market share reports · 2018-09-04 · 2017 market share reports for the top 125 . accident and...
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2017 Market Share Reports for the Top 125 Accident and Health Insurance Groups and Companies
by State and Countrywide
TABLE OF CONTENTS
Introduction ............................................................................................................1
Accident and Health Market Share Report Applications...................................3
Ten-Year Premium Comparison Chart and Graphs .........................................5
Combined Accident and Health Insurance Market Share Reports ................11
Technical Notes ..................................................................................................133
Index of Insurer Groups and Companies ........................................................139
© 2018 National Association of Insurance Commissioners
INTRODUCTION
These 2017 Market Share Reports for the Top 125 Accident and Health Insurance Groups and Companies by State and Countrywide are intended to make market share information more readily available. Data from groups and companies filing the property/casualty (P/C), life/health, fraternal and health annual statements are combined so that the accident and health (A&H) insurance market can be seen in its entirety.
The report also includes several charts and graphs to allow for premium trending. The direct premium data reported in this publication are taken from page 19 of the NAIC P/C annual statement, page 23 of the NAIC fraternal annual statement, page 24 of the NAIC life/health annual statement, and page 38 of the NAIC health annual statement. Direct written premium includes premium data obtained via the California Department of Managed Health Care (DMHC).
The column labeled “Business Type” indicates whether the group/company has filed a life/health annual statement (L), a fraternal annual statement (F), a P/C annual statement (P) or a health annual statement (H), or whether the data was received from the California DMHC. The companies within a group may file on various annual statement types, so all statement types used by companies within the group are shown in this column.
Insurance groups are made up of insurance companies that are related by ownership. The market share reports show data by group for those insurers that are a member of a group. This allows the report to more accurately reflect the number of distinct entities that are competing against one another for business in the market. An index listing the individual insurers within a group is included at the end of the report. Insurers merge, change names, and buy and sell companies; however, the index gives a “snapshot” view of group structures as filed with the NAIC as of June 6, 2018 (the date this report was generated).
Please send any questions regarding this report to [email protected]. Links to this report or other NAIC reports can be found on the NAIC website at: NAIC Publications.
© 2018 National Association of Insurance Commissioners 1
ACCIDENT AND HEALTH MARKET SHARE REPORT APPLICATIONS
The Accident and Health Market Share Report will help a user:
Assess an insurer’s competitive position
Create benchmarks to compare companies
Identify the top writers
Analyze the overall size of the market
Identify premium volume trends
Evaluate market penetration potential
Evaluate post-merger market implications
The Accident and Health Market Share Report provides fundamental market information that can be used by state insurance regulators, insurers and others interested in analyzing the insurance industry. This report gives users an understanding of the overall size of the market by providing data at a state and national level. Included in this report are several charts and graphs that illustrate premium growth over the past 10 years. These charts can be used to identify nationwide premium volume trends. This is pertinent information for anyone attempting to evaluate an insurer’s market penetration or growth potential.
The Accident and Health Market Share Report serves as an important tool for state insurance regulators and can help them identify the top accident and health (A&H) writers in their jurisdiction. Knowing this allows them to quickly and effectively target insurance department resources. This is important when responding to market or financial conditions in their jurisdiction. Many states have antitrust laws that prevent insurers from merging or combining with other insurers if the post-merger impact stifles competition within the state. State insurance regulators can assess any proposed merger transaction by evaluating the combined market share percentage of the participating insurers.
The data contained in this report can be used for financial or market analysis. Significant changes in an insurer’s market share ranking can be an indication of competitiveness, financial or market health, or structural changes. For instance, steady market share growth allows an insurer to gain greater economies of scale and retain more in its bottom line. However, rapid market share increases can indicate that an insurer is growing too fast and should be examined for solvency stability and rate inadequacy. Rapid market share increases could also be the result of a merger. In contrast, rapid market decreases could indicate that the insurer is reducing its exposure, has ceased writing due to financial difficulty or is encountering market conduct issues.
Using this report allows insurers to identify their competitors and comparative market share. This allows insurers to easily assess their competitive position and assist in establishing strategic objectives, such as premium growth goals or benchmark targets.
© 2018 National Association of Insurance Commissioners 3
Ten-Year Premium Comparison
Chart and Graphs
© 2018 National Association of Insurance Commissioners 5
NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS2017 ACCIDENT AND HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL, AND HEALTH INSURERS
YearStates and U.S.
TerritoriesAggregate Other
Alien and Canada
Total States, US Territories, Aggregate
Other Alien and Canada
2008 593,321,590,037 16,080,552,481 609,402,142,518
2009 630,292,880,436 17,920,728,529 648,213,608,965
2010 647,255,938,729 19,723,753,264 666,979,691,993
2011 680,140,192,426 21,689,282,798 701,829,475,224
2012 713,258,493,819 19,391,781,687 701,829,475,224
2013 744,653,086,410 12,930,793,602 757,583,880,012
2014 824,321,580,320 11,861,962,997 836,183,543,317
2015 910,497,346,024 10,996,947,190 921,494,293,214
2016 973,559,455,586 12,125,289,938 985,684,745,524
2017 1,029,918,282,479 12,372,927,427 1,042,291,209,906
© 2018 National Association of Insurance Commissioners 7
609648 667
702733 758
836
921
9861,042
0
100
200
300
400
500
600
700
800
900
1000
1100
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Bill
ions
Year
Accident and Health Insurance IndustryTotal States, U.S. Territories, Aggregate Other Alien and Canada
2008 - 2017 Total Direct Premium Written
© 2018 National Association of Insurance Commissioners 8
593630 647
680713
745
824
910
9741,030
0
100
200
300
400
500
600
700
800
900
1000
1100
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Bill
ions
Year
Accident and Health Insurance Industry States and U.S. Territories Only
2008 - 2017 Total Direct Premium Written
© 2018 National Association of Insurance Commissioners 9
Combined Accident and Health
Insurance
Market Share Reports
As Reported on Property/Casualty, Life/Health,
Fraternal and Health Annual Statements
© 2018 National Association of Insurance Commissioners 11
Accident and Health Insurance Industry Aggregates2017 Direct Premiums Written by State
By State and U.S. Territory Totals(In Millions)
Canada: $336VT NH
$1,197 $3,516
MA $24,573RI $4,603CT $8,201
NJ $30,454
DE $1,860MD $15,337DC $5,035
LEGENDAt Most $3,892$3,893 ‐ $10,144$10,145 ‐ $19,909$19,910 ‐ $199,115No Data
Guam (GU) American Samoa (AS) Northern Mariana Islands (MP) Aggregate Other Alien (OT) Puerto Rico (PR) U.S. Virgin Islands (VI)$279 $1 $42 $12,037 $9,866 $259
Minimum 1st Quartile2nd
Quartile 3rd Quartile Maximum$1 $3,893 $10,145 $19,910 $199,114
WA$21,806
OR$12,053
ID$3,656
MT$1,927
CA$199,114
NV$7,655
UT$6,615
WY$930
ND$2,347
SD$2,018
MN$18,116
AZ$11,564
CO$12,997
NM$7,353
TX$73,654
OK$7,128
KS$8,922
NE$5,580
MO$15,721
AR$6,188
LA$16,623
MS$7,006
AL$11,164
FL$70,665
GA$25,289
SC$12,038
NC$20,730TN
$20,508
KY$15,798
IL$36,903
IA$10,425
WI$17,610
MI$32,310
IN$16,564
OH$40,306
WV$5,214 VA
$21,719
PA$50,120
ME$3,510
NY$55,930
HI$7,707
AK$1,217
© 2018 National Association of Insurance Commissioners 13
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
States, U.S. Territories, Canada, Aggregate Other Alien
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H CA 707 UNITEDHEALTH GRP 138,618,024,334 %13.30 %13.302 H CA 601 KAISER FOUNDATION GRP 84,694,890,544 %8.13 %21.433 L H CA 671 ANTHEM INC GRP 64,461,039,313 %6.18 %27.614 L H 119 HUMANA GRP 53,473,844,253 %5.13 %32.745 L H CA 1 AETNA GRP 52,139,429,159 %5.00 %37.746 L H 917 HCSC GRP 34,465,486,334 %3.31 %41.057 L H 1295 CENTENE CORP GRP 29,626,979,404 %2.84 %43.898 L H CA 901 CIGNA HLTH GRP 25,874,178,534 %2.48 %46.379 L H CA 1531 MOLINA HEALTHCARE INC GRP 19,534,834,512 %1.87 %48.25
10 H 936 INDEPENDENCE HLTH GRP INC GRP 17,010,939,203 %1.63 %49.8811 CA BLUE CROSS OF CALIFORNIA 16,792,304,000 %1.61 %51.4912 L H 536 GUIDEWELL MUT HOLDING GRP 15,345,005,158 %1.47 %52.9613 L H 1199 WELLCARE GRP 15,329,459,928 %1.47 %54.4314 L 370 AFLAC GRP 14,993,249,820 %1.44 %55.8715 L H P CA 812 HIGHMARK GRP 14,699,621,192 %1.41 %57.2816 CA CALIFORNIA PHYSICIANS' SERVICE 14,240,631,000 %1.37 %58.6517 H 1202 BCBS OF NJ GRP 12,911,900,422 %1.24 %59.8918 L H 572 BCBS OF MI GRP 12,830,517,902 %1.23 %61.1219 H 758 BCBS OF NC GRP 8,825,007,520 %0.85 %61.9720 CA LOCAL INITIATIVE HEALTH AUTHORITY FO 8,764,306,903 %0.84 %62.8121 H 380 CAREFIRST INC GRP 8,707,131,144 %0.84 %63.6422 H 3683 CARESOURCE GRP 8,573,520,120 %0.82 %64.4623 L H P CA 241 METROPOLITAN GRP 7,881,323,710 %0.76 %65.2224 H 3637 BCBS OF MA GRP 7,671,936,110 %0.74 %65.9625 CA HEALTH NET COMMUNITY SOLUTIONS, INC. 7,518,750,097 %0.72 %66.6826 H 1127 EMBLEM HLTH GRP 7,306,289,068 %0.70 %67.3827 H P 1324 UPMC HLTH SYSTEM GRP 7,221,149,511 %0.69 %68.0728 H 3498 BCBS OF TN GRP 7,205,288,390 %0.69 %68.7629 CA UHC OF CALIFORNIA 6,605,852,000 %0.63 %69.4030 CA HEALTH NET OF CALIFORNIA, INC. 6,300,201,947 %0.60 %70.0031 H 461 BCBS OF MN GRP 6,048,064,216 %0.58 %70.5832 L 565 UNUM GRP 5,887,344,970 %0.56 %71.1533 L H 1207 CAMBIA HEALTH SOLUTIONS INC 5,863,256,198 %0.56 %71.7134 L H 1186 LIFETIME HLTHCARE GRP 5,850,906,984 %0.56 %72.2735 L H 570 BCBS OF AL GRP 5,827,966,124 %0.56 %72.8336 CA INLAND EMPIRE HEALTH PLAN 4,872,370,767 %0.47 %73.3037 L H 661 BCBS OF SC GRP 4,847,861,236 %0.47 %73.7638 H 4742 TUFTS GRP 4,707,676,562 %0.45 %74.2139 L 261 MUTUAL OF OMAHA GRP 4,020,340,654 %0.39 %74.6040 H 1552 MEDICA GRP 3,967,825,036 %0.38 %74.9841 L H 429 GUARDIAN LIFE GRP 3,928,863,261 %0.38 %75.3642 H 770 WELLMARK INC GRP 3,810,612,776 %0.37 %75.7243 H 3383 SPECTRUM HLTH GRP 3,788,059,258 %0.36 %76.0944 CA DELTA DENTAL OF CALIFORNIA 3,745,394,000 %0.36 %76.4545 L H 962 PREMERA BLUE CROSS GRP 3,737,434,625 %0.36 %76.8046 H 4640 CAIDAN ENTERPRISES INC GRP 3,644,743,398 %0.35 %77.1547 CA ORANGE COUNTY HEALTH AUTHORITY 3,549,461,861 %0.34 %77.4948 H 1258 HEALTHPARTNERS GRP 3,436,583,915 %0.33 %77.8249 H 49948 HAWAII MEDICAL SERV ASSN 3,373,003,495 %0.32 %78.1550 L H 438 LOUISIANA HLTH SERV GRP 3,366,141,887 %0.32 %78.4751 H 4667 CVS CAREMARK GRP 3,315,999,123 %0.32 %78.7952 H 1198 MVP GRP 3,207,612,719 %0.31 %79.1053 H 595 HARVARD PILGRIM HLTH CARE GRP 2,998,833,954 %0.29 %79.3854 L H 876 ARKANSAS BCBS GRP 2,902,544,597 %0.28 %79.6655 H 1143 GEISINGER INS GRP 2,867,800,397 %0.28 %79.9456 L H 730 MEDICAL MUT OF OH GRP 2,793,115,870 %0.27 %80.2157 H 4380 UCARE GRP 2,737,619,165 %0.26 %80.4758 CA HERITAGE PROVIDER NETWORK, INC. 2,714,180,691 %0.26 %80.7359 H CA 1189 VISION SERV PLAN GRP 2,701,221,398 %0.26 %80.9960 L H 4802 TRIPLE S GRP 2,668,947,337 %0.26 %81.2461 L 4011 GENWORTH FIN GRP 2,653,016,130 %0.25 %81.5062 H 880 IHC INC GRP 2,646,278,871 %0.25 %81.7563 CA SCAN HEALTH PLAN 2,563,220,000 %0.25 %82.0064 CA PARTNERSHIP HEALTHPLAN OF CALIFORNIA 2,511,644,387 %0.24 %82.24
© 2018 National Association of Insurance Commissioners 15
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
States, U.S. Territories, Canada, Aggregate Other Alien
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 55204 HEALTH NOW NY INC 2,485,520,506 %0.24 %82.4866 H 1230 CAPITAL BLUE CROSS GRP 2,428,845,451 %0.23 %82.7167 H 11109 NEIGHBORHOOD HLTH PLAN INC 2,424,164,366 %0.23 %82.9468 L H 2798 BLUE SHIELD OF CA GRP 2,406,519,327 %0.23 %83.1769 H 4812 INNOVACARE INC GRP 2,347,934,534 %0.23 %83.4070 H 4778 HEALTHFIRST INC GRP 2,277,219,186 %0.22 %83.6271 H 1311 HENRY FORD HLTH SYSTEM GRP 2,261,955,282 %0.22 %83.8472 L H 430 BCBS OF KS GRP 2,186,753,799 %0.21 %84.0573 L P 3098 TOKIO MARINE HOLDINGS INC GRP 2,144,347,979 %0.21 %84.2574 L H 537 BCBS OF KC GRP 2,142,880,568 %0.21 %84.4675 H 53589 BCBS OF AZ INC 2,125,316,861 %0.20 %84.6676 H 95066 HEALTH PARTNERS PLANS INC 2,032,431,450 %0.19 %84.8677 H 4894 INDEPENDENT HLTH ASSN GRP 2,022,930,218 %0.19 %85.0578 H 4788 PROVIDENCE HLTH GRP 2,021,337,956 %0.19 %85.2479 H 4708 CDPHP INC GRP 2,016,951,826 %0.19 %85.4480 L H 1301 MEDICAL CARD SYSTEM INC GRP 1,991,231,196 %0.19 %85.6381 H 481 PRESBYTERIAN HLTHCARE SERV GRP 1,980,460,150 %0.19 %85.8282 L P 468 AEGON US HOLDING GRP 1,975,790,669 %0.19 %86.0183 H 52621 UNIVERSITY HLTH CARE INC 1,932,183,073 %0.19 %86.1984 L 860 NORTHWESTERN MUT GRP 1,909,242,500 %0.18 %86.3885 L H 549 SUN LIFE ASSUR CO OF CN GRP 1,906,624,034 %0.18 %86.5686 H 4637 INDIANA UNIVERSITY HLTH GRP 1,883,326,381 %0.18 %86.7487 L 233 CNO FINANCIAL GRP 1,860,455,032 %0.18 %86.9288 CA DAVITA HEALTH PLAN OF CALIFORNIA, IN 1,858,045,252 %0.18 %87.1089 L P 91 HARTFORD FIRE & CAS GRP 1,856,676,980 %0.18 %87.2790 L P 626 CHUBB LTD GRP 1,852,945,872 %0.18 %87.4591 L 332 PRINCIPAL FIN GRP 1,730,900,243 %0.17 %87.6292 H 53473 BCBS OF RI 1,720,654,719 %0.17 %87.7893 H 4858 BCBS OF NE GRP 1,692,542,312 %0.16 %87.9594 L 1348 MEIJI YASUDA LIFE INS GRP 1,649,027,631 %0.16 %88.1095 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 1,620,771,261 %0.16 %88.2696 H 2479 DENTEGRA GRP 1,614,768,446 %0.15 %88.4197 L 904 JOHN HANCOCK GRP 1,607,137,218 %0.15 %88.5798 H 477 RENAISSANCE HLTH SERV CORP GRP 1,572,115,828 %0.15 %88.7299 H 95329 TEXAS CHILDRENS HLTH PLAN INC 1,564,343,396 %0.15 %88.87
100 H 4755 AMERICAS 1ST CHOICE GRP 1,558,233,800 %0.15 %89.02101 H 1183 SENTARA HLTH MGMT GRP 1,541,574,994 %0.15 %89.17102 H 4892 HARRIS HLTH GRP 1,513,423,155 %0.15 %89.31103 H 1212 VANGUARD HLTH VENTURES GRP 1,497,225,436 %0.14 %89.46104 H 1260 MAGELLAN HLTH INC GRP 1,493,142,460 %0.14 %89.60105 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 1,476,325,163 %0.14 %89.74106 H 1192 CARLE HOLDING CO GRP 1,476,282,996 %0.14 %89.88107 CA SANTA CLARA COUNTY HEALTH AUTHORITY 1,471,920,000 %0.14 %90.02108 L 304 PRUDENTIAL OF AMER GRP 1,397,636,087 %0.13 %90.16109 H 1290 BLUE CROSS OF ID GRP 1,375,963,737 %0.13 %90.29110 H 95402 NEIGHBORHOOD HLTH PLAN OF RI INC 1,365,941,326 %0.13 %90.42111 L H 1126 MISSISSIPPI INS GRP 1,358,823,691 %0.13 %90.55112 L 20 LINCOLN NATL GRP 1,329,159,991 %0.13 %90.68113 H 4741 FALLON GRP 1,271,052,338 %0.12 %90.80114 H 1294 DEAN HLTH GRP 1,243,800,184 %0.12 %90.92115 L 4832 VOYA FINANCIAL GRP 1,235,289,720 %0.12 %91.04116 H 96881 SECURITY HLTH PLAN OF WI INC 1,222,301,718 %0.12 %91.16117 H 95612 VIRGINIA PREMIER HLTH PLAN INC 1,212,531,932 %0.12 %91.27118 CA COMMUNITY HEALTH GROUP 1,178,149,195 %0.11 %91.39119 L P 111 LIBERTY MUT GRP 1,177,619,348 %0.11 %91.50120 CA FRESNO-KINGS-MADERA REGIONAL HEALTH 1,135,866,108 %0.11 %91.61121 CA SANTA CRUZ-MONTEREY-MERCED MANAGED M 1,129,948,166 %0.11 %91.72122 H 55891 NORIDIAN MUT INS CO 1,102,218,230 %0.11 %91.82123 H 47049 COMMUNITY HLTH PLAN OF WA 1,088,930,970 %0.10 %91.93124 H 95263 AVMED INC 1,078,765,767 %0.10 %92.03125 H 95722 FIRST MEDICAL HLTH PLAN INC 1,074,213,524 %0.10 %92.13
**TOTAL** 1,042,291,209,906 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 16
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
States and U.S. Territories
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H CA 707 UNITEDHEALTH GRP 138,531,372,903 %13.45 %13.452 H CA 601 KAISER FOUNDATION GRP 84,694,890,544 %8.22 %21.673 L H CA 671 ANTHEM INC GRP 64,461,039,313 %6.26 %27.934 L H 119 HUMANA GRP 53,473,844,253 %5.19 %33.135 L H CA 1 AETNA GRP 51,789,656,932 %5.03 %38.156 L H 917 HCSC GRP 34,179,419,068 %3.32 %41.477 L H 1295 CENTENE CORP GRP 29,626,979,404 %2.88 %44.358 L H CA 901 CIGNA HLTH GRP 25,326,737,196 %2.46 %46.819 L H CA 1531 MOLINA HEALTHCARE INC GRP 19,534,834,512 %1.90 %48.70
10 H 936 INDEPENDENCE HLTH GRP INC GRP 17,010,939,203 %1.65 %50.3611 CA 123470 BLUE CROSS OF CALIFORNIA 16,792,304,000 %1.63 %51.9912 L H 536 GUIDEWELL MUT HOLDING GRP 15,345,005,158 %1.49 %53.4813 L H 1199 WELLCARE GRP 15,329,459,928 %1.49 %54.9714 L H P CA 812 HIGHMARK GRP 14,699,621,192 %1.43 %56.3915 CA 123473 CALIFORNIA PHYSICIANS' SERVICE 14,240,631,000 %1.38 %57.7816 H 1202 BCBS OF NJ GRP 12,911,900,422 %1.25 %59.0317 L H 572 BCBS OF MI GRP 12,830,517,099 %1.25 %60.2718 H 758 BCBS OF NC GRP 8,793,921,513 %0.85 %61.1319 CA 123516 LOCAL INITIATIVE HEALTH AUTHORITY FO 8,764,306,903 %0.85 %61.9820 H 380 CAREFIRST INC GRP 8,707,131,144 %0.85 %62.8221 H 3683 CARESOURCE GRP 8,573,520,120 %0.83 %63.6622 H 3637 BCBS OF MA GRP 7,671,936,110 %0.74 %64.4023 CA 123502 HEALTH NET COMMUNITY SOLUTIONS, INC. 7,518,750,097 %0.73 %65.1324 L H P CA 241 METROPOLITAN GRP 7,318,887,469 %0.71 %65.8425 H 1127 EMBLEM HLTH GRP 7,306,289,068 %0.71 %66.5526 H P 1324 UPMC HLTH SYSTEM GRP 7,221,149,511 %0.70 %67.2527 H 3498 BCBS OF TN GRP 7,205,288,390 %0.70 %67.9528 CA 123550 UHC OF CALIFORNIA 6,605,852,000 %0.64 %68.5929 CA 123503 HEALTH NET OF CALIFORNIA, INC. 6,300,201,947 %0.61 %69.2130 H 461 BCBS OF MN GRP 6,048,064,216 %0.59 %69.7931 L 565 UNUM GRP 5,875,199,987 %0.57 %70.3632 L H 1207 CAMBIA HEALTH SOLUTIONS INC 5,863,256,198 %0.57 %70.9333 L H 1186 LIFETIME HLTHCARE GRP 5,850,906,984 %0.57 %71.5034 L H 570 BCBS OF AL GRP 5,827,966,124 %0.57 %72.0735 L 370 AFLAC GRP 5,221,952,248 %0.51 %72.5736 CA 123509 INLAND EMPIRE HEALTH PLAN 4,872,370,767 %0.47 %73.0537 L H 661 BCBS OF SC GRP 4,847,861,236 %0.47 %73.5238 H 4742 TUFTS GRP 4,707,676,562 %0.46 %73.9739 L 261 MUTUAL OF OMAHA GRP 4,019,657,036 %0.39 %74.3740 H 1552 MEDICA GRP 3,967,825,036 %0.39 %74.7541 L H 429 GUARDIAN LIFE GRP 3,928,578,654 %0.38 %75.1342 H 770 WELLMARK INC GRP 3,810,612,776 %0.37 %75.5043 H 3383 SPECTRUM HLTH GRP 3,788,059,258 %0.37 %75.8744 CA 123488 DELTA DENTAL OF CALIFORNIA 3,745,394,000 %0.36 %76.2345 L H 962 PREMERA BLUE CROSS GRP 3,737,434,625 %0.36 %76.6046 H 4640 CAIDAN ENTERPRISES INC GRP 3,644,743,398 %0.35 %76.9547 CA 123526 ORANGE COUNTY HEALTH AUTHORITY 3,549,461,861 %0.34 %77.2948 H 1258 HEALTHPARTNERS GRP 3,436,583,915 %0.33 %77.6349 H 49948 HAWAII MEDICAL SERV ASSN 3,373,003,495 %0.33 %77.9650 L H 438 LOUISIANA HLTH SERV GRP 3,366,141,887 %0.33 %78.2851 H 4667 CVS CAREMARK GRP 3,315,999,123 %0.32 %78.6052 H 1198 MVP GRP 3,207,612,719 %0.31 %78.9253 H 595 HARVARD PILGRIM HLTH CARE GRP 2,998,833,954 %0.29 %79.2154 L H 876 ARKANSAS BCBS GRP 2,902,544,597 %0.28 %79.4955 H 1143 GEISINGER INS GRP 2,867,800,397 %0.28 %79.7756 L H 730 MEDICAL MUT OF OH GRP 2,793,115,870 %0.27 %80.0457 H 4380 UCARE GRP 2,737,619,165 %0.27 %80.3058 CA 123504 HERITAGE PROVIDER NETWORK, INC. 2,714,180,691 %0.26 %80.5759 H CA 1189 VISION SERV PLAN GRP 2,701,221,398 %0.26 %80.8360 L H 4802 TRIPLE S GRP 2,659,946,570 %0.26 %81.0961 L 4011 GENWORTH FIN GRP 2,653,013,191 %0.26 %81.3562 H 880 IHC INC GRP 2,646,278,871 %0.26 %81.6063 CA 123543 SCAN HEALTH PLAN 2,563,220,000 %0.25 %81.8564 CA 123528 PARTNERSHIP HEALTHPLAN OF CALIFORNIA 2,511,644,387 %0.24 %82.10
© 2018 National Association of Insurance Commissioners 17
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
States and U.S. Territories
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 55204 HEALTH NOW NY INC 2,485,520,506 %0.24 %82.3466 H 1230 CAPITAL BLUE CROSS GRP 2,428,845,451 %0.24 %82.5767 H 11109 NEIGHBORHOOD HLTH PLAN INC 2,424,164,366 %0.24 %82.8168 L H 2798 BLUE SHIELD OF CA GRP 2,406,519,327 %0.23 %83.0469 H 4812 INNOVACARE INC GRP 2,347,934,534 %0.23 %83.2770 H 4778 HEALTHFIRST INC GRP 2,277,219,186 %0.22 %83.4971 H 1311 HENRY FORD HLTH SYSTEM GRP 2,261,955,282 %0.22 %83.7172 L H 430 BCBS OF KS GRP 2,186,753,799 %0.21 %83.9273 L P 3098 TOKIO MARINE HOLDINGS INC GRP 2,143,428,279 %0.21 %84.1374 L H 537 BCBS OF KC GRP 2,142,880,568 %0.21 %84.3475 H 53589 BCBS OF AZ INC 2,125,316,861 %0.21 %84.5576 H 95066 HEALTH PARTNERS PLANS INC 2,032,431,450 %0.20 %84.7477 H 4894 INDEPENDENT HLTH ASSN GRP 2,022,930,218 %0.20 %84.9478 H 4788 PROVIDENCE HLTH GRP 2,021,337,956 %0.20 %85.1479 H 4708 CDPHP INC GRP 2,016,951,826 %0.20 %85.3380 L H 1301 MEDICAL CARD SYSTEM INC GRP 1,991,231,196 %0.19 %85.5281 H 481 PRESBYTERIAN HLTHCARE SERV GRP 1,980,460,150 %0.19 %85.7282 L P 468 AEGON US HOLDING GRP 1,975,263,521 %0.19 %85.9183 H 52621 UNIVERSITY HLTH CARE INC 1,932,183,073 %0.19 %86.1084 L 860 NORTHWESTERN MUT GRP 1,907,805,499 %0.19 %86.2885 L H 549 SUN LIFE ASSUR CO OF CN GRP 1,907,307,471 %0.19 %86.4786 H 4637 INDIANA UNIVERSITY HLTH GRP 1,883,326,381 %0.18 %86.6587 L 233 CNO FINANCIAL GRP 1,860,358,130 %0.18 %86.8388 CA 123486 DAVITA HEALTH PLAN OF CALIFORNIA, IN 1,858,045,252 %0.18 %87.0189 L P 91 HARTFORD FIRE & CAS GRP 1,856,598,335 %0.18 %87.1990 L 332 PRINCIPAL FIN GRP 1,730,743,091 %0.17 %87.3691 H 53473 BCBS OF RI 1,720,654,719 %0.17 %87.5392 H 4858 BCBS OF NE GRP 1,692,542,312 %0.16 %87.6993 L 1348 MEIJI YASUDA LIFE INS GRP 1,648,551,315 %0.16 %87.8594 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 1,620,771,261 %0.16 %88.0195 H 2479 DENTEGRA GRP 1,614,768,446 %0.16 %88.1696 L 904 JOHN HANCOCK GRP 1,606,933,061 %0.16 %88.3297 H 477 RENAISSANCE HLTH SERV CORP GRP 1,572,115,828 %0.15 %88.4798 H 95329 TEXAS CHILDRENS HLTH PLAN INC 1,564,343,396 %0.15 %88.6399 H 4755 AMERICAS 1ST CHOICE GRP 1,558,233,800 %0.15 %88.78
100 H 1183 SENTARA HLTH MGMT GRP 1,541,574,994 %0.15 %88.93101 H 4892 HARRIS HLTH GRP 1,513,423,155 %0.15 %89.07102 H 1212 VANGUARD HLTH VENTURES GRP 1,497,225,436 %0.15 %89.22103 H 1260 MAGELLAN HLTH INC GRP 1,493,142,460 %0.14 %89.36104 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 1,476,325,163 %0.14 %89.51105 H 1192 CARLE HOLDING CO GRP 1,476,282,996 %0.14 %89.65106 CA 123540 SANTA CLARA COUNTY HEALTH AUTHORITY 1,471,920,000 %0.14 %89.79107 L P 626 CHUBB LTD GRP 1,444,615,755 %0.14 %89.93108 L 304 PRUDENTIAL OF AMER GRP 1,395,666,217 %0.14 %90.07109 H 1290 BLUE CROSS OF ID GRP 1,375,963,737 %0.13 %90.20110 H 95402 NEIGHBORHOOD HLTH PLAN OF RI INC 1,365,941,326 %0.13 %90.34111 L H 1126 MISSISSIPPI INS GRP 1,358,823,691 %0.13 %90.47112 L 20 LINCOLN NATL GRP 1,328,375,651 %0.13 %90.60113 H 4741 FALLON GRP 1,271,052,338 %0.12 %90.72114 H 1294 DEAN HLTH GRP 1,243,800,184 %0.12 %90.84115 L 4832 VOYA FINANCIAL GRP 1,235,287,351 %0.12 %90.96116 H 96881 SECURITY HLTH PLAN OF WI INC 1,222,301,718 %0.12 %91.08117 H 95612 VIRGINIA PREMIER HLTH PLAN INC 1,212,531,932 %0.12 %91.20118 CA 123481 COMMUNITY HEALTH GROUP 1,178,149,195 %0.11 %91.31119 L P 111 LIBERTY MUT GRP 1,175,619,178 %0.11 %91.43120 CA 123498 FRESNO-KINGS-MADERA REGIONAL HEALTH 1,135,866,108 %0.11 %91.54121 CA 123541 SANTA CRUZ-MONTEREY-MERCED MANAGED M 1,129,948,166 %0.11 %91.65122 H 55891 NORIDIAN MUT INS CO 1,102,218,230 %0.11 %91.75123 H 47049 COMMUNITY HLTH PLAN OF WA 1,088,930,970 %0.11 %91.86124 H 95263 AVMED INC 1,078,765,767 %0.10 %91.96125 H 95722 FIRST MEDICAL HLTH PLAN INC 1,074,213,524 %0.10 %92.07
**TOTAL** 1,029,918,282,479 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 18
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Alabama
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 570 BCBS OF AL GRP 5,812,647,511 %52.06 %52.062 L H 707 UNITEDHEALTH GRP 1,757,087,795 %15.74 %67.803 H 95322 VIVA HLTH INC 714,782,897 %6.40 %74.214 L H 901 CIGNA HLTH GRP 711,577,415 %6.37 %80.585 L H 119 HUMANA GRP 679,046,364 %6.08 %86.666 L H 1 AETNA GRP 164,211,321 %1.47 %88.137 L 370 AFLAC GRP 128,436,742 %1.15 %89.288 L 565 UNUM GRP 97,235,225 %0.87 %90.159 L P 241 METROPOLITAN GRP 65,809,306 %0.59 %90.74
10 L 290 TORCHMARK CORP GRP 63,331,452 %0.57 %91.3111 H 4667 CVS CAREMARK GRP 58,717,805 %0.53 %91.8412 L 429 GUARDIAN LIFE GRP 51,554,878 %0.46 %92.3013 L 261 MUTUAL OF OMAHA GRP 47,337,227 %0.42 %92.7214 L 330 AMERICAN FIDELITY CORP GRP 40,892,380 %0.37 %93.0915 H 2479 DENTEGRA GRP 40,661,635 %0.36 %93.4516 L P 3098 TOKIO MARINE HOLDINGS INC GRP 34,428,836 %0.31 %93.7617 H 1189 VISION SERV PLAN GRP 33,254,894 %0.30 %94.0618 L P 468 AEGON US HOLDING GRP 31,996,918 %0.29 %94.3519 L 4011 GENWORTH FIN GRP 30,259,440 %0.27 %94.6220 H 4813 EXPRESS SCRIPTS HOLDING GRP 30,243,101 %0.27 %94.8921 L H 1199 WELLCARE GRP 29,306,182 %0.26 %95.1522 L 860 NORTHWESTERN MUT GRP 25,026,730 %0.22 %95.3723 L P 111 LIBERTY MUT GRP 23,513,836 %0.21 %95.5924 L P 23 BCS INS GRP 22,449,824 %0.20 %95.7925 L 91 HARTFORD FIRE & CAS GRP 22,343,938 %0.20 %95.9926 L 332 PRINCIPAL FIN GRP 21,700,087 %0.19 %96.1827 L 451 FIDELITY SECURITY GRP 20,508,029 %0.18 %96.3628 L 8 ALLSTATE INS GRP 20,397,059 %0.18 %96.5529 L 20 LINCOLN NATL GRP 19,712,563 %0.18 %96.7230 L 549 SUN LIFE ASSUR CO OF CN GRP 18,184,506 %0.16 %96.8931 P 176 STATE FARM GRP 17,738,662 %0.16 %97.0532 L 1348 MEIJI YASUDA LIFE INS GRP 16,642,489 %0.15 %97.1933 L 367 PHYSICIANS MUT GRP 13,367,060 %0.12 %97.3134 L 304 PRUDENTIAL OF AMER GRP 12,673,753 %0.11 %97.4335 L 661 BCBS OF SC GRP 12,541,417 %0.11 %97.5436 L H 812 HIGHMARK GRP 12,104,201 %0.11 %97.6537 L 904 JOHN HANCOCK GRP 11,765,852 %0.11 %97.7538 L 233 CNO FINANCIAL GRP 11,036,333 %0.10 %97.8539 L P 19 ASSURANT INC GRP 10,618,892 %0.10 %97.9540 L P 12 AMERICAN INTL GRP 10,261,776 %0.09 %98.0441 L 4832 VOYA FINANCIAL GRP 9,796,113 %0.09 %98.1342 L 943 AMERITAS MUT HOLDING GRP 9,665,257 %0.09 %98.2143 L 1211 NATIONAL GUARDIAN LIFE INS GRP 8,740,607 %0.08 %98.2944 L 4855 SUMITOMO LIFE INS GRP 8,702,208 %0.08 %98.3745 L 65412 LIFE INS CO OF AL 8,627,230 %0.08 %98.4546 H 47051 FIRST COMM HLTH PLAN INC 7,910,349 %0.07 %98.5247 L 520 NEW ERA LIFE GRP 7,749,481 %0.07 %98.5948 L 826 NEW YORK LIFE GRP 7,112,987 %0.06 %98.6549 L 4827 SOUTHLAND NATL HOLDING GRP 6,320,364 %0.06 %98.7150 L 435 MASS MUT LIFE INS GRP 6,316,022 %0.06 %98.7751 L 869 MINNESOTA MUT GRP 5,320,110 %0.05 %98.8152 L 306 CUNA MUT GRP 5,223,969 %0.05 %98.8653 L P 626 CHUBB LTD GRP 5,122,953 %0.05 %98.9154 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,819,889 %0.04 %98.9555 L 839 WESTBRIDGE CAPITAL GRP 4,747,099 %0.04 %98.9956 L 581 BOSTON MUT GRP 4,669,142 %0.04 %99.0357 L 215 KEMPER CORP GRP 4,652,839 %0.04 %99.0758 L 687 GUARANTEE TRUST GRP 3,954,048 %0.04 %99.1159 L 4483 NESTLE SA GRP 3,629,958 %0.03 %99.1460 L 1117 MANHATTAN LIFE GRP 3,610,522 %0.03 %99.1761 L 4 AMERIPRISE FIN GRP 3,295,347 %0.03 %99.2062 P 158 FAIRFAX FIN GRP 3,191,612 %0.03 %99.2363 P 796 QBE INS GRP 3,029,923 %0.03 %99.2664 L 71404 CONTINENTAL GEN INS CO 2,857,962 %0.03 %99.29
© 2018 National Association of Insurance Commissioners 19
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Alabama
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 876 ARKANSAS BCBS GRP 2,761,573 %0.02 %99.3166 L 4888 EQUITABLE FAMILY INS CO GRP 2,712,787 %0.02 %99.3367 H 1260 MAGELLAN HLTH INC GRP 2,678,806 %0.02 %99.3668 P 218 CNA INS GRP 2,672,409 %0.02 %99.3869 P 34568 CENTENNIAL CAS CO 2,635,862 %0.02 %99.4170 L 761 ALLIANZ INS GRP 2,568,271 %0.02 %99.4371 L 3527 AMERICAN ENTERPRISE MUT GRP 2,546,705 %0.02 %99.4572 L P 212 ZURICH INS GRP 2,312,543 %0.02 %99.4773 L 2538 AMTRUST NGH GRP 2,276,205 %0.02 %99.4974 L 619 ONEAMERICA FIN PARTNERS GRP 2,251,290 %0.02 %99.5175 H 12747 ENVISION INS CO 2,130,726 %0.02 %99.5376 L 458 PROTECTIVE LIFE INS GRP 2,088,777 %0.02 %99.5577 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,059,794 %0.02 %99.5778 P 1279 ARCH INS GRP 1,934,132 %0.02 %99.5979 L 917 HCSC GRP 1,794,810 %0.02 %99.6080 L 264 HEALTHMARKETS GRP 1,764,022 %0.02 %99.6281 P 31 BERKSHIRE HATHAWAY GRP 1,663,166 %0.01 %99.6382 L P 140 NATIONWIDE CORP GRP 1,632,941 %0.01 %99.6583 L 61921 CITIZENS SECURITY LIFE INS CO 1,544,212 %0.01 %99.6684 L 4853 AAA LIFE GRP 1,375,357 %0.01 %99.6785 L P 450 GENEVE HOLDINGS INC GRP 1,331,657 %0.01 %99.6986 L 316 NATIONAL SECURITY GRP 1,300,904 %0.01 %99.7087 F 56499 ASSURED LIFE ASSN 1,276,153 %0.01 %99.7188 P 4381 HOUSTON INTL INS GRP 1,269,829 %0.01 %99.7289 L 276 TRUSTMARK MUT HOLDING CO GRP 1,236,178 %0.01 %99.7390 L 11121 UNIFIED LIFE INS CO 1,223,284 %0.01 %99.7491 L 525 PAN AMER LIFE GRP 1,139,578 %0.01 %99.7592 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,106,876 %0.01 %99.7693 L 4815 RESOLUTION LIFE GRP 1,103,104 %0.01 %99.7794 L 4862 ASSURITY GRP 1,024,444 %0.01 %99.7895 P 1120 EVEREST REINS HOLDINGS GRP 962,393 %0.01 %99.7996 P 3483 PARTNERRE GRP 942,937 %0.01 %99.8097 L P 98 WR BERKLEY CORP GRP 940,612 %0.01 %99.8198 L 90638 BEST LIFE & HLTH INS CO 938,849 %0.01 %99.8299 L 769 GREAT WEST GRP 925,247 %0.01 %99.82
100 L 572 BCBS OF MI GRP 886,430 %0.01 %99.83101 L 968 AXA INS GRP 827,270 %0.01 %99.84102 L 1186 LIFETIME HLTHCARE GRP 809,691 %0.01 %99.85103 H 477 RENAISSANCE HLTH SERV CORP GRP 726,819 %0.01 %99.85104 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 699,328 %0.01 %99.86105 L P 7 FEDERATED MUT GRP 698,507 %0.01 %99.87106 H 4677 TENNESSEE RURAL HLTH GRP 690,022 %0.01 %99.87107 P 27928 AMEX ASSUR CO 679,947 %0.01 %99.88108 F 57320 WOODMEN WORLD LIFE INS SOC 669,311 %0.01 %99.88109 L 588 KANSAS CITY LIFE INS GRP 649,118 %0.01 %99.89110 L 704 OHIO NATL LIFE GRP 585,716 %0.01 %99.90111 P 4863 CHINA MINSHENG GRP 559,720 %0.01 %99.90112 L 5 ALFA INS GRP 544,518 %- %99.91113 L 4213 WILTON RE GRP 469,492 %- %99.91114 L 2858 HOMESHIELD CAPITAL GRP 444,253 %- %99.91115 L 634 NATIONAL LIFE GRP 442,396 %- %99.92116 L 280 AUTO OWNERS GRP 433,615 %- %99.92117 L 50 COUNTRY INS & FIN SERV GRP 409,066 %- %99.92118 L 4736 GGC GRP 398,949 %- %99.93119 L 64580 ILLINOIS MUT LIFE INS CO 382,676 %- %99.93120 L 4716 FORTRESS GRP 374,158 %- %99.94121 P 4904 INTACT FINANCIAL GRP 366,859 %- %99.94122 L 587 ATLANTIC AMER GRP 346,797 %- %99.94123 L 1216 TIAA FAMILY GRP 339,684 %- %99.94124 L 671 ANTHEM INC GRP 303,604 %- %99.95125 L 4712 GPM LIFE GRP 280,506 %- %99.95
**TOTAL** 11,164,222,235 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 20
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Alaska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 962 PREMERA BLUE CROSS GRP 832,242,961 %68.41 %68.412 L 1 AETNA GRP 94,295,297 %7.75 %76.163 L H 707 UNITEDHEALTH GRP 63,817,752 %5.25 %81.404 L H 901 CIGNA HLTH GRP 19,027,616 %1.56 %82.975 H 1313 OREGON DENTAL GRP 16,201,486 %1.33 %84.306 L P 3098 TOKIO MARINE HOLDINGS INC GRP 15,536,894 %1.28 %85.587 L 565 UNUM GRP 14,331,452 %1.18 %86.768 L 370 AFLAC GRP 11,958,636 %0.98 %87.749 L 241 METROPOLITAN GRP 11,149,095 %0.92 %88.66
10 L H 119 HUMANA GRP 10,724,753 %0.88 %89.5411 L 4832 VOYA FINANCIAL GRP 10,373,130 %0.85 %90.3912 L 549 SUN LIFE ASSUR CO OF CN GRP 8,906,812 %0.73 %91.1213 L P 468 AEGON US HOLDING GRP 8,575,239 %0.70 %91.8314 L 4855 SUMITOMO LIFE INS GRP 7,228,846 %0.59 %92.4215 L 332 PRINCIPAL FIN GRP 5,779,784 %0.48 %92.9016 L 429 GUARDIAN LIFE GRP 5,634,065 %0.46 %93.3617 L 781 UNION LABOR GRP 5,447,047 %0.45 %93.8118 H 917 HCSC GRP 5,328,283 %0.44 %94.2419 P 176 STATE FARM GRP 3,912,970 %0.32 %94.5720 L 4011 GENWORTH FIN GRP 3,877,942 %0.32 %94.8821 L 261 MUTUAL OF OMAHA GRP 3,260,984 %0.27 %95.1522 H 1189 VISION SERV PLAN GRP 3,012,709 %0.25 %95.4023 L 304 PRUDENTIAL OF AMER GRP 2,744,259 %0.23 %95.6324 L P 91 HARTFORD FIRE & CAS GRP 2,649,826 %0.22 %95.8425 H 12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU 2,158,861 %0.18 %96.0226 L 826 NEW YORK LIFE GRP 2,086,652 %0.17 %96.1927 L P 12 AMERICAN INTL GRP 2,077,996 %0.17 %96.3628 L 661 BCBS OF SC GRP 1,799,626 %0.15 %96.5129 L 330 AMERICAN FIDELITY CORP GRP 1,751,057 %0.14 %96.6630 P 796 QBE INS GRP 1,741,605 %0.14 %96.8031 L 869 MINNESOTA MUT GRP 1,725,375 %0.14 %96.9432 H 12747 ENVISION INS CO 1,712,925 %0.14 %97.0833 L 290 TORCHMARK CORP GRP 1,640,374 %0.13 %97.2234 P 4886 BENCHMARK HOLDING GRP 1,627,557 %0.13 %97.3535 L 904 JOHN HANCOCK GRP 1,606,045 %0.13 %97.4836 L 1348 MEIJI YASUDA LIFE INS GRP 1,512,132 %0.12 %97.6137 H 4667 CVS CAREMARK GRP 1,483,531 %0.12 %97.7338 L P 140 NATIONWIDE CORP GRP 1,426,482 %0.12 %97.8539 L 860 NORTHWESTERN MUT GRP 1,416,377 %0.12 %97.9640 L 19 ASSURANT INC GRP 1,311,226 %0.11 %98.0741 L P 626 CHUBB LTD GRP 1,296,078 %0.11 %98.1842 P 4863 CHINA MINSHENG GRP 1,289,440 %0.11 %98.2843 L 20 LINCOLN NATL GRP 1,273,567 %0.10 %98.3944 L 8 ALLSTATE INS GRP 1,242,692 %0.10 %98.4945 L P 98 WR BERKLEY CORP GRP 951,399 %0.08 %98.5746 L 876 ARKANSAS BCBS GRP 880,991 %0.07 %98.6447 L 111 LIBERTY MUT GRP 873,401 %0.07 %98.7148 P 158 FAIRFAX FIN GRP 857,513 %0.07 %98.7849 H 1199 WELLCARE GRP 843,016 %0.07 %98.8550 L 943 AMERITAS MUT HOLDING GRP 762,237 %0.06 %98.9151 L 276 TRUSTMARK MUT HOLDING CO GRP 760,974 %0.06 %98.9852 L 451 FIDELITY SECURITY GRP 743,549 %0.06 %99.0453 L 200 UNITED SERV AUTOMOBILE ASSN GRP 734,139 %0.06 %99.1054 P 218 CNA INS GRP 650,938 %0.05 %99.1555 L P 450 GENEVE HOLDINGS INC GRP 645,608 %0.05 %99.2056 L P 23 BCS INS GRP 584,971 %0.05 %99.2557 L 306 CUNA MUT GRP 571,035 %0.05 %99.3058 L 2538 AMTRUST NGH GRP 565,900 %0.05 %99.3559 H 4813 EXPRESS SCRIPTS HOLDING GRP 548,532 %0.05 %99.3960 H 2479 DENTEGRA GRP 504,835 %0.04 %99.4361 P 361 MUNICH RE GRP 468,802 %0.04 %99.4762 L 4483 NESTLE SA GRP 429,083 %0.04 %99.5163 P 3483 PARTNERRE GRP 417,571 %0.03 %99.5464 P 4381 HOUSTON INTL INS GRP 391,173 %0.03 %99.57
© 2018 National Association of Insurance Commissioners 21
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Alaska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 354,689 %0.03 %99.6066 L 435 MASS MUT LIFE INS GRP 311,637 %0.03 %99.6367 P 31 BERKSHIRE HATHAWAY GRP 294,715 %0.02 %99.6568 L 761 ALLIANZ INS GRP 293,320 %0.02 %99.6869 L 367 PHYSICIANS MUT GRP 275,837 %0.02 %99.7070 L 264 HEALTHMARKETS GRP 246,797 %0.02 %99.7271 L 233 CNO FINANCIAL GRP 242,624 %0.02 %99.7472 L 769 GREAT WEST GRP 225,299 %0.02 %99.7673 L 572 BCBS OF MI GRP 219,442 %0.02 %99.7874 L 4815 RESOLUTION LIFE GRP 164,571 %0.01 %99.7975 L 90638 BEST LIFE & HLTH INS CO 155,404 %0.01 %99.8076 L 50 COUNTRY INS & FIN SERV GRP 137,810 %0.01 %99.8177 H 477 RENAISSANCE HLTH SERV CORP GRP 128,171 %0.01 %99.8278 L 588 KANSAS CITY LIFE INS GRP 125,256 %0.01 %99.8379 L 690 CENTRAL STATES GRP 118,389 %0.01 %99.8480 P 27928 AMEX ASSUR CO 115,659 %0.01 %99.8581 L 4 AMERIPRISE FIN GRP 112,781 %0.01 %99.8682 L 4853 AAA LIFE GRP 108,929 %0.01 %99.8783 P 181 SWISS RE GRP 105,373 %0.01 %99.8884 L 968 AXA INS GRP 102,060 %0.01 %99.8985 L 71404 CONTINENTAL GEN INS CO 91,289 %0.01 %99.9086 L 4862 ASSURITY GRP 87,142 %0.01 %99.9087 L 458 PROTECTIVE LIFE INS GRP 85,317 %0.01 %99.9188 P 1279 ARCH INS GRP 82,446 %0.01 %99.9289 P 3416 AXIS CAPITAL GRP 78,156 %0.01 %99.9290 L 1186 LIFETIME HLTHCARE GRP 60,430 %- %99.9391 L 76325 SENIOR HLTH INS CO OF PA 50,148 %- %99.9392 L 3527 AMERICAN ENTERPRISE MUT GRP 48,676 %- %99.9493 P 4670 STARR GRP 44,215 %- %99.9494 L P 212 ZURICH INS GRP 43,364 %- %99.9495 L 4716 FORTRESS GRP 42,823 %- %99.9596 L 4888 EQUITABLE FAMILY INS CO GRP 36,621 %- %99.9597 F 58033 KNIGHTS OF COLUMBUS 34,711 %- %99.9598 L 587 ATLANTIC AMER GRP 32,286 %- %99.9699 L 350 GENERAL ELECTRIC GRP 31,234 %- %99.96
100 L 88668 MUTUAL OF AMER LIFE INS CO 31,027 %- %99.96101 L 918 JACKSON NATL GRP 29,783 %- %99.96102 P 1285 XL AMER GRP 28,015 %- %99.97103 L 3891 GOLDMAN SACHS GRP 24,773 %- %99.97104 L 1211 NATIONAL GUARDIAN LIFE INS GRP 24,534 %- %99.97105 L 4734 ATHENE GRP 23,898 %- %99.97106 L 4736 GGC GRP 23,392 %- %99.97107 L 449 FINANCIAL HOLDINGS GRP 22,195 %- %99.98108 L 215 KEMPER CORP GRP 19,724 %- %99.98109 L 1117 MANHATTAN LIFE GRP 18,526 %- %99.98110 L 300 HORACE MANN GRP 18,433 %- %99.98111 L 687 GUARANTEE TRUST GRP 17,504 %- %99.98112 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 15,721 %- %99.98113 P 785 MARKEL CORP GRP 14,648 %- %99.98114 L 574 AMERCO CORP GRP 14,613 %- %99.98115 L 850 PENN MUT GRP 14,555 %- %99.99116 L 408 AMERICAN NATL FIN GRP 12,047 %- %99.99117 L 634 NATIONAL LIFE GRP 11,842 %- %99.99118 L 525 PAN AMER LIFE GRP 11,739 %- %99.99119 L 704 OHIO NATL LIFE GRP 11,341 %- %99.99120 L P 169 SENTRY INS GRP 9,539 %- %99.99121 H 812 HIGHMARK GRP 9,097 %- %99.99122 L 1216 TIAA FAMILY GRP 8,512 %- %99.99123 L 64580 ILLINOIS MUT LIFE INS CO 8,008 %- %99.99124 L 440 REGAL REINS GRP 7,492 %- %99.99125 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 7,473 %- %99.99
**TOTAL** 1,216,580,421 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 22
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Arizona
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 3,367,617,057 %29.12 %29.122 H 53589 BCBS OF AZ INC 2,125,316,861 %18.38 %47.503 L H 1295 CENTENE CORP GRP 1,133,140,598 %9.80 %57.304 L H 901 CIGNA HLTH GRP 909,844,394 %7.87 %65.175 L H 119 HUMANA GRP 814,779,007 %7.05 %72.216 L H 1 AETNA GRP 695,097,693 %6.01 %78.227 H 95982 MEDISUN INC 658,689,082 %5.70 %83.928 L H 671 ANTHEM INC GRP 148,940,305 %1.29 %85.219 L 241 METROPOLITAN GRP 145,226,719 %1.26 %86.46
10 L 261 MUTUAL OF OMAHA GRP 117,172,334 %1.01 %87.4811 L 565 UNUM GRP 85,021,767 %0.74 %88.2112 L 370 AFLAC GRP 80,639,788 %0.70 %88.9113 H 3658 DELTA DENTAL PLAN OF AZ GRP 78,055,859 %0.67 %89.5814 L H 429 GUARDIAN LIFE GRP 68,240,853 %0.59 %90.1715 L 4011 GENWORTH FIN GRP 47,582,282 %0.41 %90.5816 L P 468 AEGON US HOLDING GRP 44,349,404 %0.38 %90.9717 L P 19 ASSURANT INC GRP 44,195,504 %0.38 %91.3518 L P 91 HARTFORD FIRE & CAS GRP 41,791,945 %0.36 %91.7119 H 4667 CVS CAREMARK GRP 39,063,075 %0.34 %92.0520 L 332 PRINCIPAL FIN GRP 37,260,791 %0.32 %92.3721 H 1189 VISION SERV PLAN GRP 32,930,491 %0.28 %92.6622 L 904 JOHN HANCOCK GRP 31,565,467 %0.27 %92.9323 L 367 PHYSICIANS MUT GRP 30,880,994 %0.27 %93.2024 L H 549 SUN LIFE ASSUR CO OF CN GRP 27,270,996 %0.24 %93.4325 L 304 PRUDENTIAL OF AMER GRP 27,210,766 %0.24 %93.6726 L 4832 VOYA FINANCIAL GRP 26,179,346 %0.23 %93.8927 L P 626 CHUBB LTD GRP 21,179,213 %0.18 %94.0828 L P 111 LIBERTY MUT GRP 20,962,832 %0.18 %94.2629 L 233 CNO FINANCIAL GRP 20,754,069 %0.18 %94.4430 L 20 LINCOLN NATL GRP 20,694,381 %0.18 %94.6231 L 860 NORTHWESTERN MUT GRP 20,491,079 %0.18 %94.7932 L 2538 AMTRUST NGH GRP 19,784,735 %0.17 %94.9633 L 3527 AMERICAN ENTERPRISE MUT GRP 18,971,657 %0.16 %95.1334 L 1348 MEIJI YASUDA LIFE INS GRP 18,911,952 %0.16 %95.2935 L H 661 BCBS OF SC GRP 18,782,790 %0.16 %95.4536 L P 450 GENEVE HOLDINGS INC GRP 18,702,244 %0.16 %95.6237 L 4855 SUMITOMO LIFE INS GRP 18,305,253 %0.16 %95.7738 L P 3098 TOKIO MARINE HOLDINGS INC GRP 18,295,188 %0.16 %95.9339 L 839 WESTBRIDGE CAPITAL GRP 18,248,717 %0.16 %96.0940 P 176 STATE FARM GRP 17,202,530 %0.15 %96.2441 L 200 UNITED SERV AUTOMOBILE ASSN GRP 16,910,327 %0.15 %96.3942 L 943 AMERITAS MUT HOLDING GRP 16,783,877 %0.15 %96.5343 L 451 FIDELITY SECURITY GRP 15,996,050 %0.14 %96.6744 L P 12 AMERICAN INTL GRP 14,794,609 %0.13 %96.8045 H 47012 SIGHTCARE INC 14,415,685 %0.12 %96.9246 L P 181 SWISS RE GRP 14,073,673 %0.12 %97.0447 L H 1199 WELLCARE GRP 13,814,699 %0.12 %97.1648 H 4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 13,150,699 %0.11 %97.2849 H 126 EDUCATORS MUT GRP 12,972,022 %0.11 %97.3950 L 290 TORCHMARK CORP GRP 12,291,603 %0.11 %97.4951 L H 812 HIGHMARK GRP 11,607,348 %0.10 %97.6052 L 8 ALLSTATE INS GRP 11,527,517 %0.10 %97.7053 L 435 MASS MUT LIFE INS GRP 9,840,737 %0.09 %97.7854 L 408 AMERICAN NATL FIN GRP 9,181,079 %0.08 %97.8655 H 2479 DENTEGRA GRP 9,028,615 %0.08 %97.9456 L 98 WR BERKLEY CORP GRP 8,885,693 %0.08 %98.0157 H 53090 EMPLOYERS DENTAL SERV 8,878,014 %0.08 %98.0958 L 869 MINNESOTA MUT GRP 8,858,092 %0.08 %98.1759 H 12747 ENVISION INS CO 8,711,024 %0.08 %98.2460 H 4813 EXPRESS SCRIPTS HOLDING GRP 8,662,358 %0.07 %98.3261 P 218 CNA INS GRP 8,491,979 %0.07 %98.3962 L P 31 BERKSHIRE HATHAWAY GRP 8,289,978 %0.07 %98.4663 L 826 NEW YORK LIFE GRP 7,732,332 %0.07 %98.5364 L 1117 MANHATTAN LIFE GRP 7,502,204 %0.06 %98.59
