Market Snapshot - Individual Medical
| Company (State of Domicile) NAIC# |
Number Insured1 |
Market Share |
| |
12/31/07 |
12/31/08 |
6/30/09 |
12/31/07 |
12/31/08 |
6/30/09 |
| Companies Currently Offering
Coverage: |
| Anthem BC/BS (Maine) - 52618 |
|
|
|
|
|
|
| - PPO |
30,187 |
21,267 |
20,431 |
74% |
52% |
50% |
| - HMO Maine2 |
27 |
24 |
15 |
0% |
0% |
0% |
| Mega Life & Health (OK) 97055 |
9,757 |
11,285 |
12,785 |
24% |
27% |
31% |
| HPHC 18975 |
|
7,816 |
6,776 |
0% |
19% |
17% |
| CIGNA (Maine) 95447 |
15 |
13 |
9 |
0% |
0% |
0% |
| Harvard Pilgrim (MA) 96911 |
6 |
5 |
3 |
0% |
0% |
0% |
| Aetna Health (Maine) 95517 |
9 |
8 |
17 |
0% |
0% |
0% |
| Subtotal |
40,001 |
40,418 |
40,036 |
98% |
98% |
98% |
| Companies Renewing
but Not Offering New Coverage: |
| Golden Rule (IL) 62286 |
463 |
366 |
327 |
1% |
1% |
1% |
| Prudential (NJ) 68241 |
128 |
96 |
86 |
0% |
0% |
0% |
| Washington National (IL) 70319 |
138 |
106 |
95 |
0% |
0% |
0% |
| American Republic (IA) 60836 |
53 |
71 |
64 |
0% |
0% |
0% |
| State Farm (IL) 25178 |
49 |
39 |
35 |
0% |
0% |
0% |
| AXA Equitable Life 62944 |
62 |
80 |
72 |
0% |
0% |
0% |
| Mutual of Omaha (NE) 71412 |
3 |
1 |
1 |
0% |
0% |
0% |
| Other |
35 |
24 |
21 |
0% |
0% |
0% |
| Subtotal |
931 |
783 |
700 |
2% |
2% |
2% |
| TOTAL |
40,932 |
41,201 |
40,736 |
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 |
| 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 |
20.9% |
17 |
lives |
10/1/2009 |
| 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 |
9.9% |
9 |
lives |
7/1/2009 |
| 4.3% |
14 |
lives |
9/1/2008 |
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 |
Harvard Pilgrim |
7.1% |
3 |
lives |
11/1/2009 |
Source: Bureau of Insurance
