Market Snapshot - Small Group Health

Company (State of Domicile) NAIC#	Number Insured		Market Share
	12/31/07	12/31/08	12/31/07	12/31/08
HMO:
HMO Maine (Anthem BC/BS) (Maine)1 52618	24,715	22,960	23%	22%
Aetna Health (Maine) 95517	11,014	5,509	10%	5%
Harvard Pilgrim (MA) 96911	8,166	6,714	8%	6%
Subtotal	43,895	35,183	40%	33%
Indemnity and PPO:
Anthem BC/BS (Maine) - PPO 52618	35,705	28,734	33%	27%
Aetna Life (CT) 60054	21,662	33,168	20%	31%
MEGA Life & Health (OK) 97055	2,561	2,115	2%	2%
Excellus (NY) 551072	2,149	2,088	2%	2%
HPHC (MA) 18975	1,905	4,232	2%	4%
United Healthcare (CT) 79413	571	512	1%	0%
John Alden (MN) 65080	109	26	0%	0%
Guardian (NY) 64246	98	133	0%	0%
Trustmark (IL) 61425	0	0	0%	0%
Subtotal	64,760	71,008	60%	67%
Total	108,655	106,191	100%	100%
1 HMO Maine is a line of business of Anthem Blue Cross and Blue Shield.
2 Excellus is not licensed in Maine but covers some small employers through a group plan issued to Dairylea, an agricultural cooperative.

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

 

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	10%
2009	15%

 

Recent Rate Increases
Company	Average Increase	Number Affected		Eff. date
Aetna Health	20.0%	1,429	lives	7/1/2009	3rd Qtr Renewals
	19.0%	1,026	lives	4/1/2009	2nd Qtr Renewals
	19.0%	2,303	lives	1/1/2009	1st Qtr Renewals
	19.0%	2,650	lives	10/1/2008	4th Qtr Renewals
	17.0%	3,100	lives	7/1/2008	3rd Qtr Renewals
Aetna Life	14.0%	8,050	lives	7/1/2009	3rd Qtr Renewals
	12.0%	5,589	lives	4/1/2009	2nd Qtr Renewals
	8.0%	5,753	lives	1/1/2009	1st Qtr Renewals
	9.0%	6,210	lives	10/1/2008	4th Qtr Renewals
	4.0%	6,040	lives	7/1/2008	3rd Qtr Renewals
Anthem BC/BS (HMO and PPO)	17.0%	10,062	lives	7/1/2009	3rd Qtr Renewals
	15.0%	8,049	lives	4/1/2009	2nd Qtr Renewals
	16.0%	8,434	lives	2/1/2009	Feb-Mar Renewals
	15.0%	17,016	lives	1/1/2009	1st Qtr Renewals
	14.0%	5,258	lives	12/1/2008	December Renewals
	15.0%	10,722	lives	10/1/2008	4th Qtr Renewals
	11.0%	10,793	lives	7/1/2008	3rd Qtr Renewals
Excellus (Dairylea)	20%	2,092	lives	1/1/2009	2009 Renewals
	5.0%	2,560	lives	1/1/2008	2008 Renewals
Guardian	6.0%	129	lives	7/1/2009	3rd Qtr Renewals
	14.0%	0	lives	4/1/2009	2nd Qtr Renewals
	10.0%	0	lives	1/1/2009	1st Qtr Renewals
	6.0%	0	lives	10/1/2008	4th Qtr Renewals
	3.0%	144	lives	7/1/2008	3rd Qtr Renewals
Harvard Pilgrim	9.0%	1,269	lives	7/1/2009	3rd Qtr Renewals
	11.0%	534	lives	4/1/2009	2nd Qtr Renewals
	11.0%	2,518	lives	1/1/2009	1st Qtr Renewals
	12.0%	2,224	lives	10/1/2008	4th Qtr Renewals
	14.0%	1,633	lives	7/1/2008	3rd Qtr Renewals
HPHC Ins Co	8.0%	929	lives	7/1/2009	3rd + 4th Qtr Renewals; Benefit Reduction
	9.0%	237	lives	7/1/2009	3rd Qtr Renewals
	11.0%	203	lives	4/1/2009	2nd Qtr Renewals
	7.0%	1,963	lives	1/1/2009	1st + 2nd Qtr Renewals; Benefit Reduction
	9.0%	464	lives	1/1/2009	1st Qtr Renewals
	12.0%	485	lives	10/1/2008	4th Qtr Renewals
	14.0%	359	lives	7/1/2008	3rd Qtr Renewals
John Alden	14.0%	34	lives	1/1/2009	1st Qtr Renewals
	15.0%	153	lives	7/1/2008	Effective 7/1/08
United Healthcare	14.0%	505	lives	9/1/2008	Effective 9/1/08
	14.0%	35	lives	9/1/2007	Effective 9/1/07

 

Pending Rate Increases
Company	Average Increase	Number Affected		Eff. date

 

Source: Bureau of Insurance

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