© 2018 National Association of Insurance Commissioners 23
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Arizona
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4888 EQUITABLE FAMILY INS CO GRP 7,302,035 %0.06 %98.6666 L P 140 NATIONWIDE CORP GRP 7,029,103 %0.06 %98.7267 L 264 HEALTHMARKETS GRP 6,334,063 %0.05 %98.7768 L 330 AMERICAN FIDELITY CORP GRP 6,222,201 %0.05 %98.8369 L 4 AMERIPRISE FIN GRP 5,764,074 %0.05 %98.8870 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 5,662,225 %0.05 %98.9371 L H 917 HCSC GRP 5,581,106 %0.05 %98.9772 L 276 TRUSTMARK MUT HOLDING CO GRP 5,512,822 %0.05 %99.0273 P 4904 INTACT FINANCIAL GRP 5,482,718 %0.05 %99.0774 L 4483 NESTLE SA GRP 5,241,507 %0.05 %99.1175 L 587 ATLANTIC AMER GRP 5,014,595 %0.04 %99.1676 L 215 KEMPER CORP GRP 4,961,404 %0.04 %99.2077 L 761 ALLIANZ INS GRP 4,947,247 %0.04 %99.2478 L 306 CUNA MUT GRP 4,569,219 %0.04 %99.2879 L P 212 ZURICH INS GRP 4,159,744 %0.04 %99.3280 H 1260 MAGELLAN HLTH INC GRP 4,139,801 %0.04 %99.3681 H 15238 COMPREHENSIVE MOBILE INS CO INC 4,007,478 %0.03 %99.3982 P 4381 HOUSTON INTL INS GRP 3,209,697 %0.03 %99.4283 P 3483 PARTNERRE GRP 3,085,546 %0.03 %99.4484 L 4824 ADVANTAGE CAPITAL GRP 2,616,532 %0.02 %99.4785 L P 23 BCS INS GRP 2,517,871 %0.02 %99.4986 L 520 NEW ERA LIFE GRP 2,435,042 %0.02 %99.5187 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,386,740 %0.02 %99.5388 P 158 FAIRFAX FIN GRP 2,318,487 %0.02 %99.5589 L P 84 AMERICAN FINANCIAL GRP 2,301,273 %0.02 %99.5790 L 687 GUARANTEE TRUST GRP 1,946,477 %0.02 %99.5991 L 2858 HOMESHIELD CAPITAL GRP 1,914,743 %0.02 %99.6092 P 361 MUNICH RE GRP 1,891,139 %0.02 %99.6293 L 11121 UNIFIED LIFE INS CO 1,871,227 %0.02 %99.6494 L 71404 CONTINENTAL GEN INS CO 1,854,782 %0.02 %99.6595 L 76325 SENIOR HLTH INS CO OF PA 1,825,556 %0.02 %99.6796 L 4853 AAA LIFE GRP 1,794,094 %0.02 %99.6897 L 4712 GPM LIFE GRP 1,788,746 %0.02 %99.7098 F 56693 GCU 1,777,158 %0.02 %99.7199 H 477 RENAISSANCE HLTH SERV CORP GRP 1,675,666 %0.01 %99.73
100 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,665,898 %0.01 %99.74101 L 50 COUNTRY INS & FIN SERV GRP 1,421,698 %0.01 %99.76102 P 1120 EVEREST REINS HOLDINGS GRP 1,325,699 %0.01 %99.77103 L 4862 ASSURITY GRP 1,323,430 %0.01 %99.78104 F 56499 ASSURED LIFE ASSN 1,288,691 %0.01 %99.79105 P 4670 STARR GRP 1,255,856 %0.01 %99.80106 L 1186 LIFETIME HLTHCARE GRP 1,250,209 %0.01 %99.81107 F 57657 ROYAL NEIGHBORS OF AMER 1,126,598 %0.01 %99.82108 P 796 QBE INS GRP 1,106,801 %0.01 %99.83109 L 535 COLUMBIAN LIFE GRP 1,093,478 %0.01 %99.84110 L 769 GREAT WEST GRP 1,084,456 %0.01 %99.85111 P 4863 CHINA MINSHENG GRP 1,041,362 %0.01 %99.86112 P 27928 AMEX ASSUR CO 1,037,760 %0.01 %99.87113 P 473 AMERICAN FAMILY INS GRP 983,210 %0.01 %99.88114 L 4815 RESOLUTION LIFE GRP 982,593 %0.01 %99.88115 P 3416 AXIS CAPITAL GRP 886,882 %0.01 %99.89116 L 525 PAN AMER LIFE GRP 775,318 %0.01 %99.90117 L 918 JACKSON NATL GRP 735,693 %0.01 %99.91118 F 58033 KNIGHTS OF COLUMBUS 694,961 %0.01 %99.91119 L 64580 ILLINOIS MUT LIFE INS CO 669,988 %0.01 %99.92120 H 68420 WMI MUT INS CO 666,946 %0.01 %99.92121 L 588 KANSAS CITY LIFE INS GRP 661,284 %0.01 %99.93122 L 781 UNION LABOR GRP 660,924 %0.01 %99.93123 L 3891 GOLDMAN SACHS GRP 612,977 %0.01 %99.94124 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 553,670 %- %99.94125 H 4512 DENTAQUEST GRP 542,194 %- %99.95
**TOTAL** 11,564,237,672 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 24
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Arkansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 876 ARKANSAS BCBS GRP 2,781,919,549 %44.96 %44.962 L H 707 UNITEDHEALTH GRP 959,384,027 %15.50 %60.463 L H 119 HUMANA GRP 488,392,227 %7.89 %68.364 H 1295 CENTENE CORP GRP 380,826,585 %6.15 %74.515 H 4807 CATHOLIC HLTH INITIATIVES GRP 326,859,028 %5.28 %79.796 L H 1199 WELLCARE GRP 177,982,961 %2.88 %82.677 L H 1 AETNA GRP 143,223,682 %2.31 %84.988 H 47155 DELTA DENTAL PLAN OF AR INC 127,398,964 %2.06 %87.049 L H 901 CIGNA HLTH GRP 70,333,742 %1.14 %88.18
10 L 370 AFLAC GRP 69,884,834 %1.13 %89.3111 L 565 UNUM GRP 58,113,166 %0.94 %90.2512 H 4667 CVS CAREMARK GRP 51,192,405 %0.83 %91.0713 L 261 MUTUAL OF OMAHA GRP 35,617,128 %0.58 %91.6514 L P 241 METROPOLITAN GRP 30,752,769 %0.50 %92.1515 L H 917 HCSC GRP 24,769,482 %0.40 %92.5516 L P 3098 TOKIO MARINE HOLDINGS INC GRP 20,842,450 %0.34 %92.8817 L P 468 AEGON US HOLDING GRP 17,833,994 %0.29 %93.1718 L 429 GUARDIAN LIFE GRP 17,472,727 %0.28 %93.4619 L 8 ALLSTATE INS GRP 17,215,897 %0.28 %93.7320 L 4011 GENWORTH FIN GRP 15,383,742 %0.25 %93.9821 L 233 CNO FINANCIAL GRP 14,316,603 %0.23 %94.2122 L 20 LINCOLN NATL GRP 14,010,790 %0.23 %94.4423 L 290 TORCHMARK CORP GRP 13,881,279 %0.22 %94.6624 L 332 PRINCIPAL FIN GRP 13,705,795 %0.22 %94.8925 L P 111 LIBERTY MUT GRP 12,929,234 %0.21 %95.0926 L 330 AMERICAN FIDELITY CORP GRP 12,122,000 %0.20 %95.2927 L 1348 MEIJI YASUDA LIFE INS GRP 12,109,883 %0.20 %95.4928 L 860 NORTHWESTERN MUT GRP 11,845,829 %0.19 %95.6829 H 15135 ARKANSAS SUPERIOR SELECT INC 11,582,470 %0.19 %95.8630 L P 91 HARTFORD FIRE & CAS GRP 10,390,870 %0.17 %96.0331 L 304 PRUDENTIAL OF AMER GRP 9,753,664 %0.16 %96.1932 P 176 STATE FARM GRP 9,521,335 %0.15 %96.3433 L P 212 ZURICH INS GRP 9,233,924 %0.15 %96.4934 L 1211 NATIONAL GUARDIAN LIFE INS GRP 8,682,926 %0.14 %96.6335 L 4832 VOYA FINANCIAL GRP 8,251,277 %0.13 %96.7736 P 4863 CHINA MINSHENG GRP 8,093,922 %0.13 %96.9037 L 904 JOHN HANCOCK GRP 7,913,525 %0.13 %97.0338 L 67326 OLD SURETY LIFE INS CO 7,644,075 %0.12 %97.1539 L 4855 SUMITOMO LIFE INS GRP 6,934,818 %0.11 %97.2640 L P 626 CHUBB LTD GRP 6,769,555 %0.11 %97.3741 L P 12 AMERICAN INTL GRP 6,756,077 %0.11 %97.4842 P 158 FAIRFAX FIN GRP 6,101,769 %0.10 %97.5843 L 61921 CITIZENS SECURITY LIFE INS CO 5,446,064 %0.09 %97.6744 L P 7 FEDERATED MUT GRP 5,348,095 %0.09 %97.7545 L 943 AMERITAS MUT HOLDING GRP 5,292,276 %0.09 %97.8446 P 796 QBE INS GRP 5,132,712 %0.08 %97.9247 L 839 WESTBRIDGE CAPITAL GRP 5,072,803 %0.08 %98.0048 L 1117 MANHATTAN LIFE GRP 4,938,822 %0.08 %98.0849 H 4813 EXPRESS SCRIPTS HOLDING GRP 4,928,626 %0.08 %98.1650 L P 19 ASSURANT INC GRP 4,861,383 %0.08 %98.2451 L 549 SUN LIFE ASSUR CO OF CN GRP 4,107,259 %0.07 %98.3152 L 276 TRUSTMARK MUT HOLDING CO GRP 3,925,200 %0.06 %98.3753 L 215 KEMPER CORP GRP 3,790,694 %0.06 %98.4354 L 687 GUARANTEE TRUST GRP 3,711,506 %0.06 %98.4955 L 619 ONEAMERICA FIN PARTNERS GRP 3,697,728 %0.06 %98.5556 L 826 NEW YORK LIFE GRP 3,520,929 %0.06 %98.6157 L 3527 AMERICAN ENTERPRISE MUT GRP 3,423,792 %0.06 %98.6658 L 367 PHYSICIANS MUT GRP 3,413,316 %0.06 %98.7259 L P 31 BERKSHIRE HATHAWAY GRP 3,292,419 %0.05 %98.7760 P 218 CNA INS GRP 3,073,619 %0.05 %98.8261 L 520 NEW ERA LIFE GRP 2,935,532 %0.05 %98.8762 L 451 FIDELITY SECURITY GRP 2,933,416 %0.05 %98.9263 L 71404 CONTINENTAL GEN INS CO 2,443,555 %0.04 %98.9664 L 4888 EQUITABLE FAMILY INS CO GRP 2,392,525 %0.04 %99.00
© 2018 National Association of Insurance Commissioners 25
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Arkansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 181 SWISS RE GRP 2,315,342 %0.04 %99.0366 L 98 WR BERKLEY CORP GRP 2,301,993 %0.04 %99.0767 L 4483 NESTLE SA GRP 2,260,548 %0.04 %99.1168 L 435 MASS MUT LIFE INS GRP 2,154,008 %0.03 %99.1469 L P 23 BCS INS GRP 2,062,002 %0.03 %99.1770 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 2,018,762 %0.03 %99.2171 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,934,485 %0.03 %99.2472 L 869 MINNESOTA MUT GRP 1,930,241 %0.03 %99.2773 H 1260 MAGELLAN HLTH INC GRP 1,928,674 %0.03 %99.3074 L 123 SHELTER INS GRP 1,802,739 %0.03 %99.3375 L 4 AMERIPRISE FIN GRP 1,764,520 %0.03 %99.3676 L 306 CUNA MUT GRP 1,695,135 %0.03 %99.3977 F 56499 ASSURED LIFE ASSN 1,692,348 %0.03 %99.4178 L P 140 NATIONWIDE CORP GRP 1,465,531 %0.02 %99.4479 L 574 AMERCO CORP GRP 1,438,665 %0.02 %99.4680 P 3416 AXIS CAPITAL GRP 1,409,301 %0.02 %99.4881 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,399,142 %0.02 %99.5182 L 4736 GGC GRP 1,291,023 %0.02 %99.5383 L 66214 HEARTLAND NATL LIFE INS CO 1,249,100 %0.02 %99.5584 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,212,308 %0.02 %99.5785 L 761 ALLIANZ INS GRP 1,207,833 %0.02 %99.5986 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,173,141 %0.02 %99.6087 L 11121 UNIFIED LIFE INS CO 1,111,594 %0.02 %99.6288 L 4764 RESERVOIR CAPITAL GRP 1,027,054 %0.02 %99.6489 H 2479 DENTEGRA GRP 1,009,257 %0.02 %99.6690 L 65412 LIFE INS CO OF AL 1,008,946 %0.02 %99.6791 L 4824 ADVANTAGE CAPITAL GRP 966,671 %0.02 %99.6992 H 12747 ENVISION INS CO 876,859 %0.01 %99.7093 L 2538 AMTRUST NGH GRP 802,559 %0.01 %99.7194 L 661 BCBS OF SC GRP 779,537 %0.01 %99.7395 L 4213 WILTON RE GRP 757,715 %0.01 %99.7496 L 69132 STATE MUT INS CO 749,839 %0.01 %99.7597 L 587 ATLANTIC AMER GRP 715,408 %0.01 %99.7698 L 4862 ASSURITY GRP 715,240 %0.01 %99.7899 L 588 KANSAS CITY LIFE INS GRP 662,940 %0.01 %99.79
100 L H 812 HIGHMARK GRP 651,689 %0.01 %99.80101 L 525 PAN AMER LIFE GRP 641,729 %0.01 %99.81102 L 408 AMERICAN NATL FIN GRP 606,351 %0.01 %99.82103 L 781 UNION LABOR GRP 564,027 %0.01 %99.83104 L 264 HEALTHMARKETS GRP 561,990 %0.01 %99.83105 L 4853 AAA LIFE GRP 547,676 %0.01 %99.84106 L 769 GREAT WEST GRP 502,365 %0.01 %99.85107 P 4381 HOUSTON INTL INS GRP 459,756 %0.01 %99.86108 H 477 RENAISSANCE HLTH SERV CORP GRP 446,219 %0.01 %99.87109 L P 450 GENEVE HOLDINGS INC GRP 444,364 %0.01 %99.87110 L 76325 SENIOR HLTH INS CO OF PA 433,239 %0.01 %99.88111 L 1186 LIFETIME HLTHCARE GRP 409,993 %0.01 %99.89112 F 57320 WOODMEN WORLD LIFE INS SOC 396,654 %0.01 %99.89113 L 4712 GPM LIFE GRP 395,934 %0.01 %99.90114 L 4815 RESOLUTION LIFE GRP 338,860 %0.01 %99.91115 F 58033 KNIGHTS OF COLUMBUS 329,772 %0.01 %99.91116 F 57657 ROYAL NEIGHBORS OF AMER 327,040 %0.01 %99.92117 L 4826 ECG GRP 314,468 %0.01 %99.92118 L 572 BCBS OF MI GRP 302,297 %- %99.93119 L 581 BOSTON MUT GRP 288,023 %- %99.93120 L 918 JACKSON NATL GRP 287,771 %- %99.94121 P 27928 AMEX ASSUR CO 285,875 %- %99.94122 L 64580 ILLINOIS MUT LIFE INS CO 248,035 %- %99.94123 L 704 OHIO NATL LIFE GRP 234,631 %- %99.95124 L 968 AXA INS GRP 226,984 %- %99.95125 L 458 PROTECTIVE LIFE INS GRP 217,170 %- %99.95
**TOTAL** 6,187,781,889 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 26
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
California
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H CA 601 KAISER FOUNDATION GRP 67,731,157,696 %34.02 %34.022 CA BLUE CROSS OF CALIFORNIA 16,792,304,000 %8.43 %42.453 CA CALIFORNIA PHYSICIANS' SERVICE 14,240,631,000 %7.15 %49.604 CA LOCAL INITIATIVE HEALTH AUTHORITY FO 8,764,306,903 %4.40 %54.005 CA HEALTH NET COMMUNITY SOLUTIONS, INC. 7,518,750,097 %3.78 %57.786 CA UHC OF CALIFORNIA 6,605,852,000 %3.32 %61.107 CA HEALTH NET OF CALIFORNIA, INC. 6,300,201,947 %3.16 %64.268 CA INLAND EMPIRE HEALTH PLAN 4,872,370,767 %2.45 %66.719 L H CA 707 UNITEDHEALTH GRP 4,535,514,809 %2.28 %68.99
10 CA DELTA DENTAL OF CALIFORNIA 3,745,394,000 %1.88 %70.8711 CA ORANGE COUNTY HEALTH AUTHORITY 3,549,461,861 %1.78 %72.6512 L CA 1 AETNA GRP 3,530,048,587 %1.77 %74.4213 L H CA 671 ANTHEM INC GRP 2,944,774,218 %1.48 %75.9014 CA 1531 MOLINA HEALTHCARE INC GRP 2,829,678,561 %1.42 %77.3215 CA HERITAGE PROVIDER NETWORK, INC. 2,714,180,691 %1.36 %78.6916 L H CA 901 CIGNA HLTH GRP 2,687,155,908 %1.35 %80.0417 CA SCAN HEALTH PLAN 2,563,220,000 %1.29 %81.3218 CA PARTNERSHIP HEALTHPLAN OF CALIFORNIA 2,511,644,387 %1.26 %82.5819 L H 2798 BLUE SHIELD OF CA GRP 2,329,991,218 %1.17 %83.7520 CA DAVITA HEALTH PLAN OF CALIFORNIA, IN 1,858,045,252 %0.93 %84.6921 CA SANTA CLARA COUNTY HEALTH AUTHORITY 1,471,920,000 %0.74 %85.4322 CA COMMUNITY HEALTH GROUP 1,178,149,195 %0.59 %86.0223 L H 119 HUMANA GRP 1,154,710,572 %0.58 %86.6024 CA FRESNO-KINGS-MADERA REGIONAL HEALTH 1,135,866,108 %0.57 %87.1725 CA SANTA CRUZ-MONTEREY-MERCED MANAGED M 1,129,948,166 %0.57 %87.7426 CA SAN JOAQUIN COUNTY HEALTH COMMISSION 1,013,930,013 %0.51 %88.2527 CA 1189 VISION SERV PLAN GRP 914,872,195 %0.46 %88.7028 CA SAN MATEO HEALTH COMMISSION 906,421,024 %0.46 %89.1629 CA PRIMECARE MEDICAL NETWORK, INC. 894,362,778 %0.45 %89.6130 CA ALAMEDA ALLIANCE FOR HEALTH 888,536,378 %0.45 %90.0631 L H 1295 CENTENE CORP GRP 887,581,105 %0.45 %90.5032 L H CA 241 METROPOLITAN GRP 831,759,114 %0.42 %90.9233 CA CONTRA COSTA COUNTY MEDICAL SERVICES 737,812,719 %0.37 %91.2934 CA WESTERN HEALTH ADVANTAGE 725,450,574 %0.36 %91.6535 CA KERN HEALTH SYSTEMS 719,853,000 %0.36 %92.0236 CA SANTA BARBARA SAN LUIS OBISPO REGION 704,182,549 %0.35 %92.3737 CA SHARP HEALTH PLAN 686,325,197 %0.34 %92.7138 CA MONARCH HEALTH PLAN 669,360,734 %0.34 %93.0539 CA CALIFORNIA HEALTH AND WELLNESS PLAN 627,663,152 %0.32 %93.3740 CA SAN FRANCISCO COMMUNITY HEALTH AUTHO 613,358,625 %0.31 %93.6741 CA SCRIPPS HEALTH PLAN SERVICES, INC. 581,877,932 %0.29 %93.9742 L 565 UNUM GRP 564,023,936 %0.28 %94.2543 L H 429 GUARDIAN LIFE GRP 561,828,226 %0.28 %94.5344 CA SANTA CLARA COUNTY 506,652,895 %0.25 %94.7945 L 370 AFLAC GRP 411,252,763 %0.21 %94.9946 CA EPIC HEALTH PLAN 388,417,046 %0.20 %95.1947 CA CENTRAL HEALTH PLAN OF CALIFORNIA, I 364,415,657 %0.18 %95.3748 CA ALIGNMENT HEALTH PLAN 361,378,101 %0.18 %95.5549 H 4667 CVS CAREMARK GRP 356,587,081 %0.18 %95.7350 CA EASY CHOICE HEALTH PLAN, INC. 352,230,695 %0.18 %95.9151 CA 15107 SUTTER HLTH PLAN 319,784,555 %0.16 %96.0752 L 4011 GENWORTH FIN GRP 294,696,807 %0.15 %96.2253 CA INTER VALLEY HEALTH PLAN 270,938,343 %0.14 %96.3554 CA HUMAN AFFAIRS INTERNATIONAL OF CALIF 263,914,025 %0.13 %96.4855 L 332 PRINCIPAL FIN GRP 235,961,331 %0.12 %96.6056 L 1348 MEIJI YASUDA LIFE INS GRP 235,366,430 %0.12 %96.7257 L 4832 VOYA FINANCIAL GRP 213,987,783 %0.11 %96.8358 L H CA 812 HIGHMARK GRP 194,938,082 %0.10 %96.9359 CA AIDS HEALTHCARE FOUNDATION 191,779,326 %0.10 %97.0260 L P 111 LIBERTY MUT GRP 184,274,255 %0.09 %97.1261 CA DIGNITY HEALTH PROVIDER RESOURCES, I 183,608,833 %0.09 %97.2162 L P 468 AEGON US HOLDING GRP 175,631,102 %0.09 %97.3063 CA UNIVERSAL CARE, INC. 173,493,171 %0.09 %97.3864 CA WESTERN DENTAL SERVICES, INC. 171,013,185 %0.09 %97.47
© 2018 National Association of Insurance Commissioners 27
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
California
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 330 AMERICAN FIDELITY CORP GRP 152,449,477 %0.08 %97.5566 L 261 MUTUAL OF OMAHA GRP 149,579,534 %0.08 %97.6267 CA ON LOK SENIOR HEALTH SERVICES 145,208,648 %0.07 %97.6968 L P 3098 TOKIO MARINE HOLDINGS INC GRP 138,464,509 %0.07 %97.7669 CA CHINESE COMMUNITY HEALTH PLAN 136,106,413 %0.07 %97.8370 L P 91 HARTFORD FIRE & CAS GRP 134,698,679 %0.07 %97.9071 CA PROSPECT HEALTH PLAN, INC. 133,191,344 %0.07 %97.9772 L 860 NORTHWESTERN MUT GRP 128,796,688 %0.06 %98.0373 L P 12 AMERICAN INTL GRP 125,177,774 %0.06 %98.0974 CA ENVOLVE VISION, INC. 117,676,267 %0.06 %98.1575 L 304 PRUDENTIAL OF AMER GRP 114,284,704 %0.06 %98.2176 L 81264 NIPPON LIFE INS CO OF AMER 112,948,253 %0.06 %98.2777 L 549 SUN LIFE ASSUR CO OF CN GRP 112,089,037 %0.06 %98.3278 L 904 JOHN HANCOCK GRP 111,388,036 %0.06 %98.3879 CA PROVIDENCE HEALTH NETWORK 108,655,949 %0.05 %98.4380 L 20 LINCOLN NATL GRP 105,013,612 %0.05 %98.4981 CA 3502 AMERICAN SPECIALTY GRP 100,054,086 %0.05 %98.5482 L P 626 CHUBB LTD GRP 99,633,090 %0.05 %98.5983 L P CA 19 ASSURANT INC GRP 97,976,389 %0.05 %98.6484 L 943 AMERITAS MUT HOLDING GRP 94,182,239 %0.05 %98.6885 CA BROWN AND TOLAND HEALTH SERVICES 93,923,013 %0.05 %98.7386 P 176 STATE FARM GRP 91,017,156 %0.05 %98.7887 L 233 CNO FINANCIAL GRP 88,178,027 %0.04 %98.8288 CA U. S. BEHAVIORAL HEALTH PLAN, CALIFO 87,971,207 %0.04 %98.8689 CA BAY AREA ACCOUNTABLE CARE NETWORK, I 87,609,233 %0.04 %98.9190 CA SISTEMAS MEDICOS NACIONALES, S.A.DE 83,377,393 %0.04 %98.9591 CA COUNTY OF VENTURA 71,142,878 %0.04 %98.9992 CA 4692 LIBERTY DENTAL PLAN GRP 69,645,638 %0.03 %99.0293 L H 1199 WELLCARE GRP 67,418,824 %0.03 %99.0694 L 826 NEW YORK LIFE GRP 60,799,192 %0.03 %99.0995 L 435 MASS MUT LIFE INS GRP 59,714,963 %0.03 %99.1296 L 4855 SUMITOMO LIFE INS GRP 59,382,541 %0.03 %99.1597 L 451 FIDELITY SECURITY GRP 57,097,297 %0.03 %99.1798 CA ACCESS DENTAL PLAN 54,426,403 %0.03 %99.2099 P 218 CNA INS GRP 49,157,154 %0.02 %99.23
100 L P 23 BCS INS GRP 48,194,692 %0.02 %99.25101 L 290 TORCHMARK CORP GRP 47,780,990 %0.02 %99.27102 L 8 ALLSTATE INS GRP 47,333,739 %0.02 %99.30103 H 2479 DENTEGRA GRP 42,589,398 %0.02 %99.32104 CA SEASIDE HEALTH PLAN 39,594,887 %0.02 %99.34105 L 525 PAN AMER LIFE GRP 38,257,512 %0.02 %99.36106 L 200 UNITED SERV AUTOMOBILE ASSN GRP 36,719,875 %0.02 %99.38107 H 12747 ENVISION INS CO 35,869,255 %0.02 %99.40108 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 35,596,089 %0.02 %99.41109 L P 98 WR BERKLEY CORP GRP 34,591,743 %0.02 %99.43110 L 4483 NESTLE SA GRP 34,297,262 %0.02 %99.45111 L 1211 NATIONAL GUARDIAN LIFE INS GRP 33,123,145 %0.02 %99.46112 CA SEQUOIA HEALTH PLAN, INC. 32,945,613 %0.02 %99.48113 CA ACCESS SENIOR HEALTHCARE, INC. 31,672,174 %0.02 %99.50114 L 4 AMERIPRISE FIN GRP 31,326,866 %0.02 %99.51115 P 181 SWISS RE GRP 31,149,555 %0.02 %99.53116 CA EYEXAM OF CALIFORNIA, INC. 30,440,069 %0.02 %99.54117 L 306 CUNA MUT GRP 29,451,655 %0.01 %99.56118 CA ADVENTIST HEALTH PLAN, INC. 28,077,944 %0.01 %99.57119 CA 10756 COMMUNITY CARE HLTH PLAN INC 27,767,189 %0.01 %99.59120 CA OSCAR HEALTH PLAN OF CALIFORNIA 26,345,109 %0.01 %99.60121 P 158 FAIRFAX FIN GRP 26,068,111 %0.01 %99.61122 L 869 MINNESOTA MUT GRP 24,423,941 %0.01 %99.62123 CA ASPIRE HEALTH PLAN 23,411,333 %0.01 %99.64124 L P 212 ZURICH INS GRP 23,363,232 %0.01 %99.65125 P 4904 INTACT FINANCIAL GRP 22,382,610 %0.01 %99.66
**TOTAL** 199,114,211,519 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 28
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Colorado
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 601 KAISER FOUNDATION GRP 3,524,713,596 %27.12 %27.122 L H 707 UNITEDHEALTH GRP 3,061,960,672 %23.56 %50.683 L H 671 ANTHEM INC GRP 2,003,058,828 %15.41 %66.094 L H 901 CIGNA HLTH GRP 862,406,799 %6.64 %72.725 L H 119 HUMANA GRP 620,604,686 %4.77 %77.506 L H 1 AETNA GRP 401,408,049 %3.09 %80.597 L H 812 HIGHMARK GRP 353,146,383 %2.72 %83.308 H 4781 COLORADO ACCESS GRP 274,132,277 %2.11 %85.419 H 55875 COLORADO DENTAL SERV INC 179,862,631 %1.38 %86.80
10 H 95750 DENVER HLTH MEDICAL PLAN INC 159,633,533 %1.23 %88.0211 L 241 METROPOLITAN GRP 118,297,091 %0.91 %88.9312 L 565 UNUM GRP 100,073,400 %0.77 %89.7013 H 95774 FRIDAY HLTH PLANS OF CO INC 98,014,998 %0.75 %90.4614 L 370 AFLAC GRP 76,802,444 %0.59 %91.0515 L 261 MUTUAL OF OMAHA GRP 71,944,979 %0.55 %91.6016 L 4011 GENWORTH FIN GRP 55,369,854 %0.43 %92.0317 L 860 NORTHWESTERN MUT GRP 49,511,510 %0.38 %92.4118 H 1189 VISION SERV PLAN GRP 49,047,576 %0.38 %92.7919 L H 549 SUN LIFE ASSUR CO OF CN GRP 47,637,132 %0.37 %93.1520 L 904 JOHN HANCOCK GRP 42,106,380 %0.32 %93.4821 L 1348 MEIJI YASUDA LIFE INS GRP 40,453,343 %0.31 %93.7922 H 4887 BRIGHT HLTH GRP 37,075,792 %0.29 %94.0723 L H 429 GUARDIAN LIFE GRP 36,063,744 %0.28 %94.3524 L 4832 VOYA FINANCIAL GRP 35,759,178 %0.28 %94.6325 L 839 WESTBRIDGE CAPITAL GRP 35,310,291 %0.27 %94.9026 L 233 CNO FINANCIAL GRP 32,027,859 %0.25 %95.1527 L P 91 HARTFORD FIRE & CAS GRP 31,428,277 %0.24 %95.3928 L P 468 AEGON US HOLDING GRP 30,603,704 %0.24 %95.6229 L 332 PRINCIPAL FIN GRP 30,078,123 %0.23 %95.8530 L 20 LINCOLN NATL GRP 26,948,856 %0.21 %96.0631 H 4667 CVS CAREMARK GRP 24,559,737 %0.19 %96.2532 P 176 STATE FARM GRP 23,185,475 %0.18 %96.4333 L P 3098 TOKIO MARINE HOLDINGS INC GRP 22,802,485 %0.18 %96.6034 L P 19 ASSURANT INC GRP 21,486,874 %0.17 %96.7735 L 304 PRUDENTIAL OF AMER GRP 19,306,877 %0.15 %96.9236 L 661 BCBS OF SC GRP 16,769,494 %0.13 %97.0537 L 3527 AMERICAN ENTERPRISE MUT GRP 15,934,958 %0.12 %97.1738 L 330 AMERICAN FIDELITY CORP GRP 15,184,612 %0.12 %97.2939 L P 111 LIBERTY MUT GRP 15,156,930 %0.12 %97.4040 L P 626 CHUBB LTD GRP 14,635,567 %0.11 %97.5241 L 290 TORCHMARK CORP GRP 12,058,232 %0.09 %97.6142 H 12747 ENVISION INS CO 11,579,397 %0.09 %97.7043 P 181 SWISS RE GRP 11,391,757 %0.09 %97.7944 L 200 UNITED SERV AUTOMOBILE ASSN GRP 11,335,020 %0.09 %97.8745 L 451 FIDELITY SECURITY GRP 11,139,112 %0.09 %97.9646 L 8 ALLSTATE INS GRP 10,831,790 %0.08 %98.0447 L 4855 SUMITOMO LIFE INS GRP 10,817,526 %0.08 %98.1248 L 435 MASS MUT LIFE INS GRP 10,596,740 %0.08 %98.2149 L 367 PHYSICIANS MUT GRP 9,900,648 %0.08 %98.2850 L 98 WR BERKLEY CORP GRP 9,541,069 %0.07 %98.3651 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 9,265,759 %0.07 %98.4352 L 264 HEALTHMARKETS GRP 8,624,217 %0.07 %98.4953 L P 12 AMERICAN INTL GRP 8,547,382 %0.07 %98.5654 L 826 NEW YORK LIFE GRP 8,284,420 %0.06 %98.6255 L 4483 NESTLE SA GRP 8,283,778 %0.06 %98.6956 L 4888 EQUITABLE FAMILY INS CO GRP 8,016,238 %0.06 %98.7557 P 218 CNA INS GRP 7,264,574 %0.06 %98.8058 L P 450 GENEVE HOLDINGS INC GRP 7,055,690 %0.05 %98.8659 L 943 AMERITAS MUT HOLDING GRP 6,403,520 %0.05 %98.9160 L P 761 ALLIANZ INS GRP 6,366,297 %0.05 %98.9661 L 215 KEMPER CORP GRP 6,296,857 %0.05 %99.0162 L P 2538 AMTRUST NGH GRP 6,067,217 %0.05 %99.0563 L 4 AMERIPRISE FIN GRP 5,474,553 %0.04 %99.0964 L H 1199 WELLCARE GRP 5,450,358 %0.04 %99.14
© 2018 National Association of Insurance Commissioners 29
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Colorado
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4824 ADVANTAGE CAPITAL GRP 5,399,020 %0.04 %99.1866 H 2479 DENTEGRA GRP 5,126,744 %0.04 %99.2267 L 306 CUNA MUT GRP 4,913,370 %0.04 %99.2568 L 869 MINNESOTA MUT GRP 4,607,506 %0.04 %99.2969 L 71404 CONTINENTAL GEN INS CO 4,236,667 %0.03 %99.3270 L 687 GUARANTEE TRUST GRP 4,189,316 %0.03 %99.3571 L P 31 BERKSHIRE HATHAWAY GRP 4,128,084 %0.03 %99.3972 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,874,618 %0.03 %99.4273 P 796 QBE INS GRP 3,483,852 %0.03 %99.4474 L 276 TRUSTMARK MUT HOLDING CO GRP 2,882,787 %0.02 %99.4775 L P 140 NATIONWIDE CORP GRP 2,637,337 %0.02 %99.4976 H 4813 EXPRESS SCRIPTS HOLDING GRP 2,579,741 %0.02 %99.5177 L H 917 HCSC GRP 2,426,943 %0.02 %99.5278 L 69132 STATE MUT INS CO 2,396,984 %0.02 %99.5479 L P 23 BCS INS GRP 2,357,902 %0.02 %99.5680 L 1186 LIFETIME HLTHCARE GRP 2,233,176 %0.02 %99.5881 L P 212 ZURICH INS GRP 2,076,037 %0.02 %99.5982 P 4863 CHINA MINSHENG GRP 2,076,027 %0.02 %99.6183 L 4862 ASSURITY GRP 2,067,219 %0.02 %99.6384 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,919,181 %0.01 %99.6485 P 158 FAIRFAX FIN GRP 1,895,902 %0.01 %99.6686 L 408 AMERICAN NATL FIN GRP 1,859,773 %0.01 %99.6787 P 1120 EVEREST REINS HOLDINGS GRP 1,791,308 %0.01 %99.6888 L 704 OHIO NATL LIFE GRP 1,726,511 %0.01 %99.7089 L 525 PAN AMER LIFE GRP 1,711,607 %0.01 %99.7190 P 3416 AXIS CAPITAL GRP 1,439,757 %0.01 %99.7291 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,426,952 %0.01 %99.7392 P 361 MUNICH RE GRP 1,408,242 %0.01 %99.7493 L 4815 RESOLUTION LIFE GRP 1,361,295 %0.01 %99.7594 L 64580 ILLINOIS MUT LIFE INS CO 1,357,720 %0.01 %99.7695 L 769 GREAT WEST GRP 1,291,276 %0.01 %99.7796 H 1260 MAGELLAN HLTH INC GRP 1,284,124 %0.01 %99.7897 L 4853 AAA LIFE GRP 1,179,695 %0.01 %99.7998 F 58033 KNIGHTS OF COLUMBUS 1,179,043 %0.01 %99.8099 P 4886 BENCHMARK HOLDING GRP 1,154,303 %0.01 %99.81
100 H 477 RENAISSANCE HLTH SERV CORP GRP 1,149,527 %0.01 %99.82101 L 50 COUNTRY INS & FIN SERV GRP 1,129,350 %0.01 %99.83102 L 574 AMERCO CORP GRP 1,065,541 %0.01 %99.84103 F 58009 POLICE & FIREMENS INS ASSN 968,677 %0.01 %99.84104 L 781 UNION LABOR GRP 947,720 %0.01 %99.85105 P 473 AMERICAN FAMILY INS GRP 935,883 %0.01 %99.86106 P 4902 COPIC GRP 928,680 %0.01 %99.87107 L 76325 SENIOR HLTH INS CO OF PA 923,665 %0.01 %99.87108 L 2858 HOMESHIELD CAPITAL GRP 897,818 %0.01 %99.88109 L 1117 MANHATTAN LIFE GRP 874,378 %0.01 %99.89110 L 588 KANSAS CITY LIFE INS GRP 857,928 %0.01 %99.89111 L 587 ATLANTIC AMER GRP 848,887 %0.01 %99.90112 P 27928 AMEX ASSUR CO 821,487 %0.01 %99.91113 L 4736 GGC GRP 806,219 %0.01 %99.91114 L 572 BCBS OF MI GRP 782,319 %0.01 %99.92115 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 699,249 %0.01 %99.92116 L 4712 GPM LIFE GRP 684,320 %0.01 %99.93117 P 1285 XL AMER GRP 625,560 %- %99.93118 L 918 JACKSON NATL GRP 609,902 %- %99.94119 L 350 GENERAL ELECTRIC GRP 572,552 %- %99.94120 L 123 SHELTER INS GRP 557,759 %- %99.95121 L 619 ONEAMERICA FIN PARTNERS GRP 430,991 %- %99.95122 L 7 FEDERATED MUT GRP 371,919 %- %99.95123 L 968 AXA INS GRP 315,720 %- %99.96124 L 3891 GOLDMAN SACHS GRP 299,607 %- %99.96125 L 90638 BEST LIFE & HLTH INS CO 296,911 %- %99.96
**TOTAL** 12,997,405,124 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 30
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Connecticut
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 2,015,505,807 %24.58 %24.582 H 1127 EMBLEM HLTH GRP 1,776,246,706 %21.66 %46.243 L H 707 UNITEDHEALTH GRP 1,638,322,903 %19.98 %66.224 L H 1 AETNA GRP 897,072,769 %10.94 %77.165 L H 901 CIGNA HLTH GRP 456,290,721 %5.56 %82.726 H 595 HARVARD PILGRIM HLTH CARE GRP 162,874,653 %1.99 %84.717 L 241 METROPOLITAN GRP 131,468,256 %1.60 %86.318 L H 1199 WELLCARE GRP 100,793,855 %1.23 %87.549 L 565 UNUM GRP 78,918,758 %0.96 %88.50
10 L 4011 GENWORTH FIN GRP 60,243,641 %0.73 %89.2311 L 429 GUARDIAN LIFE GRP 52,640,204 %0.64 %89.8812 L 860 NORTHWESTERN MUT GRP 52,058,170 %0.63 %90.5113 L 370 AFLAC GRP 50,239,961 %0.61 %91.1214 H 4667 CVS CAREMARK GRP 45,893,980 %0.56 %91.6815 L 468 AEGON US HOLDING GRP 43,517,651 %0.53 %92.2116 L P 91 HARTFORD FIRE & CAS GRP 42,141,348 %0.51 %92.7317 L H 119 HUMANA GRP 37,021,683 %0.45 %93.1818 L 549 SUN LIFE ASSUR CO OF CN GRP 33,806,668 %0.41 %93.5919 L P 626 CHUBB LTD GRP 28,257,822 %0.34 %93.9420 L P 3098 TOKIO MARINE HOLDINGS INC GRP 27,641,083 %0.34 %94.2721 L 904 JOHN HANCOCK GRP 26,150,395 %0.32 %94.5922 L 1348 MEIJI YASUDA LIFE INS GRP 24,755,812 %0.30 %94.8923 H 1189 VISION SERV PLAN GRP 24,443,042 %0.30 %95.1924 L 332 PRINCIPAL FIN GRP 23,509,841 %0.29 %95.4825 L 304 PRUDENTIAL OF AMER GRP 21,960,253 %0.27 %95.7526 L 435 MASS MUT LIFE INS GRP 19,985,432 %0.24 %95.9927 L P 111 LIBERTY MUT GRP 19,502,297 %0.24 %96.2328 L 261 MUTUAL OF OMAHA GRP 18,933,685 %0.23 %96.4629 L 451 FIDELITY SECURITY GRP 16,425,636 %0.20 %96.6630 H 2479 DENTEGRA GRP 16,299,358 %0.20 %96.8631 L 20 LINCOLN NATL GRP 16,271,939 %0.20 %97.0632 L 1211 NATIONAL GUARDIAN LIFE INS GRP 14,476,556 %0.18 %97.2333 L 4832 VOYA FINANCIAL GRP 12,648,498 %0.15 %97.3934 L 233 CNO FINANCIAL GRP 12,596,579 %0.15 %97.5435 L 4483 NESTLE SA GRP 12,218,131 %0.15 %97.6936 H 4813 EXPRESS SCRIPTS HOLDING GRP 9,638,708 %0.12 %97.8137 L P 12 AMERICAN INTL GRP 9,578,988 %0.12 %97.9238 L 943 AMERITAS MUT HOLDING GRP 9,050,941 %0.11 %98.0339 L 290 TORCHMARK CORP GRP 8,943,423 %0.11 %98.1440 L 4 AMERIPRISE FIN GRP 7,893,497 %0.10 %98.2441 H 2918 DELTA DENTAL PLAN OF NJ GRP 6,973,595 %0.09 %98.3342 L 4855 SUMITOMO LIFE INS GRP 6,439,842 %0.08 %98.4043 P 218 CNA INS GRP 6,262,486 %0.08 %98.4844 L P 19 ASSURANT INC GRP 6,254,206 %0.08 %98.5645 L 330 AMERICAN FIDELITY CORP GRP 6,168,431 %0.08 %98.6346 L 661 BCBS OF SC GRP 5,797,917 %0.07 %98.7047 L 687 GUARANTEE TRUST GRP 5,447,344 %0.07 %98.7748 L 306 CUNA MUT GRP 5,180,978 %0.06 %98.8349 L 264 HEALTHMARKETS GRP 4,835,527 %0.06 %98.8950 L 826 NEW YORK LIFE GRP 4,801,165 %0.06 %98.9551 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,792,619 %0.06 %99.0152 L P 212 ZURICH INS GRP 4,710,462 %0.06 %99.0753 H 12747 ENVISION INS CO 4,479,362 %0.05 %99.1254 L 8 ALLSTATE INS GRP 4,246,898 %0.05 %99.1755 L H 812 HIGHMARK GRP 4,096,074 %0.05 %99.2256 L 869 MINNESOTA MUT GRP 3,974,348 %0.05 %99.2757 L 1186 LIFETIME HLTHCARE GRP 3,431,896 %0.04 %99.3158 L P 2538 AMTRUST NGH GRP 3,022,358 %0.04 %99.3559 L 276 TRUSTMARK MUT HOLDING CO GRP 2,873,031 %0.04 %99.3860 L P 98 WR BERKLEY CORP GRP 2,844,563 %0.03 %99.4261 L 581 BOSTON MUT GRP 2,839,601 %0.03 %99.4562 P 176 STATE FARM GRP 2,732,707 %0.03 %99.4963 P 181 SWISS RE GRP 2,721,622 %0.03 %99.5264 L 781 UNION LABOR GRP 2,264,365 %0.03 %99.55
© 2018 National Association of Insurance Commissioners 31
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Connecticut
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 158 FAIRFAX FIN GRP 2,197,568 %0.03 %99.5766 P 796 QBE INS GRP 2,063,186 %0.03 %99.6067 P 3483 PARTNERRE GRP 1,695,061 %0.02 %99.6268 L 761 ALLIANZ INS GRP 1,518,717 %0.02 %99.6469 H 477 RENAISSANCE HLTH SERV CORP GRP 1,390,353 %0.02 %99.6670 P 27928 AMEX ASSUR CO 1,330,019 %0.02 %99.6771 L P 23 BCS INS GRP 1,325,784 %0.02 %99.6972 L 769 GREAT WEST GRP 1,296,889 %0.02 %99.7073 L 968 AXA INS GRP 1,252,037 %0.02 %99.7274 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,180,477 %0.01 %99.7375 F 58009 POLICE & FIREMENS INS ASSN 1,170,698 %0.01 %99.7576 L P 140 NATIONWIDE CORP GRP 1,166,782 %0.01 %99.7677 L 4862 ASSURITY GRP 1,093,521 %0.01 %99.7878 L 367 PHYSICIANS MUT GRP 1,090,793 %0.01 %99.7979 H 4756 BAYSTATE HLTH GRP 1,050,998 %0.01 %99.8080 F 58033 KNIGHTS OF COLUMBUS 941,298 %0.01 %99.8181 L P 450 GENEVE HOLDINGS INC GRP 811,272 %0.01 %99.8282 P 1279 ARCH INS GRP 797,560 %0.01 %99.8383 P 1285 XL AMER GRP 678,235 %0.01 %99.8484 L 11121 UNIFIED LIFE INS CO 584,854 %0.01 %99.8585 L 71404 CONTINENTAL GEN INS CO 576,861 %0.01 %99.8586 L 525 PAN AMER LIFE GRP 573,152 %0.01 %99.8687 L 4803 SHELTERPOINT GRP INC 561,563 %0.01 %99.8788 L 7 FEDERATED MUT GRP 558,027 %0.01 %99.8889 L H 917 HCSC GRP 543,142 %0.01 %99.8890 L 704 OHIO NATL LIFE GRP 485,210 %0.01 %99.8991 L 458 PROTECTIVE LIFE INS GRP 478,015 %0.01 %99.8992 L 690 CENTRAL STATES GRP 477,802 %0.01 %99.9093 L P 31 BERKSHIRE HATHAWAY GRP 468,482 %0.01 %99.9194 L 408 AMERICAN NATL FIN GRP 456,537 %0.01 %99.9195 L 68772 SECURITY MUT LIFE INS CO OF NY 433,917 %0.01 %99.9296 L 64580 ILLINOIS MUT LIFE INS CO 423,743 %0.01 %99.9297 L 634 NATIONAL LIFE GRP 418,697 %0.01 %99.9398 L 619 ONEAMERICA FIN PARTNERS GRP 413,834 %0.01 %99.9399 L 440 REGAL REINS GRP 403,763 %- %99.94
100 L 1216 TIAA FAMILY GRP 397,641 %- %99.94101 P 3416 AXIS CAPITAL GRP 397,093 %- %99.95102 P 4670 STARR GRP 390,517 %- %99.95103 P 361 MUNICH RE GRP 325,500 %- %99.95104 L 3527 AMERICAN ENTERPRISE MUT GRP 316,415 %- %99.96105 L 4734 ATHENE GRP 298,282 %- %99.96106 L 60216 AMALGAMATED LIFE INS CO 296,002 %- %99.97107 L 1117 MANHATTAN LIFE GRP 295,589 %- %99.97108 L 850 PENN MUT GRP 251,854 %- %99.97109 L 4815 RESOLUTION LIFE GRP 239,152 %- %99.98110 L 918 JACKSON NATL GRP 217,676 %- %99.98111 H 1295 CENTENE CORP GRP 179,047 %- %99.98112 L 4736 GGC GRP 148,130 %- %99.98113 L 572 BCBS OF MI GRP 146,818 %- %99.98114 L P 169 SENTRY INS GRP 144,929 %- %99.99115 P 785 MARKEL CORP GRP 140,255 %- %99.99116 P 4904 INTACT FINANCIAL GRP 117,831 %- %99.99117 L 76325 SENIOR HLTH INS CO OF PA 103,311 %- %99.99118 L 4853 AAA LIFE GRP 61,703 %- %99.99119 L 350 GENERAL ELECTRIC GRP 55,968 %- %99.99120 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 55,095 %- %99.99121 L 88668 MUTUAL OF AMER LIFE INS CO 47,465 %- %99.99122 L 4888 EQUITABLE FAMILY INS CO GRP 47,214 %- %99.99123 P 313 AEGIS GRP 42,050 %- %99.99124 L 4719 AMFIRST HOLDINGS GRP 36,757 %- %99.99125 L 574 AMERCO CORP GRP 36,166 %- %99.99
**TOTAL** 8,200,544,179 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 32
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Delaware
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 812 HIGHMARK GRP 655,152,164 %35.23 %35.232 L H 1 AETNA GRP 347,272,783 %18.67 %53.913 L H 707 UNITEDHEALTH GRP 233,762,140 %12.57 %66.484 L H 901 CIGNA HLTH GRP 100,755,379 %5.42 %71.895 L P 626 CHUBB LTD GRP 81,577,744 %4.39 %76.286 L P 91 HARTFORD FIRE & CAS GRP 50,029,402 %2.69 %78.977 L 241 METROPOLITAN GRP 49,459,145 %2.66 %81.638 L H 119 HUMANA GRP 39,914,222 %2.15 %83.789 H 2479 DENTEGRA GRP 39,292,650 %2.11 %85.89
10 L 370 AFLAC GRP 17,230,089 %0.93 %86.8211 L 565 UNUM GRP 16,846,722 %0.91 %87.7212 P 4904 INTACT FINANCIAL GRP 14,599,276 %0.79 %88.5113 L P 12 AMERICAN INTL GRP 12,383,900 %0.67 %89.1714 L 4011 GENWORTH FIN GRP 10,900,163 %0.59 %89.7615 L 451 FIDELITY SECURITY GRP 9,817,108 %0.53 %90.2916 H 4667 CVS CAREMARK GRP 9,621,109 %0.52 %90.8117 L P 3098 TOKIO MARINE HOLDINGS INC GRP 8,496,712 %0.46 %91.2618 L 261 MUTUAL OF OMAHA GRP 8,386,419 %0.45 %91.7119 L 233 CNO FINANCIAL GRP 7,772,607 %0.42 %92.1320 H 1230 CAPITAL BLUE CROSS GRP 6,186,193 %0.33 %92.4621 L 429 GUARDIAN LIFE GRP 6,039,490 %0.32 %92.7922 L 904 JOHN HANCOCK GRP 5,738,431 %0.31 %93.1023 L P 468 AEGON US HOLDING GRP 5,661,982 %0.30 %93.4024 H 4813 EXPRESS SCRIPTS HOLDING GRP 5,550,938 %0.30 %93.7025 H 4696 VISION BENEFITS GRP 5,188,018 %0.28 %93.9826 L 661 BCBS OF SC GRP 5,154,449 %0.28 %94.2627 H 1189 VISION SERV PLAN GRP 5,011,636 %0.27 %94.5328 L 304 PRUDENTIAL OF AMER GRP 4,999,874 %0.27 %94.7929 L H 917 HCSC GRP 4,725,307 %0.25 %95.0530 L 332 PRINCIPAL FIN GRP 4,701,892 %0.25 %95.3031 H 12747 ENVISION INS CO 4,604,148 %0.25 %95.5532 L 549 SUN LIFE ASSUR CO OF CN GRP 4,603,553 %0.25 %95.8033 P 176 STATE FARM GRP 4,517,757 %0.24 %96.0434 L 408 AMERICAN NATL FIN GRP 3,482,493 %0.19 %96.2335 L 4832 VOYA FINANCIAL GRP 3,426,884 %0.18 %96.4136 L 20 LINCOLN NATL GRP 3,320,003 %0.18 %96.5937 L 290 TORCHMARK CORP GRP 3,167,695 %0.17 %96.7638 L 943 AMERITAS MUT HOLDING GRP 3,098,877 %0.17 %96.9339 L 1348 MEIJI YASUDA LIFE INS GRP 3,086,661 %0.17 %97.0940 H 1199 WELLCARE GRP 3,048,343 %0.16 %97.2641 L 111 LIBERTY MUT GRP 2,842,293 %0.15 %97.4142 L 4483 NESTLE SA GRP 2,352,235 %0.13 %97.5443 L 8 ALLSTATE INS GRP 2,255,484 %0.12 %97.6644 P 218 CNA INS GRP 2,124,971 %0.11 %97.7745 L 860 NORTHWESTERN MUT GRP 2,123,916 %0.11 %97.8946 H 477 RENAISSANCE HLTH SERV CORP GRP 1,805,799 %0.10 %97.9847 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,776,698 %0.10 %98.0848 L 781 UNION LABOR GRP 1,754,914 %0.09 %98.1749 L 4855 SUMITOMO LIFE INS GRP 1,729,274 %0.09 %98.2750 L 687 GUARANTEE TRUST GRP 1,721,073 %0.09 %98.3651 L 4 AMERIPRISE FIN GRP 1,683,871 %0.09 %98.4552 L 435 MASS MUT LIFE INS GRP 1,613,280 %0.09 %98.5453 P 181 SWISS RE GRP 1,545,595 %0.08 %98.6254 L 306 CUNA MUT GRP 1,472,363 %0.08 %98.7055 L P 23 BCS INS GRP 1,363,422 %0.07 %98.7756 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,348,651 %0.07 %98.8457 L 869 MINNESOTA MUT GRP 1,326,035 %0.07 %98.9258 L 98 WR BERKLEY CORP GRP 1,207,783 %0.06 %98.9859 L 19 ASSURANT INC GRP 1,133,514 %0.06 %99.0460 P 158 FAIRFAX FIN GRP 1,079,377 %0.06 %99.1061 L 826 NEW YORK LIFE GRP 1,075,626 %0.06 %99.1662 L 276 TRUSTMARK MUT HOLDING CO GRP 1,021,979 %0.05 %99.2163 P 4863 CHINA MINSHENG GRP 1,021,848 %0.05 %99.2764 L P 212 ZURICH INS GRP 881,948 %0.05 %99.31
© 2018 National Association of Insurance Commissioners 33
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Delaware
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 525 PAN AMER LIFE GRP 796,041 %0.04 %99.3666 L 587 ATLANTIC AMER GRP 771,319 %0.04 %99.4067 L P 140 NATIONWIDE CORP GRP 722,582 %0.04 %99.4468 H 1260 MAGELLAN HLTH INC GRP 706,309 %0.04 %99.4869 L 839 WESTBRIDGE CAPITAL GRP 686,756 %0.04 %99.5170 L 367 PHYSICIANS MUT GRP 576,941 %0.03 %99.5471 L 761 ALLIANZ INS GRP 485,359 %0.03 %99.5772 L 4862 ASSURITY GRP 446,891 %0.02 %99.5973 L P 450 GENEVE HOLDINGS INC GRP 396,933 %0.02 %99.6174 L 4718 TIPTREE FIN GRP 366,401 %0.02 %99.6375 L 769 GREAT WEST GRP 331,909 %0.02 %99.6576 L 330 AMERICAN FIDELITY CORP GRP 324,914 %0.02 %99.6777 L 264 HEALTHMARKETS GRP 321,426 %0.02 %99.6978 L 1117 MANHATTAN LIFE GRP 314,272 %0.02 %99.7079 L 4853 AAA LIFE GRP 310,628 %0.02 %99.7280 P 3416 AXIS CAPITAL GRP 295,819 %0.02 %99.7481 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 271,849 %0.01 %99.7582 P 361 MUNICH RE GRP 266,112 %0.01 %99.7783 F 58009 POLICE & FIREMENS INS ASSN 238,988 %0.01 %99.7884 P 1120 EVEREST REINS HOLDINGS GRP 232,890 %0.01 %99.7985 L 76325 SENIOR HLTH INS CO OF PA 207,687 %0.01 %99.8086 L 11121 UNIFIED LIFE INS CO 206,903 %0.01 %99.8187 L 2538 AMTRUST NGH GRP 159,687 %0.01 %99.8288 L 4888 EQUITABLE FAMILY INS CO GRP 148,753 %0.01 %99.8389 L 4736 GGC GRP 148,105 %0.01 %99.8490 F 58033 KNIGHTS OF COLUMBUS 143,079 %0.01 %99.8591 P 27928 AMEX ASSUR CO 139,207 %0.01 %99.8592 L 4712 GPM LIFE GRP 124,006 %0.01 %99.8693 L 3527 AMERICAN ENTERPRISE MUT GRP 105,995 %0.01 %99.8794 P 1279 ARCH INS GRP 103,803 %0.01 %99.8795 L 876 ARKANSAS BCBS GRP 102,234 %0.01 %99.8896 L 2858 HOMESHIELD CAPITAL GRP 99,221 %0.01 %99.8897 L 1216 TIAA FAMILY GRP 97,304 %0.01 %99.8998 L 4815 RESOLUTION LIFE GRP 96,379 %0.01 %99.8999 L 7 FEDERATED MUT GRP 92,008 %- %99.90
100 P 796 QBE INS GRP 89,869 %- %99.90101 L 71404 CONTINENTAL GEN INS CO 86,565 %- %99.91102 H 11217 ATLANTIC SOUTHERN DENTAL FOUND 82,579 %- %99.91103 L 968 AXA INS GRP 79,203 %- %99.92104 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 78,772 %- %99.92105 L 704 OHIO NATL LIFE GRP 78,293 %- %99.92106 L 581 BOSTON MUT GRP 70,773 %- %99.93107 L 215 KEMPER CORP GRP 59,463 %- %99.93108 L 4764 RESERVOIR CAPITAL GRP 56,720 %- %99.93109 F 4616 EVERENCE GRP 55,938 %- %99.94110 L 4716 FORTRESS GRP 54,502 %- %99.94111 L 572 BCBS OF MI GRP 54,062 %- %99.94112 L 1186 LIFETIME HLTHCARE GRP 53,491 %- %99.95113 L 458 PROTECTIVE LIFE INS GRP 53,407 %- %99.95114 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 50,315 %- %99.95115 L 3436 LIBERTY LIFE GRP TRUST GRP 48,011 %- %99.95116 L 4734 ATHENE GRP 46,551 %- %99.96117 L 588 KANSAS CITY LIFE INS GRP 46,365 %- %99.96118 P 785 MARKEL CORP GRP 42,927 %- %99.96119 L 68772 SECURITY MUT LIFE INS CO OF NY 42,115 %- %99.96120 L 918 JACKSON NATL GRP 39,971 %- %99.97121 L 634 NATIONAL LIFE GRP 37,809 %- %99.97122 L 619 ONEAMERICA FIN PARTNERS GRP 36,209 %- %99.97123 L 671 ANTHEM INC GRP 35,290 %- %99.97124 L 3891 GOLDMAN SACHS GRP 34,889 %- %99.97125 L 64580 ILLINOIS MUT LIFE INS CO 34,193 %- %99.98
**TOTAL** 1,859,595,428 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 34
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
District Of Columbia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 380 CAREFIRST INC GRP 1,352,458,178 %26.86 %26.862 L H 1 AETNA GRP 875,713,463 %17.39 %44.253 L H 707 UNITEDHEALTH GRP 613,949,657 %12.19 %56.454 H 936 INDEPENDENCE HLTH GRP INC GRP 507,178,501 %10.07 %66.525 H 601 KAISER FOUNDATION GRP 435,022,535 %8.64 %75.166 H 14227 MEDSTAR FAMILY CHOICE 225,411,162 %4.48 %79.647 H 4893 TRUSTED HLTH PLANS GRP 160,711,004 %3.19 %82.838 H 2479 DENTEGRA GRP 126,217,833 %2.51 %85.349 H 1189 VISION SERV PLAN GRP 113,593,874 %2.26 %87.59
10 L H 901 CIGNA HLTH GRP 111,151,718 %2.21 %89.8011 L H 671 ANTHEM INC GRP 63,235,018 %1.26 %91.0512 P 4904 INTACT FINANCIAL GRP 58,807,736 %1.17 %92.2213 L 241 METROPOLITAN GRP 56,356,615 %1.12 %93.3414 L 565 UNUM GRP 39,742,155 %0.79 %94.1315 L 429 GUARDIAN LIFE GRP 23,115,658 %0.46 %94.5916 P 1120 EVEREST REINS HOLDINGS GRP 22,270,040 %0.44 %95.0317 L 1348 MEIJI YASUDA LIFE INS GRP 18,263,557 %0.36 %95.4018 L 451 FIDELITY SECURITY GRP 15,798,626 %0.31 %95.7119 L P 626 CHUBB LTD GRP 13,167,611 %0.26 %95.9720 L P 23 BCS INS GRP 11,806,516 %0.23 %96.2121 L 370 AFLAC GRP 10,610,733 %0.21 %96.4222 L 261 MUTUAL OF OMAHA GRP 9,799,064 %0.19 %96.6123 L P 91 HARTFORD FIRE & CAS GRP 9,403,974 %0.19 %96.8024 H 4813 EXPRESS SCRIPTS HOLDING GRP 8,040,405 %0.16 %96.9625 L 4011 GENWORTH FIN GRP 7,174,010 %0.14 %97.1026 L H 119 HUMANA GRP 7,116,976 %0.14 %97.2427 L H 812 HIGHMARK GRP 6,641,756 %0.13 %97.3728 L 1186 LIFETIME HLTHCARE GRP 6,527,850 %0.13 %97.5029 L 304 PRUDENTIAL OF AMER GRP 5,911,228 %0.12 %97.6230 L P 12 AMERICAN INTL GRP 5,864,204 %0.12 %97.7431 L 781 UNION LABOR GRP 5,766,278 %0.11 %97.8532 L P 3098 TOKIO MARINE HOLDINGS INC GRP 5,555,379 %0.11 %97.9633 H 4667 CVS CAREMARK GRP 5,548,767 %0.11 %98.0734 L 20 LINCOLN NATL GRP 5,433,369 %0.11 %98.1835 L 860 NORTHWESTERN MUT GRP 5,159,413 %0.10 %98.2836 L 332 PRINCIPAL FIN GRP 5,095,346 %0.10 %98.3837 P 4670 STARR GRP 4,647,763 %0.09 %98.4838 L 549 SUN LIFE ASSUR CO OF CN GRP 4,442,065 %0.09 %98.5639 L 904 JOHN HANCOCK GRP 4,104,417 %0.08 %98.6540 L 435 MASS MUT LIFE INS GRP 3,867,944 %0.08 %98.7241 L 4855 SUMITOMO LIFE INS GRP 3,789,778 %0.08 %98.8042 H 1230 CAPITAL BLUE CROSS GRP 3,775,194 %0.07 %98.8743 L 468 AEGON US HOLDING GRP 3,429,965 %0.07 %98.9444 P 796 QBE INS GRP 3,397,999 %0.07 %99.0145 L 19 ASSURANT INC GRP 3,321,210 %0.07 %99.0746 P 1285 XL AMER GRP 2,857,907 %0.06 %99.1347 L 4832 VOYA FINANCIAL GRP 2,790,379 %0.06 %99.1948 P 313 AEGIS GRP 2,575,840 %0.05 %99.2449 L 111 LIBERTY MUT GRP 2,530,425 %0.05 %99.2950 L 661 BCBS OF SC GRP 2,453,765 %0.05 %99.3451 P 218 CNA INS GRP 2,445,093 %0.05 %99.3852 P 181 SWISS RE GRP 2,135,861 %0.04 %99.4353 L P 212 ZURICH INS GRP 2,101,886 %0.04 %99.4754 H 12747 ENVISION INS CO 2,043,546 %0.04 %99.5155 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,849,263 %0.04 %99.5556 L 943 AMERITAS MUT HOLDING GRP 1,565,513 %0.03 %99.5857 L H 1199 WELLCARE GRP 1,558,655 %0.03 %99.6158 L 233 CNO FINANCIAL GRP 1,495,550 %0.03 %99.6459 L 525 PAN AMER LIFE GRP 1,462,093 %0.03 %99.6760 L 826 NEW YORK LIFE GRP 1,181,712 %0.02 %99.6961 L 276 TRUSTMARK MUT HOLDING CO GRP 971,415 %0.02 %99.7162 L 4 AMERIPRISE FIN GRP 889,508 %0.02 %99.7363 P 361 MUNICH RE GRP 867,532 %0.02 %99.7464 H 1260 MAGELLAN HLTH INC GRP 842,826 %0.02 %99.76
