 17,497,697 518,629 8,256,668 678,379,378 75,116,431193,700,365

89008 Communitycare Life & Hlth Ins Co OK 11,979,386 (928,035) 33,179 (973,400) 76,327,274 12,078,31722,456,189

52015 Compbenefits Co FL 25,728,562 4,978,486 7,603 3,801,109 109,544,217 37,709,68437,990,478

11228 Compbenefits Dental Inc IL 5,017,301 3,194,847 4,420 2,020,067 12,587,915 4,842,3446,737,524

60984 Compbenefits Ins Co TX 39,014,697 2,736,863 895,433 2,401,808 100,134,436 26,746,75747,292,249

95693 Compcare Hlth Serv Ins Corp WI 107,635,804 40,038,895 7,066,257 29,097,842 662,164,208 95,617,595228,598,777

15238 Comprehensive Mobile Ins AZ Inc AZ 668,023 (71,534) (8,331) (79,865) 71,265 141,297717,090

15360 Comprehensive Mobile Plan UT Inc UT 428,912 (193,598) 550 (193,048) 14,970 200,394443,657

14913 Connecticare Benefits Inc CT 29,656,280 20,163,590 96,410 12,299,362 144,087,409 11,677,80359,504,172

95675 Connecticare Inc CT 115,628,900 587,718 5,294,049 (853,170) 780,896,899 118,808,006254,129,860

11209 Connecticare Ins Co Inc CT 68,448,043 4,000,695 1,091,447 2,716,320 548,832,032 100,821,445158,387,531

95299 Connecticare Of MA Inc MA 3,103,799 (744,694) 115,545 (402,365) 10,096,276 1,746,0776,695,625

15145 Consumers Choice Hlth Ins Co SC 54,080,213 (4,013,186) 180,535 (3,808,177) 168,419,807 31,514,755119,727,696

15128 Consumers Mut Ins of Michigan MI 16,096,995 (16,432,473) 95,827 (16,336,646) 15,801,635 9,210,24651,662,044

95822 Cook Childrens Hlth Plan TX 54,447,341 18,113,779 177,020 18,290,799 298,066,796 25,141,93096,283,553

95831 Coordinated Care Corp IN 67,147,299 (6,876,642) 1,787,876 (3,109,544) 941,681,632 125,518,136462,944,184

15352 Coordinated Care of WA Inc WA 86,582,660 (26,917,340) 0 (30,282,202) 0 527,796167,606,539

15314 Coordinated Hlth Mut Inc OH 49,189,633 (6,404,227) 513,244 (5,916,854) 15,646,164 7,653,50275,140,208

81973 Coventry Hlth & Life Ins Co MO 704,240,085 224,182,429 26,128,451 159,124,059 4,511,048,399 536,908,3671,616,312,328

96460 Coventry Hlth Care of DE Inc DE 34,406,296 5,690,744 1,484,919 3,985,521 128,649,519 23,096,22868,865,070

95114 Coventry Hlth Care of FL Inc FL 54,753,430 (70,475,587) 3,937,532 (44,576,559) 1,116,717,972 188,689,414476,532,011

95282 Coventry Hlth Care of GA Inc GA 73,169,973 5,424,402 3,194,723 5,497,053 487,901,435 86,043,669157,286,723

95241 Coventry Hlth Care of IA Inc IA 25,557,975 (6,286,595) 786,733 (3,628,282) 198,295,934 26,261,61170,866,030

74160 Coventry Hlth Care of IL Inc IL 34,284,691 (4,356,989) 1,099,553 (2,353,808) 275,654,853 40,782,429117,635,301

95489 Coventry Hlth Care of KS Inc KS 109,361,935 30,706,670 3,682,694 24,476,702 439,685,541 79,357,817230,164,297

95173 Coventry Hlth Care of LA Inc LA 20,970,593 1,809,516 1,143,449 1,985,116 189,576,721 28,573,10354,969,536

96377 Coventry Hlth Care of MO Inc MO 88,156,059 4,345,459 5,062,395 9,316,359 749,133,783 52,943,697229,426,336

95925 Coventry Hlth Care of NE Inc NE 60,395,692 14,331,602 2,499,645 11,076,318 426,979,957 58,584,523148,623,692

95283 Coventry Hlth Care of PA Inc PA 2,406,797 (1,902) 8,887 5,320 0 1,9022,408,749

© 2015 National Association of Insurance Commissioners 121

Page 130: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

95321 Coventry Hlth Care of the Carolinas NC 62,929,491 1,426,640 1,985,520 2,698,873 572,723,980 96,650,102182,317,040

14348 Coventry Hlth Care of TX Inc TX 11,568,886 334,678 (3,954) 240,295 13,468,985 1,438,51113,134,219

96555 Coventry Hlth Care of VA Inc VA 59,440,643 4,990,353 1,178,379 2,590,841 416,276,086 47,985,229125,715,368

95408 Coventry Hlth Care of W VA Inc WV 57,417,631 44,693,544 1,474,889 30,963,892 297,701,476 26,288,71396,792,566

95266 Coventry Hlth Plan of FL Inc FL 100,510,129 1,542,130 4,613,231 2,701,860 700,204,526 87,646,345199,046,707

95530 Cox Hlth System HMO Inc MO 25,648,370 (363,418) 410 (1,224,022) 2,658,297 392,60027,560,042

60040 Cox Hlth Systems Ins Co MO 14,500,234 464,568 245,260 205,059 114,042,887 16,444,85935,722,676

12858 Crestpoint Hlth Ins Co TN 5,666,108 (5,821,397) 60,027 (4,573,265) 21,327,867 6,133,23813,675,031

13931 Cuatro LLC NY (827,197) (5,313,514) 2,109 (5,311,405) 44,599,084 9,916,2446,118,175

95748 DC Chartered Hlth Plan Inc DC (12,838,680) (1,510,712) 11,551 (1,679,662) 0 2,491,7257,856,377

60067 Dean Hlth Ins Inc WI 96,954,241 (17,662) 6,324 (13,668) 0 8,64397,573,635

96156 Dean Hlth Plan Inc WI 93,277,458 20,527,628 4,584,855 183,337 1,155,408,079 132,601,480178,322,873

81396 Delta Dental Ins Co DE 95,176,483 14,021,009 3,258,414 8,026,309 667,246,086 139,842,915188,265,625

11132 Delta Dental of DE Inc DE 1,574,461 (61,558) 52,314 (6,821) 30,051,021 4,241,6756,782,046

47589 Delta Dental of IL IL 88,473,675 8,938,027 2,220,375 11,488,539 196,110,724 33,254,079154,996,333

54674 Delta Dental of KY Inc KY 64,852,191 4,813,533 1,790,831 6,604,364 113,659,889 19,143,87775,448,728

55034 Delta Dental of MN MN 200,704,399 92,531 7,652,499 7,292,362 153,668,550 47,430,396225,405,476

55697 Delta Dental of MO MO 82,338,439 6,820,470 2,957,350 9,777,820 171,854,372 29,106,134110,446,288

54658 Delta Dental of NC NC 8,005,331 1,319,885 3,842 1,324,764 29,769,871 3,963,24211,856,270

47091 Delta Dental of NE NE 9,873,706 338,351 111,646 451,061 7,207,340 1,791,29110,530,518

55085 Delta Dental of NJ Inc NJ 220,623,738 2,282,864 8,846,051 10,028,778 217,667,873 43,504,573263,744,767

55263 Delta Dental of NY NY 16,317,242 1,865,321 658,193 2,556,807 154,971,046 25,840,30041,755,978

53937 Delta Dental of OK OK 45,789,510 5,746,845 1,901,400 7,803,272 133,791,728 19,740,96457,349,070

54798 Delta Dental of PA PA 101,733,662 6,341,775 2,089,762 6,874,365 181,964,955 39,026,445138,868,701

55301 Delta Dental of RI RI 97,097,595 5,205,023 36,652 4,408,551 89,710,021 16,457,414114,048,648

55611 Delta Dental of VA VA 52,159,016 15,082,608 1,479,531 16,562,139 243,694,114 30,800,67487,621,457

12329 Delta Dental of W VA WV 5,832,659 221,604 667,163 888,400 23,400,517 5,144,48210,173,832

47341 Delta Dental of WA WA 169,333,181 11,014,525 18,442,009 29,542,000 441,264,226 59,038,487218,415,007

47155 Delta Dental Plan of AR Inc AR 64,809,188 2,732,937 2,186,066 4,919,003 111,579,162 17,706,16497,466,716

52634 Delta Dental Plan of IN Inc IN 42,387,386 5,616,653 1,766,269 5,406,091 57,489,355 4,128,05249,067,876

54615 Delta Dental Plan of KS Inc KS 46,815,297 2,889,704 2,073,355 4,985,330 81,308,007 15,566,37554,605,193

54305 Delta Dental Plan of MI Inc MI 377,171,539 6,039,933 20,610,347 24,833,250 505,772,534 36,199,814523,884,138

47079 Delta Dental Plan of NH NH 40,247,635 409,252 869,021 1,278,152 55,804,739 10,662,47652,099,641

47287 Delta Dental Plan of NM Inc NM 34,738,378 2,489,382 844,646 3,344,070 38,839,344 5,901,18237,555,047

54402 Delta Dental Plan of OH Inc OH 117,726,110 13,954,334 7,516,469 17,742,537 186,973,375 14,306,749137,854,263

54941 Delta Dental Plan of OR OR 162,259,551 2,443,395 953,315 3,111,105 78,767,247 14,028,899192,187,437

47085 Delta Dental Plan of PR Inc PR 18,927,103 (572,866) 415,395 263,864 14,733,959 5,367,46121,605,266

© 2015 National Association of Insurance Commissioners 122

Page 131: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

54097 Delta Dental Plan of SD SD 33,248,327 (1,949,207) 2,517,279 568,072 43,209,746 5,438,03942,176,524

53279 Delta Dental Plan of VT VT 21,637,824 294,303 320,123 614,426 28,063,261 5,597,84925,132,909

54046 Delta Dental Plan of WI Inc WI 160,549,671 3,124,467 9,519,303 12,641,616 178,265,425 25,150,599191,036,331

15200 Delta Dental Plan of WY WY 9,900,217 87,242 512,701 568,595 13,858,522 2,194,19813,562,600

52025 DENCAP DENTAL PLANS INC MI 271,978 28,162 1,427 (9,032) 1,772,240 872,970450,264

47074 Denta Chek of MD Inc MD 100,638 (4,759) 37 (4,722) 210,740 116,370146,927

52053 DENTAL BENEFIT PROVIDERS OF IL INC IL 2,699,034 353,527 3,312 221,687 1,922,695 328,4613,568,114

96265 Dental Care Plus Inc OH 9,689,179 1,586,320 215,276 1,156,469 64,514,518 16,506,51915,908,620

48127 Dental Choice Inc KY 7,316,121 (16,981) 342,056 266,646 1,614,614 430,0147,734,702

11195 Dental Delivery Systems Inc NJ 281,682 3,213 134,560 131,855 3,816,653 615,370441,577

11241 Dental Grp of NJ Inc NJ 117,721 2,043 108 2,151 104,048 17,433159,924

47490 Dental Hlth Serv WA 6,790,436 2,031,440 57,019 1,451,694 10,573,736 3,367,8068,515,280

12213 Dental Practice Assn of NJ Inc NJ 326,527 78,913 0 71,203 199,297 48,022351,501

52060 Dental Serv of MA Inc MA 315,942,189 24,545,941 8,777,815 28,323,756 248,661,426 33,315,215408,221,149

11234 Dental Serv Org Inc NJ 913,097 415,796 96 415,892 4,718,992 122,1231,235,753

52040 DentaQuest Mid Atlantic Inc MD 9,811,466 2,022,260 (2,277) 1,188,316 21,031,541 5,866,73712,623,139

12307 DentaQuest USA Ins Co Inc TX 103,345,512 42,858,176 343,440 24,074,076 686,748,085 40,420,692196,681,028

95713 DentaQuest VA Inc VA 3,401,296 1,502,996 34 992,243 6,582,823 1,540,7554,082,654

47112 Dentcare Delivery Systems Inc NY 9,993,246 798,888 52,500 833,280 54,844,072 8,207,69420,508,554

73474 Dentegra Ins Co DE 36,974,067 (6,198,698) 82,843 (4,707,702) 167,437,358 52,723,63848,027,217

12210 Dentegra Ins Co of New England MA 5,996,633 19,034 21,045 20,802 2,970,500 958,4816,535,267

95161 Denticare Inc TX 3,821,492 1,381,175 7,426 748,528 29,165,221 10,641,2128,829,548

95750 Denver Hlth Medical Plan Inc CO 29,869,927 (5,770,486) 783,459 (4,987,027) 115,739,534 14,183,62645,927,757

95657 Dominion Dental Serv Inc VA 5,981,070 2,311,656 23,256 1,475,829 23,590,966 7,614,5948,619,960

95809 Driscoll Childrens Hlth Plan TX 23,336,221 (9,688,212) 375,829 (9,312,383) 385,478,804 38,288,43074,413,097

15497 DSM MA Ins Co Inc MA 5,040,000 0 0 0 0 05,040,000

67636 DSM USA Ins Co Inc TX 7,697,411 245,060 (4,299) 153,763 1,974,445 930,0008,510,668

15134 Dynamic Hlth Ins Co DE 508,406 (96,594) 0 (96,594) 0 96,594563,846

47029 Eastern Vision Serv Plan Inc NY 39,609,481 (1,731,741) 1,317,667 (584,587) 86,915,556 20,187,41950,566,154

12515 Educators Hlth Plans Life Accident & UT 12,223,795 (2,015,030) 45,305 (1,972,210) 26,549,361 4,169,80621,669,315

81701 Educators Mut Ins Assoc UT 58,420,101 6,044,488 1,757,471 7,800,902 33,707,867 1,883,28086,731,225

52635 El Paso First Hlth Plans Inc TX 33,253,907 5,041,774 128,456 5,169,330 149,945,484 16,056,39847,757,690

95662 Elderplan Inc NY 86,569,308 1,944,597 2,545,662 4,369,392 775,637,930 133,203,177198,553,157

88595 Emphesys Ins Co TX 4,339,563 (18,896) 13,856 (3,969) 23,592 23,9904,431,801

55093 Empire Healthchoice Assur Inc NY 1,130,708,665 85,369,041 257,551,394 326,028,086 2,438,853,413 272,757,2972,709,039,709

95433 Empire Healthchoice HMO Inc NY 295,039,769 (36,916,000) 21,264,014 (20,018,507) 1,369,006,485 195,878,460692,877,999

13663 Employer Choice Ins Co Inc FL 2,467,655 (172,392) 101 (172,291) 1,057,994 654,2212,675,547

© 2015 National Association of Insurance Commissioners 123

Page 132: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

53090 Employers Dental Serv AZ 3,975,620 2,494,012 4,736 1,593,975 10,154,541 2,222,8975,402,358

12747 Envision Ins Co OH 37,645,697 (1,063,698) 12,015 (3,128,956) 435,291,035 9,721,913515,036,057

15378 Erlanger Hlth Plan Trust TN 1,625,911 0 459 459 0 4,7211,625,911

11699 Essence Hlthcare Inc MO 51,332,032 19,437,769 1,743,017 10,688,543 439,148,881 54,417,917106,558,405

13669 Essence Hlthcare of NY Inc NY 3,075,728 (170) (235) (405) 0 3253,075,728

15090 Evergreen Hlth Coop Inc MD 8,037,213 (16,373,093) 93,580 (16,279,513) 12,323,613 13,315,37432,681,614

55107 Excellus Hlth Plan Inc NY 1,157,626,554 (55,273,224) 115,168,976 24,190,129 5,937,256,447 830,893,4123,046,448,389

60025 Express Scripts Ins Co AZ 83,990,486 51,194,994 8,943 32,437,377 120,106,019 (99,460,320)270,827,346

95522 Eyemed Vision Care HMO of TX Inc TX 1,255,585 493,366 605 326,869 0 273,4981,552,706

95541 Fallon Comm Hlth Plan Inc MA 168,437,584 12,469,822 14,159,285 26,658,133 1,106,287,647 136,112,873390,850,429

66828 Fallon Hlth & Life Assur Co MA 6,416,329 (12,146,246) 10,345 (12,135,901) 40,193,225 5,654,68931,404,224

15074 Family Hlth HI MBS HI 2,033,698 (920,197) 1,955 (918,242) 13,752,735 1,732,8434,771,017

47084 Familycare Hlth Plans Inc OR 19,497,287 (5,128,142) 159,690 (4,968,452) 32,328,480 5,932,73026,221,596

28231 Fidelio Ins Co PA 4,978,217 375,219 334,969 554,900 9,318,205 2,829,7086,777,117

10769 Fidelis SecureCare of MI Inc MI 4,878,107 (255,283) 2,771 0 30,773,525 5,497,2408,751,127

12288 Fidelis SecureCare of NC Inc NC 1,286,140 (36,199) 1,681 (34,518) 0 27,6271,344,122

12597 Fidelis Securecare of TX Inc TX 1,539,400 (64,556) 2,281 (62,275) (59,408) (5,404)1,654,824

60113 First Care Inc MD 5,203,631 0 128,804 760,688 21,440,094 212,45311,069,510

47051 First Comm Hlth Plan Inc AL 5,584,266 252,810 7,231 262,937 7,089,067 1,756,1866,868,937

60239 First Commonwealth Ins Co IL 15,073,784 8,570,901 86,987 5,440,886 37,644,622 6,217,75224,031,840

11221 First Commonwealth Ltd Hlth Serv Cor IL 1,462,537 111,231 8,177 76,198 315,133 62,2061,646,557

12146 First Commonwealth Ltd Hlth Serv Cor MI 2,550,351 1,182,934 15,795 755,932 4,623,480 932,7423,858,628

47716 First Commonwealth of MO Inc MO 1,537,518 222,162 8,146 141,765 1,779,761 310,3592,330,819

95722 First Medical Hlth Plan Inc PR 35,318,606 (13,373,429) 587,502 2,721,914 586,186,043 75,014,525123,603,144

60147 First Priority Life Ins Co Inc PA 97,492,484 (49,613,074) 9,990,033 (32,771,881) 517,325,125 89,348,022235,368,479

12962 FirstCarolinaCare Ins Co Inc NC 9,679,635 (10,781,796) 647,762 (10,134,034) 74,069,813 12,375,29523,196,610

11179 Flagship Hlth Systems Inc NJ 3,297,209 27,070 170 33,765 6,988,997 1,035,9353,822,929

13567 Florida Hlth Care Plan Inc FL 74,611,712 5,655,206 981,648 4,954,133 343,577,540 41,629,954117,326,482

15634 Florida Hlth Solution HMO Co FL 5,205,082 (43,733) 29,155 (14,578) 0 33,6885,215,127

14447 Florida MHS Inc FL 29,295,322 (22,805,501) 17,791 (14,814,906) 188,890,544 25,629,800124,457,352

14378 Florida True Hlth Inc FL 10,861,777 (14,721,888) 21,123 (14,700,765) 9,897,365 19,356,62214,798,253

10119 Freedom Hlth Inc FL 25,041,175 4,812,771 476,442 521,978 664,011,877 89,369,909103,676,359

15019 Freedom Hlth Solutions LLC NJ 116,017 (27,845) 566 (27,279) 0 100,422116,163

15197 Freelancers Consumer Operated & Orie NJ 7,665,596 (16,485,863) 33,634 (16,452,229) 20,348,132 11,840,77736,946,702

13564 Freelancers Ins Co Inc NY 13,356,046 (16,931,401) 567,605 (10,648,507) 104,651,558 18,813,21837,484,566

96938 Gateway Hlth Plan Inc PA 207,418,242 (52,385,747) 17,634,525 (22,509,888) 1,911,135,212 222,255,516448,376,881

12325 Gateway Hlth Plan of OH Inc OH 4,225,104 (6,582,063) 14,099 (6,567,964) 7,540,052 5,904,1839,030,758

© 2015 National Association of Insurance Commissioners 124

Page 133: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

95923 Geisinger Hlth Plan PA 170,449,776 (5,896,542) 11,277,086 8,094,798 1,613,829,673 197,099,366388,981,912

10244 Geisinger Ind Ins Co PA 20,389,362 (179,548) 822,736 585,735 198,671,817 27,201,38262,987,780

12743 Geisinger Quality Options Inc PA 38,552,646 (9,602,714) 2,317,751 (6,232,921) 293,401,485 40,829,27287,809,554

11709 Generations Hlthcare Inc OK 6,638,046 1,635,180 348,325 1,003,429 62,791,444 8,632,78414,767,037

11814 GHS HMO Inc dba BlueLincs HMO OK 38,188,633 (1,266,744) 50,608 (1,074,849) 34,639,247 4,262,44642,104,070

14048 GHS Managed Hlth Care Plans Inc OK 8,812,904 (3,330,082) 7,384 (1,628,270) 25,196,916 4,002,68220,167,974

13667 Globalhealth Inc OK 11,122,403 (1,272,712) 2,096 (1,381,435) 183,970,007 25,943,87321,308,507

95772 Golden Cross Hlth Plan Corp PR 98,862 3,045 4,320 7,365 694,891 80,919842,065

11113 Golden Dental Plans Inc MI 476,821 (70,611) (9,660) (80,271) 4,507,292 1,453,0811,132,224

65463 Golden Security Ins Co TN 10,496,319 6,265,074 134,279 4,162,417 45,282,663 7,796,12720,838,916

95315 Good Hlth Hmo Inc MO 51,787,356 (10,451,660) 1,954,563 (6,810,705) 153,583,871 30,247,31367,522,726

95453 Grand Valley Hlth Plan Inc MI 1,826,686 (475,866) 219,903 (255,963) 21,788,305 2,031,6345,047,466

15100 Granite Alliance Ins Co UT 2,027,733 (116,559) 283 (116,276) 0 116,5592,066,846

14228 Granite Care Meridian Hlth Plan of N NH 5,616,793 (3,949,927) 0 (3,743,283) 63,160,475 6,305,52511,511,453

14226 Granite State Hlth Plan Inc NH 21,309,673 (8,235,762) 449 (6,950,612) 207,158,248 22,167,84659,514,448

11246 Group Dental Hlth Administrators Inc NJ 175,444 5,511 86 5,097 582,621 78,045442,406

95846 Group Dental Serv Of MD Inc MD 12,688,463 5,020,432 3,930 3,217,021 17,628,151 2,443,27713,947,443

95672 Group Hlth Coop WA 792,098,793 57,103,160 55,388,569 112,491,729 2,372,250,023 267,282,5111,645,488,674

95192 Group Hlth Coop of Eau Claire WI 24,313,344 12,589,935 266,422 12,537,515 102,522,901 19,175,95148,989,554

95311 Group Hlth Coop of S Central WI WI 38,050,099 (25,028,860) 6,282,192 (18,746,668) 368,991,294 40,822,81287,645,952

55239 Group Hlth Inc NY 127,467,935 (141,075,855) 14,751,316 (128,621,533) 1,816,024,678 302,401,399722,764,243

47055 Group Hlth Options Inc WA 121,597,310 18,508,267 4,382,176 10,444,415 747,485,197 109,606,420248,651,766

52628 Group Hlth Plan Inc MN 188,425,000 37,115,000 4,607,000 41,722,000 450,366,000 79,676,000844,047,000

53007 Group Hospitalization & Med Srvcs DC 934,408,634 (42,579,007) 25,075,282 (15,666,451) 3,402,455,292 464,202,7012,209,625,487

