Market Share and Enrollment of Largest Three Insurers - Individual Market

2024

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	22320950	CENTENE CORP GRP	4104762	0.18	HCSC GRP	1910250	0.09	CVS GRP	1830529	0.08
Alabama	423460	BCBS OF AL GRP	199371	0.47	UNITEDHEALTH GRP	167949	0.4	CENTENE CORP GRP	55773	0.13
Alaska	25621	PREMERA BLUE CROSS GRP	18856	0.74	OREGON DENTAL SERV GRP	6711	0.26	AMERICAN INTL GRP	54	0
Arizona	384529	CVS GRP	115471	0.3	BCBS OF AZ INC	96626	0.25	UNITEDHEALTH GRP	92307	0.24
Arkansas	353820	ARKANSAS BCBS GRP	189103	0.53	CENTENE CORP GRP	163171	0.46	UNITEDHEALTH GRP	1421	0
California	2257362	KAISER FOUNDATION GRP	744999	0.33	BLUE SHIELD OF CA GRP	720844	0.32	ELEVANCE HLTH INC GRP	290271	0.13
Colorado	296280	ELEVANCE HLTH INC GRP	93387	0.32	KAISER FOUNDATION GRP	70606	0.24	CIGNA HLTH GRP	58684	0.2
Connecticut	140645	EMBLEM HLTH GRP	75365	0.54	ELEVANCE HLTH INC GRP	64503	0.46	AMERICAN INTL GRP	715	0.01
Delaware	47813	HIGHMARK GRP	36021	0.75	INDEPENDENCE BLUE CROSS GRP	5310	0.11	CVS GRP	5261	0.11
District of Columbia	14229	CAREFIRST INC GRP	11580	0.81	KAISER FOUNDATION GRP	2553	0.18	AMERICAN INTL GRP	92	0.01
Florida	3651500	GUIDEWELL MUT HOLDING GRP	1522612	0.42	CENTENE CORP GRP	1043758	0.29	CVS GRP	605926	0.17
Georgia	1295888	CENTENE CORP GRP	515399	0.4	OSCAR HEALTH INC GRP	330038	0.25	CVS GRP	125459	0.1
Hawaii	33409	HAWAII MEDICAL SERV ASSN	21545	0.64	KAISER FOUNDATION GRP	11697	0.35	AMERICAN INTL GRP	167	0.01
Idaho	116049	IHC INC GRP	37039	0.32	CAMBIA HEALTH SOLUTIONS INC	29667	0.26	BLUE CROSS OF ID GRP	28432	0.24
Illinois	452544	HCSC GRP	260116	0.57	CENTENE CORP GRP	54927	0.12	CVS GRP	47687	0.11
Indiana	307513	CENTENE CORP GRP	111016	0.36	ELEVANCE HLTH INC GRP	93651	0.3	CARESOURCE GRP	81839	0.27
Iowa	139458	WELLMARK INC GRP	104583	0.75	OSCAR HEALTH INC GRP	23729	0.17	MEDICA GRP	9955	0.07
Kansas	184202	CENTENE CORP GRP	77498	0.42	BCBS OF KS GRP	31634	0.17	UNITEDHEALTH GRP	30180	0.16
Kentucky	89093	ELEVANCE HLTH INC GRP	44045	0.49	CENTENE CORP GRP	22665	0.25	CARESOURCE GRP	20897	0.23
Louisiana	254004	LOUISIANA HLTH SERV GRP	123918	0.49	CENTENE CORP GRP	65251	0.26	UNITEDHEALTH GRP	49013	0.19
Maine	67104	ELEVANCE HLTH INC GRP	28673	0.43	MAINE COMM HLTH OPTIONS	21014	0.31	POINT32HEALTH INC GRP	16526	0.25
Maryland	290612	CAREFIRST INC GRP	169359	0.58	UNITEDHEALTH GRP	62243	0.21	KAISER FOUNDATION GRP	55844	0.19
Massachusetts	364163	POINT32HEALTH INC GRP	203720	0.56	BOSTON MEDICAL CENTER HLTH PLAN INC	91351	0.25	BCBS OF MA GRP	24786	0.07
Michigan	496220	COREWELL HLTH GRP	156269	0.31	BCBS OF MI GRP	150210	0.3	CENTENE CORP GRP	99572	0.2
Minnesota	135276	BCBS OF MN GRP	56952	0.42	UCARE GRP	50750	0.38	MEDICA GRP	25875	0.19
Mississippi	125860	CIGNA HLTH GRP	53169	0.42	MISSISSIPPI INS GRP	27175	0.22	MOLINA HEALTHCARE INC GRP	26786	0.21
Missouri	381190	CENTENE CORP GRP	139495	0.37	ELEVANCE HLTH INC GRP	109187	0.29	UNITEDHEALTH GRP	43541	0.11
Montana	73988	HCSC GRP	36356	0.49	MONTANA HLTH COOPERATIVE	27062	0.37	PACIFICSOURCE HLTH PLAN GRP	10537	0.14
Nebraska	119102	CENTENE CORP GRP	66763	0.56	MEDICA GRP	33007	0.28	BCBS OF NE GRP	16997	0.14
Nevada	112887	UNITEDHEALTH GRP	51707	0.46	ELEVANCE HLTH INC GRP	20442	0.18	CENTENE CORP GRP	17922	0.16
New Hampshire	75912	ELEVANCE HLTH INC GRP	55268	0.73	CENTENE CORP GRP	16572	0.22	POINT32HEALTH INC GRP	3932	0.05
New Jersey	472648	BCBS OF NJ GRP	238123	0.5	INDEPENDENCE BLUE CROSS GRP	104868	0.22	CVS GRP	85286	0.18
New Mexico	66538	HCSC GRP	32002	0.48	PRESBYTERIAN HLTHCARE SERV GRP	17325	0.26	MOLINA HEALTHCARE INC GRP	7457	0.11
New York	305929	NEW YORK STATE CATHOLIC HLTH PLAN	92566	0.3	HEALTHFIRST HEALTHPLAN OF NJ INC	47351	0.15	AMERICAN INTL GRP	43726	0.14
North Carolina	997481	BCBS OF NC GRP	433214	0.43	CVS GRP	340835	0.34	CENTENE CORP GRP	130985	0.13
North Dakota	52584	BCBS OF ND	30784	0.59	SANFORD HLTH GRP	19945	0.38	MEDICA GRP	1844	0.04
Ohio	451752	ELEVANCE HLTH INC GRP	102699	0.23	CENTENE CORP GRP	86976	0.19	MOLINA HEALTHCARE INC GRP	69492	0.15
Oklahoma	281488	HCSC GRP	161543	0.57	CENTENE CORP GRP	64594	0.23	COMMUNITYCARE GRP	15633	0.06
Oregon	165271	PROVIDENCE HLTH GRP	43267	0.26	CAMBIA HEALTH SOLUTIONS INC	35612	0.22	KAISER FOUNDATION GRP	32972	0.2
Pennsylvania	501484	INDEPENDENCE BLUE CROSS GRP	149559	0.3	HIGHMARK GRP	133384	0.27	UPMC HLTH SYSTEM GRP	106881	0.21
Rhode Island	50805	NEIGHBORHOOD HLTH PLAN OF RI INC	32996	0.65	BCBS OF RI	17705	0.35	AMERICAN INTL GRP	91	0
South Carolina	584902	BCBS OF SC GRP	300197	0.51	CENTENE CORP GRP	226008	0.39	MOLINA HEALTHCARE INC GRP	29751	0.05
South Dakota	62274	SANFORD HLTH GRP	24808	0.4	WELLMARK INC GRP	19265	0.31	AVERA HLTH PLANS INC	18179	0.29
Tennessee	581434	CENTENE CORP GRP	264804	0.46	BCBS OF TN GRP	115109	0.2	CIGNA HLTH GRP	85335	0.15
Texas	3539543	HCSC GRP	1420234	0.4	UNITEDHEALTH GRP	647897	0.18	CENTENE CORP GRP	546698	0.15
Utah	397905	IHC INC GRP	278197	0.7	CVS GRP	76908	0.19	CAMBIA HEALTH SOLUTIONS INC	22254	0.06
Vermont	34279	BCBS OF MI GRP	23381	0.68	MVP GRP	10817	0.32	AMERICAN INTL GRP	81	0
Virginia	390854	ELEVANCE HLTH INC GRP	148880	0.38	SENTARA HLTH MGMT GRP	67396	0.17	CVS GRP	49473	0.13
Washington	291109	CENTENE CORP GRP	83750	0.29	KAISER FOUNDATION GRP	46762	0.16	MOLINA HEALTHCARE INC GRP	43404	0.15
West Virginia	54967	HIGHMARK GRP	31392	0.57	CARESOURCE GRP	23081	0.42	UNITEDHEALTH GRP	347	0.01
Wisconsin	285638	ELEVANCE HLTH INC GRP	71236	0.25	COMMON GROUND HLTHCARE COOP	52582	0.18	MEDICA GRP	44927	0.16
Wyoming	42332	BCBS OF WY	29198	0.69	MONTANA HLTH COOPERATIVE	12962	0.31	UNITEDHEALTH GRP	141	0

2023

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	18401299	CENTENE CORP GRP	3314060	0.18	GUIDEWELL MUT HOLDING GRP	1473275	0.08	HCSC GRP	1170947	0.06
Alabama	288417	BCBS OF AL GRP	227758	0.79	CENTENE CORP GRP	31281	0.11	UNITEDHEALTH GRP	28980	0.1
Alaska	23562	PREMERA BLUE CROSS GRP	18560	0.79	OREGON DENTAL SERV GRP	4944	0.21	AMERICAN INTL GRP	59	0
Arizona	261155	CENTENE CORP GRP	75716	0.29	BCBS OF AZ INC	64264	0.25	CVS GRP	56014	0.21
Arkansas	373148	ARKANSAS BCBS GRP	204866	0.55	CENTENE CORP GRP	166421	0.45	UNITEDHEALTH GRP	1722	0
California	2212100	BLUE SHIELD OF CA GRP	769403	0.35	KAISER FOUNDATION GRP	750674	0.34	ELEVANCE HLTH INC GRP	264334	0.12
Colorado	233991	ELEVANCE HLTH INC GRP	90192	0.39	KAISER FOUNDATION GRP	61379	0.26	CIGNA HLTH GRP	39482	0.17
Connecticut	119255	EMBLEM HLTH GRP	78296	0.66	ELEVANCE HLTH INC GRP	40107	0.34	AMERICAN INTL GRP	777	0.01
Delaware	37424	HIGHMARK GRP	34983	0.93	CVS GRP	2148	0.06	AMERICAN INTL GRP	152	0
District of Columbia	14538	CAREFIRST INC GRP	11748	0.81	KAISER FOUNDATION GRP	2692	0.19	AMERICAN INTL GRP	94	0.01
Florida	3420443	GUIDEWELL MUT HOLDING GRP	1473275	0.43	CENTENE CORP GRP	681620	0.2	OSCAR HEALTH INC GRP	567502	0.17
Georgia	910191	CENTENE CORP GRP	350014	0.38	CIGNA HLTH GRP	230670	0.25	OSCAR HEALTH INC GRP	87121	0.1
Hawaii	32958	HAWAII MEDICAL SERV ASSN	22085	0.67	KAISER FOUNDATION GRP	10702	0.32	AMERICAN INTL GRP	171	0.01
Idaho	101305	IHC INC GRP	35543	0.35	BLUE CROSS OF ID GRP	30899	0.31	CAMBIA HEALTH SOLUTIONS INC	20075	0.2
Illinois	379720	HCSC GRP	246372	0.65	CENTENE CORP GRP	55894	0.15	CARLE HOLDING CO GRP	35284	0.09
Indiana	197319	CARESOURCE GRP	71028	0.36	CENTENE CORP GRP	68276	0.35	ELEVANCE HLTH INC GRP	28245	0.14
Iowa	96751	WELLMARK INC GRP	87253	0.9	OSCAR HEALTH INC GRP	8022	0.08	UNITEDHEALTH GRP	1396	0.01
Kansas	138673	CENTENE CORP GRP	78768	0.57	BCBS OF KS GRP	38489	0.28	UNITEDHEALTH GRP	10106	0.07
Kentucky	73047	ELEVANCE HLTH INC GRP	40039	0.55	CARESOURCE GRP	26548	0.36	CENTENE CORP GRP	5774	0.08
Louisiana	154766	LOUISIANA HLTH SERV GRP	113196	0.73	CENTENE CORP GRP	22399	0.14	UNITEDHEALTH GRP	10814	0.07
Maine	67672	ELEVANCE HLTH INC GRP	23885	0.35	MAINE COMM HLTH OPTIONS	22592	0.33	POINT32HEALTH INC GRP	20601	0.3
Maryland	259772	CAREFIRST INC GRP	174164	0.67	KAISER FOUNDATION GRP	59521	0.23	UNITEDHEALTH GRP	25403	0.1
Massachusetts	277797	POINT32HEALTH INC GRP	165033	0.59	BOSTON MEDICAL CENTER HLTH PLAN INC	53047	0.19	BCBS OF MA GRP	24463	0.09
Michigan	385044	BCBS OF MI GRP	145825	0.38	COREWELL HLTH GRP	142378	0.37	CENTENE CORP GRP	40259	0.1
Minnesota	92144	UCARE GRP	49006	0.53	BCBS OF MN GRP	41575	0.45	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	1378	0.01
Mississippi	211773	CENTENE CORP GRP	148720	0.7	MISSISSIPPI INS GRP	29708	0.14	CIGNA HLTH GRP	17663	0.08
Missouri	270275	CENTENE CORP GRP	123104	0.46	ELEVANCE HLTH INC GRP	75051	0.28	UNITEDHEALTH GRP	19612	0.07
Montana	60006	HCSC GRP	26059	0.43	MONTANA HLTH COOPERATIVE	23209	0.39	PACIFICSOURCE HLTH PLAN GRP	10702	0.18
Nebraska	61476	CENTENE CORP GRP	41208	0.67	BCBS OF NE GRP	17840	0.29	UNITEDHEALTH GRP	1784	0.03
Nevada	102546	UNITEDHEALTH GRP	50237	0.49	CENTENE CORP GRP	22158	0.22	ELEVANCE HLTH INC GRP	11908	0.12
New Hampshire	65185	ELEVANCE HLTH INC GRP	43528	0.67	CENTENE CORP GRP	17665	0.27	POINT32HEALTH INC GRP	3840	0.06
New Jersey	391507	BCBS OF NJ GRP	225875	0.58	INDEPENDENCE BLUE CROSS GRP	98323	0.25	CVS GRP	39970	0.1
New Mexico	50008	HCSC GRP	24275	0.49	PRESBYTERIAN HLTHCARE SERV GRP	14075	0.28	MOLINA HEALTHCARE INC GRP	6747	0.13
New York	301571	NEW YORK STATE CATHOLIC HLTH PLAN	92317	0.31	AMERICAN INTL GRP	47044	0.16	HEALTHFIRST HEALTHPLAN OF NJ INC	33302	0.11
North Carolina	846788	BCBS OF NC GRP	437536	0.52	CVS GRP	217798	0.26	CENTENE CORP GRP	122675	0.14
North Dakota	48886	BCBS OF ND	29385	0.6	SANFORD HLTH GRP	17962	0.37	MEDICA GRP	1522	0.03
Ohio	209519	CENTENE CORP GRP	74745	0.36	CARESOURCE GRP	51031	0.24	MOLINA HEALTHCARE INC GRP	35069	0.17
Oklahoma	200275	HCSC GRP	135284	0.68	CENTENE CORP GRP	31651	0.16	OSCAR HEALTH INC GRP	16668	0.08
Oregon	163444	PROVIDENCE HLTH GRP	47439	0.29	KAISER FOUNDATION GRP	35975	0.22	CAMBIA HEALTH SOLUTIONS INC	28200	0.17
Pennsylvania	449102	INDEPENDENCE BLUE CROSS GRP	151819	0.34	HIGHMARK GRP	106268	0.24	UPMC HLTH SYSTEM GRP	98275	0.22
Rhode Island	39964	NEIGHBORHOOD HLTH PLAN OF RI INC	22747	0.57	BCBS OF RI	17096	0.43	AMERICAN INTL GRP	102	0
South Carolina	444780	BCBS OF SC GRP	281364	0.63	CENTENE CORP GRP	126654	0.28	MOLINA HEALTHCARE INC GRP	23249	0.05
South Dakota	61224	SANFORD HLTH GRP	22245	0.36	AVERA HLTH PLANS INC	21155	0.35	WELLMARK INC GRP	17797	0.29
Tennessee	401007	CENTENE CORP GRP	172389	0.43	BCBS OF TN GRP	83357	0.21	CIGNA HLTH GRP	78269	0.2
Texas	2589673	HCSC GRP	738956	0.29	CENTENE CORP GRP	647433	0.25	CVS GRP	310448	0.12
Utah	324456	IHC INC GRP	283189	0.87	CAMBIA HEALTH SOLUTIONS INC	24163	0.07	UNIVERSITY OF UT GRP	9330	0.03
Vermont	30509	BCBS OF MI GRP	19580	0.64	MVP GRP	10851	0.36	AMERICAN INTL GRP	78	0
Virginia	376766	ELEVANCE HLTH INC GRP	141327	0.38	CIGNA HLTH GRP	57203	0.15	SENTARA HLTH MGMT GRP	42432	0.11
Washington	249690	CENTENE CORP GRP	60534	0.24	KAISER FOUNDATION GRP	59687	0.24	PREMERA BLUE CROSS GRP	41200	0.17
West Virginia	31146	HIGHMARK GRP	20150	0.65	CARESOURCE GRP	10399	0.33	UNITEDHEALTH GRP	437	0.01
Wisconsin	230320	COMMON GROUND HLTHCARE COOP	58742	0.26	MEDICA GRP	42180	0.18	ELEVANCE HLTH INC GRP	31108	0.14
Wyoming	38213	BCBS OF WY	22257	0.58	MONTANA HLTH COOPERATIVE	15755	0.41	UNITEDHEALTH GRP	166	0