© 2018 National Association of Insurance Commissioners 35
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
District Of Columbia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 306 CUNA MUT GRP 795,470 %0.02 %99.7866 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 763,999 %0.02 %99.7967 P 176 STATE FARM GRP 615,667 %0.01 %99.8068 L 200 UNITED SERV AUTOMOBILE ASSN GRP 600,261 %0.01 %99.8269 L 290 TORCHMARK CORP GRP 590,426 %0.01 %99.8370 L 8 ALLSTATE INS GRP 545,061 %0.01 %99.8471 P 158 FAIRFAX FIN GRP 537,244 %0.01 %99.8572 L 1117 MANHATTAN LIFE GRP 449,029 %0.01 %99.8673 L 869 MINNESOTA MUT GRP 382,843 %0.01 %99.8774 L P 140 NATIONWIDE CORP GRP 369,393 %0.01 %99.8775 P 84 AMERICAN FINANCIAL GRP 357,390 %0.01 %99.8876 L 367 PHYSICIANS MUT GRP 348,067 %0.01 %99.8977 P 27928 AMEX ASSUR CO 343,501 %0.01 %99.8978 L 60216 AMALGAMATED LIFE INS CO 305,475 %0.01 %99.9079 L 98 WR BERKLEY CORP GRP 294,193 %0.01 %99.9180 L P 450 GENEVE HOLDINGS INC GRP 291,841 %0.01 %99.9181 L 1216 TIAA FAMILY GRP 255,851 %0.01 %99.9282 L 761 ALLIANZ INS GRP 246,821 %- %99.9283 P 4863 CHINA MINSHENG GRP 225,289 %- %99.9384 L 4483 NESTLE SA GRP 199,968 %- %99.9385 L H 917 HCSC GRP 192,859 %- %99.9386 L 89427 AMERICAN LABOR LIFE INS CO 165,298 %- %99.9487 P 4830 UNITED INS HOLDINGS GRP 159,542 %- %99.9488 L 968 AXA INS GRP 155,500 %- %99.9489 L 2538 AMTRUST NGH GRP 143,468 %- %99.9590 L 769 GREAT WEST GRP 137,620 %- %99.9591 L 581 BOSTON MUT GRP 136,935 %- %99.9592 L 4853 AAA LIFE GRP 116,618 %- %99.9593 L 4862 ASSURITY GRP 116,151 %- %99.9694 H 477 RENAISSANCE HLTH SERV CORP GRP 114,378 %- %99.9695 L 458 PROTECTIVE LIFE INS GRP 106,628 %- %99.9696 P 785 MARKEL CORP GRP 95,794 %- %99.9697 L 4827 SOUTHLAND NATL HOLDING GRP 92,175 %- %99.9698 L 11121 UNIFIED LIFE INS CO 90,597 %- %99.9799 L 572 BCBS OF MI GRP 86,636 %- %99.97
100 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 82,073 %- %99.97101 L 215 KEMPER CORP GRP 78,069 %- %99.97102 L 704 OHIO NATL LIFE GRP 77,059 %- %99.97103 F 58009 POLICE & FIREMENS INS ASSN 76,438 %- %99.97104 L 619 ONEAMERICA FIN PARTNERS GRP 74,041 %- %99.98105 F 58033 KNIGHTS OF COLUMBUS 73,042 %- %99.98106 P 3416 AXIS CAPITAL GRP 71,074 %- %99.98107 L 264 HEALTHMARKETS GRP 67,482 %- %99.98108 P 1279 ARCH INS GRP 61,921 %- %99.98109 L 3891 GOLDMAN SACHS GRP 60,877 %- %99.98110 H 4696 VISION BENEFITS GRP 56,251 %- %99.98111 L 4213 WILTON RE GRP 55,457 %- %99.98112 L 440 REGAL REINS GRP 55,320 %- %99.99113 L 918 JACKSON NATL GRP 54,521 %- %99.99114 L 350 GENERAL ELECTRIC GRP 54,146 %- %99.99115 L 76325 SENIOR HLTH INS CO OF PA 48,491 %- %99.99116 L 64580 ILLINOIS MUT LIFE INS CO 43,720 %- %99.99117 L 330 AMERICAN FIDELITY CORP GRP 41,969 %- %99.99118 L 687 GUARANTEE TRUST GRP 40,734 %- %99.99119 L 2858 HOMESHIELD CAPITAL GRP 35,542 %- %99.99120 L 408 AMERICAN NATL FIN GRP 32,566 %- %99.99121 L 4815 RESOLUTION LIFE GRP 31,528 %- %99.99122 L 4734 ATHENE GRP 29,270 %- %99.99123 L 88668 MUTUAL OF AMER LIFE INS CO 25,591 %- %99.99124 L 634 NATIONAL LIFE GRP 25,027 %- %100.00125 L 4716 FORTRESS GRP 24,890 %- %100.00
**TOTAL** 5,035,036,939 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 36
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Florida
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 536 GUIDEWELL MUT HOLDING GRP 15,345,005,158 %21.72 %21.722 L H 707 UNITEDHEALTH GRP 12,387,498,687 %17.53 %39.253 L H 119 HUMANA GRP 11,441,776,299 %16.19 %55.444 H 1295 CENTENE CORP GRP 4,482,609,942 %6.34 %61.785 L H 1 AETNA GRP 3,957,839,743 %5.60 %67.386 L H 1199 WELLCARE GRP 3,878,140,971 %5.49 %72.877 L H 671 ANTHEM INC GRP 3,101,958,531 %4.39 %77.268 H 1531 MOLINA HEALTHCARE INC GRP 2,579,460,993 %3.65 %80.919 L H 901 CIGNA HLTH GRP 2,206,531,694 %3.12 %84.03
10 H 4755 AMERICAS 1ST CHOICE GRP 1,550,559,753 %2.19 %86.2311 H 936 INDEPENDENCE HLTH GRP INC GRP 1,224,506,068 %1.73 %87.9612 H 95263 AVMED INC 1,078,765,767 %1.53 %89.4913 H 10122 HEALTH SUN HLTH PLANS 796,665,987 %1.13 %90.6114 H 1260 MAGELLAN HLTH INC GRP 632,519,810 %0.90 %91.5115 H 4740 HEALTH FIRST GRP 593,665,862 %0.84 %92.3516 L H 241 METROPOLITAN GRP 466,619,245 %0.66 %93.0117 L 370 AFLAC GRP 352,690,393 %0.50 %93.5118 L 565 UNUM GRP 343,711,795 %0.49 %93.9919 L 429 GUARDIAN LIFE GRP 297,559,611 %0.42 %94.4120 H 2479 DENTEGRA GRP 263,939,885 %0.37 %94.7921 H 4667 CVS CAREMARK GRP 196,002,153 %0.28 %95.0722 L 233 CNO FINANCIAL GRP 181,356,984 %0.26 %95.3223 L 4011 GENWORTH FIN GRP 157,437,777 %0.22 %95.5524 L 290 TORCHMARK CORP GRP 150,256,056 %0.21 %95.7625 L P 468 AEGON US HOLDING GRP 148,174,786 %0.21 %95.9726 L 904 JOHN HANCOCK GRP 142,821,813 %0.20 %96.1727 H 4833 AHF GRP 136,077,637 %0.19 %96.3628 L 261 MUTUAL OF OMAHA GRP 135,170,578 %0.19 %96.5529 L H 917 HCSC GRP 124,365,312 %0.18 %96.7330 L 860 NORTHWESTERN MUT GRP 117,591,232 %0.17 %96.9031 L 549 SUN LIFE ASSUR CO OF CN GRP 115,559,352 %0.16 %97.0632 L P 91 HARTFORD FIRE & CAS GRP 109,591,796 %0.16 %97.2133 L 8 ALLSTATE INS GRP 109,433,812 %0.15 %97.3734 L 332 PRINCIPAL FIN GRP 103,579,742 %0.15 %97.5235 L P 3098 TOKIO MARINE HOLDINGS INC GRP 92,103,159 %0.13 %97.6536 L 1348 MEIJI YASUDA LIFE INS GRP 88,711,733 %0.13 %97.7737 L 20 LINCOLN NATL GRP 80,539,952 %0.11 %97.8938 L 4855 SUMITOMO LIFE INS GRP 70,019,276 %0.10 %97.9839 L 304 PRUDENTIAL OF AMER GRP 68,077,583 %0.10 %98.0840 L P 19 ASSURANT INC GRP 67,782,063 %0.10 %98.1841 L P 626 CHUBB LTD GRP 61,638,029 %0.09 %98.2642 H 1189 VISION SERV PLAN GRP 61,397,438 %0.09 %98.3543 L 839 WESTBRIDGE CAPITAL GRP 60,969,445 %0.09 %98.4444 L 4832 VOYA FINANCIAL GRP 56,756,913 %0.08 %98.5245 H 14243 ULTIMATE HLTH PLANS INC 56,496,549 %0.08 %98.6046 P 176 STATE FARM GRP 55,508,073 %0.08 %98.6847 L 330 AMERICAN FIDELITY CORP GRP 47,554,527 %0.07 %98.7448 L P 12 AMERICAN INTL GRP 47,133,014 %0.07 %98.8149 L P 111 LIBERTY MUT GRP 45,085,291 %0.06 %98.8750 L 451 FIDELITY SECURITY GRP 40,871,154 %0.06 %98.9351 L 276 TRUSTMARK MUT HOLDING CO GRP 32,574,395 %0.05 %98.9852 L H 812 HIGHMARK GRP 32,261,281 %0.05 %99.0253 L 200 UNITED SERV AUTOMOBILE ASSN GRP 31,841,827 %0.05 %99.0754 P 218 CNA INS GRP 31,287,335 %0.04 %99.1155 L 435 MASS MUT LIFE INS GRP 30,692,528 %0.04 %99.1656 L 943 AMERITAS MUT HOLDING GRP 30,508,664 %0.04 %99.2057 L 4736 GGC GRP 29,190,588 %0.04 %99.2458 P 2538 AMTRUST NGH GRP 26,642,217 %0.04 %99.2859 L 826 NEW YORK LIFE GRP 23,390,847 %0.03 %99.3160 L 4483 NESTLE SA GRP 22,495,841 %0.03 %99.3461 L 869 MINNESOTA MUT GRP 21,487,594 %0.03 %99.3762 L 4 AMERIPRISE FIN GRP 19,234,447 %0.03 %99.4063 L 1211 NATIONAL GUARDIAN LIFE INS GRP 18,002,337 %0.03 %99.4364 L 306 CUNA MUT GRP 15,821,808 %0.02 %99.45
© 2018 National Association of Insurance Commissioners 37
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Florida
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 4813 EXPRESS SCRIPTS HOLDING GRP 14,943,594 %0.02 %99.4766 P 361 MUNICH RE GRP 13,987,112 %0.02 %99.4967 L 71404 CONTINENTAL GEN INS CO 13,726,276 %0.02 %99.5168 L P 23 BCS INS GRP 13,667,840 %0.02 %99.5369 L 264 HEALTHMARKETS GRP 12,881,640 %0.02 %99.5570 P 158 FAIRFAX FIN GRP 11,754,886 %0.02 %99.5671 L P 450 GENEVE HOLDINGS INC GRP 11,084,661 %0.02 %99.5872 L 761 ALLIANZ INS GRP 10,189,387 %0.01 %99.5973 L 661 BCBS OF SC GRP 10,154,443 %0.01 %99.6174 L P 140 NATIONWIDE CORP GRP 9,671,754 %0.01 %99.6275 L 3527 AMERICAN ENTERPRISE MUT GRP 9,362,660 %0.01 %99.6476 L 367 PHYSICIANS MUT GRP 9,312,951 %0.01 %99.6577 L P 212 ZURICH INS GRP 9,108,139 %0.01 %99.6678 L 4853 AAA LIFE GRP 8,007,109 %0.01 %99.6779 L 408 AMERICAN NATL FIN GRP 7,954,233 %0.01 %99.6880 H 477 RENAISSANCE HLTH SERV CORP GRP 7,847,349 %0.01 %99.6981 P 27928 AMEX ASSUR CO 7,600,168 %0.01 %99.7182 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 7,472,014 %0.01 %99.7283 L 76325 SENIOR HLTH INS CO OF PA 7,264,940 %0.01 %99.7384 L 525 PAN AMER LIFE GRP 6,671,512 %0.01 %99.7485 L 458 PROTECTIVE LIFE INS GRP 6,644,406 %0.01 %99.7586 L P 98 WR BERKLEY CORP GRP 6,374,693 %0.01 %99.7587 H 4866 SOLSTICE GRP 6,101,194 %0.01 %99.7688 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 5,197,441 %0.01 %99.7789 L 876 ARKANSAS BCBS GRP 5,135,706 %0.01 %99.7890 H 3680 DELTA DENTAL PLAN OF MO GRP 5,115,430 %0.01 %99.7891 L 1117 MANHATTAN LIFE GRP 4,821,001 %0.01 %99.7992 L 687 GUARANTEE TRUST GRP 4,764,429 %0.01 %99.8093 L 572 BCBS OF MI GRP 4,469,059 %0.01 %99.8094 L P 181 SWISS RE GRP 4,465,895 %0.01 %99.8195 P 1120 EVEREST REINS HOLDINGS GRP 4,416,518 %0.01 %99.8296 P 4904 INTACT FINANCIAL GRP 3,963,961 %0.01 %99.8297 L 968 AXA INS GRP 3,959,799 %0.01 %99.8398 H 12747 ENVISION INS CO 3,924,688 %0.01 %99.8399 L H 4719 AMFIRST HOLDINGS GRP 3,843,554 %0.01 %99.84
100 L 4815 RESOLUTION LIFE GRP 3,821,299 %0.01 %99.84101 L 574 AMERCO CORP GRP 3,760,900 %0.01 %99.85102 L 1186 LIFETIME HLTHCARE GRP 3,746,567 %0.01 %99.86103 L 769 GREAT WEST GRP 3,633,052 %0.01 %99.86104 L 581 BOSTON MUT GRP 3,463,804 %- %99.87105 L 64580 ILLINOIS MUT LIFE INS CO 3,320,163 %- %99.87106 L 2858 HOMESHIELD CAPITAL GRP 3,315,804 %- %99.88107 L 690 CENTRAL STATES GRP 3,122,119 %- %99.88108 L 520 NEW ERA LIFE GRP 3,069,298 %- %99.88109 F 58033 KNIGHTS OF COLUMBUS 3,059,562 %- %99.89110 P 4863 CHINA MINSHENG GRP 3,054,143 %- %99.89111 P 3483 PARTNERRE GRP 3,032,736 %- %99.90112 P 796 QBE INS GRP 3,028,670 %- %99.90113 L 3891 GOLDMAN SACHS GRP 2,834,651 %- %99.91114 L 704 OHIO NATL LIFE GRP 2,753,442 %- %99.91115 L 918 JACKSON NATL GRP 2,694,013 %- %99.91116 L P 31 BERKSHIRE HATHAWAY GRP 2,634,501 %- %99.92117 P 1285 XL AMER GRP 2,631,892 %- %99.92118 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,629,344 %- %99.92119 P 4670 STARR GRP 2,613,859 %- %99.93120 L 11121 UNIFIED LIFE INS CO 2,610,616 %- %99.93121 L 4862 ASSURITY GRP 2,505,264 %- %99.93122 L 66214 HEARTLAND NATL LIFE INS CO 2,409,216 %- %99.94123 L 69132 STATE MUT INS CO 2,389,320 %- %99.94124 L 42129 UNITED SECURITY ASSUR CO OF PA 2,366,059 %- %99.95125 L 4824 ADVANTAGE CAPITAL GRP 1,819,235 %- %99.95
**TOTAL** 70,664,742,826 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 38
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Georgia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 6,347,655,669 %25.10 %25.102 L H 707 UNITEDHEALTH GRP 4,903,885,560 %19.39 %44.493 L H 119 HUMANA GRP 2,246,250,999 %8.88 %53.374 L H 1199 WELLCARE GRP 2,117,451,829 %8.37 %61.755 L H 1 AETNA GRP 1,893,411,078 %7.49 %69.246 H 1295 CENTENE CORP GRP 1,626,719,182 %6.43 %75.677 H 601 KAISER FOUNDATION GRP 1,623,366,948 %6.42 %82.098 L H 901 CIGNA HLTH GRP 937,519,931 %3.71 %85.799 H 3683 CARESOURCE GRP 314,568,729 %1.24 %87.04
10 L H P 241 METROPOLITAN GRP 311,777,461 %1.23 %88.2711 H 11256 ALLIANT HLTH PLANS INC 255,146,209 %1.01 %89.2812 L 370 AFLAC GRP 220,177,226 %0.87 %90.1513 L 565 UNUM GRP 215,146,781 %0.85 %91.0014 L 261 MUTUAL OF OMAHA GRP 175,014,547 %0.69 %91.6915 H 2479 DENTEGRA GRP 150,020,400 %0.59 %92.2916 L 429 GUARDIAN LIFE GRP 116,598,981 %0.46 %92.7517 H 4667 CVS CAREMARK GRP 112,523,912 %0.44 %93.1918 L P 91 HARTFORD FIRE & CAS GRP 75,278,183 %0.30 %93.4919 L P 3098 TOKIO MARINE HOLDINGS INC GRP 74,262,695 %0.29 %93.7820 L 860 NORTHWESTERN MUT GRP 72,504,788 %0.29 %94.0721 L 4011 GENWORTH FIN GRP 69,251,900 %0.27 %94.3422 L 1348 MEIJI YASUDA LIFE INS GRP 63,695,661 %0.25 %94.6023 L P 468 AEGON US HOLDING GRP 55,186,026 %0.22 %94.8124 L 451 FIDELITY SECURITY GRP 51,433,371 %0.20 %95.0225 L 290 TORCHMARK CORP GRP 51,423,935 %0.20 %95.2226 L H 812 HIGHMARK GRP 51,144,691 %0.20 %95.4227 L 943 AMERITAS MUT HOLDING GRP 48,281,672 %0.19 %95.6128 L 332 PRINCIPAL FIN GRP 47,177,340 %0.19 %95.8029 L 8 ALLSTATE INS GRP 45,412,886 %0.18 %95.9830 L 549 SUN LIFE ASSUR CO OF CN GRP 44,695,796 %0.18 %96.1631 L 4832 VOYA FINANCIAL GRP 44,121,179 %0.17 %96.3332 P 176 STATE FARM GRP 41,500,159 %0.16 %96.5033 L P 626 CHUBB LTD GRP 39,398,372 %0.16 %96.6534 L 904 JOHN HANCOCK GRP 38,718,784 %0.15 %96.8135 L 20 LINCOLN NATL GRP 38,177,973 %0.15 %96.9636 H 4813 EXPRESS SCRIPTS HOLDING GRP 35,870,868 %0.14 %97.1037 H 1189 VISION SERV PLAN GRP 34,384,562 %0.14 %97.2338 L 304 PRUDENTIAL OF AMER GRP 32,032,333 %0.13 %97.3639 L 233 CNO FINANCIAL GRP 31,635,138 %0.13 %97.4940 L P 111 LIBERTY MUT GRP 29,807,065 %0.12 %97.6041 L 661 BCBS OF SC GRP 29,188,310 %0.12 %97.7242 L 520 NEW ERA LIFE GRP 27,303,629 %0.11 %97.8343 L P 7 FEDERATED MUT GRP 27,060,728 %0.11 %97.9344 L P 19 ASSURANT INC GRP 27,044,819 %0.11 %98.0445 L 435 MASS MUT LIFE INS GRP 22,348,119 %0.09 %98.1346 L P 12 AMERICAN INTL GRP 19,815,295 %0.08 %98.2147 L 4855 SUMITOMO LIFE INS GRP 19,182,426 %0.08 %98.2848 L 200 UNITED SERV AUTOMOBILE ASSN GRP 18,874,100 %0.07 %98.3649 L 330 AMERICAN FIDELITY CORP GRP 16,822,875 %0.07 %98.4250 L 1117 MANHATTAN LIFE GRP 16,740,895 %0.07 %98.4951 L 2538 AMTRUST NGH GRP 16,161,341 %0.06 %98.5552 L 839 WESTBRIDGE CAPITAL GRP 15,498,256 %0.06 %98.6253 L 4483 NESTLE SA GRP 15,023,291 %0.06 %98.6854 H 12747 ENVISION INS CO 11,750,536 %0.05 %98.7255 L 306 CUNA MUT GRP 10,181,987 %0.04 %98.7656 L P 140 NATIONWIDE CORP GRP 10,076,599 %0.04 %98.8057 L 826 NEW YORK LIFE GRP 9,689,561 %0.04 %98.8458 L 98 WR BERKLEY CORP GRP 9,655,975 %0.04 %98.8859 L P 450 GENEVE HOLDINGS INC GRP 9,386,373 %0.04 %98.9260 L 81264 NIPPON LIFE INS CO OF AMER 9,342,397 %0.04 %98.9561 L 869 MINNESOTA MUT GRP 9,329,983 %0.04 %98.9962 L P 4718 TIPTREE FIN GRP 9,011,551 %0.04 %99.0363 P 361 MUNICH RE GRP 8,873,975 %0.04 %99.0664 L 619 ONEAMERICA FIN PARTNERS GRP 8,662,232 %0.03 %99.09
© 2018 National Association of Insurance Commissioners 39
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Georgia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 15730 PRUITTHEALTH PREMIER INC 8,509,369 %0.03 %99.1366 L 71404 CONTINENTAL GEN INS CO 8,213,043 %0.03 %99.1667 P 218 CNA INS GRP 7,831,142 %0.03 %99.1968 L P 23 BCS INS GRP 7,530,858 %0.03 %99.2269 L 4 AMERIPRISE FIN GRP 7,109,334 %0.03 %99.2570 L 587 ATLANTIC AMER GRP 6,644,549 %0.03 %99.2871 L 761 ALLIANZ INS GRP 6,615,105 %0.03 %99.3072 P 158 FAIRFAX FIN GRP 6,409,622 %0.03 %99.3373 L 276 TRUSTMARK MUT HOLDING CO GRP 6,060,762 %0.02 %99.3574 L 367 PHYSICIANS MUT GRP 6,028,870 %0.02 %99.3775 L H 917 HCSC GRP 5,613,072 %0.02 %99.4076 L 525 PAN AMER LIFE GRP 5,327,191 %0.02 %99.4277 H 477 RENAISSANCE HLTH SERV CORP GRP 5,213,257 %0.02 %99.4478 L 264 HEALTHMARKETS GRP 5,010,793 %0.02 %99.4679 L P 181 SWISS RE GRP 4,899,206 %0.02 %99.4880 L P 212 ZURICH INS GRP 4,831,397 %0.02 %99.5081 H 4874 A1C HOLDINGS GRP 4,780,727 %0.02 %99.5282 L 65412 LIFE INS CO OF AL 4,748,081 %0.02 %99.5383 L 4888 EQUITABLE FAMILY INS CO GRP 4,330,227 %0.02 %99.5584 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,128,011 %0.02 %99.5785 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 3,918,729 %0.02 %99.5886 P 796 QBE INS GRP 3,669,214 %0.01 %99.6087 L 687 GUARANTEE TRUST GRP 3,628,923 %0.01 %99.6188 L 215 KEMPER CORP GRP 3,457,514 %0.01 %99.6389 F 57657 ROYAL NEIGHBORS OF AMER 3,457,079 %0.01 %99.6490 H 1260 MAGELLAN HLTH INC GRP 3,446,655 %0.01 %99.6591 L 3527 AMERICAN ENTERPRISE MUT GRP 3,306,115 %0.01 %99.6792 P 4863 CHINA MINSHENG GRP 3,295,185 %0.01 %99.6893 P 1120 EVEREST REINS HOLDINGS GRP 3,006,547 %0.01 %99.6994 P 3483 PARTNERRE GRP 2,922,145 %0.01 %99.7095 L P 31 BERKSHIRE HATHAWAY GRP 2,849,169 %0.01 %99.7196 L 4815 RESOLUTION LIFE GRP 2,736,922 %0.01 %99.7397 L 968 AXA INS GRP 2,332,310 %0.01 %99.7398 P 4381 HOUSTON INTL INS GRP 2,313,154 %0.01 %99.7499 H 96265 DENTAL CARE PLUS INC 2,266,207 %0.01 %99.75
100 P 27928 AMEX ASSUR CO 2,161,062 %0.01 %99.76101 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,153,539 %0.01 %99.77102 L 69132 STATE MUT INS CO 1,970,281 %0.01 %99.78103 L 2858 HOMESHIELD CAPITAL GRP 1,924,407 %0.01 %99.79104 L 4853 AAA LIFE GRP 1,890,127 %0.01 %99.79105 L 11121 UNIFIED LIFE INS CO 1,856,846 %0.01 %99.80106 P 1285 XL AMER GRP 1,817,934 %0.01 %99.81107 L P 84 AMERICAN FINANCIAL GRP 1,791,297 %0.01 %99.81108 L 408 AMERICAN NATL FIN GRP 1,736,523 %0.01 %99.82109 L 458 PROTECTIVE LIFE INS GRP 1,701,125 %0.01 %99.83110 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,639,023 %0.01 %99.83111 L 581 BOSTON MUT GRP 1,600,762 %0.01 %99.84112 L 4736 GGC GRP 1,548,143 %0.01 %99.85113 L 4862 ASSURITY GRP 1,533,285 %0.01 %99.85114 L 769 GREAT WEST GRP 1,530,434 %0.01 %99.86115 L 64580 ILLINOIS MUT LIFE INS CO 1,513,433 %0.01 %99.86116 L 60216 AMALGAMATED LIFE INS CO 1,495,830 %0.01 %99.87117 L 76325 SENIOR HLTH INS CO OF PA 1,411,275 %0.01 %99.88118 L 1186 LIFETIME HLTHCARE GRP 1,382,232 %0.01 %99.88119 P 4670 STARR GRP 1,285,393 %0.01 %99.89120 L 572 BCBS OF MI GRP 1,233,303 %- %99.89121 F 57320 WOODMEN WORLD LIFE INS SOC 1,192,841 %- %99.90122 P 4904 INTACT FINANCIAL GRP 1,191,082 %- %99.90123 L 50 COUNTRY INS & FIN SERV GRP 1,104,689 %- %99.91124 L 61921 CITIZENS SECURITY LIFE INS CO 1,065,170 %- %99.91125 F 58033 KNIGHTS OF COLUMBUS 975,333 %- %99.91
**TOTAL** 25,288,663,713 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 40
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Hawaii
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 49948 HAWAII MEDICAL SERV ASSN 3,373,003,495 %43.77 %43.772 H 601 KAISER FOUNDATION GRP 1,420,661,351 %18.43 %62.203 L H 707 UNITEDHEALTH GRP 999,677,302 %12.97 %75.174 L H 1199 WELLCARE GRP 570,207,996 %7.40 %82.575 H 95853 ALOHA CARE 369,507,877 %4.79 %87.376 H 47953 UNIVERSITY HLTH ALLIANCE 289,155,741 %3.75 %91.127 H 48330 HAWAII MGMT ALLIANCE ASSN 196,024,273 %2.54 %93.668 L H 119 HUMANA GRP 140,568,792 %1.82 %95.499 L 1348 MEIJI YASUDA LIFE INS GRP 44,364,832 %0.58 %96.06
10 L 370 AFLAC GRP 38,893,003 %0.50 %96.5711 L 565 UNUM GRP 32,418,904 %0.42 %96.9912 L 876 ARKANSAS BCBS GRP 19,315,276 %0.25 %97.2413 L 1 AETNA GRP 18,648,261 %0.24 %97.4814 L 241 METROPOLITAN GRP 18,230,122 %0.24 %97.7215 L 91 HARTFORD FIRE & CAS GRP 16,041,402 %0.21 %97.9316 L 904 JOHN HANCOCK GRP 14,375,360 %0.19 %98.1117 L 4011 GENWORTH FIN GRP 14,180,286 %0.18 %98.3018 L H 901 CIGNA HLTH GRP 9,758,456 %0.13 %98.4219 L 429 GUARDIAN LIFE GRP 9,594,948 %0.12 %98.5520 L 860 NORTHWESTERN MUT GRP 8,341,726 %0.11 %98.6621 L P 468 AEGON US HOLDING GRP 7,477,308 %0.10 %98.7522 L 261 MUTUAL OF OMAHA GRP 6,989,580 %0.09 %98.8423 L 304 PRUDENTIAL OF AMER GRP 6,712,753 %0.09 %98.9324 L 8 ALLSTATE INS GRP 4,830,476 %0.06 %98.9925 L 111 LIBERTY MUT GRP 4,601,750 %0.06 %99.0526 L P 3098 TOKIO MARINE HOLDINGS INC GRP 4,093,184 %0.05 %99.1127 P 176 STATE FARM GRP 4,064,012 %0.05 %99.1628 H 4667 CVS CAREMARK GRP 4,041,823 %0.05 %99.2129 L 4 AMERIPRISE FIN GRP 3,979,235 %0.05 %99.2630 L 306 CUNA MUT GRP 3,827,017 %0.05 %99.3131 L 826 NEW YORK LIFE GRP 3,577,844 %0.05 %99.3632 L 869 MINNESOTA MUT GRP 3,305,706 %0.04 %99.4033 L P 626 CHUBB LTD GRP 3,305,382 %0.04 %99.4534 P 218 CNA INS GRP 3,150,424 %0.04 %99.4935 L 435 MASS MUT LIFE INS GRP 3,091,672 %0.04 %99.5336 L 68551 ROYAL STATE NATL INS CO LTD 2,937,144 %0.04 %99.5637 L P 12 AMERICAN INTL GRP 2,850,635 %0.04 %99.6038 L 233 CNO FINANCIAL GRP 2,626,922 %0.03 %99.6439 L 332 PRINCIPAL FIN GRP 2,356,986 %0.03 %99.6740 L 290 TORCHMARK CORP GRP 2,008,927 %0.03 %99.6941 L 20 LINCOLN NATL GRP 1,743,749 %0.02 %99.7142 L 761 ALLIANZ INS GRP 1,684,275 %0.02 %99.7443 H 2479 DENTEGRA GRP 1,436,228 %0.02 %99.7644 L 1117 MANHATTAN LIFE GRP 1,346,943 %0.02 %99.7745 L 1186 LIFETIME HLTHCARE GRP 1,176,660 %0.02 %99.7946 L 781 UNION LABOR GRP 1,023,015 %0.01 %99.8047 L 4815 RESOLUTION LIFE GRP 936,930 %0.01 %99.8148 L 367 PHYSICIANS MUT GRP 916,433 %0.01 %99.8349 L 200 UNITED SERV AUTOMOBILE ASSN GRP 777,607 %0.01 %99.8450 L 4832 VOYA FINANCIAL GRP 770,642 %0.01 %99.8551 L 769 GREAT WEST GRP 766,962 %0.01 %99.8652 L 458 PROTECTIVE LIFE INS GRP 750,176 %0.01 %99.8753 L 4853 AAA LIFE GRP 611,840 %0.01 %99.8754 L 4862 ASSURITY GRP 551,687 %0.01 %99.8855 L 572 BCBS OF MI GRP 544,972 %0.01 %99.8956 L 943 AMERITAS MUT HOLDING GRP 471,712 %0.01 %99.8957 L 918 JACKSON NATL GRP 460,379 %0.01 %99.9058 P 3483 PARTNERRE GRP 419,401 %0.01 %99.9059 L 71404 CONTINENTAL GEN INS CO 396,718 %0.01 %99.9160 H 12747 ENVISION INS CO 376,432 %- %99.9261 P 796 QBE INS GRP 375,409 %- %99.9262 L H 812 HIGHMARK GRP 350,055 %- %99.9263 L 549 SUN LIFE ASSUR CO OF CN GRP 332,198 %- %99.9364 L 4855 SUMITOMO LIFE INS GRP 316,803 %- %99.93
© 2018 National Association of Insurance Commissioners 41
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Hawaii
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 3891 GOLDMAN SACHS GRP 312,680 %- %99.9466 H 4813 EXPRESS SCRIPTS HOLDING GRP 291,470 %- %99.9467 L 2538 AMTRUST NGH GRP 269,021 %- %99.9468 P 27928 AMEX ASSUR CO 267,740 %- %99.9569 L 4824 ADVANTAGE CAPITAL GRP 258,614 %- %99.9570 L 968 AXA INS GRP 213,683 %- %99.9571 P 158 FAIRFAX FIN GRP 200,070 %- %99.9672 L 1211 NATIONAL GUARDIAN LIFE INS GRP 187,779 %- %99.9673 L 76325 SENIOR HLTH INS CO OF PA 180,255 %- %99.9674 L 4716 FORTRESS GRP 177,816 %- %99.9675 L P 212 ZURICH INS GRP 174,559 %- %99.9776 L 525 PAN AMER LIFE GRP 150,902 %- %99.9777 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 149,937 %- %99.9778 L 408 AMERICAN NATL FIN GRP 144,615 %- %99.9779 L P 450 GENEVE HOLDINGS INC GRP 137,526 %- %99.9780 L 19 ASSURANT INC GRP 124,821 %- %99.9781 L 3527 AMERICAN ENTERPRISE MUT GRP 123,319 %- %99.9882 P 31 BERKSHIRE HATHAWAY GRP 121,161 %- %99.9883 L 687 GUARANTEE TRUST GRP 110,226 %- %99.9884 L 330 AMERICAN FIDELITY CORP GRP 107,516 %- %99.9885 L 4483 NESTLE SA GRP 100,980 %- %99.9886 L 276 TRUSTMARK MUT HOLDING CO GRP 100,899 %- %99.9887 L 1216 TIAA FAMILY GRP 97,328 %- %99.9888 L 11121 UNIFIED LIFE INS CO 95,191 %- %99.9989 H 477 RENAISSANCE HLTH SERV CORP GRP 93,950 %- %99.9990 L P 23 BCS INS GRP 71,465 %- %99.9991 L 451 FIDELITY SECURITY GRP 71,339 %- %99.9992 L 350 GENERAL ELECTRIC GRP 67,995 %- %99.9993 F 57320 WOODMEN WORLD LIFE INS SOC 53,296 %- %99.9994 F 58033 KNIGHTS OF COLUMBUS 48,174 %- %99.9995 L 4888 EQUITABLE FAMILY INS CO GRP 47,418 %- %99.9996 P 4670 STARR GRP 38,258 %- %99.9997 P 1279 ARCH INS GRP 38,062 %- %99.9998 L 90638 BEST LIFE & HLTH INS CO 31,699 %- %99.9999 L P 140 NATIONWIDE CORP GRP 31,216 %- %99.99
100 L 4734 ATHENE GRP 30,859 %- %99.99101 P 3416 AXIS CAPITAL GRP 30,786 %- %99.99102 L 581 BOSTON MUT GRP 30,392 %- %99.99103 P 1285 XL AMER GRP 30,308 %- %100.00104 L 4827 SOUTHLAND NATL HOLDING GRP 27,872 %- %100.00105 L 634 NATIONAL LIFE GRP 27,607 %- %100.00106 L 88668 MUTUAL OF AMER LIFE INS CO 24,706 %- %100.00107 L 50 COUNTRY INS & FIN SERV GRP 24,042 %- %100.00108 P 169 SENTRY INS GRP 21,064 %- %100.00109 L 4213 WILTON RE GRP 19,501 %- %100.00110 L 704 OHIO NATL LIFE GRP 17,689 %- %100.00111 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 17,429 %- %100.00112 L 4736 GGC GRP 15,119 %- %100.00113 P 4904 INTACT FINANCIAL GRP 14,169 %- %100.00114 L 440 REGAL REINS GRP 12,661 %- %100.00115 L 64580 ILLINOIS MUT LIFE INS CO 11,902 %- %100.00116 L 264 HEALTHMARKETS GRP 11,433 %- %100.00117 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 10,446 %- %100.00118 L 839 WESTBRIDGE CAPITAL GRP 10,286 %- %100.00119 L 215 KEMPER CORP GRP 8,597 %- %100.00120 L 98 WR BERKLEY CORP GRP 8,426 %- %100.00121 L 836 WEST SOUTHERN GRP 8,095 %- %100.00122 L 4826 ECG GRP 8,029 %- %100.00123 L 850 PENN MUT GRP 6,081 %- %100.00124 L 449 FINANCIAL HOLDINGS GRP 6,003 %- %100.00125 L 66214 HEARTLAND NATL LIFE INS CO 5,292 %- %100.00
**TOTAL** 7,706,509,744 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 42
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Idaho
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 1290 BLUE CROSS OF ID GRP 1,375,963,737 %37.64 %37.642 L H 1207 CAMBIA HEALTH SOLUTIONS INC 553,589,168 %15.14 %52.783 H 880 IHC INC GRP 407,418,647 %11.14 %63.924 L H 707 UNITEDHEALTH GRP 308,075,088 %8.43 %72.355 H 4704 PACIFICSOURCE HLTH PLAN GRP 239,859,843 %6.56 %78.916 L H 119 HUMANA GRP 87,857,111 %2.40 %81.317 L H 1 AETNA GRP 71,427,957 %1.95 %83.278 H 14933 MONTANA HLTH COOPERATIVE 60,981,775 %1.67 %84.939 H 47791 DELTA DENTAL PLAN OF ID INC 52,496,235 %1.44 %86.37
10 L H 901 CIGNA HLTH GRP 51,255,413 %1.40 %87.7711 H 4730 MCNA GRP 44,906,463 %1.23 %89.0012 L 261 MUTUAL OF OMAHA GRP 35,106,032 %0.96 %89.9613 L 370 AFLAC GRP 33,443,164 %0.91 %90.8814 L 241 METROPOLITAN GRP 17,815,074 %0.49 %91.3615 H 4667 CVS CAREMARK GRP 16,395,970 %0.45 %91.8116 L 1348 MEIJI YASUDA LIFE INS GRP 15,271,091 %0.42 %92.2317 L 565 UNUM GRP 14,672,186 %0.40 %92.6318 L 233 CNO FINANCIAL GRP 14,446,821 %0.40 %93.0319 L P 468 AEGON US HOLDING GRP 14,006,954 %0.38 %93.4120 L 860 NORTHWESTERN MUT GRP 13,064,448 %0.36 %93.7721 L P 3098 TOKIO MARINE HOLDINGS INC GRP 11,009,792 %0.30 %94.0722 H 1189 VISION SERV PLAN GRP 9,939,909 %0.27 %94.3423 H 3503 WILLAMETTE DENTAL GRP 9,726,388 %0.27 %94.6124 L 4011 GENWORTH FIN GRP 9,140,499 %0.25 %94.8625 L 332 PRINCIPAL FIN GRP 8,658,996 %0.24 %95.0926 L 330 AMERICAN FIDELITY CORP GRP 8,437,079 %0.23 %95.3227 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 7,478,648 %0.20 %95.5328 L 943 AMERITAS MUT HOLDING GRP 7,214,289 %0.20 %95.7229 P 176 STATE FARM GRP 6,856,292 %0.19 %95.9130 H 4813 EXPRESS SCRIPTS HOLDING GRP 6,198,799 %0.17 %96.0831 L 904 JOHN HANCOCK GRP 5,748,871 %0.16 %96.2432 L P 91 HARTFORD FIRE & CAS GRP 5,508,843 %0.15 %96.3933 H 601 KAISER FOUNDATION GRP 4,996,711 %0.14 %96.5334 L H 1199 WELLCARE GRP 4,709,837 %0.13 %96.6635 L 20 LINCOLN NATL GRP 4,365,638 %0.12 %96.7736 L 304 PRUDENTIAL OF AMER GRP 4,268,044 %0.12 %96.8937 L 429 GUARDIAN LIFE GRP 3,915,929 %0.11 %97.0038 P 796 QBE INS GRP 3,842,830 %0.11 %97.1039 L 587 ATLANTIC AMER GRP 3,649,608 %0.10 %97.2040 L 2878 UNITED HERITAGE MUT GRP 3,576,979 %0.10 %97.3041 H 12747 ENVISION INS CO 3,573,997 %0.10 %97.4042 L P 626 CHUBB LTD GRP 3,441,246 %0.09 %97.4943 L 661 BCBS OF SC GRP 3,392,748 %0.09 %97.5944 L 290 TORCHMARK CORP GRP 3,288,374 %0.09 %97.6845 L 4832 VOYA FINANCIAL GRP 3,098,958 %0.08 %97.7646 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,993,106 %0.08 %97.8447 L 3527 AMERICAN ENTERPRISE MUT GRP 2,990,439 %0.08 %97.9248 L 4855 SUMITOMO LIFE INS GRP 2,812,947 %0.08 %98.0049 L 4824 ADVANTAGE CAPITAL GRP 2,677,310 %0.07 %98.0750 L 8 ALLSTATE INS GRP 2,669,149 %0.07 %98.1551 L P 111 LIBERTY MUT GRP 2,652,251 %0.07 %98.2252 L P 12 AMERICAN INTL GRP 2,633,267 %0.07 %98.2953 L 525 PAN AMER LIFE GRP 2,593,356 %0.07 %98.3654 L 2538 AMTRUST NGH GRP 2,518,338 %0.07 %98.4355 L 1117 MANHATTAN LIFE GRP 2,203,874 %0.06 %98.4956 L 306 CUNA MUT GRP 2,138,994 %0.06 %98.5557 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,092,425 %0.06 %98.6158 L 4888 EQUITABLE FAMILY INS CO GRP 2,075,364 %0.06 %98.6659 L 826 NEW YORK LIFE GRP 2,040,657 %0.06 %98.7260 L 549 SUN LIFE ASSUR CO OF CN GRP 1,981,145 %0.05 %98.7761 L P 19 ASSURANT INC GRP 1,960,273 %0.05 %98.8362 L 869 MINNESOTA MUT GRP 1,858,428 %0.05 %98.8863 L 574 AMERCO CORP GRP 1,825,496 %0.05 %98.9364 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,792,373 %0.05 %98.98
© 2018 National Association of Insurance Commissioners 43
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Idaho
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 276 TRUSTMARK MUT HOLDING CO GRP 1,759,078 %0.05 %99.0366 L 264 HEALTHMARKETS GRP 1,674,281 %0.05 %99.0767 L 4483 NESTLE SA GRP 1,644,100 %0.04 %99.1268 L 98 WR BERKLEY CORP GRP 1,582,231 %0.04 %99.1669 P 158 FAIRFAX FIN GRP 1,502,002 %0.04 %99.2070 L 435 MASS MUT LIFE INS GRP 1,325,245 %0.04 %99.2471 P 218 CNA INS GRP 1,301,993 %0.04 %99.2772 L P 140 NATIONWIDE CORP GRP 1,168,471 %0.03 %99.3173 L 687 GUARANTEE TRUST GRP 1,096,729 %0.03 %99.3474 L 367 PHYSICIANS MUT GRP 1,069,412 %0.03 %99.3675 L 761 ALLIANZ INS GRP 958,592 %0.03 %99.3976 L P 212 ZURICH INS GRP 946,934 %0.03 %99.4277 H 2479 DENTEGRA GRP 898,808 %0.02 %99.4478 L 451 FIDELITY SECURITY GRP 844,485 %0.02 %99.4679 L P 23 BCS INS GRP 827,312 %0.02 %99.4980 L 4 AMERIPRISE FIN GRP 811,057 %0.02 %99.5181 P 4863 CHINA MINSHENG GRP 790,630 %0.02 %99.5382 L 588 KANSAS CITY LIFE INS GRP 780,878 %0.02 %99.5583 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 778,010 %0.02 %99.5784 H 68420 WMI MUT INS CO 770,554 %0.02 %99.5985 P 31 BERKSHIRE HATHAWAY GRP 768,757 %0.02 %99.6286 H 1260 MAGELLAN HLTH INC GRP 738,930 %0.02 %99.6487 L P 181 SWISS RE GRP 684,534 %0.02 %99.6588 L P 450 GENEVE HOLDINGS INC GRP 569,584 %0.02 %99.6789 L H 812 HIGHMARK GRP 526,781 %0.01 %99.6890 L 1211 NATIONAL GUARDIAN LIFE INS GRP 499,844 %0.01 %99.7091 P 1120 EVEREST REINS HOLDINGS GRP 437,427 %0.01 %99.7192 L 150 OLD REPUBLIC GRP 417,044 %0.01 %99.7293 L 1186 LIFETIME HLTHCARE GRP 403,167 %0.01 %99.7394 L 90638 BEST LIFE & HLTH INS CO 397,605 %0.01 %99.7495 H 126 EDUCATORS MUT GRP 391,267 %0.01 %99.7596 P 3483 PARTNERRE GRP 373,537 %0.01 %99.7697 L 704 OHIO NATL LIFE GRP 360,906 %0.01 %99.7798 L 408 AMERICAN NATL FIN GRP 345,150 %0.01 %99.7899 L 4712 GPM LIFE GRP 335,505 %0.01 %99.79
100 L 769 GREAT WEST GRP 323,910 %0.01 %99.80101 L 535 COLUMBIAN LIFE GRP 321,216 %0.01 %99.81102 L 4815 RESOLUTION LIFE GRP 293,453 %0.01 %99.82103 L 458 PROTECTIVE LIFE INS GRP 292,889 %0.01 %99.83104 L 4862 ASSURITY GRP 292,877 %0.01 %99.83105 P 4886 BENCHMARK HOLDING GRP 278,462 %0.01 %99.84106 F 58033 KNIGHTS OF COLUMBUS 276,161 %0.01 %99.85107 H 477 RENAISSANCE HLTH SERV CORP GRP 275,320 %0.01 %99.86108 L 71404 CONTINENTAL GEN INS CO 264,879 %0.01 %99.86109 L H 917 HCSC GRP 262,614 %0.01 %99.87110 L 64580 ILLINOIS MUT LIFE INS CO 262,209 %0.01 %99.88111 L 449 FINANCIAL HOLDINGS GRP 242,237 %0.01 %99.89112 L 11121 UNIFIED LIFE INS CO 229,873 %0.01 %99.89113 L 4853 AAA LIFE GRP 218,737 %0.01 %99.90114 F 56499 ASSURED LIFE ASSN 207,111 %0.01 %99.90115 L 350 GENERAL ELECTRIC GRP 206,098 %0.01 %99.91116 P 361 MUNICH RE GRP 188,855 %0.01 %99.91117 L 918 JACKSON NATL GRP 185,646 %0.01 %99.92118 L 76325 SENIOR HLTH INS CO OF PA 171,237 %- %99.92119 P 27928 AMEX ASSUR CO 167,031 %- %99.93120 L 50 COUNTRY INS & FIN SERV GRP 166,566 %- %99.93121 L 7 FEDERATED MUT GRP 165,100 %- %99.94122 L 876 ARKANSAS BCBS GRP 133,601 %- %99.94123 P 4904 INTACT FINANCIAL GRP 123,664 %- %99.94124 L 3891 GOLDMAN SACHS GRP 119,534 %- %99.95125 P 1285 XL AMER GRP 116,766 %- %99.95
**TOTAL** 3,655,951,024 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 44
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Illinois
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 917 HCSC GRP 15,134,216,988 %41.01 %41.012 L H 707 UNITEDHEALTH GRP 4,850,291,474 %13.14 %54.153 L H 1 AETNA GRP 3,363,275,809 %9.11 %63.274 L H 119 HUMANA GRP 2,156,298,057 %5.84 %69.115 H 1295 CENTENE CORP GRP 1,448,830,404 %3.93 %73.046 H 4640 CAIDAN ENTERPRISES INC GRP 1,440,480,661 %3.90 %76.947 H 1192 CARLE HOLDING CO GRP 1,408,820,082 %3.82 %80.768 L H 901 CIGNA HLTH GRP 932,708,237 %2.53 %83.299 H 1531 MOLINA HEALTHCARE INC GRP 752,754,341 %2.04 %85.33
10 L H 1199 WELLCARE GRP 582,047,683 %1.58 %86.9011 H 4843 FAMILY HLTH NETWORK GRP 474,327,048 %1.29 %88.1912 L P 241 METROPOLITAN GRP 402,470,166 %1.09 %89.2813 L 261 MUTUAL OF OMAHA GRP 248,331,808 %0.67 %89.9514 L H 429 GUARDIAN LIFE GRP 217,673,387 %0.59 %90.5415 L H 115 DELTA DENTAL PLAN OF IL GRP 210,258,348 %0.57 %91.1116 L 565 UNUM GRP 197,374,202 %0.53 %91.6517 L 370 AFLAC GRP 146,514,271 %0.40 %92.0418 H 1189 VISION SERV PLAN GRP 141,360,408 %0.38 %92.4319 L 860 NORTHWESTERN MUT GRP 122,811,345 %0.33 %92.7620 H 11699 ESSENCE HLTHCARE INC 113,502,985 %0.31 %93.0721 H 4667 CVS CAREMARK GRP 112,633,753 %0.31 %93.3722 L 332 PRINCIPAL FIN GRP 106,511,512 %0.29 %93.6623 L P 3098 TOKIO MARINE HOLDINGS INC GRP 96,970,269 %0.26 %93.9224 L 4011 GENWORTH FIN GRP 96,604,695 %0.26 %94.1825 L 233 CNO FINANCIAL GRP 92,092,457 %0.25 %94.4326 L 451 FIDELITY SECURITY GRP 89,826,074 %0.24 %94.6827 L 50 COUNTRY INS & FIN SERV GRP 85,204,416 %0.23 %94.9128 L P 91 HARTFORD FIRE & CAS GRP 77,052,920 %0.21 %95.1229 H 52553 UNION HLTH SERV INC 68,387,472 %0.19 %95.3030 L 549 SUN LIFE ASSUR CO OF CN GRP 64,529,217 %0.17 %95.4831 L P 626 CHUBB LTD GRP 62,204,336 %0.17 %95.6532 L 304 PRUDENTIAL OF AMER GRP 62,070,900 %0.17 %95.8133 L 468 AEGON US HOLDING GRP 60,848,459 %0.16 %95.9834 L 4832 VOYA FINANCIAL GRP 58,268,517 %0.16 %96.1435 P 176 STATE FARM GRP 56,303,208 %0.15 %96.2936 L 904 JOHN HANCOCK GRP 52,971,505 %0.14 %96.4337 L 20 LINCOLN NATL GRP 50,712,753 %0.14 %96.5738 L 1348 MEIJI YASUDA LIFE INS GRP 45,979,246 %0.12 %96.7039 L P 212 ZURICH INS GRP 43,127,561 %0.12 %96.8140 L P 111 LIBERTY MUT GRP 40,840,998 %0.11 %96.9241 L 4855 SUMITOMO LIFE INS GRP 39,083,613 %0.11 %97.0342 P 218 CNA INS GRP 38,515,581 %0.10 %97.1343 L P 12 AMERICAN INTL GRP 37,044,185 %0.10 %97.2344 L 943 AMERITAS MUT HOLDING GRP 35,445,327 %0.10 %97.3345 L H 812 HIGHMARK GRP 35,285,976 %0.10 %97.4346 L P 19 ASSURANT INC GRP 34,981,951 %0.09 %97.5247 L 661 BCBS OF SC GRP 33,292,118 %0.09 %97.6148 L P 23 BCS INS GRP 33,292,097 %0.09 %97.7049 L 2538 AMTRUST NGH GRP 32,046,195 %0.09 %97.7950 L 290 TORCHMARK CORP GRP 29,252,053 %0.08 %97.8751 L 8 ALLSTATE INS GRP 26,368,370 %0.07 %97.9452 L 81264 NIPPON LIFE INS CO OF AMER 26,045,012 %0.07 %98.0153 L 3527 AMERICAN ENTERPRISE MUT GRP 25,495,214 %0.07 %98.0854 L 435 MASS MUT LIFE INS GRP 25,151,901 %0.07 %98.1555 L 4483 NESTLE SA GRP 24,848,179 %0.07 %98.2156 L P 7 FEDERATED MUT GRP 24,042,687 %0.07 %98.2857 L 153 PEKIN INS GRP 23,215,143 %0.06 %98.3458 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 22,617,866 %0.06 %98.4059 L 687 GUARANTEE TRUST GRP 20,895,720 %0.06 %98.4660 H 12747 ENVISION INS CO 20,465,987 %0.06 %98.5161 H 4813 EXPRESS SCRIPTS HOLDING GRP 18,692,630 %0.05 %98.5762 L 330 AMERICAN FIDELITY CORP GRP 18,552,767 %0.05 %98.6263 L 367 PHYSICIANS MUT GRP 16,350,822 %0.04 %98.6664 L P 31 BERKSHIRE HATHAWAY GRP 15,890,419 %0.04 %98.70
© 2018 National Association of Insurance Commissioners 45
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Illinois
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4888 EQUITABLE FAMILY INS CO GRP 15,694,325 %0.04 %98.7566 P 158 FAIRFAX FIN GRP 15,167,375 %0.04 %98.7967 L P 181 SWISS RE GRP 14,486,403 %0.04 %98.8368 P 796 QBE INS GRP 13,185,481 %0.04 %98.8669 L 781 UNION LABOR GRP 13,116,940 %0.04 %98.9070 L 4824 ADVANTAGE CAPITAL GRP 12,937,729 %0.04 %98.9371 L P 140 NATIONWIDE CORP GRP 12,694,506 %0.03 %98.9772 L 826 NEW YORK LIFE GRP 12,625,369 %0.03 %99.0073 L 839 WESTBRIDGE CAPITAL GRP 12,522,089 %0.03 %99.0374 L P 98 WR BERKLEY CORP GRP 11,199,852 %0.03 %99.0675 L 4 AMERIPRISE FIN GRP 10,983,824 %0.03 %99.0976 L 1211 NATIONAL GUARDIAN LIFE INS GRP 10,798,310 %0.03 %99.1277 P 361 MUNICH RE GRP 10,176,120 %0.03 %99.1578 H 4811 MEDICAL ASSOCIATES GRP 9,801,249 %0.03 %99.1879 L 520 NEW ERA LIFE GRP 9,681,891 %0.03 %99.2080 L P 169 SENTRY INS GRP 9,320,415 %0.03 %99.2381 L 306 CUNA MUT GRP 9,182,004 %0.02 %99.2582 L 671 ANTHEM INC GRP 8,893,652 %0.02 %99.2883 L 264 HEALTHMARKETS GRP 8,691,975 %0.02 %99.3084 L 525 PAN AMER LIFE GRP 8,564,037 %0.02 %99.3385 L 1117 MANHATTAN LIFE GRP 8,315,863 %0.02 %99.3586 L 869 MINNESOTA MUT GRP 8,300,934 %0.02 %99.3787 L 71404 CONTINENTAL GEN INS CO 8,212,865 %0.02 %99.3988 L P 761 ALLIANZ INS GRP 8,204,953 %0.02 %99.4189 L 215 KEMPER CORP GRP 7,761,311 %0.02 %99.4490 L 587 ATLANTIC AMER GRP 7,702,634 %0.02 %99.4691 H 2479 DENTEGRA GRP 7,529,853 %0.02 %99.4892 L 276 TRUSTMARK MUT HOLDING CO GRP 7,015,187 %0.02 %99.5093 L 200 UNITED SERV AUTOMOBILE ASSN GRP 6,147,788 %0.02 %99.5194 H 54127 UNION MEDICAL CENTER 5,887,393 %0.02 %99.5395 L 2358 ISMIE GRP 5,776,419 %0.02 %99.5496 L 64580 ILLINOIS MUT LIFE INS CO 5,470,906 %0.01 %99.5697 L P 450 GENEVE HOLDINGS INC GRP 5,382,569 %0.01 %99.5798 L 574 AMERCO CORP GRP 5,274,840 %0.01 %99.5999 L 76325 SENIOR HLTH INS CO OF PA 4,958,549 %0.01 %99.60
100 L H 68 WISCONSIN PHYSICIANS SERV INS GRP 4,798,265 %0.01 %99.61101 L 4736 GGC GRP 4,721,258 %0.01 %99.63102 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,595,473 %0.01 %99.64103 P 4381 HOUSTON INTL INS GRP 4,159,652 %0.01 %99.65104 L 60208 AMALGAMATED LIFE & HLTH INS CO 4,034,127 %0.01 %99.66105 H 477 RENAISSANCE HLTH SERV CORP GRP 3,933,259 %0.01 %99.67106 H 1260 MAGELLAN HLTH INC GRP 3,913,017 %0.01 %99.68107 H 4744 L S S GRP 3,712,658 %0.01 %99.69108 L 408 AMERICAN NATL FIN GRP 3,681,550 %0.01 %99.70109 P 1285 XL AMER GRP 3,476,227 %0.01 %99.71110 L 1186 LIFETIME HLTHCARE GRP 3,467,885 %0.01 %99.72111 F 58033 KNIGHTS OF COLUMBUS 3,422,324 %0.01 %99.73112 P 4863 CHINA MINSHENG GRP 3,335,939 %0.01 %99.74113 L 968 AXA INS GRP 3,304,672 %0.01 %99.75114 L 769 GREAT WEST GRP 3,055,977 %0.01 %99.76115 L 619 ONEAMERICA FIN PARTNERS GRP 3,024,787 %0.01 %99.77116 L 572 BCBS OF MI GRP 2,898,245 %0.01 %99.77117 L 3891 GOLDMAN SACHS GRP 2,881,769 %0.01 %99.78118 P 473 AMERICAN FAMILY INS GRP 2,860,197 %0.01 %99.79119 L 4862 ASSURITY GRP 2,716,558 %0.01 %99.80120 H 54259 SIDNEY HILLMAN HLTH CENTRE 2,650,495 %0.01 %99.80121 L 918 JACKSON NATL GRP 2,484,889 %0.01 %99.81122 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,481,325 %0.01 %99.82123 P 3416 AXIS CAPITAL GRP 2,331,197 %0.01 %99.82124 P 1120 EVEREST REINS HOLDINGS GRP 2,307,355 %0.01 %99.83125 L 458 PROTECTIVE LIFE INS GRP 2,304,390 %0.01 %99.84
**TOTAL** 36,903,067,978 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 46
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Indiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 5,797,923,701 %35.00 %35.002 L H 707 UNITEDHEALTH GRP 2,368,795,461 %14.30 %49.313 H 4637 INDIANA UNIVERSITY HLTH GRP 1,883,326,381 %11.37 %60.684 H 1295 CENTENE CORP GRP 1,535,108,624 %9.27 %69.945 L H 119 HUMANA GRP 1,384,098,201 %8.36 %78.306 L H 1 AETNA GRP 499,644,651 %3.02 %81.327 H 3683 CARESOURCE GRP 354,427,805 %2.14 %83.468 L H 901 CIGNA HLTH GRP 265,670,708 %1.60 %85.069 L 261 MUTUAL OF OMAHA GRP 164,943,441 %1.00 %86.06
10 H 3828 PHP INDIANA GRP 158,407,850 %0.96 %87.0111 L 370 AFLAC GRP 110,138,933 %0.66 %87.6812 L P 3098 TOKIO MARINE HOLDINGS INC GRP 109,900,876 %0.66 %88.3413 L 241 METROPOLITAN GRP 95,980,753 %0.58 %88.9214 H 477 RENAISSANCE HLTH SERV CORP GRP 78,929,297 %0.48 %89.4015 H 4667 CVS CAREMARK GRP 73,188,047 %0.44 %89.8416 L 233 CNO FINANCIAL GRP 72,052,392 %0.44 %90.2717 L H 429 GUARDIAN LIFE GRP 71,280,410 %0.43 %90.7018 L 565 UNUM GRP 69,850,224 %0.42 %91.1319 L P 468 AEGON US HOLDING GRP 64,369,338 %0.39 %91.5120 L P 7 FEDERATED MUT GRP 51,492,761 %0.31 %91.8321 L 4011 GENWORTH FIN GRP 50,389,781 %0.30 %92.1322 L 860 NORTHWESTERN MUT GRP 45,047,783 %0.27 %92.4023 L 4483 NESTLE SA GRP 42,394,901 %0.26 %92.6624 L 330 AMERICAN FIDELITY CORP GRP 42,097,424 %0.25 %92.9125 H 96687 HEALTH RESOURCES INC 41,817,276 %0.25 %93.1626 L 3527 AMERICAN ENTERPRISE MUT GRP 38,459,827 %0.23 %93.4027 L 332 PRINCIPAL FIN GRP 38,158,540 %0.23 %93.6328 H 4813 EXPRESS SCRIPTS HOLDING GRP 37,159,072 %0.22 %93.8529 L 4855 SUMITOMO LIFE INS GRP 35,621,068 %0.22 %94.0730 L 549 SUN LIFE ASSUR CO OF CN GRP 35,038,592 %0.21 %94.2831 L 20 LINCOLN NATL GRP 34,238,991 %0.21 %94.4832 P 176 STATE FARM GRP 33,165,504 %0.20 %94.6833 H 1189 VISION SERV PLAN GRP 32,947,172 %0.20 %94.8834 L 661 BCBS OF SC GRP 32,905,189 %0.20 %95.0835 H 95812 SOUTHEASTERN IN HLTH ORG INC 30,817,396 %0.19 %95.2736 L P 91 HARTFORD FIRE & CAS GRP 29,624,022 %0.18 %95.4537 L 4832 VOYA FINANCIAL GRP 28,049,298 %0.17 %95.6238 L 904 JOHN HANCOCK GRP 27,623,009 %0.17 %95.7839 P 4863 CHINA MINSHENG GRP 25,096,549 %0.15 %95.9340 P 867 BALDWIN & LYONS GRP 24,847,505 %0.15 %96.0841 L 290 TORCHMARK CORP GRP 24,109,679 %0.15 %96.2342 L P 12 AMERICAN INTL GRP 22,382,598 %0.14 %96.3743 L 1348 MEIJI YASUDA LIFE INS GRP 22,297,814 %0.13 %96.5044 L P 111 LIBERTY MUT GRP 21,519,975 %0.13 %96.6345 L 520 NEW ERA LIFE GRP 19,120,518 %0.12 %96.7546 L P 626 CHUBB LTD GRP 18,445,569 %0.11 %96.8647 L H 1199 WELLCARE GRP 18,128,093 %0.11 %96.9748 P 158 FAIRFAX FIN GRP 18,061,218 %0.11 %97.0849 L 8 ALLSTATE INS GRP 16,942,984 %0.10 %97.1850 L 304 PRUDENTIAL OF AMER GRP 16,936,040 %0.10 %97.2851 L 943 AMERITAS MUT HOLDING GRP 16,877,749 %0.10 %97.3852 L 619 ONEAMERICA FIN PARTNERS GRP 16,590,245 %0.10 %97.4853 L P 31 BERKSHIRE HATHAWAY GRP 16,278,914 %0.10 %97.5854 L 215 KEMPER CORP GRP 15,938,632 %0.10 %97.6855 L 153 PEKIN INS GRP 14,326,757 %0.09 %97.7656 L 367 PHYSICIANS MUT GRP 12,126,187 %0.07 %97.8457 L P 2538 AMTRUST NGH GRP 11,931,813 %0.07 %97.9158 L P 450 GENEVE HOLDINGS INC GRP 11,641,872 %0.07 %97.9859 L P 181 SWISS RE GRP 10,773,044 %0.07 %98.0460 L 451 FIDELITY SECURITY GRP 10,700,149 %0.06 %98.1161 L 98 WR BERKLEY CORP GRP 10,543,001 %0.06 %98.1762 P 361 MUNICH RE GRP 10,262,908 %0.06 %98.2363 P 4381 HOUSTON INTL INS GRP 10,000,942 %0.06 %98.2964 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 9,964,911 %0.06 %98.35
