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Maine.gov > PFR Home > Insurance Regulation > Employer Information > Market Snapshot - Individual Health Insurers

Market Snapshot - Individual Medical

Company (State of Domicile) NAIC# Number Insured1 Market Share
  12/31/07 12/31/08 3/31/09 12/31/07 12/31/08 3/31/09
Companies Currently Offering Coverage:
Anthem BC/BS (Maine) - 52618            
- PPO 30,187 21,267 21,021 74% 52% 51%
- HMO Maine2 27 24 20 0% 0% 0%
Mega Life & Health (OK) 97055 9,757 11,285 12,035 24% 27% 29%
HPHC 18975   7,816 7,228 0% 19% 18%
CIGNA (Maine) 95447 15 13 9 0% 0% 0%
Harvard Pilgrim (MA) 96911 6 5 5 0% 0% 0%
Aetna Health (Maine) 95517 9 8 14 0% 0% 0%
Subtotal 40,001 40,418 40,332 98% 98% 98%
Companies Renewing but Not Offering New Coverage:
Golden Rule (IL) 62286 463 366 346 1% 1% 1%
Prudential (NJ) 68241 128 96 91 0% 0% 0%
Washington National (IL) 70319 138 106 100 0% 0% 0%
American Republic (IA) 60836 53 71 67 0% 0% 0%
State Farm (IL) 25178 49 39 37 0% 0% 0%
AXA Equitable Life 62944 62 80 76 0% 0% 0%
Mutual of Omaha (NE) 71412 3 1 1 0% 0% 0%
Other 35 24 23 0% 0% 0%
Subtotal 931 783 741 2% 2% 2%
TOTAL 40,932 41,201 41,073 100% 100% 100%
1 Unavailable data is estimated and shown in bold. Yearly totals for Number Insured reflect actual counts submitted from 940 reports and may differ slightly from financial statement data.
2 HMO Maine is a line of business of Anthem Blue Cross and Blue Shield.

Note: The Net Income (Loss) information formerly included in the Snapshot can be found at the link below.

http://www.maine.gov/pfr/insurance/hmo/financial.htm

Recent Rate Increases
Company Average
Increase
Number
Affected
  Eff. date
Aetna Health 15.0% 6 policies 7/1/2006
American National
30.0% 1 life 2/15/2009
17.0% 2 policies 3/1/2008
American Republic
25.0% 42 policies 1/1/2009
Anthem: HMO Maine 14.0% 27 lives 4/1/2008
Anthem: PPO (HealthChoice and Lumenos) 10.9% 12,049 policies 7/1/2009
Central United
25.0% 2 policies 9/25/2008
15.0% 1 policy 9/1/2008
CIGNA 4.3% 14 lives 9/1/2008
5.2% 16 lives 3/1/2008
Golden Rule
12.9% 210 policies 2/3/2009
12.0% 247 policies 4/15/2008
Harvard Pilgrim 9.9% 5 lives 11/1/2008
HPHC (DirigoChoice)
6.6% 1,532 policies 7/1/2009
10.2% 3,770 policies 1/1/2009
MEGA 1.8% 10,026 lives 3/1/2009
Principal 13.0% 1 policy 2/1/2009
Prudential 22.0% 18 policies 8/1/2008
30.0% 17 policies 5/5/2008
State Farm 30.0% 2 riders 8/1/2006
Trustmark
32.0% 1 life 1/1/2009
20.0% 2 policies 6/4/2008
United American 10.0% 1 policy 9/15/2008
United Teacher Associates
30.0% 1 policy 7/15/2008

 

Pending Rate Increases
Company Average
Increase
Number
Affected
  Eff. date
Cigna
9.9% 9 lives 7/1/2009

Source: Bureau of Insurance

Last Updated: June 24, 2009