2022

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	15811138	CENTENE CORP GRP	1990980	0.13	GUIDEWELL MUT HOLDING GRP	1357358	0.09	KAISER FOUNDATION GRP	1120546	0.07
Alabama	235137	BCBS OF AL GRP	213149	0.91	BRIGHT HLTH GRP	12376	0.05	UNITEDHEALTH GRP	9172	0.04
Alaska	22938	PREMERA BLUE CROSS GRP	20402	0.89	OREGON DENTAL SERV GRP	2466	0.11	AMERICAN INTL GRP	70	0.00
Arizona	222519	BCBS OF AZ INC	69741	0.31	CENTENE CORP GRP	52412	0.24	UNITEDHEALTH GRP	47524	0.21
Arkansas	417209	ARKANSAS BCBS GRP	231372	0.55	CENTENE CORP GRP	183143	0.44	UNITEDHEALTH GRP	2065	0.00
California	2302105	KAISER FOUNDATION GRP	793632	0.34	BLUE SHIELD OF CA GRP	793251	0.34	ELEVANCE HLTH INC GRP	223234	0.10
Colorado	229359	ELEVANCE HLTH INC GRP	66903	0.29	BRIGHT HLTH GRP	52624	0.23	KAISER FOUNDATION GRP	50516	0.22
Connecticut	115885	EMBLEM HLTH GRP	84746	0.73	ELEVANCE HLTH INC GRP	30223	0.26	AMERICAN INTL GRP	826	0.01
Delaware	33744	HIGHMARK GRP	33572	0.99	AMERICAN INTL GRP	152	0.00	UNITEDHEALTH GRP	17	0.00
District of Columbia	15718	CAREFIRST INC GRP	12901	0.82	KAISER FOUNDATION GRP	2703	0.17	AMERICAN INTL GRP	108	0.01
Florida	2836218	GUIDEWELL MUT HOLDING GRP	1357358	0.48	OSCAR HEALTH INC GRP	623669	0.22	CENTENE CORP GRP	326822	0.12
Georgia	655405	CENTENE CORP GRP	320355	0.49	ELEVANCE HLTH INC GRP	76754	0.12	OSCAR HEALTH INC GRP	73555	0.11
Hawaii	33896	HAWAII MEDICAL SERV ASSN	22323	0.66	KAISER FOUNDATION GRP	11386	0.34	AMERICAN INTL GRP	188	0.01
Idaho	87775	BLUE CROSS OF ID GRP	33707	0.38	IHC INC GRP	32676	0.37	CAMBIA HEALTH SOLUTIONS INC	11880	0.14
Illinois	384153	HCSC GRP	246563	0.64	CENTENE CORP GRP	52465	0.14	CARLE HOLDING CO GRP	34719	0.09
Indiana	146113	CARESOURCE GRP	80801	0.55	CENTENE CORP GRP	58337	0.40	UNITEDHEALTH GRP	4959	0.03
Iowa	85224	WELLMARK INC GRP	77886	0.91	OSCAR HEALTH INC GRP	5537	0.06	UNITEDHEALTH GRP	1721	0.02
Kansas	112212	CENTENE CORP GRP	53392	0.48	BCBS OF KS GRP	44437	0.40	BCBS OF KC GRP	7655	0.07
Kentucky	79840	ELEVANCE HLTH INC GRP	42143	0.53	CARESOURCE GRP	34688	0.43	CENTENE CORP GRP	2377	0.03
Louisiana	125064	LOUISIANA HLTH SERV GRP	110694	0.89	CENTENE CORP GRP	6694	0.05	CHRISTUS HLTH GRP	4400	0.04
Maine	67847	ELEVANCE HLTH INC GRP	25073	0.37	POINT32HEALTH INC GRP	24854	0.37	MAINE COMM HLTH OPTIONS	17798	0.26
Maryland	259658	CAREFIRST INC GRP	184942	0.71	KAISER FOUNDATION GRP	61102	0.24	UNITEDHEALTH GRP	12866	0.05
Massachusetts	289897	POINT32HEALTH INC GRP	152055	0.52	BOSTON MEDICAL CENTER HLTH PLAN INC	63958	0.22	BCBS OF MA GRP	36449	0.13
Michigan	363676	BCBS OF MI GRP	158623	0.44	COREWELL HLTH GRP	137567	0.38	CENTENE CORP GRP	22327	0.06
Minnesota	135802	UCARE GRP	49656	0.37	HEALTHPARTNERS GRP	49066	0.36	BCBS OF MN GRP	35377	0.26
Mississippi	161566	CENTENE CORP GRP	101348	0.63	MISSISSIPPI INS GRP	32327	0.20	MOLINA HEALTHCARE INC GRP	13229	0.08
Missouri	230055	CENTENE CORP GRP	116611	0.51	ELEVANCE HLTH INC GRP	41520	0.18	CIGNA HLTH GRP	38611	0.17
Montana	58145	HCSC GRP	24833	0.43	MONTANA HLTH COOPERATIVE	18560	0.32	PACIFICSOURCE HLTH PLAN GRP	14716	0.25
Nebraska	50521	BRIGHT HLTH GRP	30655	0.61	CENTENE CORP GRP	14309	0.28	OSCAR HEALTH INC GRP	3138	0.06
Nevada	97228	UNITEDHEALTH GRP	57263	0.59	CENTENE CORP GRP	15058	0.15	ELEVANCE HLTH INC GRP	12882	0.13
New Hampshire	60524	ELEVANCE HLTH INC GRP	30547	0.50	CENTENE CORP GRP	24212	0.40	POINT32HEALTH INC GRP	5596	0.09
New Jersey	381204	BCBS OF NJ GRP	239616	0.63	INDEPENDENCE BLUE CROSS GRP	115534	0.30	OSCAR HEALTH INC GRP	15585	0.04
New Mexico	40070	BRIGHT HLTH GRP	12942	0.32	MOLINA HEALTHCARE INC GRP	11025	0.28	HCSC GRP	9166	0.23
New York	307498	NEW YORK STATE CATHOLIC HLTH PLAN	94730	0.31	AMERICAN INTL GRP	49302	0.16	HEALTHFIRST HEALTHPLAN OF NJ INC	28790	0.09
North Carolina	687071	BCBS OF NC GRP	437909	0.64	BRIGHT HLTH GRP	151232	0.22	UNITEDHEALTH GRP	33400	0.05
North Dakota	47307	BCBS OF ND	27102	0.57	SANFORD HLTH GRP	18736	0.40	MEDICA GRP	1450	0.03
Ohio	177822	CARESOURCE GRP	49653	0.28	CENTENE CORP GRP	48757	0.27	MOLINA HEALTHCARE INC GRP	41862	0.24
Oklahoma	169658	HCSC GRP	137870	0.81	BRIGHT HLTH GRP	11387	0.07	COMMUNITYCARE GRP	7151	0.04
Oregon	171086	PROVIDENCE HLTH GRP	51995	0.30	KAISER FOUNDATION GRP	39328	0.23	OREGON DENTAL SERV GRP	29778	0.17
Pennsylvania	436877	INDEPENDENCE BLUE CROSS GRP	149136	0.34	UPMC HLTH SYSTEM GRP	103817	0.24	HIGHMARK GRP	88998	0.20
Rhode Island	17279	BCBS OF RI	17148	0.99	AMERICAN INTL GRP	110	0.01	UNITEDHEALTH GRP	19	0.00
South Carolina	328178	BCBS OF SC GRP	242668	0.74	CENTENE CORP GRP	37902	0.12	MOLINA HEALTHCARE INC GRP	29780	0.09
South Dakota	58588	SANFORD HLTH GRP	24734	0.42	AVERA HLTH PLANS INC	21850	0.37	WELLMARK INC GRP	11972	0.20
Tennessee	295538	CIGNA HLTH GRP	86561	0.29	BCBS OF TN GRP	61208	0.21	BRIGHT HLTH GRP	52002	0.18
Texas	1612722	HCSC GRP	573498	0.36	BRIGHT HLTH GRP	292766	0.18	CENTENE CORP GRP	263961	0.16
Utah	284614	IHC INC GRP	232365	0.82	CAMBIA HEALTH SOLUTIONS INC	16864	0.06	MOLINA HEALTHCARE INC GRP	13712	0.05
Vermont	30082	BCBS OF VT GRP	16238	0.54	MVP GRP	13773	0.46	AMERICAN INTL GRP	71	0.00
Virginia	324044	ELEVANCE HLTH INC GRP	169834	0.52	CIGNA HLTH GRP	47937	0.15	KAISER FOUNDATION GRP	40683	0.13
Washington	247375	KAISER FOUNDATION GRP	69857	0.28	MOLINA HEALTHCARE INC GRP	57396	0.23	PREMERA BLUE CROSS GRP	49424	0.20
West Virginia	23646	HIGHMARK GRP	14586	0.62	CARESOURCE GRP	8338	0.35	UNITEDHEALTH GRP	544	0.02
Wisconsin	218212	COMMON GROUND HLTHCARE COOP	60976	0.28	MEDICA GRP	42601	0.20	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	24626	0.11
Wyoming	36832	BCBS OF WY	31756	0.86	MONTANA HLTH COOPERATIVE	4826	0.13	UNITEDHEALTH GRP	215	0.01