69060 Guaranty Assur Co LA 1,367,257 74,946 278,980 326,526 8,186,287 1,316,3051,737,587

95101 Gundersen Hlth Plan Inc WI 22,069,743 2,257,564 54,154 2,311,718 298,026,258 20,259,23239,697,258

14202 Gundersen Hlth Plan MN MN 1,546,584 63,582 708 64,290 4,081,669 308,9731,685,804

95814 HAP Midwest Hlth Plan Inc MI 39,760,659 29,562,796 203,106 19,130,072 383,496,490 39,861,201101,372,343

11081 Harbor Hlth Plan Inc MI 7,008,455 650,948 842 422,656 22,163,478 2,737,43914,507,567

11229 Harmony Hlth Plan of IL Inc IL 54,736,967 17,534,453 176,549 9,251,182 414,064,306 57,300,809124,716,875

96717 Harvard Pilgrim Health Care New Eng MA 59,139,864 4,970,845 1,938,728 6,909,573 287,906,514 49,374,772103,098,446

96911 Harvard Pilgrim Hlth Care Inc MA 548,653,033 (7,318,969) 28,147,360 14,282,980 1,654,236,114 228,223,448921,573,766

15492 Harvard Pilgrim Hlth Care of CT Inc CT 13,982,267 (2,088,916) 77,163 (2,011,753) 21,960 2,052,84514,132,325

49948 Hawaii Medical Serv Assn HI 393,399,619 (31,453,304) 34,425,751 4,225,484 2,921,286,856 293,513,920932,848,255

48330 Hawaii Mgmt Alliance Assn HI 11,579,958 (4,418,361) 113,472 (4,371,889) 173,345,560 18,976,01133,017,554

78611 HCSC Ins Serv Co IL 249,725,933 (68,625,350) 1,395,322 (44,970,248) 1,022,519,835 186,534,531464,948,837

15478 Health Alliance Connect Inc IL 11,437,449 (8,559,094) 1,128 (6,510,372) 32,580,232 1,451,46439,783,466

© 2015 National Association of Insurance Commissioners 125

Page 134: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

77950 Health Alliance Medical Plans IL 179,131,029 (26,618,609) 21,865,778 (14,008,945) 1,234,646,884 127,824,258517,061,214

95513 Health Alliance Midwest Inc IL 5,124,363 (4,803,932) 153,780 (2,978,661) 13,568,119 5,340,7368,747,096

15082 Health Alliance NW Hlth Plan Inc WA 4,536,959 (523,364) 21,338 (282,527) 23,786,858 4,535,5739,335,450

95844 Health Alliance Plan Of MI MI 208,261,944 (9,136,142) 3,880,757 (4,997,438) 1,751,606,751 199,410,214469,021,560

70670 Health Care Serv Corp A Mut Legal Re IL 9,942,246,461 (387,245,269) 200,310,118 (281,884,099) 27,657,871,345 3,566,375,63817,829,420,895

15081 Health Choice Ins Co AZ 1,861,391 (279,615) 660 (167,373) 2,850,081 337,3553,844,871

14481 Health Choice Utah Inc UT 2,018,264 (866,113) 655 (597,000) 13,857,686 1,274,0097,385,545

95019 Health First Hlth Plans Inc FL 64,388,473 6,572,548 996,367 3,150,817 352,162,934 54,492,976110,344,945

14140 Health First Ins Inc FL 2,756,248 (1,789,704) (99,792) (1,889,496) 23,359,403 5,539,91710,217,520

13992 Health Ins Co of Amer Inc NY 724,177 (557,498) 574 (556,924) 300,495 126,9681,908,753

55247 Health Ins Plan of Greater NY NY 928,614,940 (404,926,812) 38,785,172 (365,341,149) 5,085,723,404 708,215,3241,930,107,195

95800 Health Net Hlth Plan of OR Inc OR 55,747,288 (52,764,637) 2,418,734 (43,820,219) 327,619,427 57,076,710131,596,286

43893 Health Net Ins Co NY Inc NY 16,452,575 39,322 1,251 252,342 0 194,94816,750,318

95206 Health Net of AZ Inc AZ 120,542,380 (92,623,610) 2,443,973 (78,989,947) 843,451,750 122,407,810538,436,789

95673 Health New England Inc MA 47,982,467 (10,250,401) 3,596,916 (6,677,988) 586,744,428 55,997,298151,023,845

55204 Health Now NY Inc NY 486,538,550 (117,332,004) 37,557,182 (53,204,297) 2,462,198,310 318,192,8601,041,284,147

95089 Health Options Inc FL 240,953,148 42,767,380 9,296,328 19,589,865 1,607,551,987 296,029,685560,170,402

95066 Health Partners Plans Inc PA 79,193,615 (10,941,146) 2,401,394 (8,539,752) 1,238,429,866 263,338,010294,825,601

12277 Health Plan of CareOregon Inc OR 34,516,458 (8,770,705) 1,543,687 (5,040,529) 131,389,955 15,809,76057,796,975

96342 Health Plan Of NV NV 213,358,889 143,951,306 6,860,697 89,162,878 1,944,707,036 180,549,141454,474,711

15114 Health Republic Ins Co OR 11,380,734 (12,925,593) 4,806 (12,920,763) 26,278,231 9,366,44038,087,371

15273 Health Republic Ins of NY Corp NY 108,942,605 (35,360,409) 171,030 (35,189,379) 545,977,050 84,186,586318,167,142

96687 Health Resources Inc IN 19,034,202 4,425,300 51,871 2,873,741 59,192,658 9,991,20922,746,376

10122 Health Sun Hlth Plans FL 23,330,398 11,424,938 56,214 20,724,101 503,810,405 55,088,13274,049,661

96628 Health Tradition Hlth Plan WI 12,846,451 1,502,516 (21,057) 384,972 170,339,118 15,415,07035,776,165

48011 Health Ventures Ntwrk Inc MN 720,767 (29,809) 5,875 (21,584) 0 18,536783,174

95060 HealthAmer PA Inc PA 115,691,113 (16,710,251) 3,590,849 (9,303,222) 1,014,501,610 162,421,941210,262,918

11102 HealthAssurance PA Inc PA 159,755,650 22,678,043 6,886,839 19,576,203 1,126,891,589 156,869,561318,749,694

95794 Healthcare DE Inc DE 1,851,179 (5,551) 0 (3,551) 0 5,5511,851,179

95318 Healthcare USA Of MO LLC MO 109,610,735 39,880,646 1,944,438 24,256,259 662,348,999 54,616,895191,529,724

13035 Healthfirst Healthplan of NJ Inc NJ 10,703,440 (17,724,189) 41,752 9,282,963 207,606,175 47,811,76555,058,342

95169 Healthkeepers Inc VA 281,472,144 114,167,583 6,057,907 65,346,525 2,097,860,679 249,450,225716,851,354

96475 Healthlink Hmo Inc MO 13,507,734 11,838,483 141,776 7,785,962 0 (9,203,766)16,542,464

95766 Healthpartners Inc MN 908,630,000 10,771,000 6,061,000 16,832,000 1,338,704,000 72,890,0001,235,990,000

44547 Healthpartners Ins Co MN 160,508,000 21,308,000 2,456,000 10,107,000 943,747,000 123,825,000319,001,000

11172 Healthplex Ins Co NY 2,620,602 1,109,187 (2,868) 1,106,319 7,857,803 1,771,9853,678,382

12830 Healthplex of NJ Inc NJ 2,495,954 926,416 7,203 933,619 30,549,774 1,606,9576,996,410

© 2015 National Association of Insurance Commissioners 126

Page 135: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

12826 Healthplus Ins Co MI (4,831,262) (33,117,200) 286,504 (32,830,690) 213,575,832 29,209,16940,262,728

95580 Healthplus Of MI Inc MI 18,534,909 (23,487,465) 5,774,823 (17,705,319) 506,149,648 54,454,498102,211,193

11549 Healthplus Partners Inc MI 20,397,452 (11,726,058) 2,791,207 (8,934,851) 296,108,429 37,749,55260,224,446

15284 HealthSpan Inc OH 8,428,058 (2,950,550) 29,069 (2,921,481) 20,044,748 17,942,23418,230,720

95204 HealthSpan Integrated Care OH 55,438,697 (51,789,952) (434,886) (53,701,047) 421,632,410 82,654,561147,834,638

12902 Healthspring Life & Hlth Ins Co Inc TX 327,862,169 11,547,158 10,043,997 (7,889,619) 2,198,965,241 434,054,363581,094,615

95781 Healthspring of AL Inc AL 73,622,546 11,620,476 3,310,177 7,331,866 528,164,209 89,445,538124,727,153

11532 HealthSpring of FL Inc FL 54,669,824 12,567,608 2,910,691 6,407,070 779,033,843 97,085,159123,702,610

11522 Healthspring of TN Inc TN 115,970,393 12,731,844 6,962,641 3,425,229 1,361,138,679 234,178,186282,052,479

78972 Healthy Alliance Life Ins Co MO 397,825,012 184,919,451 3,501,317 109,808,486 1,860,839,643 253,290,699870,807,304

95827 Healthy Palm Beaches Inc FL 16,546,751 11,641,342 76,415 11,717,757 31,911,952 4,629,25324,623,281

15046 HealthyCT Inc CT 58,216,951 (28,081,208) 74,353 (28,006,855) 23,738,941 18,046,467103,227,670

15488 HeartlandPlains Hlth NE 3,310,865 0 16,650 10,866 0 03,317,219

11204 Heritage Vision Plans Inc MI 1,772,097 (239,213) 1,438 (189,469) 6,608,348 2,013,5593,311,492

53287 Highmark BCBSD Inc DE 138,405,393 (14,804,105) 20,826,237 (4,243,182) 582,754,828 88,839,948335,682,104

15508 Highmark Benefits Grp Inc PA 1,496,827 (4,882) 0 (3,173) 0 4,8821,496,827

15507 Highmark Coverage Advantage Inc PA 1,498,161 (2,829) 0 (1,839) 0 2,8291,498,161

54771 Highmark Inc PA 3,932,807,395 (19,670,772) 331,753,286 (81,139,332) 6,236,692,771 818,483,4957,251,674,715

10131 Highmark Select Resources Inc PA 3,593,435 (34,428) 1,055 469,872 0 35,3863,595,719

15460 Highmark Senior Hlth Co PA 1,996,215 (5,824) 0 (3,785) 0 5,8241,996,215

54828 Highmark West Virginia Inc. WV 308,114,255 7,519,221 11,918,074 9,483,624 985,352,572 112,329,221598,132,028

60094 HIP Ins Co Of NY NY 39,509,100 (5,849,038) 1,506,638 (5,090,567) 60,723,715 11,593,98987,802,699

71768 HM Hlth Ins Co PA 28,272,329 (7,333) 4,531,964 2,006,311 1,258,213,092 (9,780,770)304,819,410

95473 Hmo CO Inc CO 42,219,794 9,036,068 (300,309) 3,944,692 211,556,561 34,918,30392,917,371

95649 HMO dba Blue Plus MN 530,584,081 56,640,745 29,089,982 85,730,727 820,397,090 82,075,093725,374,564

95643 Hmo LA Inc LA 362,356,003 11,969,981 11,617,483 15,296,325 509,856,903 77,472,994502,299,729

95358 Hmo MO Inc MO 29,730,427 15,600,855 1,053,446 10,378,682 140,504,633 17,137,62761,231,914

95289 Hmo Of MS Inc MS 2,523,137 (34,654) 53,950 21,508 0 34,0192,534,875

96601 Hmo Of NE PA PA 74,664,690 5,173,590 2,283,394 4,578,019 63,878,799 9,670,72885,248,311

95442 Hmo Partners Inc AR 119,421,030 3,718,307 1,941,084 3,083,029 255,716,545 21,579,479186,731,781

15014 HN1 Therapy Network of NJ LLC NJ 2,017,282 1,803,450 346 1,803,796 5,808,871 873,3764,774,270

14198 HNE Ins Co MA 4,866,547 (67,713) 0 (56,593) 206,122 70,9184,952,161

15521 HNE of CT Inc CT 5,290,311 (213,731) 4,042 (209,689) 0 186,4135,419,368

14218 Home State Hlth Plan Inc MO 22,568,336 (24,789,363) 104,691 (19,792,059) 183,736,356 22,892,49460,216,626

95195 Hometown Hlth Plan OH 2,583,564 (13,746) 27,721 13,975 0 16,9002,585,807

95350 Hometown Hlth Plan Inc NV 22,229,598 (15,767,480) 567,950 (15,199,530) 254,788,044 27,435,19668,950,120

48305 Hometown Hlth Providers Ins Co NV 30,696,285 2,169,605 371,906 2,179,509 58,608,490 8,931,49944,525,996

© 2015 National Association of Insurance Commissioners 127

Page 136: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

11146 Horizon Hlthcare Dental Inc NJ 3,963,330 (298,054) 2,213 (289,117) 17,211,142 3,375,0284,922,664

95529 Horizon Hlthcare of NJ Inc NJ 585,891,436 (9,527,576) 45,270,386 21,373,629 3,912,303,982 468,743,4531,339,526,692

55069 Horizon Hlthcare Serv Inc NJ 2,230,234,344 (19,353,319) 103,549,972 59,721,136 5,823,029,691 963,368,8023,795,813,123

14690 Horizon Ins Co NJ 16,277,698 5,977,462 1,855,036 7,449,559 258,113,481 35,835,46971,497,705

54747 Hospital Serv Assn of NE PA PA 319,192,383 10,886,415 8,041,801 12,968,123 116,448,870 (11,462,200)481,300,475

18975 HPHC Ins Co Inc MA 51,135,227 (14,813,627) 2,689,290 (12,145,996) 651,658,931 130,023,566194,654,977

60052 Humana Benefit Plan of IL Inc IL 61,853,224 24,559,186 2,281,763 19,535,278 280,202,534 37,184,74788,521,925

52028 HUMANA DENTAL CONCERN LTD IL 1,023,314 115,116 699 73,874 280,037 72,4521,051,942

95519 Humana Employers Hlth Plan GA Inc GA 196,935,037 (7,331,357) 4,934,213 (6,477,325) 1,629,808,512 314,272,800408,251,292

95642 Humana Hlth Benefit Plan of LA Inc LA 223,320,592 94,159,641 8,534,022 56,208,429 1,642,162,857 219,798,615406,421,348

13558 Humana Hlth Co of NY Inc NY 24,081,633 (2,647,553) 9,897 (2,534,699) 13,215,499 2,927,17128,312,102

69671 Humana Hlth Ins Co Of FL Inc FL 59,071,821 5,644,108 4,191,444 6,007,399 286,976,352 43,203,589134,607,091

95885 Humana Hlth Plan Inc KY 585,645,715 (37,223,885) 22,246,902 (49,084,294) 5,422,131,750 810,336,8791,275,064,733

95348 Humana Hlth Plan of OH Inc OH 63,529,217 (28,388,922) 2,787,520 (25,532,774) 497,753,256 84,701,820140,932,817

95024 Humana Hlth Plan of TX Inc TX 237,446,625 18,494,496 8,679,842 6,743,283 1,843,183,670 314,788,914473,831,722

95721 Humana Hlth Plans of PR PR 69,525,766 (22,044,041) 3,878,255 (18,168,695) 391,685,496 61,653,004150,112,414

73288 Humana Ins Co WI 3,307,499,728 618,432,721 226,027,949 505,267,782 22,404,274,169 3,847,065,7266,237,012,936

12634 Humana Ins Co of NY NY 59,436,685 (3,489,805) 823,279 (1,982,040) 230,684,537 80,259,40198,479,090

95270 Humana Medical Plan Inc FL 591,549,503 511,031,372 48,889,418 332,911,594 6,973,811,994 937,537,2161,742,234,279

14224 Humana Medical Plan of MI Inc MI 30,967,602 (5,631,131) 9,608 (4,258,051) 51,665,405 13,906,52069,365,545

14462 Humana Medical Plan of PA Inc PA 7,369,045 855,874 2,749 549,834 8,321,845 1,498,7108,156,421

12908 Humana Medical Plan of UT Inc UT 27,467,474 2,268,269 591,457 519,037 75,972,375 14,576,67540,173,872

12282 Humana Regional Hlth Plan Inc AR 15,057,534 1,282,327 428,317 1,443,947 5,673,138 (220,173)16,021,399

95342 Humana WI Hlth Org Ins Corp WI 35,673,275 (1,679,698) 1,975,786 (929,022) 287,944,907 41,341,14169,872,960

70580 Humanadental Ins Co WI 95,163,666 35,750,318 4,562,132 28,333,833 510,315,058 139,651,293150,649,004

14053 Illinicare Hlth Plan Inc IL 67,750,742 17,433,751 816,557 10,875,783 537,191,911 31,429,396199,896,455

54704 Independence Hospital Ind Plan Inc PA 81,351,815 (19,974,746) 74,146,007 18,801,261 349,300,368 228,901,923423,061,145

11695 Independent Care Hlth Plan WI 22,189,188 3,040,659 536,192 1,796,022 175,730,117 27,641,43855,436,938

95308 Independent Hlth Assn NY 384,188,764 (88,335,105) 17,424,536 (72,784,613) 1,341,517,730 186,404,851668,648,188

47034 Independent Hlth Benefits Corp NY 107,110,369 13,212,046 1,412,453 12,564,703 505,706,400 78,726,078167,750,434

13164 Indiana University Hlth Plans Inc IN 9,910,102 (1,352,388) 10,490 (1,341,898) 133,639,227 13,553,90313,045,683

15450 Indiana University Hlth Plans NFP In IN 1,499,473 (2,600) 2,073 (527) 0 2,6001,500,573

52050 Indiana Vision Serv Inc IN 19,166,994 2,290,183 174,164 1,320,320 28,822,395 5,562,55524,051,511

15097 Innovation Hlth Ins Co VA 41,073,370 727,176 3,761 (1,046,604) 118,624,767 28,034,84376,241,730

15098 Innovation Hlth Plan Inc VA 12,139,629 1,998,774 12,494 1,088,809 42,518,645 11,778,88020,792,208

12168 Instil Hlth Ins Co SC 85,257,402 7,336,054 3,117,933 7,388,746 663,472 (3,849,772)96,233,400

11670 Insurance Co of Scott & White TX 5,130,848 (5,373,923) 35,596 (3,491,443) 24,113,658 6,164,22711,352,118

© 2015 National Association of Insurance Commissioners 128

Page 137: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

53252 Inter Cnty Hlth Plan Inc PA 2,643,900 (2,093,497) (72,553) (52,318) 12,237,125 1,929,2734,523,570

54763 Inter Cty Hospitalization Plan Inc PA 5,224,612 (2,174,066) (330,641) (136,676) 26,484,672 1,819,54010,307,219

11173 International Hlthcare Serv Inc NJ 1,060,254 67,300 175 67,475 6,150,526 1,239,1861,330,213

10153 INTotal Hlth LLC VA 25,481,533 (4,130,339) 42,284 (4,059,321) 177,779,265 23,827,28750,697,388

11182 John D Kernan DMD PA NJ 198,390 (9,558) 0 (9,558) 755,954 71,123246,872

11538 Kaiser Found Hlth Plan Inc HI Region HI 81,713,413 30,477 2,103,806 (2,086,257) 1,172,623,588 86,506,321380,759,549

95639 Kaiser Found Hlth Plan Mid Atlanti MD 147,191,831 (2,677,803) (6,288,155) (12,335,831) 2,580,595,173 295,237,8181,196,400,743

95669 Kaiser Found Hlth Plan of CO CO 221,964,279 (12,393,801) 42,187,287 57,240,886 3,115,260,160 362,579,7321,305,052,659

96237 Kaiser Found Hlth Plan of GA Inc GA 106,228,798 (177,135,064) 6,948,384 (170,186,681) 1,169,482,971 111,892,613511,109,729

95540 Kaiser Found Hlth Plan of the NW OR 203,154,414 (35,569,313) 20,473,979 (15,594,565) 2,994,063,726 290,646,5931,300,833,164