© 2018 National Association of Insurance Commissioners 47
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Indiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L H 812 HIGHMARK GRP 9,858,847 %0.06 %98.4166 L 435 MASS MUT LIFE INS GRP 9,470,126 %0.06 %98.4767 L 3891 GOLDMAN SACHS GRP 9,339,028 %0.06 %98.5368 L 587 ATLANTIC AMER GRP 9,187,557 %0.06 %98.5869 L P 19 ASSURANT INC GRP 9,118,300 %0.06 %98.6470 P 218 CNA INS GRP 8,929,682 %0.05 %98.6971 F 4616 EVERENCE GRP 8,512,361 %0.05 %98.7472 L P 212 ZURICH INS GRP 8,406,195 %0.05 %98.7973 L H 917 HCSC GRP 7,995,715 %0.05 %98.8474 L P 140 NATIONWIDE CORP GRP 7,600,660 %0.05 %98.8975 L 839 WESTBRIDGE CAPITAL GRP 7,588,504 %0.05 %98.9376 L 71404 CONTINENTAL GEN INS CO 7,285,276 %0.04 %98.9877 L 1117 MANHATTAN LIFE GRP 6,514,667 %0.04 %99.0278 L 869 MINNESOTA MUT GRP 6,349,288 %0.04 %99.0679 L 81264 NIPPON LIFE INS CO OF AMER 5,981,190 %0.04 %99.0980 L 4888 EQUITABLE FAMILY INS CO GRP 5,734,959 %0.03 %99.1381 H 97772 US HLTH & LIFE INS CO INC 5,718,502 %0.03 %99.1682 L 687 GUARANTEE TRUST GRP 5,480,267 %0.03 %99.1983 L 276 TRUSTMARK MUT HOLDING CO GRP 5,429,112 %0.03 %99.2384 L P 23 BCS INS GRP 5,349,379 %0.03 %99.2685 L 306 CUNA MUT GRP 4,402,096 %0.03 %99.2986 L 4 AMERIPRISE FIN GRP 4,297,467 %0.03 %99.3187 L 4736 GGC GRP 4,239,961 %0.03 %99.3488 L 264 HEALTHMARKETS GRP 4,208,929 %0.03 %99.3689 L 408 AMERICAN NATL FIN GRP 4,076,326 %0.02 %99.3990 H 12747 ENVISION INS CO 3,952,448 %0.02 %99.4191 L 781 UNION LABOR GRP 3,925,974 %0.02 %99.4392 L 66214 HEARTLAND NATL LIFE INS CO 3,384,891 %0.02 %99.4693 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,333,876 %0.02 %99.4894 L 826 NEW YORK LIFE GRP 3,224,358 %0.02 %99.4995 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 3,213,098 %0.02 %99.5196 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,145,544 %0.02 %99.5397 H 2479 DENTEGRA GRP 3,045,767 %0.02 %99.5598 L 836 WEST SOUTHERN GRP 2,852,773 %0.02 %99.5799 L 90638 BEST LIFE & HLTH INS CO 2,723,699 %0.02 %99.59
100 P 3416 AXIS CAPITAL GRP 2,694,585 %0.02 %99.60101 H 1260 MAGELLAN HLTH INC GRP 2,644,900 %0.02 %99.62102 L 76325 SENIOR HLTH INS CO OF PA 2,364,492 %0.01 %99.63103 L 525 PAN AMER LIFE GRP 2,292,736 %0.01 %99.65104 L 4862 ASSURITY GRP 2,269,448 %0.01 %99.66105 L P 761 ALLIANZ INS GRP 1,979,487 %0.01 %99.67106 P 3483 PARTNERRE GRP 1,959,862 %0.01 %99.68107 L 11121 UNIFIED LIFE INS CO 1,868,946 %0.01 %99.69108 H 4677 TENNESSEE RURAL HLTH GRP 1,854,128 %0.01 %99.71109 L 588 KANSAS CITY LIFE INS GRP 1,809,359 %0.01 %99.72110 H 95071 BAPTIST HLTH PLAN INC 1,808,967 %0.01 %99.73111 L 574 AMERCO CORP GRP 1,747,120 %0.01 %99.74112 L 581 BOSTON MUT GRP 1,653,046 %0.01 %99.75113 L 64580 ILLINOIS MUT LIFE INS CO 1,613,301 %0.01 %99.76114 H 4744 L S S GRP 1,571,423 %0.01 %99.77115 F 58009 POLICE & FIREMENS INS ASSN 1,443,027 %0.01 %99.78116 L 4712 GPM LIFE GRP 1,413,051 %0.01 %99.78117 L 4718 TIPTREE FIN GRP 1,396,513 %0.01 %99.79118 F 57657 ROYAL NEIGHBORS OF AMER 1,337,362 %0.01 %99.80119 L 769 GREAT WEST GRP 1,329,717 %0.01 %99.81120 L 1186 LIFETIME HLTHCARE GRP 1,303,932 %0.01 %99.82121 P 473 AMERICAN FAMILY INS GRP 1,294,621 %0.01 %99.82122 P 785 MARKEL CORP GRP 1,290,543 %0.01 %99.83123 F 58033 KNIGHTS OF COLUMBUS 1,282,994 %0.01 %99.84124 L P 84 AMERICAN FINANCIAL GRP 1,258,028 %0.01 %99.85125 L 42129 UNITED SECURITY ASSUR CO OF PA 1,195,397 %0.01 %99.85
**TOTAL** 16,563,514,996 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 48
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Iowa
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 770 WELLMARK INC GRP 3,026,593,363 %29.03 %29.032 L H 707 UNITEDHEALTH GRP 2,059,712,726 %19.76 %48.793 H 936 INDEPENDENCE HLTH GRP INC GRP 1,750,273,636 %16.79 %65.584 L H 671 ANTHEM INC GRP 1,231,247,475 %11.81 %77.395 L H 1 AETNA GRP 696,534,621 %6.68 %84.076 L H 119 HUMANA GRP 286,296,913 %2.75 %86.827 H 1552 MEDICA GRP 101,992,586 %0.98 %87.808 L 233 CNO FINANCIAL GRP 99,872,827 %0.96 %88.759 H 4811 MEDICAL ASSOCIATES GRP 73,474,097 %0.70 %89.46
10 L 370 AFLAC GRP 68,140,559 %0.65 %90.1111 L 261 MUTUAL OF OMAHA GRP 66,208,620 %0.64 %90.7512 L H 901 CIGNA HLTH GRP 57,205,560 %0.55 %91.3013 L 3527 AMERICAN ENTERPRISE MUT GRP 51,764,611 %0.50 %91.7914 H 4667 CVS CAREMARK GRP 47,144,091 %0.45 %92.2515 L 332 PRINCIPAL FIN GRP 41,653,169 %0.40 %92.6516 L 241 METROPOLITAN GRP 39,658,375 %0.38 %93.0317 L 565 UNUM GRP 37,176,900 %0.36 %93.3818 L 4011 GENWORTH FIN GRP 31,489,143 %0.30 %93.6819 L 860 NORTHWESTERN MUT GRP 31,478,224 %0.30 %93.9920 L P 3098 TOKIO MARINE HOLDINGS INC GRP 31,016,323 %0.30 %94.2821 L 549 SUN LIFE ASSUR CO OF CN GRP 27,318,262 %0.26 %94.5522 L P 468 AEGON US HOLDING GRP 25,202,730 %0.24 %94.7923 L 904 JOHN HANCOCK GRP 20,389,844 %0.20 %94.9824 L 687 GUARANTEE TRUST GRP 20,227,744 %0.19 %95.1825 L 1348 MEIJI YASUDA LIFE INS GRP 19,285,616 %0.18 %95.3626 P 176 STATE FARM GRP 17,959,336 %0.17 %95.5327 L 4888 EQUITABLE FAMILY INS CO GRP 17,197,555 %0.16 %95.7028 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 17,161,245 %0.16 %95.8629 L 451 FIDELITY SECURITY GRP 15,936,687 %0.15 %96.0230 L P 91 HARTFORD FIRE & CAS GRP 15,430,032 %0.15 %96.1731 L 8 ALLSTATE INS GRP 15,366,127 %0.15 %96.3132 L 20 LINCOLN NATL GRP 14,939,341 %0.14 %96.4633 L P 626 CHUBB LTD GRP 12,685,003 %0.12 %96.5834 H 4730 MCNA GRP 11,803,920 %0.11 %96.6935 L 4824 ADVANTAGE CAPITAL GRP 11,391,875 %0.11 %96.8036 L 304 PRUDENTIAL OF AMER GRP 11,230,840 %0.11 %96.9137 L 367 PHYSICIANS MUT GRP 10,802,990 %0.10 %97.0138 L 111 LIBERTY MUT GRP 10,764,536 %0.10 %97.1139 L P 84 AMERICAN FINANCIAL GRP 10,758,086 %0.10 %97.2240 H 1189 VISION SERV PLAN GRP 10,672,121 %0.10 %97.3241 L P 7 FEDERATED MUT GRP 10,222,666 %0.10 %97.4242 L 290 TORCHMARK CORP GRP 9,391,838 %0.09 %97.5143 H 1192 CARLE HOLDING CO GRP 8,950,835 %0.09 %97.5944 L P 212 ZURICH INS GRP 8,938,293 %0.09 %97.6845 L 429 GUARDIAN LIFE GRP 8,271,285 %0.08 %97.7646 L 4832 VOYA FINANCIAL GRP 7,909,487 %0.08 %97.8447 L 826 NEW YORK LIFE GRP 7,804,560 %0.07 %97.9148 L 943 AMERITAS MUT HOLDING GRP 7,748,077 %0.07 %97.9849 L H 812 HIGHMARK GRP 7,727,350 %0.07 %98.0650 L P 19 ASSURANT INC GRP 7,688,631 %0.07 %98.1351 L H 1199 WELLCARE GRP 7,139,268 %0.07 %98.2052 L 215 KEMPER CORP GRP 6,871,796 %0.07 %98.2753 L P 450 GENEVE HOLDINGS INC GRP 6,639,908 %0.06 %98.3354 L 4855 SUMITOMO LIFE INS GRP 6,565,737 %0.06 %98.3955 L 330 AMERICAN FIDELITY CORP GRP 6,505,109 %0.06 %98.4656 L 4 AMERIPRISE FIN GRP 5,659,652 %0.05 %98.5157 L 4483 NESTLE SA GRP 5,648,115 %0.05 %98.5658 L 71404 CONTINENTAL GEN INS CO 5,595,994 %0.05 %98.6259 H 95839 AVERA HLTH PLANS INC 5,205,566 %0.05 %98.6760 H 15888 HEALTHPARTNERS UNITYPOINT HLTH INC 4,852,380 %0.05 %98.7161 P 218 CNA INS GRP 4,580,119 %0.04 %98.7662 L 64580 ILLINOIS MUT LIFE INS CO 4,290,031 %0.04 %98.8063 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 4,280,540 %0.04 %98.8464 L 761 ALLIANZ INS GRP 4,170,223 %0.04 %98.88
© 2018 National Association of Insurance Commissioners 49
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Iowa
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 12 AMERICAN INTL GRP 4,076,002 %0.04 %98.9266 L 435 MASS MUT LIFE INS GRP 3,734,367 %0.04 %98.9667 L 4862 ASSURITY GRP 3,721,493 %0.04 %98.9968 L 587 ATLANTIC AMER GRP 3,680,090 %0.04 %99.0369 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,673,741 %0.04 %99.0670 L P 31 BERKSHIRE HATHAWAY GRP 3,511,952 %0.03 %99.1071 L 661 BCBS OF SC GRP 3,503,141 %0.03 %99.1372 L 869 MINNESOTA MUT GRP 3,393,305 %0.03 %99.1673 P 796 QBE INS GRP 3,235,494 %0.03 %99.1974 L 306 CUNA MUT GRP 3,002,573 %0.03 %99.2275 L 61921 CITIZENS SECURITY LIFE INS CO 2,714,572 %0.03 %99.2576 L 264 HEALTHMARKETS GRP 2,643,959 %0.03 %99.2777 L 11121 UNIFIED LIFE INS CO 2,625,048 %0.03 %99.3078 H 1260 MAGELLAN HLTH INC GRP 2,513,881 %0.02 %99.3279 L 2538 AMTRUST NGH GRP 2,442,203 %0.02 %99.3580 L 574 AMERCO CORP GRP 2,421,644 %0.02 %99.3781 L P 181 SWISS RE GRP 2,401,351 %0.02 %99.3982 L 839 WESTBRIDGE CAPITAL GRP 2,381,155 %0.02 %99.4183 F 58033 KNIGHTS OF COLUMBUS 2,322,452 %0.02 %99.4484 P 4863 CHINA MINSHENG GRP 2,275,576 %0.02 %99.4685 H 4813 EXPRESS SCRIPTS HOLDING GRP 2,247,782 %0.02 %99.4886 L P 140 NATIONWIDE CORP GRP 2,231,755 %0.02 %99.5087 H 1258 HEALTHPARTNERS GRP 2,175,106 %0.02 %99.5288 L 276 TRUSTMARK MUT HOLDING CO GRP 2,142,045 %0.02 %99.5489 L 513 IOWA FARM BUREAU GRP 1,956,799 %0.02 %99.5690 L 1186 LIFETIME HLTHCARE GRP 1,933,658 %0.02 %99.5891 L 50 COUNTRY INS & FIN SERV GRP 1,914,980 %0.02 %99.6092 L 76325 SENIOR HLTH INS CO OF PA 1,887,038 %0.02 %99.6293 L 619 ONEAMERICA FIN PARTNERS GRP 1,832,210 %0.02 %99.6394 H 1246 SANFORD HLTH GRP 1,727,223 %0.02 %99.6595 L P 23 BCS INS GRP 1,701,971 %0.02 %99.6796 L 1117 MANHATTAN LIFE GRP 1,697,718 %0.02 %99.6897 L 588 KANSAS CITY LIFE INS GRP 1,658,026 %0.02 %99.7098 L 525 PAN AMER LIFE GRP 1,624,130 %0.02 %99.7299 L 917 HCSC GRP 1,589,458 %0.02 %99.73
100 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,396,138 %0.01 %99.74101 P 473 AMERICAN FAMILY INS GRP 1,336,251 %0.01 %99.76102 L 408 AMERICAN NATL FIN GRP 1,290,332 %0.01 %99.77103 L 98 WR BERKLEY CORP GRP 1,253,837 %0.01 %99.78104 H 2479 DENTEGRA GRP 1,125,228 %0.01 %99.79105 L 153 PEKIN INS GRP 1,053,664 %0.01 %99.80106 L 4815 RESOLUTION LIFE GRP 995,691 %0.01 %99.81107 L 3891 GOLDMAN SACHS GRP 883,397 %0.01 %99.82108 L 200 UNITED SERV AUTOMOBILE ASSN GRP 866,362 %0.01 %99.83109 L 280 AUTO OWNERS GRP 855,463 %0.01 %99.84110 L 769 GREAT WEST GRP 840,842 %0.01 %99.84111 P 1285 XL AMER GRP 794,881 %0.01 %99.85112 H 12747 ENVISION INS CO 784,207 %0.01 %99.86113 F 4616 EVERENCE GRP 668,839 %0.01 %99.87114 F 56499 ASSURED LIFE ASSN 659,962 %0.01 %99.87115 L 4853 AAA LIFE GRP 656,579 %0.01 %99.88116 H 477 RENAISSANCE HLTH SERV CORP GRP 639,002 %0.01 %99.89117 P 4381 HOUSTON INTL INS GRP 569,776 %0.01 %99.89118 L 918 JACKSON NATL GRP 565,470 %0.01 %99.90119 P 3416 AXIS CAPITAL GRP 562,455 %0.01 %99.90120 P 361 MUNICH RE GRP 538,045 %0.01 %99.91121 P 158 FAIRFAX FIN GRP 537,924 %0.01 %99.91122 L 572 BCBS OF MI GRP 503,716 %- %99.92123 L 62928 EMC NATL LIFE CO 450,195 %- %99.92124 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 431,198 %- %99.92125 L 4736 GGC GRP 378,746 %- %99.93
**TOTAL** 10,424,796,699 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 50
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Kansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 430 BCBS OF KS GRP 2,186,753,799 %24.51 %24.512 L H 707 UNITEDHEALTH GRP 1,461,715,003 %16.38 %40.893 H 1295 CENTENE CORP GRP 1,114,135,758 %12.49 %53.384 L H 671 ANTHEM INC GRP 1,008,866,917 %11.31 %64.695 L H 537 BCBS OF KC GRP 761,243,677 %8.53 %73.226 L H 1 AETNA GRP 678,088,269 %7.60 %80.827 L H 119 HUMANA GRP 501,999,146 %5.63 %86.458 L H 901 CIGNA HLTH GRP 143,686,210 %1.61 %88.069 L H 4638 DELTA DENTAL OF KS GRP 106,951,311 %1.20 %89.26
10 L 370 AFLAC GRP 63,344,692 %0.71 %89.9711 H 1552 MEDICA GRP 53,557,085 %0.60 %90.5712 L 261 MUTUAL OF OMAHA GRP 46,894,386 %0.53 %91.0913 L 233 CNO FINANCIAL GRP 45,557,737 %0.51 %91.6014 H 4667 CVS CAREMARK GRP 41,428,085 %0.46 %92.0715 L H P 241 METROPOLITAN GRP 39,381,958 %0.44 %92.5116 L 565 UNUM GRP 37,668,724 %0.42 %92.9317 L P 3098 TOKIO MARINE HOLDINGS INC GRP 31,773,607 %0.36 %93.2918 L 429 GUARDIAN LIFE GRP 25,765,287 %0.29 %93.5819 L 4011 GENWORTH FIN GRP 23,652,290 %0.27 %93.8420 L P 468 AEGON US HOLDING GRP 21,337,490 %0.24 %94.0821 L 860 NORTHWESTERN MUT GRP 19,881,688 %0.22 %94.3022 L 3527 AMERICAN ENTERPRISE MUT GRP 18,891,685 %0.21 %94.5223 L 687 GUARANTEE TRUST GRP 17,566,031 %0.20 %94.7124 L P 91 HARTFORD FIRE & CAS GRP 17,447,431 %0.20 %94.9125 L 330 AMERICAN FIDELITY CORP GRP 15,630,978 %0.18 %95.0826 L 332 PRINCIPAL FIN GRP 15,457,542 %0.17 %95.2627 P 176 STATE FARM GRP 15,246,849 %0.17 %95.4328 L 904 JOHN HANCOCK GRP 14,376,832 %0.16 %95.5929 L H 549 SUN LIFE ASSUR CO OF CN GRP 13,441,448 %0.15 %95.7430 L 290 TORCHMARK CORP GRP 13,085,598 %0.15 %95.8931 L 20 LINCOLN NATL GRP 12,312,643 %0.14 %96.0232 H 1189 VISION SERV PLAN GRP 12,086,298 %0.14 %96.1633 L P 626 CHUBB LTD GRP 11,607,272 %0.13 %96.2934 L P 19 ASSURANT INC GRP 11,574,118 %0.13 %96.4235 L 1348 MEIJI YASUDA LIFE INS GRP 11,231,986 %0.13 %96.5536 L 215 KEMPER CORP GRP 10,820,540 %0.12 %96.6737 L P 7 FEDERATED MUT GRP 10,793,003 %0.12 %96.7938 L 304 PRUDENTIAL OF AMER GRP 10,574,571 %0.12 %96.9139 L 4832 VOYA FINANCIAL GRP 10,049,122 %0.11 %97.0240 L 8 ALLSTATE INS GRP 9,045,202 %0.10 %97.1241 L H 1199 WELLCARE GRP 8,902,852 %0.10 %97.2242 L 451 FIDELITY SECURITY GRP 8,895,647 %0.10 %97.3243 L 661 BCBS OF SC GRP 8,055,772 %0.09 %97.4144 L 943 AMERITAS MUT HOLDING GRP 7,542,714 %0.08 %97.5045 L 67326 OLD SURETY LIFE INS CO 7,353,916 %0.08 %97.5846 P 796 QBE INS GRP 7,021,015 %0.08 %97.6647 L P 12 AMERICAN INTL GRP 7,014,714 %0.08 %97.7348 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 6,882,363 %0.08 %97.8149 L 2538 AMTRUST NGH GRP 6,648,273 %0.07 %97.8950 L 111 LIBERTY MUT GRP 6,303,429 %0.07 %97.9651 L 98 WR BERKLEY CORP GRP 6,042,763 %0.07 %98.0252 L 71404 CONTINENTAL GEN INS CO 5,695,407 %0.06 %98.0953 L P 181 SWISS RE GRP 5,588,004 %0.06 %98.1554 L 435 MASS MUT LIFE INS GRP 5,540,385 %0.06 %98.2155 L 4888 EQUITABLE FAMILY INS CO GRP 5,212,189 %0.06 %98.2756 H 4813 EXPRESS SCRIPTS HOLDING GRP 5,131,797 %0.06 %98.3357 F 4616 EVERENCE GRP 5,122,863 %0.06 %98.3958 L 826 NEW YORK LIFE GRP 5,118,554 %0.06 %98.4459 L 587 ATLANTIC AMER GRP 4,972,903 %0.06 %98.5060 L 367 PHYSICIANS MUT GRP 4,676,841 %0.05 %98.5561 P 218 CNA INS GRP 4,593,341 %0.05 %98.6062 L 869 MINNESOTA MUT GRP 4,160,443 %0.05 %98.6563 L 1117 MANHATTAN LIFE GRP 4,122,741 %0.05 %98.7064 L 520 NEW ERA LIFE GRP 4,118,514 %0.05 %98.74
© 2018 National Association of Insurance Commissioners 51
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Kansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,013,546 %0.04 %98.7966 L 839 WESTBRIDGE CAPITAL GRP 3,947,092 %0.04 %98.8367 P 158 FAIRFAX FIN GRP 3,882,785 %0.04 %98.8868 L P 140 NATIONWIDE CORP GRP 3,856,972 %0.04 %98.9269 L H 812 HIGHMARK GRP 3,847,122 %0.04 %98.9670 F 58033 KNIGHTS OF COLUMBUS 3,840,118 %0.04 %99.0171 L 4 AMERIPRISE FIN GRP 3,636,300 %0.04 %99.0572 L 4855 SUMITOMO LIFE INS GRP 3,499,362 %0.04 %99.0973 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,453,680 %0.04 %99.1274 L 4483 NESTLE SA GRP 3,441,515 %0.04 %99.1675 L 408 AMERICAN NATL FIN GRP 3,343,861 %0.04 %99.2076 L 761 ALLIANZ INS GRP 3,066,751 %0.03 %99.2377 L 4824 ADVANTAGE CAPITAL GRP 3,062,204 %0.03 %99.2778 L 4815 RESOLUTION LIFE GRP 2,846,683 %0.03 %99.3079 L P 450 GENEVE HOLDINGS INC GRP 2,501,088 %0.03 %99.3380 P 361 MUNICH RE GRP 2,490,957 %0.03 %99.3681 P 3416 AXIS CAPITAL GRP 2,389,344 %0.03 %99.3882 L 306 CUNA MUT GRP 2,276,750 %0.03 %99.4183 L 264 HEALTHMARKETS GRP 2,131,013 %0.02 %99.4384 H 2479 DENTEGRA GRP 2,053,791 %0.02 %99.4685 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,954,886 %0.02 %99.4886 L 276 TRUSTMARK MUT HOLDING CO GRP 1,928,128 %0.02 %99.5087 L 581 BOSTON MUT GRP 1,863,980 %0.02 %99.5288 L 574 AMERCO CORP GRP 1,829,242 %0.02 %99.5489 L 572 BCBS OF MI GRP 1,707,408 %0.02 %99.5690 L 4862 ASSURITY GRP 1,599,063 %0.02 %99.5891 L 76325 SENIOR HLTH INS CO OF PA 1,562,252 %0.02 %99.6092 L 1186 LIFETIME HLTHCARE GRP 1,531,772 %0.02 %99.6193 L P 212 ZURICH INS GRP 1,499,856 %0.02 %99.6394 L P 23 BCS INS GRP 1,482,675 %0.02 %99.6595 P 473 AMERICAN FAMILY INS GRP 1,442,832 %0.02 %99.6696 L 619 ONEAMERICA FIN PARTNERS GRP 1,335,637 %0.01 %99.6897 H 15462 STERLING DENTAL OF N AMER LLC 1,312,161 %0.01 %99.6998 H 12747 ENVISION INS CO 1,294,569 %0.01 %99.7199 L 513 IOWA FARM BUREAU GRP 1,274,999 %0.01 %99.72
100 L 588 KANSAS CITY LIFE INS GRP 1,256,137 %0.01 %99.73101 P 31 BERKSHIRE HATHAWAY GRP 1,199,390 %0.01 %99.75102 P 1285 XL AMER GRP 1,151,673 %0.01 %99.76103 P 4863 CHINA MINSHENG GRP 1,007,856 %0.01 %99.77104 H 477 RENAISSANCE HLTH SERV CORP GRP 988,118 %0.01 %99.78105 L 64580 ILLINOIS MUT LIFE INS CO 873,501 %0.01 %99.79106 L 153 PEKIN INS GRP 864,891 %0.01 %99.80107 L 66214 HEARTLAND NATL LIFE INS CO 824,954 %0.01 %99.81108 L 525 PAN AMER LIFE GRP 813,503 %0.01 %99.82109 L 123 SHELTER INS GRP 785,379 %0.01 %99.83110 P 4886 BENCHMARK HOLDING GRP 750,895 %0.01 %99.84111 L 704 OHIO NATL LIFE GRP 683,696 %0.01 %99.85112 L 918 JACKSON NATL GRP 601,539 %0.01 %99.85113 L 769 GREAT WEST GRP 594,206 %0.01 %99.86114 L 4712 GPM LIFE GRP 589,963 %0.01 %99.87115 L 4736 GGC GRP 563,825 %0.01 %99.87116 L 4826 ECG GRP 539,297 %0.01 %99.88117 L 50 COUNTRY INS & FIN SERV GRP 534,916 %0.01 %99.88118 L 4853 AAA LIFE GRP 504,024 %0.01 %99.89119 F 57657 ROYAL NEIGHBORS OF AMER 495,794 %0.01 %99.90120 L 90638 BEST LIFE & HLTH INS CO 485,002 %0.01 %99.90121 L 60216 AMALGAMATED LIFE INS CO 441,210 %- %99.91122 P 4670 STARR GRP 415,225 %- %99.91123 L 61921 CITIZENS SECURITY LIFE INS CO 405,124 %- %99.91124 H 4744 L S S GRP 360,532 %- %99.92125 L P 84 AMERICAN FINANCIAL GRP 333,732 %- %99.92
**TOTAL** 8,921,794,657 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 52
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Kentucky
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 119 HUMANA GRP 3,792,805,781 %24.01 %24.012 L H 671 ANTHEM INC GRP 3,420,202,056 %21.65 %45.663 L H 1199 WELLCARE GRP 2,751,026,924 %17.41 %63.074 H 52621 UNIVERSITY HLTH CARE INC 1,932,183,073 %12.23 %75.305 L H 1 AETNA GRP 1,308,688,650 %8.28 %83.586 L H 707 UNITEDHEALTH GRP 923,390,320 %5.84 %89.437 H 95071 BAPTIST HLTH PLAN INC 134,472,636 %0.85 %90.288 H 477 RENAISSANCE HLTH SERV CORP GRP 125,051,013 %0.79 %91.079 L H 901 CIGNA HLTH GRP 117,876,943 %0.75 %91.82
10 H 3683 CARESOURCE GRP 104,530,496 %0.66 %92.4811 L 370 AFLAC GRP 74,951,397 %0.47 %92.9512 L 261 MUTUAL OF OMAHA GRP 72,274,236 %0.46 %93.4113 L 565 UNUM GRP 69,214,455 %0.44 %93.8514 H 4667 CVS CAREMARK GRP 63,603,886 %0.40 %94.2515 L 241 METROPOLITAN GRP 58,954,237 %0.37 %94.6316 L 330 AMERICAN FIDELITY CORP GRP 46,580,294 %0.29 %94.9217 L P 468 AEGON US HOLDING GRP 42,727,674 %0.27 %95.1918 L 429 GUARDIAN LIFE GRP 37,573,015 %0.24 %95.4319 H 4813 EXPRESS SCRIPTS HOLDING GRP 33,281,087 %0.21 %95.6420 L H 812 HIGHMARK GRP 31,184,975 %0.20 %95.8421 L 4011 GENWORTH FIN GRP 30,515,574 %0.19 %96.0322 L H 917 HCSC GRP 29,130,978 %0.18 %96.2123 L 233 CNO FINANCIAL GRP 27,715,572 %0.18 %96.3924 L 860 NORTHWESTERN MUT GRP 26,330,031 %0.17 %96.5625 L 549 SUN LIFE ASSUR CO OF CN GRP 24,346,081 %0.15 %96.7126 L P 91 HARTFORD FIRE & CAS GRP 23,044,777 %0.15 %96.8627 L P 3098 TOKIO MARINE HOLDINGS INC GRP 22,471,934 %0.14 %97.0028 L 8 ALLSTATE INS GRP 21,520,383 %0.14 %97.1429 H 96687 HEALTH RESOURCES INC 20,523,470 %0.13 %97.2630 L 20 LINCOLN NATL GRP 20,326,988 %0.13 %97.3931 L P 111 LIBERTY MUT GRP 19,360,620 %0.12 %97.5232 L P 626 CHUBB LTD GRP 16,496,979 %0.10 %97.6233 P 176 STATE FARM GRP 14,497,629 %0.09 %97.7134 L 304 PRUDENTIAL OF AMER GRP 13,747,527 %0.09 %97.8035 L 290 TORCHMARK CORP GRP 13,261,021 %0.08 %97.8836 L 332 PRINCIPAL FIN GRP 13,011,904 %0.08 %97.9737 L 4832 VOYA FINANCIAL GRP 12,737,164 %0.08 %98.0538 H 96265 DENTAL CARE PLUS INC 12,275,576 %0.08 %98.1239 L 904 JOHN HANCOCK GRP 12,120,176 %0.08 %98.2040 L P 12 AMERICAN INTL GRP 11,594,686 %0.07 %98.2741 L 661 BCBS OF SC GRP 11,125,499 %0.07 %98.3442 L 451 FIDELITY SECURITY GRP 10,980,362 %0.07 %98.4143 L 1348 MEIJI YASUDA LIFE INS GRP 10,350,407 %0.07 %98.4844 L 4483 NESTLE SA GRP 9,755,168 %0.06 %98.5445 H 4807 CATHOLIC HLTH INITIATIVES GRP 8,540,680 %0.05 %98.6046 L P 19 ASSURANT INC GRP 8,208,828 %0.05 %98.6547 L 3527 AMERICAN ENTERPRISE MUT GRP 8,064,114 %0.05 %98.7048 L 619 ONEAMERICA FIN PARTNERS GRP 7,917,605 %0.05 %98.7549 L 3891 GOLDMAN SACHS GRP 7,813,801 %0.05 %98.8050 L 367 PHYSICIANS MUT GRP 7,205,680 %0.05 %98.8451 L 4855 SUMITOMO LIFE INS GRP 7,203,884 %0.05 %98.8952 L P 140 NATIONWIDE CORP GRP 6,738,666 %0.04 %98.9353 L 587 ATLANTIC AMER GRP 6,432,057 %0.04 %98.9754 L P 212 ZURICH INS GRP 6,238,835 %0.04 %99.0155 L 71404 CONTINENTAL GEN INS CO 6,057,672 %0.04 %99.0556 H 1189 VISION SERV PLAN GRP 5,982,342 %0.04 %99.0957 L 276 TRUSTMARK MUT HOLDING CO GRP 5,105,300 %0.03 %99.1258 L 435 MASS MUT LIFE INS GRP 5,003,826 %0.03 %99.1559 L 869 MINNESOTA MUT GRP 4,756,912 %0.03 %99.1860 P 361 MUNICH RE GRP 4,730,060 %0.03 %99.2161 H 15731 SIGNATURE ADVANTAGE LLC 4,728,714 %0.03 %99.2462 L 943 AMERITAS MUT HOLDING GRP 4,430,645 %0.03 %99.2763 L 61921 CITIZENS SECURITY LIFE INS CO 4,164,326 %0.03 %99.3064 L 826 NEW YORK LIFE GRP 4,130,007 %0.03 %99.32
© 2018 National Association of Insurance Commissioners 53
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Kentucky
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,118,886 %0.03 %99.3566 L 2538 AMTRUST NGH GRP 3,648,467 %0.02 %99.3767 P 218 CNA INS GRP 3,634,355 %0.02 %99.3968 L 4888 EQUITABLE FAMILY INS CO GRP 3,572,119 %0.02 %99.4269 L 687 GUARANTEE TRUST GRP 3,382,953 %0.02 %99.4470 L 1117 MANHATTAN LIFE GRP 3,379,438 %0.02 %99.4671 H 96280 SUPERIOR DENTAL CARE INC 3,185,443 %0.02 %99.4872 P 796 QBE INS GRP 2,703,583 %0.02 %99.5073 P 158 FAIRFAX FIN GRP 2,689,198 %0.02 %99.5174 L 408 AMERICAN NATL FIN GRP 2,573,998 %0.02 %99.5375 L 4 AMERIPRISE FIN GRP 2,533,117 %0.02 %99.5576 L 65412 LIFE INS CO OF AL 2,532,010 %0.02 %99.5677 L 98 WR BERKLEY CORP GRP 2,524,360 %0.02 %99.5878 L 81264 NIPPON LIFE INS CO OF AMER 2,511,172 %0.02 %99.5979 L 215 KEMPER CORP GRP 2,385,154 %0.02 %99.6180 L P 31 BERKSHIRE HATHAWAY GRP 2,275,953 %0.01 %99.6281 H 12747 ENVISION INS CO 2,199,623 %0.01 %99.6482 H 1260 MAGELLAN HLTH INC GRP 2,197,750 %0.01 %99.6583 L 4718 TIPTREE FIN GRP 1,957,476 %0.01 %99.6684 L 839 WESTBRIDGE CAPITAL GRP 1,955,060 %0.01 %99.6885 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,926,369 %0.01 %99.6986 L 525 PAN AMER LIFE GRP 1,790,643 %0.01 %99.7087 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,767,769 %0.01 %99.7188 L P 181 SWISS RE GRP 1,733,134 %0.01 %99.7289 L 761 ALLIANZ INS GRP 1,698,892 %0.01 %99.7390 L 306 CUNA MUT GRP 1,666,372 %0.01 %99.7491 L P 450 GENEVE HOLDINGS INC GRP 1,594,957 %0.01 %99.7592 H 2479 DENTEGRA GRP 1,533,323 %0.01 %99.7693 L 836 WEST SOUTHERN GRP 1,471,958 %0.01 %99.7794 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,368,604 %0.01 %99.7895 L P 23 BCS INS GRP 1,265,016 %0.01 %99.7996 P 3483 PARTNERRE GRP 1,248,245 %0.01 %99.8097 L 4853 AAA LIFE GRP 1,205,399 %0.01 %99.8198 L 4712 GPM LIFE GRP 1,203,216 %0.01 %99.8199 H 11082 SINGLE VISION SOLUTION INC 1,177,561 %0.01 %99.82
100 L 76325 SENIOR HLTH INS CO OF PA 1,165,252 %0.01 %99.83101 L 64580 ILLINOIS MUT LIFE INS CO 1,123,442 %0.01 %99.83102 L 1186 LIFETIME HLTHCARE GRP 1,097,679 %0.01 %99.84103 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,056,040 %0.01 %99.85104 L 4736 GGC GRP 987,410 %0.01 %99.85105 L 4824 ADVANTAGE CAPITAL GRP 987,110 %0.01 %99.86106 P 3416 AXIS CAPITAL GRP 907,640 %0.01 %99.87107 L 574 AMERCO CORP GRP 880,100 %0.01 %99.87108 P 4670 STARR GRP 873,008 %0.01 %99.88109 L 123 SHELTER INS GRP 813,331 %0.01 %99.88110 L 11121 UNIFIED LIFE INS CO 801,022 %0.01 %99.89111 L 4862 ASSURITY GRP 739,046 %- %99.89112 L 458 PROTECTIVE LIFE INS GRP 732,299 %- %99.90113 P 32727 UNDERWRITERS AT LLOYDS 723,437 %- %99.90114 P 1120 EVEREST REINS HOLDINGS GRP 689,269 %- %99.91115 F 57320 WOODMEN WORLD LIFE INS SOC 621,460 %- %99.91116 L 769 GREAT WEST GRP 595,542 %- %99.91117 L 918 JACKSON NATL GRP 587,456 %- %99.92118 L P 84 AMERICAN FINANCIAL GRP 586,101 %- %99.92119 L 4213 WILTON RE GRP 575,465 %- %99.93120 L 42129 UNITED SECURITY ASSUR CO OF PA 564,048 %- %99.93121 L 520 NEW ERA LIFE GRP 535,195 %- %99.93122 L 581 BOSTON MUT GRP 523,985 %- %99.94123 P 4863 CHINA MINSHENG GRP 515,844 %- %99.94124 L 280 AUTO OWNERS GRP 495,283 %- %99.94125 L 4815 RESOLUTION LIFE GRP 461,293 %- %99.94
**TOTAL** 15,798,257,967 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 54
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Louisiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 438 LOUISIANA HLTH SERV GRP 3,366,141,887 %20.25 %20.252 L H 707 UNITEDHEALTH GRP 2,821,199,630 %16.97 %37.223 L H 119 HUMANA GRP 2,487,963,787 %14.97 %52.194 H 1295 CENTENE CORP GRP 2,103,722,504 %12.66 %64.845 H 936 INDEPENDENCE HLTH GRP INC GRP 1,020,347,401 %6.14 %70.986 L H 671 ANTHEM INC GRP 989,729,222 %5.95 %76.947 L H 1 AETNA GRP 812,813,197 %4.89 %81.838 H 13607 PEOPLES HLTH INC 768,329,104 %4.62 %86.459 H 95584 VANTAGE HLTH PLAN INC 411,105,371 %2.47 %88.92
10 L H 1199 WELLCARE GRP 172,030,191 %1.03 %89.9611 H 4730 MCNA GRP 166,180,057 %1.00 %90.9612 L 565 UNUM GRP 144,852,150 %0.87 %91.8313 L H 901 CIGNA HLTH GRP 125,502,745 %0.76 %92.5814 L 370 AFLAC GRP 117,185,863 %0.70 %93.2915 L 241 METROPOLITAN GRP 85,185,146 %0.51 %93.8016 H 4667 CVS CAREMARK GRP 69,370,725 %0.42 %94.2217 L 261 MUTUAL OF OMAHA GRP 68,747,833 %0.41 %94.6318 L P 3098 TOKIO MARINE HOLDINGS INC GRP 45,796,957 %0.28 %94.9119 L 429 GUARDIAN LIFE GRP 44,895,378 %0.27 %95.1820 L H 812 HIGHMARK GRP 39,435,658 %0.24 %95.4121 H 2479 DENTEGRA GRP 30,850,998 %0.19 %95.6022 L 860 NORTHWESTERN MUT GRP 30,475,690 %0.18 %95.7823 L 8 ALLSTATE INS GRP 30,256,322 %0.18 %95.9724 H 4813 EXPRESS SCRIPTS HOLDING GRP 29,976,911 %0.18 %96.1525 L P 468 AEGON US HOLDING GRP 29,518,522 %0.18 %96.3226 L P 19 ASSURANT INC GRP 26,079,345 %0.16 %96.4827 L 549 SUN LIFE ASSUR CO OF CN GRP 22,990,819 %0.14 %96.6228 L 367 PHYSICIANS MUT GRP 22,837,475 %0.14 %96.7629 L 20 LINCOLN NATL GRP 22,714,072 %0.14 %96.8930 P 176 STATE FARM GRP 21,585,450 %0.13 %97.0231 L 943 AMERITAS MUT HOLDING GRP 21,117,701 %0.13 %97.1532 L 4011 GENWORTH FIN GRP 19,199,588 %0.12 %97.2633 L 332 PRINCIPAL FIN GRP 18,503,913 %0.11 %97.3834 L 233 CNO FINANCIAL GRP 18,455,441 %0.11 %97.4935 L 1348 MEIJI YASUDA LIFE INS GRP 17,684,390 %0.11 %97.5936 L P 91 HARTFORD FIRE & CAS GRP 17,594,077 %0.11 %97.7037 L 304 PRUDENTIAL OF AMER GRP 15,585,030 %0.09 %97.7938 L P 4718 TIPTREE FIN GRP 15,446,507 %0.09 %97.8939 L 661 BCBS OF SC GRP 14,887,229 %0.09 %97.9840 L 520 NEW ERA LIFE GRP 13,019,336 %0.08 %98.0541 L 4832 VOYA FINANCIAL GRP 12,854,004 %0.08 %98.1342 L 839 WESTBRIDGE CAPITAL GRP 12,494,660 %0.08 %98.2143 L 330 AMERICAN FIDELITY CORP GRP 12,158,837 %0.07 %98.2844 L P 111 LIBERTY MUT GRP 11,213,727 %0.07 %98.3545 L 290 TORCHMARK CORP GRP 11,022,736 %0.07 %98.4146 L P 12 AMERICAN INTL GRP 10,766,374 %0.06 %98.4847 H 4506 DENTAL ECONOMICS GRP 10,478,946 %0.06 %98.5448 L 904 JOHN HANCOCK GRP 10,429,575 %0.06 %98.6049 L 826 NEW YORK LIFE GRP 9,595,245 %0.06 %98.6650 L 1211 NATIONAL GUARDIAN LIFE INS GRP 9,413,976 %0.06 %98.7251 L 4855 SUMITOMO LIFE INS GRP 9,114,674 %0.05 %98.7752 H 1189 VISION SERV PLAN GRP 9,063,873 %0.05 %98.8353 L P 626 CHUBB LTD GRP 8,780,020 %0.05 %98.8854 L 4483 NESTLE SA GRP 7,806,961 %0.05 %98.9355 L 1117 MANHATTAN LIFE GRP 7,702,729 %0.05 %98.9756 L 61921 CITIZENS SECURITY LIFE INS CO 6,775,286 %0.04 %99.0157 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,744,231 %0.04 %99.0658 L P 212 ZURICH INS GRP 6,331,021 %0.04 %99.0959 L 435 MASS MUT LIFE INS GRP 5,696,584 %0.03 %99.1360 L 306 CUNA MUT GRP 5,658,029 %0.03 %99.1661 L 917 HCSC GRP 5,440,847 %0.03 %99.1962 L 869 MINNESOTA MUT GRP 5,431,203 %0.03 %99.2363 L 71404 CONTINENTAL GEN INS CO 5,428,942 %0.03 %99.2664 L 215 KEMPER CORP GRP 4,547,944 %0.03 %99.29
© 2018 National Association of Insurance Commissioners 55
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Louisiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 451 FIDELITY SECURITY GRP 4,399,554 %0.03 %99.3166 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,256,811 %0.03 %99.3467 P 158 FAIRFAX FIN GRP 4,192,418 %0.03 %99.3668 P 4863 CHINA MINSHENG GRP 4,013,713 %0.02 %99.3969 L 619 ONEAMERICA FIN PARTNERS GRP 3,713,610 %0.02 %99.4170 L 687 GUARANTEE TRUST GRP 3,186,227 %0.02 %99.4371 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 3,145,341 %0.02 %99.4572 L 4888 EQUITABLE FAMILY INS CO GRP 3,105,073 %0.02 %99.4773 L 2538 AMTRUST NGH GRP 3,014,958 %0.02 %99.4974 L P 31 BERKSHIRE HATHAWAY GRP 2,739,313 %0.02 %99.5075 L P 98 WR BERKLEY CORP GRP 2,721,972 %0.02 %99.5276 L 525 PAN AMER LIFE GRP 2,684,267 %0.02 %99.5377 L 264 HEALTHMARKETS GRP 2,618,049 %0.02 %99.5578 L 4 AMERIPRISE FIN GRP 2,539,001 %0.02 %99.5779 L P 140 NATIONWIDE CORP GRP 2,450,724 %0.01 %99.5880 P 218 CNA INS GRP 2,363,498 %0.01 %99.5981 F 56499 ASSURED LIFE ASSN 2,357,385 %0.01 %99.6182 L 588 KANSAS CITY LIFE INS GRP 2,262,589 %0.01 %99.6283 L 11121 UNIFIED LIFE INS CO 2,021,765 %0.01 %99.6384 L 581 BOSTON MUT GRP 1,926,521 %0.01 %99.6585 L 276 TRUSTMARK MUT HOLDING CO GRP 1,895,205 %0.01 %99.6686 L 64238 GUARANTY INCOME LIFE INS CO 1,890,124 %0.01 %99.6787 L 4824 ADVANTAGE CAPITAL GRP 1,865,461 %0.01 %99.6888 H 1260 MAGELLAN HLTH INC GRP 1,822,019 %0.01 %99.6989 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,820,688 %0.01 %99.7090 L 408 AMERICAN NATL FIN GRP 1,744,547 %0.01 %99.7191 L 3527 AMERICAN ENTERPRISE MUT GRP 1,731,223 %0.01 %99.7292 L 4734 ATHENE GRP 1,640,784 %0.01 %99.7393 P 796 QBE INS GRP 1,592,837 %0.01 %99.7494 H 12747 ENVISION INS CO 1,571,359 %0.01 %99.7595 L P 761 ALLIANZ INS GRP 1,455,605 %0.01 %99.7696 L P 23 BCS INS GRP 1,430,335 %0.01 %99.7797 F 58033 KNIGHTS OF COLUMBUS 1,370,353 %0.01 %99.7898 P 361 MUNICH RE GRP 1,356,574 %0.01 %99.7999 L 574 AMERCO CORP GRP 1,330,158 %0.01 %99.79
100 L P 450 GENEVE HOLDINGS INC GRP 1,327,006 %0.01 %99.80101 L 4862 ASSURITY GRP 1,256,834 %0.01 %99.81102 F 58009 POLICE & FIREMENS INS ASSN 1,253,622 %0.01 %99.82103 L 4213 WILTON RE GRP 1,236,325 %0.01 %99.82104 L 69132 STATE MUT INS CO 1,179,904 %0.01 %99.83105 L 4815 RESOLUTION LIFE GRP 1,150,207 %0.01 %99.84106 L 587 ATLANTIC AMER GRP 1,028,130 %0.01 %99.84107 P 1120 EVEREST REINS HOLDINGS GRP 956,700 %0.01 %99.85108 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 903,165 %0.01 %99.86109 L 1186 LIFETIME HLTHCARE GRP 889,648 %0.01 %99.86110 P 1285 XL AMER GRP 868,180 %0.01 %99.87111 P 4381 HOUSTON INTL INS GRP 850,255 %0.01 %99.87112 L 4736 GGC GRP 845,034 %0.01 %99.88113 L 4853 AAA LIFE GRP 815,592 %- %99.88114 P 27928 AMEX ASSUR CO 807,545 %- %99.89115 L 2858 HOMESHIELD CAPITAL GRP 802,963 %- %99.89116 L 42129 UNITED SECURITY ASSUR CO OF PA 747,082 %- %99.90117 L 769 GREAT WEST GRP 709,513 %- %99.90118 L 968 AXA INS GRP 675,560 %- %99.90119 L 64580 ILLINOIS MUT LIFE INS CO 671,074 %- %99.91120 L 153 PEKIN INS GRP 655,641 %- %99.91121 L 76325 SENIOR HLTH INS CO OF PA 615,491 %- %99.92122 L 612 CITIZENS GRP 606,763 %- %99.92123 L 123 SHELTER INS GRP 605,173 %- %99.92124 L 66214 HEARTLAND NATL LIFE INS CO 589,190 %- %99.93125 L 458 PROTECTIVE LIFE INS GRP 550,018 %- %99.93
**TOTAL** 16,622,797,270 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 56
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Maine
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 1,176,493,928 %33.52 %33.522 H 595 HARVARD PILGRIM HLTH CARE GRP 419,027,077 %11.94 %45.463 H 15850 MARTINS POINT GENERATIONS ADVANTAGE 379,695,047 %10.82 %56.284 L H 1 AETNA GRP 376,511,172 %10.73 %67.015 L H 707 UNITEDHEALTH GRP 333,495,159 %9.50 %76.516 H 15077 MAINE COMM HLTH OPTIONS 258,511,878 %7.37 %83.887 L H 901 CIGNA HLTH GRP 93,395,529 %2.66 %86.548 L H 119 HUMANA GRP 65,684,885 %1.87 %88.419 H 4763 NORTHEAST DELTA DENTAL GRP 65,316,618 %1.86 %90.27
10 L 565 UNUM GRP 44,565,530 %1.27 %91.5411 L H 1199 WELLCARE GRP 37,680,585 %1.07 %92.6112 L 370 AFLAC GRP 18,442,795 %0.53 %93.1413 L 241 METROPOLITAN GRP 18,227,369 %0.52 %93.6614 L 4011 GENWORTH FIN GRP 14,029,812 %0.40 %94.0615 L P 91 HARTFORD FIRE & CAS GRP 12,519,892 %0.36 %94.4116 L 233 CNO FINANCIAL GRP 9,821,152 %0.28 %94.6917 L P 111 LIBERTY MUT GRP 9,513,196 %0.27 %94.9618 L P 3098 TOKIO MARINE HOLDINGS INC GRP 9,429,087 %0.27 %95.2319 L 468 AEGON US HOLDING GRP 8,652,744 %0.25 %95.4820 L 904 JOHN HANCOCK GRP 8,372,695 %0.24 %95.7221 H 1189 VISION SERV PLAN GRP 7,447,712 %0.21 %95.9322 H 4667 CVS CAREMARK GRP 7,123,753 %0.20 %96.1323 L 20 LINCOLN NATL GRP 6,967,564 %0.20 %96.3324 L 261 MUTUAL OF OMAHA GRP 6,638,120 %0.19 %96.5225 L P 626 CHUBB LTD GRP 6,614,612 %0.19 %96.7126 L 332 PRINCIPAL FIN GRP 6,564,160 %0.19 %96.9027 L 943 AMERITAS MUT HOLDING GRP 6,090,243 %0.17 %97.0728 L 1348 MEIJI YASUDA LIFE INS GRP 5,758,464 %0.16 %97.2329 L 549 SUN LIFE ASSUR CO OF CN GRP 5,376,000 %0.15 %97.3930 L 860 NORTHWESTERN MUT GRP 4,684,122 %0.13 %97.5231 L 304 PRUDENTIAL OF AMER GRP 4,371,870 %0.12 %97.6532 H 12747 ENVISION INS CO 3,957,089 %0.11 %97.7633 L 869 MINNESOTA MUT GRP 3,941,056 %0.11 %97.8734 L 661 BCBS OF SC GRP 3,657,681 %0.10 %97.9735 L 429 GUARDIAN LIFE GRP 3,414,954 %0.10 %98.0736 L P 31 BERKSHIRE HATHAWAY GRP 3,348,063 %0.10 %98.1737 L 290 TORCHMARK CORP GRP 3,127,678 %0.09 %98.2638 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,956,043 %0.08 %98.3439 L P 98 WR BERKLEY CORP GRP 2,765,229 %0.08 %98.4240 L 4 AMERIPRISE FIN GRP 2,680,767 %0.08 %98.5041 P 176 STATE FARM GRP 2,540,186 %0.07 %98.5742 L 4855 SUMITOMO LIFE INS GRP 2,535,166 %0.07 %98.6443 P 218 CNA INS GRP 2,522,412 %0.07 %98.7144 L 435 MASS MUT LIFE INS GRP 2,353,128 %0.07 %98.7845 L 4832 VOYA FINANCIAL GRP 2,325,095 %0.07 %98.8546 L 264 HEALTHMARKETS GRP 2,273,442 %0.06 %98.9147 P 158 FAIRFAX FIN GRP 2,261,572 %0.06 %98.9848 L 4483 NESTLE SA GRP 2,143,508 %0.06 %99.0449 L P 19 ASSURANT INC GRP 1,877,800 %0.05 %99.0950 L 826 NEW YORK LIFE GRP 1,718,569 %0.05 %99.1451 L 306 CUNA MUT GRP 1,703,615 %0.05 %99.1952 L 2538 AMTRUST NGH GRP 1,572,681 %0.04 %99.2353 L P 12 AMERICAN INTL GRP 1,551,731 %0.04 %99.2854 L P 450 GENEVE HOLDINGS INC GRP 1,473,932 %0.04 %99.3255 L 8 ALLSTATE INS GRP 1,469,815 %0.04 %99.3656 L 761 ALLIANZ INS GRP 1,365,724 %0.04 %99.4057 H 2479 DENTEGRA GRP 1,255,303 %0.04 %99.4358 L H 812 HIGHMARK GRP 1,228,350 %0.03 %99.4759 L 451 FIDELITY SECURITY GRP 1,196,467 %0.03 %99.5060 H 1260 MAGELLAN HLTH INC GRP 1,053,881 %0.03 %99.5361 L 200 UNITED SERV AUTOMOBILE ASSN GRP 986,801 %0.03 %99.5662 H 4813 EXPRESS SCRIPTS HOLDING GRP 935,225 %0.03 %99.5963 L 330 AMERICAN FIDELITY CORP GRP 911,062 %0.03 %99.6164 L 276 TRUSTMARK MUT HOLDING CO GRP 790,682 %0.02 %99.64
© 2018 National Association of Insurance Commissioners 57
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Maine
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 581 BOSTON MUT GRP 755,496 %0.02 %99.6666 H 477 RENAISSANCE HLTH SERV CORP GRP 749,089 %0.02 %99.6867 L H 917 HCSC GRP 693,962 %0.02 %99.7068 L 76325 SENIOR HLTH INS CO OF PA 669,343 %0.02 %99.7269 L 687 GUARANTEE TRUST GRP 589,341 %0.02 %99.7470 L 4853 AAA LIFE GRP 572,094 %0.02 %99.7571 L 367 PHYSICIANS MUT GRP 568,353 %0.02 %99.7772 L 300 HORACE MANN GRP 563,692 %0.02 %99.7873 L 1186 LIFETIME HLTHCARE GRP 535,307 %0.02 %99.8074 L 4862 ASSURITY GRP 523,482 %0.01 %99.8175 L P 23 BCS INS GRP 490,854 %0.01 %99.8376 L P 212 ZURICH INS GRP 427,032 %0.01 %99.8477 L 769 GREAT WEST GRP 402,852 %0.01 %99.8578 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 387,448 %0.01 %99.8679 L 3527 AMERICAN ENTERPRISE MUT GRP 275,219 %0.01 %99.8780 L 968 AXA INS GRP 268,319 %0.01 %99.8881 F 58033 KNIGHTS OF COLUMBUS 255,763 %0.01 %99.8982 L 781 UNION LABOR GRP 222,980 %0.01 %99.8983 L 408 AMERICAN NATL FIN GRP 220,939 %0.01 %99.9084 P 1285 XL AMER GRP 183,652 %0.01 %99.9085 L 150 OLD REPUBLIC GRP 179,976 %0.01 %99.9186 L 1216 TIAA FAMILY GRP 172,592 %- %99.9187 L 634 NATIONAL LIFE GRP 157,699 %- %99.9288 L 588 KANSAS CITY LIFE INS GRP 153,613 %- %99.9289 L 71404 CONTINENTAL GEN INS CO 152,859 %- %99.9390 P 3416 AXIS CAPITAL GRP 146,552 %- %99.9391 P 27928 AMEX ASSUR CO 138,802 %- %99.9492 L 64580 ILLINOIS MUT LIFE INS CO 132,255 %- %99.9493 L 850 PENN MUT GRP 132,180 %- %99.9494 P 796 QBE INS GRP 130,711 %- %99.9595 L 68772 SECURITY MUT LIFE INS CO OF NY 129,312 %- %99.9596 L 4734 ATHENE GRP 107,044 %- %99.9597 L 458 PROTECTIVE LIFE INS GRP 103,858 %- %99.9698 P 1120 EVEREST REINS HOLDINGS GRP 103,344 %- %99.9699 L 11121 UNIFIED LIFE INS CO 97,039 %- %99.96
100 L 4716 FORTRESS GRP 96,754 %- %99.96101 L 4712 GPM LIFE GRP 93,269 %- %99.97102 L 1117 MANHATTAN LIFE GRP 89,793 %- %99.97103 L P 169 SENTRY INS GRP 84,523 %- %99.97104 L 3891 GOLDMAN SACHS GRP 79,340 %- %99.97105 L 918 JACKSON NATL GRP 73,391 %- %99.98106 L 619 ONEAMERICA FIN PARTNERS GRP 72,978 %- %99.98107 P 1279 ARCH INS GRP 67,878 %- %99.98108 P 313 AEGIS GRP 67,594 %- %99.98109 L 4815 RESOLUTION LIFE GRP 67,061 %- %99.98110 L 520 NEW ERA LIFE GRP 58,764 %- %99.99111 L 704 OHIO NATL LIFE GRP 53,677 %- %99.99112 L 4736 GGC GRP 45,265 %- %99.99113 P 785 MARKEL CORP GRP 40,642 %- %99.99114 L 350 GENERAL ELECTRIC GRP 34,523 %- %99.99115 L 440 REGAL REINS GRP 32,120 %- %99.99116 L 4888 EQUITABLE FAMILY INS CO GRP 31,761 %- %99.99117 L 525 PAN AMER LIFE GRP 29,054 %- %99.99118 L 587 ATLANTIC AMER GRP 27,499 %- %99.99119 L 4213 WILTON RE GRP 26,533 %- %100.00120 L 7 FEDERATED MUT GRP 18,619 %- %100.00121 L 839 WESTBRIDGE CAPITAL GRP 17,996 %- %100.00122 F 58181 SUPREME COUNCIL THE ROYAL ARCANUM 16,933 %- %100.00123 L 574 AMERCO CORP GRP 15,318 %- %100.00124 P 1309 FRANKENMUTH GRP 10,544 %- %100.00125 L 84 AMERICAN FINANCIAL GRP 8,652 %- %100.00
**TOTAL** 3,509,651,401 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 58
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Maryland
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 380 CAREFIRST INC GRP 5,786,969,545 %37.73 %37.732 L H 707 UNITEDHEALTH GRP 2,353,644,767 %15.35 %53.083 H 601 KAISER FOUNDATION GRP 2,134,390,268 %13.92 %67.004 L H 671 ANTHEM INC GRP 1,125,763,835 %7.34 %74.345 L H 901 CIGNA HLTH GRP 698,208,746 %4.55 %78.896 L H 1 AETNA GRP 663,984,502 %4.33 %83.227 H 14227 MEDSTAR FAMILY CHOICE 563,306,999 %3.67 %86.898 L 241 METROPOLITAN GRP 139,804,252 %0.91 %87.809 L 565 UNUM GRP 123,727,397 %0.81 %88.61
10 L 370 AFLAC GRP 110,250,705 %0.72 %89.3311 H 4854 UMMS HLTH PLAN GRP 91,468,504 %0.60 %89.9212 L H 119 HUMANA GRP 89,934,086 %0.59 %90.5113 L 261 MUTUAL OF OMAHA GRP 89,883,952 %0.59 %91.1014 H 15700 HOPKINS HLTH ADVANTAGE INC 85,909,212 %0.56 %91.6615 L 429 GUARDIAN LIFE GRP 77,630,695 %0.51 %92.1616 L 4011 GENWORTH FIN GRP 71,079,132 %0.46 %92.6317 L P 91 HARTFORD FIRE & CAS GRP 57,538,675 %0.38 %93.0018 H 4667 CVS CAREMARK GRP 55,545,901 %0.36 %93.3619 L P 468 AEGON US HOLDING GRP 48,887,846 %0.32 %93.6820 L 904 JOHN HANCOCK GRP 45,690,849 %0.30 %93.9821 H 2479 DENTEGRA GRP 44,286,142 %0.29 %94.2722 L P 3098 TOKIO MARINE HOLDINGS INC GRP 41,172,152 %0.27 %94.5423 L 549 SUN LIFE ASSUR CO OF CN GRP 37,607,901 %0.25 %94.7824 L 20 LINCOLN NATL GRP 32,978,945 %0.22 %95.0025 L 860 NORTHWESTERN MUT GRP 32,642,708 %0.21 %95.2126 L H 812 HIGHMARK GRP 32,603,674 %0.21 %95.4227 L 233 CNO FINANCIAL GRP 30,258,075 %0.20 %95.6228 L 451 FIDELITY SECURITY GRP 29,817,012 %0.19 %95.8129 L 304 PRUDENTIAL OF AMER GRP 28,165,938 %0.18 %96.0030 L 435 MASS MUT LIFE INS GRP 28,022,552 %0.18 %96.1831 L 332 PRINCIPAL FIN GRP 26,636,748 %0.17 %96.3532 L 4832 VOYA FINANCIAL GRP 26,205,006 %0.17 %96.5333 L 4855 SUMITOMO LIFE INS GRP 25,752,051 %0.17 %96.6934 H 4813 EXPRESS SCRIPTS HOLDING GRP 25,703,356 %0.17 %96.8635 H 1189 VISION SERV PLAN GRP 22,950,955 %0.15 %97.0136 L P 626 CHUBB LTD GRP 21,387,212 %0.14 %97.1537 H 1230 CAPITAL BLUE CROSS GRP 19,605,601 %0.13 %97.2838 L 290 TORCHMARK CORP GRP 19,221,498 %0.13 %97.4039 P 176 STATE FARM GRP 18,800,810 %0.12 %97.5340 P 218 CNA INS GRP 18,345,286 %0.12 %97.6541 L 111 LIBERTY MUT GRP 18,173,304 %0.12 %97.7642 L 1348 MEIJI YASUDA LIFE INS GRP 16,794,265 %0.11 %97.8743 L H 1199 WELLCARE GRP 15,403,452 %0.10 %97.9744 L P 12 AMERICAN INTL GRP 15,351,294 %0.10 %98.0745 L 839 WESTBRIDGE CAPITAL GRP 12,457,533 %0.08 %98.1546 L 8 ALLSTATE INS GRP 11,943,864 %0.08 %98.2347 L 200 UNITED SERV AUTOMOBILE ASSN GRP 11,533,324 %0.08 %98.3148 L P 19 ASSURANT INC GRP 11,240,952 %0.07 %98.3849 L 330 AMERICAN FIDELITY CORP GRP 11,165,946 %0.07 %98.4550 L 826 NEW YORK LIFE GRP 11,136,244 %0.07 %98.5351 L H 917 HCSC GRP 10,543,407 %0.07 %98.6052 H 12747 ENVISION INS CO 10,475,152 %0.07 %98.6653 L 306 CUNA MUT GRP 9,078,351 %0.06 %98.7254 L 4 AMERIPRISE FIN GRP 8,136,411 %0.05 %98.7855 L 4483 NESTLE SA GRP 7,540,185 %0.05 %98.8356 L 276 TRUSTMARK MUT HOLDING CO GRP 7,270,651 %0.05 %98.8757 L 943 AMERITAS MUT HOLDING GRP 7,161,240 %0.05 %98.9258 L 264 HEALTHMARKETS GRP 6,851,681 %0.04 %98.9659 H 4842 PROVIDER PARTNERS HLTH GRP 6,655,593 %0.04 %99.0160 L 2538 AMTRUST NGH GRP 6,582,571 %0.04 %99.0561 L 1211 NATIONAL GUARDIAN LIFE INS GRP 6,066,997 %0.04 %99.0962 L 869 MINNESOTA MUT GRP 6,064,648 %0.04 %99.1363 L 1117 MANHATTAN LIFE GRP 5,835,614 %0.04 %99.1764 L P 140 NATIONWIDE CORP GRP 5,167,711 %0.03 %99.20