2021

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	14666988	CENTENE CORP GRP	1988842	0.14	GUIDEWELL MUT HOLDING GRP	1269710	0.09	KAISER FOUNDATION GRP	1131737	0.08
Alabama	207170	BCBS OF AL GRP	202114	0.98	BRIGHT HLTH GRP	2603	0.01	UNITEDHEALTH GRP	1957	0.01
Alaska	19939	PREMERA BLUE CROSS GRP	18400	0.92	OREGON DENTAL SERV GRP	1457	0.07	AMERICAN INTL GRP	79	0.00
Arizona	197229	CENTENE CORP GRP	75213	0.38	BCBS OF AZ INC	71252	0.36	OSCAR HEALTH INC GRP	19495	0.10
Arkansas	391779	ARKANSAS BCBS GRP	218983	0.56	CENTENE CORP GRP	170166	0.43	UNITEDHEALTH GRP	2466	0.01
California	2317953	KAISER FOUNDATION GRP	811073	0.35	BLUE SHIELD OF CA GRP	790681	0.34	CENTENE CORP GRP	206430	0.09
Colorado	235589	ELEVANCE HLTH INC GRP	71003	0.30	KAISER FOUNDATION GRP	54379	0.23	BRIGHT HLTH GRP	49866	0.21
Connecticut	115225	EMBLEM HLTH GRP	84164	0.73	ELEVANCE HLTH INC GRP	30062	0.26	AMERICAN INTL GRP	886	0.01
Delaware	29456	HIGHMARK GRP	29258	0.99	AMERICAN INTL GRP	158	0.01	UNITEDHEALTH GRP	20	0.00
District of Columbia	17791	CAREFIRST INC GRP	14761	0.83	KAISER FOUNDATION GRP	2904	0.16	AMERICAN INTL GRP	118	0.01
Florida	2391282	GUIDEWELL MUT HOLDING GRP	1269710	0.53	CENTENE CORP GRP	365147	0.15	BRIGHT HLTH GRP	297912	0.12
Georgia	543866	CENTENE CORP GRP	329774	0.61	ELEVANCE HLTH INC GRP	91662	0.17	KAISER FOUNDATION GRP	44351	0.08
Hawaii	34567	HAWAII MEDICAL SERV ASSN	22963	0.66	KAISER FOUNDATION GRP	11399	0.33	AMERICAN INTL GRP	205	0.01
Idaho	88973	BLUE CROSS OF ID GRP	36323	0.41	IHC INC GRP	30342	0.34	CAMBIA HEALTH SOLUTIONS INC	12215	0.14
Illinois	378768	HCSC GRP	267039	0.71	CENTENE CORP GRP	45872	0.12	CARLE HOLDING CO GRP	31705	0.08
Indiana	134574	CARESOURCE GRP	73401	0.55	CENTENE CORP GRP	52085	0.39	UNITEDHEALTH GRP	6224	0.05
Iowa	78754	WELLMARK INC GRP	75402	0.96	UNITEDHEALTH GRP	2103	0.03	OSCAR HEALTH INC GRP	1156	0.01
Kansas	104522	BCBS OF KS GRP	54923	0.53	CENTENE CORP GRP	36172	0.35	BCBS OF KC GRP	8385	0.08
Kentucky	92362	ELEVANCE HLTH INC GRP	47732	0.52	CARESOURCE GRP	44469	0.48	AMERICAN INTL GRP	146	0.00
Louisiana	114927	LOUISIANA HLTH SERV GRP	111238	0.97	CHRISTUS HLTH GRP	2434	0.02	UNITEDHEALTH GRP	932	0.01
Maine	64302	ELEVANCE HLTH INC GRP	26345	0.41	POINT32HEALTH INC GRP	25059	0.39	MAINE COMM HLTH OPTIONS	12770	0.20
Maryland	253367	CAREFIRST INC GRP	188923	0.75	KAISER FOUNDATION GRP	58350	0.23	UNITEDHEALTH GRP	5279	0.02
Massachusetts	333044	POINT32HEALTH INC GRP	177623	0.53	BOSTON MEDICAL CENTER HLTH PLAN INC	75018	0.23	BCBS OF MA GRP	38335	0.12
Michigan	350561	BCBS OF MI GRP	167380	0.48	COREWELL HLTH GRP	130294	0.37	MOLINA HEALTHCARE INC GRP	12924	0.04
Minnesota	84827	UCARE GRP	50233	0.59	BCBS OF MN GRP	33324	0.39	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	1030	0.01
Mississippi	140129	CENTENE CORP GRP	74442	0.53	MISSISSIPPI INS GRP	34286	0.24	MOLINA HEALTHCARE INC GRP	27393	0.20
Missouri	227217	CENTENE CORP GRP	98834	0.43	CIGNA HLTH GRP	52287	0.23	ELEVANCE HLTH INC GRP	42208	0.19
Montana	52709	HCSC GRP	21006	0.40	MONTANA HLTH COOPERATIVE	18980	0.36	PACIFICSOURCE HLTH PLAN GRP	12681	0.24
Nebraska	21723	BRIGHT HLTH GRP	18623	0.86	UNITEDHEALTH GRP	2985	0.14	AMERICAN INTL GRP	112	0.01
Nevada	109189	UNITEDHEALTH GRP	64694	0.59	ELEVANCE HLTH INC GRP	13971	0.13	FRIDAY HLTH PLANS GRP	10597	0.10
New Hampshire	56617	ELEVANCE HLTH INC GRP	27975	0.49	CENTENE CORP GRP	21331	0.38	POINT32HEALTH INC GRP	7139	0.13
New Jersey	360103	BCBS OF NJ GRP	222935	0.62	INDEPENDENCE BLUE CROSS GRP	120724	0.34	OSCAR HEALTH INC GRP	11761	0.03
New Mexico	49286	MOLINA HEALTHCARE INC GRP	23017	0.47	BRIGHT HLTH GRP	14808	0.30	HCSC GRP	5386	0.11
New York	316132	NEW YORK STATE CATHOLIC HLTH PLAN	91055	0.29	AMERICAN INTL GRP	52131	0.16	HEALTHFIRST HEALTHPLAN OF NJ INC	32566	0.10
North Carolina	603006	BCBS OF NC GRP	456243	0.76	BRIGHT HLTH GRP	99034	0.16	CIGNA HLTH GRP	20659	0.03
North Dakota	44489	BCBS OF ND	26775	0.60	SANFORD HLTH GRP	16471	0.37	MEDICA GRP	1223	0.03
Ohio	162704	CENTENE CORP GRP	62641	0.38	CARESOURCE GRP	43532	0.27	MOLINA HEALTHCARE INC GRP	24861	0.15
Oklahoma	164024	HCSC GRP	144988	0.88	BRIGHT HLTH GRP	12621	0.08	UNITEDHEALTH GRP	3914	0.02
Oregon	171566	PROVIDENCE HLTH GRP	53335	0.31	KAISER FOUNDATION GRP	41683	0.24	OREGON DENTAL SERV GRP	32428	0.19
Pennsylvania	426461	INDEPENDENCE BLUE CROSS GRP	154128	0.36	UPMC HLTH SYSTEM GRP	111883	0.26	HIGHMARK GRP	71566	0.17
Rhode Island	42317	NEIGHBORHOOD HLTH PLAN OF RI INC	25207	0.60	BCBS OF RI	16967	0.40	AMERICAN INTL GRP	118	0.00
South Carolina	276931	BCBS OF SC GRP	228303	0.82	MOLINA HEALTHCARE INC GRP	29413	0.11	CENTENE CORP GRP	10971	0.04
South Dakota	53880	AVERA HLTH PLANS INC	21380	0.40	SANFORD HLTH GRP	18343	0.34	WELLMARK INC GRP	14121	0.26
Tennessee	252707	CIGNA HLTH GRP	92228	0.36	BCBS OF TN GRP	78855	0.31	TENNESSEE RURAL HLTH GRP	29090	0.12
Texas	1482932	HCSC GRP	512519	0.35	MOLINA HEALTHCARE INC GRP	344462	0.23	CENTENE CORP GRP	336151	0.23
Utah	244147	IHC INC GRP	193971	0.79	MOLINA HEALTHCARE INC GRP	22339	0.09	UNIVERSITY OF UT GRP	11662	0.05
Vermont	30810	BCBS OF VT GRP	15702	0.51	MVP GRP	15029	0.49	AMERICAN INTL GRP	79	0.00
Virginia	291761	ELEVANCE HLTH INC GRP	159738	0.55	CIGNA HLTH GRP	67547	0.23	KAISER FOUNDATION GRP	30690	0.11
Washington	246591	KAISER FOUNDATION GRP	76908	0.31	MOLINA HEALTHCARE INC GRP	56470	0.23	PREMERA BLUE CROSS GRP	55218	0.22
West Virginia	19919	HIGHMARK GRP	11948	0.60	CARESOURCE GRP	7090	0.36	UNITEDHEALTH GRP	649	0.03
Wisconsin	207568	COMMON GROUND HLTHCARE COOP	46093	0.22	MEDICA GRP	41691	0.20	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	25862	0.12
Wyoming	31241	BCBS OF WY	28753	0.92	MONTANA HLTH COOPERATIVE	2144	0.07	UNITEDHEALTH GRP	310	0.01