60053 Kaiser Permanente Ins Co CA 94,822,402 15,201,228 1,160,168 8,155,271 141,233,371 19,023,272169,613,011

15073 Kentucky Hlth Coop Inc KY 65,226,070 (50,643,963) 198,040 (50,445,923) 249,855,288 25,512,195181,618,723

14100 Kentucky Spirit Health Plan Inc KY 79,828,665 5,173,959 653,965 3,849,889 0 4,974,26194,073,227

95199 Keystone Hlth Plan Central Inc PA 84,941,892 6,158,357 4,086,359 5,874,957 228,241,289 40,814,562125,674,616

95056 Keystone Hlth Plan E Inc PA 636,344,626 47,078,905 46,112,435 87,329,340 2,936,871,305 437,549,0301,267,652,946

95048 Keystone Hlth Plan W Inc PA 12,975,994 (1,369,211) 1,707,818 4,654,737 1,615,589,642 11,495,774242,479,952

53872 KPS Hlth Plans WA 21,375,559 1,490,921 396,323 1,885,730 117,994,354 10,995,13450,343,339

12827 KS Plan Administrators LLC TX 39,454,176 4,778,880 1,153,276 2,820,035 295,511,411 29,438,00465,806,150

15102 Land of Lincoln Mut Hlth Ins Co IL 34,533,163 (17,958,671) 710,958 (17,669,335) 14,416,380 15,360,53559,371,482

47061 Legal Serv Plans of VA Inc VA 983,793 1,416,816 54,213 1,018,620 8,435,674 4,287,8142,404,637

14057 Liberty Dental Plan of MO Inc MO 392,629 211,687 733 138,420 490,104 245,481496,327

11159 Liberty Dental Plan of NJ Inc NJ 136,341 (47,129) 576 (19,553) 36,734 54,949169,761

13566 Liberty Dental Plan of NV Inc NV 1,621,060 695,185 765 449,950 6,659,515 1,190,4653,410,859

66753 Liberty Union Life Assur Co MI 4,712,865 (2,741,035) 286,553 627,946 18,443,965 6,315,93814,122,233

84930 LifeWise Hlth Plan of OR Inc OR 40,755,951 (34,455,240) 3,274,634 (24,278,577) 150,607,418 38,072,89293,693,961

52633 LifeWise Hlth Plan of WA WA 70,805,880 12,292,108 3,276,335 7,126,418 322,328,033 69,044,464170,995,633

15131 Louisiana Health Cooperative Inc LA 14,329,719 (21,290,619) 635,599 (20,655,020) 46,288,143 14,971,27360,286,929

13970 Louisiana Healthcare Connections Inc LA 64,622,358 (1,301,010) 499,775 (4,959,366) 454,598,799 83,267,256117,727,899

81200 Louisiana Hlth Serv & Ind Co LA 1,145,279,759 (27,512,056) 48,471,187 36,295,020 2,413,872,669 404,114,9781,736,862,131

95808 Lovelace Sandia Hlth Systems Inc NM 222,912,380 (9,405,193) 12,015,814 144,056,556 193,124,645 148,061,789298,312,730

14441 Magellan Behavioral Hlth of NE Inc NE 8,876,176 188,100 264 (44,260) 0 11,027,00122,301,678

12632 Magellan Behavioral Hlth of NJ LLC NJ 10,564,480 9,361,983 35,880 5,558,836 0 16,409,03821,840,604

47019 Magellan Behavioral Hlth of PA Inc PA 46,457,497 10,585,938 122,930 5,173,296 369,882,267 34,670,58698,122,378

14641 Magellan Complete Care of AZ Inc AZ 1,509,455 (3,194) 2,491 (457) 0 2,9221,515,848

15500 Magellan Complete Care of IA Inc IA 1,108,356 (3,589) 986 (1,692) 0 2,5891,111,945

15550 Magellan Complete Care of LA Inc LA 3,000,761 (3,489) 2,435 (685) 0 2,4893,001,761

15681 Magellan Complete Care of NE Inc NE 1,809,237 (3,489) 487 (1,952) 0 01,812,726

© 2015 National Association of Insurance Commissioners 129

Page 138: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

97292 Magellan Life Ins Co DE 3,882,452 320,988 420 208,916 0 318,9276,224,348

13923 Magnolia Hlth Plan Inc MS 61,141,378 (16,913,996) 366,688 (14,948,966) 549,458,585 85,432,580149,036,292

15077 Maine Comm Hlth Options ME 25,956,248 5,795,172 70,285 5,865,457 172,752,545 32,017,61076,930,390

14369 Maine Dental Serv Corp ME 41,658,255 501,420 599,800 1,101,220 58,655,212 10,030,82148,389,523

60321 Mamsi Life & Hlth Ins Co MD 17,227,796 4,109,035 23,556 2,299,302 67,357,720 9,588,63225,691,867

11199 Managed Dental Guard Inc NJ 437,269 23,895 2,160 1,002 3,246,374 596,878795,592

52556 Managed DentalGuard Inc TX 3,329,096 1,360,487 14,864 857,999 7,225,569 1,393,5033,745,149

14142 Managed Dentalguard Inc OH 376,075 72,224 2,183 47,276 329,004 56,183418,195

95284 Managed Hlth Inc NY 206,863,919 (32,616,402) 3,199,054 (32,316,022) 1,778,133,087 243,178,866548,699,313

96822 Managed Hlth Serv Ins Corp WI 30,891,508 11,392,449 521,114 6,717,775 104,670,497 20,053,66269,019,916

12545 Martins Point Generations LLC ME 34,517,221 (18,140,759) 135,765 (18,004,994) 231,553,922 24,471,79662,838,375

12751 Maryland Care Medicare Inc MD 1,545,619 0 768 768 0 01,546,081

47093 Massachusetts Vision Serv Plan MA 28,099,668 4,284,509 498,174 4,595,950 30,128,759 8,530,16131,759,248

95527 Matthew Thorton Hlth Plan Inc NH 106,906,497 58,766,283 3,937,348 36,700,232 596,169,132 86,003,748230,260,446

14217 McLaren Hlth Plan Comm MI 2,986,890 (7,017) 1,125 (5,892) 0 7,0172,986,890

95562 McLaren Hlth Plan Inc MI 51,912,293 12,797,606 (566,346) 12,231,260 727,561,594 60,183,175170,207,959

14063 MCNA Ins Co TX 77,050,494 19,787,788 573,791 20,361,579 640,032,671 92,300,190188,773,295

13022 MCS Advantage Inc PR 47,525,210 (5,808,563) 1,630,544 (21,092,793) 1,475,064,778 188,285,299214,634,110

95779 MCS Hlth Mgmt Options Inc PR 603,607 1,100,826 14,074 1,063,490 0 20,2446,744,614

96310 MD Individual Practice Assn Inc MD 66,334,883 58,465,939 30,450 35,612,799 406,846,515 30,720,063107,916,587

95807 MDwise Inc IN 39,033,955 1,734,628 568,003 3,169,894 590,138,955 96,085,12876,594,236

15584 MDwise Marketplace Inc IN 3,655,666 (339,647) 904 (1,206,004) 23,464,999 3,473,55819,764,680

34720 Medco Containment Ins Co Of NY NY 50,388,447 (4,689,127) 14,383 (3,280,339) 97,430,775 10,746,04059,056,369

63762 Medco Containment Life Ins Co PA 310,192,896 42,861,528 193,939 23,596,147 503,314,370 (61,254,270)1,180,772,137

52626 Medica Hlth Plans MN 460,098,765 31,136,938 15,941,253 46,910,697 1,424,964,400 115,500,522856,911,737

12756 Medica Hlth Plans of FL Inc FL 7,515,404 1,534,129 11,576 1,914,848 18,358,277 1,884,9937,921,544

95232 Medica Hlth Plans of WI WI 47,575,676 5,156,402 (342,938) 4,813,464 31,961,330 4,121,94457,761,700

12155 Medica HlthCare Plans Inc FL 20,366,680 (15,021,076) 210,381 (7,374,436) 487,356,865 43,378,683118,804,818

12459 Medica Ins Co MN 308,751,666 92,356,487 12,446,827 75,703,414 1,955,329,739 282,305,097544,024,059

95782 Medical Assoc Clinic Hlth Plan of WI WI 3,357,234 205,533 71,376 275,627 21,896,414 2,573,4034,302,944

52559 Medical Assoc Hlth Plan Inc IA 19,304,672 (989,671) 771,331 (1,187,427) 84,064,079 8,803,42832,788,825

95828 Medical Hlth Insuring Corp of OH OH 69,456,023 (19,872,540) 2,233,637 (20,301,064) 161,400,746 21,495,523118,646,459

29076 Medical Mut Of OH OH 1,279,901,811 87,440,134 30,190,307 97,299,319 2,239,556,542 335,995,2701,766,909,245

95982 Medisun Inc AZ 24,006,847 1,131,347 15,363 (456,023) 229,268,048 25,953,41738,942,991

14227 Medstar Family Choice MD 27,144,174 11,603,218 24,909 4,597,948 480,711,409 42,721,088131,133,536

94587 Members Hlth Ins Co AZ 31,939,550 (744,513) 1,419,720 759,675 1,480,241 1,685,76833,068,897

10076 Memorial Hermann Hlth Ins Co TX 18,097,404 (7,481,553) 26,263 (4,928,167) 44,795,056 7,888,54027,875,054

© 2015 National Association of Insurance Commissioners 130

Page 139: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

15489 Memorial Hermann Hlth Plan Inc TX 6,479,912 (4,756,192) 3,343 (4,753,984) 0 4,588,7227,261,650

14904 Mercy Maricopa Integrated Care AZ 82,001,088 10,347,536 2,037 10,349,573 778,397,461 73,237,882187,084,803

12195 MercyCare HMO Inc WI 15,079,993 (3,942,333) 2,011,395 (1,927,040) 98,993,271 8,812,52928,935,159

60215 Mercycare Ins Co WI 16,880,849 (163,316) 55,406 (107,910) 1,247,161 136,42717,227,622

14238 Meridian Geisinger Hlth Network LLC NJ 767,368 0 62 (5,563,435) 0 04,544,342

14145 Meridian Hlth Plan of IA Inc IA 13,434,806 (6,839,518) 0 (6,840,743) 144,848,620 13,860,93941,048,833

13189 Meridian Hlth Plan of IL Inc IL 31,583,539 488,194 10,306 (176,672) 320,085,337 25,309,219130,475,910

52563 Meridian Hlth Plan of MI Inc MI 107,399,484 11,580,313 1,748,065 3,391,695 1,421,622,761 215,561,969324,504,653

18750 Merit Hlth Ins Co IL 26,958,469 12,407,972 194,939 7,546,267 0 8,158,20267,228,589

14676 Meritus Hlth Partners AZ 7,741,131 (9,376,745) 2,193 (9,374,552) 12,594,496 7,146,65814,924,094

15092 Meritus Mut Hlth Partners AZ 4,854,258 (7,325,010) 31,123 (7,218,887) 5,114,527 7,649,22528,990,972

14170 MetLife Hlth Plans Inc NJ 1,953,704 (95,142) 20,306 (62,797) 178,194 83,6112,051,106

52627 Metropolitan Hlth Plan MN 28,514,112 (1,117,489) 827,512 (289,977) 158,553,620 23,787,34386,722,795

12509 MHNet Life & Hlth Ins Co TX 4,131,265 294,651 0 207,662 0 278,7004,299,270

47775 Michigan Dental Plan Inc MI 2,870,531 (878,277) 86,372 (791,193) 68,574 577,2613,203,306

52006 Michigan Eyecare Assoc Inc MI 251,656 (2,242) 429 (1,813) 0 2,242251,656

12527 Mid Valley IPA Employee Benefit Trus OR 857,028 (23,348) 759 (15,869) 10,072,320 463,3272,063,531

11107 Midwestern Dental Plans Inc MI 530,549 38,151 34 38,185 4,865,666 40,983616,285

61522 MII Life Inc MN 27,392,526 (9,616,289) 11,751,420 1,873,731 19,722,642 25,200,551511,410,997

15010 Minuteman Hlth Inc MA 9,256,909 (20,302,636) 64,307 (20,238,329) 3,350,908 18,350,68140,297,040

12913 Missouri Care Inc MO 47,070,509 8,320,996 273,843 4,015,095 275,225,092 30,238,89979,891,330

11157 MMM Hlthcare Inc PR 80,313,516 (29,180,226) 3,541,896 (28,946,872) 1,423,330,363 227,617,591247,281,516

12534 MMM MULTI HLTH INC PR 45,582 (16,048) 0 (16,048) 0 16,048645,582

95247 MNM 1997 Inc TX 230,509 101,244 6,421 71,055 5,983,629 2,940,2761,122,909

47098 Moda Hlth Plan Inc OR 121,061,663 (11,040,556) 7,519,292 (5,172,595) 768,863,553 50,250,920353,676,426

13128 Molina Hlthcare of FL Inc FL 8,082,869 (21,039,667) 63,193 (20,212,599) 454,844,763 53,734,731113,772,829

14104 Molina Hlthcare of IL Inc IL 18,463,027 (5,850,560) 27,141 (3,772,228) 170,866,259 27,777,81180,586,881

52630 Molina Hlthcare of MI MI 125,130,515 48,412,385 551,834 26,719,674 1,077,894,664 151,086,904254,548,256

95739 Molina Hlthcare of NM NM 86,083,313 (33,084,234) 225,693 (24,899,163) 1,158,543,221 189,353,848304,257,404

12334 Molina Hlthcare of OH Inc OH 182,652,646 98,025,771 1,109,281 55,873,718 1,787,047,235 317,574,238464,139,951

15600 Molina Hlthcare of PR Inc PR 5,042,556 (59,285) 1,278 (58,007) 0 59,2855,097,778

15329 Molina Hlthcare of SC Inc SC 59,195,687 16,362,230 177,670 14,874,208 398,684,674 40,506,242120,393,692

10757 Molina Hlthcare of TX Inc TX 141,714,734 (5,536,248) 841,103 (7,346,792) 1,292,783,303 212,466,238301,036,157

95502 Molina Hlthcare of UT Inc DBA Amfam UT 51,198,752 (4,274,707) 389,070 (4,298,807) 321,081,191 44,487,003107,390,885

96270 Molina Hlthcare of WA Inc WA 145,787,398 (25,229,459) 1,734,395 (24,625,458) 1,601,335,226 208,259,012669,214,485

12007 Molina Hlthcare of WI Inc WI 22,443,608 874,115 79,965 (933,434) 161,298,626 30,483,62853,324,554

14933 Montana Hlth Cooperative MT 25,889,982 (3,988,507) 459,105 (3,529,402) 41,822,476 8,810,76954,363,920

© 2015 National Association of Insurance Commissioners 131

Page 140: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

13123 Mount Carmel Hlth Ins Co OH 5,869,602 (1,030,687) 62,132 (968,555) 12,833,583 1,257,5287,274,332

95655 Mount Carmel Hlth Plan Inc OH 210,575,923 (4,270,664) 11,074,646 6,804,572 468,131,329 44,842,727251,274,159

12868 Mutual Benefit Assn of HI HI 4,443,434 (30,964) 12,370 14,298 0 39,0124,496,247

11125 MVP Hlth Ins Co NY 77,429,657 929,834 4,223,219 5,153,398 353,284,795 65,308,188117,794,941

10135 MVP Hlth Ins Co of NH Inc NH 5,908,656 (1,806,883) 90,450 (1,716,433) 12,540,219 2,487,9976,589,724

95521 MVP Hlth Plan Inc NY 340,544,971 (33,985,599) 10,081,125 (23,723,925) 1,660,304,709 176,484,138498,224,615

47062 MVP Hlth Serv Corp NY 27,444,239 (25,227,845) 107,954 (25,110,502) 101,522,303 14,608,37565,166,029

12844 National Dental Care Inc IL 85,449 (23,609) (2,793) (26,402) 1,656,766 555,400281,580

95251 National Pacific Dental Inc TX 5,277,750 4,626,627 24,899 2,949,658 15,319,312 2,163,9215,781,844

95123 Neighborhood Hlth Partnership Inc FL 28,442,189 36,070,633 1,685,425 21,904,152 485,108,070 56,738,51093,415,767

11109 Neighborhood Hlth Plan Inc MA 128,717,496 (118,184,586) 13,296,191 (101,299,110) 1,727,541,381 120,694,278420,363,204