© 2018 National Association of Insurance Commissioners 59
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Maryland
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 687 GUARANTEE TRUST GRP 5,053,922 %0.03 %99.2366 L 661 BCBS OF SC GRP 4,911,783 %0.03 %99.2767 L 367 PHYSICIANS MUT GRP 4,866,027 %0.03 %99.3068 P 4863 CHINA MINSHENG GRP 4,814,484 %0.03 %99.3369 H 1260 MAGELLAN HLTH INC GRP 4,774,304 %0.03 %99.3670 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,739,767 %0.03 %99.3971 P 181 SWISS RE GRP 4,450,315 %0.03 %99.4272 L P 450 GENEVE HOLDINGS INC GRP 4,432,570 %0.03 %99.4573 L 761 ALLIANZ INS GRP 3,909,695 %0.03 %99.4774 P 361 MUNICH RE GRP 3,846,833 %0.03 %99.5075 L P 23 BCS INS GRP 3,488,866 %0.02 %99.5276 L 408 AMERICAN NATL FIN GRP 3,480,917 %0.02 %99.5577 L 4718 TIPTREE FIN GRP 3,416,397 %0.02 %99.5778 H 477 RENAISSANCE HLTH SERV CORP GRP 3,390,582 %0.02 %99.5979 L 781 UNION LABOR GRP 3,270,863 %0.02 %99.6180 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,082,855 %0.02 %99.6381 P 796 QBE INS GRP 2,750,531 %0.02 %99.6582 F 58033 KNIGHTS OF COLUMBUS 2,670,816 %0.02 %99.6783 P 158 FAIRFAX FIN GRP 2,498,517 %0.02 %99.6884 L 619 ONEAMERICA FIN PARTNERS GRP 2,463,630 %0.02 %99.7085 L 76325 SENIOR HLTH INS CO OF PA 2,352,422 %0.02 %99.7186 L 98 WR BERKLEY CORP GRP 1,915,166 %0.01 %99.7387 L 962 PREMERA BLUE CROSS GRP 1,856,410 %0.01 %99.7488 L 572 BCBS OF MI GRP 1,820,454 %0.01 %99.7589 L 4853 AAA LIFE GRP 1,579,141 %0.01 %99.7690 L 4862 ASSURITY GRP 1,551,589 %0.01 %99.7791 L 587 ATLANTIC AMER GRP 1,538,076 %0.01 %99.7892 L 61921 CITIZENS SECURITY LIFE INS CO 1,496,047 %0.01 %99.7993 P 27928 AMEX ASSUR CO 1,399,328 %0.01 %99.8094 L 4712 GPM LIFE GRP 1,371,162 %0.01 %99.8195 L 581 BOSTON MUT GRP 1,349,357 %0.01 %99.8296 L 769 GREAT WEST GRP 1,331,504 %0.01 %99.8397 L 4815 RESOLUTION LIFE GRP 1,155,148 %0.01 %99.8398 L P 31 BERKSHIRE HATHAWAY GRP 1,112,409 %0.01 %99.8499 L 64580 ILLINOIS MUT LIFE INS CO 1,104,671 %0.01 %99.85
100 L 458 PROTECTIVE LIFE INS GRP 1,032,103 %0.01 %99.85101 L 4827 SOUTHLAND NATL HOLDING GRP 960,785 %0.01 %99.86102 P 785 MARKEL CORP GRP 958,977 %0.01 %99.87103 L 968 AXA INS GRP 948,712 %0.01 %99.87104 L P 212 ZURICH INS GRP 907,840 %0.01 %99.88105 L 918 JACKSON NATL GRP 901,128 %0.01 %99.89106 L 1186 LIFETIME HLTHCARE GRP 898,250 %0.01 %99.89107 L 704 OHIO NATL LIFE GRP 853,208 %0.01 %99.90108 P 4381 HOUSTON INTL INS GRP 837,956 %0.01 %99.90109 L 3527 AMERICAN ENTERPRISE MUT GRP 825,174 %0.01 %99.91110 H 4744 L S S GRP 802,795 %0.01 %99.91111 L 574 AMERCO CORP GRP 802,645 %0.01 %99.92112 L 69132 STATE MUT INS CO 757,383 %- %99.92113 L 525 PAN AMER LIFE GRP 716,369 %- %99.93114 P 1285 XL AMER GRP 672,130 %- %99.93115 L 71404 CONTINENTAL GEN INS CO 641,703 %- %99.94116 F 4616 EVERENCE GRP 616,567 %- %99.94117 L 3891 GOLDMAN SACHS GRP 577,073 %- %99.94118 L 1216 TIAA FAMILY GRP 513,586 %- %99.95119 P 3416 AXIS CAPITAL GRP 496,134 %- %99.95120 L 65927 LINCOLN HERITAGE LIFE INS CO 394,993 %- %99.95121 L 215 KEMPER CORP GRP 384,489 %- %99.96122 L 4716 FORTRESS GRP 355,913 %- %99.96123 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 328,030 %- %99.96124 P 4904 INTACT FINANCIAL GRP 315,731 %- %99.96125 F 58009 POLICE & FIREMENS INS ASSN 305,981 %- %99.96
**TOTAL** 15,336,955,189 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 60
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Massachusetts
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 3637 BCBS OF MA GRP 7,671,936,110 %31.22 %31.222 H 4742 TUFTS GRP 4,588,923,318 %18.67 %49.903 H 11109 NEIGHBORHOOD HLTH PLAN INC 2,424,164,366 %9.87 %59.764 H 595 HARVARD PILGRIM HLTH CARE GRP 1,737,841,092 %7.07 %66.835 L H 707 UNITEDHEALTH GRP 1,584,191,709 %6.45 %73.286 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 1,282,119,639 %5.22 %78.507 H 4741 FALLON GRP 1,271,052,338 %5.17 %83.678 H 4756 BAYSTATE HLTH GRP 896,149,600 %3.65 %87.329 L H 1 AETNA GRP 297,501,500 %1.21 %88.53
10 L H 901 CIGNA HLTH GRP 273,045,190 %1.11 %89.6411 H 4512 DENTAQUEST GRP 263,920,344 %1.07 %90.7112 L 565 UNUM GRP 239,908,442 %0.98 %91.6913 L P 241 METROPOLITAN GRP 224,189,568 %0.91 %92.6014 H 1295 CENTENE CORP GRP 173,888,206 %0.71 %93.3115 L 429 GUARDIAN LIFE GRP 108,185,804 %0.44 %93.7516 H 4667 CVS CAREMARK GRP 107,535,284 %0.44 %94.1917 L H 119 HUMANA GRP 88,940,527 %0.36 %94.5518 L 4011 GENWORTH FIN GRP 74,963,198 %0.31 %94.8519 L 549 SUN LIFE ASSUR CO OF CN GRP 69,706,344 %0.28 %95.1420 L 370 AFLAC GRP 65,236,473 %0.27 %95.4021 H 1571 DELTA DENTAL OF RI GRP 61,130,887 %0.25 %95.6522 L 904 JOHN HANCOCK GRP 61,073,912 %0.25 %95.9023 L P 3098 TOKIO MARINE HOLDINGS INC GRP 57,065,304 %0.23 %96.1324 L P 111 LIBERTY MUT GRP 54,410,373 %0.22 %96.3625 L 1348 MEIJI YASUDA LIFE INS GRP 52,975,306 %0.22 %96.5726 L P 626 CHUBB LTD GRP 47,296,050 %0.19 %96.7627 L 860 NORTHWESTERN MUT GRP 46,513,108 %0.19 %96.9528 L P 91 HARTFORD FIRE & CAS GRP 42,001,031 %0.17 %97.1229 H 1189 VISION SERV PLAN GRP 37,497,766 %0.15 %97.2830 L H 1199 WELLCARE GRP 36,607,680 %0.15 %97.4231 L 332 PRINCIPAL FIN GRP 35,764,290 %0.15 %97.5732 L 261 MUTUAL OF OMAHA GRP 35,482,362 %0.14 %97.7133 L 304 PRUDENTIAL OF AMER GRP 33,642,624 %0.14 %97.8534 L 435 MASS MUT LIFE INS GRP 31,880,753 %0.13 %97.9835 L 468 AEGON US HOLDING GRP 30,851,111 %0.13 %98.1136 L 671 ANTHEM INC GRP 30,211,564 %0.12 %98.2337 L P 12 AMERICAN INTL GRP 28,138,652 %0.11 %98.3438 L 20 LINCOLN NATL GRP 25,874,615 %0.11 %98.4539 L H 812 HIGHMARK GRP 24,211,918 %0.10 %98.5540 L 451 FIDELITY SECURITY GRP 22,428,145 %0.09 %98.6441 L 4832 VOYA FINANCIAL GRP 21,861,802 %0.09 %98.7342 L 4855 SUMITOMO LIFE INS GRP 20,205,342 %0.08 %98.8143 L 4 AMERIPRISE FIN GRP 17,565,884 %0.07 %98.8844 L 876 ARKANSAS BCBS GRP 15,692,102 %0.06 %98.9545 L 276 TRUSTMARK MUT HOLDING CO GRP 15,079,186 %0.06 %99.0146 L P 19 ASSURANT INC GRP 15,075,256 %0.06 %99.0747 L 233 CNO FINANCIAL GRP 14,928,667 %0.06 %99.1348 L 826 NEW YORK LIFE GRP 11,642,690 %0.05 %99.1849 L 264 HEALTHMARKETS GRP 10,701,295 %0.04 %99.2250 H 4813 EXPRESS SCRIPTS HOLDING GRP 10,309,122 %0.04 %99.2651 P 218 CNA INS GRP 10,092,361 %0.04 %99.3052 H 12747 ENVISION INS CO 9,250,043 %0.04 %99.3453 L 330 AMERICAN FIDELITY CORP GRP 9,027,345 %0.04 %99.3854 L 943 AMERITAS MUT HOLDING GRP 7,954,170 %0.03 %99.4155 L P 140 NATIONWIDE CORP GRP 7,907,752 %0.03 %99.4456 L 8 ALLSTATE INS GRP 7,724,128 %0.03 %99.4757 L 581 BOSTON MUT GRP 7,374,283 %0.03 %99.5058 L 98 WR BERKLEY CORP GRP 6,780,598 %0.03 %99.5359 L P 23 BCS INS GRP 6,315,967 %0.03 %99.5660 L 290 TORCHMARK CORP GRP 5,871,787 %0.02 %99.5861 L 661 BCBS OF SC GRP 5,865,557 %0.02 %99.6162 P 361 MUNICH RE GRP 5,459,480 %0.02 %99.6363 L 869 MINNESOTA MUT GRP 5,285,478 %0.02 %99.6564 P 4863 CHINA MINSHENG GRP 5,106,786 %0.02 %99.67
© 2018 National Association of Insurance Commissioners 61
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Massachusetts
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 306 CUNA MUT GRP 4,967,345 %0.02 %99.6966 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,720,903 %0.02 %99.7167 H 1127 EMBLEM HLTH GRP 4,600,607 %0.02 %99.7368 L P 761 ALLIANZ INS GRP 4,387,161 %0.02 %99.7569 L P 212 ZURICH INS GRP 4,237,880 %0.02 %99.7670 L 4483 NESTLE SA GRP 4,004,882 %0.02 %99.7871 P 158 FAIRFAX FIN GRP 3,961,051 %0.02 %99.8072 H 2479 DENTEGRA GRP 3,519,215 %0.01 %99.8173 P 796 QBE INS GRP 2,925,876 %0.01 %99.8274 P 4904 INTACT FINANCIAL GRP 2,649,608 %0.01 %99.8375 L 968 AXA INS GRP 2,492,159 %0.01 %99.8476 L 769 GREAT WEST GRP 2,205,641 %0.01 %99.8577 L 4862 ASSURITY GRP 2,047,834 %0.01 %99.8678 L P 450 GENEVE HOLDINGS INC GRP 1,875,309 %0.01 %99.8779 P 27928 AMEX ASSUR CO 1,818,931 %0.01 %99.8780 L H 917 HCSC GRP 1,812,523 %0.01 %99.8881 L 367 PHYSICIANS MUT GRP 1,737,536 %0.01 %99.8982 L 1186 LIFETIME HLTHCARE GRP 1,699,586 %0.01 %99.9083 L 68772 SECURITY MUT LIFE INS CO OF NY 1,595,754 %0.01 %99.9084 F 58033 KNIGHTS OF COLUMBUS 1,561,578 %0.01 %99.9185 L 2538 AMTRUST NGH GRP 1,305,477 %0.01 %99.9186 L 1216 TIAA FAMILY GRP 1,277,175 %0.01 %99.9287 P 1279 ARCH INS GRP 1,174,626 %- %99.9288 P 3416 AXIS CAPITAL GRP 1,086,645 %- %99.9389 L 4815 RESOLUTION LIFE GRP 1,079,841 %- %99.9390 L 64580 ILLINOIS MUT LIFE INS CO 1,073,775 %- %99.9491 L 781 UNION LABOR GRP 1,048,296 %- %99.9492 H 477 RENAISSANCE HLTH SERV CORP GRP 945,955 %- %99.9593 P 3483 PARTNERRE GRP 900,058 %- %99.9594 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 815,820 %- %99.9595 L 76325 SENIOR HLTH INS CO OF PA 742,294 %- %99.9696 L 704 OHIO NATL LIFE GRP 708,818 %- %99.9697 L 525 PAN AMER LIFE GRP 707,451 %- %99.9698 L 408 AMERICAN NATL FIN GRP 703,315 %- %99.9699 L 458 PROTECTIVE LIFE INS GRP 639,052 %- %99.97
100 P 4381 HOUSTON INTL INS GRP 614,798 %- %99.97101 L 200 UNITED SERV AUTOMOBILE ASSN GRP 591,431 %- %99.97102 L 3527 AMERICAN ENTERPRISE MUT GRP 575,541 %- %99.97103 L 918 JACKSON NATL GRP 510,283 %- %99.98104 P 4670 STARR GRP 472,483 %- %99.98105 L 574 AMERCO CORP GRP 467,154 %- %99.98106 L 687 GUARANTEE TRUST GRP 416,308 %- %99.98107 L 71404 CONTINENTAL GEN INS CO 411,682 %- %99.98108 P 1285 XL AMER GRP 404,798 %- %99.98109 L 60216 AMALGAMATED LIFE INS CO 384,748 %- %99.99110 L 634 NATIONAL LIFE GRP 383,927 %- %99.99111 L 440 REGAL REINS GRP 379,943 %- %99.99112 P 785 MARKEL CORP GRP 350,703 %- %99.99113 L 619 ONEAMERICA FIN PARTNERS GRP 342,581 %- %99.99114 P 181 SWISS RE GRP 341,748 %- %99.99115 L 4716 FORTRESS GRP 322,117 %- %100.00116 L 7 FEDERATED MUT GRP 318,734 %- %100.00117 L 1117 MANHATTAN LIFE GRP 274,834 %- %100.00118 L 4734 ATHENE GRP 271,726 %- %100.00119 L 4736 GGC GRP 215,408 %- %100.00120 L 3891 GOLDMAN SACHS GRP 185,403 %- %100.00121 L 4853 AAA LIFE GRP 175,139 %- %100.00122 L P 169 SENTRY INS GRP 170,632 %- %100.00123 L 588 KANSAS CITY LIFE INS GRP 165,047 %- %100.00124 H 4696 VISION BENEFITS GRP 142,466 %- %100.00125 L 350 GENERAL ELECTRIC GRP 135,975 %- %100.00
**TOTAL** 24,572,725,162 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 62
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Michigan
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 572 BCBS OF MI GRP 12,786,196,729 %39.57 %39.572 H 3383 SPECTRUM HLTH GRP 3,788,059,258 %11.72 %51.303 H 1311 HENRY FORD HLTH SYSTEM GRP 2,261,955,282 %7.00 %58.304 H 4640 CAIDAN ENTERPRISES INC GRP 2,203,764,041 %6.82 %65.125 L H 707 UNITEDHEALTH GRP 2,110,566,545 %6.53 %71.656 H 1531 MOLINA HEALTHCARE INC GRP 1,933,720,240 %5.98 %77.647 H 4700 MCLAREN HLTH GRP 966,385,712 %2.99 %80.638 L H 119 HUMANA GRP 918,445,143 %2.84 %83.479 L H 1 AETNA GRP 800,416,436 %2.48 %85.95
10 H 477 RENAISSANCE HLTH SERV CORP GRP 739,657,666 %2.29 %88.2411 H 1238 TOTAL HLTH GRP 407,531,926 %1.26 %89.5012 H 52615 UPPER PENINSULA HLTH PLAN LLC 293,123,547 %0.91 %90.4113 L H 901 CIGNA HLTH GRP 238,252,302 %0.74 %91.1414 H 3408 PHYSICIANS HLTH PLAN OF MID MI GRP 213,585,866 %0.66 %91.8015 L 565 UNUM GRP 176,549,620 %0.55 %92.3516 L 370 AFLAC GRP 162,494,839 %0.50 %92.8517 L 241 METROPOLITAN GRP 161,669,682 %0.50 %93.3518 L 261 MUTUAL OF OMAHA GRP 122,272,799 %0.38 %93.7319 L H 429 GUARDIAN LIFE GRP 108,242,960 %0.34 %94.0720 H 4667 CVS CAREMARK GRP 79,487,240 %0.25 %94.3121 H 936 INDEPENDENCE HLTH GRP INC GRP 73,390,445 %0.23 %94.5422 L 661 BCBS OF SC GRP 65,824,411 %0.20 %94.7423 H 1189 VISION SERV PLAN GRP 62,785,434 %0.19 %94.9424 L P 7 FEDERATED MUT GRP 61,398,931 %0.19 %95.1325 L 4011 GENWORTH FIN GRP 55,361,571 %0.17 %95.3026 H 1295 CENTENE CORP GRP 54,442,615 %0.17 %95.4727 L 20 LINCOLN NATL GRP 52,687,958 %0.16 %95.6328 L 860 NORTHWESTERN MUT GRP 50,860,720 %0.16 %95.7929 L P 3098 TOKIO MARINE HOLDINGS INC GRP 50,443,327 %0.16 %95.9430 P 10642 CHEROKEE INS CO 45,737,096 %0.14 %96.0931 L 332 PRINCIPAL FIN GRP 45,636,659 %0.14 %96.2332 H 4893 TRUSTED HLTH PLANS GRP 44,965,111 %0.14 %96.3733 L P 91 HARTFORD FIRE & CAS GRP 44,267,248 %0.14 %96.5034 L 904 JOHN HANCOCK GRP 43,155,857 %0.13 %96.6435 L 233 CNO FINANCIAL GRP 42,383,581 %0.13 %96.7736 L H 1199 WELLCARE GRP 40,980,987 %0.13 %96.8937 L 4855 SUMITOMO LIFE INS GRP 36,464,210 %0.11 %97.0138 L 304 PRUDENTIAL OF AMER GRP 35,534,203 %0.11 %97.1239 L H 549 SUN LIFE ASSUR CO OF CN GRP 35,447,873 %0.11 %97.2340 L P 468 AEGON US HOLDING GRP 34,717,732 %0.11 %97.3341 L 4862 ASSURITY GRP 32,316,040 %0.10 %97.4342 H 1212 VANGUARD HLTH VENTURES GRP 29,412,876 %0.09 %97.5343 L P 23 BCS INS GRP 28,326,662 %0.09 %97.6144 L 290 TORCHMARK CORP GRP 26,928,555 %0.08 %97.7045 H 4813 EXPRESS SCRIPTS HOLDING GRP 26,894,484 %0.08 %97.7846 L 451 FIDELITY SECURITY GRP 26,203,235 %0.08 %97.8647 L P 626 CHUBB LTD GRP 25,220,275 %0.08 %97.9448 L P 111 LIBERTY MUT GRP 25,015,292 %0.08 %98.0249 L 1348 MEIJI YASUDA LIFE INS GRP 24,916,811 %0.08 %98.0950 P 176 STATE FARM GRP 24,147,349 %0.07 %98.1751 L H 812 HIGHMARK GRP 21,912,866 %0.07 %98.2452 H 12747 ENVISION INS CO 18,945,137 %0.06 %98.3053 H 97772 US HLTH & LIFE INS CO INC 18,938,369 %0.06 %98.3554 L P 12 AMERICAN INTL GRP 18,526,144 %0.06 %98.4155 P 218 CNA INS GRP 17,900,917 %0.06 %98.4756 L 943 AMERITAS MUT HOLDING GRP 17,054,407 %0.05 %98.5257 P 4863 CHINA MINSHENG GRP 16,801,658 %0.05 %98.5758 L 4832 VOYA FINANCIAL GRP 15,687,126 %0.05 %98.6259 L 8 ALLSTATE INS GRP 15,656,441 %0.05 %98.6760 L 4 AMERIPRISE FIN GRP 14,809,178 %0.05 %98.7161 L 3527 AMERICAN ENTERPRISE MUT GRP 14,800,613 %0.05 %98.7662 L P 19 ASSURANT INC GRP 14,578,660 %0.05 %98.8163 L 1211 NATIONAL GUARDIAN LIFE INS GRP 14,291,376 %0.04 %98.8564 L 435 MASS MUT LIFE INS GRP 13,986,316 %0.04 %98.89
© 2018 National Association of Insurance Commissioners 63
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Michigan
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 66753 LIBERTY UNION LIFE ASSUR CO 13,349,494 %0.04 %98.9366 L 869 MINNESOTA MUT GRP 13,340,643 %0.04 %98.9867 L 81264 NIPPON LIFE INS CO OF AMER 12,454,686 %0.04 %99.0168 L 306 CUNA MUT GRP 12,335,929 %0.04 %99.0569 L 525 PAN AMER LIFE GRP 11,790,752 %0.04 %99.0970 L H 917 HCSC GRP 11,605,432 %0.04 %99.1271 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 11,452,860 %0.04 %99.1672 L P 140 NATIONWIDE CORP GRP 11,367,184 %0.04 %99.1973 L 264 HEALTHMARKETS GRP 8,889,722 %0.03 %99.2274 L P 450 GENEVE HOLDINGS INC GRP 8,515,612 %0.03 %99.2575 L 330 AMERICAN FIDELITY CORP GRP 8,500,232 %0.03 %99.2876 L 587 ATLANTIC AMER GRP 7,987,439 %0.02 %99.3077 H 11204 HERITAGE VISION PLANS INC 7,747,042 %0.02 %99.3278 L 276 TRUSTMARK MUT HOLDING CO GRP 7,696,229 %0.02 %99.3579 L 588 KANSAS CITY LIFE INS GRP 7,677,620 %0.02 %99.3780 L 4483 NESTLE SA GRP 7,516,443 %0.02 %99.3981 L 687 GUARANTEE TRUST GRP 7,099,556 %0.02 %99.4282 L 1117 MANHATTAN LIFE GRP 7,043,967 %0.02 %99.4483 H 2479 DENTEGRA GRP 6,868,310 %0.02 %99.4684 L 826 NEW YORK LIFE GRP 6,809,582 %0.02 %99.4885 L P 31 BERKSHIRE HATHAWAY GRP 6,610,635 %0.02 %99.5086 P 158 FAIRFAX FIN GRP 6,521,938 %0.02 %99.5287 L P 2538 AMTRUST NGH GRP 6,477,196 %0.02 %99.5488 L 408 AMERICAN NATL FIN GRP 6,004,433 %0.02 %99.5689 L 781 UNION LABOR GRP 5,492,283 %0.02 %99.5890 L 98 WR BERKLEY CORP GRP 4,887,844 %0.02 %99.5991 L 839 WESTBRIDGE CAPITAL GRP 4,650,237 %0.01 %99.6192 P 796 QBE INS GRP 4,528,415 %0.01 %99.6293 H 11082 SINGLE VISION SOLUTION INC 4,480,279 %0.01 %99.6394 H 461 BCBS OF MN GRP 4,369,731 %0.01 %99.6595 L 280 AUTO OWNERS GRP 4,364,960 %0.01 %99.6696 H 11107 MIDWESTERN DENTAL PLANS INC 4,352,000 %0.01 %99.6797 H 1260 MAGELLAN HLTH INC GRP 4,282,523 %0.01 %99.6998 L 11121 UNIFIED LIFE INS CO 4,231,768 %0.01 %99.7099 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,117,730 %0.01 %99.71
100 L 367 PHYSICIANS MUT GRP 3,799,757 %0.01 %99.73101 L P 181 SWISS RE GRP 3,645,436 %0.01 %99.74102 L P 212 ZURICH INS GRP 3,529,187 %0.01 %99.75103 L 761 ALLIANZ INS GRP 3,489,188 %0.01 %99.76104 L 4888 EQUITABLE FAMILY INS CO GRP 3,486,478 %0.01 %99.77105 H 11113 GOLDEN DENTAL PLANS INC 3,372,556 %0.01 %99.78106 L 671 ANTHEM INC GRP 3,264,899 %0.01 %99.79107 L 64580 ILLINOIS MUT LIFE INS CO 3,040,958 %0.01 %99.80108 L 4853 AAA LIFE GRP 3,015,987 %0.01 %99.81109 L 4712 GPM LIFE GRP 2,926,174 %0.01 %99.82110 L 71404 CONTINENTAL GEN INS CO 2,415,073 %0.01 %99.83111 L 769 GREAT WEST GRP 2,262,277 %0.01 %99.83112 H 4719 AMFIRST HOLDINGS GRP 2,236,674 %0.01 %99.84113 P 4381 HOUSTON INTL INS GRP 2,203,061 %0.01 %99.85114 H 52025 DENCAP DENTAL PLANS INC 2,033,389 %0.01 %99.85115 L 76325 SENIOR HLTH INS CO OF PA 2,010,423 %0.01 %99.86116 P 1285 XL AMER GRP 1,876,313 %0.01 %99.86117 L 619 ONEAMERICA FIN PARTNERS GRP 1,818,723 %0.01 %99.87118 L 968 AXA INS GRP 1,765,059 %0.01 %99.88119 L 574 AMERCO CORP GRP 1,709,509 %0.01 %99.88120 P 3416 AXIS CAPITAL GRP 1,680,390 %0.01 %99.89121 F 58033 KNIGHTS OF COLUMBUS 1,622,517 %0.01 %99.89122 L 1186 LIFETIME HLTHCARE GRP 1,554,180 %- %99.90123 L 704 OHIO NATL LIFE GRP 1,523,989 %- %99.90124 P 361 MUNICH RE GRP 1,420,124 %- %99.91125 F 56693 GCU 1,389,183 %- %99.91
**TOTAL** 32,309,941,392 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 64
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Minnesota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 461 BCBS OF MN GRP 6,036,560,875 %33.32 %33.322 H 1258 HEALTHPARTNERS GRP 3,311,318,401 %18.28 %51.603 H 1552 MEDICA GRP 2,942,783,151 %16.24 %67.854 H 4380 UCARE GRP 2,733,100,630 %15.09 %82.935 L H 119 HUMANA GRP 399,938,119 %2.21 %85.146 L H 707 UNITEDHEALTH GRP 263,879,656 %1.46 %86.607 H 3492 PREFERREDONE GRP 261,514,877 %1.44 %88.048 H 52627 HENNEPIN HLTH 232,060,765 %1.28 %89.329 H 55034 DELTA DENTAL OF MN 165,221,314 %0.91 %90.23
10 L 1 AETNA GRP 143,731,686 %0.79 %91.0311 L 565 UNUM GRP 122,415,488 %0.68 %91.7012 L H 901 CIGNA HLTH GRP 117,588,862 %0.65 %92.3513 L 241 METROPOLITAN GRP 87,563,363 %0.48 %92.8414 L 370 AFLAC GRP 68,315,834 %0.38 %93.2115 L 4011 GENWORTH FIN GRP 61,111,065 %0.34 %93.5516 L 860 NORTHWESTERN MUT GRP 59,780,811 %0.33 %93.8817 L P 91 HARTFORD FIRE & CAS GRP 55,122,645 %0.30 %94.1818 H 4667 CVS CAREMARK GRP 54,240,531 %0.30 %94.4819 L P 7 FEDERATED MUT GRP 52,488,671 %0.29 %94.7720 L H 917 HCSC GRP 50,999,281 %0.28 %95.0621 L 1348 MEIJI YASUDA LIFE INS GRP 50,703,101 %0.28 %95.3322 H 1189 VISION SERV PLAN GRP 43,020,425 %0.24 %95.5723 L 332 PRINCIPAL FIN GRP 41,459,272 %0.23 %95.8024 L P 3098 TOKIO MARINE HOLDINGS INC GRP 41,012,396 %0.23 %96.0325 L P 468 AEGON US HOLDING GRP 39,058,297 %0.22 %96.2426 L P 626 CHUBB LTD GRP 38,609,295 %0.21 %96.4627 L 20 LINCOLN NATL GRP 35,463,399 %0.20 %96.6528 L 261 MUTUAL OF OMAHA GRP 34,934,453 %0.19 %96.8429 L 304 PRUDENTIAL OF AMER GRP 34,889,145 %0.19 %97.0430 L F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 32,144,225 %0.18 %97.2231 L 904 JOHN HANCOCK GRP 31,610,342 %0.17 %97.3932 L 429 GUARDIAN LIFE GRP 30,859,565 %0.17 %97.5633 L 4832 VOYA FINANCIAL GRP 25,063,142 %0.14 %97.7034 L P 19 ASSURANT INC GRP 25,015,018 %0.14 %97.8435 L 233 CNO FINANCIAL GRP 24,112,495 %0.13 %97.9736 P 218 CNA INS GRP 22,772,553 %0.13 %98.1037 P 176 STATE FARM GRP 21,797,107 %0.12 %98.2238 L 451 FIDELITY SECURITY GRP 18,788,972 %0.10 %98.3239 L P 111 LIBERTY MUT GRP 18,630,181 %0.10 %98.4240 L 549 SUN LIFE ASSUR CO OF CN GRP 17,208,439 %0.09 %98.5241 L P 450 GENEVE HOLDINGS INC GRP 15,872,768 %0.09 %98.6042 L 4 AMERIPRISE FIN GRP 15,125,582 %0.08 %98.6943 L 290 TORCHMARK CORP GRP 14,871,125 %0.08 %98.7744 L 687 GUARANTEE TRUST GRP 13,115,837 %0.07 %98.8445 L 943 AMERITAS MUT HOLDING GRP 11,802,495 %0.07 %98.9146 L 869 MINNESOTA MUT GRP 10,479,172 %0.06 %98.9747 L 525 PAN AMER LIFE GRP 10,160,627 %0.06 %99.0248 L 435 MASS MUT LIFE INS GRP 8,597,146 %0.05 %99.0749 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 8,149,198 %0.04 %99.1150 L 8 ALLSTATE INS GRP 8,052,583 %0.04 %99.1651 L 761 ALLIANZ INS GRP 7,469,579 %0.04 %99.2052 L 306 CUNA MUT GRP 6,320,077 %0.03 %99.2353 L 661 BCBS OF SC GRP 6,114,512 %0.03 %99.2754 L H 1199 WELLCARE GRP 5,951,402 %0.03 %99.3055 L 71404 CONTINENTAL GEN INS CO 5,839,200 %0.03 %99.3356 L P 140 NATIONWIDE CORP GRP 5,619,006 %0.03 %99.3657 L P 12 AMERICAN INTL GRP 5,148,544 %0.03 %99.3958 L 826 NEW YORK LIFE GRP 4,927,730 %0.03 %99.4259 L H 812 HIGHMARK GRP 4,846,315 %0.03 %99.4560 L 4855 SUMITOMO LIFE INS GRP 4,663,313 %0.03 %99.4761 L 64580 ILLINOIS MUT LIFE INS CO 4,601,496 %0.03 %99.5062 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,202,061 %0.02 %99.5263 L 1186 LIFETIME HLTHCARE GRP 3,912,496 %0.02 %99.5464 L 330 AMERICAN FIDELITY CORP GRP 3,596,177 %0.02 %99.56
© 2018 National Association of Insurance Commissioners 65
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Minnesota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 477 RENAISSANCE HLTH SERV CORP GRP 3,463,956 %0.02 %99.5866 L 69132 STATE MUT INS CO 3,307,921 %0.02 %99.6067 L P 98 WR BERKLEY CORP GRP 3,194,209 %0.02 %99.6268 L 4483 NESTLE SA GRP 2,951,048 %0.02 %99.6369 L 367 PHYSICIANS MUT GRP 2,623,870 %0.01 %99.6570 L P 212 ZURICH INS GRP 2,578,417 %0.01 %99.6671 L 572 BCBS OF MI GRP 2,566,085 %0.01 %99.6872 L 4824 ADVANTAGE CAPITAL GRP 2,526,679 %0.01 %99.6973 F 58033 KNIGHTS OF COLUMBUS 2,415,709 %0.01 %99.7074 L P 84 AMERICAN FINANCIAL GRP 2,330,505 %0.01 %99.7275 P 181 SWISS RE GRP 2,320,908 %0.01 %99.7376 P 1120 EVEREST REINS HOLDINGS GRP 2,298,386 %0.01 %99.7477 L 4862 ASSURITY GRP 2,092,232 %0.01 %99.7578 H 2479 DENTEGRA GRP 2,032,568 %0.01 %99.7779 L 3527 AMERICAN ENTERPRISE MUT GRP 1,977,601 %0.01 %99.7880 H 4813 EXPRESS SCRIPTS HOLDING GRP 1,972,695 %0.01 %99.7981 L P 23 BCS INS GRP 1,916,783 %0.01 %99.8082 H 1246 SANFORD HLTH GRP 1,813,041 %0.01 %99.8183 P 473 AMERICAN FAMILY INS GRP 1,802,478 %0.01 %99.8284 H 12747 ENVISION INS CO 1,779,185 %0.01 %99.8385 L 276 TRUSTMARK MUT HOLDING CO GRP 1,734,190 %0.01 %99.8486 P 796 QBE INS GRP 1,577,562 %0.01 %99.8587 L 280 AUTO OWNERS GRP 1,561,043 %0.01 %99.8588 L 876 ARKANSAS BCBS GRP 1,505,867 %0.01 %99.8689 P 158 FAIRFAX FIN GRP 1,468,136 %0.01 %99.8790 H 1260 MAGELLAN HLTH INC GRP 1,296,094 %0.01 %99.8891 L 769 GREAT WEST GRP 1,247,333 %0.01 %99.8892 L 76325 SENIOR HLTH INS CO OF PA 1,163,628 %0.01 %99.8993 P 27928 AMEX ASSUR CO 1,037,997 %0.01 %99.9094 L 50 COUNTRY INS & FIN SERV GRP 1,002,647 %0.01 %99.9095 L 513 IOWA FARM BUREAU GRP 920,737 %0.01 %99.9196 L 781 UNION LABOR GRP 882,050 %- %99.9197 P 4863 CHINA MINSHENG GRP 835,346 %- %99.9298 L 2858 HOMESHIELD CAPITAL GRP 749,324 %- %99.9299 L 42129 UNITED SECURITY ASSUR CO OF PA 748,112 %- %99.93
100 L 588 KANSAS CITY LIFE INS GRP 679,730 %- %99.93101 L 968 AXA INS GRP 673,752 %- %99.93102 L 4815 RESOLUTION LIFE GRP 638,797 %- %99.94103 L 619 ONEAMERICA FIN PARTNERS GRP 586,100 %- %99.94104 L 918 JACKSON NATL GRP 563,292 %- %99.94105 L P 169 SENTRY INS GRP 523,633 %- %99.95106 L 704 OHIO NATL LIFE GRP 513,193 %- %99.95107 P 3416 AXIS CAPITAL GRP 489,457 %- %99.95108 P 1279 ARCH INS GRP 399,792 %- %99.95109 L 634 NATIONAL LIFE GRP 396,623 %- %99.96110 L 1117 MANHATTAN LIFE GRP 372,524 %- %99.96111 L 458 PROTECTIVE LIFE INS GRP 368,480 %- %99.96112 L 11121 UNIFIED LIFE INS CO 364,618 %- %99.96113 L 4639 RGA INC GRP 364,272 %- %99.96114 L 4853 AAA LIFE GRP 343,977 %- %99.97115 P 785 MARKEL CORP GRP 340,437 %- %99.97116 L 200 UNITED SERV AUTOMOBILE ASSN GRP 304,387 %- %99.97117 P 31 BERKSHIRE HATHAWAY GRP 303,770 %- %99.97118 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 303,640 %- %99.97119 P 361 MUNICH RE GRP 292,638 %- %99.97120 L 440 REGAL REINS GRP 268,004 %- %99.98121 L 3891 GOLDMAN SACHS GRP 263,768 %- %99.98122 L 690 CENTRAL STATES GRP 253,857 %- %99.98123 L 4888 EQUITABLE FAMILY INS CO GRP 232,730 %- %99.98124 L 520 NEW ERA LIFE GRP 206,746 %- %99.98125 L 150 OLD REPUBLIC GRP 198,341 %- %99.98
**TOTAL** 18,115,547,609 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 66
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Mississippi
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 1,596,315,390 %22.78 %22.782 H 1295 CENTENE CORP GRP 1,551,320,843 %22.14 %44.923 L H 1126 MISSISSIPPI INS GRP 1,358,823,691 %19.39 %64.324 L H 119 HUMANA GRP 763,938,616 %10.90 %75.225 L H 1199 WELLCARE GRP 307,307,537 %4.39 %79.616 L H 901 CIGNA HLTH GRP 214,377,662 %3.06 %82.677 L H 1 AETNA GRP 118,554,157 %1.69 %84.368 L 370 AFLAC GRP 95,643,569 %1.37 %85.729 L 565 UNUM GRP 88,395,646 %1.26 %86.99
10 L 261 MUTUAL OF OMAHA GRP 85,839,606 %1.23 %88.2111 H 2479 DENTEGRA GRP 82,163,049 %1.17 %89.3812 H 4667 CVS CAREMARK GRP 63,718,054 %0.91 %90.2913 L 330 AMERICAN FIDELITY CORP GRP 63,144,718 %0.90 %91.1914 L 429 GUARDIAN LIFE GRP 37,682,592 %0.54 %91.7315 L 520 NEW ERA LIFE GRP 34,265,680 %0.49 %92.2216 L H P 241 METROPOLITAN GRP 33,776,929 %0.48 %92.7017 L P 111 LIBERTY MUT GRP 30,743,242 %0.44 %93.1418 L P 468 AEGON US HOLDING GRP 27,922,473 %0.40 %93.5419 L 1117 MANHATTAN LIFE GRP 26,148,753 %0.37 %93.9120 P 176 STATE FARM GRP 17,432,778 %0.25 %94.1621 L 943 AMERITAS MUT HOLDING GRP 17,196,409 %0.25 %94.4122 L 8 ALLSTATE INS GRP 16,754,268 %0.24 %94.6523 L P 3098 TOKIO MARINE HOLDINGS INC GRP 16,655,712 %0.24 %94.8924 L 290 TORCHMARK CORP GRP 15,851,549 %0.23 %95.1125 L P 19 ASSURANT INC GRP 15,031,063 %0.21 %95.3326 L 1211 NATIONAL GUARDIAN LIFE INS GRP 14,647,411 %0.21 %95.5427 L 860 NORTHWESTERN MUT GRP 12,377,912 %0.18 %95.7128 L 904 JOHN HANCOCK GRP 11,859,152 %0.17 %95.8829 L 20 LINCOLN NATL GRP 11,762,937 %0.17 %96.0530 L 233 CNO FINANCIAL GRP 11,063,138 %0.16 %96.2131 L 4011 GENWORTH FIN GRP 11,010,401 %0.16 %96.3632 L 367 PHYSICIANS MUT GRP 10,630,107 %0.15 %96.5233 L 435 MASS MUT LIFE INS GRP 10,412,566 %0.15 %96.6634 L 332 PRINCIPAL FIN GRP 10,172,198 %0.15 %96.8135 L H 4719 AMFIRST HOLDINGS GRP 10,079,920 %0.14 %96.9536 L P 91 HARTFORD FIRE & CAS GRP 8,944,372 %0.13 %97.0837 L P 12 AMERICAN INTL GRP 8,730,646 %0.12 %97.2138 L 661 BCBS OF SC GRP 8,006,954 %0.11 %97.3239 L 4888 EQUITABLE FAMILY INS CO GRP 7,571,077 %0.11 %97.4340 L 304 PRUDENTIAL OF AMER GRP 7,368,311 %0.11 %97.5341 L 215 KEMPER CORP GRP 6,634,669 %0.09 %97.6342 H 4813 EXPRESS SCRIPTS HOLDING GRP 6,142,255 %0.09 %97.7243 L 4483 NESTLE SA GRP 5,899,355 %0.08 %97.8044 L 549 SUN LIFE ASSUR CO OF CN GRP 5,784,227 %0.08 %97.8845 L 839 WESTBRIDGE CAPITAL GRP 5,780,939 %0.08 %97.9646 L 65412 LIFE INS CO OF AL 5,735,675 %0.08 %98.0547 L 4832 VOYA FINANCIAL GRP 5,569,370 %0.08 %98.1348 H 1189 VISION SERV PLAN GRP 5,459,688 %0.08 %98.2049 L 1348 MEIJI YASUDA LIFE INS GRP 5,059,294 %0.07 %98.2850 L H 812 HIGHMARK GRP 5,055,448 %0.07 %98.3551 L 4736 GGC GRP 4,496,209 %0.06 %98.4152 L 826 NEW YORK LIFE GRP 4,370,622 %0.06 %98.4753 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 4,106,829 %0.06 %98.5354 H 12747 ENVISION INS CO 4,092,887 %0.06 %98.5955 L 948 GULF GUARANTY GRP 3,763,664 %0.05 %98.6556 L P 7 FEDERATED MUT GRP 3,365,061 %0.05 %98.6957 L 525 PAN AMER LIFE GRP 3,310,066 %0.05 %98.7458 L 4855 SUMITOMO LIFE INS GRP 3,281,959 %0.05 %98.7959 L P 626 CHUBB LTD GRP 3,251,490 %0.05 %98.8360 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 3,024,429 %0.04 %98.8861 L 869 MINNESOTA MUT GRP 2,930,658 %0.04 %98.9262 L 71404 CONTINENTAL GEN INS CO 2,926,112 %0.04 %98.9663 L 150 OLD REPUBLIC GRP 2,861,612 %0.04 %99.0064 L 451 FIDELITY SECURITY GRP 2,793,306 %0.04 %99.04
© 2018 National Association of Insurance Commissioners 67
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Mississippi
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 1285 XL AMER GRP 2,603,397 %0.04 %99.0866 P 158 FAIRFAX FIN GRP 2,597,524 %0.04 %99.1267 L 66214 HEARTLAND NATL LIFE INS CO 2,590,622 %0.04 %99.1568 L 587 ATLANTIC AMER GRP 2,426,883 %0.03 %99.1969 F 56499 ASSURED LIFE ASSN 2,414,634 %0.03 %99.2270 L 2538 AMTRUST NGH GRP 2,358,246 %0.03 %99.2671 L 306 CUNA MUT GRP 2,306,164 %0.03 %99.2972 L 264 HEALTHMARKETS GRP 2,243,271 %0.03 %99.3273 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,142,560 %0.03 %99.3574 L P 23 BCS INS GRP 2,124,107 %0.03 %99.3875 L P 140 NATIONWIDE CORP GRP 1,682,474 %0.02 %99.4176 L 408 AMERICAN NATL FIN GRP 1,650,462 %0.02 %99.4377 L 3527 AMERICAN ENTERPRISE MUT GRP 1,543,792 %0.02 %99.4578 L 687 GUARANTEE TRUST GRP 1,447,317 %0.02 %99.4779 P 4863 CHINA MINSHENG GRP 1,397,008 %0.02 %99.4980 L P 212 ZURICH INS GRP 1,389,318 %0.02 %99.5181 L 619 ONEAMERICA FIN PARTNERS GRP 1,344,963 %0.02 %99.5382 L 4826 ECG GRP 1,300,251 %0.02 %99.5583 L 11121 UNIFIED LIFE INS CO 1,283,209 %0.02 %99.5784 P 796 QBE INS GRP 1,280,401 %0.02 %99.5985 L 61921 CITIZENS SECURITY LIFE INS CO 1,271,976 %0.02 %99.6086 P 218 CNA INS GRP 1,255,995 %0.02 %99.6287 L 276 TRUSTMARK MUT HOLDING CO GRP 1,215,577 %0.02 %99.6488 L P 31 BERKSHIRE HATHAWAY GRP 1,169,553 %0.02 %99.6689 L P 450 GENEVE HOLDINGS INC GRP 1,093,024 %0.02 %99.6790 L 458 PROTECTIVE LIFE INS GRP 1,025,424 %0.01 %99.6991 L 4 AMERIPRISE FIN GRP 953,327 %0.01 %99.7092 L 4764 RESERVOIR CAPITAL GRP 923,666 %0.01 %99.7193 L 123 SHELTER INS GRP 877,854 %0.01 %99.7394 L 70122 UNIVERSAL FIDELITY LIFE INS CO 841,773 %0.01 %99.7495 L 153 PEKIN INS GRP 837,150 %0.01 %99.7596 P 1120 EVEREST REINS HOLDINGS GRP 742,718 %0.01 %99.7697 L 761 ALLIANZ INS GRP 713,897 %0.01 %99.7798 L 1186 LIFETIME HLTHCARE GRP 667,038 %0.01 %99.7899 L 4862 ASSURITY GRP 662,286 %0.01 %99.79
100 H 477 RENAISSANCE HLTH SERV CORP GRP 616,658 %0.01 %99.80101 L 574 AMERCO CORP GRP 589,086 %0.01 %99.81102 L 876 ARKANSAS BCBS GRP 548,538 %0.01 %99.81103 L P 181 SWISS RE GRP 515,100 %0.01 %99.82104 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 500,144 %0.01 %99.83105 L 76325 SENIOR HLTH INS CO OF PA 495,375 %0.01 %99.84106 F 57320 WOODMEN WORLD LIFE INS SOC 459,494 %0.01 %99.84107 L 4815 RESOLUTION LIFE GRP 458,148 %0.01 %99.85108 L 769 GREAT WEST GRP 455,152 %0.01 %99.86109 L 90638 BEST LIFE & HLTH INS CO 452,765 %0.01 %99.86110 L 4853 AAA LIFE GRP 428,868 %0.01 %99.87111 L 581 BOSTON MUT GRP 427,808 %0.01 %99.87112 L 3891 GOLDMAN SACHS GRP 409,268 %0.01 %99.88113 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 391,973 %0.01 %99.89114 L 968 AXA INS GRP 386,795 %0.01 %99.89115 L 4712 GPM LIFE GRP 368,290 %0.01 %99.90116 L 4506 DENTAL ECONOMICS GRP 359,796 %0.01 %99.90117 P 27928 AMEX ASSUR CO 350,609 %0.01 %99.91118 L 4213 WILTON RE GRP 336,668 %- %99.91119 L 69132 STATE MUT INS CO 314,970 %- %99.92120 L 2858 HOMESHIELD CAPITAL GRP 314,710 %- %99.92121 L 704 OHIO NATL LIFE GRP 300,333 %- %99.92122 L 3436 LIBERTY LIFE GRP TRUST GRP 297,885 %- %99.93123 P 1279 ARCH INS GRP 295,877 %- %99.93124 L 64580 ILLINOIS MUT LIFE INS CO 287,112 %- %99.94125 L 4824 ADVANTAGE CAPITAL GRP 286,851 %- %99.94
**TOTAL** 7,006,478,809 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 68
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Missouri
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 3,388,970,645 %21.56 %21.562 L H 671 ANTHEM INC GRP 2,879,243,327 %18.32 %39.873 L H 1 AETNA GRP 2,041,182,511 %12.98 %52.864 L H 537 BCBS OF KC GRP 1,381,636,891 %8.79 %61.655 L H 119 HUMANA GRP 990,533,848 %6.30 %67.956 H 1295 CENTENE CORP GRP 739,098,958 %4.70 %72.657 L H 1199 WELLCARE GRP 663,325,660 %4.22 %76.878 L H 901 CIGNA HLTH GRP 586,815,038 %3.73 %80.609 H 11699 ESSENCE HLTHCARE INC 586,387,715 %3.73 %84.33
10 L 261 MUTUAL OF OMAHA GRP 212,261,197 %1.35 %85.6811 H 3680 DELTA DENTAL PLAN OF MO GRP 177,571,760 %1.13 %86.8112 H 1203 COX INS GRP 142,971,749 %0.91 %87.7213 L H 241 METROPOLITAN GRP 112,596,026 %0.72 %88.4414 L 370 AFLAC GRP 110,151,094 %0.70 %89.1415 H 4667 CVS CAREMARK GRP 104,653,534 %0.67 %89.8016 L 565 UNUM GRP 100,341,625 %0.64 %90.4417 H 1189 VISION SERV PLAN GRP 97,334,035 %0.62 %91.0618 L P 468 AEGON US HOLDING GRP 95,789,000 %0.61 %91.6719 L H 429 GUARDIAN LIFE GRP 74,702,298 %0.48 %92.1420 L 233 CNO FINANCIAL GRP 56,745,377 %0.36 %92.5121 L P 3098 TOKIO MARINE HOLDINGS INC GRP 55,587,116 %0.35 %92.8622 L 4011 GENWORTH FIN GRP 49,027,198 %0.31 %93.1723 L P 91 HARTFORD FIRE & CAS GRP 47,408,069 %0.30 %93.4724 L H 549 SUN LIFE ASSUR CO OF CN GRP 44,281,849 %0.28 %93.7525 L P 7 FEDERATED MUT GRP 43,037,997 %0.27 %94.0326 L 860 NORTHWESTERN MUT GRP 42,211,175 %0.27 %94.3027 L 332 PRINCIPAL FIN GRP 38,941,918 %0.25 %94.5428 L P 19 ASSURANT INC GRP 37,574,358 %0.24 %94.7829 L 661 BCBS OF SC GRP 35,582,875 %0.23 %95.0130 L 1348 MEIJI YASUDA LIFE INS GRP 34,401,874 %0.22 %95.2331 P 176 STATE FARM GRP 32,121,012 %0.20 %95.4332 L P 626 CHUBB LTD GRP 30,455,120 %0.19 %95.6333 L 904 JOHN HANCOCK GRP 30,365,432 %0.19 %95.8234 L 4832 VOYA FINANCIAL GRP 23,539,378 %0.15 %95.9735 L 304 PRUDENTIAL OF AMER GRP 23,358,216 %0.15 %96.1236 L 3527 AMERICAN ENTERPRISE MUT GRP 23,036,472 %0.15 %96.2637 L 290 TORCHMARK CORP GRP 22,612,219 %0.14 %96.4138 H 4813 EXPRESS SCRIPTS HOLDING GRP 22,131,918 %0.14 %96.5539 L 20 LINCOLN NATL GRP 22,044,386 %0.14 %96.6940 L P 111 LIBERTY MUT GRP 19,710,101 %0.13 %96.8141 L 8 ALLSTATE INS GRP 17,259,951 %0.11 %96.9242 L 1117 MANHATTAN LIFE GRP 16,405,697 %0.10 %97.0343 L 330 AMERICAN FIDELITY CORP GRP 15,678,928 %0.10 %97.1344 L 98 WR BERKLEY CORP GRP 15,045,355 %0.10 %97.2245 L 451 FIDELITY SECURITY GRP 14,034,993 %0.09 %97.3146 L 67326 OLD SURETY LIFE INS CO 13,811,601 %0.09 %97.4047 L P 12 AMERICAN INTL GRP 13,572,478 %0.09 %97.4948 L 687 GUARANTEE TRUST GRP 13,155,284 %0.08 %97.5749 L 4888 EQUITABLE FAMILY INS CO GRP 11,782,758 %0.07 %97.6550 L 943 AMERITAS MUT HOLDING GRP 11,284,983 %0.07 %97.7251 P 158 FAIRFAX FIN GRP 11,262,974 %0.07 %97.7952 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 10,902,988 %0.07 %97.8653 L 435 MASS MUT LIFE INS GRP 10,696,083 %0.07 %97.9354 L 869 MINNESOTA MUT GRP 10,181,781 %0.06 %97.9955 L 4483 NESTLE SA GRP 10,174,133 %0.06 %98.0656 L 4855 SUMITOMO LIFE INS GRP 9,495,227 %0.06 %98.1257 L H 812 HIGHMARK GRP 9,426,425 %0.06 %98.1858 L 574 AMERCO CORP GRP 9,174,229 %0.06 %98.2459 L P 140 NATIONWIDE CORP GRP 8,746,710 %0.06 %98.2960 L 367 PHYSICIANS MUT GRP 8,693,823 %0.06 %98.3561 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 8,375,978 %0.05 %98.4062 L 215 KEMPER CORP GRP 7,822,562 %0.05 %98.4563 L P 84 AMERICAN FINANCIAL GRP 7,613,738 %0.05 %98.5064 L 826 NEW YORK LIFE GRP 7,547,167 %0.05 %98.55
© 2018 National Association of Insurance Commissioners 69
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Missouri
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 218 CNA INS GRP 7,539,716 %0.05 %98.5966 L 1211 NATIONAL GUARDIAN LIFE INS GRP 7,376,435 %0.05 %98.6467 P 1120 EVEREST REINS HOLDINGS GRP 6,897,213 %0.04 %98.6868 L P 212 ZURICH INS GRP 6,450,878 %0.04 %98.7369 L P 23 BCS INS GRP 6,446,661 %0.04 %98.7770 P 473 AMERICAN FAMILY INS GRP 6,330,431 %0.04 %98.8171 L P 2538 AMTRUST NGH GRP 5,922,930 %0.04 %98.8472 L P 181 SWISS RE GRP 5,654,110 %0.04 %98.8873 P 4863 CHINA MINSHENG GRP 5,266,675 %0.03 %98.9174 L 839 WESTBRIDGE CAPITAL GRP 5,135,169 %0.03 %98.9575 L 264 HEALTHMARKETS GRP 5,120,712 %0.03 %98.9876 L 588 KANSAS CITY LIFE INS GRP 5,097,593 %0.03 %99.0177 L H 917 HCSC GRP 5,013,856 %0.03 %99.0478 L 4 AMERIPRISE FIN GRP 4,935,320 %0.03 %99.0779 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,861,780 %0.03 %99.1180 L P 761 ALLIANZ INS GRP 4,765,645 %0.03 %99.1481 L P 450 GENEVE HOLDINGS INC GRP 4,600,725 %0.03 %99.1782 H 15757 MISSOURI MEDICARE SELECT LLC 4,483,378 %0.03 %99.1983 H 2479 DENTEGRA GRP 4,460,009 %0.03 %99.2284 L P 3483 PARTNERRE GRP 4,323,844 %0.03 %99.2585 P 796 QBE INS GRP 4,218,738 %0.03 %99.2886 P 361 MUNICH RE GRP 4,124,395 %0.03 %99.3087 L 61921 CITIZENS SECURITY LIFE INS CO 3,720,507 %0.02 %99.3388 L 276 TRUSTMARK MUT HOLDING CO GRP 3,698,625 %0.02 %99.3589 F 58033 KNIGHTS OF COLUMBUS 3,487,642 %0.02 %99.3790 L 123 SHELTER INS GRP 3,321,012 %0.02 %99.3991 L 408 AMERICAN NATL FIN GRP 3,256,070 %0.02 %99.4192 L 4506 DENTAL ECONOMICS GRP 3,218,353 %0.02 %99.4393 L 71404 CONTINENTAL GEN INS CO 3,196,887 %0.02 %99.4594 L H 4638 DELTA DENTAL OF KS GRP 2,886,174 %0.02 %99.4795 F 57711 WESTERN CATHOLIC UNION 2,756,145 %0.02 %99.4996 L 306 CUNA MUT GRP 2,731,929 %0.02 %99.5197 H 4905 NATIONAL HEALTHCARE CORP GRP 2,583,472 %0.02 %99.5298 L 2858 HOMESHIELD CAPITAL GRP 2,570,003 %0.02 %99.5499 H 4696 VISION BENEFITS GRP 2,456,904 %0.02 %99.56
100 L 4824 ADVANTAGE CAPITAL GRP 2,425,783 %0.02 %99.57101 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 2,358,001 %0.01 %99.59102 H 1260 MAGELLAN HLTH INC GRP 2,354,505 %0.01 %99.60103 P 4381 HOUSTON INTL INS GRP 2,330,046 %0.01 %99.62104 L 4862 ASSURITY GRP 2,304,396 %0.01 %99.63105 L 69132 STATE MUT INS CO 2,189,779 %0.01 %99.65106 L 4736 GGC GRP 2,091,670 %0.01 %99.66107 L 76325 SENIOR HLTH INS CO OF PA 2,057,272 %0.01 %99.67108 L 520 NEW ERA LIFE GRP 1,988,931 %0.01 %99.68109 P 1285 XL AMER GRP 1,975,435 %0.01 %99.70110 L 66214 HEARTLAND NATL LIFE INS CO 1,922,757 %0.01 %99.71111 H 4744 L S S GRP 1,896,268 %0.01 %99.72112 L 781 UNION LABOR GRP 1,817,032 %0.01 %99.73113 L 4815 RESOLUTION LIFE GRP 1,630,791 %0.01 %99.74114 L 587 ATLANTIC AMER GRP 1,615,543 %0.01 %99.75115 L 11121 UNIFIED LIFE INS CO 1,595,982 %0.01 %99.76116 H 477 RENAISSANCE HLTH SERV CORP GRP 1,585,827 %0.01 %99.77117 L 4853 AAA LIFE GRP 1,536,292 %0.01 %99.78118 H 15462 STERLING DENTAL OF N AMER LLC 1,532,497 %0.01 %99.79119 L 64580 ILLINOIS MUT LIFE INS CO 1,530,150 %0.01 %99.80120 L 619 ONEAMERICA FIN PARTNERS GRP 1,485,579 %0.01 %99.81121 L 4719 AMFIRST HOLDINGS GRP 1,370,612 %0.01 %99.82122 P 3416 AXIS CAPITAL GRP 1,351,741 %0.01 %99.83123 L 525 PAN AMER LIFE GRP 1,296,196 %0.01 %99.84124 L 42129 UNITED SECURITY ASSUR CO OF PA 1,206,212 %0.01 %99.85125 L 769 GREAT WEST GRP 1,105,390 %0.01 %99.85
**TOTAL** 15,720,534,420 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 70
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Montana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 917 HCSC GRP 1,039,329,535 %53.93 %53.932 H 4704 PACIFICSOURCE HLTH PLAN GRP 177,225,008 %9.20 %63.133 H 14933 MONTANA HLTH COOPERATIVE 120,343,235 %6.24 %69.374 L H 119 HUMANA GRP 97,426,314 %5.06 %74.435 L H 707 UNITEDHEALTH GRP 67,016,421 %3.48 %77.916 L H 901 CIGNA HLTH GRP 63,202,539 %3.28 %81.197 L 1 AETNA GRP 36,315,917 %1.88 %83.078 L 370 AFLAC GRP 26,544,474 %1.38 %84.459 L 261 MUTUAL OF OMAHA GRP 17,176,050 %0.89 %85.34