2020

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	13464106	CENTENE CORP GRP	2144060	0.16	GUIDEWELL MUT HOLDING GRP	1236992	0.09	KAISER FOUNDATION GRP	1107048	0.08
Alabama	183717	BCBS OF AL GRP	177332	0.97	BRIGHT HLTH GRP	3484	0.02	UNITEDHEALTH GRP	2364	0.01
Alaska	18255	PREMERA BLUE CROSS GRP	16627	0.91	OREGON DENTAL SERV GRP	1541	0.08	AMERICAN INTL GRP	86	0.00
Arizona	184635	CENTENE CORP GRP	68469	0.37	BCBS OF AZ INC	68392	0.37	BRIGHT HLTH GRP	20944	0.11
Arkansas	339525	ARKANSAS BCBS GRP	194931	0.57	CENTENE CORP GRP	141609	0.42	UNITEDHEALTH GRP	2811	0.01
California	2248740	KAISER FOUNDATION GRP	781041	0.35	BLUE SHIELD OF CA GRP	724394	0.32	CENTENE CORP GRP	272280	0.12
Colorado	222007	ELEVANCE HLTH INC GRP	72222	0.33	KAISER FOUNDATION GRP	62838	0.28	BRIGHT HLTH GRP	38143	0.17
Connecticut	115588	EMBLEM HLTH GRP	84852	0.73	ELEVANCE HLTH INC GRP	29666	0.26	AMERICAN INTL GRP	937	0.01
Delaware	26392	HIGHMARK GRP	26189	0.99	AMERICAN INTL GRP	148	0.01	UNITEDHEALTH GRP	29	0.00
District of Columbia	17755	CAREFIRST INC GRP	14886	0.84	KAISER FOUNDATION GRP	2730	0.15	AMERICAN INTL GRP	126	0.01
Florida	2055950	GUIDEWELL MUT HOLDING GRP	1236992	0.60	CENTENE CORP GRP	544790	0.26	OSCAR HEALTH INC GRP	116070	0.06
Georgia	436179	CENTENE CORP GRP	279815	0.64	ELEVANCE HLTH INC GRP	82537	0.19	HEALTH ONE ALLIANCE GRP	25861	0.06
Hawaii	32787	HAWAII MEDICAL SERV ASSN	21199	0.65	KAISER FOUNDATION GRP	11374	0.35	AMERICAN INTL GRP	214	0.01
Idaho	93386	IHC INC GRP	38416	0.41	BLUE CROSS OF ID GRP	38304	0.41	MONTANA HLTH COOPERATIVE	9833	0.11
Illinois	373338	HCSC GRP	284165	0.76	CENTENE CORP GRP	38336	0.10	CARLE HOLDING CO GRP	28516	0.08
Indiana	132257	CENTENE CORP GRP	69518	0.53	CARESOURCE GRP	55124	0.42	UNITEDHEALTH GRP	7297	0.06
Iowa	52785	WELLMARK INC GRP	50192	0.95	UNITEDHEALTH GRP	2491	0.05	AMERICAN INTL GRP	98	0.00
Kansas	94885	BCBS OF KS GRP	62191	0.66	CENTENE CORP GRP	23296	0.25	BCBS OF KC GRP	4951	0.05
Kentucky	96523	ELEVANCE HLTH INC GRP	56542	0.59	CARESOURCE GRP	39807	0.41	AMERICAN INTL GRP	158	0.00
Louisiana	114828	LOUISIANA HLTH SERV GRP	113396	0.99	UNITEDHEALTH GRP	1090	0.01	AMERICAN INTL GRP	330	0.00
Maine	62585	ELEVANCE HLTH INC GRP	26785	0.43	HARVARD PILGRIM HLTH CARE GRP	18942	0.30	MAINE COMM HLTH OPTIONS	16719	0.27
Maryland	246233	CAREFIRST INC GRP	178450	0.72	KAISER FOUNDATION GRP	64506	0.26	UNITEDHEALTH GRP	2406	0.01
Massachusetts	363310	TUFTS GRP	191808	0.53	BOSTON MEDICAL CENTER HLTH PLAN INC	83578	0.23	BCBS OF MA GRP	39894	0.11
Michigan	340897	BCBS OF MI GRP	177797	0.52	COREWELL HLTH GRP	110541	0.32	UNITEDHEALTH GRP	13430	0.04
Minnesota	123999	HEALTHPARTNERS GRP	48435	0.39	UCARE GRP	42090	0.34	BCBS OF MN GRP	33221	0.27
Mississippi	127584	CENTENE CORP GRP	83480	0.65	MISSISSIPPI INS GRP	36793	0.29	UNITEDHEALTH GRP	4296	0.03
Missouri	221918	CENTENE CORP GRP	96602	0.44	ELEVANCE HLTH INC GRP	49017	0.22	CIGNA HLTH GRP	46603	0.21
Montana	49830	HCSC GRP	19645	0.39	MONTANA HLTH COOPERATIVE	18010	0.36	PACIFICSOURCE HLTH PLAN GRP	12121	0.24
Nebraska	12552	BRIGHT HLTH GRP	8776	0.70	UNITEDHEALTH GRP	3654	0.29	AMERICAN INTL GRP	121	0.01
Nevada	95371	UNITEDHEALTH GRP	65421	0.69	CENTENE CORP GRP	13191	0.14	ELEVANCE HLTH INC GRP	9492	0.10
New Hampshire	51164	ELEVANCE HLTH INC GRP	31340	0.61	CENTENE CORP GRP	13466	0.26	HARVARD PILGRIM HLTH CARE GRP	6177	0.12
New Jersey	315224	BCBS OF NJ GRP	176355	0.56	INDEPENDENCE BLUE CROSS GRP	122354	0.39	OSCAR HEALTH INC GRP	11573	0.04
New Mexico	35338	MOLINA HEALTHCARE INC GRP	20238	0.57	EVOLENT HLTH GRP	6454	0.18	PRESBYTERIAN HLTHCARE SERV GRP	4881	0.14
New York	357708	NEW YORK STATE CATHOLIC HLTH PLAN	105625	0.30	AMERICAN INTL GRP	54874	0.15	MVP GRP	34207	0.10
North Carolina	537367	BCBS OF NC GRP	493403	0.92	BRIGHT HLTH GRP	23130	0.04	CENTENE CORP GRP	15479	0.03
North Dakota	42238	BCBS OF ND	27765	0.66	SANFORD HLTH GRP	13794	0.33	MEDICA GRP	660	0.02
Ohio	145010	CARESOURCE GRP	53208	0.37	CENTENE CORP GRP	39883	0.28	MOLINA HEALTHCARE INC GRP	18415	0.13
Oklahoma	154457	HCSC GRP	142657	0.92	BRIGHT HLTH GRP	7648	0.05	UNITEDHEALTH GRP	2896	0.02
Oregon	174041	PROVIDENCE HLTH GRP	59288	0.34	KAISER FOUNDATION GRP	40849	0.23	OREGON DENTAL SERV GRP	39911	0.23
Pennsylvania	402862	INDEPENDENCE BLUE CROSS GRP	148228	0.37	UPMC HLTH SYSTEM GRP	120088	0.30	HIGHMARK GRP	61452	0.15
Rhode Island	43743	NEIGHBORHOOD HLTH PLAN OF RI INC	26495	0.61	BCBS OF RI	17097	0.39	AMERICAN INTL GRP	125	0.00
South Carolina	238451	BCBS OF SC GRP	218227	0.92	CENTENE CORP GRP	7234	0.03	MOLINA HEALTHCARE INC GRP	5085	0.02
South Dakota	51565	AVERA HLTH PLANS INC	20254	0.39	WELLMARK INC GRP	16104	0.31	SANFORD HLTH GRP	15165	0.29
Tennessee	226004	BCBS OF TN GRP	94005	0.42	CIGNA HLTH GRP	62768	0.28	TENNESSEE RURAL HLTH GRP	32373	0.14
Texas	1185668	HCSC GRP	431037	0.36	CENTENE CORP GRP	370431	0.31	MOLINA HEALTHCARE INC GRP	133931	0.11
Utah	222927	IHC INC GRP	189952	0.85	UNIVERSITY OF UT GRP	16153	0.07	CAMBIA HEALTH SOLUTIONS INC	6479	0.03
Vermont	32426	BCBS OF VT GRP	16958	0.52	MVP GRP	15390	0.47	AMERICAN INTL GRP	78	0.00
Virginia	277622	ELEVANCE HLTH INC GRP	135336	0.49	CIGNA HLTH GRP	59725	0.22	SENTARA HLTH MGMT GRP	32072	0.12
Washington	231682	KAISER FOUNDATION GRP	88971	0.38	PREMERA BLUE CROSS GRP	54872	0.24	CENTENE CORP GRP	40516	0.17
West Virginia	20824	HIGHMARK GRP	14218	0.68	CARESOURCE GRP	5542	0.27	UNITEDHEALTH GRP	797	0.04
Wisconsin	206720	COMMON GROUND HLTHCARE COOP	51175	0.25	DEAN HLTH GRP	32798	0.16	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	23385	0.11
Wyoming	27255	BCBS OF WY	26837	0.98	UNITEDHEALTH GRP	382	0.01	AMERICAN INTL GRP	34	0.00

2019

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	13392640	CENTENE CORP GRP	1862244	0.14	GUIDEWELL MUT HOLDING GRP	1197863	0.09	KAISER FOUNDATION GRP	1100406	0.08
Alabama	187152	BCBS OF AL GRP	180990	0.97	UNITEDHEALTH GRP	2933	0.02	BRIGHT HLTH GRP	2823	0.02
Alaska	18227	PREMERA BLUE CROSS GRP	18131	0.99	AMERICAN INTL GRP	93	0.01	UNITEDHEALTH GRP	3	0.00
Arizona	192226	CENTENE CORP GRP	78085	0.41	BCBS OF AZ INC	74901	0.39	UNITEDHEALTH GRP	18019	0.09
Arkansas	315375	ARKANSAS BCBS GRP	201675	0.64	CENTENE CORP GRP	110210	0.35	UNITEDHEALTH GRP	3347	0.01
California	2127891	BLUE SHIELD OF CA GRP	769653	0.36	KAISER FOUNDATION GRP	712837	0.33	CENTENE CORP GRP	219093	0.10
Colorado	211008	KAISER FOUNDATION GRP	78143	0.37	ELEVANCE HLTH INC GRP	68293	0.32	CIGNA HLTH GRP	26009	0.12
Connecticut	115650	EMBLEM HLTH GRP	84282	0.73	ELEVANCE HLTH INC GRP	30065	0.26	AMERICAN INTL GRP	980	0.01
Delaware	23464	HIGHMARK GRP	23239	0.99	AMERICAN INTL GRP	135	0.01	CVS GRP	52	0.00
District of Columbia	17674	CAREFIRST INC GRP	14789	0.84	KAISER FOUNDATION GRP	2725	0.15	AMERICAN INTL GRP	140	0.01
Florida	1860463	GUIDEWELL MUT HOLDING GRP	1197863	0.64	CENTENE CORP GRP	496368	0.27	MOLINA HEALTHCARE INC GRP	41790	0.02
Georgia	396845	CENTENE CORP GRP	221463	0.56	ELEVANCE HLTH INC GRP	110774	0.28	KAISER FOUNDATION GRP	36173	0.09
Hawaii	35528	HAWAII MEDICAL SERV ASSN	20118	0.57	KAISER FOUNDATION GRP	15177	0.43	AMERICAN INTL GRP	233	0.01
Idaho	117209	BLUE CROSS OF ID GRP	51770	0.44	IHC INC GRP	44653	0.38	MONTANA HLTH COOPERATIVE	12858	0.11
Illinois	389598	HCSC GRP	309834	0.80	CARLE HOLDING CO GRP	27382	0.07	CENTENE CORP GRP	25524	0.07
Indiana	139728	CENTENE CORP GRP	80504	0.58	CARESOURCE GRP	45960	0.33	UNITEDHEALTH GRP	8785	0.06
Iowa	102347	WELLMARK INC GRP	61327	0.60	MEDICA GRP	37959	0.37	UNITEDHEALTH GRP	2943	0.03
Kansas	107706	BCBS OF KS GRP	74884	0.70	CENTENE CORP GRP	18018	0.17	MEDICA GRP	9106	0.08
Kentucky	100863	ELEVANCE HLTH INC GRP	70246	0.70	CARESOURCE GRP	30446	0.30	AMERICAN INTL GRP	151	0.00
Louisiana	123750	LOUISIANA HLTH SERV GRP	122100	0.99	UNITEDHEALTH GRP	1286	0.01	AMERICAN INTL GRP	352	0.00
Maine	67143	MAINE COMM HLTH OPTIONS	28658	0.43	ELEVANCE HLTH INC GRP	23790	0.35	HARVARD PILGRIM HLTH CARE GRP	14559	0.22
Maryland	231971	CAREFIRST INC GRP	157652	0.68	KAISER FOUNDATION GRP	70644	0.30	UNITEDHEALTH GRP	2773	0.01
Massachusetts	356067	TUFTS GRP	177090	0.50	BOSTON MEDICAL CENTER HLTH PLAN INC	89281	0.25	BCBS OF MA GRP	40658	0.11
Michigan	342525	BCBS OF MI GRP	192215	0.56	COREWELL HLTH GRP	102832	0.30	UNITEDHEALTH GRP	16240	0.05
Minnesota	151420	HEALTHPARTNERS GRP	55302	0.37	MEDICA GRP	32193	0.21	UCARE GRP	31745	0.21
Mississippi	119613	CENTENE CORP GRP	73777	0.62	MISSISSIPPI INS GRP	40462	0.34	UNITEDHEALTH GRP	5156	0.04
Missouri	226999	CENTENE CORP GRP	84536	0.37	CIGNA HLTH GRP	62494	0.28	ELEVANCE HLTH INC GRP	51510	0.23
Montana	49529	HCSC GRP	19205	0.39	MONTANA HLTH COOPERATIVE	19049	0.38	PACIFICSOURCE HLTH PLAN GRP	11220	0.23
Nebraska	106298	MEDICA GRP	84176	0.79	BCBS OF NE GRP	17467	0.16	UNITEDHEALTH GRP	4528	0.04
Nevada	96217	UNITEDHEALTH GRP	58478	0.61	CENTENE CORP GRP	30065	0.31	RENOWN HLTH GRP	6910	0.07
New Hampshire	49652	ELEVANCE HLTH INC GRP	33943	0.68	CENTENE CORP GRP	10752	0.22	HARVARD PILGRIM HLTH CARE GRP	4766	0.10
New Jersey	309216	BCBS OF NJ GRP	172017	0.56	INDEPENDENCE BLUE CROSS GRP	118438	0.38	OSCAR HEALTH INC GRP	13673	0.04
New Mexico	52528	MOLINA HEALTHCARE INC GRP	22121	0.42	NEW MEXICO HLTH CONNECTIONS	17605	0.34	PRESBYTERIAN HLTHCARE SERV GRP	8468	0.16
New York	369462	NEW YORK STATE CATHOLIC HLTH PLAN	98811	0.27	AMERICAN INTL GRP	56405	0.15	OSCAR HEALTH INC GRP	39502	0.11
North Carolina	517930	BCBS OF NC GRP	504463	0.97	CENTENE CORP GRP	6589	0.01	CIGNA HLTH GRP	3678	0.01
North Dakota	43238	BCBS OF ND	34909	0.81	SANFORD HLTH GRP	7951	0.18	MEDICA GRP	359	0.01
Ohio	258118	MEDICAL MUT OF OH GRP	100018	0.39	CARESOURCE GRP	49721	0.19	CENTENE CORP GRP	31060	0.12
Oklahoma	160392	HCSC GRP	152058	0.95	UNITEDHEALTH GRP	3755	0.02	MEDICA GRP	3014	0.02
Oregon	176417	PROVIDENCE HLTH GRP	66458	0.38	KAISER FOUNDATION GRP	44467	0.25	OREGON DENTAL SERV GRP	34266	0.19
Pennsylvania	423179	INDEPENDENCE BLUE CROSS GRP	166437	0.39	UPMC HLTH SYSTEM GRP	130165	0.31	CAPITAL BLUE CROSS GRP	48102	0.11
Rhode Island	44045	NEIGHBORHOOD HLTH PLAN OF RI INC	25607	0.58	BCBS OF RI	18283	0.42	AMERICAN INTL GRP	123	0.00
South Carolina	232200	BCBS OF SC GRP	225534	0.97	UNITEDHEALTH GRP	5684	0.02	AMERICAN INTL GRP	716	0.00
South Dakota	53100	AVERA HLTH PLANS INC	19684	0.37	WELLMARK INC GRP	18380	0.35	SANFORD HLTH GRP	14988	0.28
Tennessee	227424	BCBS OF TN GRP	100249	0.44	CIGNA HLTH GRP	51405	0.23	TENNESSEE RURAL HLTH GRP	36763	0.16
Texas	1098054	HCSC GRP	420607	0.38	CENTENE CORP GRP	317066	0.29	MOLINA HEALTHCARE INC GRP	143276	0.13
Utah	219151	IHC INC GRP	190591	0.87	UNIVERSITY OF UT GRP	20527	0.09	CAMBIA HEALTH SOLUTIONS INC	7482	0.03
Vermont	33034	BCBS OF VT GRP	18827	0.57	MVP GRP	14127	0.43	AMERICAN INTL GRP	81	0.00
Virginia	295990	ELEVANCE HLTH INC GRP	125982	0.43	CIGNA HLTH GRP	91394	0.31	KAISER FOUNDATION GRP	33663	0.11
Washington	232574	KAISER FOUNDATION GRP	106578	0.46	CENTENE CORP GRP	50612	0.22	PREMERA BLUE CROSS GRP	48317	0.21
West Virginia	22483	HIGHMARK GRP	15236	0.68	CARESOURCE GRP	5814	0.26	UNITEDHEALTH GRP	1086	0.05
Wisconsin	216729	COMMON GROUND HLTHCARE COOP	61353	0.28	DEAN HLTH GRP	35017	0.16	SECURITY HLTH PLAN OF WI INC	28274	0.13
Wyoming	27237	BCBS OF WY	26656	0.98	UNITEDHEALTH GRP	547	0.02	AMERICAN INTL GRP	32	0.00