95402 Neighborhood Hlth Plan of RI Inc RI 58,115,309 20,443,558 719,765 21,131,634 895,877,114 75,050,142251,986,845

15087 Network Hlth Ins Corp WI 64,734,094 (42,937,711) 1,606,773 (33,244,154) 499,593,900 55,261,285155,166,117

95737 Network Hlth Plan WI 39,320,083 7,227,595 1,585,570 2,489,429 406,730,454 57,695,69583,826,691

13813 Nevada Dental Benefits Ltd NV 3,382,069 1,713,702 2,086 1,215,788 34,401,462 6,512,52310,127,906

15132 Nevada Hlth Co Op NV 16,124,532 (15,341,225) 45,769 (15,295,456) 54,346,520 21,986,24643,738,719

95758 Nevada Pacific Dental Inc NV 6,325,164 (33,992) 29,935 (25,841) 2,647,660 658,4907,765,352

15106 New Hlth Ventures Inc CO 1,263,712 (3,835,129) (34,302) (3,869,431) 469,165 3,515,0563,044,337

15011 New Mexico Hlth Connections NM 23,184,052 (4,406,170) 114,896 (4,291,274) 32,810,920 15,226,43558,072,037

95829 New W Hlth Serv MT 11,852,677 (30,573,674) 137,589 (30,681,852) 190,423,452 22,601,10143,022,126

15094 Nexdent Dental Plans Inc OR 1,485,555 (29,334) 0 (29,334) 0 29,3341,485,555

55891 Noridian Mut Ins Co ND 225,274,691 27,447,669 28,494,349 26,793,956 1,330,425,659 127,307,417508,614,542

15309 North Shore LIJ CareConnect Ins Co NY (1,382,985) (26,864,987) 28,357 (26,837,625) 44,907,234 26,606,41527,512,931

85286 OneNation Ins Co IN 12,945,148 34,519 2,273,790 1,534,523 50,393 (91,687)13,286,148

12533 Opticare of UT UT 1,204,589 210,157 29,936 240,093 4,883,196 2,063,9051,520,494

95481 Optima Hlth Grp Inc VA 2,533,917 (376) 5,332 2,964 0 3762,534,832

70715 Optima Hlth Ins Co VA 15,021,091 (16,197,710) 757,695 (14,483,580) 110,621,147 19,284,00531,436,172

95281 Optima Hlth Plan VA 197,650,782 40,203,119 8,291,074 51,477,534 1,369,151,159 115,578,197329,591,603

96940 Optimum Choice Inc MD 54,105,621 39,602,044 1,553,771 25,624,397 222,022,879 27,591,95983,694,157

12259 Optimum Hlthcare Inc FL 23,202,077 10,387,756 255,371 5,451,051 440,710,247 60,197,22277,650,099

15095 Oregons Hlth COOP OR 4,358,080 (6,992,815) 211,541 (6,781,274) 4,001,922 6,395,37318,223,970

11068 Orthonet of the Mid Atlantic Inc NJ 6,291,486 2,147,353 14,752 1,366,379 5,928,343 1,172,9447,748,979

15281 Oscar Ins Corp NY 27,282,554 (27,561,270) 0 (27,561,270) 60,929,280 25,898,51759,951,955

15585 Oscar Ins Corp of NJ NJ 3,580,526 (3,373,622) 0 (3,373,497) 0 2,606,0224,405,606

78026 Oxford Hlth Ins Inc NY 917,347,957 378,140,261 28,041,899 236,979,320 5,691,622,214 588,803,4851,946,587,390

96798 Oxford Hlth Plans CT Inc CT 98,523,260 31,522,256 2,518,268 19,587,019 502,653,540 71,350,906235,539,154

95506 Oxford Hlth Plans NJ Inc NJ 126,561,597 38,160,837 3,833,694 22,534,321 1,043,478,151 169,897,383284,644,751

© 2015 National Association of Insurance Commissioners 132

Page 141: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

95479 Oxford Hlth Plans NY Inc NY 406,646,082 11,650,203 14,095,600 4,865,617 2,021,205,757 285,816,125750,142,518

84506 Pacificare Life Assur Co CO 6,617,463 (117,296) 27,557 173,691 0 16,4467,731,361

95617 Pacificare Of AZ Inc AZ 125,930,969 71,082,597 3,351,474 45,285,693 991,510,635 111,789,545206,188,919

95434 Pacificare Of CO Inc CO 128,582,420 71,595,479 3,700,690 44,958,473 929,983,881 126,577,539211,390,268

95685 Pacificare Of NV Inc NV 18,711,290 90,806 58,711 (1,148,367) 114,556,534 13,298,03830,868,608

12595 Pacificsource Comm Hlth Plans OR 51,033,211 (6,454,119) 559,035 (5,626,786) 327,964,949 38,536,393100,775,605

54976 Pacificsource Hlth Plans OR 148,158,001 (22,491,787) 3,885,269 (16,852,392) 619,653,519 93,189,478235,079,926

12353 Paramount Advantage OH 100,904,138 16,905,849 431,622 10,480,743 728,076,964 97,538,426256,008,180

95566 Paramount Care Of MI Inc MI 7,230,532 (376,058) 1,032 (271,186) 16,880,323 1,008,82010,511,144

95189 Paramount Hlth Care OH 55,753,300 (3,860,553) 3,206,200 885,113 143,233,575 6,273,527105,125,132

11518 Paramount Ins Co OH 20,577,995 9,795,282 125,525 6,268,543 154,056,154 20,100,00544,648,901

95414 Parkland Comm Hlth Plan Inc TX 130,325,461 22,060,037 1,577,340 23,637,377 520,159,190 61,135,088174,962,797

12315 Peach State Hlth Plan Inc GA 107,185,624 32,384,559 680,418 12,417,010 1,052,587,033 145,285,425244,432,766

67660 Pennsylvania Life Ins Co PA 430,838,890 18,935,950 99,947 18,381,128 35,244,935 6,267,521478,018,471

13607 Peoples Hlth Inc LA 32,290,079 7,101,176 12,195 1,210,024 699,663,604 97,820,24252,392,472

13134 Pharmacy Ins Corp of Amer PR 5,900,031 (15,660) 121,534 451,994 (3,335) 144,2326,936,693

10160 Phoenix Hlth Plans Inc AZ 17,850,455 (16,036,428) 35,960 (16,147,068) 87,073,928 11,374,53038,729,772

12816 PHP Ins Co MI 8,557,979 (207,564) (8,626) (235,863) 46,649,822 5,964,32616,275,528

12331 PHP Ins Co of IN Inc IN 2,370,619 (63,656) 48,931 (8,717) 802,339 143,2152,487,519

11494 Physicians Hlth Choice of TX LLC TX 54,025,662 (818,707) 635,301 (2,205,068) 342,254,967 37,821,92580,242,073

95849 Physicians Hlth Plan MI 59,835,118 217,151 2,646,490 2,863,640 159,891,602 16,438,89686,287,527

95436 Physicians Hlth Plan of N IN Inc IN 44,772,256 (98,002) 1,925,493 1,834,329 219,396,303 27,693,92487,556,113

95341 Physicians Plus Ins Corp WI 39,167,470 1,219,922 1,501,826 2,781,908 232,694,833 31,763,79174,494,959

95686 PhysiciansPlus Baptist & St Dominic MS 1,351,329 (28,266) 26,330 (1,936) 0 29,5161,351,329

95811 Piedmont Comm Hlthcare Inc VA 7,849,339 541,156 3,069 375,652 65,542,769 7,841,91818,723,733

15009 Piedmont WellStar Hlth Plans Inc GA 17,062,391 (11,400,972) 751 (11,400,221) 59,241,006 27,457,03238,867,880

12619 Pioneer Educators Hlth Trust OR 2,582,880 (4,839,058) 43,257 (4,795,801) 18,361,884 1,424,5214,273,887

95730 Plan de Salud Menonita Inc PR 2,771,547 (127,974) (21,220) (149,194) 10,723,694 2,799,4384,498,672

95762 Plan Medico Serv de Salud Bella Vist PR 1,003,533 95,118 0 95,118 5,255,552 747,4912,579,450

12178 PMC Medicare Choice Inc PR 27,715,213 (6,210,397) 976,898 (5,416,519) 331,538,729 55,102,09975,537,276

13208 Pre Paid Dental Serv Inc OK 48,868 48,152 (2,416) 43,670 1,693,491 952,144275,184

15621 Pre Paid Hlth Serv Inc IL 60,408 (44,600) (2,992) (47,592) 0 47,76160,408

11176 Preferred Care Partners Inc FL 109,600,543 33,176,688 1,203,347 19,920,999 582,822,526 68,925,600196,874,450

14080 Preferred Ins Serv Inc IL 271,314 136,893 153 137,046 1,254,677 433,604933,551

95271 Preferred Medical Plan Inc FL 17,842,621 15,620,726 (11,870) 9,257,518 371,689,253 52,215,741262,884,914

95724 PreferredOne Comm Hlth Plan MN 4,822,988 (3,160,488) 325,690 (2,834,798) 57,301,574 7,655,32611,815,310

11817 PreferredOne Ins Co MN 47,919,333 (32,576,843) 3,900,320 (20,924,903) 435,979,649 52,136,528146,814,402

© 2015 National Association of Insurance Commissioners 133

Page 142: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

47570 Premera Blue Cross WA 1,415,269,708 35,139,868 56,742,904 65,944,470 3,068,136,935 371,578,3302,211,013,562

60237 Premier Access Ins Co CA 18,640,059 (1,004,263) 577,048 (303,865) 113,462,718 32,742,37638,218,090

95224 PREMIER CHOICE DENTAL INC AZ 381,470 383,565 65 259,896 985,300 94,985788,156

15530 Premier Hlth Insuring Corp OH 32,507,173 (3,177,768) 4,667 (3,173,102) 0 2,905,51532,779,427

15484 Premier Hlth Plan Inc OH 22,483,163 (7,871,673) (1,732) (7,873,405) 0 7,818,49622,743,165

95330 Presbyterian Hlth Plan Inc NM 243,545,116 108,744,957 8,580,931 71,002,875 1,468,252,156 151,227,042505,062,269

11504 Presybyterian Ins Co Inc NM 35,924,743 10,809,052 899,234 6,849,901 203,637,859 26,801,09261,855,384

95561 Priority Hlth MI 470,588,138 82,051,180 7,027,093 91,377,392 1,982,411,480 207,770,139746,617,766

11520 Priority Hlth Choice Inc MI 29,766,519 (432,790) 636,176 203,386 341,273,000 33,275,16085,432,938

12208 Priority Hlth Ins Co MI 59,457,301 4,617,126 1,043,155 5,521,081 219,074,416 30,512,094120,257,226

95793 Prominence HealthFirst NV 26,089,641 (10,586,295) 964,075 (9,251,605) 111,876,418 21,983,27152,737,495

15452 Prominence HealthFirst of TX Inc TX 5,399,382 (57,312) 0 (57,311) 0 55,1625,410,000

11079 Prominence Preferred Hlth ins Co NV 19,685,558 (11,171,051) 74,281 (11,096,770) 71,528,848 14,132,69336,164,405

15203 Providence Hlth Assur OR 17,098,727 7,619,459 9,088 7,628,547 118,010,945 8,416,90528,966,513

95005 Providence Hlth Plan OR 530,393,114 7,138,711 15,050,507 22,335,349 1,105,880,598 114,932,221762,123,640

14458 Provider Partners Hlth Plan of PA In PA 1,532,198 0 (1,115) (1,115) 0 2,2051,541,162

95126 Public Hlth Trust of Dade Cnty FL 5,022,344 126,789 11,765 138,555 11,382,450 814,9435,904,531

55271 Pupil Benefits Plan Inc NY 1,885,847 (181,094) 69,876 (79,218) 9,430,378 1,920,00412,410,505

95448 QCA Hlth Plan Inc AR 20,288,859 (6,216,569) 990,836 (5,225,733) 163,721,160 27,690,46564,017,278

93688 QCC Ins Co PA 496,002,119 (67,432,909) 47,058,748 5,535,839 2,228,844,419 430,721,7101,100,750,509

70998 Qualchoice Life & Hlth Ins Co Inc AR 6,282,394 (915,782) 4,568 (911,214) 7,290,250 1,229,1907,484,480

13691 Quality Hlth Plans of NY Inc NY 792,590 (831,264) 127,535 (661,326) 2,411,004 2,719,4832,073,195

13646 Red Tree Ins Co Inc NH 2,319,024 46,052 27,835 73,887 1,024,468 314,3232,555,957

54933 Regence BCBS of OR OR 635,259,622 (32,915,383) 68,012,076 35,876,103 1,838,871,883 256,088,0981,039,743,203

54550 Regence BCBS of UT UT 269,827,102 (23,056,950) 23,229,218 (3,309,376) 1,109,696,816 164,273,532524,121,990

53902 Regence BlueShield WA 1,145,607,699 (85,743,962) 95,691,823 17,113,117 1,822,082,981 374,129,6531,640,493,161

60131 Regence Blueshield Of ID Inc ID 149,945,785 (11,185,949) 5,398,604 (5,578,662) 439,684,472 94,992,651248,096,183

96250 Regence Hlth Maintenance of OR Inc OR 5,117,265 0 4,040 2,626 0 2,5945,161,033

95699 Regence Hmo OR OR 11,054,930 (1,474,217) 5,915,398 4,515,918 0 1,268,14713,813,529

12812 Region 6 Rx Corp PA 1,763,237 (750) (1,623) (1,373) 0 2,5501,763,798

15638 Renaissance Hlth Ins Co of NY NY 1,858,869 470,937 1,231 379,122 4,332,482 727,7652,343,560

61700 Renaissance Life & Hlth Ins Co of Am IN 51,358,494 10,239,948 1,841,068 8,632,146 87,547,121 16,175,83068,623,437

15499 RiverLink Hlth OH 3,411,914 0 17,671 11,914 0 03,418,330

15486 RiverLink Hlth of KY Inc KY 5,518,422 0 27,728 18,422 0 05,528,676

47004 Rocky Mountain Hlthcare Options Inc CO 10,660,973 (7,254,009) 1,546,923 (5,317,574) 106,471,512 17,024,33334,833,267

95482 Rocky Mountain Hmo Inc CO 63,202,596 (17,754,625) 1,981,562 (13,565,286) 348,924,168 35,256,355164,111,843

11011 Rocky Mountain Hospital & Medical CO 440,930,218 89,439,433 87,735,445 108,407,796 1,901,891,937 238,591,101861,687,484

© 2015 National Association of Insurance Commissioners 134

Page 143: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

95743 Ryder Hlth Plan Inc PR 655,227 24,519 10,378 34,897 2,469,476 417,9851,438,802

95051 Safeguard Hlth Plans Inc TX 10,720,112 1,169,803 125,770 800,927 11,001,705 4,270,73011,813,834

95747 Safeguard Hlth Plans Inc NV 232,451 (42,282) 7,185 (22,854) 0 42,678238,451

52009 SAFEGUARD HLTH PLANS INC FL 7,493,546 (62,818) 84,358 11,234 23,009,028 7,471,6539,410,486

79014 Safehealth Life Ins Co CA 11,901,376 328,125 237,896 503,659 4,241,442 2,041,50012,596,713

12257 Samaritan Hlth Plans Inc OR 9,146,434 871,544 341,135 809,565 53,343,130 8,072,98319,050,075

52554 Sanford Heart of Amer Hlth Plan ND 529,535 (730,923) 19,915 (711,614) 3,817,590 427,8881,549,675

95683 Sanford Hlth Plan SD 24,097,466 (3,015,480) 1,376,579 (1,646,062) 297,240,746 18,302,06478,138,863

95725 Sanford Hlth Plan of MN MN 1,228,406 (47,635) (1,787) (49,422) 2,208,014 475,4261,751,005

12279 Scan Hlth Plan AZ AZ 19,689,606 (7,696,647) 99,207 (7,597,440) 157,742,027 17,871,29324,901,924

95099 Scott & White Hlth Plan TX 86,312,468 42,900,053 1,337,325 24,206,927 658,945,404 73,752,553175,788,688

13737 Security Hlth Ins Co of Amer NY Inc NY 1,296,016 183,482 9,134 122,765 4,678,394 1,344,3202,007,387

96881 Security Hlth Plan of WI Inc WI 187,942,469 19,639,860 8,631,917 28,271,776 1,098,011,394 89,057,820320,200,914

15005 SecurityCare of TN Inc TN 2,646,652 (557,394) 19,336 (350,256) 1,846,741 424,4772,812,764

63541 Seechange Hlth Ins Co CA (16,479,361) (26,667,908) 155,916 (26,511,992) 105,755,267 27,541,3048,041,038

95458 Select Hlth of SC Inc SC 119,263,852 56,349,952 6,982,253 36,095,952 1,135,579,046 94,541,270277,650,343

10768 Selectcare Hlth Plans Inc TX 13,485,399 (552,997) 373,014 (395,910) 51,472,558 7,891,21420,382,477

13627 SelectCare of ME Inc ME 1,520,296 (3,137) 955 (1,715) 0 5,3271,525,426

12284 SelectCare of Ok Inc OK 2,124,051 555,241 (1,310) 343,636 3,139,162 415,5792,342,945

10096 Selectcare of TX Inc TX 62,931,334 15,038,824 4,599,416 8,967,700 729,430,539 96,608,294138,829,691

63245 SelectHealth Benefit Assur Co Inc UT 13,987,850 1,052,059 306,956 814,772 8,443,649 1,417,12321,072,234

95153 SelectHealth Inc UT 444,819,515 (24,074,833) 50,983,317 26,908,484 1,889,987,548 208,268,320848,519,645

14151 Sendero Hlth Plans Inc TX 8,724,553 (17,693,608) 3,131 (17,690,477) 49,590,639 11,516,01930,448,578

12776 Senior Whole Hlth of NY Inc NY 5,622,744 (2,130,539) 1,182 (2,129,357) 53,169,761 8,297,04623,084,525

13211 SeniorDent Dental Plan Inc WI 455,506 92,147 (4,970) 60,931 1,337,882 366,608493,047

15637 Sentara Hlth Ins Co of NC NC 2,500,000 0 0 0 0 02,500,000

95240 Seton Hlth Plan Inc TX 23,464,487 (1,104,716) 808,006 (333,894) 52,082,221 7,500,18535,741,764

95138 SHA LLC TX 56,385,409 (36,934,960) 5,040,478 (31,893,310) 493,640,144 75,861,392121,088,742

54259 Sidney Hillman Hlth Centre IL 148,892 24,405 126 24,531 3,007,911 842,202540,595

71420 Sierra Hlth & Life Ins Co Inc NV 75,584,810 24,311,547 2,456,249 15,780,302 425,673,475 49,015,262170,074,073

47012 Sightcare Inc AZ 839,585 101,954 1,550 103,504 10,384,125 1,543,8531,866,702

12575 SilverScript Ins Co TN 448,078,013 246,643,463 24,029 124,561,216 3,156,663,057 300,406,7472,764,215,754

13726 Simply Hlthcare Plans Inc FL 27,319,293 22,448,321 287,004 11,856,730 835,894,546 70,390,202199,847,662

11082 Single Vision Solution Inc MI 1,867,265 178,147 23,080 201,227 10,654,349 1,551,3152,028,259

80055 Smart Ins Co AZ 43,935,011 (2,354,216) 23,255 817,674 0 3,554,85344,753,024

12341 Solstice Benefits Inc FL 1,953,419 (1,021,498) 3,891 (2,375,070) 14,993,121 9,741,4275,060,848

13971 Solstice Health Ins Co NY 628,539 199,398 367 195,746 2,671,694 2,145,3641,747,588

© 2015 National Association of Insurance Commissioners 135

Page 144: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

12909 Soundpath Hlth WA 15,616,873 (2,998,737) 201,447 (3,291,826) 140,106,727 18,063,57932,840,907

96598 South Dakota State Med Holding Co SD 20,457,224 946,501 466,681 416,182 115,155,752 13,678,10140,219,140

95812 Southeastern IN Hlth Org Inc IN 10,337,113 1,306,946 24,708 1,036,279 49,135,833 8,401,73918,787,690

66117 Southwest Life & Hlth Ins Co TX 7,778,842 (2,911,852) 216,206 (2,695,646) 20,500,336 4,263,13411,321,798

11537 Sparrow PHP MI 8,494,340 434,498 418,806 853,304 67,717,631 7,896,28021,114,174

15487 Stableview Hlth Inc KY 5,518,422 0 27,729 18,423 0 05,528,676

15462 Sterling Dental of N Amer LLC KS 100,659 (220,002) 0 (220,002) 256,584 288,816158,777

11953 Sterling Dental Serv LLC OK 2,885 22,355 0 22,355 2,454,124 930,835410,462

77399 Sterling Life Ins Co IL 49,639,930 4,942,199 2,159,307 7,846,823 191,268,908 32,755,556110,465,300

10649 Summa Ins Co Inc OH 31,459,090 (15,453,352) 264,025 (13,508,684) 237,544,193 34,171,05171,513,629

95202 Summacare Inc OH 42,760,634 956,991 1,891,802 1,981,388 315,981,614 28,870,30785,166,633

14345 Sunflower State Hlth Plan Inc KS 112,770,369 (54,710,300) 53,789 (39,266,000) 1,045,965,761 88,368,058273,009,446

13148 Sunshine State Hlth Plan Inc FL 116,240,826 (154,828,643) 1,694,610 (119,274,558) 2,274,074,860 139,118,768541,528,377

96280 Superior Dental Care Inc OH 5,098,150 1,045,883 206,374 829,804 44,466,170 9,203,8099,414,619

95647 Superior Hlthplan Inc TX 208,788,215 46,251,964 3,328,182 32,071,711 1,881,948,982 220,399,677384,660,323

60188 Superior Vision Ins Inc AZ 14,431,771 6,035,974 2,497 3,924,238 0 42,101,73629,463,650

14189 Superior Vision of NJ Inc NJ 344,676 (4,814) 53 (4,761) 0 3,016344,675

11093 Takecare Ins Co Inc GU 14,824,726 4,657,037 8,716 4,665,753 89,718,153 7,694,75134,113,471

14387 Team Dental Inc TX 589,648 (14,160) 690 (13,470) 0 14,160591,957

95329 Texas Childrens Hlth Plan Inc TX 86,409,871 2,036,188 166,815 2,203,003 878,934,605 76,407,027167,696,363

54739 The Dental Concern Inc KY 6,108,043 2,256,153 5,935 1,428,927 39,014,235 8,831,8399,886,064

13130 The Dental Network Inc MD 549,876 0 9,021 (2,754) 4,149,483 1,0603,450,441

95677 The Hlth Plan the Upper OH Valley In WV 194,832,404 353,077 10,392,566 10,886,280 382,689,082 33,573,580259,939,460

14004 The University of AZ Hlth Plans Univ AZ 6,614,731 (2,952,810) 29,826 (2,922,984) 2,441,491 2,437,27414,326,005

95696 The Vt Hlth Plan LLC VT 33,738,355 (482,165) 1,169,582 687,417 71,366,985 10,668,69647,787,787

12755 Theramatrix Physical Therapy Plan In MI 269,857 (49,556) 11 (49,545) 0 40,116281,299

60016 THP Ins Co WV 18,876,896 (13,540,342) 391,883 (13,148,459) 52,300,224 5,307,24634,801,882

12239 Timber Products Manufacturers Trust WA 8,054,252 790,002 223,256 1,090,100 44,390,810 3,685,21214,283,102

15483 Todays Options of TX In TX 1,548,816 0 (1,185) (1,185) 0 1,6561,550,301

52120 Total Dental Administrators Hlth Pla AZ 2,502,422 764,350 122 459,940 7,805,380 1,619,0853,902,725

11560 Total Dental Administrators of UT UT 340,671 46,445 113 21,772 1,564,888 503,173690,310

95644 Total Hlth Care Inc MI 29,924,726 4,985,642 43,178 5,028,820 273,166,735 35,354,43660,499,464

12326 Total Hlth Care USA Inc MI 17,599,068 2,196,758 75,790 2,272,548 164,772,484 28,207,73045,017,760

12970 Touchstone Hlth HMO Inc NY 9,600,404 364,863 (400,982) 402,412 157,871,443 21,208,14118,457,760

89005 TRH Hlth Ins Co TN 53,275,632 (6,173,938) 3,498,496 (712,531) 159,504,322 23,159,07182,858,539

12584 Triad Hlthcare of NJ IPA Inc NJ 1,616,759 128,750 2,511 131,261 3,358,346 2,188,3542,453,381

12559 Trillium Comm Hlth Plan Inc OR 43,454,699 36,025,342 642,521 22,199,795 402,692,844 48,572,792118,838,842

© 2015 National Association of Insurance Commissioners 136

Page 145: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

12834 Trilogy Hlth Ins Inc WI 1,203,910 (818,844) 24,757 (1,652,070) 5,192,001 1,566,6913,110,299

55816 Triple S Salud Inc PR 403,009,087 26,796,466 27,198,038 39,879,776 1,360,428,280 169,304,853661,092,723

14225 Trusted Hlth Plan DC Inc DC 8,684,549 4,323,640 2,253 3,000,611 119,742,533 13,611,25325,974,362

95688 Tufts Associated Hlth Maintenance Or MA 765,026,261 28,265,381 36,809,770 65,768,692 2,641,826,413 287,288,0411,112,249,478

14131 Tufts Hlth Public Plans Inc MA 179,949,801 47,015,625 6,060,485 33,076,111 1,247,824,646 88,416,530358,630,007

60117 Tufts Ins Co Inc MA 50,468,083 (20,485,135) 1,117,328 (17,805,242) 248,204,491 35,123,77197,547,773

12924 UCare Hlth Inc WI 3,593,529 (10,647,453) 2,283 (10,653,148) 73,917,089 5,650,95323,489,761

52629 UCare MN MN 536,407,912 95,334,171 12,648,482 107,845,835 3,076,979,025 248,345,1621,314,871,955

11111 UDC of MI Inc MI 914,080 75,484 1,031 46,903 459,254 145,202977,602

52022 UDC OH INC DBA UNITED DENTAL CARE OH OH 986,831 22,622 1,668 11,008 937,667 314,9471,132,996

14243 Ultimate Hlth Plans Inc FL 4,834,503 (1,914,644) 3,691 (1,910,953) 26,744,327 7,160,0918,810,009

12805 Unicare Hlth Plan of KS Inc KS 5,578,596 (1,035,603) (5,893) (305,994) 0 9,44011,321,486

11810 Unicare Hlth Plan of WV Inc WV 59,949,433 37,460,840 1,378,335 24,522,036 275,467,103 25,340,07882,954,427

95420 Unicare Hlth Plans of TX Inc TX 24,169,906 104,998 69,778 709,861 10,963 (64,948)24,248,711

52553 Union Hlth Serv Inc IL 14,766,474 (236,329) 580,200 343,871 64,346,907 1,261,78523,543,946

54127 Union Medical Center IL 1,027,944 (142,647) (90,761) (233,408) 5,442,752 2,576,0811,409,052

11244 Union Security DentalCare of NJ Inc NJ 2,672,788 13,269 1,969 11,027 432,678 80,3002,844,263

13032 Unison Hlth Plan of the Capital Area DC 6,163,518 (583,925) 50,697 (328,701) 0 1,878,5506,362,336

89070 United Concordia Companies Inc PA 356,406,618 (27,409,910) 38,093,599 18,962,321 128,056,869 44,390,965421,874,566

47089 United Concordia Dental Plan PA Inc PA 2,225,553 (161,219) 1,256 (206,278) 14,150,180 2,569,4664,163,323

95253 UNITED CONCORDIA DENTAL PLANS MD 10,796,705 801,519 126,869 532,956 12,912,301 2,823,82912,437,344

52048 UNITED CONCORDIA DENTAL PLANS OF KY KY 489,329 53,289 (1,280) 30,743 520,070 117,655548,681

95160 United Concordia Dental Plans TX Inc TX 1,107,004 229,149 (4,468) 142,076 833,260 237,8581,196,290

96150 UNITED CONCORDIA DENTAL PLNS OF MW MI 5,925,296 781,648 452 468,330 7,542,892 636,5846,228,953

85766 United Concordia Ins Co AZ 37,842,323 (2,153,811) 838,678 (1,175,709) 229,929,515 40,952,22461,342,157

60222 United Concordia Ins Co Of NY NY 4,503,947 464,903 260 269,737 6,197,144 1,586,1685,341,191

62294 United Concordia Life & Hlth Ins Co PA 270,726,681 89,758,203 4,260,481 57,527,209 568,708,317 100,570,489375,001,892

47708 United Dental Care of AZ Inc AZ 2,712,012 1,378,653 4,209 884,187 5,296,235 967,1493,636,925

52032 United Dental Care of CO Inc CO 3,071,925 548,316 3,842 349,621 2,037,253 381,5363,164,833

47044 UNITED DENTAL CARE OF MO INC MO 2,298,365 (130,623) 1,806 (98,621) 1,407,919 471,1932,529,860

47042 United Dental Care of NM Inc NM 2,392,241 97,825 2,496 64,707 252,525 36,3832,458,483

95142 United Dental Care Of TX Inc TX 6,019,567 1,406,235 23,646 906,024 5,684,848 1,913,0296,605,233

95450 United Dental Care Of UT Inc UT 751,162 57,505 584 35,265 355,984 145,883824,109

95716 United Hlth Care of MS Inc MS 54,674,309 20,164,175 496,618 13,383,520 427,207,667 43,134,502113,853,461

60318 United Hlthcare Ins Co Of IL IL 106,299,844 42,264,013 2,685,440 24,697,711 946,617,940 118,427,065246,744,842

60093 United Hlthcare Ins Co Of NY NY 475,126,429 88,352,930 23,417,745 55,500,397 2,677,711,693 142,220,3991,180,265,056

