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Market Snapshot - Individual Medical

Company (State of Domicile) NAIC# Number Insured1 Market Share
  12/31/12 12/31/13 03/31/14 12/31/12 12/31/13 03/31/14
Companies Currently Offering Coverage:
Maine Community Health Options 150773 N/A N/A 36,848 0% 0% 59%
Anthem BC/BS (Maine) - 52618            
- PPO 16,210 18,179 17,525 48% 57% 28%
- HMO Maine2 10 18 12 0% 0% 0%
Mega Life & Health (OK) 97055 12,513 10,114 7,194 37% 32% 12%
HPHC 18975 & Harvard Pilgrim (96911) 4,924 3,454 253 14% 11% 0%
Subtotal 33,657 31,765 61,832 99% 99% 100%
Companies Renewing but Not Offering New Coverage:
AXA Equitable Life 62944 71 61 58 0% 0% 0%
Prudential (NJ) 68241 60 41 39 0% 0% 0%
Washington National (IL) 70319 55 40 0 0% 0% 0%
Metropolitan Life 65978 29 35 33 0% 0% 0%
Aetna Health Inc 95517 N/A 33 23 0% 0% 0%
American Republic (IA) 60836 48 32 0 0% 0% 0%
Other 67 27 26 0% 0% 0%
Subtotal 330 269 178 1% 1% 0%
TOTAL 33,987 32,034 62,010 100% 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.
3 Maine Community Health Options figures as of 4/21/14.

 

Recent Rate Increases
Company Average
Increase
Number
Affected
Effective date SERFF Tracking Number1
Anthem
-1.1% 8,859 lives 1/1/2015 AWLP-129567303
16.5% 8,852 lives 1/1/2014 AWLP-129155589
12.6% 18,518 lives 1/1/2014 AWLP-129316190
Harvard Pilgrim
2.2% 64   1/1/2015 HPHC-129568643
HPHC (Standardized)
1.5%% 96   1/1/2015 HPHC-129568645
Maine Community Health Options
-0.8% 37,500 lives 1/1/2015 MECH-129565099
MEGA
67.0%     1/1/2014 MGCC-129028861
1 To link to SERFF to view filings, go to .http://www.maine.gov/pfr/insurance/PPACA/HFAI.htm#. Under The Health Filing Access Interface (HFAI), select "Click here to Search Public Filings." You must first agree to the terms of use. Then on the search screen enter a SERFF Tracking Number (displayed above) in the Tracking Number field and click on the Search button. Details about the filing will appear and you can click on the "View Filing" link on left side to see the actual filing.

 

Pending Rate Increases
Company
Average
Increase
Number
Affected
 
Effective Date
SERFF Tracking Number1
Anthem - Grandfathered/NGF
19.6% 11,353 lives 1/1/20105 AWLP-129684315
1 To link to SERFF to view filings, go to .http://www.maine.gov/pfr/insurance/PPACA/HFAI.htm#. Under The Health Filing Access Interface (HFAI), select "Click here to Search Public Filings." You must first agree to the terms of use. Then on the search screen enter a SERFF Tracking Number (displayed above) in the Tracking Number field and click on the Search button. Details about the filing will appear and you can click on the "View Filing" link on left side to see the actual filing.

Source: Bureau of Insurance

Last Updated: September 17, 2014