2018

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	14061617	CENTENE CORP GRP	1553461	0.11	KAISER FOUNDATION GRP	1254329	0.09	GUIDEWELL MUT HOLDING GRP	1244416	0.09
Alabama	197871	BCBS OF AL GRP	192537	0.97	UNITEDHEALTH GRP	3654	0.02	BRIGHT HLTH GRP	1054	0.01
Alaska	19146	PREMERA BLUE CROSS GRP	19019	0.99	AMERICAN INTL GRP	104	0.01	UNITEDHEALTH GRP	13	0.00
Arizona	208248	CENTENE CORP GRP	103057	0.49	BCBS OF AZ INC	80531	0.39	UNITEDHEALTH GRP	22626	0.11
Arkansas	347060	ARKANSAS BCBS GRP	219552	0.63	CENTENE CORP GRP	83046	0.24	CATHOLIC HLTH INITIATIVES GRP	40136	0.12
California	2234803	BLUE SHIELD OF CA GRP	825362	0.37	KAISER FOUNDATION GRP	726582	0.33	CENTENE CORP GRP	238198	0.11
Colorado	222431	KAISER FOUNDATION GRP	91392	0.41	ELEVANCE HLTH INC GRP	64451	0.29	CIGNA HLTH GRP	29413	0.13
Connecticut	128017	EMBLEM HLTH GRP	86622	0.68	ELEVANCE HLTH INC GRP	39454	0.31	AMERICAN INTL GRP	1062	0.01
Delaware	24070	HIGHMARK GRP	23854	0.99	AMERICAN INTL GRP	144	0.01	UNITEDHEALTH GRP	54	0.00
District of Columbia	19199	CAREFIRST INC GRP	15685	0.82	KAISER FOUNDATION GRP	3236	0.17	AMERICAN INTL GRP	169	0.01
Florida	1816719	GUIDEWELL MUT HOLDING GRP	1244416	0.68	CENTENE CORP GRP	398900	0.22	MOLINA HEALTHCARE INC GRP	46501	0.03
Georgia	400648	CENTENE CORP GRP	189855	0.47	KAISER FOUNDATION GRP	94890	0.24	ELEVANCE HLTH INC GRP	70326	0.18
Hawaii	35177	HAWAII MEDICAL SERV ASSN	20713	0.59	KAISER FOUNDATION GRP	14219	0.40	AMERICAN INTL GRP	245	0.01
Idaho	121036	BLUE CROSS OF ID GRP	61080	0.50	IHC INC GRP	26456	0.22	MONTANA HLTH COOPERATIVE	23560	0.19
Illinois	429152	HCSC GRP	329813	0.77	CARLE HOLDING CO GRP	36622	0.09	CENTENE CORP GRP	24854	0.06
Indiana	150223	CARESOURCE GRP	69698	0.46	CENTENE CORP GRP	63618	0.42	UNITEDHEALTH GRP	11312	0.08
Iowa	108116	WELLMARK INC GRP	63518	0.59	MEDICA GRP	40721	0.38	UNITEDHEALTH GRP	3656	0.03
Kansas	118350	BCBS OF KS GRP	79635	0.67	CENTENE CORP GRP	18757	0.16	MEDICA GRP	11768	0.10
Kentucky	108578	ELEVANCE HLTH INC GRP	60472	0.56	CARESOURCE GRP	47734	0.44	AMERICAN INTL GRP	190	0.00
Louisiana	135703	LOUISIANA HLTH SERV GRP	124645	0.92	VANTAGE HLTH GRP	9043	0.07	UNITEDHEALTH GRP	1556	0.01
Maine	72763	MAINE COMM HLTH OPTIONS	42642	0.59	HARVARD PILGRIM HLTH CARE GRP	26728	0.37	ELEVANCE HLTH INC GRP	3253	0.04
Maryland	240869	CAREFIRST INC GRP	165991	0.69	KAISER FOUNDATION GRP	69801	0.29	UNITEDHEALTH GRP	3844	0.02
Massachusetts	332070	TUFTS GRP	147059	0.44	BOSTON MEDICAL CENTER HLTH PLAN INC	86287	0.26	BCBS OF MA GRP	42952	0.13
Michigan	365827	BCBS OF MI GRP	214149	0.59	COREWELL HLTH GRP	86342	0.24	UNITEDHEALTH GRP	19827	0.05
Minnesota	150788	HEALTHPARTNERS GRP	59268	0.39	MEDICA GRP	35848	0.24	UCARE GRP	30129	0.20
Mississippi	116991	CENTENE CORP GRP	65319	0.56	MISSISSIPPI INS GRP	45278	0.39	UNITEDHEALTH GRP	5966	0.05
Missouri	264411	CIGNA HLTH GRP	96949	0.37	ELEVANCE HLTH INC GRP	71092	0.27	CENTENE CORP GRP	59898	0.23
Montana	53916	MONTANA HLTH COOPERATIVE	23135	0.43	HCSC GRP	18353	0.34	PACIFICSOURCE HLTH PLAN GRP	12354	0.23
Nebraska	109120	MEDICA GRP	81386	0.75	BCBS OF NE GRP	21544	0.20	UNITEDHEALTH GRP	6020	0.06
Nevada	106956	UNITEDHEALTH GRP	69617	0.65	CENTENE CORP GRP	25471	0.24	RENOWN HLTH GRP	7539	0.07
New Hampshire	90823	ELEVANCE HLTH INC GRP	55494	0.61	CENTENE CORP GRP	22724	0.25	HARVARD PILGRIM HLTH CARE GRP	12399	0.14
New Jersey	318376	BCBS OF NJ GRP	195168	0.61	INDEPENDENCE BLUE CROSS GRP	105975	0.33	OSCAR HEALTH INC GRP	10125	0.03
New Mexico	58432	MOLINA HEALTHCARE INC GRP	23732	0.41	NEW MEXICO HLTH CONNECTIONS	17256	0.30	PRESBYTERIAN HLTHCARE SERV GRP	11560	0.20
New York	388776	NEW YORK STATE CATHOLIC HLTH PLAN	98154	0.25	AMERICAN INTL GRP	59086	0.15	OSCAR HEALTH INC GRP	47771	0.12
North Carolina	539499	BCBS OF NC GRP	518872	0.96	CIGNA HLTH GRP	16127	0.03	UNITEDHEALTH GRP	3128	0.01
North Dakota	45802	BCBS OF ND	39283	0.86	SANFORD HLTH GRP	5997	0.13	MEDICA GRP	485	0.01
Ohio	287532	MEDICAL MUT OF OH GRP	102340	0.36	CARESOURCE GRP	74884	0.26	ELEVANCE HLTH INC GRP	25642	0.09
Oklahoma	153238	HCSC GRP	146413	0.96	UNITEDHEALTH GRP	4849	0.03	COMMUNITYCARE GRP	1748	0.01
Oregon	189843	PROVIDENCE HLTH GRP	86079	0.45	KAISER FOUNDATION GRP	46901	0.25	OREGON DENTAL SERV GRP	38075	0.20
Pennsylvania	468818	INDEPENDENCE BLUE CROSS GRP	188629	0.40	UPMC HLTH SYSTEM GRP	135677	0.29	GEISINGER INS GRP	58839	0.13
Rhode Island	44153	NEIGHBORHOOD HLTH PLAN OF RI INC	23072	0.52	BCBS OF RI	20809	0.47	UNITEDHEALTH GRP	139	0.00
South Carolina	234513	BCBS OF SC GRP	226673	0.97	UNITEDHEALTH GRP	7019	0.03	AMERICAN INTL GRP	801	0.00
South Dakota	57042	WELLMARK INC GRP	20766	0.36	AVERA HLTH PLANS INC	18773	0.33	SANFORD HLTH GRP	17452	0.31
Tennessee	255568	BCBS OF TN GRP	115206	0.45	CIGNA HLTH GRP	68632	0.27	TENNESSEE RURAL HLTH GRP	42563	0.17
Texas	1122292	HCSC GRP	416674	0.37	MOLINA HEALTHCARE INC GRP	221770	0.20	CENTENE CORP GRP	186201	0.17
Utah	215486	IHC INC GRP	183846	0.85	UNIVERSITY OF UT GRP	21778	0.10	CAMBIA HEALTH SOLUTIONS INC	9653	0.04
Vermont	33170	BCBS OF VT GRP	22173	0.67	MVP GRP	10902	0.33	AMERICAN INTL GRP	95	0.00
Virginia	378022	CIGNA HLTH GRP	94197	0.25	ELEVANCE HLTH INC GRP	93758	0.25	KAISER FOUNDATION GRP	85605	0.23
Washington	255683	KAISER FOUNDATION GRP	121704	0.48	PREMERA BLUE CROSS GRP	51949	0.20	CENTENE CORP GRP	51581	0.20
West Virginia	27032	HIGHMARK GRP	18318	0.68	CARESOURCE GRP	6893	0.25	UNITEDHEALTH GRP	1447	0.05
Wisconsin	230907	COMMON GROUND HLTHCARE COOP	53891	0.23	DEAN HLTH GRP	37398	0.16	SECURITY HLTH PLAN OF WI INC	32152	0.14
Wyoming	28350	BCBS OF WY	27526	0.97	UNITEDHEALTH GRP	771	0.03	AMERICAN INTL GRP	43	0.00