95025 United Hlthcare Mid Atlantic Inc MD 135,936,985 35,375,569 3,482,381 12,554,182 1,161,176,109 101,805,013362,812,215

© 2015 National Association of Insurance Commissioners 137

Page 146: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

95784 United Hlthcare of AL Inc AL 61,323,355 45,590,875 2,891,764 29,914,833 431,502,047 56,472,942121,072,495

95446 United Hlthcare of AR Inc AR 7,794,223 1,317,464 2,383 629,040 8,421,848 1,485,32010,045,547

96016 United Hlthcare of AZ Inc AZ 53,459,114 26,208,509 1,407,295 16,594,961 325,396,101 42,452,96589,876,184

95090 United Hlthcare of CO Inc CO 10,864,246 3,760,510 4,170 2,276,251 32,645,786 4,098,59116,032,260

95264 United Hlthcare of FL Inc FL 105,040,704 (202,827,743) 6,223,964 (165,123,617) 2,352,536,643 242,191,933651,326,944

95850 United Hlthcare of GA Inc GA 30,191,392 13,064,984 765,966 8,411,236 123,442,437 15,872,67945,544,055

96644 United Hlthcare of KY Ltd KY 11,588,309 (4,434,697) 11,822 (4,240,287) 86,978,713 12,082,58726,102,282

95833 United Hlthcare of LA Inc LA 18,857,367 2,334,341 7,901 (2,169,162) 7,974,267 432,54837,148,186

95591 United Hlthcare of Midlands Inc NE 32,649,948 19,154,082 982,818 12,124,254 262,549,258 39,347,07369,867,788

96385 United Hlthcare of Midwest Inc MO 155,032,899 76,929,644 3,538,633 47,110,253 1,403,707,045 113,246,231344,251,707

95186 United Hlthcare of OH Inc OH 134,850,948 34,306,940 5,626,073 21,576,600 878,506,708 119,357,008257,910,405

95501 United Hlthcare of UT Inc UT 38,264,011 (23,890,190) 1,361,027 (21,648,224) 343,033,900 57,304,903110,463,217

95174 UnitedHealthCare Benefits of TX Inc TX 309,513,850 228,443,251 8,940,262 144,125,267 2,493,580,902 244,161,187530,828,762

95467 UnitedHealthcare Comm Plan Inc MI 104,642,797 51,361,065 1,985,125 30,385,870 1,092,192,391 143,852,668250,771,901

12323 UnitedHealthcare Comm Plan of OH Inc OH 154,192,242 77,696,813 3,525,306 47,832,332 1,421,593,821 222,513,454408,997,684

11141 Unitedhealthcare Comm Plan of TX LLC TX 187,473,246 69,691,140 6,253,089 43,531,291 1,583,780,327 204,629,556411,278,503

12231 UnitedHealthcare Ins Co of the River IL 60,736,445 21,170,681 414,391 10,705,596 595,301,939 86,665,782154,677,150

95776 UnitedHealthcare of IL Inc IL 20,361,394 7,943,850 514,920 5,060,251 106,282,905 11,396,96335,361,503

95103 UnitedHealthcare of NC Inc NC 130,820,339 62,941,181 5,043,283 39,562,824 1,011,855,321 142,939,548263,574,855

95149 UnitedHealthcare of New England Inc RI 160,742,586 55,073,412 4,601,585 36,672,417 703,796,530 62,447,094314,932,410

13214 Unitedhealthcare of NM Inc NM 130,160,389 65,492,929 455,352 34,242,222 877,486,374 109,329,742312,441,498

95085 UnitedHealthcare Of NY Inc NY 363,008,308 176,111,728 10,708,203 112,260,717 2,480,427,363 282,396,677648,157,256

95893 UnitedHealthcare of OR Inc OR 38,576,682 19,941,759 1,078,916 12,579,775 229,108,080 27,422,95964,211,195

95220 UnitedHealthcare of PA Inc PA 145,047,600 20,650,271 2,397,024 10,076,961 922,615,845 149,880,484278,396,973

95765 UnitedHealthcare of TX Inc TX 6,131,851 150,761 5,340 92,336 778,663 97,0096,492,530

48038 UnitedHealthCare of WA Inc WA 212,320,074 31,606,960 6,208,237 22,478,351 1,521,459,781 148,512,818638,796,526

95710 UnitedHealthcare of WI Inc WI 171,105,569 128,738,741 5,317,353 31,035,039 1,351,790,113 204,378,073373,186,565

95378 UnitedHealthcare Plan of the River V IL 600,328,649 376,373,528 16,509,198 236,985,815 4,256,804,948 580,284,7561,342,922,260

96903 UnitedHeathcare of OK Inc OK 53,537,806 26,197,245 1,815,974 16,499,018 371,277,962 47,531,84494,373,783

95796 Unity Hlth Plans Ins Corp WI 59,141,684 8,543,656 2,168,810 4,649,507 754,069,786 68,175,599143,128,056

47953 University Hlth Alliance HI 49,200,335 3,870,902 1,421,474 2,298,365 229,545,745 31,864,82981,537,572

52621 University Hlth Care Inc KY 214,861,200 108,568,423 6,403,100 114,971,523 1,293,066,980 79,136,548357,230,511

11995 UPMC For You Inc PA 228,182,263 58,963,076 66,006 59,029,082 1,630,795,920 199,547,537428,121,296

15451 UPMC Hlth Coverage Inc PA 2,096,247 1,345,147 (4,323) 596,247 5,162,445 379,4937,080,821

11994 UPMC Hlth Ntwrk Inc PA 40,938,188 625,839 (4,641,791) (1,887,959) 104,150,303 13,369,10657,335,271

15345 UPMC Hlth Options Inc PA 132,232,743 (52,533,158) (1,209,719) (37,790,845) 1,049,153,844 82,693,414257,200,502

95216 UPMC Hlth Plan Inc PA 149,692,951 12,591,668 1,932,542 12,557,006 1,193,963,984 96,776,749376,209,164

© 2015 National Association of Insurance Commissioners 138

Page 147: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

52615 Upper Peninsula Hlth Plan LLC MI 23,507,265 4,452,251 111,682 4,563,933 150,672,206 16,349,91746,194,183

97772 US Hlth & Life Ins Co Inc MI 8,321,331 (1,369,590) 481,790 (976,986) 53,954,089 8,597,42726,791,683

83470 USAble Mut Ins Co AR 820,042,378 55,871,787 11,572,419 45,991,337 1,947,980,633 232,704,6391,580,839,043

95764 UTMB Hlth Plans Inc TX 6,606,942 1,173,401 136,933 1,310,334 786,710 301,2107,240,984

47025 Value Behavioral Hlth of PA Inc PA 16,200,146 6,995,368 0 3,727,878 98,536,052 9,034,58834,842,012

95799 Value Options of TX Inc TX 5,621,282 610,307 2,718 20,734 70,209,259 21,572,02017,287,739

15448 ValueOptions of NJ Inc NJ 1,688,846 (49,778) 295 (400,451) 64,715,143 2,100,78010,220,253

95584 Vantage Hlth Plan Inc LA 21,209,301 7,283,605 81,879 5,502,147 230,301,941 35,994,17453,426,352

15127 Vantage Hlth Plan of AR Inc AR 300,655 (2,038) 0 (1,345) 0 1,161301,532

95612 Virginia Premier Hlth Plan Inc VA 157,737,685 (3,299,296) 1,517,781 (2,156,443) 819,576,815 68,001,951282,292,367

13750 Vision Benefits of Amer II Inc PA 6,948,575 (93,116) 93,116 0 600,146 317,6717,106,594

53953 Vision Benefits of Amer Inc PA 41,900,824 1,888,003 532,467 2,320,470 42,868,862 4,371,92249,023,470

52005 Vision Ins Plan of Amer Inc WI 1,217,677 (332,543) 1,852 (330,691) 12,185,113 4,710,2433,788,397

54380 Vision Serv Plan OH 44,453,408 9,204,728 1,045,628 2,461,000 94,597,559 16,773,06454,323,250

48321 Vision Serv Plan Inc NV 28,273,425 798,824 945,610 1,370,545 7,304,107 1,714,55229,867,395

47097 Vision Serv Plan Inc OK OK 23,969,983 3,475,550 268,837 2,261,108 39,166,486 5,756,56527,532,891

32395 Vision Serv Plan Ins Co MO 22,799,823 8,537,181 713,687 3,481,893 139,486,138 25,019,50950,177,443

39616 Vision Serv Plan Ins Co CT 124,752,451 34,674,197 567,640 16,627,375 754,884,680 143,580,547203,931,329

12516 Vision Serv Plan of IL NFP IL 29,661,572 2,130,409 392,199 790,668 112,491,156 17,063,35640,494,677

96660 Vista Hlth Plan Inc PA 187,958,020 21,477,635 4,063,022 2,230,657 3,109,833,590 217,328,407546,113,015

95313 Vista Hlth Plan Inc TX 3,220,249 (93,056) 8,111 (84,945) 0 93,0563,220,249

95322 Viva Hlth Inc AL 94,163,278 9,327,399 430,854 6,351,379 605,984,802 66,373,753153,810,934

12867 Voluntary Employees Benefit Assn of HI 8,380,270 (68,984) 83,042 14,058 0 107,0868,434,858

14046 Volunteer State Hlth Plan Inc TN 330,054,375 114,956,127 4,248,953 60,252,033 1,811,761,109 277,248,350729,431,800

53031 VSP Vision Care Inc VA 137,074,960 10,148,841 2,142,473 7,840,297 128,226,183 21,629,883150,931,103

83445 Wellcare Hlth Ins of AZ Inc AZ 66,422,767 789,061 516,298 (2,412,617) 617,055,169 69,008,303162,473,485

64467 Wellcare Hlth Ins of KY Inc KY 211,709,187 149,651,357 991,263 88,988,656 2,420,678,059 206,203,205522,623,243

10884 Wellcare Hlth Ins of NY Inc NY 12,062,383 (16,638) 44,585 18,166 0 16,68612,062,689

15510 WellCare Hlth Plans of KY Inc KY 3,511,930 0 5,018 3,262 0 03,513,686

13020 Wellcare Hlth Plans of NJ Inc NJ 15,794,300 (9,040,139) 84,994 (6,479,083) 180,656,585 24,577,78870,405,839

95310 WellCare of CT Inc CT 20,725,984 2,205,775 79,562 938,404 123,865,133 9,146,61437,432,370

95081 WellCare of Fl Inc FL 76,476,569 (62,008,003) 2,432,703 (55,337,400) 2,813,223,700 361,066,471537,362,095

10760 Wellcare of GA Inc GA 154,045,947 17,556,851 335,170 363,152 1,973,921,629 275,840,929355,375,747

14404 Wellcare of KS Inc KS 1,800,161 (1,763) 1,844 53 0 1,7551,807,199

12194 Wellcare of LA Inc LA 15,530,565 3,579,355 68,026 1,981,408 94,508,602 16,046,01630,308,478

12749 Wellcare of OH Inc OH 33,210,924 2,958,528 124,410 1,003,074 47,003,333 7,960,70344,766,158

11775 Wellcare of SC Inc SC 43,665,202 17,231,208 226,370 10,357,740 217,566,368 22,302,25075,458,804

© 2015 National Association of Insurance Commissioners 139

Page 148: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

NAIC

Code

HEALTH INSURANCE INDUSTRY AGGREGATES

DOM

Total

Assets

Capital

Total

Net Underwriting

Gain or (Loss)Company Name

Net Investment

Gains or (Losses)

Net Income

(Loss)

Direct

Business

Total Expenses

Paidand Surplus

Individual Company Data

12964 Wellcare of TX Inc TX 26,536,446 (18,417,692) 137,196 (13,763,746) 329,609,636 54,427,47375,418,477

10155 Wellcare Prescription Ins Inc FL 108,999,182 (14,387,637) 163,845 (14,833,169) 986,821,620 104,477,930822,182,837

85537 Wellington Life Ins Co AZ 6,109,066 4,760 (734) 7,090 130,705 75,6896,119,142

95531 Wellmark Hlth Plan of IA Inc IA 159,317,952 11,647,305 6,758,419 10,670,768 343,920,691 58,108,627217,970,395

88848 Wellmark Inc IA 1,359,749,051 (42,103,555) 67,560,197 15,373,055 2,400,593,729 364,398,3942,018,044,802

60128 Wellmark Of SD Inc SD 227,993,234 (22,886,468) 11,373,159 (9,413,205) 666,763,331 107,235,784420,352,352

15020 West Virginia Family Hlth Plan Inc WV 3,577,606 (1,206,708) (8,185) (2,773,054) 1,698,059 768,3015,388,589

12339 Western Grocers Employee Benefit Tru OR 5,898,115 1,015,063 104,750 1,096,717 16,562,451 1,764,4088,345,170

52555 Willamette Dental Ins Inc OR 6,771,916 1,073,661 44,261 533,118 43,248,031 2,635,9428,529,012

95819 Willamette Dental of ID Inc ID 17,248,662 195,288 34 (6,162) 6,866,103 670,32417,963,655

47050 Willamette Dental of WA Inc WA 10,357,463 1,134,365 96,623 760,135 50,235,338 3,313,80011,184,066

95792 Windsor Hlth Plan Inc TN 137,434,468 29,269,545 312,316 19,114,698 476,246,572 40,774,514216,192,208

95401 Winhealth Partners WY 7,241,065 (1,366,573) 142,614 (938,960) 77,127,151 11,695,49522,105,100

53139 Wisconsin Physicians Serv Ins Corp WI 145,416,004 (14,863,377) 12,091,031 3,617,773 552,573,300 107,554,602315,609,654

54682 Wisconsin Vision Serv Plan Inc WI 15,432,700 1,372,607 147,346 809,253 18,721,521 2,682,91717,671,774

10159 WPS Hlth Plan Inc WI 14,635,414 (11,609,974) 596,310 (7,366,414) 144,722,700 17,665,59028,393,969

12352 Wyssta Ins Co Inc WI 7,584,010 990,894 95,764 698,713 6,698,141 1,414,2988,571,695

15578 Zoomcare Hlth Plan Inc OR 2,654,950 (746,947) 1,267 (745,680) 0 653,2933,199,699

TOTAL 116,933,044,898 6,692,312,178 5,533,418,458 6,419,918,206 533,017,455,567 71,422,909,030243,343,660,785

© 2015 National Association of Insurance Commissioners 140

Page 149: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

2014 HEALTH SELECTED DATA ELEMENTS FROM COMPANY ANNUAL STATEMENTS

TECHNICAL NOTES Data Element Health Annual Statement Source Total Assets Page 2, Line 28, Column 3 Capital and Surplus Page 3, Line 33, Column 3 Net Underwriting Gain (Loss) Page 4, Line 24, Column 2 Net Investment Gain (Loss) Page 4, Line 27, Column 2 Net Income (Loss) Page 4, Line 32, Column 2 Direct Business Page 8, Line 12, Column 1 Total Expenses Paid Page 14, Line 31, Column 5

© 2015 National Association of Insurance Commissioners 141

Page 150: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 142

Page 151: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

Index of Companies

© 2015 National Association of Insurance Commissioners 143

Page 152: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

© 2015 National Association of Insurance Commissioners 144

Page 153: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

AMERICAN DENTAL PLAN OF WI INC 52041 00000

AMERIGROUP Comm Care of NM Inc 12354 00671 ANTHEM INC GRP

AMERIGROUP FL INC 95093 00671 ANTHEM INC GRP

AMERIGROUP MD Inc 95832 00671 ANTHEM INC GRP

AMERIGROUP NJ Inc 95373 00671 ANTHEM INC GRP

AMERIGROUP NV Inc 12586 00671 ANTHEM INC GRP

AMERIGROUP OH Inc dba Comm Care 10767 00671 ANTHEM INC GRP

AMERIGROUP TN Inc 12941 00671 ANTHEM INC GRP

AMERIGROUP TX Inc 95314 00671 ANTHEM INC GRP

AMGP GA Managed Care Co Inc 12229 00671 ANTHEM INC GRP

Absolute Total Care Inc 12959 01295 CENTENE CORP GRP

Accendo Ins Co 63444 04667 CVS CAREMARK GRP

Access Dental Plan of NV Inc 15307 00429 GUARDIAN LIFE GRP

Access Dental Plan of UT Inc 15494 00429 GUARDIAN LIFE GRP

AccessCare Gen Inc 14158 04744 L S S GRP

AccessCare Gen LLC 14119 04744 L S S GRP

Accesscare Gen OK LLC 14343 04744 L S S GRP

Advantage Dental Plan Inc 47006 00000

Advantage Hlth Solutions Inc 52568 00000

Advantica Dental Benefits Inc 47035 03680 DELTA DENTAL PLAN OF MO GRP

Advantica Ins Co 12278 03680 DELTA DENTAL PLAN OF MO GRP

Advicare Corp 15146 00000

Aecc Total Vision Hlth Plan Of TX 95302 01295 CENTENE CORP GRP

Aetna Better Hlth Inc 14043 00001 AETNA GRP

Aetna Better Hlth Inc 13174 00001 AETNA GRP

Aetna Better Hlth Inc 14229 00001 AETNA GRP

Aetna Better Hlth Inc 13735 00001 AETNA GRP

Aetna Better Hlth Inc a GA Corp 12328 00001 AETNA GRP

Aetna Better Hlth of MI Inc 12193 00001 AETNA GRP

Aetna Dental Inc 95910 00001 AETNA GRP

Aetna Dental Inc NJ Corp 11183 00001 AETNA GRP

Aetna Hlth Inc CT Corp 95935 00001 AETNA GRP

Aetna Hlth Inc FL Corp 95088 00001 AETNA GRP

Aetna Hlth Inc GA Corp 95094 00001 AETNA GRP

Aetna Hlth Inc ME Corp 95517 00001 AETNA GRP

Aetna Hlth Inc MI Corp 95756 00001 AETNA GRP

Aetna Hlth Inc NJ Corp 95287 00001 AETNA GRP

© 2015 National Association of Insurance Commissioners 145

Page 154: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Aetna Hlth Inc NY Corp 95234 00001 AETNA GRP

Aetna Hlth Inc PA Corp 95109 00001 AETNA GRP

Aetna Hlth Inc TX Corp 95490 00001 AETNA GRP

Aetna Hlth Ins Co 72052 00001 AETNA GRP

Aetna Hlth Ins Co of NY 84450 00001 AETNA GRP

Aids Hlthcare Found MCO of FL Inc 12973 04833 AHF GRP

Alaska Vision Serv Inc 47201 01189 VISION SERV PLAN GRP

Allcare Hlth Plan Inc 12253 00000

Allegian Ins Co 12346 04759 VANGUARD HLTH GRP

Allegiance Life & Hlth Ins Co Inc 12814 00901 CIGNA HLTH GRP

Alliance Hlth & Life Ins Co 60134 01311 HENRY FORD HLTH SYSTEM GRP

Alliant Hlth Plans Inc 11256 00000

Aloha Care 95853 00000

Alpha Dental Programs Inc 95163 02479 DENTEGRA GRP

Alpha Dental of AZ Inc 95366 02479 DENTEGRA GRP

Alpha Dental of NM Inc 47092 02479 DENTEGRA GRP

Alpha Dental of NV Inc 95778 02479 DENTEGRA GRP

Alpha Dental of UT Inc 11174 02479 DENTEGRA GRP

Alphacare of NY Inc 15280 00000

Altius Hlth Plans Inc 95407 00001 AETNA GRP

Altus Dental Ins Co Inc 52632 01571 DELTA DENTAL OF RI GRP

AmFirst Ins Co 60250 04719 AMFIRST HOLDINGS GRP

AmeriHealth Caritas LA Inc 14143 00936 INDEPENDENCE HLTH GRP INC GRP

American Hlth Inc 11152 04802 TRIPLE S GRP

American Hlth Ntwrk of IN LLC 52623 00000

American Specialty Hlth Ins Co 84697 03502 AMERICAN SPECIALTY GRP

American Specialty Hlth ODS of NJ 11866 03502 AMERICAN SPECIALTY GRP

Americas 1st Choice Hlth Plans Inc 12910 04755 AMERICAS 1ST CHOICE GRP

Americas 1st Choice Ins Co of NC Inc 13044 04755 AMERICAS 1ST CHOICE GRP

Americhoice of CT Inc 13178 00707 UNITEDHEALTH GRP

Americhoice of GA Inc 13168 00707 UNITEDHEALTH GRP

Americhoice of NJ Inc 95497 00707 UNITEDHEALTH GRP

Amerigroup Ins Co 14078 00671 ANTHEM INC GRP

Amerigroup KS Inc 14276 00671 ANTHEM INC GRP

Amerigroup LA Inc 14064 00671 ANTHEM INC GRP

Amerigroup Washington Inc 14073 00671 ANTHEM INC GRP

Amerihealth DC Inc 15088 00936 INDEPENDENCE HLTH GRP INC GRP

© 2015 National Association of Insurance Commissioners 146

Page 155: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Amerihealth Hmo Inc 95044 00936 INDEPENDENCE HLTH GRP INC GRP

