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

Market Snapshot - Individual Medical Insurers

Company (State of Domicile) NAIC# Number Insured1 Market Share Net Income (Loss)2
  12/31/05 12/31/06 12/31/07 12/31/05 12/31/06 12/31/07 2006 2007
Companies Currently Offering Coverage:
Anthem BC/BS (Maine) - PPO 52618 34,996 33,991 34,364 86% 81% 76% $14,679,640 $49,964,940
Mega Life & Health (OK) 97055 4,011 6,797 9,757 10% 16% 22% --2 --2
HMO Maine (Anthem BC/BS) (Maine)3 52618 80 39 27 0% 0% 0% $25,753,492 $31,015,337
CIGNA (Maine) 95447 16 16 15 0% 0% 0% ($232,555) $2,133,052
Harvard Pilgrim (MA) 96911 13 14 6 0% 0% 0% --2 --2
Aetna Health (Maine) 95517 6 10 9 0% 0% 0% $6,282,501 $6,479,071
Subtotal 39,122 40,867 44,178 97% 97% 98% 46,483,078 89,592,400
Companies Renewing but Not Offering New Coverage:
Golden Rule (IL) 62286 638 519 415 2% 1% 1% --2 --2
Prudential (NJ) 68241 201 155 124 0% 0% 0% --2 --2
Washington National (IL) 70319 198 154 123 0% 0% 0% --2 --2
American Republic (IA) 60836 84 85 68 0% 0% 0% --2 --2
State Farm (IL) 25178 71 57 45 0% 0% 0% --2 --2
AXA Equitable Life 62944 61 67 54 0% 0% 0% --2 --2
Mutual of Omaha (NE) 71412 8 8 6 0% 0% 0% --2 --2
Other 79 49 39 0% 0% 0% --2 --2
Subtotal 1,340 1,094 875 3% 3% 2%    
TOTAL 40,462 41,961 45,053 100% 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 Net Income (Loss) is shown only for Maine domestic companies and reflects group and individual combined.
3 HMO Maine is a line of business of Anthem Blue Cross and Blue Shield.

 

Recent Rate Increases
Company Average
Increase
Number
Affected
  Eff. date
Aetna 15.0% 6 policies 7/1/2006
American National 17.0% 2 policies 3/1/2008
Anthem: DirigoChoice 18.1% 4,349 contracts 3/1/2007
Anthem: HMO Maine 14.0% 27 lives 4/1/2008
Anthem: H S A 15.0% 826 lives 6/1/2006
Anthem: P P O 12.5% 13,502 policies 1/1/2008
16.7% 16,896 policies 1/1/2007
Central United 50.0% 3 policies 3/6/2007
CIGNA 5.2% 16 lives 3/1/2008
Golden Rule 12.0% 247 policies 4/15/2008
Harvard Pilgrim 8.0% 13 lives 12/1/2007
MEGA 0.0% 5,506 lives 1/1/2006
Principal 12.0% 1 policy 10/1/2006
Prudential 30.0% 17 policies 7/1/2008
30.0% 21 policies 7/9/2007
State Farm 30.0% 2 riders 8/1/2006
Trustmark 20.0% 2 policies 7/1/2007
35.0% 1 lives 10/1/2006
United American 10.0% 1 policy 10/1/2007

 

Pending Rate Increases
Company Average
Increase
Number
Affected
  Eff. date
United American 10% 1 policies 10/1/2007
Trustmark 35.0% 1 policies 11/1/2007

Source: Bureau of Insurance

Last Updated: July 2, 2008