2017

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	15343789	ELEVANCE HLTH INC GRP	1766610	0.12	CENTENE CORP GRP	1110851	0.07	GUIDEWELL MUT HOLDING GRP	1071395	0.07
Alabama	212954	BCBS OF AL GRP	207867	0.98	UNITEDHEALTH GRP	4355	0.02	AMERICAN INTL GRP	690	0.00
Alaska	18576	PREMERA BLUE CROSS GRP	18436	0.99	AMERICAN INTL GRP	112	0.01	AETNA GRP	16	0.00
Arizona	228418	CENTENE CORP GRP	100023	0.44	BCBS OF AZ INC	91835	0.40	UNITEDHEALTH GRP	27164	0.12
Arkansas	393113	ARKANSAS BCBS GRP	250198	0.64	CENTENE CORP GRP	92917	0.24	CATHOLIC HLTH INITIATIVES GRP	44870	0.11
California	2365474	BLUE SHIELD OF CA GRP	708858	0.30	KAISER FOUNDATION GRP	651125	0.28	ELEVANCE HLTH INC GRP	566909	0.24
Colorado	265474	KAISER FOUNDATION GRP	109211	0.41	ELEVANCE HLTH INC GRP	72982	0.27	CIGNA HLTH GRP	51270	0.19
Connecticut	147913	EMBLEM HLTH GRP	90862	0.61	ELEVANCE HLTH INC GRP	51372	0.35	UNITEDHEALTH GRP	3359	0.02
Delaware	30102	HIGHMARK GRP	18726	0.62	AETNA GRP	10994	0.37	UNITEDHEALTH GRP	221	0.01
District of Columbia	20634	CAREFIRST INC GRP	17462	0.85	KAISER FOUNDATION GRP	2893	0.14	AMERICAN INTL GRP	167	0.01
Florida	1781916	GUIDEWELL MUT HOLDING GRP	1071395	0.60	MOLINA HEALTHCARE INC GRP	299413	0.17	CENTENE CORP GRP	212786	0.12
Georgia	507454	ELEVANCE HLTH INC GRP	281951	0.56	CENTENE CORP GRP	130080	0.26	KAISER FOUNDATION GRP	51589	0.10
Hawaii	39005	HAWAII MEDICAL SERV ASSN	22921	0.59	KAISER FOUNDATION GRP	15805	0.41	AMERICAN INTL GRP	278	0.01
Idaho	128539	BLUE CROSS OF ID GRP	44650	0.35	IHC INC GRP	37703	0.29	CAMBIA HEALTH SOLUTIONS INC	31409	0.24
Illinois	489120	HCSC GRP	357221	0.73	CARLE HOLDING CO GRP	46254	0.09	CENTENE CORP GRP	35270	0.07
Indiana	188644	ELEVANCE HLTH INC GRP	53324	0.28	CENTENE CORP GRP	49276	0.26	INDIANA UNIVERSITY HLTH GRP	37378	0.20
Iowa	142710	WELLMARK INC GRP	92133	0.65	AETNA GRP	33157	0.23	MEDICA GRP	12702	0.09
Kansas	141670	BCBS OF KS GRP	86902	0.61	BCBS OF KC GRP	43654	0.31	MEDICA GRP	7160	0.05
Kentucky	130307	ELEVANCE HLTH INC GRP	101455	0.78	CARESOURCE GRP	26300	0.20	HUMANA GRP	1692	0.01
Louisiana	172320	LOUISIANA HLTH SERV GRP	131281	0.76	HUMANA GRP	24109	0.14	VANTAGE HLTH GRP	14223	0.08
Maine	78872	MAINE COMM HLTH OPTIONS	31632	0.40	ELEVANCE HLTH INC GRP	26980	0.34	HARVARD PILGRIM HLTH CARE GRP	19152	0.24
Maryland	281792	CAREFIRST INC GRP	220698	0.78	KAISER FOUNDATION GRP	55123	0.20	UNITEDHEALTH GRP	4006	0.01
Massachusetts	320171	TUFTS GRP	132670	0.41	BOSTON MEDICAL CENTER HLTH PLAN INC	72920	0.23	BCBS OF MA GRP	44379	0.14
Michigan	411247	BCBS OF MI GRP	202968	0.49	COREWELL HLTH GRP	116173	0.28	HENRY FORD HLTH SYSTEM GRP	23390	0.06
Minnesota	158503	HEALTHPARTNERS GRP	61020	0.38	BCBS OF MN GRP	40798	0.26	MEDICA GRP	33146	0.21
Mississippi	120943	CENTENE CORP GRP	54820	0.45	MISSISSIPPI INS GRP	53042	0.44	UNITEDHEALTH GRP	6876	0.06
Missouri	308269	ELEVANCE HLTH INC GRP	137744	0.45	CIGNA HLTH GRP	73191	0.24	BCBS OF KC GRP	43280	0.14
Montana	61420	HCSC GRP	31127	0.51	MONTANA HLTH COOPERATIVE	18646	0.30	PACIFICSOURCE HLTH PLAN GRP	11564	0.19
Nebraska	121980	AETNA GRP	43440	0.36	BCBS OF NE GRP	37351	0.31	MEDICA GRP	33716	0.28
Nevada	122797	UNITEDHEALTH GRP	71690	0.58	ELEVANCE HLTH INC GRP	38895	0.32	UNIVERSAL HLTH SERV INC GRP	4910	0.04
New Hampshire	78281	ELEVANCE HLTH INC GRP	35738	0.46	HARVARD PILGRIM HLTH CARE GRP	24978	0.32	CENTENE CORP GRP	17331	0.22
New Jersey	336826	BCBS OF NJ GRP	241300	0.72	INDEPENDENCE BLUE CROSS GRP	86907	0.26	AMERICAN INTL GRP	5013	0.01
New Mexico	65283	MOLINA HEALTHCARE INC GRP	26416	0.40	NEW MEXICO HLTH CONNECTIONS	17819	0.27	PRESBYTERIAN HLTHCARE SERV GRP	13773	0.21
New York	406249	NEW YORK STATE CATHOLIC HLTH PLAN	70877	0.17	AMERICAN INTL GRP	61865	0.15	ELEVANCE HLTH INC GRP	53091	0.13
North Carolina	603973	BCBS OF NC GRP	577805	0.96	CIGNA HLTH GRP	19897	0.03	UNITEDHEALTH GRP	3346	0.01
North Dakota	49572	BCBS OF ND	40795	0.82	SANFORD HLTH GRP	4596	0.09	MEDICA GRP	4148	0.08
Ohio	337038	MEDICAL MUT OF OH GRP	106025	0.31	ELEVANCE HLTH INC GRP	95178	0.28	CARESOURCE GRP	60406	0.18
Oklahoma	155882	HCSC GRP	146404	0.94	UNITEDHEALTH GRP	6537	0.04	COMMUNITYCARE GRP	2657	0.02
Oregon	210912	PROVIDENCE HLTH GRP	97068	0.46	KAISER FOUNDATION GRP	43497	0.21	CAMBIA HEALTH SOLUTIONS INC	28132	0.13
Pennsylvania	510981	INDEPENDENCE BLUE CROSS GRP	194506	0.38	UPMC HLTH SYSTEM GRP	137023	0.27	HIGHMARK GRP	69865	0.14
Rhode Island	42912	BCBS OF RI	26386	0.61	NEIGHBORHOOD HLTH PLAN OF RI INC	16241	0.38	AMERICAN INTL GRP	149	0.00
South Carolina	241489	BCBS OF SC GRP	231603	0.96	UNITEDHEALTH GRP	8740	0.04	AMERICAN INTL GRP	840	0.00
South Dakota	63173	AVERA HLTH PLANS INC	27130	0.43	WELLMARK INC GRP	24514	0.39	SANFORD HLTH GRP	11476	0.18
Tennessee	291823	BCBS OF TN GRP	78328	0.27	TENNESSEE RURAL HLTH GRP	73105	0.25	HUMANA GRP	66149	0.23
Texas	1206871	HCSC GRP	479524	0.40	MOLINA HEALTHCARE INC GRP	220605	0.18	CENTENE CORP GRP	186648	0.15
Utah	223609	IHC INC GRP	134256	0.60	MOLINA HEALTHCARE INC GRP	69781	0.31	CAMBIA HEALTH SOLUTIONS INC	13633	0.06
Vermont	33962	BCBS OF VT GRP	27194	0.80	MVP GRP	6669	0.20	AMERICAN INTL GRP	98	0.00
Virginia	466832	ELEVANCE HLTH INC GRP	232811	0.50	AETNA GRP	99022	0.21	KAISER FOUNDATION GRP	53599	0.11
Washington	298426	KAISER FOUNDATION GRP	88481	0.30	CAMBIA HEALTH SOLUTIONS INC	69844	0.23	PREMERA BLUE CROSS GRP	59236	0.20
West Virginia	35342	HIGHMARK GRP	27688	0.78	CARESOURCE GRP	5255	0.15	UNITEDHEALTH GRP	1845	0.05
Wisconsin	263726	MOLINA HEALTHCARE INC GRP	62866	0.24	DEAN HLTH GRP	42101	0.16	COMMON GROUND HLTHCARE COOP	28076	0.11
Wyoming	30292	BCBS OF WY	29240	0.97	UNITEDHEALTH GRP	987	0.03	AMERICAN INTL GRP	46	0.00

2016

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	17112587	ELEVANCE HLTH INC GRP	1802667.00	0.11	HCSC GRP	1279419.00	0.07	UNITEDHEALTH GRP	1146603.00	0.07
Alabama	235259	BCBS OF AL GRP	179735	0.76	UNITEDHEALTH GRP	40136	0.17	HUMANA GRP	14603	0.06
Alaska	21515	OREGON DENTAL SERV GRP	11658	0.54	PREMERA BLUE CROSS GRP	9684	0.45	AMERICAN INTL GRP	133	0.01
Arizona	271921	BCBS OF AZ INC	139366	0.51	UNITEDHEALTH GRP	37056	0.14	TENET HEALTHCARE CORP GRP	29685	0.11
Arkansas	397967	ARKANSAS BCBS GRP	271068	0.68	CATHOLIC HLTH INITIATIVES GRP	59479	0.15	CENTENE CORP GRP	53800	0.14
California	2449652	ELEVANCE HLTH INC GRP	741248	0.30	BLUE SHIELD OF CA GRP	733032	0.30	KAISER FOUNDATION GRP	615523	0.25
Colorado	300008	KAISER FOUNDATION GRP	107329	0.36	ELEVANCE HLTH INC GRP	105080	0.35	CIGNA HLTH GRP	28060	0.09
Connecticut	176248	EMBLEM HLTH GRP	94444	0.54	ELEVANCE HLTH INC GRP	53218	0.30	HEALTHYCT INC	14746	0.08
Delaware	35279	HIGHMARK GRP	31478	0.89	AETNA GRP	3324	0.09	UNITEDHEALTH GRP	315	0.01
District of Columbia	20902	CAREFIRST INC GRP	18043	0.86	KAISER FOUNDATION GRP	2374	0.11	UNITEDHEALTH GRP	256	0.01
Florida	1901415	GUIDEWELL MUT HOLDING GRP	829195	0.44	AETNA GRP	258070	0.14	HUMANA GRP	231359	0.12
Georgia	594300	HUMANA GRP	187490	0.32	ELEVANCE HLTH INC GRP	133210	0.22	AETNA GRP	109484	0.18
Hawaii	41330	HAWAII MEDICAL SERV ASSN	24978	0.60	KAISER FOUNDATION GRP	16051	0.39	AMERICAN INTL GRP	300	0.01
Idaho	143398	BLUE CROSS OF ID GRP	70784	0.49	IHC INC GRP	36899	0.26	CAMBIA HEALTH SOLUTIONS INC	17688	0.12
Illinois	620398	HCSC GRP	407322	0.66	AETNA GRP	58106	0.09	UNITEDHEALTH GRP	50072	0.08
Indiana	218340	ELEVANCE HLTH INC GRP	78032	0.36	INDIANA UNIVERSITY HLTH GRP	55570	0.25	UNITEDHEALTH GRP	36408	0.17
Iowa	172749	WELLMARK INC GRP	115012	0.67	AETNA GRP	39485	0.23	UNITEDHEALTH GRP	16393	0.09
Kansas	171598	BCBS OF KS GRP	96328	0.56	BCBS OF KC GRP	39572	0.23	AETNA GRP	18314	0.11
Kentucky	151129	ELEVANCE HLTH INC GRP	115291	0.76	HUMANA GRP	12035	0.08	CARESOURCE GRP	11790	0.08
Louisiana	255819	LOUISIANA HLTH SERV GRP	155492	0.61	UNITEDHEALTH GRP	42116	0.16	HUMANA GRP	35192	0.14
Maine	87762	MAINE COMM HLTH OPTIONS	54205	0.62	ELEVANCE HLTH INC GRP	21205	0.24	HARVARD PILGRIM HLTH CARE GRP	11553	0.13
Maryland	317209	CAREFIRST INC GRP	251018	0.79	KAISER FOUNDATION GRP	38610	0.12	UNITEDHEALTH GRP	14530	0.05
Massachusetts	301620	TUFTS GRP	109062	0.36	MASS GENERAL BRIGHAM INC GRP	65567	0.22	BCBS OF MA GRP	45190	0.15
Michigan	457417	BCBS OF MI GRP	239459	0.52	COREWELL HLTH GRP	106294	0.23	UNITEDHEALTH GRP	34374	0.08
Minnesota	260234	BCBS OF MN GRP	116484	0.45	HEALTHPARTNERS GRP	75149	0.29	MEDICA GRP	49479	0.19
Mississippi	137389	MISSISSIPPI INS GRP	59881	0.44	CENTENE CORP GRP	32665	0.24	UNITEDHEALTH GRP	24330	0.18
Missouri	336679	AETNA GRP	99753	0.30	ELEVANCE HLTH INC GRP	91176	0.27	BCBS OF KC GRP	60257	0.18
Montana	74710	HCSC GRP	52785	0.71	MONTANA HLTH COOPERATIVE	13956	0.19	PACIFICSOURCE HLTH PLAN GRP	7878	0.11
Nebraska	149556	BCBS OF NE GRP	72715	0.49	AETNA GRP	42658	0.29	UNITEDHEALTH GRP	27792	0.19
Nevada	139053	UNITEDHEALTH GRP	81455	0.59	ELEVANCE HLTH INC GRP	38915	0.28	UNIVERSAL HLTH SERV INC GRP	9459	0.07
New Hampshire	104328	ELEVANCE HLTH INC GRP	40396	0.39	HARVARD PILGRIM HLTH CARE GRP	22046	0.21	CENTENE CORP GRP	18593	0.18
New Jersey	342837	BCBS OF NJ GRP	205579	0.60	INDEPENDENCE BLUE CROSS GRP	68086	0.20	FREELANCERS CONSUMER OPERATED & ORIE	24947	0.07
New Mexico	71699	PRESBYTERIAN HLTHCARE SERV GRP	25465	0.36	NEW MEXICO HLTH CONNECTIONS	24641	0.34	MOLINA HEALTHCARE INC GRP	17274	0.24
New York	442729	AMERICAN INTL GRP	64180	0.14	ELEVANCE HLTH INC GRP	61264	0.14	OSCAR HEALTH INC GRP	60385	0.14
North Carolina	693653	BCBS OF NC GRP	418251	0.60	UNITEDHEALTH GRP	144426	0.21	AETNA GRP	125288	0.18
North Dakota	51666	BCBS OF ND	38472	0.74	MEDICA GRP	7259	0.14	SANFORD HLTH GRP	5710	0.11
Ohio	384363	MEDICAL MUT OF OH GRP	134854	0.35	ELEVANCE HLTH INC GRP	75547	0.20	CARESOURCE GRP	56335	0.15
Oklahoma	188403	HCSC GRP	169056	0.90	UNITEDHEALTH GRP	16820	0.09	COMMUNITYCARE GRP	2132	0.01
Oregon	231558	PROVIDENCE HLTH GRP	101488	0.44	OREGON DENTAL SERV GRP	54363	0.23	KAISER FOUNDATION GRP	27669	0.12
Pennsylvania	597042	INDEPENDENCE BLUE CROSS GRP	174153	0.29	HIGHMARK GRP	125472	0.21	UPMC HLTH SYSTEM GRP	110195	0.18
Rhode Island	45816	BCBS OF RI	27798	0.61	NEIGHBORHOOD HLTH PLAN OF RI INC	15990	0.35	UNITEDHEALTH GRP	1853	0.04
South Carolina	264987	BCBS OF SC GRP	239398	0.90	UNITEDHEALTH GRP	13508	0.05	AETNA GRP	10616	0.04
South Dakota	72585	WELLMARK INC GRP	35692	0.49	AVERA HLTH PLANS INC	25702	0.35	SANFORD HLTH GRP	11066	0.15
Tennessee	376486	BCBS OF TN GRP	220700	0.59	TENNESSEE RURAL HLTH GRP	57423	0.15	UNITEDHEALTH GRP	46952	0.12
Texas	1342937	HCSC GRP	648985	0.48	HUMANA GRP	116308	0.09	MOLINA HEALTHCARE INC GRP	111517	0.08
Utah	252329	IHC INC GRP	154109	0.61	MOLINA HEALTHCARE INC GRP	51888	0.21	HUMANA GRP	24360	0.10
Vermont	31777	BCBS OF VT GRP	27928	0.88	MVP GRP	3739	0.12	AMERICAN INTL GRP	109	0.00
Virginia	502810	ELEVANCE HLTH INC GRP	230518	0.46	AETNA GRP	111321	0.22	KAISER FOUNDATION GRP	63382	0.13
Washington	319954	PREMERA BLUE CROSS GRP	135702	0.42	KAISER FOUNDATION GRP	72004	0.23	CAMBIA HEALTH SOLUTIONS INC	54513	0.17
West Virginia	45648	HIGHMARK GRP	41594	0.91	UNITEDHEALTH GRP	2381	0.05	CARESOURCE GRP	1250	0.03
Wisconsin	276642	MOLINA HEALTHCARE INC GRP	59016	0.21	DEAN HLTH GRP	50012	0.18	SECURITY HLTH PLAN OF WI INC	27678	0.10
Wyoming	31482	BCBS OF WY	30003	0.95	UNITEDHEALTH GRP	1295	0.04	ASSURANT INC GRP	109	0.00