Amerihealth Ins Co Of NJ 60061 00936 INDEPENDENCE HLTH GRP INC GRP

Amerihealth MI Inc 15104 00936 INDEPENDENCE HLTH GRP INC GRP

Amerihealth NE Inc 14261 00936 INDEPENDENCE HLTH GRP INC GRP

Anthem Blue Cross Life & Hlth Ins Co 62825 00671 ANTHEM INC GRP

Anthem Hlth Plans Inc 60217 00671 ANTHEM INC GRP

Anthem Hlth Plans Of KY Inc 95120 00671 ANTHEM INC GRP

Anthem Hlth Plans of ME Inc 52618 00671 ANTHEM INC GRP

Anthem Hlth Plans of NH 53759 00671 ANTHEM INC GRP

Anthem Hlth Plans of VA Inc 71835 00671 ANTHEM INC GRP

Anthem Ins Co Inc 28207 00671 ANTHEM INC GRP

Anthem KY Managed Care Plan Inc 15543 00671 ANTHEM INC GRP

Arcadian Hlth Plan Inc 12151 00119 HUMANA GRP

Arches Mut Ins Co 15079 00000

Arizona Dental Ins Serv Inc 53597 03658 DELTA DENTAL PLAN OF AZ GRP

Arkansas Superior Select Inc 15135 00000

Asuris NW Hlth 47350 01207 CAMBIA HEALTH SOLUTIONS INC

Athens Area Hlth Plan Select Inc 95691 00000

Atlantic Southern Dental Found 11217 00000

Atlantis Hlth Plan 52624 00000

Atrio Hlth Plans Inc 10123 00000

Aultcare Hlth Insuring Corp 15461 04805 AULTMAN HLTH FOUNDATION GRP

Aultcare Ins Co 77216 04805 AULTMAN HLTH FOUNDATION GRP

Auxilio Platino Inc 12587 00000

AvMed Inc 95263 00000

Avalon Ins Co 12358 01230 CAPITAL BLUE CROSS GRP

Avera Hlth Plans Inc 95839 00000

Avesis Ins Inc 11163 00000

BC BS KS Solutions Inc 15481 00430 BCBS OF KS GRP

BCBS Hlthcare Plan of GA Inc 96962 00671 ANTHEM INC GRP

BCBS Of FL 98167 00536 GUIDEWELL MUT HOLDING GRP

BCBS Of MS Mut Ins Co 60111 01126 MISSISSIPPI INS GRP

BCBS Of NE 77780 00000

BCBS Of SC Inc 38520 00661 BCBS OF SC GRP

BCBS of AL 55433 00570 BCBS OF AL GRP

BCBS of AZ Inc 53589 00000

BCBS of GA Inc 54801 00671 ANTHEM INC GRP

© 2015 National Association of Insurance Commissioners 147

Page 156: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

BCBS of KC 47171 00537 BCBS OF KC GRP

BCBS of MA 53228 03637 BCBS OF MA GRP

BCBS of MA HMO Blue Inc 12219 03637 BCBS OF MA GRP

BCBS of MI Mut Ins Co 54291 00572 BCBS OF MI GRP

BCBS of NC Inc 54631 00000

BCBS of RI 53473 00000

BCBS of TN Inc 54518 03498 BCBS OF TN GRP

BCBS of VT 53295 04745 BCBS OF VT GRP

BCBS of WI 54003 00671 ANTHEM INC GRP

BCBS of WY 53767 00000

BCBSM Inc 55026 00461 BCBS OF MN GRP

Baltas Vision LLC 12214 00000

Bankers Reserve Life Ins Co Of WI 71013 01295 CENTENE CORP GRP

BeHealthy Amer Inc 15118 00000

Block Vision Of TX Inc 95387 04801 SUPERIOR VISION HOLDING GRP

Blue Advantage Plus of KC Inc 10753 00537 BCBS OF KC GRP

Blue Care Network Of MI 95610 00572 BCBS OF MI GRP

Blue Care Of MI Inc 52037 00572 BCBS OF MI GRP

Blue Cross Complete of MI 11557 00572 BCBS OF MI GRP

Blue Cross of ID Care Plus Inc 15022 01290 BLUE CROSS OF ID GRP

Blue Cross of ID Hlth Serv Inc 60095 01290 BLUE CROSS OF ID GRP

BlueChoice Hlthplan of SC Inc 95741 00661 BCBS OF SC GRP

Bluegrass Family Hlth Inc 95071 00000

Boston Medical Center Hlth Plan Inc 13203 00000

Bravo Hlth Mid Atlantic Inc 10095 00901 CIGNA HLTH GRP

Bravo Hlth PA Inc 11524 00901 CIGNA HLTH GRP

BridgeSpan Hlth Co 95303 01207 CAMBIA HEALTH SOLUTIONS INC

Bridgeway Advantage Solutions Inc 15447 01295 CENTENE CORP GRP

Buckeye Comm Hlth Plan Inc 11834 01295 CENTENE CORP GRP

Bupa Ins Co 81647 00000

CBHNP Serv Inc 13630 00936 INDEPENDENCE HLTH GRP INC GRP

CDPHP Universal Benefits Inc 47027 04708 CDPHP INC GRP

CHA Hmo Inc 95158 00119 HUMANA GRP

CMD Hlth Inc 13611 00000

Cambridge Life Ins Co 81000 00001 AETNA GRP

Canyon Ins Serv Inc 12217 03658 DELTA DENTAL PLAN OF AZ GRP

Capital Advantage Assur Co 14411 01230 CAPITAL BLUE CROSS GRP

© 2015 National Association of Insurance Commissioners 148

Page 157: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Capital Advantage Ins Co 41203 01230 CAPITAL BLUE CROSS GRP

Capital Blue Cross 54720 01230 CAPITAL BLUE CROSS GRP

Capital District Physicians Hlthpln 95491 04708 CDPHP INC GRP

Capital Hlth Plan Inc 95112 00536 GUIDEWELL MUT HOLDING GRP

Care 1st Health Plan 15143 00000

Care Improvement Plus S Central Ins 12567 00707 UNITEDHEALTH GRP

Care Improvement Plus WI Ins Co 14041 00707 UNITEDHEALTH GRP

Care Improvement Plus of MD Inc 12313 00707 UNITEDHEALTH GRP

Care Improvement Plus of TX Ins Co 12558 00707 UNITEDHEALTH GRP

Care N Care Ins Co Inc 13151 00000

Care Plus Dental Plans Inc 55450 00000

Care WI Hlth Plan Inc 12248 00000

CareCentrix of NJ Inc 14403 00000

CareFirst BlueChoice Inc 96202 00380 CAREFIRST INC GRP

CareMore Hlth Plan of NV 13605 00671 ANTHEM INC GRP

CarePlus Hlth Plans Inc 95092 00119 HUMANA GRP

CareSource IN 10142 03683 CARESOURCE GRP

CareSource KY Co 15479 03683 CARESOURCE GRP

Carecore NJ LLC 10144 00000

Carefirst Inc 47021 00380 CAREFIRST INC GRP

Carefirst of MD Inc 47058 00380 CAREFIRST INC GRP

Caremore Hlth Plan of AZ Inc 13562 00671 ANTHEM INC GRP

Caremore Hlth Plan of CO Inc 13753 00671 ANTHEM INC GRP

Carepoint Ins Co 14203 00000

Caresource 95201 03683 CARESOURCE GRP

Carilion Clinic Medicare Resources L 13628 00000

Cariten Hlth Plan Inc 95754 00119 HUMANA GRP

Catholic Special Needs Plan LLC 12976 00000

Celticare Hlth Plan of MA Inc 13632 01295 CENTENE CORP GRP

Cenpatico Behavioral Hlth of TX 12525 01295 CENTENE CORP GRP

Cenpatico of AZ Inc 14704 01295 CENTENE CORP GRP

Cenpatico of LA Inc 15357 01295 CENTENE CORP GRP

Childrens Comm Hlth Plan Inc 13739 00000

Childrens Medical Center Hlth Plan 15485 04828 CHILDRENS HLTH SYSTEM OF TX GRP

Christiana Care Hlth Plans Inc 52039 00000

Christus Hlth Plan 14154 00000

Cigna Dental Hlth Plan of AZ Inc 47013 00901 CIGNA HLTH GRP

© 2015 National Association of Insurance Commissioners 149

Page 158: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Cigna Dental Hlth of CO Inc 11175 00901 CIGNA HLTH GRP

Cigna Dental Hlth of DE Inc 95380 00901 CIGNA HLTH GRP

Cigna Dental Hlth of FL Inc 52021 00901 CIGNA HLTH GRP

Cigna Dental Hlth of KS Inc 52024 00901 CIGNA HLTH GRP

Cigna Dental Hlth of KY Inc 52108 00901 CIGNA HLTH GRP

Cigna Dental Hlth of MD Inc 48119 00901 CIGNA HLTH GRP

Cigna Dental Hlth of MO Inc 11160 00901 CIGNA HLTH GRP

Cigna Dental Hlth of NC Inc 95179 00901 CIGNA HLTH GRP

Cigna Dental Hlth of NJ Inc 11167 00901 CIGNA HLTH GRP

Cigna Dental Hlth of OH Inc 47805 00901 CIGNA HLTH GRP

Cigna Dental Hlth of PA Inc 47041 00901 CIGNA HLTH GRP

Cigna Dental Hlth of TX Inc 95037 00901 CIGNA HLTH GRP

Cigna Dental Hlth of VA Inc 52617 00901 CIGNA HLTH GRP

Cigna Hltcare of IN Inc 95525 00901 CIGNA HLTH GRP

Cigna Hlthcare NH Inc 95493 00901 CIGNA HLTH GRP

Cigna Hlthcare of AZ Inc 95125 00901 CIGNA HLTH GRP

Cigna Hlthcare of CO Inc 95604 00901 CIGNA HLTH GRP

Cigna Hlthcare of CT Inc 95660 00901 CIGNA HLTH GRP

Cigna Hlthcare of FL Inc 95136 00901 CIGNA HLTH GRP

Cigna Hlthcare of GA Inc 96229 00901 CIGNA HLTH GRP

Cigna Hlthcare of IL Inc 95602 00901 CIGNA HLTH GRP

Cigna Hlthcare of NC Inc 95132 00901 CIGNA HLTH GRP

Cigna Hlthcare of NJ Inc 95500 00901 CIGNA HLTH GRP

Cigna Hlthcare of SC Inc 95708 00901 CIGNA HLTH GRP

Cigna Hlthcare of St Louis Inc 95635 00901 CIGNA HLTH GRP

Cigna Hlthcare of TN Inc 95606 00901 CIGNA HLTH GRP

Cigna Hlthcare of TX Inc 95383 00901 CIGNA HLTH GRP

ClearRiver Hlth 15493 04807 CATHOLIC HLTH INITIATIVES GRP

Colorado Access 95733 04781 COLORADO ACCESS GRP

Colorado Choice Hlth Plan 95774 00000

Colorado Dental Serv Inc 55875 00000

Colorado Hlth Ins Coop Inc 15126 00000

Columbia United Providers Inc 47047 00000

Common Ground Hlthcare Coop 15061 00000

Community Care Alliance of IL NFP 15209 00000

Community Care Behavioral Hlth Org 47024 01324 UPMC HLTH SYSTEM GRP

Community Care Hlth Plan Inc 10756 00000

© 2015 National Association of Insurance Commissioners 150

Page 159: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Community Dental Assoc 11214 00000

Community First Grp Hospital Serv Co 11143 02738 COMMUNITY FIRST GRP

Community First Hlth Plans Inc 95248 02738 COMMUNITY FIRST GRP

Community Hlth Alliance Mut Ins Co 15144 00000

Community Hlth Choice Inc 95615 00000

Community Hlth Plan Ins Co 92681 00000

Community Hlth Plan of WA 47049 00000

Community Ins Co 10345 00671 ANTHEM INC GRP

CommunityCare HMO Inc 11691 03487 COMMUNITYCARE GRP

Communitycare Life & Hlth Ins Co 89008 03487 COMMUNITYCARE GRP

Compbenefits Co 52015 00119 HUMANA GRP

Compbenefits Dental Inc 11228 00119 HUMANA GRP

Compbenefits Ins Co 60984 00119 HUMANA GRP

Compcare Hlth Serv Ins Corp 95693 00671 ANTHEM INC GRP

Comprehensive Mobile Ins AZ Inc 15238 00000

Comprehensive Mobile Plan UT Inc 15360 00000

Connecticare Benefits Inc 14913 01127 HIP INS GRP

Connecticare Inc 95675 01127 HIP INS GRP

Connecticare Ins Co Inc 11209 01127 HIP INS GRP

Connecticare Of MA Inc 95299 01127 HIP INS GRP

Consumers Choice Hlth Ins Co 15145 00000

Consumers Mut Ins of Michigan 15128 00000

Cook Childrens Hlth Plan 95822 00000

Coordinated Care Corp 95831 01295 CENTENE CORP GRP

Coordinated Care of WA Inc 15352 01295 CENTENE CORP GRP

Coordinated Hlth Mut Inc 15314 00000

Coventry Hlth & Life Ins Co 81973 00001 AETNA GRP

Coventry Hlth Care of DE Inc 96460 00001 AETNA GRP

Coventry Hlth Care of FL Inc 95114 00001 AETNA GRP

Coventry Hlth Care of GA Inc 95282 00001 AETNA GRP

Coventry Hlth Care of IA Inc 95241 00001 AETNA GRP

Coventry Hlth Care of IL Inc 74160 00001 AETNA GRP

Coventry Hlth Care of KS Inc 95489 00001 AETNA GRP

Coventry Hlth Care of LA Inc 95173 00001 AETNA GRP

Coventry Hlth Care of MO Inc 96377 00001 AETNA GRP

Coventry Hlth Care of NE Inc 95925 00001 AETNA GRP

Coventry Hlth Care of PA Inc 95283 00001 AETNA GRP

© 2015 National Association of Insurance Commissioners 151

Page 160: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Coventry Hlth Care of TX Inc 14348 00001 AETNA GRP

Coventry Hlth Care of VA Inc 96555 00001 AETNA GRP

Coventry Hlth Care of W VA Inc 95408 00001 AETNA GRP

Coventry Hlth Care of the Carolinas 95321 00001 AETNA GRP

Coventry Hlth Plan of FL Inc 95266 00001 AETNA GRP

Cox Hlth System HMO Inc 95530 01203 COX INS GRP

Cox Hlth Systems Ins Co 60040 01203 COX INS GRP

Crestpoint Hlth Ins Co 12858 00000

Cuatro LLC 13931 00000

DC Chartered Hlth Plan Inc 95748 00000

DENCAP DENTAL PLANS INC 52025 00000

DENTAL BENEFIT PROVIDERS OF IL INC 52053 00707 UNITEDHEALTH GRP

DSM MA Ins Co Inc 15497 04512 DENTAQUEST GRP

DSM USA Ins Co Inc 67636 04512 DENTAQUEST GRP

Dean Hlth Ins Inc 60067 01294 DEAN HLTH GRP

Dean Hlth Plan Inc 96156 01294 DEAN HLTH GRP

Delta Dental Ins Co 81396 02479 DENTEGRA GRP

Delta Dental Plan of AR Inc 47155 00000

Delta Dental Plan of IN Inc 52634 00477 RENAISSANCE HLTH SERV CORP GRP

Delta Dental Plan of KS Inc 54615 04638 DELTA DENTAL OF KS GRP

Delta Dental Plan of MI Inc 54305 00477 RENAISSANCE HLTH SERV CORP GRP

Delta Dental Plan of NH 47079 04763 NORTHEAST DELTA DENTAL GRP

Delta Dental Plan of NM Inc 47287 00477 RENAISSANCE HLTH SERV CORP GRP

Delta Dental Plan of OH Inc 54402 00477 RENAISSANCE HLTH SERV CORP GRP

Delta Dental Plan of OR 54941 01313 OREGON DENTAL GRP

Delta Dental Plan of PR Inc 47085 02479 DENTEGRA GRP

Delta Dental Plan of SD 54097 00000

Delta Dental Plan of VT 53279 04763 NORTHEAST DELTA DENTAL GRP

Delta Dental Plan of WI Inc 54046 03849 DELTA DENTAL OF WI GRP

Delta Dental Plan of WY 15200 00000

Delta Dental of DE Inc 11132 02479 DENTEGRA GRP

Delta Dental of IL 47589 00115 DELTA DENTAL PLAN OF IL GRP

Delta Dental of KY Inc 54674 00477 RENAISSANCE HLTH SERV CORP GRP

Delta Dental of MN 55034 00000

Delta Dental of MO 55697 03680 DELTA DENTAL PLAN OF MO GRP

Delta Dental of NC 54658 00477 RENAISSANCE HLTH SERV CORP GRP

Delta Dental of NE 47091 00000

© 2015 National Association of Insurance Commissioners 152

Page 161: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Delta Dental of NJ Inc 55085 02918 DELTA DENTAL PLAN OF NJ GRP

Delta Dental of NY 55263 02479 DENTEGRA GRP

Delta Dental of OK 53937 00000

Delta Dental of PA 54798 02479 DENTEGRA GRP

Delta Dental of RI 55301 01571 DELTA DENTAL OF RI GRP

Delta Dental of VA 55611 04729 CORVESTA GRP

Delta Dental of W VA 12329 02479 DENTEGRA GRP

Delta Dental of WA 47341 00000

Denta Chek of MD Inc 47074 00000

DentaQuest Mid Atlantic Inc 52040 04512 DENTAQUEST GRP

DentaQuest USA Ins Co Inc 12307 04512 DENTAQUEST GRP

DentaQuest VA Inc 95713 04512 DENTAQUEST GRP

Dental Care Plus Inc 96265 00000

Dental Choice Inc 48127 00477 RENAISSANCE HLTH SERV CORP GRP

Dental Delivery Systems Inc 11195 00000

Dental Grp of NJ Inc 11241 00000

Dental Hlth Serv 47490 00000

Dental Practice Assn of NJ Inc 12213 00000

Dental Serv Org Inc 11234 00000

Dental Serv of MA Inc 52060 04512 DENTAQUEST GRP

Dentcare Delivery Systems Inc 47112 00000

Dentegra Ins Co 73474 02479 DENTEGRA GRP

Dentegra Ins Co of New England 12210 02479 DENTEGRA GRP

Denticare Inc 95161 00119 HUMANA GRP

Denver Hlth Medical Plan Inc 95750 00000

Dominion Dental Serv Inc 95657 01230 CAPITAL BLUE CROSS GRP

Driscoll Childrens Hlth Plan 95809 00000

Dynamic Hlth Ins Co 15134 00000

Eastern Vision Serv Plan Inc 47029 01189 VISION SERV PLAN GRP

Educators Hlth Plans Life Accident & 12515 00126 EDUCATORS MUT GRP

Educators Mut Ins Assoc 81701 00126 EDUCATORS MUT GRP

El Paso First Hlth Plans Inc 52635 00000

Elderplan Inc 95662 00000

Emphesys Ins Co 88595 00119 HUMANA GRP

Empire Healthchoice Assur Inc 55093 00671 ANTHEM INC GRP

Empire Healthchoice HMO Inc 95433 00671 ANTHEM INC GRP

Employer Choice Ins Co Inc 13663 00000

© 2015 National Association of Insurance Commissioners 153

Page 162: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Employers Dental Serv 53090 00000

Envision Ins Co 12747 00000

Erlanger Hlth Plan Trust 15378 00000

Essence Hlthcare Inc 11699 04597 ESSENCE GRP

Essence Hlthcare of NY Inc 13669 04597 ESSENCE GRP

Evergreen Hlth Coop Inc 15090 00000

Excellus Hlth Plan Inc 55107 01186 LIFETIME HLTHCARE GRP

Express Scripts Ins Co 60025 04813 EXPRESS SCRIPTS HOLDING GRP

Eyemed Vision Care HMO of TX Inc 95522 00000

Fallon Comm Hlth Plan Inc 95541 04741 FALLON GRP

Fallon Hlth & Life Assur Co 66828 04741 FALLON GRP

Family Hlth HI MBS 15074 00000

Familycare Hlth Plans Inc 47084 00000

Fidelio Ins Co 28231 00000

Fidelis SecureCare of MI Inc 10769 03744 FIDELIS SENIORCARE GRP

Fidelis SecureCare of NC Inc 12288 03744 FIDELIS SENIORCARE GRP

Fidelis Securecare of TX Inc 12597 03744 FIDELIS SENIORCARE GRP

First Care Inc 60113 00380 CAREFIRST INC GRP

First Comm Hlth Plan Inc 47051 00000

First Commonwealth Ins Co 60239 00429 GUARDIAN LIFE GRP

First Commonwealth Ltd Hlth Serv Cor 11221 00429 GUARDIAN LIFE GRP

First Commonwealth Ltd Hlth Serv Cor 12146 00429 GUARDIAN LIFE GRP

First Commonwealth of MO Inc 47716 00429 GUARDIAN LIFE GRP

First Medical Hlth Plan Inc 95722 00000

First Priority Life Ins Co Inc 60147 01270 HOSPITAL SERV ASSN OF NEPA GRP

FirstCarolinaCare Ins Co Inc 12962 00000

Flagship Hlth Systems Inc 11179 02918 DELTA DENTAL PLAN OF NJ GRP

Florida Hlth Care Plan Inc 13567 00536 GUIDEWELL MUT HOLDING GRP

Florida Hlth Solution HMO Co 15634 00000

Florida MHS Inc 14447 01260 MAGELLAN HLTH INC GRP

Florida True Hlth Inc 14378 00936 INDEPENDENCE HLTH GRP INC GRP

Freedom Hlth Inc 10119 04755 AMERICAS 1ST CHOICE GRP

Freedom Hlth Solutions LLC 15019 00000

Freelancers Consumer Operated & Orie 15197 00000

Freelancers Ins Co Inc 13564 00000

GHS HMO Inc dba BlueLincs HMO 11814 00917 HCSC GRP

GHS Managed Hlth Care Plans Inc 14048 00917 HCSC GRP

© 2015 National Association of Insurance Commissioners 154

Page 163: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Gateway Hlth Plan Inc 96938 00812 HIGHMARK GRP