10 L 565 UNUM GRP 15,364,269 %0.80 %86.1411 H 4667 CVS CAREMARK GRP 13,911,952 %0.72 %86.8612 L 233 CNO FINANCIAL GRP 12,911,618 %0.67 %87.5313 H 2479 DENTEGRA GRP 10,969,881 %0.57 %88.1014 L 429 GUARDIAN LIFE GRP 9,815,305 %0.51 %88.6115 P 176 STATE FARM GRP 9,251,070 %0.48 %89.0916 H 68420 WMI MUT INS CO 9,146,896 %0.47 %89.5617 P 4886 BENCHMARK HOLDING GRP 9,129,770 %0.47 %90.0318 L 241 METROPOLITAN GRP 8,415,715 %0.44 %90.4719 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 8,375,669 %0.43 %90.9120 L 661 BCBS OF SC GRP 7,434,900 %0.39 %91.2921 L 860 NORTHWESTERN MUT GRP 7,338,254 %0.38 %91.6722 L P 12 AMERICAN INTL GRP 6,995,287 %0.36 %92.0423 L 4011 GENWORTH FIN GRP 6,792,394 %0.35 %92.3924 L 4855 SUMITOMO LIFE INS GRP 6,257,329 %0.32 %92.7125 L 332 PRINCIPAL FIN GRP 6,219,868 %0.32 %93.0426 L P 468 AEGON US HOLDING GRP 6,189,922 %0.32 %93.3627 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 5,234,436 %0.27 %93.6328 L 4824 ADVANTAGE CAPITAL GRP 5,170,942 %0.27 %93.9029 L 904 JOHN HANCOCK GRP 4,616,692 %0.24 %94.1430 L 290 TORCHMARK CORP GRP 4,497,689 %0.23 %94.3731 L 549 SUN LIFE ASSUR CO OF CN GRP 4,333,763 %0.22 %94.5932 L H 812 HIGHMARK GRP 4,235,158 %0.22 %94.8133 L 1348 MEIJI YASUDA LIFE INS GRP 4,146,937 %0.22 %95.0334 L P 19 ASSURANT INC GRP 4,128,748 %0.21 %95.2435 L P 3098 TOKIO MARINE HOLDINGS INC GRP 4,035,322 %0.21 %95.4536 L 839 WESTBRIDGE CAPITAL GRP 3,780,383 %0.20 %95.6537 L 67326 OLD SURETY LIFE INS CO 3,583,002 %0.19 %95.8438 H 1189 VISION SERV PLAN GRP 3,283,141 %0.17 %96.0139 L P 91 HARTFORD FIRE & CAS GRP 3,249,697 %0.17 %96.1740 L 304 PRUDENTIAL OF AMER GRP 3,113,304 %0.16 %96.3441 F 56499 ASSURED LIFE ASSN 3,004,806 %0.16 %96.4942 L 20 LINCOLN NATL GRP 2,579,240 %0.13 %96.6343 L P 626 CHUBB LTD GRP 2,554,892 %0.13 %96.7644 L 943 AMERITAS MUT HOLDING GRP 2,412,015 %0.13 %96.8845 L 4888 EQUITABLE FAMILY INS CO GRP 2,339,950 %0.12 %97.0046 L 4832 VOYA FINANCIAL GRP 2,334,531 %0.12 %97.1347 L 3527 AMERICAN ENTERPRISE MUT GRP 2,215,510 %0.11 %97.2448 L 826 NEW YORK LIFE GRP 2,141,887 %0.11 %97.3549 L H 1199 WELLCARE GRP 2,129,087 %0.11 %97.4650 L P 450 GENEVE HOLDINGS INC GRP 2,126,668 %0.11 %97.5751 L 111 LIBERTY MUT GRP 1,971,031 %0.10 %97.6852 L 2538 AMTRUST NGH GRP 1,951,734 %0.10 %97.7853 L 306 CUNA MUT GRP 1,834,165 %0.10 %97.8754 L 4483 NESTLE SA GRP 1,741,943 %0.09 %97.9655 L 98 WR BERKLEY CORP GRP 1,665,661 %0.09 %98.0556 L 330 AMERICAN FIDELITY CORP GRP 1,645,635 %0.09 %98.1357 L 587 ATLANTIC AMER GRP 1,565,270 %0.08 %98.2258 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,552,192 %0.08 %98.3059 L 276 TRUSTMARK MUT HOLDING CO GRP 1,423,334 %0.07 %98.3760 P 4381 HOUSTON INTL INS GRP 1,322,117 %0.07 %98.4461 P 796 QBE INS GRP 1,310,891 %0.07 %98.5162 H 4813 EXPRESS SCRIPTS HOLDING GRP 1,290,686 %0.07 %98.5763 L 435 MASS MUT LIFE INS GRP 1,269,047 %0.07 %98.6464 P 361 MUNICH RE GRP 1,247,015 %0.06 %98.70
© 2018 National Association of Insurance Commissioners 71
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Montana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,198,816 %0.06 %98.7766 L P 31 BERKSHIRE HATHAWAY GRP 1,116,784 %0.06 %98.8267 L P 23 BCS INS GRP 1,114,511 %0.06 %98.8868 L 4 AMERIPRISE FIN GRP 1,018,191 %0.05 %98.9369 L 90638 BEST LIFE & HLTH INS CO 996,441 %0.05 %98.9970 L 8 ALLSTATE INS GRP 985,839 %0.05 %99.0471 P 158 FAIRFAX FIN GRP 977,994 %0.05 %99.0972 P 218 CNA INS GRP 906,476 %0.05 %99.1473 L 869 MINNESOTA MUT GRP 846,953 %0.04 %99.1874 L 761 ALLIANZ INS GRP 832,447 %0.04 %99.2275 L 1117 MANHATTAN LIFE GRP 781,002 %0.04 %99.2676 L 71404 CONTINENTAL GEN INS CO 740,762 %0.04 %99.3077 L 264 HEALTHMARKETS GRP 728,577 %0.04 %99.3478 L 1207 CAMBIA HEALTH SOLUTIONS INC 655,479 %0.03 %99.3779 L 367 PHYSICIANS MUT GRP 609,012 %0.03 %99.4080 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 574,391 %0.03 %99.4381 L 4862 ASSURITY GRP 570,580 %0.03 %99.4682 L 408 AMERICAN NATL FIN GRP 550,769 %0.03 %99.4983 H 1260 MAGELLAN HLTH INC GRP 529,461 %0.03 %99.5284 L P 181 SWISS RE GRP 473,032 %0.02 %99.5485 L 574 AMERCO CORP GRP 472,421 %0.02 %99.5786 L 4853 AAA LIFE GRP 449,520 %0.02 %99.5987 H 12747 ENVISION INS CO 390,762 %0.02 %99.6188 L 687 GUARANTEE TRUST GRP 389,309 %0.02 %99.6389 L P 212 ZURICH INS GRP 383,936 %0.02 %99.6590 L 1186 LIFETIME HLTHCARE GRP 341,346 %0.02 %99.6791 L 76325 SENIOR HLTH INS CO OF PA 337,773 %0.02 %99.6992 L 769 GREAT WEST GRP 327,043 %0.02 %99.7193 P 4863 CHINA MINSHENG GRP 308,203 %0.02 %99.7294 L 2878 UNITED HERITAGE MUT GRP 280,312 %0.01 %99.7495 P 1285 XL AMER GRP 276,538 %0.01 %99.7596 F 4616 EVERENCE GRP 264,767 %0.01 %99.7697 L 69132 STATE MUT INS CO 256,778 %0.01 %99.7898 F 58033 KNIGHTS OF COLUMBUS 251,908 %0.01 %99.7999 L 588 KANSAS CITY LIFE INS GRP 243,995 %0.01 %99.80
100 L 449 FINANCIAL HOLDINGS GRP 171,588 %0.01 %99.81101 L 4736 GGC GRP 167,508 %0.01 %99.82102 L 876 ARKANSAS BCBS GRP 164,876 %0.01 %99.83103 L 4815 RESOLUTION LIFE GRP 161,507 %0.01 %99.84104 L 572 BCBS OF MI GRP 152,297 %0.01 %99.85105 P 27928 AMEX ASSUR CO 148,529 %0.01 %99.85106 H 477 RENAISSANCE HLTH SERV CORP GRP 143,667 %0.01 %99.86107 L 4826 ECG GRP 138,272 %0.01 %99.87108 L 704 OHIO NATL LIFE GRP 131,660 %0.01 %99.87109 L 520 NEW ERA LIFE GRP 127,991 %0.01 %99.88110 L 50 COUNTRY INS & FIN SERV GRP 123,563 %0.01 %99.89111 L 619 ONEAMERICA FIN PARTNERS GRP 114,459 %0.01 %99.89112 L 690 CENTRAL STATES GRP 112,953 %0.01 %99.90113 L 350 GENERAL ELECTRIC GRP 110,883 %0.01 %99.91114 L 64580 ILLINOIS MUT LIFE INS CO 110,661 %0.01 %99.91115 L 1211 NATIONAL GUARDIAN LIFE INS GRP 106,787 %0.01 %99.92116 L 215 KEMPER CORP GRP 105,592 %0.01 %99.92117 L P 140 NATIONWIDE CORP GRP 102,041 %0.01 %99.93118 L 4718 TIPTREE FIN GRP 97,249 %0.01 %99.93119 L 918 JACKSON NATL GRP 89,686 %- %99.94120 L 451 FIDELITY SECURITY GRP 74,000 %- %99.94121 P 3416 AXIS CAPITAL GRP 69,982 %- %99.94122 L 4716 FORTRESS GRP 66,987 %- %99.95123 L 150 OLD REPUBLIC GRP 66,068 %- %99.95124 L 458 PROTECTIVE LIFE INS GRP 61,885 %- %99.95125 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 59,686 %- %99.96
**TOTAL** 1,927,120,043 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 72
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Nebraska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 4858 BCBS OF NE GRP 1,692,542,312 %30.33 %30.332 L H 707 UNITEDHEALTH GRP 1,065,733,644 %19.10 %49.433 L H 1 AETNA GRP 535,987,206 %9.61 %59.044 H 1295 CENTENE CORP GRP 431,591,179 %7.74 %66.785 L H 1199 WELLCARE GRP 371,790,581 %6.66 %73.446 H 1552 MEDICA GRP 280,821,646 %5.03 %78.477 L H 119 HUMANA GRP 146,763,602 %2.63 %81.108 L 261 MUTUAL OF OMAHA GRP 86,522,894 %1.55 %82.659 P 3416 AXIS CAPITAL GRP 52,437,684 %0.94 %83.59
10 L 370 AFLAC GRP 47,651,015 %0.85 %84.4511 L H 901 CIGNA HLTH GRP 45,192,742 %0.81 %85.2612 L 233 CNO FINANCIAL GRP 43,024,338 %0.77 %86.0313 L 451 FIDELITY SECURITY GRP 35,676,523 %0.64 %86.6714 L 565 UNUM GRP 35,063,275 %0.63 %87.3015 L 943 AMERITAS MUT HOLDING GRP 32,980,524 %0.59 %87.8916 L P 241 METROPOLITAN GRP 31,545,888 %0.57 %88.4517 L 4011 GENWORTH FIN GRP 28,126,837 %0.50 %88.9618 H 4667 CVS CAREMARK GRP 27,541,550 %0.49 %89.4519 L 332 PRINCIPAL FIN GRP 27,530,920 %0.49 %89.9420 L H 812 HIGHMARK GRP 23,972,132 %0.43 %90.3721 L P 3098 TOKIO MARINE HOLDINGS INC GRP 23,471,497 %0.42 %90.7922 L 367 PHYSICIANS MUT GRP 20,222,076 %0.36 %91.1623 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 19,937,745 %0.36 %91.5124 L 687 GUARANTEE TRUST GRP 18,724,568 %0.34 %91.8525 L 3527 AMERICAN ENTERPRISE MUT GRP 18,115,949 %0.32 %92.1726 L P 7 FEDERATED MUT GRP 17,237,714 %0.31 %92.4827 L 860 NORTHWESTERN MUT GRP 17,103,736 %0.31 %92.7928 L 1117 MANHATTAN LIFE GRP 15,334,084 %0.27 %93.0629 P 176 STATE FARM GRP 14,581,063 %0.26 %93.3330 L P 468 AEGON US HOLDING GRP 14,273,613 %0.26 %93.5831 H 4730 MCNA GRP 13,400,852 %0.24 %93.8232 L 20 LINCOLN NATL GRP 13,308,215 %0.24 %94.0633 L P 91 HARTFORD FIRE & CAS GRP 12,069,762 %0.22 %94.2834 L 290 TORCHMARK CORP GRP 12,064,702 %0.22 %94.4935 L 1348 MEIJI YASUDA LIFE INS GRP 11,787,542 %0.21 %94.7036 L 4888 EQUITABLE FAMILY INS CO GRP 11,780,261 %0.21 %94.9237 L P 626 CHUBB LTD GRP 10,899,186 %0.20 %95.1138 L 904 JOHN HANCOCK GRP 10,871,336 %0.19 %95.3139 L 4824 ADVANTAGE CAPITAL GRP 10,243,301 %0.18 %95.4940 L 661 BCBS OF SC GRP 9,983,717 %0.18 %95.6741 H 1189 VISION SERV PLAN GRP 9,283,981 %0.17 %95.8342 L 549 SUN LIFE ASSUR CO OF CN GRP 9,015,932 %0.16 %96.0043 L 429 GUARDIAN LIFE GRP 8,779,486 %0.16 %96.1544 L 8 ALLSTATE INS GRP 8,168,117 %0.15 %96.3045 H 47091 DELTA DENTAL OF NE 7,932,055 %0.14 %96.4446 L 4483 NESTLE SA GRP 7,744,894 %0.14 %96.5847 L 71404 CONTINENTAL GEN INS CO 7,146,251 %0.13 %96.7148 L 304 PRUDENTIAL OF AMER GRP 7,121,618 %0.13 %96.8449 L 2538 AMTRUST NGH GRP 6,905,304 %0.12 %96.9650 P 218 CNA INS GRP 6,262,682 %0.11 %97.0751 L P 450 GENEVE HOLDINGS INC GRP 6,256,460 %0.11 %97.1852 L 435 MASS MUT LIFE INS GRP 5,877,164 %0.11 %97.2953 L P 12 AMERICAN INTL GRP 5,877,145 %0.11 %97.4054 H 4807 CATHOLIC HLTH INITIATIVES GRP 5,702,426 %0.10 %97.5055 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 5,428,947 %0.10 %97.5956 L 4832 VOYA FINANCIAL GRP 5,106,919 %0.09 %97.6957 L P 31 BERKSHIRE HATHAWAY GRP 4,534,241 %0.08 %97.7758 L P 111 LIBERTY MUT GRP 4,441,225 %0.08 %97.8559 P 158 FAIRFAX FIN GRP 4,286,311 %0.08 %97.9260 L P 98 WR BERKLEY CORP GRP 4,231,526 %0.08 %98.0061 L 4862 ASSURITY GRP 4,055,890 %0.07 %98.0762 P 796 QBE INS GRP 4,043,849 %0.07 %98.1563 L P 19 ASSURANT INC GRP 4,030,309 %0.07 %98.2264 L 826 NEW YORK LIFE GRP 3,935,149 %0.07 %98.29
© 2018 National Association of Insurance Commissioners 73
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Nebraska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 4863 CHINA MINSHENG GRP 3,807,587 %0.07 %98.3666 L 574 AMERCO CORP GRP 3,769,068 %0.07 %98.4267 L 4855 SUMITOMO LIFE INS GRP 3,647,604 %0.07 %98.4968 L 215 KEMPER CORP GRP 3,494,242 %0.06 %98.5569 F 58033 KNIGHTS OF COLUMBUS 3,280,057 %0.06 %98.6170 L 587 ATLANTIC AMER GRP 3,279,111 %0.06 %98.6771 L P 181 SWISS RE GRP 3,202,769 %0.06 %98.7372 L H 917 HCSC GRP 2,862,788 %0.05 %98.7873 L 4 AMERIPRISE FIN GRP 2,794,655 %0.05 %98.8374 L 839 WESTBRIDGE CAPITAL GRP 2,652,212 %0.05 %98.8875 P 361 MUNICH RE GRP 2,636,380 %0.05 %98.9276 L 330 AMERICAN FIDELITY CORP GRP 2,569,906 %0.05 %98.9777 L 761 ALLIANZ INS GRP 2,565,848 %0.05 %99.0178 L 264 HEALTHMARKETS GRP 2,390,637 %0.04 %99.0679 L 11121 UNIFIED LIFE INS CO 2,270,715 %0.04 %99.1080 P 1285 XL AMER GRP 2,217,426 %0.04 %99.1481 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,936,007 %0.03 %99.1782 H 4813 EXPRESS SCRIPTS HOLDING GRP 1,865,647 %0.03 %99.2183 H 1260 MAGELLAN HLTH INC GRP 1,860,996 %0.03 %99.2484 L 869 MINNESOTA MUT GRP 1,766,697 %0.03 %99.2785 L P 212 ZURICH INS GRP 1,579,497 %0.03 %99.3086 L 150 OLD REPUBLIC GRP 1,579,061 %0.03 %99.3387 L 64580 ILLINOIS MUT LIFE INS CO 1,487,598 %0.03 %99.3588 L P 140 NATIONWIDE CORP GRP 1,370,973 %0.02 %99.3889 L P 23 BCS INS GRP 1,360,632 %0.02 %99.4090 L 42129 UNITED SECURITY ASSUR CO OF PA 1,332,344 %0.02 %99.4391 F 56499 ASSURED LIFE ASSN 1,292,459 %0.02 %99.4592 L 4815 RESOLUTION LIFE GRP 1,277,582 %0.02 %99.4793 P 473 AMERICAN FAMILY INS GRP 1,274,479 %0.02 %99.5094 L 408 AMERICAN NATL FIN GRP 1,257,787 %0.02 %99.5295 H 936 INDEPENDENCE HLTH GRP INC GRP 1,239,257 %0.02 %99.5496 L 588 KANSAS CITY LIFE INS GRP 1,190,469 %0.02 %99.5697 L 4736 GGC GRP 1,116,155 %0.02 %99.5898 L 1186 LIFETIME HLTHCARE GRP 1,073,846 %0.02 %99.6099 L 306 CUNA MUT GRP 1,039,557 %0.02 %99.62
100 L 76325 SENIOR HLTH INS CO OF PA 968,733 %0.02 %99.64101 P 4381 HOUSTON INTL INS GRP 942,417 %0.02 %99.65102 L 690 CENTRAL STATES GRP 862,702 %0.02 %99.67103 L 525 PAN AMER LIFE GRP 858,351 %0.02 %99.69104 L 572 BCBS OF MI GRP 737,310 %0.01 %99.70105 L 200 UNITED SERV AUTOMOBILE ASSN GRP 723,915 %0.01 %99.71106 L 520 NEW ERA LIFE GRP 718,844 %0.01 %99.72107 F 4616 EVERENCE GRP 669,617 %0.01 %99.74108 L 50 COUNTRY INS & FIN SERV GRP 668,072 %0.01 %99.75109 F 58009 POLICE & FIREMENS INS ASSN 625,621 %0.01 %99.76110 L 513 IOWA FARM BUREAU GRP 600,762 %0.01 %99.77111 H 12747 ENVISION INS CO 582,499 %0.01 %99.78112 L 61921 CITIZENS SECURITY LIFE INS CO 572,485 %0.01 %99.79113 L 90638 BEST LIFE & HLTH INS CO 551,064 %0.01 %99.80114 H 2479 DENTEGRA GRP 550,261 %0.01 %99.81115 L 66214 HEARTLAND NATL LIFE INS CO 523,663 %0.01 %99.82116 L 619 ONEAMERICA FIN PARTNERS GRP 501,626 %0.01 %99.83117 L 4853 AAA LIFE GRP 488,958 %0.01 %99.84118 P 1120 EVEREST REINS HOLDINGS GRP 472,981 %0.01 %99.85119 L 769 GREAT WEST GRP 452,077 %0.01 %99.85120 L 918 JACKSON NATL GRP 450,896 %0.01 %99.86121 P 1279 ARCH INS GRP 445,181 %0.01 %99.87122 L 276 TRUSTMARK MUT HOLDING CO GRP 411,408 %0.01 %99.88123 L 3436 LIBERTY LIFE GRP TRUST GRP 403,853 %0.01 %99.89124 L 4712 GPM LIFE GRP 360,989 %0.01 %99.89125 F 57657 ROYAL NEIGHBORS OF AMER 323,538 %0.01 %99.90
**TOTAL** 5,579,606,634 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 74
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Nevada
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 3,765,669,472 %49.19 %49.192 L H 671 ANTHEM INC GRP 1,407,754,342 %18.39 %67.593 L H 119 HUMANA GRP 743,177,712 %9.71 %77.294 H 4791 RENOWN HLTH GRP 411,069,307 %5.37 %82.665 L H 1 AETNA GRP 308,369,833 %4.03 %86.696 H 2418 SAINT MARYS HLTH CARE CORP GRP 202,568,625 %2.65 %89.347 L H 901 CIGNA HLTH GRP 110,364,500 %1.44 %90.788 L 370 AFLAC GRP 49,605,123 %0.65 %91.439 L H 241 METROPOLITAN GRP 48,200,732 %0.63 %92.06
10 L 565 UNUM GRP 36,661,039 %0.48 %92.5411 H 1295 CENTENE CORP GRP 34,810,959 %0.45 %92.9912 L H 429 GUARDIAN LIFE GRP 34,119,482 %0.45 %93.4413 H 13813 NEVADA DENTAL BENEFITS LTD 33,538,113 %0.44 %93.8814 L 330 AMERICAN FIDELITY CORP GRP 27,885,872 %0.36 %94.2415 L H 917 HCSC GRP 24,367,302 %0.32 %94.5616 L 261 MUTUAL OF OMAHA GRP 23,228,740 %0.30 %94.8617 L 549 SUN LIFE ASSUR CO OF CN GRP 22,773,191 %0.30 %95.1618 L 332 PRINCIPAL FIN GRP 19,660,017 %0.26 %95.4219 L 1348 MEIJI YASUDA LIFE INS GRP 16,345,307 %0.21 %95.6320 H 2479 DENTEGRA GRP 15,852,685 %0.21 %95.8421 L P 468 AEGON US HOLDING GRP 14,976,680 %0.20 %96.0322 L 4011 GENWORTH FIN GRP 14,729,263 %0.19 %96.2323 L 943 AMERITAS MUT HOLDING GRP 13,330,187 %0.17 %96.4024 H 4667 CVS CAREMARK GRP 11,254,637 %0.15 %96.5525 L 4832 VOYA FINANCIAL GRP 10,702,025 %0.14 %96.6926 L P 91 HARTFORD FIRE & CAS GRP 9,801,421 %0.13 %96.8127 L P 12 AMERICAN INTL GRP 9,793,071 %0.13 %96.9428 P 176 STATE FARM GRP 9,408,053 %0.12 %97.0729 H 1189 VISION SERV PLAN GRP 9,196,713 %0.12 %97.1930 L 233 CNO FINANCIAL GRP 8,924,154 %0.12 %97.3031 L 4888 EQUITABLE FAMILY INS CO GRP 8,646,369 %0.11 %97.4232 L 4855 SUMITOMO LIFE INS GRP 8,330,966 %0.11 %97.5233 H 4692 LIBERTY DENTAL PLAN GRP 8,025,023 %0.10 %97.6334 L 581 BOSTON MUT GRP 7,657,659 %0.10 %97.7335 L 904 JOHN HANCOCK GRP 7,619,369 %0.10 %97.8336 L P 3098 TOKIO MARINE HOLDINGS INC GRP 7,309,961 %0.10 %97.9237 L 304 PRUDENTIAL OF AMER GRP 7,307,429 %0.10 %98.0238 L 860 NORTHWESTERN MUT GRP 6,654,360 %0.09 %98.1139 L 781 UNION LABOR GRP 6,641,602 %0.09 %98.1940 L 290 TORCHMARK CORP GRP 6,611,148 %0.09 %98.2841 L 451 FIDELITY SECURITY GRP 6,601,650 %0.09 %98.3742 L 20 LINCOLN NATL GRP 5,685,228 %0.07 %98.4443 L P 626 CHUBB LTD GRP 5,474,400 %0.07 %98.5144 L P 111 LIBERTY MUT GRP 5,353,845 %0.07 %98.5845 L 90638 BEST LIFE & HLTH INS CO 5,029,164 %0.07 %98.6546 L P 19 ASSURANT INC GRP 4,782,988 %0.06 %98.7147 L 8 ALLSTATE INS GRP 4,672,971 %0.06 %98.7748 L 661 BCBS OF SC GRP 4,404,185 %0.06 %98.8349 L H 1199 WELLCARE GRP 4,197,256 %0.05 %98.8850 L H 812 HIGHMARK GRP 3,972,723 %0.05 %98.9351 L 367 PHYSICIANS MUT GRP 3,962,278 %0.05 %98.9952 L 4483 NESTLE SA GRP 3,523,443 %0.05 %99.0353 L 435 MASS MUT LIFE INS GRP 3,373,287 %0.04 %99.0854 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,276,027 %0.04 %99.1255 L 826 NEW YORK LIFE GRP 3,042,951 %0.04 %99.1656 L P 181 SWISS RE GRP 2,628,496 %0.03 %99.1957 L 869 MINNESOTA MUT GRP 2,625,999 %0.03 %99.2358 L 98 WR BERKLEY CORP GRP 2,613,131 %0.03 %99.2659 L 4 AMERIPRISE FIN GRP 2,525,420 %0.03 %99.3060 L 839 WESTBRIDGE CAPITAL GRP 2,492,298 %0.03 %99.3361 L 3527 AMERICAN ENTERPRISE MUT GRP 2,342,757 %0.03 %99.3662 L 588 KANSAS CITY LIFE INS GRP 2,332,774 %0.03 %99.3963 L 264 HEALTHMARKETS GRP 2,094,412 %0.03 %99.4264 P 218 CNA INS GRP 2,092,305 %0.03 %99.44
© 2018 National Association of Insurance Commissioners 75
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Nevada
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 11121 UNIFIED LIFE INS CO 2,044,418 %0.03 %99.4766 L 587 ATLANTIC AMER GRP 1,949,534 %0.03 %99.5067 L 408 AMERICAN NATL FIN GRP 1,922,215 %0.03 %99.5268 L 276 TRUSTMARK MUT HOLDING CO GRP 1,884,769 %0.02 %99.5569 L 306 CUNA MUT GRP 1,750,302 %0.02 %99.5770 P 1285 XL AMER GRP 1,735,852 %0.02 %99.5971 L P 450 GENEVE HOLDINGS INC GRP 1,725,183 %0.02 %99.6172 L 2538 AMTRUST NGH GRP 1,550,295 %0.02 %99.6373 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,544,297 %0.02 %99.6574 H 4813 EXPRESS SCRIPTS HOLDING GRP 1,477,608 %0.02 %99.6775 H 477 RENAISSANCE HLTH SERV CORP GRP 1,432,519 %0.02 %99.6976 L P 140 NATIONWIDE CORP GRP 1,360,550 %0.02 %99.7177 P 3416 AXIS CAPITAL GRP 1,261,089 %0.02 %99.7378 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,075,279 %0.01 %99.7479 L 4853 AAA LIFE GRP 981,939 %0.01 %99.7580 P 361 MUNICH RE GRP 918,711 %0.01 %99.7781 L P 212 ZURICH INS GRP 878,910 %0.01 %99.7882 L 761 ALLIANZ INS GRP 874,870 %0.01 %99.7983 L 1117 MANHATTAN LIFE GRP 729,008 %0.01 %99.8084 P 158 FAIRFAX FIN GRP 728,494 %0.01 %99.8185 L P 23 BCS INS GRP 655,546 %0.01 %99.8286 L 769 GREAT WEST GRP 608,457 %0.01 %99.8287 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 608,073 %0.01 %99.8388 P 27928 AMEX ASSUR CO 586,473 %0.01 %99.8489 L 2858 HOMESHIELD CAPITAL GRP 548,360 %0.01 %99.8590 P 4886 BENCHMARK HOLDING GRP 543,970 %0.01 %99.8591 H 12747 ENVISION INS CO 519,646 %0.01 %99.8692 H 68420 WMI MUT INS CO 517,505 %0.01 %99.8793 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 502,526 %0.01 %99.8794 P 1120 EVEREST REINS HOLDINGS GRP 495,837 %0.01 %99.8895 L 4824 ADVANTAGE CAPITAL GRP 494,087 %0.01 %99.8996 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 490,477 %0.01 %99.8997 F 58033 KNIGHTS OF COLUMBUS 489,733 %0.01 %99.9098 L 520 NEW ERA LIFE GRP 487,378 %0.01 %99.9199 L 4862 ASSURITY GRP 478,298 %0.01 %99.91
100 L 50 COUNTRY INS & FIN SERV GRP 467,278 %0.01 %99.92101 L 687 GUARANTEE TRUST GRP 380,400 %- %99.92102 L 525 PAN AMER LIFE GRP 374,334 %- %99.93103 P 1279 ARCH INS GRP 354,881 %- %99.93104 L 572 BCBS OF MI GRP 334,115 %- %99.94105 L 71404 CONTINENTAL GEN INS CO 327,141 %- %99.94106 P 3483 PARTNERRE GRP 321,447 %- %99.95107 L 1186 LIFETIME HLTHCARE GRP 284,125 %- %99.95108 P 4863 CHINA MINSHENG GRP 281,984 %- %99.95109 L 350 GENERAL ELECTRIC GRP 274,545 %- %99.96110 L 4815 RESOLUTION LIFE GRP 241,015 %- %99.96111 L 918 JACKSON NATL GRP 240,486 %- %99.96112 L 76325 SENIOR HLTH INS CO OF PA 190,298 %- %99.97113 L 64580 ILLINOIS MUT LIFE INS CO 168,767 %- %99.97114 L 704 OHIO NATL LIFE GRP 159,237 %- %99.97115 L 3891 GOLDMAN SACHS GRP 146,434 %- %99.97116 L 449 FINANCIAL HOLDINGS GRP 140,814 %- %99.97117 L 215 KEMPER CORP GRP 138,104 %- %99.97118 L 458 PROTECTIVE LIFE INS GRP 123,180 %- %99.98119 L 4736 GGC GRP 116,767 %- %99.98120 P 796 QBE INS GRP 107,705 %- %99.98121 L 619 ONEAMERICA FIN PARTNERS GRP 93,423 %- %99.98122 L 1216 TIAA FAMILY GRP 91,339 %- %99.98123 P 4670 STARR GRP 82,244 %- %99.98124 L 4716 FORTRESS GRP 76,867 %- %99.98125 L 4734 ATHENE GRP 76,782 %- %99.98
**TOTAL** 7,654,639,690 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 76
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New Hampshire
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 1,069,983,896 %30.43 %30.432 H 595 HARVARD PILGRIM HLTH CARE GRP 679,091,132 %19.31 %49.743 H 1295 CENTENE CORP GRP 365,808,797 %10.40 %60.154 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 338,651,622 %9.63 %69.785 L H 707 UNITEDHEALTH GRP 318,257,466 %9.05 %78.836 L H 901 CIGNA HLTH GRP 114,954,960 %3.27 %82.107 H 4763 NORTHEAST DELTA DENTAL GRP 62,635,194 %1.78 %83.888 L 1 AETNA GRP 61,098,810 %1.74 %85.629 L H 119 HUMANA GRP 51,661,955 %1.47 %87.09
10 H 4742 TUFTS GRP 42,884,806 %1.22 %88.3011 L 233 CNO FINANCIAL GRP 29,798,812 %0.85 %89.1512 L 241 METROPOLITAN GRP 29,134,686 %0.83 %89.9813 L 565 UNUM GRP 24,343,392 %0.69 %90.6714 L 370 AFLAC GRP 21,521,468 %0.61 %91.2915 L 4011 GENWORTH FIN GRP 14,724,361 %0.42 %91.7016 L P 91 HARTFORD FIRE & CAS GRP 11,806,087 %0.34 %92.0417 L 290 TORCHMARK CORP GRP 11,796,956 %0.34 %92.3818 H 15850 MARTINS POINT GENERATIONS ADVANTAGE 10,992,138 %0.31 %92.6919 H 4667 CVS CAREMARK GRP 10,818,069 %0.31 %93.0020 L 261 MUTUAL OF OMAHA GRP 10,745,944 %0.31 %93.3021 L 904 JOHN HANCOCK GRP 10,059,566 %0.29 %93.5922 L 860 NORTHWESTERN MUT GRP 9,943,430 %0.28 %93.8723 L P 626 CHUBB LTD GRP 9,825,134 %0.28 %94.1524 H 15077 MAINE COMM HLTH OPTIONS 9,454,241 %0.27 %94.4225 L H 1199 WELLCARE GRP 9,371,436 %0.27 %94.6826 L 3098 TOKIO MARINE HOLDINGS INC GRP 9,340,617 %0.27 %94.9527 L 429 GUARDIAN LIFE GRP 9,113,320 %0.26 %95.2128 L H 917 HCSC GRP 8,830,840 %0.25 %95.4629 L 332 PRINCIPAL FIN GRP 7,845,976 %0.22 %95.6830 P 4863 CHINA MINSHENG GRP 7,812,818 %0.22 %95.9131 H 4813 EXPRESS SCRIPTS HOLDING GRP 7,496,455 %0.21 %96.1232 L 549 SUN LIFE ASSUR CO OF CN GRP 7,029,329 %0.20 %96.3233 L 1348 MEIJI YASUDA LIFE INS GRP 6,871,769 %0.20 %96.5134 L 661 BCBS OF SC GRP 6,769,191 %0.19 %96.7135 L 468 AEGON US HOLDING GRP 6,595,276 %0.19 %96.8936 L 20 LINCOLN NATL GRP 6,397,005 %0.18 %97.0837 L 4855 SUMITOMO LIFE INS GRP 6,206,660 %0.18 %97.2538 L 4832 VOYA FINANCIAL GRP 5,858,331 %0.17 %97.4239 L H 812 HIGHMARK GRP 5,720,633 %0.16 %97.5840 L 111 LIBERTY MUT GRP 5,026,719 %0.14 %97.7341 L 304 PRUDENTIAL OF AMER GRP 4,930,080 %0.14 %97.8742 L 435 MASS MUT LIFE INS GRP 4,815,960 %0.14 %98.0043 H 1189 VISION SERV PLAN GRP 4,144,789 %0.12 %98.1244 L P 140 NATIONWIDE CORP GRP 3,808,597 %0.11 %98.2345 L 943 AMERITAS MUT HOLDING GRP 3,796,014 %0.11 %98.3446 P 361 MUNICH RE GRP 3,638,731 %0.10 %98.4447 L 98 WR BERKLEY CORP GRP 3,448,862 %0.10 %98.5448 L P 12 AMERICAN INTL GRP 3,398,635 %0.10 %98.6349 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,243,143 %0.09 %98.7350 L 4 AMERIPRISE FIN GRP 3,213,204 %0.09 %98.8251 H 12747 ENVISION INS CO 2,747,688 %0.08 %98.9052 L P 19 ASSURANT INC GRP 2,746,062 %0.08 %98.9753 P 796 QBE INS GRP 2,501,539 %0.07 %99.0554 L 264 HEALTHMARKETS GRP 2,231,118 %0.06 %99.1155 L 826 NEW YORK LIFE GRP 2,215,545 %0.06 %99.1756 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,169,123 %0.06 %99.2357 P 176 STATE FARM GRP 2,100,316 %0.06 %99.2958 L 8 ALLSTATE INS GRP 1,950,665 %0.06 %99.3559 H 2479 DENTEGRA GRP 1,760,604 %0.05 %99.4060 P 218 CNA INS GRP 1,722,672 %0.05 %99.4561 L 306 CUNA MUT GRP 1,349,060 %0.04 %99.4962 L 869 MINNESOTA MUT GRP 1,198,911 %0.03 %99.5263 L P 450 GENEVE HOLDINGS INC GRP 1,034,755 %0.03 %99.5564 L 330 AMERICAN FIDELITY CORP GRP 998,177 %0.03 %99.58
© 2018 National Association of Insurance Commissioners 77
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New Hampshire
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 761 ALLIANZ INS GRP 966,781 %0.03 %99.6166 P 1279 ARCH INS GRP 950,406 %0.03 %99.6367 L 581 BOSTON MUT GRP 887,394 %0.03 %99.6668 L 4483 NESTLE SA GRP 885,377 %0.03 %99.6869 H 1260 MAGELLAN HLTH INC GRP 822,115 %0.02 %99.7170 L 3527 AMERICAN ENTERPRISE MUT GRP 821,763 %0.02 %99.7371 L P 23 BCS INS GRP 726,493 %0.02 %99.7572 L 451 FIDELITY SECURITY GRP 675,051 %0.02 %99.7773 L 769 GREAT WEST GRP 588,532 %0.02 %99.7974 L 4862 ASSURITY GRP 530,301 %0.02 %99.8075 P 27928 AMEX ASSUR CO 491,142 %0.01 %99.8276 P 158 FAIRFAX FIN GRP 475,068 %0.01 %99.8377 L 1186 LIFETIME HLTHCARE GRP 420,707 %0.01 %99.8478 P 1120 EVEREST REINS HOLDINGS GRP 413,314 %0.01 %99.8579 L 276 TRUSTMARK MUT HOLDING CO GRP 386,932 %0.01 %99.8680 L 408 AMERICAN NATL FIN GRP 313,821 %0.01 %99.8781 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 283,298 %0.01 %99.8882 F 58033 KNIGHTS OF COLUMBUS 275,220 %0.01 %99.8983 L 781 UNION LABOR GRP 254,906 %0.01 %99.9084 L 968 AXA INS GRP 235,748 %0.01 %99.9085 H 477 RENAISSANCE HLTH SERV CORP GRP 233,607 %0.01 %99.9186 L P 212 ZURICH INS GRP 176,116 %0.01 %99.9187 L 704 OHIO NATL LIFE GRP 173,978 %- %99.9288 L 367 PHYSICIANS MUT GRP 164,210 %- %99.9289 L 68772 SECURITY MUT LIFE INS CO OF NY 145,252 %- %99.9390 L 11121 UNIFIED LIFE INS CO 135,863 %- %99.9391 L 71404 CONTINENTAL GEN INS CO 133,803 %- %99.9492 L 76325 SENIOR HLTH INS CO OF PA 130,585 %- %99.9493 L 4853 AAA LIFE GRP 128,236 %- %99.9494 L 634 NATIONAL LIFE GRP 127,146 %- %99.9595 L 4815 RESOLUTION LIFE GRP 117,688 %- %99.9596 L 1216 TIAA FAMILY GRP 116,679 %- %99.9597 L 458 PROTECTIVE LIFE INS GRP 113,392 %- %99.9698 L 588 KANSAS CITY LIFE INS GRP 113,135 %- %99.9699 P 785 MARKEL CORP GRP 110,049 %- %99.96
100 L 64580 ILLINOIS MUT LIFE INS CO 103,612 %- %99.97101 L 84 AMERICAN FINANCIAL GRP 87,026 %- %99.97102 L 4734 ATHENE GRP 80,598 %- %99.97103 L 619 ONEAMERICA FIN PARTNERS GRP 73,716 %- %99.97104 L 918 JACKSON NATL GRP 68,545 %- %99.97105 L 440 REGAL REINS GRP 68,324 %- %99.98106 L 1117 MANHATTAN LIFE GRP 66,243 %- %99.98107 L 4712 GPM LIFE GRP 65,741 %- %99.98108 L 4736 GGC GRP 63,933 %- %99.98109 L 3891 GOLDMAN SACHS GRP 53,559 %- %99.98110 L P 169 SENTRY INS GRP 48,314 %- %99.99111 L 687 GUARANTEE TRUST GRP 41,849 %- %99.99112 L 300 HORACE MANN GRP 39,539 %- %99.99113 P 3416 AXIS CAPITAL GRP 32,456 %- %99.99114 L 690 CENTRAL STATES GRP 31,433 %- %99.99115 L 7 FEDERATED MUT GRP 28,905 %- %99.99116 L 850 PENN MUT GRP 26,574 %- %99.99117 F 58181 SUPREME COUNCIL THE ROYAL ARCANUM 25,746 %- %99.99118 L 50 COUNTRY INS & FIN SERV GRP 22,074 %- %99.99119 L 4888 EQUITABLE FAMILY INS CO GRP 20,284 %- %99.99120 L 449 FINANCIAL HOLDINGS GRP 19,528 %- %99.99121 L 350 GENERAL ELECTRIC GRP 15,480 %- %99.99122 L P 31 BERKSHIRE HATHAWAY GRP 15,215 %- %99.99123 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 15,114 %- %99.99124 F 56456 UNITED STATES LETTER CARRIERS MUT BE 14,993 %- %100.00125 L 574 AMERCO CORP GRP 14,053 %- %100.00
**TOTAL** 3,516,265,239 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 78
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New Jersey
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 1202 BCBS OF NJ GRP 12,911,900,422 %42.40 %42.402 L H 707 UNITEDHEALTH GRP 6,609,730,181 %21.70 %64.103 L H 1 AETNA GRP 3,441,890,559 %11.30 %75.404 L H 671 ANTHEM INC GRP 1,368,786,901 %4.49 %79.905 H 936 INDEPENDENCE HLTH GRP INC GRP 1,074,920,059 %3.53 %83.436 L H 901 CIGNA HLTH GRP 765,021,082 %2.51 %85.947 L H 1199 WELLCARE GRP 608,638,600 %2.00 %87.948 L H P 241 METROPOLITAN GRP 325,351,942 %1.07 %89.019 H 86371 CLOVER INS CO 267,562,820 %0.88 %89.89
10 H 2918 DELTA DENTAL PLAN OF NJ GRP 247,781,077 %0.81 %90.7011 L H 429 GUARDIAN LIFE GRP 173,194,574 %0.57 %91.2712 L 565 UNUM GRP 171,878,772 %0.56 %91.8313 H 10144 CARECORE NJ LLC 158,001,915 %0.52 %92.3514 L 4011 GENWORTH FIN GRP 126,227,059 %0.41 %92.7715 L 304 PRUDENTIAL OF AMER GRP 124,634,532 %0.41 %93.1716 L 370 AFLAC GRP 121,595,306 %0.40 %93.5717 L H 119 HUMANA GRP 110,971,213 %0.36 %93.9418 H 4667 CVS CAREMARK GRP 105,751,573 %0.35 %94.2919 L 261 MUTUAL OF OMAHA GRP 102,918,774 %0.34 %94.6220 L P 468 AEGON US HOLDING GRP 81,192,361 %0.27 %94.8921 H 4813 EXPRESS SCRIPTS HOLDING GRP 79,179,912 %0.26 %95.1522 L 233 CNO FINANCIAL GRP 75,932,257 %0.25 %95.4023 H 1189 VISION SERV PLAN GRP 68,952,418 %0.23 %95.6324 L H 549 SUN LIFE ASSUR CO OF CN GRP 68,096,411 %0.22 %95.8525 L P 3098 TOKIO MARINE HOLDINGS INC GRP 67,289,903 %0.22 %96.0726 L 904 JOHN HANCOCK GRP 67,220,526 %0.22 %96.2927 L 81264 NIPPON LIFE INS CO OF AMER 64,938,454 %0.21 %96.5028 L 860 NORTHWESTERN MUT GRP 64,727,640 %0.21 %96.7229 L P 91 HARTFORD FIRE & CAS GRP 59,717,103 %0.20 %96.9130 L 4832 VOYA FINANCIAL GRP 49,638,562 %0.16 %97.0831 L P 626 CHUBB LTD GRP 48,850,556 %0.16 %97.2432 L 332 PRINCIPAL FIN GRP 39,971,215 %0.13 %97.3733 L 1348 MEIJI YASUDA LIFE INS GRP 39,915,320 %0.13 %97.5034 L 435 MASS MUT LIFE INS GRP 38,879,721 %0.13 %97.6335 L H 812 HIGHMARK GRP 38,639,115 %0.13 %97.7536 L P 111 LIBERTY MUT GRP 37,508,841 %0.12 %97.8837 L P 12 AMERICAN INTL GRP 34,516,761 %0.11 %97.9938 L 451 FIDELITY SECURITY GRP 30,167,248 %0.10 %98.0939 L 4483 NESTLE SA GRP 27,547,681 %0.09 %98.1840 L P 23 BCS INS GRP 25,766,763 %0.08 %98.2641 L 4855 SUMITOMO LIFE INS GRP 24,365,957 %0.08 %98.3442 H 14403 CARECENTRIX OF NJ INC 22,542,905 %0.07 %98.4243 L P 19 ASSURANT INC GRP 21,136,560 %0.07 %98.4944 P 218 CNA INS GRP 20,943,546 %0.07 %98.5645 L 276 TRUSTMARK MUT HOLDING CO GRP 19,985,515 %0.07 %98.6246 L 20 LINCOLN NATL GRP 18,698,837 %0.06 %98.6847 L P 2538 AMTRUST NGH GRP 18,533,619 %0.06 %98.7448 P 181 SWISS RE GRP 17,491,770 %0.06 %98.8049 H 2479 DENTEGRA GRP 16,490,394 %0.05 %98.8650 L P 212 ZURICH INS GRP 15,794,975 %0.05 %98.9151 L 826 NEW YORK LIFE GRP 15,583,881 %0.05 %98.9652 L 8 ALLSTATE INS GRP 15,074,086 %0.05 %99.0153 L P 140 NATIONWIDE CORP GRP 15,043,390 %0.05 %99.0654 P 158 FAIRFAX FIN GRP 14,750,571 %0.05 %99.1155 L 943 AMERITAS MUT HOLDING GRP 14,388,773 %0.05 %99.1556 L 290 TORCHMARK CORP GRP 12,860,534 %0.04 %99.2057 L 4 AMERIPRISE FIN GRP 12,623,123 %0.04 %99.2458 L 98 WR BERKLEY CORP GRP 12,246,394 %0.04 %99.2859 P 361 MUNICH RE GRP 11,852,456 %0.04 %99.3260 H 4881 M MELE GRP 9,641,012 %0.03 %99.3561 H 12747 ENVISION INS CO 8,047,537 %0.03 %99.3762 P 1279 ARCH INS GRP 7,991,004 %0.03 %99.4063 L 525 PAN AMER LIFE GRP 7,896,754 %0.03 %99.4364 L 1211 NATIONAL GUARDIAN LIFE INS GRP 7,120,580 %0.02 %99.45
© 2018 National Association of Insurance Commissioners 79
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New Jersey
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 869 MINNESOTA MUT GRP 6,404,965 %0.02 %99.4766 H 85 HEALTHPLEX GRP 6,215,809 %0.02 %99.4967 L P 761 ALLIANZ INS GRP 6,017,791 %0.02 %99.5168 P 4381 HOUSTON INTL INS GRP 6,008,708 %0.02 %99.5369 L 330 AMERICAN FIDELITY CORP GRP 5,974,247 %0.02 %99.5570 H 11217 ATLANTIC SOUTHERN DENTAL FOUND 5,944,443 %0.02 %99.5771 P 796 QBE INS GRP 5,917,732 %0.02 %99.5972 P 1285 XL AMER GRP 5,445,695 %0.02 %99.6173 L 520 NEW ERA LIFE GRP 5,273,194 %0.02 %99.6274 L 306 CUNA MUT GRP 5,138,382 %0.02 %99.6475 P 176 STATE FARM GRP 4,999,793 %0.02 %99.6676 H 11234 DENTAL SERV ORG INC 4,841,631 %0.02 %99.6777 L 968 AXA INS GRP 4,784,119 %0.02 %99.6978 L 1117 MANHATTAN LIFE GRP 4,335,968 %0.01 %99.7079 L 587 ATLANTIC AMER GRP 4,075,799 %0.01 %99.7280 P 4863 CHINA MINSHENG GRP 3,815,896 %0.01 %99.7381 P 27928 AMEX ASSUR CO 3,701,841 %0.01 %99.7482 P 3416 AXIS CAPITAL GRP 3,674,791 %0.01 %99.7583 L 367 PHYSICIANS MUT GRP 3,674,378 %0.01 %99.7784 L P 450 GENEVE HOLDINGS INC GRP 3,236,327 %0.01 %99.7885 F 58009 POLICE & FIREMENS INS ASSN 3,031,807 %0.01 %99.7986 L 60216 AMALGAMATED LIFE INS CO 2,929,686 %0.01 %99.8087 L 781 UNION LABOR GRP 2,895,183 %0.01 %99.8188 H 477 RENAISSANCE HLTH SERV CORP GRP 2,874,225 %0.01 %99.8189 P 4670 STARR GRP 2,823,871 %0.01 %99.8290 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,750,118 %0.01 %99.8391 L 769 GREAT WEST GRP 2,639,595 %0.01 %99.8492 F 58033 KNIGHTS OF COLUMBUS 2,627,042 %0.01 %99.8593 L 4862 ASSURITY GRP 2,459,931 %0.01 %99.8694 L 876 ARKANSAS BCBS GRP 2,325,411 %0.01 %99.8795 L 581 BOSTON MUT GRP 2,164,707 %0.01 %99.8796 L 68772 SECURITY MUT LIFE INS CO OF NY 2,014,750 %0.01 %99.8897 L 4853 AAA LIFE GRP 1,783,284 %0.01 %99.8998 L 687 GUARANTEE TRUST GRP 1,749,465 %0.01 %99.8999 L 76325 SENIOR HLTH INS CO OF PA 1,630,465 %0.01 %99.90
100 H 4818 MULBERRY HLTH GRP 1,575,001 %0.01 %99.90101 L 4803 SHELTERPOINT GRP INC 1,404,606 %- %99.91102 P 785 MARKEL CORP GRP 1,403,333 %- %99.91103 L 1186 LIFETIME HLTHCARE GRP 1,361,437 %- %99.92104 L P 31 BERKSHIRE HATHAWAY GRP 1,330,765 %- %99.92105 H 4696 VISION BENEFITS GRP 1,309,593 %- %99.92106 L H 917 HCSC GRP 1,305,558 %- %99.93107 L 1216 TIAA FAMILY GRP 1,125,220 %- %99.93108 L 440 REGAL REINS GRP 1,114,484 %- %99.94109 L 458 PROTECTIVE LIFE INS GRP 1,102,693 %- %99.94110 L 4815 RESOLUTION LIFE GRP 1,023,565 %- %99.94111 L 634 NATIONAL LIFE GRP 988,258 %- %99.95112 L 4764 RESERVOIR CAPITAL GRP 978,070 %- %99.95113 H 13035 HEALTHFIRST HEALTHPLAN OF NJ INC 955,126 %- %99.95114 L 408 AMERICAN NATL FIN GRP 930,400 %- %99.96115 H 1295 CENTENE CORP GRP 926,288 %- %99.96116 L 704 OHIO NATL LIFE GRP 870,228 %- %99.96117 H 11182 JOHN D KERNAN DMD PA 772,978 %- %99.96118 L 850 PENN MUT GRP 716,232 %- %99.97119 L 3891 GOLDMAN SACHS GRP 618,310 %- %99.97120 L 71404 CONTINENTAL GEN INS CO 593,952 %- %99.97121 L 200 UNITED SERV AUTOMOBILE ASSN GRP 581,276 %- %99.97122 L 619 ONEAMERICA FIN PARTNERS GRP 566,828 %- %99.97123 H 11246 GROUP DENTAL HLTH ADMINISTRATORS INC 523,019 %- %99.98124 L P 84 AMERICAN FINANCIAL GRP 472,568 %- %99.98125 P 3483 PARTNERRE GRP 467,306 %- %99.98
**TOTAL** 30,454,143,453 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 80
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New Mexico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 481 PRESBYTERIAN HLTHCARE SERV GRP 1,980,460,150 %26.94 %26.942 L H 917 HCSC GRP 1,747,027,474 %23.76 %50.703 L H 707 UNITEDHEALTH GRP 1,413,236,047 %19.22 %69.924 H 1531 MOLINA HEALTHCARE INC GRP 1,287,264,495 %17.51 %87.425 L H 119 HUMANA GRP 176,519,965 %2.40 %89.826 H 15011 NEW MEXICO HLTH CONNECTIONS 160,083,898 %2.18 %92.007 L H 901 CIGNA HLTH GRP 72,970,098 %0.99 %92.998 L 1 AETNA GRP 55,970,392 %0.76 %93.759 H 477 RENAISSANCE HLTH SERV CORP GRP 46,313,070 %0.63 %94.38
10 L 370 AFLAC GRP 29,160,166 %0.40 %94.7811 L 565 UNUM GRP 24,807,412 %0.34 %95.1212 L 261 MUTUAL OF OMAHA GRP 24,237,646 %0.33 %95.4513 H 4667 CVS CAREMARK GRP 22,189,925 %0.30 %95.7514 L 241 METROPOLITAN GRP 22,120,593 %0.30 %96.0515 L H 812 HIGHMARK GRP 19,480,028 %0.26 %96.3216 L H 671 ANTHEM INC GRP 19,150,688 %0.26 %96.5817 L P 91 HARTFORD FIRE & CAS GRP 16,846,066 %0.23 %96.8118 H 14154 CHRISTUS HLTH PLAN 15,056,781 %0.20 %97.0119 L 4011 GENWORTH FIN GRP 12,814,641 %0.17 %97.1820 H 1189 VISION SERV PLAN GRP 10,999,251 %0.15 %97.3321 L P 468 AEGON US HOLDING GRP 10,167,597 %0.14 %97.4722 L 1348 MEIJI YASUDA LIFE INS GRP 8,737,935 %0.12 %97.5923 L 904 JOHN HANCOCK GRP 7,810,239 %0.11 %97.7024 L 429 GUARDIAN LIFE GRP 7,083,507 %0.10 %97.7925 L 661 BCBS OF SC GRP 6,957,922 %0.09 %97.8926 L 290 TORCHMARK CORP GRP 6,608,531 %0.09 %97.9827 L P 12 AMERICAN INTL GRP 6,565,467 %0.09 %98.0728 L 860 NORTHWESTERN MUT GRP 6,558,438 %0.09 %98.1629 L 330 AMERICAN FIDELITY CORP GRP 6,339,189 %0.09 %98.2430 P 176 STATE FARM GRP 6,278,384 %0.09 %98.3331 L 8 ALLSTATE INS GRP 6,175,301 %0.08 %98.4132 L 332 PRINCIPAL FIN GRP 5,995,160 %0.08 %98.4933 L P 3098 TOKIO MARINE HOLDINGS INC GRP 5,687,629 %0.08 %98.5734 L 20 LINCOLN NATL GRP 5,265,876 %0.07 %98.6435 L H 549 SUN LIFE ASSUR CO OF CN GRP 5,125,702 %0.07 %98.7136 L 111 LIBERTY MUT GRP 5,038,379 %0.07 %98.7837 L 304 PRUDENTIAL OF AMER GRP 4,860,545 %0.07 %98.8538 L 233 CNO FINANCIAL GRP 4,388,267 %0.06 %98.9139 L H 1199 WELLCARE GRP 4,284,562 %0.06 %98.9740 L 71404 CONTINENTAL GEN INS CO 3,418,765 %0.05 %99.0141 L 869 MINNESOTA MUT GRP 3,199,691 %0.04 %99.0642 H 12747 ENVISION INS CO 3,127,508 %0.04 %99.1043 L 826 NEW YORK LIFE GRP 3,083,047 %0.04 %99.1444 L 943 AMERITAS MUT HOLDING GRP 2,912,095 %0.04 %99.1845 L 4832 VOYA FINANCIAL GRP 2,795,146 %0.04 %99.2246 L 4483 NESTLE SA GRP 2,737,127 %0.04 %99.2547 H 4813 EXPRESS SCRIPTS HOLDING GRP 2,714,744 %0.04 %99.2948 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,670,896 %0.04 %99.3349 H 2479 DENTEGRA GRP 2,399,265 %0.03 %99.3650 L 306 CUNA MUT GRP 2,319,004 %0.03 %99.3951 L 435 MASS MUT LIFE INS GRP 2,223,892 %0.03 %99.4252 L P 19 ASSURANT INC GRP 2,210,637 %0.03 %99.4553 L P 181 SWISS RE GRP 1,805,734 %0.02 %99.4854 L P 626 CHUBB LTD GRP 1,783,937 %0.02 %99.5055 L 98 WR BERKLEY CORP GRP 1,747,066 %0.02 %99.5256 L 4888 EQUITABLE FAMILY INS CO GRP 1,737,533 %0.02 %99.5557 L 451 FIDELITY SECURITY GRP 1,720,191 %0.02 %99.5758 L 4855 SUMITOMO LIFE INS GRP 1,602,537 %0.02 %99.5959 L 367 PHYSICIANS MUT GRP 1,288,438 %0.02 %99.6160 L 3527 AMERICAN ENTERPRISE MUT GRP 1,279,271 %0.02 %99.6361 P 796 QBE INS GRP 1,256,069 %0.02 %99.6562 L P 140 NATIONWIDE CORP GRP 1,196,765 %0.02 %99.6663 L 215 KEMPER CORP GRP 1,169,238 %0.02 %99.6864 L 276 TRUSTMARK MUT HOLDING CO GRP 1,100,584 %0.01 %99.69
© 2018 National Association of Insurance Commissioners 81
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New Mexico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 761 ALLIANZ INS GRP 1,095,522 %0.01 %99.7166 L P 23 BCS INS GRP 1,074,140 %0.01 %99.7267 P 218 CNA INS GRP 1,015,619 %0.01 %99.7468 L 4 AMERIPRISE FIN GRP 985,693 %0.01 %99.7569 L P 212 ZURICH INS GRP 952,287 %0.01 %99.7670 L 4824 ADVANTAGE CAPITAL GRP 790,210 %0.01 %99.7771 L 408 AMERICAN NATL FIN GRP 788,988 %0.01 %99.7872 L 525 PAN AMER LIFE GRP 778,733 %0.01 %99.7973 L 1211 NATIONAL GUARDIAN LIFE INS GRP 771,471 %0.01 %99.8074 L 968 AXA INS GRP 641,327 %0.01 %99.8175 L 687 GUARANTEE TRUST GRP 605,642 %0.01 %99.8276 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 591,616 %0.01 %99.8377 L 2538 AMTRUST NGH GRP 585,457 %0.01 %99.8478 L 918 JACKSON NATL GRP 550,372 %0.01 %99.8579 L 90638 BEST LIFE & HLTH INS CO 533,440 %0.01 %99.8580 L P 450 GENEVE HOLDINGS INC GRP 511,556 %0.01 %99.8681 L 1117 MANHATTAN LIFE GRP 500,916 %0.01 %99.8782 P 1285 XL AMER GRP 497,118 %0.01 %99.8783 L 769 GREAT WEST GRP 488,299 %0.01 %99.8884 L 4853 AAA LIFE GRP 457,109 %0.01 %99.8985 L 587 ATLANTIC AMER GRP 418,378 %0.01 %99.8986 P 3416 AXIS CAPITAL GRP 408,999 %0.01 %99.9087 F 58033 KNIGHTS OF COLUMBUS 341,382 %- %99.9088 L 76325 SENIOR HLTH INS CO OF PA 335,312 %- %99.9189 L 67326 OLD SURETY LIFE INS CO 334,262 %- %99.9190 L 69132 STATE MUT INS CO 278,193 %- %99.9191 P 27928 AMEX ASSUR CO 264,208 %- %99.9292 L 11121 UNIFIED LIFE INS CO 256,982 %- %99.9293 L 350 GENERAL ELECTRIC GRP 252,952 %- %99.9394 H 1260 MAGELLAN HLTH INC GRP 245,342 %- %99.9395 L 520 NEW ERA LIFE GRP 234,879 %- %99.9396 L 588 KANSAS CITY LIFE INS GRP 228,448 %- %99.9397 L 572 BCBS OF MI GRP 228,268 %- %99.9498 L 4862 ASSURITY GRP 218,384 %- %99.9499 L 4213 WILTON RE GRP 214,809 %- %99.94
100 L 70122 UNIVERSAL FIDELITY LIFE INS CO 200,949 %- %99.95101 P 84 AMERICAN FINANCIAL GRP 184,271 %- %99.95102 P 158 FAIRFAX FIN GRP 179,065 %- %99.95103 L 7 FEDERATED MUT GRP 177,119 %- %99.95104 L 4815 RESOLUTION LIFE GRP 174,149 %- %99.96105 L 581 BOSTON MUT GRP 170,485 %- %99.96106 L 1186 LIFETIME HLTHCARE GRP 165,797 %- %99.96107 L 64580 ILLINOIS MUT LIFE INS CO 150,700 %- %99.96108 L 264 HEALTHMARKETS GRP 146,715 %- %99.97109 P 4904 INTACT FINANCIAL GRP 140,248 %- %99.97110 L 574 AMERCO CORP GRP 140,157 %- %99.97111 L 4716 FORTRESS GRP 139,688 %- %99.97112 L 4736 GGC GRP 125,021 %- %99.97113 L 513 IOWA FARM BUREAU GRP 122,288 %- %99.97114 L 50 COUNTRY INS & FIN SERV GRP 104,215 %- %99.98115 L 4734 ATHENE GRP 101,665 %- %99.98116 L 619 ONEAMERICA FIN PARTNERS GRP 101,557 %- %99.98117 L 839 WESTBRIDGE CAPITAL GRP 96,871 %- %99.98118 L 1216 TIAA FAMILY GRP 96,200 %- %99.98119 P 785 MARKEL CORP GRP 95,771 %- %99.98120 L 458 PROTECTIVE LIFE INS GRP 94,239 %- %99.98121 L 4764 RESERVOIR CAPITAL GRP 85,988 %- %99.98122 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 78,460 %- %99.99123 L 4826 ECG GRP 77,910 %- %99.99124 P 501 ALLEGHANY GRP 76,770 %- %99.99125 L 704 OHIO NATL LIFE GRP 70,270 %- %99.99
**TOTAL** 7,352,733,095 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 82
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New York
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 15,797,124,232 %28.24 %28.242 L H 1186 LIFETIME HLTHCARE GRP 5,762,682,264 %10.30 %38.553 H 1127 EMBLEM HLTH GRP 5,525,441,755 %9.88 %48.434 L H 671 ANTHEM INC GRP 3,434,330,415 %6.14 %54.575 L H 1 AETNA GRP 3,138,835,538 %5.61 %60.186 H 1198 MVP GRP 3,114,641,281 %5.57 %65.757 H 55204 HEALTH NOW NY INC 2,485,520,506 %4.44 %70.198 H 4778 HEALTHFIRST INC GRP 2,277,219,186 %4.07 %74.269 H 4894 INDEPENDENT HLTH ASSN GRP 2,022,930,218 %3.62 %77.88