2015

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	17477132	ELEVANCE HLTH INC GRP	1826211.00	0.10	HCSC GRP	1745891.00	0.10	AETNA GRP	1130680.00	0.06
Alabama	246608	BCBS OF AL GRP	211259	0.86	UNITEDHEALTH GRP	26996	0.11	HUMANA GRP	6701	0.03
Alaska	27398	OREGON DENTAL SERV GRP	13299	0.49	PREMERA BLUE CROSS GRP	11946	0.44	ASSURANT INC GRP	1649	0.06
Arizona	357921	BCBS OF AZ INC	154800	0.43	HEALTH NET INC GRP	68185	0.19	COMPASS COOPERATIVE GRP	46942	0.13
Arkansas	349740	ARKANSAS BCBS GRP	257342	0.74	CENTENE CORP GRP	42642	0.12	CATHOLIC HLTH INITIATIVES GRP	39511	0.11
California	2451759	ELEVANCE HLTH INC GRP	758581	0.31	BLUE SHIELD OF CA GRP	631594	0.26	KAISER FOUNDATION GRP	629325	0.26
Colorado	319109	COLORADO HLTH INS COOP INC	74169	0.23	KAISER FOUNDATION GRP	69144	0.22	ELEVANCE HLTH INC GRP	60675	0.19
Connecticut	172415	EMBLEM HLTH GRP	77750	0.45	ELEVANCE HLTH INC GRP	54548	0.32	HEALTHYCT INC	17020	0.10
Delaware	35701	HIGHMARK GRP	31695	0.89	AETNA GRP	3060	0.09	UNITEDHEALTH GRP	459	0.01
District of Columbia	19489	CAREFIRST INC GRP	15736	0.81	KAISER FOUNDATION GRP	2416	0.12	AETNA GRP	629	0.03
Florida	1825020	GUIDEWELL MUT HOLDING GRP	612680	0.34	HUMANA GRP	308660	0.17	AETNA GRP	282442	0.15
Georgia	622096	HUMANA GRP	288176	0.46	ELEVANCE HLTH INC GRP	132503	0.21	AETNA GRP	99063	0.16
Hawaii	44945	HAWAII MEDICAL SERV ASSN	25722	0.57	KAISER FOUNDATION GRP	18896	0.42	AMERICAN INTL GRP	326	0.01
Idaho	141626	BLUE CROSS OF ID GRP	84922	0.60	IHC INC GRP	23197	0.16	MONTANA HLTH COOPERATIVE	18027	0.13
Illinois	669355	HCSC GRP	539845	0.81	LAND OF LINCOLN MUT HLTH INS CO	34566	0.05	UNITEDHEALTH GRP	24776	0.04
Indiana	229880	ELEVANCE HLTH INC GRP	112407	0.49	UNITEDHEALTH GRP	36047	0.16	INDIANA UNIVERSITY HLTH GRP	18384	0.08
Iowa	197862	WELLMARK INC GRP	135657	0.69	AETNA GRP	51352	0.26	UNITEDHEALTH GRP	6323	0.03
Kansas	179446	BCBS OF KS GRP	75431	0.42	AETNA GRP	67463	0.38	BCBS OF KC GRP	25803	0.14
Kentucky	162095	ELEVANCE HLTH INC GRP	85025	0.52	KENTUCKY HLTH COOP INC	51976	0.32	HUMANA GRP	15790	0.10
Louisiana	267048	LOUISIANA HLTH SERV GRP	172615	0.65	UNITEDHEALTH GRP	33571	0.13	LOUISIANA HEALTH COOPERATIVE INC	23936	0.09
Maine	81079	MAINE COMM HLTH OPTIONS	57394	0.71	ELEVANCE HLTH INC GRP	21683	0.27	HARVARD PILGRIM HLTH CARE GRP	1166	0.01
Maryland	313112	CAREFIRST INC GRP	273190	0.87	KAISER FOUNDATION GRP	23941	0.08	UNITEDHEALTH GRP	7968	0.03
Massachusetts	231420	TUFTS GRP	68616	0.30	BCBS OF MA GRP	49596	0.21	MASS GENERAL BRIGHAM INC GRP	49213	0.21
Michigan	471374	BCBS OF MI GRP	262681	0.56	COREWELL HLTH GRP	71742	0.15	UNITEDHEALTH GRP	44550	0.09
Minnesota	310633	BCBS OF MN GRP	212965	0.69	HEALTHPARTNERS GRP	55187	0.18	MEDICA GRP	17966	0.06
Mississippi	149580	MISSISSIPPI INS GRP	66108	0.44	UNITEDHEALTH GRP	33441	0.22	HUMANA GRP	28042	0.19
Missouri	362886	AETNA GRP	146790	0.40	ELEVANCE HLTH INC GRP	86529	0.24	BCBS OF KC GRP	54942	0.15
Montana	81242	HCSC GRP	46322	0.57	MONTANA HLTH COOPERATIVE	18603	0.23	PACIFICSOURCE HLTH PLAN GRP	10191	0.13
Nebraska	143699	BCBS OF NE GRP	70646	0.49	AETNA GRP	45742	0.32	UNITEDHEALTH GRP	15472	0.11
Nevada	133089	UNITEDHEALTH GRP	66443	0.50	ELEVANCE HLTH INC GRP	26177	0.20	NEVADA HLTH CO OP	17892	0.13
New Hampshire	62937	ELEVANCE HLTH INC GRP	40609	0.65	HARVARD PILGRIM HLTH CARE GRP	8254	0.13	MINUTEMAN HLTH INC	7685	0.12
New Jersey	311454	BCBS OF NJ GRP	175461	0.56	INDEPENDENCE BLUE CROSS GRP	60238	0.19	FREELANCERS CONSUMER OPERATED & ORIE	46979	0.15
New Mexico	76985	HCSC GRP	33523	0.44	NEW MEXICO HLTH CONNECTIONS	19797	0.26	PRESBYTERIAN HLTHCARE SERV GRP	18657	0.24
New York	591483	HEALTH REPUBLIC INS OF NY CORP	113238	0.19	ELEVANCE HLTH INC GRP	72467	0.12	AMERICAN INTL GRP	67465	0.11
North Carolina	729355	BCBS OF NC GRP	549645	0.75	AETNA GRP	106309	0.15	UNITEDHEALTH GRP	59187	0.08
North Dakota	55229	BCBS OF ND	42901	0.78	MEDICA GRP	5591	0.10	ASSURANT INC GRP	4104	0.07
Ohio	398776	MEDICAL MUT OF OH GRP	146609	0.37	ELEVANCE HLTH INC GRP	78489	0.20	CARESOURCE GRP	40803	0.10
Oklahoma	192192	HCSC GRP	169036	0.88	UNITEDHEALTH GRP	12695	0.07	ASSURANT INC GRP	4967	0.03
Oregon	236716	OREGON DENTAL SERV GRP	96323	0.41	PREMERA BLUE CROSS GRP	40964	0.17	PROVIDENCE HLTH GRP	27714	0.12
Pennsylvania	641053	HIGHMARK GRP	292035	0.46	INDEPENDENCE BLUE CROSS GRP	151586	0.24	UPMC HLTH SYSTEM GRP	52788	0.08
Rhode Island	42424	BCBS OF RI	24824	0.59	NEIGHBORHOOD HLTH PLAN OF RI INC	15651	0.37	UNITEDHEALTH GRP	1748	0.04
South Carolina	253838	BCBS OF SC GRP	130409	0.51	CONSUMERS CHOICE HLTH INS CO	67555	0.27	AETNA GRP	31727	0.12
South Dakota	77206	WELLMARK INC GRP	47668	0.62	SOUTH DAKOTA STATE MED HOLDING CO	12876	0.17	AVERA HLTH PLANS INC	11629	0.15
Tennessee	384178	BCBS OF TN GRP	243075	0.63	TENNESSEE RURAL HLTH GRP	59980	0.16	COMMUNITY HLTH ALLIANCE MUT INS CO	30723	0.08
Texas	1398860	HCSC GRP	957164	0.68	HUMANA GRP	175760	0.13	CIGNA HLTH GRP	50724	0.04
Utah	235199	IHC INC GRP	119237	0.51	HUMANA GRP	37968	0.16	ARCHES MUT INS CO	32112	0.14
Vermont	31388	BCBS OF VT GRP	27974	0.89	MVP GRP	3296	0.11	AMERICAN INTL GRP	118	0.00
Virginia	516870	ELEVANCE HLTH INC GRP	272358	0.53	AETNA GRP	95726	0.19	KAISER FOUNDATION GRP	49294	0.10
Washington	325206	PREMERA BLUE CROSS GRP	156547	0.48	CAMBIA HEALTH SOLUTIONS INC	63558	0.20	KAISER FOUNDATION GRP	51082	0.16
West Virginia	46999	HIGHMARK GRP	42642	0.91	UNITEDHEALTH GRP	3125	0.07	ASSURANT INC GRP	652	0.01
Wisconsin	241413	WISCONSIN PHY INS GRP	44152	0.18	COMMON GROUND HLTHCARE COOP	33057	0.14	SECURITY HLTH PLAN OF WI INC	30723	0.13
Wyoming	29742	BCBS OF WY	17660	0.59	WINHEALTH PARTNERS	8001	0.27	ASSURANT INC GRP	2190	0.07