Gateway Hlth Plan of OH Inc 12325 00812 HIGHMARK GRP

Geisinger Hlth Plan 95923 01143 GEISINGER INS GRP

Geisinger Ind Ins Co 10244 01143 GEISINGER INS GRP

Geisinger Quality Options Inc 12743 01143 GEISINGER INS GRP

Generations Hlthcare Inc 11709 04821 GLOBALHEALTH HOLDINGS GRP

Globalhealth Inc 13667 04821 GLOBALHEALTH HOLDINGS GRP

Golden Cross Hlth Plan Corp 95772 00000

Golden Dental Plans Inc 11113 00000

Golden Security Ins Co 65463 03498 BCBS OF TN GRP

Good Hlth Hmo Inc 95315 00537 BCBS OF KC GRP

Grand Valley Hlth Plan Inc 95453 00000

Granite Alliance Ins Co 15100 00000

Granite Care Meridian Hlth Plan of N 14228 04640 CAIDAN ENTERPRISES INC GRP

Granite State Hlth Plan Inc 14226 01295 CENTENE CORP GRP

Group Dental Hlth Administrators Inc 11246 00000

Group Dental Serv Of MD Inc 95846 00001 AETNA GRP

Group Hlth Coop 95672 01185 GROUP HLTH COOP GRP

Group Hlth Coop of Eau Claire 95192 00000

Group Hlth Coop of S Central WI 95311 00000

Group Hlth Inc 55239 01127 HIP INS GRP

Group Hlth Options Inc 47055 01185 GROUP HLTH COOP GRP

Group Hlth Plan Inc 52628 01258 HEALTHPARTNERS GRP

Group Hospitalization & Med Srvcs 53007 00380 CAREFIRST INC GRP

Guaranty Assur Co 69060 04506 DENTAL ECONOMICS GRP

Gundersen Hlth Plan Inc 95101 04751 GUNDERSEN LUTHERAN HLTH GRP

Gundersen Hlth Plan MN 14202 04751 GUNDERSEN LUTHERAN HLTH GRP

HAP Midwest Hlth Plan Inc 95814 01311 HENRY FORD HLTH SYSTEM GRP

HCSC Ins Serv Co 78611 00917 HCSC GRP

HIP Ins Co Of NY 60094 01127 HIP INS GRP

HM Hlth Ins Co 71768 00812 HIGHMARK GRP

HMO dba Blue Plus 95649 00461 BCBS OF MN GRP

HN1 Therapy Network of NJ LLC 15014 00000

HNE Ins Co 14198 04756 BAYSTATE HLTH GRP

HNE of CT Inc 15521 04756 BAYSTATE HLTH GRP

HPHC Ins Co Inc 18975 00595 HARVARD PILGRIM HLTH CARE GRP

HUMANA DENTAL CONCERN LTD 52028 00119 HUMANA GRP

© 2015 National Association of Insurance Commissioners 155

Page 164: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Harbor Hlth Plan Inc 11081 04759 VANGUARD HLTH GRP

Harmony Hlth Plan of IL Inc 11229 01199 WELLCARE GRP

Harvard Pilgrim Health Care New Eng 96717 00595 HARVARD PILGRIM HLTH CARE GRP

Harvard Pilgrim Hlth Care Inc 96911 00595 HARVARD PILGRIM HLTH CARE GRP

Harvard Pilgrim Hlth Care of CT Inc 15492 00595 HARVARD PILGRIM HLTH CARE GRP

Hawaii Medical Serv Assn 49948 00000

Hawaii Mgmt Alliance Assn 48330 00000

Health Alliance Connect Inc 15478 01192 CARLE HOLDING CO GRP

Health Alliance Medical Plans 77950 01192 CARLE HOLDING CO GRP

Health Alliance Midwest Inc 95513 01192 CARLE HOLDING CO GRP

Health Alliance NW Hlth Plan Inc 15082 01192 CARLE HOLDING CO GRP

Health Alliance Plan Of MI 95844 01311 HENRY FORD HLTH SYSTEM GRP

Health Care Serv Corp A Mut Legal Re 70670 00917 HCSC GRP

Health Choice Ins Co 15081 00000

Health Choice Utah Inc 14481 00000

Health First Hlth Plans Inc 95019 04740 HEALTH FIRST GRP

Health First Ins Inc 14140 04740 HEALTH FIRST GRP

Health Ins Co of Amer Inc 13992 00000

Health Ins Plan of Greater NY 55247 01127 HIP INS GRP

Health Net Hlth Plan of OR Inc 95800 00623 HEALTH NET INC GRP

Health Net Ins Co NY Inc 43893 00707 UNITEDHEALTH GRP

Health Net of AZ Inc 95206 00623 HEALTH NET INC GRP

Health New England Inc 95673 04756 BAYSTATE HLTH GRP

Health Now NY Inc 55204 00000

Health Options Inc 95089 00536 GUIDEWELL MUT HOLDING GRP

Health Partners Plans Inc 95066 00000

Health Plan Of NV 96342 00707 UNITEDHEALTH GRP

Health Plan of CareOregon Inc 12277 00000

Health Republic Ins Co 15114 00000

Health Republic Ins of NY Corp 15273 00000

Health Resources Inc 96687 00000

Health Sun Hlth Plans 10122 00000

Health Tradition Hlth Plan 96628 00000

Health Ventures Ntwrk Inc 48011 00000

HealthAmer PA Inc 95060 00001 AETNA GRP

HealthAssurance PA Inc 11102 00001 AETNA GRP

HealthSpan Inc 15284 04831 HEALTHSPAN PARTNERS GRP

© 2015 National Association of Insurance Commissioners 156

Page 165: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

HealthSpan Integrated Care 95204 04831 HEALTHSPAN PARTNERS GRP

HealthSpring of FL Inc 11532 00901 CIGNA HLTH GRP

Healthcare DE Inc 95794 00936 INDEPENDENCE HLTH GRP INC GRP

Healthcare USA Of MO LLC 95318 00001 AETNA GRP

Healthfirst Healthplan of NJ Inc 13035 00000

Healthkeepers Inc 95169 00671 ANTHEM INC GRP

Healthlink Hmo Inc 96475 00671 ANTHEM INC GRP

Healthpartners Inc 95766 01258 HEALTHPARTNERS GRP

Healthpartners Ins Co 44547 01258 HEALTHPARTNERS GRP

Healthplex Ins Co 11172 00085 HEALTHPLEX GRP

Healthplex of NJ Inc 12830 00085 HEALTHPLEX GRP

Healthplus Ins Co 12826 03409 HEALTHPLUS OF MI GRP

Healthplus Of MI Inc 95580 03409 HEALTHPLUS OF MI GRP

Healthplus Partners Inc 11549 03409 HEALTHPLUS OF MI GRP

Healthspring Life & Hlth Ins Co Inc 12902 00901 CIGNA HLTH GRP

Healthspring of AL Inc 95781 00901 CIGNA HLTH GRP

Healthspring of TN Inc 11522 00901 CIGNA HLTH GRP

Healthy Alliance Life Ins Co 78972 00671 ANTHEM INC GRP

Healthy Palm Beaches Inc 95827 00000

HealthyCT Inc 15046 00000

HeartlandPlains Hlth 15488 04807 CATHOLIC HLTH INITIATIVES GRP

Heritage Vision Plans Inc 11204 00000

Highmark BCBSD Inc 53287 00812 HIGHMARK GRP

Highmark Benefits Grp Inc 15508 00812 HIGHMARK GRP

Highmark Coverage Advantage Inc 15507 00812 HIGHMARK GRP

Highmark Inc 54771 00812 HIGHMARK GRP

Highmark Select Resources Inc 10131 00812 HIGHMARK GRP

Highmark Senior Hlth Co 15460 00812 HIGHMARK GRP

Highmark West Virginia Inc. 54828 00812 HIGHMARK GRP

Hmo CO Inc 95473 00671 ANTHEM INC GRP

Hmo LA Inc 95643 00438 LOUISIANA HLTH SERV GRP

Hmo MO Inc 95358 00671 ANTHEM INC GRP

Hmo Of MS Inc 95289 01126 MISSISSIPPI INS GRP

Hmo Of NE PA 96601 01270 HOSPITAL SERV ASSN OF NEPA GRP

Hmo Partners Inc 95442 00876 ARKANSAS BCBS GRP

Home State Hlth Plan Inc 14218 01295 CENTENE CORP GRP

Hometown Hlth Plan 95195 01297 HEALTH PLAN GRP

© 2015 National Association of Insurance Commissioners 157

Page 166: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Hometown Hlth Plan Inc 95350 04791 RENOWN HLTH GRP

Hometown Hlth Providers Ins Co 48305 04791 RENOWN HLTH GRP

Horizon Hlthcare Dental Inc 11146 01202 BCBS OF NJ GRP

Horizon Hlthcare Serv Inc 55069 01202 BCBS OF NJ GRP

Horizon Hlthcare of NJ Inc 95529 01202 BCBS OF NJ GRP

Horizon Ins Co 14690 01202 BCBS OF NJ GRP

Hospital Serv Assn of NE PA 54747 01270 HOSPITAL SERV ASSN OF NEPA GRP

Humana Benefit Plan of IL Inc 60052 00119 HUMANA GRP

Humana Employers Hlth Plan GA Inc 95519 00119 HUMANA GRP

Humana Hlth Benefit Plan of LA Inc 95642 00119 HUMANA GRP

Humana Hlth Co of NY Inc 13558 00119 HUMANA GRP

Humana Hlth Ins Co Of FL Inc 69671 00119 HUMANA GRP

Humana Hlth Plan Inc 95885 00119 HUMANA GRP

Humana Hlth Plan of OH Inc 95348 00119 HUMANA GRP

Humana Hlth Plan of TX Inc 95024 00119 HUMANA GRP

Humana Hlth Plans of PR 95721 00119 HUMANA GRP

Humana Ins Co 73288 00119 HUMANA GRP

Humana Ins Co of NY 12634 00119 HUMANA GRP

Humana Medical Plan Inc 95270 00119 HUMANA GRP

Humana Medical Plan of MI Inc 14224 00119 HUMANA GRP

Humana Medical Plan of PA Inc 14462 00119 HUMANA GRP

Humana Medical Plan of UT Inc 12908 00119 HUMANA GRP

Humana Regional Hlth Plan Inc 12282 00119 HUMANA GRP

Humana WI Hlth Org Ins Corp 95342 00119 HUMANA GRP

Humanadental Ins Co 70580 00119 HUMANA GRP

INTotal Hlth LLC 10153 00000

Illinicare Hlth Plan Inc 14053 01295 CENTENE CORP GRP

Independence Hospital Ind Plan Inc 54704 00936 INDEPENDENCE HLTH GRP INC GRP

Independent Care Hlth Plan 11695 00119 HUMANA GRP

Independent Hlth Assn 95308 00000

Independent Hlth Benefits Corp 47034 00000

Indiana University Hlth Plans Inc 13164 04637 INDIANA UNIVERSITY HLTH GRP

Indiana University Hlth Plans NFP In 15450 04637 INDIANA UNIVERSITY HLTH GRP

Indiana Vision Serv Inc 52050 01189 VISION SERV PLAN GRP

Innovation Hlth Ins Co 15097 00001 AETNA GRP

Innovation Hlth Plan Inc 15098 00001 AETNA GRP

Instil Hlth Ins Co 12168 00661 BCBS OF SC GRP

© 2015 National Association of Insurance Commissioners 158

Page 167: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Insurance Co of Scott & White 11670 00600 SCOTT & WHITE GRP

Inter Cnty Hlth Plan Inc 53252 00936 INDEPENDENCE HLTH GRP INC GRP

Inter Cty Hospitalization Plan Inc 54763 00936 INDEPENDENCE HLTH GRP INC GRP

International Hlthcare Serv Inc 11173 00085 HEALTHPLEX GRP

John D Kernan DMD PA 11182 00000

KPS Hlth Plans 53872 01185 GROUP HLTH COOP GRP

KS Plan Administrators LLC 12827 00000

Kaiser Found Hlth Plan Inc HI Region 11538 00601 KAISER FOUNDATION GRP

Kaiser Found Hlth Plan Mid Atlanti 95639 00601 KAISER FOUNDATION GRP

Kaiser Found Hlth Plan of CO 95669 00601 KAISER FOUNDATION GRP

Kaiser Found Hlth Plan of GA Inc 96237 00601 KAISER FOUNDATION GRP

Kaiser Found Hlth Plan of the NW 95540 00601 KAISER FOUNDATION GRP

Kaiser Permanente Ins Co 60053 00601 KAISER FOUNDATION GRP

Kentucky Hlth Coop Inc 15073 00000

Kentucky Spirit Health Plan Inc 14100 01295 CENTENE CORP GRP

Keystone Hlth Plan Central Inc 95199 01230 CAPITAL BLUE CROSS GRP

Keystone Hlth Plan E Inc 95056 00936 INDEPENDENCE HLTH GRP INC GRP

Keystone Hlth Plan W Inc 95048 00812 HIGHMARK GRP

Land of Lincoln Mut Hlth Ins Co 15102 00000

Legal Serv Plans of VA Inc 47061 00000

Liberty Dental Plan of MO Inc 14057 04692 LIBERTY DENTAL PLAN GRP

Liberty Dental Plan of NJ Inc 11159 04692 LIBERTY DENTAL PLAN GRP

Liberty Dental Plan of NV Inc 13566 04692 LIBERTY DENTAL PLAN GRP

Liberty Union Life Assur Co 66753 00000

LifeWise Hlth Plan of OR Inc 84930 00962 PREMERA BLUE CROSS GRP

LifeWise Hlth Plan of WA 52633 00962 PREMERA BLUE CROSS GRP

Louisiana Health Cooperative Inc 15131 00000

Louisiana Healthcare Connections Inc 13970 01295 CENTENE CORP GRP

Louisiana Hlth Serv & Ind Co 81200 00438 LOUISIANA HLTH SERV GRP

Lovelace Sandia Hlth Systems Inc 95808 00000

MCNA Ins Co 14063 04730 MCNA GRP

MCS Advantage Inc 13022 01301 MEDICAL CARD SYSTEM INC GRP

MCS Hlth Mgmt Options Inc 95779 01301 MEDICAL CARD SYSTEM INC GRP

MD Individual Practice Assn Inc 96310 00707 UNITEDHEALTH GRP

MDwise Inc 95807 04637 INDIANA UNIVERSITY HLTH GRP

MDwise Marketplace Inc 15584 04637 INDIANA UNIVERSITY HLTH GRP

MHNet Life & Hlth Ins Co 12509 00001 AETNA GRP

© 2015 National Association of Insurance Commissioners 159

Page 168: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

MII Life Inc 61522 00461 BCBS OF MN GRP

MMM Hlthcare Inc 11157 04812 INNOVACARE INC GRP

MMM MULTI HLTH INC 12534 04812 INNOVACARE INC GRP

MNM 1997 Inc 95247 04506 DENTAL ECONOMICS GRP

MVP Hlth Ins Co 11125 01198 MVP GRP

MVP Hlth Ins Co of NH Inc 10135 01198 MVP GRP

MVP Hlth Plan Inc 95521 01198 MVP GRP

MVP Hlth Serv Corp 47062 01198 MVP GRP

Magellan Behavioral Hlth of NE Inc 14441 01260 MAGELLAN HLTH INC GRP

Magellan Behavioral Hlth of NJ LLC 12632 01260 MAGELLAN HLTH INC GRP

Magellan Behavioral Hlth of PA Inc 47019 01260 MAGELLAN HLTH INC GRP

Magellan Complete Care of AZ Inc 14641 01260 MAGELLAN HLTH INC GRP

Magellan Complete Care of IA Inc 15500 01260 MAGELLAN HLTH INC GRP

Magellan Complete Care of LA Inc 15550 01260 MAGELLAN HLTH INC GRP

Magellan Complete Care of NE Inc 15681 01260 MAGELLAN HLTH INC GRP

Magellan Life Ins Co 97292 01260 MAGELLAN HLTH INC GRP

Magnolia Hlth Plan Inc 13923 01295 CENTENE CORP GRP

Maine Comm Hlth Options 15077 00000

Maine Dental Serv Corp 14369 04763 NORTHEAST DELTA DENTAL GRP

Mamsi Life & Hlth Ins Co 60321 00707 UNITEDHEALTH GRP

Managed Dental Guard Inc 11199 00429 GUARDIAN LIFE GRP

Managed DentalGuard Inc 52556 00429 GUARDIAN LIFE GRP

Managed Dentalguard Inc 14142 00429 GUARDIAN LIFE GRP

Managed Hlth Inc 95284 04778 HEALTHFIRST INC GRP

Managed Hlth Serv Ins Corp 96822 01295 CENTENE CORP GRP

Martins Point Generations LLC 12545 00000

Maryland Care Medicare Inc 12751 00000

Massachusetts Vision Serv Plan 47093 01189 VISION SERV PLAN GRP

Matthew Thorton Hlth Plan Inc 95527 00671 ANTHEM INC GRP

McLaren Hlth Plan Comm 14217 04700 MCLAREN HLTH GRP

McLaren Hlth Plan Inc 95562 04700 MCLAREN HLTH GRP

Medco Containment Ins Co Of NY 34720 04813 EXPRESS SCRIPTS HOLDING GRP

Medco Containment Life Ins Co 63762 04813 EXPRESS SCRIPTS HOLDING GRP

Medica Hlth Plans 52626 01552 MEDICA GRP

Medica Hlth Plans of FL Inc 12756 00707 UNITEDHEALTH GRP

Medica Hlth Plans of WI 95232 01552 MEDICA GRP

Medica HlthCare Plans Inc 12155 00707 UNITEDHEALTH GRP

© 2015 National Association of Insurance Commissioners 160

Page 169: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Medica Ins Co 12459 01552 MEDICA GRP

Medical Assoc Clinic Hlth Plan of WI 95782 04811 MEDICAL ASSOCIATES GRP

Medical Assoc Hlth Plan Inc 52559 04811 MEDICAL ASSOCIATES GRP

Medical Hlth Insuring Corp of OH 95828 00730 MEDICAL MUT OF OH GRP

Medical Mut Of OH 29076 00730 MEDICAL MUT OF OH GRP

Medisun Inc 95982 00000

Medstar Family Choice 14227 04758 MEDSTAR HLTH GRP

Members Hlth Ins Co 94587 04677 TENNESSEE RURAL HLTH GRP

Memorial Hermann Hlth Ins Co 10076 04808 MEMORIAL HERMANN GRP

Memorial Hermann Hlth Plan Inc 15489 04808 MEMORIAL HERMANN GRP

Mercy Maricopa Integrated Care 14904 00000

MercyCare HMO Inc 12195 03595 MERCY ALLIANCE INC GRP

Mercycare Ins Co 60215 03595 MERCY ALLIANCE INC GRP

Meridian Geisinger Hlth Network LLC 14238 01143 GEISINGER INS GRP

Meridian Hlth Plan of IA Inc 14145 04640 CAIDAN ENTERPRISES INC GRP

Meridian Hlth Plan of IL Inc 13189 04640 CAIDAN ENTERPRISES INC GRP

Meridian Hlth Plan of MI Inc 52563 04640 CAIDAN ENTERPRISES INC GRP

Merit Hlth Ins Co 18750 01260 MAGELLAN HLTH INC GRP

Meritus Hlth Partners 14676 04786 COMPASS COOPERATIVE GRP

Meritus Mut Hlth Partners 15092 04786 COMPASS COOPERATIVE GRP

MetLife Hlth Plans Inc 14170 00241 METROPOLITAN GRP

Metropolitan Hlth Plan 52627 00000

Michigan Dental Plan Inc 47775 00000

Michigan Eyecare Assoc Inc 52006 00000

Mid Valley IPA Employee Benefit Trus 12527 00000

Midwestern Dental Plans Inc 11107 00000

Minuteman Hlth Inc 15010 00000

Missouri Care Inc 12913 01199 WELLCARE GRP

Moda Hlth Plan Inc 47098 01313 OREGON DENTAL GRP

Molina Hlthcare of FL Inc 13128 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of IL Inc 14104 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of MI 52630 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of NM 95739 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of OH Inc 12334 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of PR Inc 15600 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of SC Inc 15329 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of TX Inc 10757 01531 MOLINA HEALTHCARE INC GRP

© 2015 National Association of Insurance Commissioners 161

Page 170: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Molina Hlthcare of UT Inc DBA Amfam 95502 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of WA Inc 96270 01531 MOLINA HEALTHCARE INC GRP

Molina Hlthcare of WI Inc 12007 01531 MOLINA HEALTHCARE INC GRP

Montana Hlth Cooperative 14933 00000

Mount Carmel Hlth Ins Co 13123 02838 CHE TRINITY INC GRP

Mount Carmel Hlth Plan Inc 95655 02838 CHE TRINITY INC GRP

Mutual Benefit Assn of HI 12868 00000

National Dental Care Inc 12844 00000

National Pacific Dental Inc 95251 00707 UNITEDHEALTH GRP

Neighborhood Hlth Partnership Inc 95123 00707 UNITEDHEALTH GRP

Neighborhood Hlth Plan Inc 11109 00000

Neighborhood Hlth Plan of RI Inc 95402 00000

Network Hlth Ins Corp 15087 02678 NETWORK HLTH GRP

Network Hlth Plan 95737 02678 NETWORK HLTH GRP

Nevada Dental Benefits Ltd 13813 00000

Nevada Hlth Co Op 15132 00000

Nevada Pacific Dental Inc 95758 00707 UNITEDHEALTH GRP

New Hlth Ventures Inc 15106 04781 COLORADO ACCESS GRP

New Mexico Hlth Connections 15011 00000

New W Hlth Serv 95829 00000

Nexdent Dental Plans Inc 15094 00000

Noridian Mut Ins Co 55891 00000

North Shore LIJ CareConnect Ins Co 15309 04793 NORTH SHORE LIJ HLTH CARE GRP

OneNation Ins Co 85286 00671 ANTHEM INC GRP

Opticare of UT 12533 00000

Optima Hlth Grp Inc 95481 01183 SENTARA HLTH MGMT GRP

Optima Hlth Ins Co 70715 01183 SENTARA HLTH MGMT GRP

Optima Hlth Plan 95281 01183 SENTARA HLTH MGMT GRP

Optimum Choice Inc 96940 00707 UNITEDHEALTH GRP

Optimum Hlthcare Inc 12259 04755 AMERICAS 1ST CHOICE GRP

Oregons Hlth COOP 15095 00000

Orthonet of the Mid Atlantic Inc 11068 00000

Oscar Ins Corp 15281 04818 MULBERRY HLTH GRP

Oscar Ins Corp of NJ 15585 04818 MULBERRY HLTH GRP

Oxford Hlth Ins Inc 78026 00707 UNITEDHEALTH GRP

Oxford Hlth Plans CT Inc 96798 00707 UNITEDHEALTH GRP

Oxford Hlth Plans NJ Inc 95506 00707 UNITEDHEALTH GRP

© 2015 National Association of Insurance Commissioners 162

Page 171: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Oxford Hlth Plans NY Inc 95479 00707 UNITEDHEALTH GRP