10 H 4708 CDPHP INC GRP 2,016,951,826 %3.61 %81.4911 L H 901 CIGNA HLTH GRP 1,313,092,562 %2.35 %83.8312 H 95662 ELDERPLAN INC 965,553,540 %1.73 %85.5613 L H P 241 METROPOLITAN GRP 686,322,647 %1.23 %86.7914 L H 1199 WELLCARE GRP 580,230,902 %1.04 %87.8315 H 4793 NORTH SHORE LIJ HLTH CARE GRP 561,512,053 %1.00 %88.8316 L 429 GUARDIAN LIFE GRP 472,487,147 %0.84 %89.6717 L 565 UNUM GRP 426,980,945 %0.76 %90.4418 H 12776 SENIOR WHOLE HLTH OF NY INC 412,233,764 %0.74 %91.1719 L H 119 HUMANA GRP 405,399,616 %0.72 %91.9020 L 370 AFLAC GRP 320,942,956 %0.57 %92.4721 L 4011 GENWORTH FIN GRP 218,671,718 %0.39 %92.8622 H 4667 CVS CAREMARK GRP 208,675,816 %0.37 %93.2423 H 1260 MAGELLAN HLTH INC GRP 208,251,241 %0.37 %93.6124 H 2479 DENTEGRA GRP 193,560,019 %0.35 %93.9625 H 4818 MULBERRY HLTH GRP 159,466,829 %0.29 %94.2426 L P 626 CHUBB LTD GRP 154,040,813 %0.28 %94.5227 L 904 JOHN HANCOCK GRP 139,257,744 %0.25 %94.7728 L 549 SUN LIFE ASSUR CO OF CN GRP 138,298,889 %0.25 %95.0129 L P 12 AMERICAN INTL GRP 134,913,362 %0.24 %95.2530 L 304 PRUDENTIAL OF AMER GRP 134,684,723 %0.24 %95.4931 L 860 NORTHWESTERN MUT GRP 133,474,018 %0.24 %95.7332 L P 91 HARTFORD FIRE & CAS GRP 132,846,800 %0.24 %95.9733 H 4813 EXPRESS SCRIPTS HOLDING GRP 115,833,596 %0.21 %96.1834 L P 468 AEGON US HOLDING GRP 110,504,799 %0.20 %96.3835 L P 3098 TOKIO MARINE HOLDINGS INC GRP 109,830,656 %0.20 %96.5736 H 1189 VISION SERV PLAN GRP 95,983,600 %0.17 %96.7437 L 4803 SHELTERPOINT GRP INC 93,110,932 %0.17 %96.9138 L 435 MASS MUT LIFE INS GRP 83,980,114 %0.15 %97.0639 L P 111 LIBERTY MUT GRP 79,002,465 %0.14 %97.2040 L H 812 HIGHMARK GRP 76,832,951 %0.14 %97.3441 L 826 NEW YORK LIFE GRP 74,542,233 %0.13 %97.4742 L 332 PRINCIPAL FIN GRP 71,349,323 %0.13 %97.6043 L 261 MUTUAL OF OMAHA GRP 68,676,233 %0.12 %97.7244 L 1348 MEIJI YASUDA LIFE INS GRP 63,712,286 %0.11 %97.8445 H 47112 DENTCARE DELIVERY SYSTEMS INC 61,187,272 %0.11 %97.9546 L 81264 NIPPON LIFE INS CO OF AMER 57,751,840 %0.10 %98.0547 L P 31 BERKSHIRE HATHAWAY GRP 54,825,369 %0.10 %98.1548 L 20 LINCOLN NATL GRP 51,904,581 %0.09 %98.2449 L 4832 VOYA FINANCIAL GRP 48,144,859 %0.09 %98.3350 H 12976 CATHOLIC SPECIAL NEEDS PLAN LLC 45,715,924 %0.08 %98.4151 L 290 TORCHMARK CORP GRP 44,720,266 %0.08 %98.4952 L 943 AMERITAS MUT HOLDING GRP 43,996,984 %0.08 %98.5753 L 8 ALLSTATE INS GRP 43,244,260 %0.08 %98.6454 L P 181 SWISS RE GRP 42,989,584 %0.08 %98.7255 L P 450 GENEVE HOLDINGS INC GRP 36,441,361 %0.07 %98.7956 P 2538 AMTRUST NGH GRP 34,532,251 %0.06 %98.8557 P 4863 CHINA MINSHENG GRP 31,480,962 %0.06 %98.9058 P 218 CNA INS GRP 31,245,446 %0.06 %98.9659 H 4847 CRYSTAL RUN HLTH GRP 30,796,558 %0.06 %99.0160 L 451 FIDELITY SECURITY GRP 28,632,185 %0.05 %99.0761 L 276 TRUSTMARK MUT HOLDING CO GRP 27,133,067 %0.05 %99.1162 P 176 STATE FARM GRP 26,754,248 %0.05 %99.1663 L 4855 SUMITOMO LIFE INS GRP 26,655,559 %0.05 %99.2164 L P 98 WR BERKLEY CORP GRP 25,846,956 %0.05 %99.26
© 2018 National Association of Insurance Commissioners 83
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
New York
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 158 FAIRFAX FIN GRP 24,936,312 %0.04 %99.3066 L P 19 ASSURANT INC GRP 23,123,559 %0.04 %99.3467 L P 212 ZURICH INS GRP 21,774,570 %0.04 %99.3868 L P 23 BCS INS GRP 21,703,726 %0.04 %99.4269 P 36103 STATE INS FUND DISABILITY BENEFITS 21,225,793 %0.04 %99.4670 L 4483 NESTLE SA GRP 20,426,281 %0.04 %99.4971 L 661 BCBS OF SC GRP 18,723,669 %0.03 %99.5372 L 4 AMERIPRISE FIN GRP 15,690,699 %0.03 %99.5673 L 233 CNO FINANCIAL GRP 15,402,380 %0.03 %99.5874 H 12747 ENVISION INS CO 13,652,946 %0.02 %99.6175 P 1279 ARCH INS GRP 13,387,900 %0.02 %99.6376 L 968 AXA INS GRP 13,275,333 %0.02 %99.6677 L 781 UNION LABOR GRP 12,226,865 %0.02 %99.6878 P 796 QBE INS GRP 11,602,565 %0.02 %99.7079 L P 140 NATIONWIDE CORP GRP 11,167,872 %0.02 %99.7280 L 581 BOSTON MUT GRP 11,037,525 %0.02 %99.7481 L 306 CUNA MUT GRP 10,639,059 %0.02 %99.7682 P 361 MUNICH RE GRP 9,960,296 %0.02 %99.7783 L 60216 AMALGAMATED LIFE INS CO 9,579,344 %0.02 %99.7984 H 55271 PUPIL BENEFITS PLAN INC 8,729,455 %0.02 %99.8185 H 85 HEALTHPLEX GRP 8,344,361 %0.01 %99.8286 P 27928 AMEX ASSUR CO 8,091,054 %0.01 %99.8487 L 68772 SECURITY MUT LIFE INS CO OF NY 7,783,599 %0.01 %99.8588 H 4866 SOLSTICE GRP 6,521,732 %0.01 %99.8689 L 769 GREAT WEST GRP 5,256,452 %0.01 %99.8790 L 869 MINNESOTA MUT GRP 5,113,722 %0.01 %99.8891 H 477 RENAISSANCE HLTH SERV CORP GRP 4,511,890 %0.01 %99.8992 P 1285 XL AMER GRP 4,164,340 %0.01 %99.9093 L 761 ALLIANZ INS GRP 3,533,381 %0.01 %99.9094 H 4742 TUFTS GRP 3,532,568 %0.01 %99.9195 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,438,397 %0.01 %99.9196 P 3416 AXIS CAPITAL GRP 3,365,039 %0.01 %99.9297 L 850 PENN MUT GRP 2,948,403 %0.01 %99.9398 L 1216 TIAA FAMILY GRP 2,714,462 %- %99.9399 L 634 NATIONAL LIFE GRP 2,688,571 %- %99.94
100 L 458 PROTECTIVE LIFE INS GRP 2,572,891 %- %99.94101 F 58033 KNIGHTS OF COLUMBUS 2,118,767 %- %99.94102 L 810 PENN TREATY AMER GRP 2,111,223 %- %99.95103 P 3483 PARTNERRE GRP 2,099,566 %- %99.95104 L 408 AMERICAN NATL FIN GRP 2,057,363 %- %99.96105 P 4670 STARR GRP 2,052,862 %- %99.96106 L 330 AMERICAN FIDELITY CORP GRP 1,913,381 %- %99.96107 L 440 REGAL REINS GRP 1,777,672 %- %99.97108 L 367 PHYSICIANS MUT GRP 1,737,348 %- %99.97109 H 4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 1,620,875 %- %99.97110 F 58009 POLICE & FIREMENS INS ASSN 1,349,867 %- %99.97111 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,246,795 %- %99.98112 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,049,840 %- %99.98113 L 88668 MUTUAL OF AMER LIFE INS CO 985,895 %- %99.98114 L 4734 ATHENE GRP 942,423 %- %99.98115 P 785 MARKEL CORP GRP 901,045 %- %99.98116 L 1117 MANHATTAN LIFE GRP 846,773 %- %99.98117 L 200 UNITED SERV AUTOMOBILE ASSN GRP 732,079 %- %99.99118 L 4736 GGC GRP 714,694 %- %99.99119 L 4213 WILTON RE GRP 671,216 %- %99.99120 L 4764 RESERVOIR CAPITAL GRP 490,053 %- %99.99121 L 76325 SENIOR HLTH INS CO OF PA 484,846 %- %99.99122 L 917 HCSC GRP 461,772 %- %99.99123 L 71404 CONTINENTAL GEN INS CO 338,773 %- %99.99124 P 4904 INTACT FINANCIAL GRP 310,254 %- %99.99125 H 11082 SINGLE VISION SOLUTION INC 269,085 %- %99.99
**TOTAL** 55,930,039,971 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 84
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
North Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 758 BCBS OF NC GRP 8,793,921,513 %42.42 %42.422 L H 707 UNITEDHEALTH GRP 4,846,920,235 %23.38 %65.803 L H 119 HUMANA GRP 1,732,677,140 %8.36 %74.164 L H 1 AETNA GRP 1,308,202,597 %6.31 %80.475 L H 901 CIGNA HLTH GRP 605,612,935 %2.92 %83.396 L 565 UNUM GRP 284,169,426 %1.37 %84.777 L H 241 METROPOLITAN GRP 276,153,467 %1.33 %86.108 L 261 MUTUAL OF OMAHA GRP 222,611,227 %1.07 %87.179 L 370 AFLAC GRP 189,924,959 %0.92 %88.09
10 H 4667 CVS CAREMARK GRP 135,449,765 %0.65 %88.7411 H 12962 FIRSTCAROLINACARE INS CO INC 134,882,635 %0.65 %89.3912 H 15685 CARE N CARE INS CO OF NC 103,798,947 %0.50 %89.8913 L 4011 GENWORTH FIN GRP 87,246,089 %0.42 %90.3114 L 429 GUARDIAN LIFE GRP 84,958,740 %0.41 %90.7215 L 943 AMERITAS MUT HOLDING GRP 75,113,548 %0.36 %91.0916 L P 3098 TOKIO MARINE HOLDINGS INC GRP 74,832,773 %0.36 %91.4517 H 1189 VISION SERV PLAN GRP 74,819,387 %0.36 %91.8118 L P 91 HARTFORD FIRE & CAS GRP 72,283,566 %0.35 %92.1619 L 332 PRINCIPAL FIN GRP 69,785,452 %0.34 %92.4920 L 860 NORTHWESTERN MUT GRP 67,737,642 %0.33 %92.8221 L P 468 AEGON US HOLDING GRP 65,421,575 %0.32 %93.1422 H 477 RENAISSANCE HLTH SERV CORP GRP 63,078,566 %0.30 %93.4423 L H 812 HIGHMARK GRP 62,229,603 %0.30 %93.7424 L 8 ALLSTATE INS GRP 60,835,434 %0.29 %94.0325 L 904 JOHN HANCOCK GRP 59,673,304 %0.29 %94.3226 L 233 CNO FINANCIAL GRP 59,476,245 %0.29 %94.6127 L 20 LINCOLN NATL GRP 55,063,022 %0.27 %94.8728 L P 111 LIBERTY MUT GRP 54,520,254 %0.26 %95.1429 L 549 SUN LIFE ASSUR CO OF CN GRP 52,367,866 %0.25 %95.3930 L 1211 NATIONAL GUARDIAN LIFE INS GRP 46,864,245 %0.23 %95.6231 L 4832 VOYA FINANCIAL GRP 41,190,916 %0.20 %95.8132 L 304 PRUDENTIAL OF AMER GRP 35,205,339 %0.17 %95.9833 L P 626 CHUBB LTD GRP 32,144,096 %0.16 %96.1434 L P 19 ASSURANT INC GRP 30,298,665 %0.15 %96.2935 L P 12 AMERICAN INTL GRP 28,516,115 %0.14 %96.4236 L 435 MASS MUT LIFE INS GRP 28,446,948 %0.14 %96.5637 L 661 BCBS OF SC GRP 28,052,925 %0.14 %96.7038 L 3527 AMERICAN ENTERPRISE MUT GRP 27,618,357 %0.13 %96.8339 L H 1199 WELLCARE GRP 27,588,634 %0.13 %96.9640 P 176 STATE FARM GRP 27,378,078 %0.13 %97.0941 L 4855 SUMITOMO LIFE INS GRP 25,183,069 %0.12 %97.2242 L 290 TORCHMARK CORP GRP 25,166,439 %0.12 %97.3443 L P 7 FEDERATED MUT GRP 24,571,587 %0.12 %97.4644 L 1348 MEIJI YASUDA LIFE INS GRP 21,881,415 %0.11 %97.5645 L 839 WESTBRIDGE CAPITAL GRP 20,376,182 %0.10 %97.6646 L 451 FIDELITY SECURITY GRP 20,221,695 %0.10 %97.7647 H 4813 EXPRESS SCRIPTS HOLDING GRP 17,178,721 %0.08 %97.8448 L P 98 WR BERKLEY CORP GRP 16,396,087 %0.08 %97.9249 L 200 UNITED SERV AUTOMOBILE ASSN GRP 14,778,695 %0.07 %97.9950 L 876 ARKANSAS BCBS GRP 13,503,991 %0.07 %98.0651 L 4483 NESTLE SA GRP 13,149,007 %0.06 %98.1252 L 4888 EQUITABLE FAMILY INS CO GRP 13,008,853 %0.06 %98.1853 P 218 CNA INS GRP 12,828,396 %0.06 %98.2454 L 869 MINNESOTA MUT GRP 12,471,060 %0.06 %98.3055 L 367 PHYSICIANS MUT GRP 11,879,134 %0.06 %98.3656 L P 140 NATIONWIDE CORP GRP 11,625,517 %0.06 %98.4257 H 12747 ENVISION INS CO 11,144,343 %0.05 %98.4758 L 619 ONEAMERICA FIN PARTNERS GRP 11,066,638 %0.05 %98.5259 H 4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 10,171,866 %0.05 %98.5760 L 826 NEW YORK LIFE GRP 10,029,180 %0.05 %98.6261 L 4 AMERIPRISE FIN GRP 9,533,294 %0.05 %98.6762 P 4863 CHINA MINSHENG GRP 9,082,545 %0.04 %98.7163 L 306 CUNA MUT GRP 8,660,019 %0.04 %98.7564 L P 31 BERKSHIRE HATHAWAY GRP 8,565,369 %0.04 %98.79
© 2018 National Association of Insurance Commissioners 85
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
North Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 2538 AMTRUST NGH GRP 8,468,527 %0.04 %98.8466 L 1117 MANHATTAN LIFE GRP 8,240,373 %0.04 %98.8767 L 525 PAN AMER LIFE GRP 8,105,431 %0.04 %98.9168 L 71404 CONTINENTAL GEN INS CO 7,887,714 %0.04 %98.9569 L 761 ALLIANZ INS GRP 7,667,553 %0.04 %98.9970 L 687 GUARANTEE TRUST GRP 7,283,328 %0.04 %99.0271 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 7,273,724 %0.04 %99.0672 L P 23 BCS INS GRP 7,204,464 %0.03 %99.0973 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,671,274 %0.03 %99.1374 P 796 QBE INS GRP 6,669,692 %0.03 %99.1675 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 6,661,651 %0.03 %99.1976 L 520 NEW ERA LIFE GRP 6,546,511 %0.03 %99.2277 L 574 AMERCO CORP GRP 6,495,300 %0.03 %99.2578 L P 450 GENEVE HOLDINGS INC GRP 6,393,783 %0.03 %99.2879 H 2479 DENTEGRA GRP 6,195,607 %0.03 %99.3180 L 61921 CITIZENS SECURITY LIFE INS CO 5,881,591 %0.03 %99.3481 L 276 TRUSTMARK MUT HOLDING CO GRP 5,728,642 %0.03 %99.3782 H 1260 MAGELLAN HLTH INC GRP 5,720,437 %0.03 %99.4083 L 330 AMERICAN FIDELITY CORP GRP 5,648,992 %0.03 %99.4284 L 215 KEMPER CORP GRP 4,793,070 %0.02 %99.4585 P 158 FAIRFAX FIN GRP 4,518,747 %0.02 %99.4786 P 181 SWISS RE GRP 4,432,860 %0.02 %99.4987 L 264 HEALTHMARKETS GRP 4,388,551 %0.02 %99.5188 L 836 WEST SOUTHERN GRP 4,050,824 %0.02 %99.5389 L 1186 LIFETIME HLTHCARE GRP 4,038,716 %0.02 %99.5590 L 588 KANSAS CITY LIFE INS GRP 3,963,563 %0.02 %99.5791 L 4862 ASSURITY GRP 3,784,343 %0.02 %99.5992 L P 212 ZURICH INS GRP 3,290,790 %0.02 %99.6093 L 76325 SENIOR HLTH INS CO OF PA 2,935,232 %0.01 %99.6294 L 4824 ADVANTAGE CAPITAL GRP 2,922,931 %0.01 %99.6395 L 90638 BEST LIFE & HLTH INS CO 2,893,290 %0.01 %99.6596 L 671 ANTHEM INC GRP 2,765,037 %0.01 %99.6697 L 3891 GOLDMAN SACHS GRP 2,739,803 %0.01 %99.6798 L 11121 UNIFIED LIFE INS CO 2,730,408 %0.01 %99.6999 L 587 ATLANTIC AMER GRP 2,582,360 %0.01 %99.70
100 L 408 AMERICAN NATL FIN GRP 2,581,032 %0.01 %99.71101 L 4213 WILTON RE GRP 2,403,218 %0.01 %99.72102 P 1279 ARCH INS GRP 2,384,251 %0.01 %99.73103 L 769 GREAT WEST GRP 2,330,358 %0.01 %99.75104 L 4736 GGC GRP 2,213,734 %0.01 %99.76105 P 1285 XL AMER GRP 2,202,703 %0.01 %99.77106 P 4381 HOUSTON INTL INS GRP 2,096,910 %0.01 %99.78107 L 917 HCSC GRP 1,948,595 %0.01 %99.79108 L 64580 ILLINOIS MUT LIFE INS CO 1,800,531 %0.01 %99.80109 L 4734 ATHENE GRP 1,764,297 %0.01 %99.80110 L P 84 AMERICAN FINANCIAL GRP 1,661,331 %0.01 %99.81111 L 2858 HOMESHIELD CAPITAL GRP 1,577,729 %0.01 %99.82112 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,550,119 %0.01 %99.83113 L 4853 AAA LIFE GRP 1,536,966 %0.01 %99.83114 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,447,379 %0.01 %99.84115 P 10642 CHEROKEE INS CO 1,443,483 %0.01 %99.85116 L 71706 STANDARD LIFE & CAS INS CO 1,389,179 %0.01 %99.86117 F 57320 WOODMEN WORLD LIFE INS SOC 1,331,605 %0.01 %99.86118 F 56693 GCU 1,253,800 %0.01 %99.87119 P 27928 AMEX ASSUR CO 1,219,488 %0.01 %99.87120 L 4815 RESOLUTION LIFE GRP 1,171,838 %0.01 %99.88121 L 67326 OLD SURETY LIFE INS CO 1,147,215 %0.01 %99.88122 P 3416 AXIS CAPITAL GRP 1,146,513 %0.01 %99.89123 H 115 DELTA DENTAL PLAN OF IL GRP 1,136,561 %0.01 %99.90124 L 69132 STATE MUT INS CO 1,096,640 %0.01 %99.90125 L 458 PROTECTIVE LIFE INS GRP 1,085,266 %0.01 %99.91
**TOTAL** 20,729,503,282 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 86
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
North Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 55891 NORIDIAN MUT INS CO 1,102,218,230 %46.97 %46.972 H 1246 SANFORD HLTH GRP 671,420,801 %28.61 %75.583 H 1552 MEDICA GRP 169,423,618 %7.22 %82.804 L 370 AFLAC GRP 48,440,951 %2.06 %84.875 L H 119 HUMANA GRP 34,526,676 %1.47 %86.346 L H 707 UNITEDHEALTH GRP 30,768,071 %1.31 %87.657 L 233 CNO FINANCIAL GRP 24,075,523 %1.03 %88.678 L 261 MUTUAL OF OMAHA GRP 16,074,092 %0.68 %89.369 L 565 UNUM GRP 15,573,620 %0.66 %90.02
10 L 1 AETNA GRP 15,383,687 %0.66 %90.6811 H 4667 CVS CAREMARK GRP 14,456,003 %0.62 %91.2912 H 55034 DELTA DENTAL OF MN 14,356,390 %0.61 %91.9113 L P 468 AEGON US HOLDING GRP 13,049,830 %0.56 %92.4614 L H 901 CIGNA HLTH GRP 11,364,911 %0.48 %92.9515 H 4813 EXPRESS SCRIPTS HOLDING GRP 9,564,727 %0.41 %93.3516 L P 241 METROPOLITAN GRP 9,181,825 %0.39 %93.7517 L 20 LINCOLN NATL GRP 9,180,352 %0.39 %94.1418 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 8,705,651 %0.37 %94.5119 L 4011 GENWORTH FIN GRP 6,366,352 %0.27 %94.7820 L 1348 MEIJI YASUDA LIFE INS GRP 6,267,320 %0.27 %95.0521 L 661 BCBS OF SC GRP 5,233,082 %0.22 %95.2722 L 904 JOHN HANCOCK GRP 5,200,502 %0.22 %95.4923 L 860 NORTHWESTERN MUT GRP 5,136,263 %0.22 %95.7124 L P 626 CHUBB LTD GRP 5,133,513 %0.22 %95.9325 L 8 ALLSTATE INS GRP 4,128,760 %0.18 %96.1026 L 1186 LIFETIME HLTHCARE GRP 4,123,785 %0.18 %96.2827 L 943 AMERITAS MUT HOLDING GRP 3,931,092 %0.17 %96.4528 L 4483 NESTLE SA GRP 3,856,226 %0.16 %96.6129 L 304 PRUDENTIAL OF AMER GRP 3,427,913 %0.15 %96.7630 L 429 GUARDIAN LIFE GRP 3,424,637 %0.15 %96.9031 L 332 PRINCIPAL FIN GRP 3,407,526 %0.15 %97.0532 P 176 STATE FARM GRP 3,333,371 %0.14 %97.1933 L H 812 HIGHMARK GRP 3,159,582 %0.13 %97.3334 L 451 FIDELITY SECURITY GRP 3,087,867 %0.13 %97.4635 L 3527 AMERICAN ENTERPRISE MUT GRP 3,042,097 %0.13 %97.5936 L 4888 EQUITABLE FAMILY INS CO GRP 2,994,636 %0.13 %97.7137 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,698,161 %0.11 %97.8338 L 876 ARKANSAS BCBS GRP 2,418,363 %0.10 %97.9339 L 91 HARTFORD FIRE & CAS GRP 2,410,526 %0.10 %98.0440 L P 19 ASSURANT INC GRP 2,296,372 %0.10 %98.1341 L 290 TORCHMARK CORP GRP 2,188,888 %0.09 %98.2342 L P 3098 TOKIO MARINE HOLDINGS INC GRP 2,159,305 %0.09 %98.3243 H 1189 VISION SERV PLAN GRP 2,135,922 %0.09 %98.4144 L 549 SUN LIFE ASSUR CO OF CN GRP 2,013,312 %0.09 %98.5045 L H 1199 WELLCARE GRP 1,954,938 %0.08 %98.5846 L 4832 VOYA FINANCIAL GRP 1,848,744 %0.08 %98.6647 L 4824 ADVANTAGE CAPITAL GRP 1,825,862 %0.08 %98.7448 L 111 LIBERTY MUT GRP 1,672,130 %0.07 %98.8149 L 826 NEW YORK LIFE GRP 1,454,397 %0.06 %98.8750 F 58033 KNIGHTS OF COLUMBUS 1,273,073 %0.05 %98.9251 L 1117 MANHATTAN LIFE GRP 1,212,008 %0.05 %98.9752 P 1285 XL AMER GRP 1,124,190 %0.05 %99.0253 P 473 AMERICAN FAMILY INS GRP 1,123,394 %0.05 %99.0754 L 4 AMERIPRISE FIN GRP 1,072,028 %0.05 %99.1255 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,042,513 %0.04 %99.1656 L 761 ALLIANZ INS GRP 994,678 %0.04 %99.2057 L 76325 SENIOR HLTH INS CO OF PA 967,850 %0.04 %99.2458 L P 12 AMERICAN INTL GRP 823,540 %0.04 %99.2859 L 687 GUARANTEE TRUST GRP 822,096 %0.04 %99.3160 P 181 SWISS RE GRP 803,542 %0.03 %99.3561 L P 450 GENEVE HOLDINGS INC GRP 795,215 %0.03 %99.3862 L 42129 UNITED SECURITY ASSUR CO OF PA 782,116 %0.03 %99.4263 L P 212 ZURICH INS GRP 764,127 %0.03 %99.4564 L 330 AMERICAN FIDELITY CORP GRP 750,157 %0.03 %99.48
© 2018 National Association of Insurance Commissioners 87
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
North Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 218 CNA INS GRP 694,790 %0.03 %99.5166 L 435 MASS MUT LIFE INS GRP 689,863 %0.03 %99.5467 L 71404 CONTINENTAL GEN INS CO 665,039 %0.03 %99.5768 L 69329 SURETY LIFE & CAS INS CO 545,494 %0.02 %99.5969 H 1260 MAGELLAN HLTH INC GRP 516,916 %0.02 %99.6170 L 4862 ASSURITY GRP 454,874 %0.02 %99.6371 L 200 UNITED SERV AUTOMOBILE ASSN GRP 440,361 %0.02 %99.6572 L 869 MINNESOTA MUT GRP 427,540 %0.02 %99.6773 L 367 PHYSICIANS MUT GRP 412,097 %0.02 %99.6974 L 619 ONEAMERICA FIN PARTNERS GRP 386,167 %0.02 %99.7075 H 2479 DENTEGRA GRP 375,932 %0.02 %99.7276 L 4855 SUMITOMO LIFE INS GRP 347,011 %0.01 %99.7377 L 64580 ILLINOIS MUT LIFE INS CO 336,681 %0.01 %99.7578 L 572 BCBS OF MI GRP 275,314 %0.01 %99.7679 L 90638 BEST LIFE & HLTH INS CO 269,660 %0.01 %99.7780 L 306 CUNA MUT GRP 266,909 %0.01 %99.7881 P 4863 CHINA MINSHENG GRP 248,497 %0.01 %99.7982 L 300 HORACE MANN GRP 227,256 %0.01 %99.8083 P 1120 EVEREST REINS HOLDINGS GRP 226,814 %0.01 %99.8184 L 2538 AMTRUST NGH GRP 215,463 %0.01 %99.8285 L 4815 RESOLUTION LIFE GRP 212,798 %0.01 %99.8386 L 769 GREAT WEST GRP 212,575 %0.01 %99.8487 L 7 FEDERATED MUT GRP 201,203 %0.01 %99.8588 L 4853 AAA LIFE GRP 197,311 %0.01 %99.8689 P 3416 AXIS CAPITAL GRP 192,072 %0.01 %99.8790 L 918 JACKSON NATL GRP 191,452 %0.01 %99.8791 H 12747 ENVISION INS CO 190,432 %0.01 %99.8892 L 280 AUTO OWNERS GRP 187,713 %0.01 %99.8993 L 704 OHIO NATL LIFE GRP 165,930 %0.01 %99.9094 L 917 HCSC GRP 163,587 %0.01 %99.9095 L 50 COUNTRY INS & FIN SERV GRP 152,773 %0.01 %99.9196 L 588 KANSAS CITY LIFE INS GRP 131,593 %0.01 %99.9297 L 2858 HOMESHIELD CAPITAL GRP 131,089 %0.01 %99.9298 L 525 PAN AMER LIFE GRP 130,313 %0.01 %99.9399 L P 140 NATIONWIDE CORP GRP 124,815 %0.01 %99.93
100 L 3891 GOLDMAN SACHS GRP 83,004 %- %99.94101 L 408 AMERICAN NATL FIN GRP 81,835 %- %99.94102 L 4736 GGC GRP 74,888 %- %99.94103 L 11121 UNIFIED LIFE INS CO 61,717 %- %99.95104 L 968 AXA INS GRP 59,730 %- %99.95105 L 458 PROTECTIVE LIFE INS GRP 58,758 %- %99.95106 L 150 OLD REPUBLIC GRP 52,272 %- %99.95107 L 587 ATLANTIC AMER GRP 51,156 %- %99.95108 L 513 IOWA FARM BUREAU GRP 49,292 %- %99.96109 L 215 KEMPER CORP GRP 47,661 %- %99.96110 F 56413 UNITED TRANSPORTATION UNION INS ASSN 46,751 %- %99.96111 L 4826 ECG GRP 45,882 %- %99.96112 L 4716 FORTRESS GRP 45,319 %- %99.96113 L 276 TRUSTMARK MUT HOLDING CO GRP 43,020 %- %99.97114 L 69132 STATE MUT INS CO 42,765 %- %99.97115 L 350 GENERAL ELECTRIC GRP 37,924 %- %99.97116 P 27928 AMEX ASSUR CO 37,425 %- %99.97117 L 264 HEALTHMARKETS GRP 36,905 %- %99.97118 P 785 MARKEL CORP GRP 36,238 %- %99.97119 H 477 RENAISSANCE HLTH SERV CORP GRP 33,400 %- %99.98120 L 4900 US ALLIANCE CORP GRP 32,278 %- %99.98121 P 796 QBE INS GRP 29,103 %- %99.98122 L 581 BOSTON MUT GRP 28,903 %- %99.98123 L P 23 BCS INS GRP 28,056 %- %99.98124 P 31 BERKSHIRE HATHAWAY GRP 27,808 %- %99.98125 L 520 NEW ERA LIFE GRP 27,387 %- %99.98
**TOTAL** 2,346,646,259 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 88
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Ohio
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 3683 CARESOURCE GRP 7,767,789,784 %19.27 %19.272 L H 671 ANTHEM INC GRP 6,360,609,827 %15.78 %35.053 L H 707 UNITEDHEALTH GRP 5,843,593,542 %14.50 %49.554 L H 1 AETNA GRP 3,755,907,045 %9.32 %58.875 L H 730 MEDICAL MUT OF OH GRP 2,792,660,530 %6.93 %65.806 H 1531 MOLINA HEALTHCARE INC GRP 2,392,192,778 %5.94 %71.737 H 1295 CENTENE CORP GRP 2,229,380,701 %5.53 %77.268 L H 119 HUMANA GRP 2,058,102,519 %5.11 %82.379 H 1212 VANGUARD HLTH VENTURES GRP 1,467,812,560 %3.64 %86.01
10 H 2838 CHE TRINITY INC GRP 614,849,342 %1.53 %87.5411 H 4805 AULTMAN HLTH FOUNDATION GRP 510,612,915 %1.27 %88.8012 H 3259 SUMMA HLTH GRP 417,412,831 %1.04 %89.8413 L H 901 CIGNA HLTH GRP 307,442,174 %0.76 %90.6014 H 477 RENAISSANCE HLTH SERV CORP GRP 268,555,498 %0.67 %91.2715 L H 241 METROPOLITAN GRP 254,863,429 %0.63 %91.9016 L 565 UNUM GRP 187,823,789 %0.47 %92.3717 H 1297 HEALTH PLAN GRP 174,437,578 %0.43 %92.8018 L H 429 GUARDIAN LIFE GRP 149,910,714 %0.37 %93.1719 H 4667 CVS CAREMARK GRP 142,212,120 %0.35 %93.5320 L 370 AFLAC GRP 135,118,899 %0.34 %93.8621 L 261 MUTUAL OF OMAHA GRP 126,543,452 %0.31 %94.1722 L H 549 SUN LIFE ASSUR CO OF CN GRP 124,232,469 %0.31 %94.4823 H 4816 PREMIER HLTH PARTNERS GRP 123,538,991 %0.31 %94.7924 H 1189 VISION SERV PLAN GRP 98,020,346 %0.24 %95.0325 L 4011 GENWORTH FIN GRP 89,852,356 %0.22 %95.2626 L P 3098 TOKIO MARINE HOLDINGS INC GRP 87,944,858 %0.22 %95.4727 L 332 PRINCIPAL FIN GRP 74,571,084 %0.19 %95.6628 L 233 CNO FINANCIAL GRP 66,148,358 %0.16 %95.8229 L 860 NORTHWESTERN MUT GRP 66,130,642 %0.16 %95.9930 L H 812 HIGHMARK GRP 62,097,710 %0.15 %96.1431 L 20 LINCOLN NATL GRP 60,477,150 %0.15 %96.2932 H 96265 DENTAL CARE PLUS INC 59,907,484 %0.15 %96.4433 L P 91 HARTFORD FIRE & CAS GRP 57,657,981 %0.14 %96.5834 L 304 PRUDENTIAL OF AMER GRP 54,397,931 %0.13 %96.7235 L P 626 CHUBB LTD GRP 54,315,796 %0.13 %96.8536 L P 468 AEGON US HOLDING GRP 51,864,831 %0.13 %96.9837 L 904 JOHN HANCOCK GRP 51,712,816 %0.13 %97.1138 L 451 FIDELITY SECURITY GRP 48,862,722 %0.12 %97.2339 H 96280 SUPERIOR DENTAL CARE INC 46,597,661 %0.12 %97.3540 L 4832 VOYA FINANCIAL GRP 41,864,966 %0.10 %97.4541 L 290 TORCHMARK CORP GRP 38,983,106 %0.10 %97.5542 L 330 AMERICAN FIDELITY CORP GRP 36,433,345 %0.09 %97.6443 L 8 ALLSTATE INS GRP 35,403,817 %0.09 %97.7244 P 176 STATE FARM GRP 35,108,705 %0.09 %97.8145 L 4483 NESTLE SA GRP 34,894,420 %0.09 %97.9046 L P 12 AMERICAN INTL GRP 34,871,034 %0.09 %97.9947 L P 111 LIBERTY MUT GRP 34,729,554 %0.09 %98.0748 L 661 BCBS OF SC GRP 30,854,998 %0.08 %98.1549 L H 1199 WELLCARE GRP 30,016,948 %0.07 %98.2250 L 1348 MEIJI YASUDA LIFE INS GRP 28,341,595 %0.07 %98.2951 L P 19 ASSURANT INC GRP 25,265,616 %0.06 %98.3652 L P 7 FEDERATED MUT GRP 24,744,331 %0.06 %98.4253 L P 140 NATIONWIDE CORP GRP 24,034,916 %0.06 %98.4854 L 4855 SUMITOMO LIFE INS GRP 23,494,562 %0.06 %98.5355 L 943 AMERITAS MUT HOLDING GRP 20,245,331 %0.05 %98.5856 L P 212 ZURICH INS GRP 18,940,460 %0.05 %98.6357 L 3891 GOLDMAN SACHS GRP 18,287,602 %0.05 %98.6858 H 4813 EXPRESS SCRIPTS HOLDING GRP 16,879,110 %0.04 %98.7259 L 435 MASS MUT LIFE INS GRP 16,398,853 %0.04 %98.7660 P 218 CNA INS GRP 16,356,108 %0.04 %98.8061 L 367 PHYSICIANS MUT GRP 16,063,553 %0.04 %98.8462 L 408 AMERICAN NATL FIN GRP 15,802,627 %0.04 %98.8863 L 276 TRUSTMARK MUT HOLDING CO GRP 14,923,393 %0.04 %98.9264 L 619 ONEAMERICA FIN PARTNERS GRP 14,901,398 %0.04 %98.95
© 2018 National Association of Insurance Commissioners 89
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Ohio
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 3527 AMERICAN ENTERPRISE MUT GRP 14,720,846 %0.04 %98.9966 L 4 AMERIPRISE FIN GRP 14,077,622 %0.03 %99.0267 P 158 FAIRFAX FIN GRP 13,809,673 %0.03 %99.0668 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 13,554,001 %0.03 %99.0969 L P 2538 AMTRUST NGH GRP 13,402,558 %0.03 %99.1370 L 826 NEW YORK LIFE GRP 12,962,689 %0.03 %99.1671 L 1211 NATIONAL GUARDIAN LIFE INS GRP 12,389,543 %0.03 %99.1972 H 12747 ENVISION INS CO 11,864,542 %0.03 %99.2273 L 520 NEW ERA LIFE GRP 11,109,470 %0.03 %99.2574 L 869 MINNESOTA MUT GRP 10,856,780 %0.03 %99.2775 L 215 KEMPER CORP GRP 10,750,006 %0.03 %99.3076 P 796 QBE INS GRP 10,631,476 %0.03 %99.3377 L P 98 WR BERKLEY CORP GRP 10,468,814 %0.03 %99.3578 P 361 MUNICH RE GRP 10,084,429 %0.03 %99.3879 H 4807 CATHOLIC HLTH INITIATIVES GRP 9,166,959 %0.02 %99.4080 H 2479 DENTEGRA GRP 8,856,608 %0.02 %99.4281 L 264 HEALTHMARKETS GRP 8,626,119 %0.02 %99.4482 L 1117 MANHATTAN LIFE GRP 8,052,657 %0.02 %99.4683 L 781 UNION LABOR GRP 7,875,766 %0.02 %99.4884 L 836 WEST SOUTHERN GRP 7,606,986 %0.02 %99.5085 L 687 GUARANTEE TRUST GRP 7,450,676 %0.02 %99.5286 P 4863 CHINA MINSHENG GRP 7,423,997 %0.02 %99.5487 L 71404 CONTINENTAL GEN INS CO 7,185,099 %0.02 %99.5688 L 839 WESTBRIDGE CAPITAL GRP 6,848,794 %0.02 %99.5789 F 56499 ASSURED LIFE ASSN 6,784,023 %0.02 %99.5990 L P 181 SWISS RE GRP 6,447,877 %0.02 %99.6191 L 587 ATLANTIC AMER GRP 6,410,500 %0.02 %99.6292 L P 23 BCS INS GRP 6,373,772 %0.02 %99.6493 L 525 PAN AMER LIFE GRP 5,645,495 %0.01 %99.6594 L P 450 GENEVE HOLDINGS INC GRP 5,584,865 %0.01 %99.6795 L 200 UNITED SERV AUTOMOBILE ASSN GRP 5,555,240 %0.01 %99.6896 L 306 CUNA MUT GRP 5,499,857 %0.01 %99.6997 L 4712 GPM LIFE GRP 5,041,830 %0.01 %99.7198 L 761 ALLIANZ INS GRP 4,865,542 %0.01 %99.7299 L 81264 NIPPON LIFE INS CO OF AMER 4,731,059 %0.01 %99.73
100 L 4718 TIPTREE FIN GRP 4,574,808 %0.01 %99.74101 L 4736 GGC GRP 4,563,898 %0.01 %99.75102 H 97772 US HLTH & LIFE INS CO INC 4,433,709 %0.01 %99.76103 P 1279 ARCH INS GRP 4,320,395 %0.01 %99.77104 L 76325 SENIOR HLTH INS CO OF PA 3,879,769 %0.01 %99.78105 L H 917 HCSC GRP 3,836,784 %0.01 %99.79106 L 4888 EQUITABLE FAMILY INS CO GRP 3,674,170 %0.01 %99.80107 F 4616 EVERENCE GRP 3,629,124 %0.01 %99.81108 P 3416 AXIS CAPITAL GRP 3,464,200 %0.01 %99.82109 L 704 OHIO NATL LIFE GRP 3,018,395 %0.01 %99.83110 L P 31 BERKSHIRE HATHAWAY GRP 2,815,074 %0.01 %99.83111 L 4862 ASSURITY GRP 2,582,434 %0.01 %99.84112 L 42129 UNITED SECURITY ASSUR CO OF PA 2,485,467 %0.01 %99.85113 L P 84 AMERICAN FINANCIAL GRP 2,474,659 %0.01 %99.85114 L 64580 ILLINOIS MUT LIFE INS CO 2,406,152 %0.01 %99.86115 L 61921 CITIZENS SECURITY LIFE INS CO 2,263,216 %0.01 %99.86116 F 58033 KNIGHTS OF COLUMBUS 2,174,744 %0.01 %99.87117 P 1285 XL AMER GRP 2,174,609 %0.01 %99.88118 L 4853 AAA LIFE GRP 2,170,404 %0.01 %99.88119 L 1186 LIFETIME HLTHCARE GRP 2,114,265 %0.01 %99.89120 F 58009 POLICE & FIREMENS INS ASSN 2,061,338 %0.01 %99.89121 L 769 GREAT WEST GRP 1,992,966 %- %99.90122 L 11121 UNIFIED LIFE INS CO 1,884,577 %- %99.90123 P 3483 PARTNERRE GRP 1,830,629 %- %99.90124 L 4764 RESERVOIR CAPITAL GRP 1,622,756 %- %99.91125 L 581 BOSTON MUT GRP 1,552,618 %- %99.91
**TOTAL** 40,305,872,157 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 90
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Oklahoma
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 917 HCSC GRP 3,072,653,858 %43.11 %43.112 L H 707 UNITEDHEALTH GRP 1,024,067,905 %14.37 %57.473 H 3487 COMMUNITYCARE GRP 686,037,889 %9.62 %67.104 L H 119 HUMANA GRP 439,345,675 %6.16 %73.265 L H 1 AETNA GRP 349,033,987 %4.90 %78.166 H 13667 GLOBALHEALTH INC 284,415,940 %3.99 %82.157 H 53937 DELTA DENTAL OF OK 154,923,877 %2.17 %84.328 L H 901 CIGNA HLTH GRP 102,423,347 %1.44 %85.769 L 261 MUTUAL OF OMAHA GRP 77,597,060 %1.09 %86.85
10 L 370 AFLAC GRP 67,297,946 %0.94 %87.7911 L 330 AMERICAN FIDELITY CORP GRP 66,237,627 %0.93 %88.7212 H 4667 CVS CAREMARK GRP 59,353,741 %0.83 %89.5513 L H 241 METROPOLITAN GRP 56,883,813 %0.80 %90.3514 H 1189 VISION SERV PLAN GRP 47,343,664 %0.66 %91.0115 L 565 UNUM GRP 45,309,335 %0.64 %91.6516 L 233 CNO FINANCIAL GRP 30,490,600 %0.43 %92.0817 L 429 GUARDIAN LIFE GRP 25,067,836 %0.35 %92.4318 L 549 SUN LIFE ASSUR CO OF CN GRP 23,648,964 %0.33 %92.7619 L 4011 GENWORTH FIN GRP 19,104,704 %0.27 %93.0320 P 176 STATE FARM GRP 16,841,395 %0.24 %93.2721 L 367 PHYSICIANS MUT GRP 15,888,491 %0.22 %93.4922 L 468 AEGON US HOLDING GRP 15,165,435 %0.21 %93.7023 L P 91 HARTFORD FIRE & CAS GRP 14,375,174 %0.20 %93.9024 H 15732 COMMUNITYCARE GOVERNMENT PROGRAMS IN 13,842,131 %0.19 %94.1025 L H 1199 WELLCARE GRP 12,967,633 %0.18 %94.2826 L 661 BCBS OF SC GRP 12,575,714 %0.18 %94.4627 L P 3098 TOKIO MARINE HOLDINGS INC GRP 12,292,865 %0.17 %94.6328 L 8 ALLSTATE INS GRP 12,202,772 %0.17 %94.8029 L P 19 ASSURANT INC GRP 12,059,512 %0.17 %94.9730 L 332 PRINCIPAL FIN GRP 12,044,001 %0.17 %95.1431 L 860 NORTHWESTERN MUT GRP 11,772,939 %0.17 %95.3032 L 304 PRUDENTIAL OF AMER GRP 11,703,776 %0.16 %95.4733 L 904 JOHN HANCOCK GRP 11,460,294 %0.16 %95.6334 L 290 TORCHMARK CORP GRP 10,872,110 %0.15 %95.7835 L 4832 VOYA FINANCIAL GRP 10,209,033 %0.14 %95.9236 L P 111 LIBERTY MUT GRP 9,489,888 %0.13 %96.0637 L 20 LINCOLN NATL GRP 8,975,424 %0.13 %96.1838 L 215 KEMPER CORP GRP 8,961,625 %0.13 %96.3139 L 4888 EQUITABLE FAMILY INS CO GRP 8,857,825 %0.12 %96.4340 L 520 NEW ERA LIFE GRP 8,599,611 %0.12 %96.5541 L P 12 AMERICAN INTL GRP 8,377,667 %0.12 %96.6742 L 435 MASS MUT LIFE INS GRP 7,552,190 %0.11 %96.7843 L 839 WESTBRIDGE CAPITAL GRP 7,406,535 %0.10 %96.8844 L P 7 FEDERATED MUT GRP 7,153,946 %0.10 %96.9845 L 943 AMERITAS MUT HOLDING GRP 7,050,669 %0.10 %97.0846 L 4855 SUMITOMO LIFE INS GRP 6,959,085 %0.10 %97.1847 L P 626 CHUBB LTD GRP 6,873,393 %0.10 %97.2748 L 1348 MEIJI YASUDA LIFE INS GRP 6,640,342 %0.09 %97.3749 L 826 NEW YORK LIFE GRP 6,274,083 %0.09 %97.4550 L 264 HEALTHMARKETS GRP 6,079,226 %0.09 %97.5451 L P 212 ZURICH INS GRP 5,667,451 %0.08 %97.6252 L 687 GUARANTEE TRUST GRP 5,613,377 %0.08 %97.7053 L 869 MINNESOTA MUT GRP 5,490,002 %0.08 %97.7854 L 1117 MANHATTAN LIFE GRP 5,395,686 %0.08 %97.8555 H 4813 EXPRESS SCRIPTS HOLDING GRP 5,363,705 %0.08 %97.9356 L 70122 UNIVERSAL FIDELITY LIFE INS CO 4,545,385 %0.06 %97.9957 H 4916 AMERICAN HLTH CO INC GRP 4,523,561 %0.06 %98.0558 P 796 QBE INS GRP 4,403,688 %0.06 %98.1259 P 158 FAIRFAX FIN GRP 4,348,711 %0.06 %98.1860 L 587 ATLANTIC AMER GRP 4,191,455 %0.06 %98.2461 L 4824 ADVANTAGE CAPITAL GRP 3,966,245 %0.06 %98.2962 L 98 WR BERKLEY CORP GRP 3,788,374 %0.05 %98.3463 L 71404 CONTINENTAL GEN INS CO 3,660,067 %0.05 %98.4064 L 2538 AMTRUST NGH GRP 3,515,389 %0.05 %98.44
© 2018 National Association of Insurance Commissioners 91
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Oklahoma
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 23 BCS INS GRP 3,460,541 %0.05 %98.4966 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,242,467 %0.05 %98.5467 L 451 FIDELITY SECURITY GRP 3,186,793 %0.04 %98.5868 L 4483 NESTLE SA GRP 3,181,439 %0.04 %98.6369 P 4863 CHINA MINSHENG GRP 3,163,433 %0.04 %98.6770 H 11953 STERLING DENTAL SERV LLC 3,158,418 %0.04 %98.7271 L 525 PAN AMER LIFE GRP 3,127,702 %0.04 %98.7672 L P 140 NATIONWIDE CORP GRP 2,883,147 %0.04 %98.8073 P 218 CNA INS GRP 2,870,064 %0.04 %98.8474 L 408 AMERICAN NATL FIN GRP 2,859,229 %0.04 %98.8875 L 67326 OLD SURETY LIFE INS CO 2,607,107 %0.04 %98.9276 L H 812 HIGHMARK GRP 2,556,284 %0.04 %98.9577 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,544,915 %0.04 %98.9978 H 4822 F&R HOLDINGS GRP 2,436,153 %0.03 %99.0279 L 69132 STATE MUT INS CO 2,261,012 %0.03 %99.0680 L P 4718 TIPTREE FIN GRP 2,222,807 %0.03 %99.0981 L 306 CUNA MUT GRP 2,132,461 %0.03 %99.1282 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 2,055,347 %0.03 %99.1583 P 785 MARKEL CORP GRP 1,984,048 %0.03 %99.1784 L 3527 AMERICAN ENTERPRISE MUT GRP 1,946,372 %0.03 %99.2085 L 4 AMERIPRISE FIN GRP 1,919,179 %0.03 %99.2386 L 276 TRUSTMARK MUT HOLDING CO GRP 1,788,687 %0.03 %99.2587 L 574 AMERCO CORP GRP 1,783,910 %0.03 %99.2888 L 761 ALLIANZ INS GRP 1,688,909 %0.02 %99.3089 L 781 UNION LABOR GRP 1,679,404 %0.02 %99.3290 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,655,313 %0.02 %99.3591 H 2479 DENTEGRA GRP 1,649,080 %0.02 %99.3792 L 11121 UNIFIED LIFE INS CO 1,648,941 %0.02 %99.3993 H 12747 ENVISION INS CO 1,620,557 %0.02 %99.4294 P 3483 PARTNERRE GRP 1,614,096 %0.02 %99.4495 L 3891 GOLDMAN SACHS GRP 1,538,706 %0.02 %99.4696 L 76325 SENIOR HLTH INS CO OF PA 1,473,355 %0.02 %99.4897 L 66214 HEARTLAND NATL LIFE INS CO 1,385,588 %0.02 %99.5098 P 361 MUNICH RE GRP 1,352,631 %0.02 %99.5299 P 4381 HOUSTON INTL INS GRP 1,351,494 %0.02 %99.54
100 L 4862 ASSURITY GRP 1,232,536 %0.02 %99.56101 L 4736 GGC GRP 1,232,080 %0.02 %99.57102 L 123 SHELTER INS GRP 1,210,268 %0.02 %99.59103 L 4853 AAA LIFE GRP 1,169,604 %0.02 %99.61104 P 31 BERKSHIRE HATHAWAY GRP 1,142,742 %0.02 %99.62105 F 56499 ASSURED LIFE ASSN 1,121,749 %0.02 %99.64106 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,083,116 %0.02 %99.65107 L 4213 WILTON RE GRP 1,065,957 %0.01 %99.67108 P 1285 XL AMER GRP 1,052,463 %0.01 %99.68109 H 477 RENAISSANCE HLTH SERV CORP GRP 1,015,128 %0.01 %99.70110 P 4670 STARR GRP 900,430 %0.01 %99.71111 L 619 ONEAMERICA FIN PARTNERS GRP 887,363 %0.01 %99.72112 P 1120 EVEREST REINS HOLDINGS GRP 813,388 %0.01 %99.73113 L 572 BCBS OF MI GRP 760,413 %0.01 %99.75114 L P 450 GENEVE HOLDINGS INC GRP 738,004 %0.01 %99.76115 L 449 FINANCIAL HOLDINGS GRP 709,902 %0.01 %99.77116 H 115 DELTA DENTAL PLAN OF IL GRP 674,005 %0.01 %99.78117 F 58033 KNIGHTS OF COLUMBUS 663,427 %0.01 %99.78118 F 57657 ROYAL NEIGHBORS OF AMER 658,441 %0.01 %99.79119 L 50 COUNTRY INS & FIN SERV GRP 653,539 %0.01 %99.80120 L 581 BOSTON MUT GRP 645,474 %0.01 %99.81121 L 769 GREAT WEST GRP 630,848 %0.01 %99.82122 P 1279 ARCH INS GRP 584,110 %0.01 %99.83123 H 4744 L S S GRP 583,981 %0.01 %99.84124 F 4616 EVERENCE GRP 561,155 %0.01 %99.84125 L 704 OHIO NATL LIFE GRP 525,387 %0.01 %99.85
**TOTAL** 7,128,111,352 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 92
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Oregon
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 601 KAISER FOUNDATION GRP 2,728,367,279 %22.64 %22.642 H 4788 PROVIDENCE HLTH GRP 1,960,504,538 %16.27 %38.903 L H 1207 CAMBIA HEALTH SOLUTIONS INC 1,760,558,068 %14.61 %53.514 L H 1295 CENTENE CORP GRP 1,290,579,156 %10.71 %64.215 L H 707 UNITEDHEALTH GRP 907,400,529 %7.53 %71.746 H 1313 OREGON DENTAL GRP 701,769,144 %5.82 %77.577 H 4704 PACIFICSOURCE HLTH PLAN GRP 642,915,120 %5.33 %82.908 H 10123 ATRIO HLTH PLANS INC 260,281,785 %2.16 %85.069 H 12277 HEALTH PLAN OF CAREOREGON INC 177,665,652 %1.47 %86.53
10 L H 901 CIGNA HLTH GRP 143,758,015 %1.19 %87.7311 L 1 AETNA GRP 113,258,761 %0.94 %88.6712 L H 119 HUMANA GRP 90,594,682 %0.75 %89.4213 L 1348 MEIJI YASUDA LIFE INS GRP 86,626,613 %0.72 %90.1414 H 12257 SAMARITAN HLTH PLANS INC 82,493,414 %0.68 %90.8215 L P 241 METROPOLITAN GRP 71,628,522 %0.59 %91.4116 L 370 AFLAC GRP 67,729,191 %0.56 %91.9817 L 261 MUTUAL OF OMAHA GRP 67,497,969 %0.56 %92.5418 L 565 UNUM GRP 65,657,964 %0.54 %93.0819 H 3503 WILLAMETTE DENTAL GRP 59,784,073 %0.50 %93.5820 H 47084 FAMILYCARE HLTH PLANS INC 41,857,206 %0.35 %93.9221 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 38,466,829 %0.32 %94.2422 L 429 GUARDIAN LIFE GRP 36,210,101 %0.30 %94.5423 H 12253 ALLCARE HLTH PLAN INC 36,063,706 %0.30 %94.8424 L 468 AEGON US HOLDING GRP 31,831,114 %0.26 %95.1125 L 4011 GENWORTH FIN GRP 29,018,983 %0.24 %95.3526 H 4667 CVS CAREMARK GRP 28,933,141 %0.24 %95.5927 L 332 PRINCIPAL FIN GRP 21,882,270 %0.18 %95.7728 L 860 NORTHWESTERN MUT GRP 21,644,231 %0.18 %95.9529 H 1189 VISION SERV PLAN GRP 20,452,200 %0.17 %96.1230 P 176 STATE FARM GRP 20,262,609 %0.17 %96.2931 L 549 SUN LIFE ASSUR CO OF CN GRP 19,906,106 %0.17 %96.4532 L 904 JOHN HANCOCK GRP 19,523,432 %0.16 %96.6133 L 20 LINCOLN NATL GRP 19,329,670 %0.16 %96.7734 H 12619 PIONEER EDUCATORS HLTH TRUST 16,985,019 %0.14 %96.9235 L 233 CNO FINANCIAL GRP 16,970,737 %0.14 %97.0636 L P 91 HARTFORD FIRE & CAS GRP 14,969,925 %0.12 %97.1837 L 330 AMERICAN FIDELITY CORP GRP 13,638,560 %0.11 %97.2938 L 943 AMERITAS MUT HOLDING GRP 13,076,587 %0.11 %97.4039 L H 1199 WELLCARE GRP 13,046,870 %0.11 %97.5140 L 1117 MANHATTAN LIFE GRP 12,539,746 %0.10 %97.6141 L P 3098 TOKIO MARINE HOLDINGS INC GRP 11,582,607 %0.10 %97.7142 L P 626 CHUBB LTD GRP 11,216,026 %0.09 %97.8043 L 869 MINNESOTA MUT GRP 10,983,272 %0.09 %97.8944 L 111 LIBERTY MUT GRP 10,511,735 %0.09 %97.9845 H 12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU 10,332,759 %0.09 %98.0746 L P 12 AMERICAN INTL GRP 10,221,708 %0.08 %98.1547 L 4855 SUMITOMO LIFE INS GRP 10,051,721 %0.08 %98.2448 L 304 PRUDENTIAL OF AMER GRP 9,697,489 %0.08 %98.3249 L 4832 VOYA FINANCIAL GRP 9,632,923 %0.08 %98.4050 H 12747 ENVISION INS CO 9,576,158 %0.08 %98.4851 L 4888 EQUITABLE FAMILY INS CO GRP 9,014,546 %0.07 %98.5552 L 661 BCBS OF SC GRP 8,741,675 %0.07 %98.6253 P 218 CNA INS GRP 7,804,656 %0.06 %98.6954 H 15937 MARQUIS ADVANTAGE HLTH PLAN 6,746,652 %0.06 %98.7455 L 290 TORCHMARK CORP GRP 6,101,935 %0.05 %98.7956 L 200 UNITED SERV AUTOMOBILE ASSN GRP 5,900,938 %0.05 %98.8457 L H 962 PREMERA BLUE CROSS GRP 5,724,559 %0.05 %98.8958 P 796 QBE INS GRP 5,477,055 %0.05 %98.9459 L 3527 AMERICAN ENTERPRISE MUT GRP 5,219,296 %0.04 %98.9860 L 8 ALLSTATE INS GRP 5,170,318 %0.04 %99.0261 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 5,036,535 %0.04 %99.0662 L 4 AMERIPRISE FIN GRP 4,991,394 %0.04 %99.1163 L 826 NEW YORK LIFE GRP 4,709,304 %0.04 %99.1464 L P 19 ASSURANT INC GRP 4,672,889 %0.04 %99.18
© 2018 National Association of Insurance Commissioners 93
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Oregon
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4824 ADVANTAGE CAPITAL GRP 4,650,761 %0.04 %99.2266 P 31 BERKSHIRE HATHAWAY GRP 4,627,801 %0.04 %99.2667 L 435 MASS MUT LIFE INS GRP 4,585,087 %0.04 %99.3068 H 4813 EXPRESS SCRIPTS HOLDING GRP 4,550,528 %0.04 %99.3469 L H 812 HIGHMARK GRP 3,943,998 %0.03 %99.3770 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,498,600 %0.03 %99.4071 L 264 HEALTHMARKETS GRP 3,430,905 %0.03 %99.4372 H 2479 DENTEGRA GRP 3,135,577 %0.03 %99.4573 L 2538 AMTRUST NGH GRP 2,855,606 %0.02 %99.4874 L 50 COUNTRY INS & FIN SERV GRP 2,690,460 %0.02 %99.5075 L 761 ALLIANZ INS GRP 2,546,678 %0.02 %99.5276 L 306 CUNA MUT GRP 2,272,559 %0.02 %99.5477 L 367 PHYSICIANS MUT GRP 2,179,379 %0.02 %99.5678 P 4886 BENCHMARK HOLDING GRP 2,127,068 %0.02 %99.5779 L 4815 RESOLUTION LIFE GRP 2,064,694 %0.02 %99.5980 L 574 AMERCO CORP GRP 2,038,072 %0.02 %99.6181 L 4639 RGA INC GRP 1,945,247 %0.02 %99.6282 P 361 MUNICH RE GRP 1,856,210 %0.02 %99.6483 L P 212 ZURICH INS GRP 1,839,532 %0.02 %99.6584 L P 450 GENEVE HOLDINGS INC GRP 1,682,996 %0.01 %99.6785 H 47490 DENTAL HEALTH SERVICES 1,540,371 %0.01 %99.6886 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,524,926 %0.01 %99.6987 L 451 FIDELITY SECURITY GRP 1,482,345 %0.01 %99.7188 P 1120 EVEREST REINS HOLDINGS GRP 1,471,443 %0.01 %99.7289 L 588 KANSAS CITY LIFE INS GRP 1,423,852 %0.01 %99.7390 L 781 UNION LABOR GRP 1,294,744 %0.01 %99.7491 L 572 BCBS OF MI GRP 1,284,878 %0.01 %99.7592 L 90638 BEST LIFE & HLTH INS CO 1,280,222 %0.01 %99.7693 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,106,502 %0.01 %99.7794 L P 181 SWISS RE GRP 1,054,717 %0.01 %99.7895 L P 23 BCS INS GRP 1,040,249 %0.01 %99.7996 L 1186 LIFETIME HLTHCARE GRP 1,019,359 %0.01 %99.8097 L 687 GUARANTEE TRUST GRP 975,165 %0.01 %99.8198 L P 98 WR BERKLEY CORP GRP 970,823 %0.01 %99.8199 P 158 FAIRFAX FIN GRP 956,800 %0.01 %99.82
100 H 477 RENAISSANCE HLTH SERV CORP GRP 910,378 %0.01 %99.83101 L 11121 UNIFIED LIFE INS CO 906,841 %0.01 %99.84102 L 4483 NESTLE SA GRP 891,789 %0.01 %99.84103 P 3416 AXIS CAPITAL GRP 881,487 %0.01 %99.85104 L 4736 GGC GRP 822,909 %0.01 %99.86105 L 4712 GPM LIFE GRP 764,464 %0.01 %99.86106 L 408 AMERICAN NATL FIN GRP 708,861 %0.01 %99.87107 L 71404 CONTINENTAL GEN INS CO 695,098 %0.01 %99.88108 L P 84 AMERICAN FINANCIAL GRP 667,520 %0.01 %99.88109 F 58033 KNIGHTS OF COLUMBUS 635,653 %0.01 %99.89110 P 4904 INTACT FINANCIAL GRP 628,605 %0.01 %99.89111 L 769 GREAT WEST GRP 617,959 %0.01 %99.90112 L 4862 ASSURITY GRP 614,878 %0.01 %99.90113 L 525 PAN AMER LIFE GRP 552,591 %- %99.91114 L 4853 AAA LIFE GRP 548,733 %- %99.91115 L 458 PROTECTIVE LIFE INS GRP 534,112 %- %99.92116 L 276 TRUSTMARK MUT HOLDING CO GRP 503,122 %- %99.92117 L 704 OHIO NATL LIFE GRP 482,626 %- %99.92118 L H 917 HCSC GRP 479,967 %- %99.93119 H 47006 ADVANTAGE DENTAL PLAN INC 472,067 %- %99.93120 L P 140 NATIONWIDE CORP GRP 449,482 %- %99.94121 P 27928 AMEX ASSUR CO 433,469 %- %99.94122 L 918 JACKSON NATL GRP 390,182 %- %99.94123 L 76325 SENIOR HLTH INS CO OF PA 377,181 %- %99.95124 L 69132 STATE MUT INS CO 364,945 %- %99.95125 P 4863 CHINA MINSHENG GRP 359,911 %- %99.95
**TOTAL** 12,053,273,822 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 94
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Pennsylvania
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H P 812 HIGHMARK GRP 11,024,556,030 %22.00 %22.002 H 936 INDEPENDENCE HLTH GRP INC GRP 9,994,550,191 %19.94 %41.943 H P 1324 UPMC HLTH SYSTEM GRP 7,219,863,713 %14.41 %56.344 L H 1 AETNA GRP 5,358,733,651 %10.69 %67.035 L H 707 UNITEDHEALTH GRP 3,235,165,796 %6.45 %73.496 H 1143 GEISINGER INS GRP 2,867,718,120 %5.72 %79.217 H 1230 CAPITAL BLUE CROSS GRP 2,385,141,266 %4.76 %83.978 H 95066 HEALTH PARTNERS PLANS INC 2,032,431,450 %4.06 %88.029 L H 901 CIGNA HLTH GRP 1,126,883,356 %2.25 %90.27
