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Market Snapshot - Individual Medical

Company (State of Domicile) NAIC# Number Insured1 Market Share
  12/31/11 12/31/12 09/30/13 12/31/11 12/31/12 09/30/13
Companies Currently Offering Coverage:
Anthem BC/BS (Maine) - 52618            
- PPO 16,210 16,725 16,463 47% 52% 52%
- HMO Maine2 10 13 12 0% 0% 0%
Mega Life & Health (OK) 97055 12,513 11,750 11,368 37% 36% 36%
HPHC 189753 4,922 4,524 3,819 14% 11% 12%
Aetna Health (Maine) 95517 15 25 19 0% 0% 0%
Harvard Pilgrim (MA) 96911 2 2 2 0% 0% 0%
Subtotal 33,672 33,039 31,683 98% 99% 100%
Companies Renewing but Not Offering New Coverage:
AXA Equitable Life 62944 71 65 55 0% 0% 0%
Prudential (NJ) 68241 60 52 44 0% 0% 0%
Washington National (IL) 70319 55 48 0 0% 0% 0%
American Republic (IA) 60836 48 36 0 0% 0% 0%
Metropolitan Life 65978 29 28 24 0% 0% 0%
Golden Rule (IL) 62286 203 23 0 1% 0% 0%
Other 67 13 11 0% 0% 0%
Subtotal 533 265 134 2% 1% 0%
TOTAL 34,205 33,304 31,817 100% 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 HPHC data is the most recent information available on the Dirigo Health website.

 

Recent Rate Increases
Company Average
Increase
Number
Affected
Effective date SERFF Tracking Number1
Anthem
2.4% 16,738 lives 7/1/2013 AWLP-128965727
1.7% 16,220 lives 7/1/2012 AWLP-128240760
Central United Limited
12.0% 1   2/1/2012 CEUL-127709884
Harvard Pilgrim
6.7% 2 lives 11/1/2013 HPHC-129169051
HPHC (Dirigo Choice)
4.7% 1,270   7/1/2013 HPHC-1289977192
-1.7% 787 contracts 4/1/2013 HPHC-128880307
-8.8% 909 contracts 1/1/2013 HPHC-128747043
HPHC Standardized
7.1% 2 lives 12/1/2012 HPHC-128710058
MEGA
67.0%     1/1/2014 MGCC-129028861
3.25% 10,733 lives 12/31/2013 MGCC-129217435
6.5% 12,635 lives 3/1/2013 MGCA-128251458
Metropolitan
9.9% 26   3/1/2011 HUMA-127830972
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
16.5% 8,582 lives 1/1/2014 AWLP-12915589
         
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: November 19, 2013