PHP Ins Co 12816 03408 PHYSICIANS HLTH PLAN OF MID MI GRP

PHP Ins Co of IN Inc 12331 03828 PHP INDIANA GRP

PMC Medicare Choice Inc 12178 04812 INNOVACARE INC GRP

PREMIER CHOICE DENTAL INC 95224 00000

Pacificare Life Assur Co 84506 00707 UNITEDHEALTH GRP

Pacificare Of AZ Inc 95617 00707 UNITEDHEALTH GRP

Pacificare Of CO Inc 95434 00707 UNITEDHEALTH GRP

Pacificare Of NV Inc 95685 00707 UNITEDHEALTH GRP

Pacificsource Comm Hlth Plans 12595 04704 PACIFICSOURCE HLTH PLAN GRP

Pacificsource Hlth Plans 54976 04704 PACIFICSOURCE HLTH PLAN GRP

Paramount Advantage 12353 01212 VANGUARD HLTH VENTURES GRP

Paramount Care Of MI Inc 95566 01212 VANGUARD HLTH VENTURES GRP

Paramount Hlth Care 95189 01212 VANGUARD HLTH VENTURES GRP

Paramount Ins Co 11518 01212 VANGUARD HLTH VENTURES GRP

Parkland Comm Hlth Plan Inc 95414 00000

Peach State Hlth Plan Inc 12315 01295 CENTENE CORP GRP

Pennsylvania Life Ins Co 67660 04667 CVS CAREMARK GRP

Peoples Hlth Inc 13607 00000

Pharmacy Ins Corp of Amer 13134 00000

Phoenix Hlth Plans Inc 10160 04759 VANGUARD HLTH GRP

Physicians Hlth Choice of TX LLC 11494 00707 UNITEDHEALTH GRP

Physicians Hlth Plan 95849 03408 PHYSICIANS HLTH PLAN OF MID MI GRP

Physicians Hlth Plan of N IN Inc 95436 03828 PHP INDIANA GRP

Physicians Plus Ins Corp 95341 00000

PhysiciansPlus Baptist & St Dominic 95686 00000

Piedmont Comm Hlthcare Inc 95811 00000

Piedmont WellStar Hlth Plans Inc 15009 00000

Pioneer Educators Hlth Trust 12619 00000

Plan Medico Serv de Salud Bella Vist 95762 00000

Plan de Salud Menonita Inc 95730 00000

Pre Paid Dental Serv Inc 13208 00000

Pre Paid Hlth Serv Inc 15621 04822 SENIORDENT GRP

Preferred Care Partners Inc 11176 00707 UNITEDHEALTH GRP

Preferred Ins Serv Inc 14080 04819 PREFERRED INS GRP

Preferred Medical Plan Inc 95271 00000

PreferredOne Comm Hlth Plan 95724 03492 PREFERREDONE GRP

© 2015 National Association of Insurance Commissioners 163

Page 172: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

PreferredOne Ins Co 11817 03492 PREFERREDONE GRP

Premera Blue Cross 47570 00962 PREMERA BLUE CROSS GRP

Premier Access Ins Co 60237 00429 GUARDIAN LIFE GRP

Premier Hlth Insuring Corp 15530 04816 PREMIER HLTH PARTNERS GRP

Premier Hlth Plan Inc 15484 04816 PREMIER HLTH PARTNERS GRP

Presbyterian Hlth Plan Inc 95330 00481 PRESBYTERIAN HLTHCARE SERV GRP

Presybyterian Ins Co Inc 11504 00481 PRESBYTERIAN HLTHCARE SERV GRP

Priority Hlth 95561 03383 SPECTRUM HLTH GRP

Priority Hlth Choice Inc 11520 03383 SPECTRUM HLTH GRP

Priority Hlth Ins Co 12208 03383 SPECTRUM HLTH GRP

Prominence HealthFirst 95793 02418 SAINT MARYS HLTH CARE CORP GRP

Prominence HealthFirst of TX Inc 15452 02418 SAINT MARYS HLTH CARE CORP GRP

Prominence Preferred Hlth ins Co 11079 02418 SAINT MARYS HLTH CARE CORP GRP

Providence Hlth Assur 15203 04788 PROVIDENCE HLTH GRP

Providence Hlth Plan 95005 04788 PROVIDENCE HLTH GRP

Provider Partners Hlth Plan of PA In 14458 00953 UNIVERSAL AMER FIN CORP GRP

Public Hlth Trust of Dade Cnty 95126 00000

Pupil Benefits Plan Inc 55271 00000

QCA Hlth Plan Inc 95448 04807 CATHOLIC HLTH INITIATIVES GRP

QCC Ins Co 93688 00936 INDEPENDENCE HLTH GRP INC GRP

Qualchoice Life & Hlth Ins Co Inc 70998 04807 CATHOLIC HLTH INITIATIVES GRP

Quality Hlth Plans of NY Inc 13691 04685 QHP GRP

Red Tree Ins Co Inc 13646 04763 NORTHEAST DELTA DENTAL GRP

Regence BCBS of OR 54933 01207 CAMBIA HEALTH SOLUTIONS INC

Regence BCBS of UT 54550 01207 CAMBIA HEALTH SOLUTIONS INC

Regence BlueShield 53902 01207 CAMBIA HEALTH SOLUTIONS INC

Regence Blueshield Of ID Inc 60131 01207 CAMBIA HEALTH SOLUTIONS INC

Regence Hlth Maintenance of OR Inc 96250 01207 CAMBIA HEALTH SOLUTIONS INC

Regence Hmo OR 95699 01207 CAMBIA HEALTH SOLUTIONS INC

Region 6 Rx Corp 12812 00936 INDEPENDENCE HLTH GRP INC GRP

Renaissance Hlth Ins Co of NY 15638 00477 RENAISSANCE HLTH SERV CORP GRP

Renaissance Life & Hlth Ins Co of Am 61700 00477 RENAISSANCE HLTH SERV CORP GRP

RiverLink Hlth 15499 04807 CATHOLIC HLTH INITIATIVES GRP

RiverLink Hlth of KY Inc 15486 04807 CATHOLIC HLTH INITIATIVES GRP

Rocky Mountain Hlthcare Options Inc 47004 01184 ROCKY MOUNTAIN HLTH GRP

Rocky Mountain Hmo Inc 95482 01184 ROCKY MOUNTAIN HLTH GRP

Rocky Mountain Hospital & Medical 11011 00671 ANTHEM INC GRP

© 2015 National Association of Insurance Commissioners 164

Page 173: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Ryder Hlth Plan Inc 95743 00000

SAFEGUARD HLTH PLANS INC 52009 00241 METROPOLITAN GRP

SHA LLC 95138 03549 FIRSTCARE GRP

Safeguard Hlth Plans Inc 95051 00241 METROPOLITAN GRP

Safeguard Hlth Plans Inc 95747 00241 METROPOLITAN GRP

Safehealth Life Ins Co 79014 00241 METROPOLITAN GRP

Samaritan Hlth Plans Inc 12257 00000

Sanford Heart of Amer Hlth Plan 52554 00000

Sanford Hlth Plan 95683 01246 SIOUX VALLEY GRP

Sanford Hlth Plan of MN 95725 01246 SIOUX VALLEY GRP

Scan Hlth Plan AZ 12279 00000

Scott & White Hlth Plan 95099 00600 SCOTT & WHITE GRP

Security Hlth Ins Co of Amer NY Inc 13737 00492 SECURITY AMER FINANCIAL ENTERPRISES

Security Hlth Plan of WI Inc 96881 00000

SecurityCare of TN Inc 15005 03498 BCBS OF TN GRP

Seechange Hlth Ins Co 63541 00000

Select Hlth of SC Inc 95458 00936 INDEPENDENCE HLTH GRP INC GRP

SelectCare of ME Inc 13627 00953 UNIVERSAL AMER FIN CORP GRP

SelectCare of Ok Inc 12284 00953 UNIVERSAL AMER FIN CORP GRP

SelectHealth Benefit Assur Co Inc 63245 00880 IHC INC GRP

SelectHealth Inc 95153 00880 IHC INC GRP

Selectcare Hlth Plans Inc 10768 00953 UNIVERSAL AMER FIN CORP GRP

Selectcare of TX Inc 10096 00953 UNIVERSAL AMER FIN CORP GRP

Sendero Hlth Plans Inc 14151 00000

Senior Whole Hlth of NY Inc 12776 00000

SeniorDent Dental Plan Inc 13211 04822 SENIORDENT GRP

Sentara Hlth Ins Co of NC 15637 01183 SENTARA HLTH MGMT GRP

Seton Hlth Plan Inc 95240 00000

Sidney Hillman Hlth Centre 54259 00000

Sierra Hlth & Life Ins Co Inc 71420 00707 UNITEDHEALTH GRP

Sightcare Inc 47012 00000

SilverScript Ins Co 12575 04667 CVS CAREMARK GRP

Simply Hlthcare Plans Inc 13726 04806 SIMPLY HLTHCARE GRP

Single Vision Solution Inc 11082 00000

Smart Ins Co 80055 04764 RESERVOIR CAPITAL GRP

Solstice Benefits Inc 12341 00000

Solstice Health Ins Co 13971 00000

© 2015 National Association of Insurance Commissioners 165

Page 174: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Soundpath Hlth 12909 04807 CATHOLIC HLTH INITIATIVES GRP

South Dakota State Med Holding Co 96598 00000

Southeastern IN Hlth Org Inc 95812 00000

Southwest Life & Hlth Ins Co 66117 03549 FIRSTCARE GRP

Sparrow PHP 11537 03408 PHYSICIANS HLTH PLAN OF MID MI GRP

Stableview Hlth Inc 15487 04807 CATHOLIC HLTH INITIATIVES GRP

Sterling Dental Serv LLC 11953 00000

Sterling Dental of N Amer LLC 15462 00000

Sterling Life Ins Co 77399 01199 WELLCARE GRP

Summa Ins Co Inc 10649 03259 SUMMA HLTH GRP

Summacare Inc 95202 03259 SUMMA HLTH GRP

Sunflower State Hlth Plan Inc 14345 01295 CENTENE CORP GRP

Sunshine State Hlth Plan Inc 13148 01295 CENTENE CORP GRP

Superior Dental Care Inc 96280 00000

Superior Hlthplan Inc 95647 01295 CENTENE CORP GRP

Superior Vision Ins Inc 60188 04801 SUPERIOR VISION HOLDING GRP

Superior Vision of NJ Inc 14189 04801 SUPERIOR VISION HOLDING GRP

THP Ins Co 60016 01297 HEALTH PLAN GRP

TRH Hlth Ins Co 89005 04677 TENNESSEE RURAL HLTH GRP

Takecare Ins Co Inc 11093 00000

Team Dental Inc 14387 00520 NEW ERA LIFE GRP

Texas Childrens Hlth Plan Inc 95329 00000

The Dental Concern Inc 54739 00119 HUMANA GRP

The Dental Network Inc 13130 00380 CAREFIRST INC GRP

The Hlth Plan the Upper OH Valley In 95677 01297 HEALTH PLAN GRP

The University of AZ Hlth Plans Univ 14004 00000

The Vt Hlth Plan LLC 95696 04745 BCBS OF VT GRP

Theramatrix Physical Therapy Plan In 12755 00000

Timber Products Manufacturers Trust 12239 00000

Todays Options of TX In 15483 00953 UNIVERSAL AMER FIN CORP GRP

Total Dental Administrators Hlth Pla 52120 00661 BCBS OF SC GRP

Total Dental Administrators of UT 11560 00661 BCBS OF SC GRP

Total Hlth Care Inc 95644 01238 TOTAL HLTH GRP

Total Hlth Care USA Inc 12326 01238 TOTAL HLTH GRP

Touchstone Hlth HMO Inc 12970 00000

Triad Hlthcare of NJ IPA Inc 12584 00000

Trillium Comm Hlth Plan Inc 12559 00000

© 2015 National Association of Insurance Commissioners 166

Page 175: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Trilogy Hlth Ins Inc 12834 00000

Triple S Salud Inc 55816 04802 TRIPLE S GRP

Trusted Hlth Plan DC Inc 14225 00000

Tufts Associated Hlth Maintenance Or 95688 04742 TUFTS GRP

Tufts Hlth Public Plans Inc 14131 04742 TUFTS GRP

Tufts Ins Co Inc 60117 04742 TUFTS GRP

UCare Hlth Inc 12924 04380 UCARE GRP

UCare MN 52629 04380 UCARE GRP

UDC OH INC DBA UNITED DENTAL CARE OH 52022 00019 ASSURANT INC GRP

UDC of MI Inc 11111 00019 ASSURANT INC GRP

UNITED CONCORDIA DENTAL PLANS 95253 00812 HIGHMARK GRP

UNITED CONCORDIA DENTAL PLANS OF KY 52048 00812 HIGHMARK GRP

UNITED CONCORDIA DENTAL PLNS OF MW 96150 00812 HIGHMARK GRP

UNITED DENTAL CARE OF MO INC 47044 00019 ASSURANT INC GRP

UPMC For You Inc 11995 01324 UPMC HLTH SYSTEM GRP

UPMC Hlth Coverage Inc 15451 01324 UPMC HLTH SYSTEM GRP

UPMC Hlth Ntwrk Inc 11994 01324 UPMC HLTH SYSTEM GRP

UPMC Hlth Options Inc 15345 01324 UPMC HLTH SYSTEM GRP

UPMC Hlth Plan Inc 95216 01324 UPMC HLTH SYSTEM GRP

US Hlth & Life Ins Co Inc 97772 00000

USAble Mut Ins Co 83470 00876 ARKANSAS BCBS GRP

UTMB Hlth Plans Inc 95764 00000

Ultimate Hlth Plans Inc 14243 00000

Unicare Hlth Plan of KS Inc 12805 00671 ANTHEM INC GRP

Unicare Hlth Plan of WV Inc 11810 00671 ANTHEM INC GRP

Unicare Hlth Plans of TX Inc 95420 00671 ANTHEM INC GRP

Union Hlth Serv Inc 52553 00000

Union Medical Center 54127 00000

Union Security DentalCare of NJ Inc 11244 00019 ASSURANT INC GRP

Unison Hlth Plan of the Capital Area 13032 00707 UNITEDHEALTH GRP

United Concordia Companies Inc 89070 00812 HIGHMARK GRP

United Concordia Dental Plan PA Inc 47089 00812 HIGHMARK GRP

United Concordia Dental Plans TX Inc 95160 00812 HIGHMARK GRP

United Concordia Ins Co 85766 00812 HIGHMARK GRP

United Concordia Ins Co Of NY 60222 00812 HIGHMARK GRP

United Concordia Life & Hlth Ins Co 62294 00812 HIGHMARK GRP

United Dental Care Of TX Inc 95142 00019 ASSURANT INC GRP

© 2015 National Association of Insurance Commissioners 167

Page 176: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

United Dental Care Of UT Inc 95450 00019 ASSURANT INC GRP

United Dental Care of AZ Inc 47708 00019 ASSURANT INC GRP

United Dental Care of CO Inc 52032 00019 ASSURANT INC GRP

United Dental Care of NM Inc 47042 00019 ASSURANT INC GRP

United Hlth Care of MS Inc 95716 00707 UNITEDHEALTH GRP

United Hlthcare Ins Co Of IL 60318 00707 UNITEDHEALTH GRP

United Hlthcare Ins Co Of NY 60093 00707 UNITEDHEALTH GRP

United Hlthcare Mid Atlantic Inc 95025 00707 UNITEDHEALTH GRP

United Hlthcare of AL Inc 95784 00707 UNITEDHEALTH GRP

United Hlthcare of AR Inc 95446 00707 UNITEDHEALTH GRP

United Hlthcare of AZ Inc 96016 00707 UNITEDHEALTH GRP

United Hlthcare of CO Inc 95090 00707 UNITEDHEALTH GRP

United Hlthcare of FL Inc 95264 00707 UNITEDHEALTH GRP

United Hlthcare of GA Inc 95850 00707 UNITEDHEALTH GRP

United Hlthcare of KY Ltd 96644 00707 UNITEDHEALTH GRP

United Hlthcare of LA Inc 95833 00707 UNITEDHEALTH GRP

United Hlthcare of Midlands Inc 95591 00707 UNITEDHEALTH GRP

United Hlthcare of Midwest Inc 96385 00707 UNITEDHEALTH GRP

United Hlthcare of OH Inc 95186 00707 UNITEDHEALTH GRP

United Hlthcare of UT Inc 95501 00707 UNITEDHEALTH GRP

UnitedHealthCare Benefits of TX Inc 95174 00707 UNITEDHEALTH GRP

UnitedHealthCare of WA Inc 48038 00707 UNITEDHEALTH GRP

UnitedHealthcare Comm Plan Inc 95467 00707 UNITEDHEALTH GRP

UnitedHealthcare Comm Plan of OH Inc 12323 00707 UNITEDHEALTH GRP

UnitedHealthcare Ins Co of the River 12231 00707 UNITEDHEALTH GRP

UnitedHealthcare Of NY Inc 95085 00707 UNITEDHEALTH GRP

UnitedHealthcare Plan of the River V 95378 00707 UNITEDHEALTH GRP

UnitedHealthcare of IL Inc 95776 00707 UNITEDHEALTH GRP

UnitedHealthcare of NC Inc 95103 00707 UNITEDHEALTH GRP

UnitedHealthcare of New England Inc 95149 00707 UNITEDHEALTH GRP

UnitedHealthcare of OR Inc 95893 00707 UNITEDHEALTH GRP

UnitedHealthcare of PA Inc 95220 00707 UNITEDHEALTH GRP

UnitedHealthcare of TX Inc 95765 00707 UNITEDHEALTH GRP

UnitedHealthcare of WI Inc 95710 00707 UNITEDHEALTH GRP

UnitedHeathcare of OK Inc 96903 00707 UNITEDHEALTH GRP

Unitedhealthcare Comm Plan of TX LLC 11141 00707 UNITEDHEALTH GRP

Unitedhealthcare of NM Inc 13214 00707 UNITEDHEALTH GRP

© 2015 National Association of Insurance Commissioners 168

Page 177: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Unity Hlth Plans Ins Corp 95796 00000

University Hlth Alliance 47953 00000

University Hlth Care Inc 52621 00000

Upper Peninsula Hlth Plan LLC 52615 00000

VSP Vision Care Inc 53031 01189 VISION SERV PLAN GRP

Value Behavioral Hlth of PA Inc 47025 00965 FHC HLTH SYSTEMS GRP

Value Options of TX Inc 95799 00965 FHC HLTH SYSTEMS GRP

ValueOptions of NJ Inc 15448 00965 FHC HLTH SYSTEMS GRP

Vantage Hlth Plan Inc 95584 04783 VANTAGE HLTH GRP

Vantage Hlth Plan of AR Inc 15127 04783 VANTAGE HLTH GRP

Virginia Premier Hlth Plan Inc 95612 00000

Vision Benefits of Amer II Inc 13750 04696 VISION BENEFITS GRP

Vision Benefits of Amer Inc 53953 04696 VISION BENEFITS GRP

Vision Ins Plan of Amer Inc 52005 04801 SUPERIOR VISION HOLDING GRP

Vision Serv Plan 54380 01189 VISION SERV PLAN GRP

Vision Serv Plan Inc 48321 01189 VISION SERV PLAN GRP

Vision Serv Plan Inc OK 47097 01189 VISION SERV PLAN GRP

Vision Serv Plan Ins Co 32395 01189 VISION SERV PLAN GRP

Vision Serv Plan Ins Co 39616 01189 VISION SERV PLAN GRP

Vision Serv Plan of IL NFP 12516 01189 VISION SERV PLAN GRP

Vista Hlth Plan Inc 96660 00936 INDEPENDENCE HLTH GRP INC GRP

Vista Hlth Plan Inc 95313 00000

Viva Hlth Inc 95322 00000

Voluntary Employees Benefit Assn of 12867 00000

Volunteer State Hlth Plan Inc 14046 03498 BCBS OF TN GRP

WPS Hlth Plan Inc 10159 00068 WISCONSIN PHYSICIANS SERV INS GRP

WellCare Hlth Plans of KY Inc 15510 01199 WELLCARE GRP

WellCare of CT Inc 95310 01199 WELLCARE GRP

WellCare of Fl Inc 95081 01199 WELLCARE GRP

Wellcare Hlth Ins of AZ Inc 83445 01199 WELLCARE GRP

Wellcare Hlth Ins of KY Inc 64467 01199 WELLCARE GRP

Wellcare Hlth Ins of NY Inc 10884 01199 WELLCARE GRP

Wellcare Hlth Plans of NJ Inc 13020 01199 WELLCARE GRP

Wellcare Prescription Ins Inc 10155 01199 WELLCARE GRP

Wellcare of GA Inc 10760 01199 WELLCARE GRP

Wellcare of KS Inc 14404 01199 WELLCARE GRP

Wellcare of LA Inc 12194 01199 WELLCARE GRP

© 2015 National Association of Insurance Commissioners 169

Page 178: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

INDEX OF COMPANIES

Company NameIndividualCompany

CodeGroup Code Group Name

HEALTH INSURANCE INDUSTRY AGGREGATES

Wellcare of OH Inc 12749 01199 WELLCARE GRP

Wellcare of SC Inc 11775 01199 WELLCARE GRP

Wellcare of TX Inc 12964 01199 WELLCARE GRP

Wellington Life Ins Co 85537 00965 FHC HLTH SYSTEMS GRP

Wellmark Hlth Plan of IA Inc 95531 00770 WELLMARK INC GRP

Wellmark Inc 88848 00770 WELLMARK INC GRP

Wellmark Of SD Inc 60128 00770 WELLMARK INC GRP

West Virginia Family Hlth Plan Inc 15020 00812 HIGHMARK GRP

Western Grocers Employee Benefit Tru 12339 00000

Willamette Dental Ins Inc 52555 03503 WILLAMETTE DENTAL GRP

Willamette Dental of ID Inc 95819 03503 WILLAMETTE DENTAL GRP

Willamette Dental of WA Inc 47050 03503 WILLAMETTE DENTAL GRP

Windsor Hlth Plan Inc 95792 01199 WELLCARE GRP

Winhealth Partners 95401 00000

Wisconsin Physicians Serv Ins Corp 53139 00068 WISCONSIN PHYSICIANS SERV INS GRP

Wisconsin Vision Serv Plan Inc 54682 01189 VISION SERV PLAN GRP

Wyssta Ins Co Inc 12352 03849 DELTA DENTAL OF WI GRP

Zoomcare Hlth Plan Inc 15578 00000

© 2015 National Association of Insurance Commissioners 170

Page 179: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by
Page 180: NAIC Store - Statistical Reports · Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by

The National Association of Insurance Commissioners (NAIC) is the U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally. NAIC members, together with the central resources of the NAIC, form the national system of state-based insurance regulation in the U.S.

For more information, visit www.naic.org.