2014

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	15170537	ELEVANCE HLTH INC GRP	1898550	0.13	HCSC GRP	1,473,759	0.10	AETNA GRP	987524	0.07
Alabama	202027	BCBS OF AL GRP	182505	0.90	UNITEDHEALTH GRP	9,848	0.05	HUMANA GRP	5982	0.03
Alaska	22465	PREMERA BLUE CROSS GRP	12220	0.54	OREGON DENTAL SERV GRP	6,552	0.29	ASSURANT INC GRP	1963	0.09
Arizona	327747	BCBS OF AZ INC	137490	0.42	HEALTH NET INC GRP	79,270	0.24	UNITEDHEALTH GRP	58125	0.18
Arkansas	271237	ARKANSAS BCBS GRP	214638	0.79	CENTENE CORP GRP	28,663	0.11	CATHOLIC HLTH INITIATIVES GRP	13126	0.05
California	2193393	ELEVANCE HLTH INC GRP	768080	0.35	BLUE SHIELD OF CA GRP	548,581	0.25	KAISER FOUNDATION GRP	494633	0.23
Colorado	310086	ELEVANCE HLTH INC GRP	74284	0.24	KAISER FOUNDATION GRP	68,283	0.22	HUMANA GRP	33483	0.11
Connecticut	162049	ELEVANCE HLTH INC GRP	59095	0.36	EMBLEM HLTH GRP	47,631	0.29	AETNA GRP	32996	0.20
Delaware	29764	HIGHMARK GRP	21399	0.72	AETNA GRP	5,299	0.18	UNITEDHEALTH GRP	1798	0.06
District of Columbia	19262	CAREFIRST INC GRP	14757	0.77	KAISER FOUNDATION GRP	1,863	0.10	AETNA GRP	1598	0.08
Florida	1415795	GUIDEWELL MUT HOLDING GRP	572495	0.40	AETNA GRP	272,686	0.19	HUMANA GRP	222161	0.16
Georgia	515107	HUMANA GRP	241754	0.47	ELEVANCE HLTH INC GRP	125,903	0.24	AETNA GRP	68773	0.13
Hawaii	33121	HAWAII MEDICAL SERV ASSN	17307	0.52	KAISER FOUNDATION GRP	15,467	0.47	AMERICAN INTL GRP	345	0.01
Idaho	145430	BLUE CROSS OF ID GRP	86855	0.60	CAMBIA HEALTH SOLUTIONS INC	30,343	0.21	IHC INC GRP	17166	0.12
Illinois	591918	HCSC GRP	461451	0.78	UNITEDHEALTH GRP	34,566	0.06	HUMANA GRP	29472	0.05
Indiana	233453	ELEVANCE HLTH INC GRP	138066	0.59	UNITEDHEALTH GRP	30,190	0.13	INDIANA UNIVERSITY HLTH GRP	22498	0.10
Iowa	207648	WELLMARK INC GRP	146757	0.71	AETNA GRP	30,314	0.15	COOPORTUNITY HLTH	16836	0.08
Kansas	159379	AETNA GRP	61088	0.38	BCBS OF KS GRP	54,181	0.34	BCBS OF KC GRP	27736	0.17
Kentucky	165579	ELEVANCE HLTH INC GRP	84747	0.51	KENTUCKY HLTH COOP INC	48,880	0.30	HUMANA GRP	25208	0.15
Louisiana	222265	LOUISIANA HLTH SERV GRP	161166	0.73	HUMANA GRP	22,075	0.10	AETNA GRP	12572	0.06
Maine	57218	MAINE COMM HLTH OPTIONS	31411	0.55	ELEVANCE HLTH INC GRP	18,387	0.32	HEALTHMARKETS GRP	6696	0.12
Maryland	270213	CAREFIRST INC GRP	213138	0.79	UNITEDHEALTH GRP	34,366	0.13	KAISER FOUNDATION GRP	7684	0.03
Massachusetts	92872	BCBS OF MA GRP	28237	0.30	MASS GENERAL BRIGHAM INC GRP	24,491	0.26	TUFTS GRP	15566	0.17
Michigan	456619	BCBS OF MI GRP	270974	0.59	UNITEDHEALTH GRP	52,511	0.11	COREWELL HLTH GRP	37394	0.08
Minnesota	291987	BCBS OF MN GRP	152638	0.52	PREFERREDONE GRP	73,358	0.25	HEALTHPARTNERS GRP	27239	0.09
Mississippi	127472	MISSISSIPPI INS GRP	63745	0.50	HUMANA GRP	32,543	0.26	UNITEDHEALTH GRP	13864	0.11
Missouri	339232	AETNA GRP	108665	0.32	ELEVANCE HLTH INC GRP	100,742	0.30	BCBS OF KC GRP	52621	0.16
Montana	65517	HCSC GRP	37526	0.57	ASSURANT INC GRP	9,807	0.15	MONTANA HLTH COOPERATIVE	9622	0.15
Nebraska	142497	BCBS OF NE GRP	82716	0.58	COOPORTUNITY HLTH	26,633	0.19	UNITEDHEALTH GRP	16303	0.11
Nevada	120422	UNITEDHEALTH GRP	56276	0.47	ELEVANCE HLTH INC GRP	27,971	0.23	NEVADA HLTH CO OP	13158	0.11
New Hampshire	54765	ELEVANCE HLTH INC GRP	50293	0.92	ASSURANT INC GRP	3,848	0.07	AMERICAN INTL GRP	250	0.00
New Jersey	263220	BCBS OF NJ GRP	147218	0.56	INDEPENDENCE BLUE CROSS GRP	87,873	0.33	UNITEDHEALTH GRP	16117	0.06
New Mexico	68646	HCSC GRP	39438	0.57	PRESBYTERIAN HLTHCARE SERV GRP	19,985	0.29	NEW MEXICO HLTH CONNECTIONS	6020	0.09
New York	476976	AMERICAN INTL GRP	70207	0.15	HEALTH REPUBLIC INS OF NY CORP	68,982	0.14	ELEVANCE HLTH INC GRP	65138	0.14
North Carolina	618105	BCBS OF NC GRP	521682	0.84	AETNA GRP	67,208	0.11	ASSURANT INC GRP	8476	0.01
North Dakota	48607	BCBS OF ND	40608	0.84	ASSURANT INC GRP	3,324	0.07	MEDICA GRP	3146	0.06
Ohio	380516	MEDICAL MUT OF OH GRP	144850	0.38	ELEVANCE HLTH INC GRP	105,303	0.28	UNITEDHEALTH GRP	40872	0.11
Oklahoma	166406	HCSC GRP	127504	0.77	UNITEDHEALTH GRP	16,840	0.10	AETNA GRP	8815	0.05
Oregon	201268	OREGON DENTAL SERV GRP	98818	0.49	CAMBIA HEALTH SOLUTIONS INC	30,710	0.15	KAISER FOUNDATION GRP	17768	0.09
Pennsylvania	606406	HIGHMARK GRP	249955	0.41	INDEPENDENCE BLUE CROSS GRP	168,868	0.28	AETNA GRP	79163	0.13
Rhode Island	36656	BCBS OF RI	34473	0.94	UNITEDHEALTH GRP	959	0.03	NEIGHBORHOOD HLTH PLAN OF RI INC	951	0.03
South Carolina	190833	BCBS OF SC GRP	93458	0.49	CONSUMERS CHOICE HLTH INS CO	38,608	0.20	AETNA GRP	27322	0.14
South Dakota	72490	WELLMARK INC GRP	50385	0.70	AVERA HLTH PLANS INC	9,134	0.13	SANFORD HLTH GRP	5219	0.07
Tennessee	339910	BCBS OF TN GRP	209584	0.62	TENNESSEE RURAL HLTH GRP	67,052	0.20	HUMANA GRP	24889	0.07
Texas	1190572	HCSC GRP	807841	0.68	HUMANA GRP	168,752	0.14	CIGNA HLTH GRP	70106	0.06
Utah	205148	IHC INC GRP	95400	0.47	HUMANA GRP	44,853	0.22	CAMBIA HEALTH SOLUTIONS INC	36031	0.18
Vermont	30518	BCBS OF VT GRP	26343	0.86	MVP GRP	4,031	0.13	AMERICAN INTL GRP	126	0.00
Virginia	411923	ELEVANCE HLTH INC GRP	245087	0.59	AETNA GRP	54,964	0.13	CAREFIRST INC GRP	39714	0.10
Washington	311129	PREMERA BLUE CROSS GRP	155766	0.50	CAMBIA HEALTH SOLUTIONS INC	62,481	0.20	KAISER FOUNDATION GRP	54727	0.18
West Virginia	40006	HIGHMARK GRP	31242	0.78	UNITEDHEALTH GRP	4,256	0.11	AETNA GRP	2315	0.06
Wisconsin	237578	WISCONSIN PHY INS GRP	52217	0.22	ELEVANCE HLTH INC GRP	35,451	0.15	UNITEDHEALTH GRP	30026	0.13
Wyoming	27083	BCBS OF WY	10364	0.38	WINHEALTH PARTNERS	7,458	0.28	ASSURANT INC GRP	5282	0.20

2013

Location	Total Individual Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	10795025	WELLPOINT INC GRP	1832563	0.17	UNITEDHEALTH GRP	978362	0.09	HCSC GRP	889324	0.08
Alabama	174195	BCBS OF AL GRP	157702	0.91	UNITEDHEALTH GRP	9693	0.06	HUMANA GRP	3090	0.02
Alaska	14732	PREMERA BLUE CROSS GRP	9099	0.62	ASSURANT INC GRP	1774	0.12	AETNA GRP	1378	0.09
Arizona	263434	BCBS OF AZ INC	132940	0.50	UNITEDHEALTH GRP	68678	0.26	HUMANA GRP	15988	0.06
Arkansas	113525	ARKANSAS BCBS GRP	90136	0.79	UNITEDHEALTH GRP	10004	0.09	QCA HLTH PLAN INC	7100	0.06
California	1490852	WELLPOINT INC GRP	729379	0.49	KAISER FOUNDATION GRP	313640	0.21	BLUE SHIELD OF CA GRP	208980	0.14
Colorado	268588	WELLPOINT INC GRP	95404	0.36	HUMANA GRP	34109	0.13	UNITEDHEALTH GRP	34054	0.13
Connecticut	119338	WELLPOINT INC GRP	46810	0.39	AETNA GRP	34727	0.29	UNITEDHEALTH GRP	19841	0.17
Delaware	20809	HIGHMARK GRP	11164	0.54	AETNA GRP	5611	0.27	UNITEDHEALTH GRP	2588	0.12
District of Columbia	19752	CAREFIRST INC GRP	13934	0.71	AETNA GRP	2673	0.14	KAISER FOUNDATION GRP	1508	0.08
Florida	850689	GUIDEWELL MUT HOLDING GRP	406336	0.48	UNITEDHEALTH GRP	131630	0.15	AETNA GRP	85913	0.10
Georgia	351365	WELLPOINT INC GRP	149564	0.43	AETNA GRP	73597	0.21	HUMANA GRP	57082	0.16
Hawaii	28188	HAWAII MEDICAL SERV ASSN	14037	0.50	KAISER FOUNDATION GRP	13723	0.49	AMERICAN INTL GRP	368	0.01
Idaho	95382	BLUE CROSS OF ID GRP	47566	0.50	CAMBIA HEALTH SOLUTIONS INC	25914	0.27	PACIFICSOURCE HLTH PLAN GRP	15787	0.17
Illinois	456243	HCSC GRP	309550	0.68	UNITEDHEALTH GRP	39333	0.09	HUMANA GRP	35728	0.08
Indiana	168252	WELLPOINT INC GRP	102142	0.61	UNITEDHEALTH GRP	32676	0.19	ASSURANT INC GRP	13347	0.08
Iowa	178732	WELLMARK INC GRP	151595	0.85	AETNA GRP	10364	0.06	UNITEDHEALTH GRP	9756	0.05
Kansas	121706	BCBS OF KS GRP	48981	0.40	BCBS OF KC GRP	26641	0.22	AETNA GRP	25519	0.21
Kentucky	131241	WELLPOINT INC GRP	104100	0.79	HUMANA GRP	20614	0.16	ASSURANT INC GRP	3042	0.02
Louisiana	172395	LOUISIANA HLTH SERV GRP	126441	0.73	HUMANA GRP	18107	0.11	AETNA GRP	14175	0.08
Maine	32727	WELLPOINT INC GRP	18053	0.55	HEALTHMARKETS GRP	10913	0.33	HARVARD PILGRIM HLTH CARE GRP	3260	0.10
Maryland	219656	CAREFIRST INC GRP	152172	0.69	UNITEDHEALTH GRP	38069	0.17	AETNA GRP	14079	0.06
Massachusetts	88846	BCBS OF MA GRP	30432	0.34	MASS GENERAL BRIGHAM INC GRP	21647	0.24	HARVARD PILGRIM HLTH CARE GRP	16715	0.19
Michigan	323075	BCBS OF MI GRP	182556	0.57	UNITEDHEALTH GRP	60411	0.19	COREWELL HLTH GRP	17108	0.05
Minnesota	251327	BCBS OF MN GRP	144067	0.57	MEDICA GRP	49134	0.20	HEALTHPARTNERS GRP	29089	0.12
Mississippi	82065	MISSISSIPPI INS GRP	51204	0.62	UNITEDHEALTH GRP	15388	0.19	HUMANA GRP	7352	0.09
Missouri	253667	WELLPOINT INC GRP	86416	0.34	UNITEDHEALTH GRP	52731	0.21	BCBS OF KC GRP	45798	0.18
Montana	44835	HCSC GRP	27337	0.61	ASSURANT INC GRP	11273	0.25	PACIFICSOURCE HLTH PLAN GRP	4711	0.11
Nebraska	121377	BCBS OF NE GRP	86846	0.72	UNITEDHEALTH GRP	18468	0.15	ASSURANT INC GRP	8586	0.07
Nevada	94156	UNITEDHEALTH GRP	43524	0.46	WELLPOINT INC GRP	31693	0.34	AETNA GRP	11880	0.13
New Hampshire	34232	WELLPOINT INC GRP	29966	0.88	ASSURANT INC GRP	3160	0.09	CENTENE CORP GRP	702	0.02
New Jersey	177571	BCBS OF NJ GRP	138684	0.78	UNITEDHEALTH GRP	21474	0.12	INDEPENDENCE BLUE CROSS GRP	9275	0.05
New Mexico	58262	HCSC GRP	28908	0.50	PRESBYTERIAN HLTHCARE SERV GRP	22695	0.39	ARDENT HLTH SERV GRP	2531	0.04
New York	244553	WELLPOINT INC GRP	60372	0.25	UNITEDHEALTH GRP	55589	0.23	LIFETIME HLTHCARE GRP	32700	0.13
North Carolina	471239	BCBS OF NC GRP	406276	0.86	AETNA GRP	29320	0.06	UNITEDHEALTH GRP	10727	0.02
North Dakota	44353	BCBS OF ND	35702	0.80	ASSURANT INC GRP	4080	0.09	MEDICA GRP	2989	0.07
Ohio	328685	MEDICAL MUT OF OH GRP	115364	0.35	WELLPOINT INC GRP	113196	0.34	UNITEDHEALTH GRP	47881	0.15
Oklahoma	121040	HCSC GRP	78964	0.65	UNITEDHEALTH GRP	19829	0.16	AETNA GRP	8805	0.07
Oregon	166231	CAMBIA HEALTH SOLUTIONS INC	51163	0.31	OREGON DENTAL SERV GRP	32284	0.19	PREMERA BLUE CROSS GRP	20685	0.12
Pennsylvania	460581	HIGHMARK GRP	160399	0.35	AETNA GRP	104213	0.23	INDEPENDENCE BLUE CROSS GRP	80729	0.18
Rhode Island	18297	BCBS OF RI	16873	0.92	UNITEDHEALTH GRP	1114	0.06	AMERICAN INTL GRP	212	0.01
South Carolina	126951	BCBS OF SC GRP	75599	0.60	UNITEDHEALTH GRP	24804	0.20	AETNA GRP	8922	0.07
South Dakota	64786	WELLMARK INC GRP	48186	0.74	SOUTH DAKOTA STATE MED HOLDING CO	5690	0.09	SANFORD HLTH GRP	5159	0.08
Tennessee	241919	BCBS OF TN GRP	102557	0.42	TENNESSEE RURAL HLTH GRP	73391	0.30	UNITEDHEALTH GRP	22398	0.09
Texas	732378	HCSC GRP	444566	0.61	HUMANA GRP	88238	0.12	UNITEDHEALTH GRP	53947	0.07
Utah	139219	IHC INC GRP	56869	0.41	HUMANA GRP	41815	0.30	CAMBIA HEALTH SOLUTIONS INC	25380	0.18
Vermont	20956	BCBS OF VT GRP	18639	0.89	MVP GRP	2199	0.10	AMERICAN INTL GRP	98	0.00
Virginia	318682	WELLPOINT INC GRP	237846	0.75	CAREFIRST INC GRP	24425	0.08	UNITEDHEALTH GRP	20915	0.07
Washington	269296	PREMERA BLUE CROSS GRP	104737	0.39	CAMBIA HEALTH SOLUTIONS INC	93307	0.35	KAISER FOUNDATION GRP	62453	0.23
West Virginia	27657	HIGHMARK GRP	15223	0.55	UNITEDHEALTH GRP	5489	0.20	AETNA GRP	3804	0.14
Wisconsin	157436	WISCONSIN PHY INS GRP	41888	0.27	UNITEDHEALTH GRP	35387	0.22	WELLPOINT INC GRP	27613	0.18
Wyoming	19555	BCBS OF WY	8632	0.44	ASSURANT INC GRP	3921	0.20	UNITEDHEALTH GRP	2984	0.15

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