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

Market Snapshot - Small Group Health Insurers

Company (State of Domicile) NAIC# Number Insured Market Share Net Income (Loss)1
  12/31/06 12/31/07 12/31/06 12/31/07 2006 2007
HMO:
HMO Maine (Anthem BC/BS) (Maine)2 52618 32,951 29,741 29% 25% $25,753,492 $31,015,337
Aetna Health (Maine) 95517 18,072 11,014 16% 9% $6,282,501 $6,479,071
Harvard Pilgrim (MA) 96911 4,126 8,166 4% 7% --1 --1
Subtotal 55,149 48,921 48% 42% $32,035,993 $37,494,408
Indemnity and PPO:
Anthem BC/BS (Maine) - PPO 52618 42,395 38,265 37% 33% $14,679,640 $49,964,940
Aetna Life (CT) 60054 10,244 21,662 9% 18% --1 --1
Excellus (NY) 551073 2,424 2,424 2% 2% --1 --1
HPHC (MA) 18975 654 1,905 1% 2% --1 --1
MEGA Life & Health (OK) 97055 3,143 2,561 3% 2% --1 --1
John Alden (MN) 65080 292 292 0% 0% --1 --1
Trustmark (IL) 61425 406 406 0% 0% --1 --1
Guardian (NY) 64246 133 133 0% 0% --1 --1
United Healthcare (CT) 79413 301 571 0% 0% --1 --1
Subtotal 59,992 68,219 52% 58% $14,679,640 $49,964,940
Total 115,141 117,140 100% 100% $46,715,633 $87,459,348
1 Net Income (Loss) is shown only for Maine domestic companies and reflects group and individual combined.
2 HMO Maine is a line of business of Anthem Blue Cross and Blue Shield.
3 Excellus is not licensed in Maine but covers some small employers through a group plan issued to Dairylea, an agricultural cooperative.

 

Average Rate Increases
Following are the average small group rate increases across the entire market by calendar year. 2001 and the current year are based on a partial year's data, but represent an annual increase.
Year Average
2001 33%
2002 29%
2003 16%
2004 6%
2005 13%
2006 8%
2007 14%
2008 7%

 

Recent Rate Increases
Company Average
Increase		 Number
Affected		   Eff. date  
Aetna Health 10.0% 1,470 lives 4/1/2008 2nd Qtr Renewals
9.0% 3,600 lives 1/1/2008 1st Qtr Renewals
11.0% 6,100 lives 10/1/2007 4th Qtr Renewals
12.0% 3,690 lives 7/1/2007 3rd Qtr Renewals
15.0% 1,166 lives 6/1/2007 June Renewals
Aetna Life 4.0% 3,560 lives 4/1/2008 2nd Qtr Renewals
2.0% 5,900 lives 1/1/2008 1st Qtr Renewals
-1.0% 2,330 lives 10/1/2007 4th Qtr Renewals
1.0% 1,960 lives 7/1/2007 3rd Qtr Renewals
Anthem BC/BS (HMO and PPO) 11.0% 11,410 lives 4/1/2008 2nd Qtr Renewals
3.0% 17,175 lives 1/1/2008 1st Qtr Renewals
15.0% 13,858 lives 10/1/2007 4th Qtr Renewals
17.0% 13,267 lives 7/1/2007 July, Aug Renewals
Guardian 4.0% 7 lives 4/1/2008 2nd Qtr Renewals
3.0% 0 lives 1/1/2008 1st Qtr Renewals
0.0% 0 lives 10/1/2007 4th Qtr Renewals
4.0% 128 lives 7/1/2007 3rd Qtr Renewals
Harvard Pilgrim 13.0% 839 lives 4/1/2008 2nd Qtr Renewals
14.0% 3,613 lives 1/1/2008 1st Qtr Renewals
16.0% 2,321 lives 10/1/2007 4th Qtr Renewals
15.0% 1,083 lives 7/1/2007 3rd Qtr Renewals
HPHC Ins Co 15.0% 147 lives 4/1/2008 2nd Qtr Renewals
16.0% 834 lives 1/1/2008 1st Qtr Renewals
18.0% 482 lives 10/1/2007 4th Qtr Renewals
18.0% 143 lives 7/1/2007 3rd Qtr Renewals
John Alden 18.0% 282 lives 8/1/2007 Effective 8/1/07
Trustmark 3.0% 0 lives 10/1/2007 Effective 10/1/07 Form AME/C
3.0% 430 lives 10/1/2007 Effective 10/1/07 Form AXX/C:ACEC
United Healthcare 14.0% 35 lives 9/1/2007 Effective 9/1/07
-22.3% 25 lives 12/1/2006 From December 1, 2006

Source: Bureau of Insurance

Last Updated: July 16, 2008