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

Market Snapshot - Small Group Health

Company (State of Domicile) NAIC# Number Insured3 Market Share
  12/31/10 12/31/11 12/31/10 12/31/11
HMO (Including Standardized and POS):
HMO Maine (Anthem BC/BS) (Maine)1 52618 9,291 4,668 9% 5%
Harvard Pilgrim (MA) 96911 5,954 4,824 6% 5%
Aetna Health (Maine) 95517 1,268 941 1% 1%
Subtotal 16,513 10,433 17% 11%
Indemnity (Including Standardized) and PPO:
Aetna Life (CT) 60054 29,916 25,411 30% 27%
Anthem BC/BS (Maine) - PPO 52618 41,478 42,946 42% 46%
HPHC (MA) 18975 7,438 12,196 8% 13%
MEGA Life & Health (OK) 97055 1,560 1,351 2% 1%
Excellus (NY) 551072 1,213 1,155 1% 1%
United Healthcare (CT) 79413 284 554 0% 1%
HM Life (PA) 93440 206 156 0% 0%
Guardian (NY) 64246 139 124 0% 0%
John Alden (MN) 65080 6 0 0% 0%
Transamerica Life (IA) 79413 3 3 0% 0%
Subtotal 82,243 83,896 83% 89%
Total 98,756 94,329 100% 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.
3 Figures for the number of insured come from the two most recent 940 reports.

 

 

Average Rate Increases
Following are the average small group rate increases weighted by premium across the entire market by calendar year. Figures for 2001 and for 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%
2010
21%
2011
16%
2012
10%

 

Recent Rate Increases
Company Annual Average
Increase		 Number of Lives
Affected		 Coverage Type Effective Date SERFF Tracking Number1
Aetna Health
 0.4% 564 HMO 3/1/2013 AETN-128825754
6.8% 790 HMO 1/1/2013 AETN-128750679
2.5% 196 HMO 10/1/2012 AETN-128611788
-4.2% 139 HMO 7/1/2012 AETN-128320978
-6.1% 129 HMO 4/1/2012 AETN-128056758
Aetna Life
 8.3% 4,946 PPO 3/1/2013 AETN-128825746
17.4% 8,600 PPO 1/1/2013 AETN-128751190
5.0% 5,295 PPO 10/1/2012 AETN-128611773
11.8% 6,748 PPO 7/1/2012 AETN-128319145
7.3% 4,274 PPO 4/1/2012 AETN-128056900
Anthem BC/BS (HMO and PPO)
 11.0% 511 CDHP Only 5/1/2013 AWLP-128917465
11.0% 7,280 All 4/1/2013 AWLP-128874654
15.0% 15,975 All 1/1/2013 AWLP-128753210
13.9% 7,860 All 10/1/2012 AWLP-128603150
14% 8,999 HMO & PPO 7/1/2012 AWLP-128307870
Harvard Pilgrim
 2.1% 1,961 HMO & POS 1/1/2013 HPHC-128747251
8.2% 861 HMO & POS 12/1/2012 HPHC-128714646
5.6% 1,531 HMO 10/1/2012 HPHC-128610909
4.9% 440 HMO 8/1/2012 HPHC-128447186
6.5% 880 HMO 7/1/2012 HPHC-128052944
6.3% 797 HMO 4/1/2012 HPHC-128052944
HPHC Ins Co
 2.1% 4,296 PPO 1/1/2013 HPHC-128747263
8.2% 1,324 PPO 12/1/2012 HPHC-128714782
5.6% 2,196 PPO 10/1/2012 HPHC-128610933
7.4% 721 PPO 8/1/2012 HPHC-128446863
6.5% 1,452 PPO 7/1/2012 HPHC-128052536
6.3% 1,045 PPO 4/1/2012 HPHC-128052536
HPHC Ins Co (DirigoChoice)
 9.8% 1,577 DirigoChoice 1/1/2013 HPHC-128747030
7.25% 808 DirigoChoice 10/1/2012 HPHC-128588680
8.9% 727 DirigoChoice 7/1/2012 HPHC-128236998
12.7% 783 DirigoChoice 4/1/2012 HPHC-127951074
8.7% 1,417 DirigoChoice 1/1/2012 HPHC-127688229
United Healthcare
 7.5% 197 POS & PPO 10/1/2012 UHLC-128572021
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		 Coverage Type
Effective date
 SERFF Tracking Number1
Harvard Pilgrim
 2.0% 878 HMO & POS 4/1/2013 HPHC-128878768
HPHC Ins Co
 2.0% 1,359 PPO 4/1/2013 HPHC-128880536
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: March 8, 2013