10 L H 119 HUMANA GRP 601,900,576 %1.20 %91.4711 H 1260 MAGELLAN HLTH INC GRP 492,351,516 %0.98 %92.4612 L H 241 METROPOLITAN GRP 309,384,835 %0.62 %93.0713 L 565 UNUM GRP 238,272,648 %0.48 %93.5514 L 370 AFLAC GRP 209,921,674 %0.42 %93.9715 H 2479 DENTEGRA GRP 200,159,007 %0.40 %94.3716 H 4667 CVS CAREMARK GRP 154,255,576 %0.31 %94.6717 L 429 GUARDIAN LIFE GRP 151,001,970 %0.30 %94.9818 L 261 MUTUAL OF OMAHA GRP 126,519,128 %0.25 %95.2319 L 4011 GENWORTH FIN GRP 120,428,171 %0.24 %95.4720 L 549 SUN LIFE ASSUR CO OF CN GRP 118,233,848 %0.24 %95.7021 L 233 CNO FINANCIAL GRP 104,109,407 %0.21 %95.9122 L P 3098 TOKIO MARINE HOLDINGS INC GRP 94,892,696 %0.19 %96.1023 L P 91 HARTFORD FIRE & CAS GRP 75,220,159 %0.15 %96.2524 L 904 JOHN HANCOCK GRP 68,043,016 %0.14 %96.3925 L P 626 CHUBB LTD GRP 67,367,503 %0.13 %96.5226 L 304 PRUDENTIAL OF AMER GRP 65,785,841 %0.13 %96.6527 L 520 NEW ERA LIFE GRP 64,347,109 %0.13 %96.7828 L 860 NORTHWESTERN MUT GRP 63,745,201 %0.13 %96.9129 H 4813 EXPRESS SCRIPTS HOLDING GRP 63,582,354 %0.13 %97.0430 L P 468 AEGON US HOLDING GRP 59,369,171 %0.12 %97.1531 H 1189 VISION SERV PLAN GRP 59,219,614 %0.12 %97.2732 L 332 PRINCIPAL FIN GRP 56,904,493 %0.11 %97.3933 L 20 LINCOLN NATL GRP 56,647,736 %0.11 %97.5034 L H 1199 WELLCARE GRP 54,616,938 %0.11 %97.6135 L P 12 AMERICAN INTL GRP 51,148,648 %0.10 %97.7136 L P 111 LIBERTY MUT GRP 49,714,466 %0.10 %97.8137 L P 19 ASSURANT INC GRP 48,810,146 %0.10 %97.9138 P 176 STATE FARM GRP 46,029,390 %0.09 %98.0039 L 1348 MEIJI YASUDA LIFE INS GRP 45,015,426 %0.09 %98.0940 L 435 MASS MUT LIFE INS GRP 39,875,608 %0.08 %98.1741 H 12747 ENVISION INS CO 34,132,028 %0.07 %98.2442 P 218 CNA INS GRP 32,134,655 %0.06 %98.3043 L 661 BCBS OF SC GRP 30,593,053 %0.06 %98.3644 L 8 ALLSTATE INS GRP 29,616,182 %0.06 %98.4245 H 4696 VISION BENEFITS GRP 29,334,824 %0.06 %98.4846 L 4832 VOYA FINANCIAL GRP 29,178,800 %0.06 %98.5447 H 965 FHC HLTH SYSTEMS GRP 26,866,800 %0.05 %98.5948 L 3527 AMERICAN ENTERPRISE MUT GRP 25,525,775 %0.05 %98.6449 L 451 FIDELITY SECURITY GRP 24,316,897 %0.05 %98.6950 L 4483 NESTLE SA GRP 24,271,089 %0.05 %98.7451 L 290 TORCHMARK CORP GRP 23,641,272 %0.05 %98.7952 L 4855 SUMITOMO LIFE INS GRP 23,426,418 %0.05 %98.8353 L 839 WESTBRIDGE CAPITAL GRP 19,266,130 %0.04 %98.8754 L 4 AMERIPRISE FIN GRP 17,977,365 %0.04 %98.9155 L 943 AMERITAS MUT HOLDING GRP 17,790,426 %0.04 %98.9456 L 1117 MANHATTAN LIFE GRP 17,552,073 %0.04 %98.9857 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 17,082,448 %0.03 %99.0158 L 276 TRUSTMARK MUT HOLDING CO GRP 16,015,218 %0.03 %99.0459 L F 4616 EVERENCE GRP 15,907,029 %0.03 %99.0760 L 826 NEW YORK LIFE GRP 15,700,293 %0.03 %99.1161 L P 140 NATIONWIDE CORP GRP 15,294,895 %0.03 %99.1462 L P 7 FEDERATED MUT GRP 15,280,989 %0.03 %99.1763 L 330 AMERICAN FIDELITY CORP GRP 15,206,483 %0.03 %99.2064 P 158 FAIRFAX FIN GRP 15,014,774 %0.03 %99.23
© 2018 National Association of Insurance Commissioners 95
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Pennsylvania
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 31 BERKSHIRE HATHAWAY GRP 14,512,577 %0.03 %99.2666 L 264 HEALTHMARKETS GRP 12,972,271 %0.03 %99.2867 L 98 WR BERKLEY CORP GRP 12,879,262 %0.03 %99.3168 L 619 ONEAMERICA FIN PARTNERS GRP 12,799,533 %0.03 %99.3369 L P 450 GENEVE HOLDINGS INC GRP 12,489,334 %0.02 %99.3670 P 4381 HOUSTON INTL INS GRP 12,359,191 %0.02 %99.3871 L P 23 BCS INS GRP 12,284,958 %0.02 %99.4172 L 306 CUNA MUT GRP 11,779,466 %0.02 %99.4373 L 869 MINNESOTA MUT GRP 11,358,026 %0.02 %99.4574 L P 181 SWISS RE GRP 10,763,795 %0.02 %99.4775 L P 212 ZURICH INS GRP 10,584,075 %0.02 %99.5076 P 3416 AXIS CAPITAL GRP 10,485,392 %0.02 %99.5277 L 76325 SENIOR HLTH INS CO OF PA 10,249,032 %0.02 %99.5478 L P 761 ALLIANZ INS GRP 9,755,391 %0.02 %99.5679 L 2538 AMTRUST NGH GRP 9,744,902 %0.02 %99.5880 L 200 UNITED SERV AUTOMOBILE ASSN GRP 8,946,040 %0.02 %99.5981 L 1211 NATIONAL GUARDIAN LIFE INS GRP 8,330,839 %0.02 %99.6182 L 61921 CITIZENS SECURITY LIFE INS CO 8,141,284 %0.02 %99.6383 L 587 ATLANTIC AMER GRP 7,491,151 %0.01 %99.6484 L H 917 HCSC GRP 6,814,542 %0.01 %99.6685 H 4881 M MELE GRP 6,184,042 %0.01 %99.6786 L 687 GUARANTEE TRUST GRP 6,036,392 %0.01 %99.6887 L 4862 ASSURITY GRP 6,032,090 %0.01 %99.6988 L 71404 CONTINENTAL GEN INS CO 5,844,604 %0.01 %99.7089 L 367 PHYSICIANS MUT GRP 5,803,260 %0.01 %99.7290 H 477 RENAISSANCE HLTH SERV CORP GRP 5,767,765 %0.01 %99.7391 P 313 AEGIS GRP 5,556,514 %0.01 %99.7492 F 57657 ROYAL NEIGHBORS OF AMER 5,242,136 %0.01 %99.7593 P 796 QBE INS GRP 5,229,317 %0.01 %99.7694 P 361 MUNICH RE GRP 4,846,254 %0.01 %99.7795 L 968 AXA INS GRP 4,704,196 %0.01 %99.7896 L 42129 UNITED SECURITY ASSUR CO OF PA 4,583,161 %0.01 %99.7997 L 581 BOSTON MUT GRP 4,010,723 %0.01 %99.7998 H 4842 PROVIDER PARTNERS HLTH GRP 4,010,076 %0.01 %99.8099 L 781 UNION LABOR GRP 3,845,894 %0.01 %99.81
100 L 4853 AAA LIFE GRP 3,717,393 %0.01 %99.82101 L 11121 UNIFIED LIFE INS CO 3,708,828 %0.01 %99.83102 P 4863 CHINA MINSHENG GRP 3,619,156 %0.01 %99.83103 L P 84 AMERICAN FINANCIAL GRP 3,259,704 %0.01 %99.84104 L 1186 LIFETIME HLTHCARE GRP 3,249,397 %0.01 %99.85105 L 4736 GGC GRP 3,191,380 %0.01 %99.85106 L 769 GREAT WEST GRP 3,151,017 %0.01 %99.86107 P 4904 INTACT FINANCIAL GRP 2,723,220 %0.01 %99.86108 L 4815 RESOLUTION LIFE GRP 2,716,342 %0.01 %99.87109 L 4718 TIPTREE FIN GRP 2,712,850 %0.01 %99.87110 F 56227 KSKJ LIFE AMER SLOVENIAN CATHOLIC UN 2,607,634 %0.01 %99.88111 P 1120 EVEREST REINS HOLDINGS GRP 2,555,649 %0.01 %99.88112 L 408 AMERICAN NATL FIN GRP 2,487,202 %- %99.89113 L 4888 EQUITABLE FAMILY INS CO GRP 2,381,055 %- %99.89114 L H 4719 AMFIRST HOLDINGS GRP 2,221,588 %- %99.90115 P 1285 XL AMER GRP 2,101,465 %- %99.90116 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 2,030,695 %- %99.91117 F 56499 ASSURED LIFE ASSN 1,984,650 %- %99.91118 L 704 OHIO NATL LIFE GRP 1,969,527 %- %99.92119 L 64580 ILLINOIS MUT LIFE INS CO 1,904,451 %- %99.92120 P 27928 AMEX ASSUR CO 1,771,835 %- %99.92121 L 458 PROTECTIVE LIFE INS GRP 1,722,413 %- %99.93122 L 588 KANSAS CITY LIFE INS GRP 1,709,218 %- %99.93123 P 3483 PARTNERRE GRP 1,696,615 %- %99.93124 L 690 CENTRAL STATES GRP 1,604,998 %- %99.94125 F 58033 KNIGHTS OF COLUMBUS 1,511,295 %- %99.94
**TOTAL** 50,120,465,184 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 96
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Rhode Island
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 53473 BCBS OF RI 1,720,654,719 %37.38 %37.382 H 95402 NEIGHBORHOOD HLTH PLAN OF RI INC 1,365,941,326 %29.67 %67.053 L H 707 UNITEDHEALTH GRP 1,034,825,293 %22.48 %89.534 H 1571 DELTA DENTAL OF RI GRP 97,522,483 %2.12 %91.655 H 4742 TUFTS GRP 68,537,899 %1.49 %93.146 L H 901 CIGNA HLTH GRP 26,991,014 %0.59 %93.737 H 1189 VISION SERV PLAN GRP 26,494,188 %0.58 %94.308 L P 241 METROPOLITAN GRP 25,642,237 %0.56 %94.869 L 1 AETNA GRP 21,602,710 %0.47 %95.33
10 L H 119 HUMANA GRP 17,820,599 %0.39 %95.7211 L 565 UNUM GRP 17,419,735 %0.38 %96.1012 L 370 AFLAC GRP 17,387,940 %0.38 %96.4713 L 661 BCBS OF SC GRP 14,566,551 %0.32 %96.7914 H 4667 CVS CAREMARK GRP 10,279,122 %0.22 %97.0115 L 4011 GENWORTH FIN GRP 9,712,047 %0.21 %97.2216 L 233 CNO FINANCIAL GRP 9,379,135 %0.20 %97.4317 L 549 SUN LIFE ASSUR CO OF CN GRP 8,799,847 %0.19 %97.6218 L 904 JOHN HANCOCK GRP 7,688,954 %0.17 %97.7919 L P 626 CHUBB LTD GRP 7,169,125 %0.16 %97.9420 L 860 NORTHWESTERN MUT GRP 6,905,241 %0.15 %98.0921 L 1348 MEIJI YASUDA LIFE INS GRP 6,360,188 %0.14 %98.2322 L P 12 AMERICAN INTL GRP 5,932,948 %0.13 %98.3623 L P 91 HARTFORD FIRE & CAS GRP 4,501,671 %0.10 %98.4624 L 4832 VOYA FINANCIAL GRP 4,373,490 %0.10 %98.5525 L P 468 AEGON US HOLDING GRP 4,327,698 %0.09 %98.6526 L 261 MUTUAL OF OMAHA GRP 4,155,786 %0.09 %98.7427 L H 1199 WELLCARE GRP 4,147,228 %0.09 %98.8328 L 429 GUARDIAN LIFE GRP 3,666,692 %0.08 %98.9129 L 304 PRUDENTIAL OF AMER GRP 3,298,351 %0.07 %98.9830 L 435 MASS MUT LIFE INS GRP 3,284,480 %0.07 %99.0531 L 3098 TOKIO MARINE HOLDINGS INC GRP 3,255,705 %0.07 %99.1232 L 111 LIBERTY MUT GRP 3,083,326 %0.07 %99.1933 L 332 PRINCIPAL FIN GRP 2,516,746 %0.05 %99.2434 L 8 ALLSTATE INS GRP 1,939,971 %0.04 %99.2835 L 20 LINCOLN NATL GRP 1,887,937 %0.04 %99.3236 L P 23 BCS INS GRP 1,881,649 %0.04 %99.3737 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,797,436 %0.04 %99.4038 L H 812 HIGHMARK GRP 1,785,149 %0.04 %99.4439 L 4 AMERIPRISE FIN GRP 1,687,719 %0.04 %99.4840 L 290 TORCHMARK CORP GRP 1,325,820 %0.03 %99.5141 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,288,786 %0.03 %99.5442 L 4855 SUMITOMO LIFE INS GRP 1,218,647 %0.03 %99.5643 L 826 NEW YORK LIFE GRP 1,205,380 %0.03 %99.5944 H 2479 DENTEGRA GRP 1,129,203 %0.02 %99.6145 L 98 WR BERKLEY CORP GRP 1,057,808 %0.02 %99.6446 L P 31 BERKSHIRE HATHAWAY GRP 1,018,428 %0.02 %99.6647 H 4813 EXPRESS SCRIPTS HOLDING GRP 1,002,936 %0.02 %99.6848 L P 761 ALLIANZ INS GRP 903,326 %0.02 %99.7049 H 12747 ENVISION INS CO 861,248 %0.02 %99.7250 L P 19 ASSURANT INC GRP 817,258 %0.02 %99.7451 L 943 AMERITAS MUT HOLDING GRP 770,991 %0.02 %99.7552 L P 212 ZURICH INS GRP 731,393 %0.02 %99.7753 P 218 CNA INS GRP 714,265 %0.02 %99.7954 L 306 CUNA MUT GRP 682,053 %0.01 %99.8055 L 581 BOSTON MUT GRP 633,190 %0.01 %99.8156 L 276 TRUSTMARK MUT HOLDING CO GRP 598,006 %0.01 %99.8357 L 4815 RESOLUTION LIFE GRP 571,113 %0.01 %99.8458 L 264 HEALTHMARKETS GRP 521,385 %0.01 %99.8559 L P 181 SWISS RE GRP 490,523 %0.01 %99.8660 L 869 MINNESOTA MUT GRP 486,535 %0.01 %99.8761 F 58009 POLICE & FIREMENS INS ASSN 483,344 %0.01 %99.8862 L 330 AMERICAN FIDELITY CORP GRP 471,894 %0.01 %99.8963 P 3416 AXIS CAPITAL GRP 383,653 %0.01 %99.9064 H 477 RENAISSANCE HLTH SERV CORP GRP 370,948 %0.01 %99.91
© 2018 National Association of Insurance Commissioners 97
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Rhode Island
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4862 ASSURITY GRP 366,997 %0.01 %99.9266 P 361 MUNICH RE GRP 257,689 %0.01 %99.9267 L 769 GREAT WEST GRP 249,024 %0.01 %99.9368 L 1117 MANHATTAN LIFE GRP 242,751 %0.01 %99.9369 P 1285 XL AMER GRP 235,521 %0.01 %99.9470 P 27928 AMEX ASSUR CO 199,674 %- %99.9471 L 634 NATIONAL LIFE GRP 195,505 %- %99.9572 L 1186 LIFETIME HLTHCARE GRP 160,711 %- %99.9573 L 687 GUARANTEE TRUST GRP 157,954 %- %99.9574 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 139,947 %- %99.9675 L 619 ONEAMERICA FIN PARTNERS GRP 131,664 %- %99.9676 L 704 OHIO NATL LIFE GRP 126,035 %- %99.9677 L 408 AMERICAN NATL FIN GRP 105,636 %- %99.9678 L 572 BCBS OF MI GRP 99,991 %- %99.9779 L 4712 GPM LIFE GRP 99,215 %- %99.9780 L 367 PHYSICIANS MUT GRP 97,819 %- %99.9781 F 58033 KNIGHTS OF COLUMBUS 95,994 %- %99.9782 L 781 UNION LABOR GRP 90,304 %- %99.9883 P 796 QBE INS GRP 84,475 %- %99.9884 P 158 FAIRFAX FIN GRP 75,359 %- %99.9885 L 968 AXA INS GRP 74,659 %- %99.9886 L 1216 TIAA FAMILY GRP 71,835 %- %99.9887 L 440 REGAL REINS GRP 64,058 %- %99.9888 L 918 JACKSON NATL GRP 60,926 %- %99.9889 P 4670 STARR GRP 57,180 %- %99.9990 L 4734 ATHENE GRP 56,483 %- %99.9991 L 4483 NESTLE SA GRP 54,499 %- %99.9992 L 917 HCSC GRP 51,019 %- %99.9993 P 785 MARKEL CORP GRP 45,573 %- %99.9994 L 4716 FORTRESS GRP 44,404 %- %99.9995 L 76325 SENIOR HLTH INS CO OF PA 43,735 %- %99.9996 L 3527 AMERICAN ENTERPRISE MUT GRP 43,118 %- %99.9997 L 458 PROTECTIVE LIFE INS GRP 42,811 %- %99.9998 L 60216 AMALGAMATED LIFE INS CO 42,134 %- %100.0099 P 37540 BEAZLEY INS CO INC 36,981 %- %100.00
100 L 68772 SECURITY MUT LIFE INS CO OF NY 35,412 %- %100.00101 L P 450 GENEVE HOLDINGS INC GRP 33,979 %- %100.00102 L 876 ARKANSAS BCBS GRP 33,386 %- %100.00103 L 64580 ILLINOIS MUT LIFE INS CO 31,129 %- %100.00104 P 1279 ARCH INS GRP 31,022 %- %100.00105 L 4736 GGC GRP 30,601 %- %100.00106 L 350 GENERAL ELECTRIC GRP 30,320 %- %100.00107 L 574 AMERCO CORP GRP 25,910 %- %100.00108 L 7 FEDERATED MUT GRP 24,060 %- %100.00109 L 850 PENN MUT GRP 22,888 %- %100.00110 L 525 PAN AMER LIFE GRP 21,207 %- %100.00111 L 300 HORACE MANN GRP 19,840 %- %100.00112 L 4213 WILTON RE GRP 18,628 %- %100.00113 L 4853 AAA LIFE GRP 18,408 %- %100.00114 L 71404 CONTINENTAL GEN INS CO 17,832 %- %100.00115 L 3891 GOLDMAN SACHS GRP 16,634 %- %100.00116 L 11121 UNIFIED LIFE INS CO 15,545 %- %100.00117 L 62928 EMC NATL LIFE CO 13,563 %- %100.00118 P 4904 INTACT FINANCIAL GRP 13,465 %- %100.00119 F 56456 UNITED STATES LETTER CARRIERS MUT BE 11,006 %- %100.00120 L 84 AMERICAN FINANCIAL GRP 9,244 %- %100.00121 L 88668 MUTUAL OF AMER LIFE INS CO 9,037 %- %100.00122 L 2538 AMTRUST NGH GRP 8,745 %- %100.00123 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 7,754 %- %100.00124 L 671 ANTHEM INC GRP 6,254 %- %100.00125 L P 169 SENTRY INS GRP 6,172 %- %100.00
**TOTAL** 4,603,149,411 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 98
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
South Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 661 BCBS OF SC GRP 4,125,322,424 %34.27 %34.272 L H 707 UNITEDHEALTH GRP 2,178,130,435 %18.09 %52.363 H 936 INDEPENDENCE HLTH GRP INC GRP 1,364,403,736 %11.33 %63.704 L H 119 HUMANA GRP 1,042,712,054 %8.66 %72.365 H 1295 CENTENE CORP GRP 529,641,841 %4.40 %76.766 H 1531 MOLINA HEALTHCARE INC GRP 465,054,206 %3.86 %80.627 L H 1199 WELLCARE GRP 389,357,908 %3.23 %83.868 L H 1 AETNA GRP 299,639,172 %2.49 %86.359 L H 901 CIGNA HLTH GRP 282,759,623 %2.35 %88.70
10 L 565 UNUM GRP 86,633,910 %0.72 %89.4211 L 261 MUTUAL OF OMAHA GRP 80,276,578 %0.67 %90.0812 L 370 AFLAC GRP 78,808,646 %0.65 %90.7413 L H 241 METROPOLITAN GRP 77,278,386 %0.64 %91.3814 L 429 GUARDIAN LIFE GRP 61,286,952 %0.51 %91.8915 H 4667 CVS CAREMARK GRP 56,664,710 %0.47 %92.3616 L 4011 GENWORTH FIN GRP 46,705,277 %0.39 %92.7517 L P 468 AEGON US HOLDING GRP 35,959,032 %0.30 %93.0518 L 904 JOHN HANCOCK GRP 29,888,957 %0.25 %93.2919 L 20 LINCOLN NATL GRP 28,429,163 %0.24 %93.5320 L 233 CNO FINANCIAL GRP 28,132,081 %0.23 %93.7621 L 860 NORTHWESTERN MUT GRP 25,905,885 %0.22 %93.9822 L 8 ALLSTATE INS GRP 25,453,509 %0.21 %94.1923 L 1348 MEIJI YASUDA LIFE INS GRP 24,825,850 %0.21 %94.4024 L 111 LIBERTY MUT GRP 24,518,508 %0.20 %94.6025 L 304 PRUDENTIAL OF AMER GRP 24,316,092 %0.20 %94.8026 L 549 SUN LIFE ASSUR CO OF CN GRP 23,790,429 %0.20 %95.0027 L P 91 HARTFORD FIRE & CAS GRP 23,719,628 %0.20 %95.2028 L P 31 BERKSHIRE HATHAWAY GRP 22,784,854 %0.19 %95.3929 L 332 PRINCIPAL FIN GRP 22,581,336 %0.19 %95.5730 L P 3098 TOKIO MARINE HOLDINGS INC GRP 22,425,732 %0.19 %95.7631 L P 12 AMERICAN INTL GRP 21,606,354 %0.18 %95.9432 H 3680 DELTA DENTAL PLAN OF MO GRP 20,424,759 %0.17 %96.1133 L 276 TRUSTMARK MUT HOLDING CO GRP 19,948,297 %0.17 %96.2734 L 4832 VOYA FINANCIAL GRP 19,074,140 %0.16 %96.4335 P 176 STATE FARM GRP 18,437,385 %0.15 %96.5936 L 520 NEW ERA LIFE GRP 18,147,917 %0.15 %96.7437 L 943 AMERITAS MUT HOLDING GRP 15,173,629 %0.13 %96.8638 L 435 MASS MUT LIFE INS GRP 14,695,076 %0.12 %96.9939 L 1117 MANHATTAN LIFE GRP 13,201,040 %0.11 %97.0940 L 290 TORCHMARK CORP GRP 12,833,511 %0.11 %97.2041 L P 626 CHUBB LTD GRP 11,795,700 %0.10 %97.3042 L H 812 HIGHMARK GRP 11,530,541 %0.10 %97.4043 L P 19 ASSURANT INC GRP 11,230,704 %0.09 %97.4944 L 839 WESTBRIDGE CAPITAL GRP 10,192,321 %0.08 %97.5745 H 4813 EXPRESS SCRIPTS HOLDING GRP 9,485,300 %0.08 %97.6546 H 1189 VISION SERV PLAN GRP 9,400,190 %0.08 %97.7347 L 3527 AMERICAN ENTERPRISE MUT GRP 9,294,402 %0.08 %97.8148 L 4483 NESTLE SA GRP 9,072,813 %0.08 %97.8849 L 869 MINNESOTA MUT GRP 9,054,170 %0.08 %97.9650 L 98 WR BERKLEY CORP GRP 7,993,692 %0.07 %98.0251 H 12747 ENVISION INS CO 7,787,462 %0.06 %98.0952 L P 7 FEDERATED MUT GRP 7,678,011 %0.06 %98.1553 H 4755 AMERICAS 1ST CHOICE GRP 7,674,047 %0.06 %98.2254 L 367 PHYSICIANS MUT GRP 7,293,863 %0.06 %98.2855 L 200 UNITED SERV AUTOMOBILE ASSN GRP 7,106,191 %0.06 %98.3456 L 826 NEW YORK LIFE GRP 6,948,608 %0.06 %98.3957 L 4855 SUMITOMO LIFE INS GRP 6,725,284 %0.06 %98.4558 L P 23 BCS INS GRP 6,635,295 %0.06 %98.5059 P 158 FAIRFAX FIN GRP 6,505,463 %0.05 %98.5660 L 2538 AMTRUST NGH GRP 6,142,906 %0.05 %98.6161 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,134,198 %0.05 %98.6662 L 306 CUNA MUT GRP 5,561,945 %0.05 %98.7163 L 451 FIDELITY SECURITY GRP 5,330,385 %0.04 %98.7564 L 330 AMERICAN FIDELITY CORP GRP 5,194,512 %0.04 %98.79
© 2018 National Association of Insurance Commissioners 99
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
South Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,948,364 %0.04 %98.8466 L 4888 EQUITABLE FAMILY INS CO GRP 4,897,277 %0.04 %98.8867 P 218 CNA INS GRP 4,885,727 %0.04 %98.9268 L 3891 GOLDMAN SACHS GRP 4,867,351 %0.04 %98.9669 L 4 AMERIPRISE FIN GRP 4,733,346 %0.04 %99.0070 H 477 RENAISSANCE HLTH SERV CORP GRP 4,681,293 %0.04 %99.0471 H 2479 DENTEGRA GRP 4,058,711 %0.03 %99.0772 L 61921 CITIZENS SECURITY LIFE INS CO 3,977,535 %0.03 %99.1073 L 66214 HEARTLAND NATL LIFE INS CO 3,761,092 %0.03 %99.1374 L 761 ALLIANZ INS GRP 3,697,709 %0.03 %99.1675 H 4874 A1C HOLDINGS GRP 3,689,685 %0.03 %99.1976 L 619 ONEAMERICA FIN PARTNERS GRP 3,669,153 %0.03 %99.2377 L 264 HEALTHMARKETS GRP 3,403,608 %0.03 %99.2578 L 687 GUARANTEE TRUST GRP 3,387,338 %0.03 %99.2879 L 215 KEMPER CORP GRP 3,235,474 %0.03 %99.3180 L P 140 NATIONWIDE CORP GRP 3,204,939 %0.03 %99.3481 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,172,720 %0.03 %99.3682 L 4734 ATHENE GRP 2,999,730 %0.02 %99.3983 L P 212 ZURICH INS GRP 2,987,465 %0.02 %99.4184 L 587 ATLANTIC AMER GRP 2,955,716 %0.02 %99.4485 L 4712 GPM LIFE GRP 2,904,597 %0.02 %99.4686 P 796 QBE INS GRP 2,827,554 %0.02 %99.4887 L 71404 CONTINENTAL GEN INS CO 2,766,497 %0.02 %99.5188 L P 181 SWISS RE GRP 2,634,887 %0.02 %99.5389 L 574 AMERCO CORP GRP 2,484,238 %0.02 %99.5590 L 4736 GGC GRP 2,464,518 %0.02 %99.5791 L 588 KANSAS CITY LIFE INS GRP 2,462,875 %0.02 %99.5992 H 4719 AMFIRST HOLDINGS GRP 2,359,922 %0.02 %99.6193 L 525 PAN AMER LIFE GRP 2,216,361 %0.02 %99.6394 L P 450 GENEVE HOLDINGS INC GRP 2,188,517 %0.02 %99.6595 L 408 AMERICAN NATL FIN GRP 1,893,157 %0.02 %99.6696 P 1285 XL AMER GRP 1,884,108 %0.02 %99.6897 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,821,469 %0.02 %99.6998 P 361 MUNICH RE GRP 1,746,701 %0.01 %99.7199 P 4863 CHINA MINSHENG GRP 1,689,815 %0.01 %99.72
100 F 56693 GCU 1,561,246 %0.01 %99.73101 P 1279 ARCH INS GRP 1,477,761 %0.01 %99.75102 L 90638 BEST LIFE & HLTH INS CO 1,425,699 %0.01 %99.76103 L H 917 HCSC GRP 1,397,175 %0.01 %99.77104 L 65412 LIFE INS CO OF AL 1,353,338 %0.01 %99.78105 L 4862 ASSURITY GRP 1,234,458 %0.01 %99.79106 L 769 GREAT WEST GRP 1,189,553 %0.01 %99.80107 L 1186 LIFETIME HLTHCARE GRP 1,111,472 %0.01 %99.81108 L 81264 NIPPON LIFE INS CO OF AMER 1,093,820 %0.01 %99.82109 L 11121 UNIFIED LIFE INS CO 1,050,730 %0.01 %99.83110 L 76325 SENIOR HLTH INS CO OF PA 1,001,041 %0.01 %99.84111 P 3416 AXIS CAPITAL GRP 983,350 %0.01 %99.84112 L 4213 WILTON RE GRP 874,165 %0.01 %99.85113 P 1120 EVEREST REINS HOLDINGS GRP 835,100 %0.01 %99.86114 F 58033 KNIGHTS OF COLUMBUS 814,945 %0.01 %99.87115 P 27928 AMEX ASSUR CO 810,499 %0.01 %99.87116 P 4381 HOUSTON INTL INS GRP 776,543 %0.01 %99.88117 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 740,656 %0.01 %99.89118 L P 84 AMERICAN FINANCIAL GRP 645,152 %0.01 %99.89119 L 2858 HOMESHIELD CAPITAL GRP 638,419 %0.01 %99.90120 L 968 AXA INS GRP 633,779 %0.01 %99.90121 L 64580 ILLINOIS MUT LIFE INS CO 617,457 %0.01 %99.91122 L 69132 STATE MUT INS CO 610,865 %0.01 %99.91123 F 57320 WOODMEN WORLD LIFE INS SOC 603,725 %0.01 %99.92124 L 4815 RESOLUTION LIFE GRP 580,930 %- %99.92125 L 4853 AAA LIFE GRP 561,918 %- %99.93
**TOTAL** 12,037,842,600 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 100
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
South Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 770 WELLMARK INC GRP 784,019,413 %38.86 %38.862 H 95839 AVERA HLTH PLANS INC 248,778,893 %12.33 %51.193 H 1246 SANFORD HLTH GRP 171,938,567 %8.52 %59.714 H 1552 MEDICA GRP 148,612,064 %7.37 %67.085 L H 119 HUMANA GRP 75,242,740 %3.73 %70.806 H 54097 DELTA DENTAL PLAN OF SD 59,268,826 %2.94 %73.747 L 370 AFLAC GRP 58,836,101 %2.92 %76.668 H 96598 SOUTH DAKOTA STATE MED HOLDING CO 56,912,076 %2.82 %79.489 L 233 CNO FINANCIAL GRP 43,056,016 %2.13 %81.61
10 L H 707 UNITEDHEALTH GRP 37,850,928 %1.88 %83.4911 L 261 MUTUAL OF OMAHA GRP 35,574,572 %1.76 %85.2512 L H 1 AETNA GRP 33,322,273 %1.65 %86.9013 L 565 UNUM GRP 16,949,929 %0.84 %87.7414 H 4667 CVS CAREMARK GRP 13,426,327 %0.67 %88.4115 L H 901 CIGNA HLTH GRP 13,235,160 %0.66 %89.0616 L P 241 METROPOLITAN GRP 13,108,427 %0.65 %89.7117 L 4011 GENWORTH FIN GRP 11,964,745 %0.59 %90.3118 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 10,345,796 %0.51 %90.8219 H 1189 VISION SERV PLAN GRP 9,782,759 %0.48 %91.3020 L 860 NORTHWESTERN MUT GRP 8,210,742 %0.41 %91.7121 P 176 STATE FARM GRP 8,159,604 %0.40 %92.1222 L P 468 AEGON US HOLDING GRP 8,020,815 %0.40 %92.5123 L 332 PRINCIPAL FIN GRP 7,967,750 %0.39 %92.9124 L 290 TORCHMARK CORP GRP 6,848,345 %0.34 %93.2525 L P 3098 TOKIO MARINE HOLDINGS INC GRP 5,740,529 %0.28 %93.5326 L 20 LINCOLN NATL GRP 5,697,390 %0.28 %93.8127 L P 626 CHUBB LTD GRP 5,438,797 %0.27 %94.0828 L 4832 VOYA FINANCIAL GRP 5,245,270 %0.26 %94.3429 L 904 JOHN HANCOCK GRP 5,175,601 %0.26 %94.6030 L 367 PHYSICIANS MUT GRP 4,917,842 %0.24 %94.8431 L P 7 FEDERATED MUT GRP 4,592,592 %0.23 %95.0732 L 8 ALLSTATE INS GRP 4,514,539 %0.22 %95.3033 L 826 NEW YORK LIFE GRP 4,509,810 %0.22 %95.5234 L 4824 ADVANTAGE CAPITAL GRP 4,446,905 %0.22 %95.7435 L 4483 NESTLE SA GRP 3,943,503 %0.20 %95.9436 L 549 SUN LIFE ASSUR CO OF CN GRP 3,899,616 %0.19 %96.1337 L 1348 MEIJI YASUDA LIFE INS GRP 3,486,579 %0.17 %96.3038 L 429 GUARDIAN LIFE GRP 3,373,969 %0.17 %96.4739 L 687 GUARANTEE TRUST GRP 3,175,502 %0.16 %96.6340 L 91 HARTFORD FIRE & CAS GRP 3,166,067 %0.16 %96.7841 L P 19 ASSURANT INC GRP 3,086,477 %0.15 %96.9442 L 3527 AMERICAN ENTERPRISE MUT GRP 2,800,739 %0.14 %97.0743 L 661 BCBS OF SC GRP 2,399,385 %0.12 %97.1944 L 4888 EQUITABLE FAMILY INS CO GRP 2,366,892 %0.12 %97.3145 L 304 PRUDENTIAL OF AMER GRP 2,298,664 %0.11 %97.4246 L H 1199 WELLCARE GRP 2,276,001 %0.11 %97.5447 L 451 FIDELITY SECURITY GRP 2,143,375 %0.11 %97.6448 L 943 AMERITAS MUT HOLDING GRP 2,003,295 %0.10 %97.7449 L 111 LIBERTY MUT GRP 1,992,556 %0.10 %97.8450 L P 12 AMERICAN INTL GRP 1,963,018 %0.10 %97.9451 P 473 AMERICAN FAMILY INS GRP 1,810,479 %0.09 %98.0352 P 218 CNA INS GRP 1,708,313 %0.08 %98.1153 L 69132 STATE MUT INS CO 1,635,051 %0.08 %98.1954 L 42129 UNITED SECURITY ASSUR CO OF PA 1,479,494 %0.07 %98.2755 P 4863 CHINA MINSHENG GRP 1,472,816 %0.07 %98.3456 L P 140 NATIONWIDE CORP GRP 1,462,610 %0.07 %98.4157 L 4 AMERIPRISE FIN GRP 1,406,106 %0.07 %98.4858 L 761 ALLIANZ INS GRP 1,398,179 %0.07 %98.5559 L 869 MINNESOTA MUT GRP 1,362,121 %0.07 %98.6260 L 1186 LIFETIME HLTHCARE GRP 1,255,020 %0.06 %98.6861 L 71404 CONTINENTAL GEN INS CO 1,189,007 %0.06 %98.7462 L 306 CUNA MUT GRP 1,172,866 %0.06 %98.8063 L P 23 BCS INS GRP 1,057,095 %0.05 %98.8564 L 330 AMERICAN FIDELITY CORP GRP 1,031,053 %0.05 %98.90
© 2018 National Association of Insurance Commissioners 101
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
South Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 215 KEMPER CORP GRP 913,924 %0.05 %98.9566 L P 450 GENEVE HOLDINGS INC GRP 828,713 %0.04 %98.9967 L 4862 ASSURITY GRP 812,802 %0.04 %99.0368 H 1260 MAGELLAN HLTH INC GRP 811,222 %0.04 %99.0769 L 64580 ILLINOIS MUT LIFE INS CO 756,585 %0.04 %99.1170 L 76325 SENIOR HLTH INS CO OF PA 706,823 %0.04 %99.1471 L 408 AMERICAN NATL FIN GRP 704,677 %0.03 %99.1872 H 4813 EXPRESS SCRIPTS HOLDING GRP 677,143 %0.03 %99.2173 L 435 MASS MUT LIFE INS GRP 633,016 %0.03 %99.2474 F 58033 KNIGHTS OF COLUMBUS 628,955 %0.03 %99.2775 L 1117 MANHATTAN LIFE GRP 597,124 %0.03 %99.3076 L 2538 AMTRUST NGH GRP 570,762 %0.03 %99.3377 L 200 UNITED SERV AUTOMOBILE ASSN GRP 570,742 %0.03 %99.3678 H 2479 DENTEGRA GRP 552,164 %0.03 %99.3979 F 4616 EVERENCE GRP 540,317 %0.03 %99.4180 L H 812 HIGHMARK GRP 488,192 %0.02 %99.4481 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 470,552 %0.02 %99.4682 L 4855 SUMITOMO LIFE INS GRP 455,100 %0.02 %99.4883 L 90638 BEST LIFE & HLTH INS CO 413,942 %0.02 %99.5084 L 4815 RESOLUTION LIFE GRP 366,794 %0.02 %99.5285 L P 98 WR BERKLEY CORP GRP 354,454 %0.02 %99.5486 L 1211 NATIONAL GUARDIAN LIFE INS GRP 346,385 %0.02 %99.5687 L P 212 ZURICH INS GRP 345,795 %0.02 %99.5788 P 158 FAIRFAX FIN GRP 332,161 %0.02 %99.5989 L 917 HCSC GRP 329,854 %0.02 %99.6190 P 1120 EVEREST REINS HOLDINGS GRP 327,935 %0.02 %99.6291 L 4736 GGC GRP 313,875 %0.02 %99.6492 L 769 GREAT WEST GRP 308,757 %0.02 %99.6593 L 918 JACKSON NATL GRP 289,447 %0.01 %99.6794 H 12747 ENVISION INS CO 285,822 %0.01 %99.6895 L 619 ONEAMERICA FIN PARTNERS GRP 273,126 %0.01 %99.7096 L 4853 AAA LIFE GRP 273,089 %0.01 %99.7197 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 268,583 %0.01 %99.7298 L 280 AUTO OWNERS GRP 263,923 %0.01 %99.7499 L 11121 UNIFIED LIFE INS CO 259,034 %0.01 %99.75
100 L 572 BCBS OF MI GRP 245,561 %0.01 %99.76101 P 181 SWISS RE GRP 238,596 %0.01 %99.77102 P 1285 XL AMER GRP 236,724 %0.01 %99.78103 P 3416 AXIS CAPITAL GRP 221,976 %0.01 %99.80104 L 2858 HOMESHIELD CAPITAL GRP 195,279 %0.01 %99.81105 L 3436 LIBERTY LIFE GRP TRUST GRP 194,638 %0.01 %99.82106 L 50 COUNTRY INS & FIN SERV GRP 185,995 %0.01 %99.82107 L 458 PROTECTIVE LIFE INS GRP 180,504 %0.01 %99.83108 P 796 QBE INS GRP 174,523 %0.01 %99.84109 L 574 AMERCO CORP GRP 170,893 %0.01 %99.85110 L 588 KANSAS CITY LIFE INS GRP 169,077 %0.01 %99.86111 L 587 ATLANTIC AMER GRP 167,006 %0.01 %99.87112 H 477 RENAISSANCE HLTH SERV CORP GRP 156,013 %0.01 %99.87113 L 3891 GOLDMAN SACHS GRP 145,271 %0.01 %99.88114 P 4670 STARR GRP 142,248 %0.01 %99.89115 L 690 CENTRAL STATES GRP 130,805 %0.01 %99.90116 L 968 AXA INS GRP 127,463 %0.01 %99.90117 L 520 NEW ERA LIFE GRP 127,066 %0.01 %99.91118 L 62928 EMC NATL LIFE CO 114,528 %0.01 %99.91119 L 276 TRUSTMARK MUT HOLDING CO GRP 112,493 %0.01 %99.92120 L 513 IOWA FARM BUREAU GRP 107,906 %0.01 %99.92121 L 704 OHIO NATL LIFE GRP 97,347 %- %99.93122 F 56499 ASSURED LIFE ASSN 91,523 %- %99.93123 P 785 MARKEL CORP GRP 82,743 %- %99.94124 L 4826 ECG GRP 73,690 %- %99.94125 L 264 HEALTHMARKETS GRP 73,012 %- %99.95
**TOTAL** 2,017,664,433 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 102
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Tennessee
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 3498 BCBS OF TN GRP 7,205,288,390 %35.13 %35.132 L H 707 UNITEDHEALTH GRP 4,242,527,595 %20.69 %55.823 L H 119 HUMANA GRP 2,373,486,800 %11.57 %67.404 L H 901 CIGNA HLTH GRP 1,756,289,415 %8.56 %75.965 L H 671 ANTHEM INC GRP 1,743,977,349 %8.50 %84.466 H 4677 TENNESSEE RURAL HLTH GRP 417,901,462 %2.04 %86.507 L H 1 AETNA GRP 394,362,393 %1.92 %88.428 H 477 RENAISSANCE HLTH SERV CORP GRP 167,149,214 %0.82 %89.249 L 565 UNUM GRP 162,610,865 %0.79 %90.03
10 L H 1199 WELLCARE GRP 159,780,634 %0.78 %90.8111 L 370 AFLAC GRP 132,616,406 %0.65 %91.4612 L P 241 METROPOLITAN GRP 131,548,173 %0.64 %92.1013 L 261 MUTUAL OF OMAHA GRP 104,935,974 %0.51 %92.6114 L 549 SUN LIFE ASSUR CO OF CN GRP 73,784,452 %0.36 %92.9715 H 4667 CVS CAREMARK GRP 69,930,745 %0.34 %93.3116 L P 3098 TOKIO MARINE HOLDINGS INC GRP 61,870,435 %0.30 %93.6117 L P 626 CHUBB LTD GRP 59,785,592 %0.29 %93.9018 L 429 GUARDIAN LIFE GRP 59,327,657 %0.29 %94.1919 L 4011 GENWORTH FIN GRP 50,463,627 %0.25 %94.4420 L 860 NORTHWESTERN MUT GRP 49,573,591 %0.24 %94.6821 L H 917 HCSC GRP 43,816,640 %0.21 %94.9022 L 233 CNO FINANCIAL GRP 39,948,736 %0.19 %95.0923 H 1189 VISION SERV PLAN GRP 39,336,157 %0.19 %95.2824 H 4813 EXPRESS SCRIPTS HOLDING GRP 37,706,469 %0.18 %95.4725 L 20 LINCOLN NATL GRP 36,888,042 %0.18 %95.6526 L H 812 HIGHMARK GRP 35,950,965 %0.18 %95.8227 L P 91 HARTFORD FIRE & CAS GRP 35,166,766 %0.17 %95.9928 L P 468 AEGON US HOLDING GRP 34,914,304 %0.17 %96.1629 L 332 PRINCIPAL FIN GRP 33,112,885 %0.16 %96.3230 L 451 FIDELITY SECURITY GRP 32,544,438 %0.16 %96.4831 L 904 JOHN HANCOCK GRP 29,430,335 %0.14 %96.6332 L 304 PRUDENTIAL OF AMER GRP 28,449,571 %0.14 %96.7733 P 176 STATE FARM GRP 27,142,337 %0.13 %96.9034 L 876 ARKANSAS BCBS GRP 25,490,527 %0.12 %97.0235 L 330 AMERICAN FIDELITY CORP GRP 23,485,547 %0.11 %97.1436 L 290 TORCHMARK CORP GRP 23,383,714 %0.11 %97.2537 L 8 ALLSTATE INS GRP 23,333,763 %0.11 %97.3638 L 1348 MEIJI YASUDA LIFE INS GRP 23,240,591 %0.11 %97.4839 L 111 LIBERTY MUT GRP 19,608,083 %0.10 %97.5740 L 4832 VOYA FINANCIAL GRP 19,168,885 %0.09 %97.6741 L P 12 AMERICAN INTL GRP 18,726,000 %0.09 %97.7642 L 943 AMERITAS MUT HOLDING GRP 17,739,411 %0.09 %97.8443 L 435 MASS MUT LIFE INS GRP 17,266,680 %0.08 %97.9344 H 4512 DENTAQUEST GRP 16,355,322 %0.08 %98.0145 L P 23 BCS INS GRP 15,891,939 %0.08 %98.0946 L P 19 ASSURANT INC GRP 15,791,355 %0.08 %98.1647 L 4855 SUMITOMO LIFE INS GRP 15,337,070 %0.07 %98.2448 L 570 BCBS OF AL GRP 15,318,613 %0.07 %98.3149 L 520 NEW ERA LIFE GRP 15,239,614 %0.07 %98.3950 L 839 WESTBRIDGE CAPITAL GRP 14,932,042 %0.07 %98.4651 L 587 ATLANTIC AMER GRP 14,110,313 %0.07 %98.5352 L 661 BCBS OF SC GRP 12,803,346 %0.06 %98.5953 L 1211 NATIONAL GUARDIAN LIFE INS GRP 12,783,255 %0.06 %98.6554 L 1117 MANHATTAN LIFE GRP 12,703,818 %0.06 %98.7255 L P 7 FEDERATED MUT GRP 12,099,253 %0.06 %98.7756 L 367 PHYSICIANS MUT GRP 12,065,245 %0.06 %98.8357 L 4483 NESTLE SA GRP 11,649,621 %0.06 %98.8958 P 218 CNA INS GRP 10,424,554 %0.05 %98.9459 L 3527 AMERICAN ENTERPRISE MUT GRP 9,021,851 %0.04 %98.9860 L P 31 BERKSHIRE HATHAWAY GRP 8,692,344 %0.04 %99.0361 L 869 MINNESOTA MUT GRP 7,702,708 %0.04 %99.0662 L 826 NEW YORK LIFE GRP 7,380,992 %0.04 %99.1063 L P 212 ZURICH INS GRP 6,971,134 %0.03 %99.1364 L 264 HEALTHMARKETS GRP 6,820,857 %0.03 %99.17
© 2018 National Association of Insurance Commissioners 103
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Tennessee
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 1186 LIFETIME HLTHCARE GRP 6,779,831 %0.03 %99.2066 L P 98 WR BERKLEY CORP GRP 6,422,330 %0.03 %99.2367 L 2538 AMTRUST NGH GRP 6,384,322 %0.03 %99.2668 L 4 AMERIPRISE FIN GRP 6,345,401 %0.03 %99.2969 L 687 GUARANTEE TRUST GRP 5,845,272 %0.03 %99.3270 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 5,796,004 %0.03 %99.3571 P 158 FAIRFAX FIN GRP 5,332,458 %0.03 %99.3872 L P 761 ALLIANZ INS GRP 4,915,951 %0.02 %99.4073 L 65412 LIFE INS CO OF AL 4,563,934 %0.02 %99.4274 L 619 ONEAMERICA FIN PARTNERS GRP 4,557,255 %0.02 %99.4575 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,460,551 %0.02 %99.4776 P 4863 CHINA MINSHENG GRP 4,283,998 %0.02 %99.4977 L 306 CUNA MUT GRP 4,256,226 %0.02 %99.5178 L 215 KEMPER CORP GRP 3,541,617 %0.02 %99.5379 H 1260 MAGELLAN HLTH INC GRP 3,307,075 %0.02 %99.5480 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,181,577 %0.02 %99.5681 H 2479 DENTEGRA GRP 3,111,210 %0.02 %99.5782 P 796 QBE INS GRP 3,081,047 %0.02 %99.5983 L 71404 CONTINENTAL GEN INS CO 3,053,220 %0.01 %99.6084 H 12747 ENVISION INS CO 2,671,519 %0.01 %99.6285 L 4888 EQUITABLE FAMILY INS CO GRP 2,662,143 %0.01 %99.6386 L 81264 NIPPON LIFE INS CO OF AMER 2,647,854 %0.01 %99.6487 L P 140 NATIONWIDE CORP GRP 2,628,039 %0.01 %99.6588 L P 450 GENEVE HOLDINGS INC GRP 2,532,786 %0.01 %99.6789 L 408 AMERICAN NATL FIN GRP 2,503,906 %0.01 %99.6890 F 56499 ASSURED LIFE ASSN 2,444,230 %0.01 %99.6991 P 361 MUNICH RE GRP 2,408,145 %0.01 %99.7092 L 581 BOSTON MUT GRP 2,316,624 %0.01 %99.7193 L 276 TRUSTMARK MUT HOLDING CO GRP 1,934,776 %0.01 %99.7294 P 1285 XL AMER GRP 1,911,261 %0.01 %99.7395 L 4815 RESOLUTION LIFE GRP 1,859,472 %0.01 %99.7496 L 4862 ASSURITY GRP 1,772,133 %0.01 %99.7597 L 574 AMERCO CORP GRP 1,664,195 %0.01 %99.7698 P 3483 PARTNERRE GRP 1,656,514 %0.01 %99.7799 L 4736 GGC GRP 1,642,417 %0.01 %99.77
100 L P 84 AMERICAN FINANCIAL GRP 1,619,517 %0.01 %99.78101 L 61921 CITIZENS SECURITY LIFE INS CO 1,616,713 %0.01 %99.79102 L 4853 AAA LIFE GRP 1,597,309 %0.01 %99.80103 L P 181 SWISS RE GRP 1,561,976 %0.01 %99.81104 L 150 OLD REPUBLIC GRP 1,523,946 %0.01 %99.81105 L 11121 UNIFIED LIFE INS CO 1,382,799 %0.01 %99.82106 L 4824 ADVANTAGE CAPITAL GRP 1,295,943 %0.01 %99.83107 L 525 PAN AMER LIFE GRP 1,275,967 %0.01 %99.83108 L 3891 GOLDMAN SACHS GRP 1,275,622 %0.01 %99.84109 L 4213 WILTON RE GRP 1,221,458 %0.01 %99.84110 L 76325 SENIOR HLTH INS CO OF PA 1,187,309 %0.01 %99.85111 L 572 BCBS OF MI GRP 1,169,465 %0.01 %99.86112 L 704 OHIO NATL LIFE GRP 1,156,743 %0.01 %99.86113 P 1279 ARCH INS GRP 1,122,185 %0.01 %99.87114 P 3416 AXIS CAPITAL GRP 1,121,150 %0.01 %99.87115 L 769 GREAT WEST GRP 1,010,417 %- %99.88116 L 123 SHELTER INS GRP 991,852 %- %99.88117 L 968 AXA INS GRP 941,346 %- %99.89118 L 781 UNION LABOR GRP 924,795 %- %99.89119 P 1120 EVEREST REINS HOLDINGS GRP 919,613 %- %99.90120 L 90638 BEST LIFE & HLTH INS CO 915,839 %- %99.90121 L P 4718 TIPTREE FIN GRP 903,908 %- %99.91122 F 57320 WOODMEN WORLD LIFE INS SOC 837,818 %- %99.91123 P 27928 AMEX ASSUR CO 822,850 %- %99.91124 L 66214 HEARTLAND NATL LIFE INS CO 782,331 %- %99.92125 P 313 AEGIS GRP 714,487 %- %99.92
**TOTAL** 20,507,818,411 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 104
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Texas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 14,614,734,688 %19.84 %19.842 L H 917 HCSC GRP 12,759,816,533 %17.32 %37.173 H 1295 CENTENE CORP GRP 6,529,067,988 %8.86 %46.034 L H 119 HUMANA GRP 6,084,977,858 %8.26 %54.295 L H 671 ANTHEM INC GRP 4,812,609,465 %6.53 %60.836 L H 901 CIGNA HLTH GRP 3,890,250,370 %5.28 %66.117 L H 1 AETNA GRP 3,799,349,242 %5.16 %71.278 L H 1531 MOLINA HEALTHCARE INC GRP 2,862,732,401 %3.89 %75.159 H 95329 TEXAS CHILDRENS HLTH PLAN INC 1,564,343,396 %2.12 %77.28
10 H 4892 HARRIS HLTH GRP 1,513,423,155 %2.05 %79.3311 L H 1199 WELLCARE GRP 1,357,294,602 %1.84 %81.1712 H 600 SCOTT & WHITE GRP 825,528,580 %1.12 %82.3013 H 4512 DENTAQUEST GRP 786,063,856 %1.07 %83.3614 H 95809 DRISCOLL CHILDRENS HLTH PLAN 661,370,024 %0.90 %84.2615 L H 241 METROPOLITAN GRP 630,515,020 %0.86 %85.1216 H 4730 MCNA GRP 582,364,658 %0.79 %85.9117 H 3549 FIRSTCARE GRP 577,210,503 %0.78 %86.6918 H 95414 PARKLAND COMM HLTH PLAN INC 541,121,611 %0.73 %87.4319 H 2738 COMMUNITY FIRST GRP 518,354,189 %0.70 %88.1320 H 95822 COOK CHILDRENS HLTH PLAN 511,145,241 %0.69 %88.8221 L 565 UNUM GRP 465,833,338 %0.63 %89.4622 L 370 AFLAC GRP 399,004,864 %0.54 %90.0023 L 261 MUTUAL OF OMAHA GRP 364,804,130 %0.50 %90.4924 H 12827 KS PLAN ADMINISTRATORS LLC 346,066,410 %0.47 %90.9625 L H 429 GUARDIAN LIFE GRP 315,085,909 %0.43 %91.3926 H 4828 CHILDRENS HLTH SYSTEM OF TX GRP 245,065,321 %0.33 %91.7227 H 52635 EL PASO FIRST HLTH PLANS INC 191,422,027 %0.26 %91.9828 H 1189 VISION SERV PLAN GRP 179,260,590 %0.24 %92.2329 H 4808 MEMORIAL HERMANN GRP 170,759,458 %0.23 %92.4630 H 4667 CVS CAREMARK GRP 165,809,334 %0.23 %92.6831 L H 549 SUN LIFE ASSUR CO OF CN GRP 154,122,154 %0.21 %92.8932 H 2479 DENTEGRA GRP 152,106,240 %0.21 %93.1033 L 4011 GENWORTH FIN GRP 149,590,507 %0.20 %93.3034 L P 468 AEGON US HOLDING GRP 148,710,855 %0.20 %93.5035 H 14151 SENDERO HLTH PLANS INC 146,239,414 %0.20 %93.7036 L 332 PRINCIPAL FIN GRP 136,693,525 %0.19 %93.8937 L 1348 MEIJI YASUDA LIFE INS GRP 133,935,796 %0.18 %94.0738 L 943 AMERITAS MUT HOLDING GRP 131,692,361 %0.18 %94.2539 L 20 LINCOLN NATL GRP 130,916,570 %0.18 %94.4340 L P 91 HARTFORD FIRE & CAS GRP 129,520,061 %0.18 %94.6041 L 4832 VOYA FINANCIAL GRP 126,949,570 %0.17 %94.7742 H 14154 CHRISTUS HLTH PLAN 126,140,956 %0.17 %94.9543 L P 626 CHUBB LTD GRP 123,991,282 %0.17 %95.1144 L H P 812 HIGHMARK GRP 118,565,938 %0.16 %95.2845 L P 3098 TOKIO MARINE HOLDINGS INC GRP 113,937,278 %0.15 %95.4346 L 304 PRUDENTIAL OF AMER GRP 113,062,519 %0.15 %95.5847 L 233 CNO FINANCIAL GRP 104,516,125 %0.14 %95.7348 L 8 ALLSTATE INS GRP 103,980,987 %0.14 %95.8749 H 13151 CARE N CARE INS CO INC 101,753,106 %0.14 %96.0050 L 860 NORTHWESTERN MUT GRP 100,691,433 %0.14 %96.1451 L 451 FIDELITY SECURITY GRP 99,580,247 %0.14 %96.2852 L 904 JOHN HANCOCK GRP 97,760,803 %0.13 %96.4153 H 4818 MULBERRY HLTH GRP 97,287,242 %0.13 %96.5454 L 661 BCBS OF SC GRP 94,804,615 %0.13 %96.6755 P 176 STATE FARM GRP 93,832,439 %0.13 %96.8056 L P 111 LIBERTY MUT GRP 92,963,300 %0.13 %96.9257 L P 19 ASSURANT INC GRP 88,506,475 %0.12 %97.0458 L 839 WESTBRIDGE CAPITAL GRP 86,454,515 %0.12 %97.1659 L 290 TORCHMARK CORP GRP 85,173,285 %0.12 %97.2860 L P 12 AMERICAN INTL GRP 82,996,961 %0.11 %97.3961 L 1211 NATIONAL GUARDIAN LIFE INS GRP 77,648,833 %0.11 %97.5062 H 2798 BLUE SHIELD OF CA GRP 76,528,109 %0.10 %97.6063 L 520 NEW ERA LIFE GRP 70,376,098 %0.10 %97.6964 L 330 AMERICAN FIDELITY CORP GRP 67,405,593 %0.09 %97.79
© 2018 National Association of Insurance Commissioners 105
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Texas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4855 SUMITOMO LIFE INS GRP 63,658,517 %0.09 %97.8766 H 4859 ASCENSION HLTH GRP 58,575,068 %0.08 %97.9567 L 200 UNITED SERV AUTOMOBILE ASSN GRP 54,038,262 %0.07 %98.0368 L P 23 BCS INS GRP 47,583,459 %0.06 %98.0969 L 435 MASS MUT LIFE INS GRP 47,041,290 %0.06 %98.1570 L 367 PHYSICIANS MUT GRP 46,839,993 %0.06 %98.2271 L 71404 CONTINENTAL GEN INS CO 43,453,060 %0.06 %98.2872 L 525 PAN AMER LIFE GRP 42,819,910 %0.06 %98.3373 H 2418 SAINT MARYS HLTH CARE CORP GRP 40,956,980 %0.06 %98.3974 L P 98 WR BERKLEY CORP GRP 40,349,128 %0.05 %98.4575 L 408 AMERICAN NATL FIN GRP 39,603,129 %0.05 %98.5076 L P 2538 AMTRUST NGH GRP 38,999,314 %0.05 %98.5577 L 1117 MANHATTAN LIFE GRP 37,091,676 %0.05 %98.6078 L 826 NEW YORK LIFE GRP 35,891,214 %0.05 %98.6579 L 4483 NESTLE SA GRP 32,767,257 %0.04 %98.7080 L P 7 FEDERATED MUT GRP 32,471,846 %0.04 %98.7481 L 869 MINNESOTA MUT GRP 32,245,976 %0.04 %98.7882 L P 212 ZURICH INS GRP 32,085,697 %0.04 %98.8383 P 158 FAIRFAX FIN GRP 31,276,507 %0.04 %98.8784 L 574 AMERCO CORP GRP 27,715,477 %0.04 %98.9185 L P 181 SWISS RE GRP 27,581,543 %0.04 %98.9486 H 4813 EXPRESS SCRIPTS HOLDING GRP 27,298,887 %0.04 %98.9887 P 218 CNA INS GRP 26,454,655 %0.04 %99.0288 H 4759 TENET HEALTHCARE CORP GRP 25,658,127 %0.03 %99.0589 L H 876 ARKANSAS BCBS GRP 25,229,553 %0.03 %99.0990 L 215 KEMPER CORP GRP 24,537,779 %0.03 %99.1291 L 306 CUNA MUT GRP 24,159,389 %0.03 %99.1592 L 4 AMERIPRISE FIN GRP 23,844,683 %0.03 %99.1893 P 796 QBE INS GRP 22,690,232 %0.03 %99.2294 L P 450 GENEVE HOLDINGS INC GRP 21,405,472 %0.03 %99.2495 L 67326 OLD SURETY LIFE INS CO 18,456,876 %0.03 %99.2796 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 18,259,956 %0.02 %99.2997 L 264 HEALTHMARKETS GRP 16,598,475 %0.02 %99.3298 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 16,327,487 %0.02 %99.3499 H 4879 CENTERBRIDGE CAPITAL PARTNERS GRP 16,178,590 %0.02 %99.36
100 L P 761 ALLIANZ INS GRP 16,174,001 %0.02 %99.38101 P 361 MUNICH RE GRP 15,962,043 %0.02 %99.40102 L P 31 BERKSHIRE HATHAWAY GRP 15,212,254 %0.02 %99.43103 P 4863 CHINA MINSHENG GRP 14,720,175 %0.02 %99.45104 L 276 TRUSTMARK MUT HOLDING CO GRP 13,989,780 %0.02 %99.46105 L 81264 NIPPON LIFE INS CO OF AMER 13,871,168 %0.02 %99.48106 L 687 GUARANTEE TRUST GRP 12,998,028 %0.02 %99.50107 H 12747 ENVISION INS CO 12,486,720 %0.02 %99.52108 L P 140 NATIONWIDE CORP GRP 12,284,101 %0.02 %99.53109 L 4736 GGC GRP 12,007,805 %0.02 %99.55110 L 3527 AMERICAN ENTERPRISE MUT GRP 11,623,742 %0.02 %99.57111 L 4824 ADVANTAGE CAPITAL GRP 11,493,547 %0.02 %99.58112 L 4888 EQUITABLE FAMILY INS CO GRP 10,510,686 %0.01 %99.60113 L 1339 CROY HALL MGMT GRP 10,315,230 %0.01 %99.61114 L 918 JACKSON NATL GRP 10,232,250 %0.01 %99.62115 L 619 ONEAMERICA FIN PARTNERS GRP 9,423,928 %0.01 %99.64116 P 1285 XL AMER GRP 8,979,615 %0.01 %99.65117 P 3416 AXIS CAPITAL GRP 8,688,872 %0.01 %99.66118 L 4506 DENTAL ECONOMICS GRP 8,560,274 %0.01 %99.67119 H 477 RENAISSANCE HLTH SERV CORP GRP 8,001,868 %0.01 %99.68120 P 4381 HOUSTON INTL INS GRP 7,592,874 %0.01 %99.69121 L 76325 SENIOR HLTH INS CO OF PA 7,448,795 %0.01 %99.70122 P 3483 PARTNERRE GRP 7,435,978 %0.01 %99.71123 L 4213 WILTON RE GRP 7,343,970 %0.01 %99.72124 H 1260 MAGELLAN HLTH INC GRP 7,000,201 %0.01 %99.73125 L P 84 AMERICAN FINANCIAL GRP 6,606,501 %0.01 %99.74
**TOTAL** 73,654,435,884 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 106
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Utah
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 880 IHC INC GRP 2,238,860,224 %33.85 %33.852 L H 707 UNITEDHEALTH GRP 1,155,446,744 %17.47 %51.313 L H 1207 CAMBIA HEALTH SOLUTIONS INC 1,056,360,416 %15.97 %67.284 H 1531 MOLINA HEALTHCARE INC GRP 547,162,376 %8.27 %75.565 L H 1 AETNA GRP 447,517,854 %6.77 %82.326 L H 901 CIGNA HLTH GRP 148,567,443 %2.25 %84.577 L H 119 HUMANA GRP 95,451,651 %1.44 %86.018 H 126 EDUCATORS MUT GRP 73,953,772 %1.12 %87.139 H 14481 HEALTH CHOICE UTAH INC 55,575,793 %0.84 %87.97
10 L P 241 METROPOLITAN GRP 52,838,224 %0.80 %88.7711 H 15648 UNIVERSITY OF UT HLTH PLANS 51,085,757 %0.77 %89.5412 L H 429 GUARDIAN LIFE GRP 38,896,093 %0.59 %90.1313 L P 626 CHUBB LTD GRP 37,188,413 %0.56 %90.6914 L P 91 HARTFORD FIRE & CAS GRP 34,650,043 %0.52 %91.2115 L 565 UNUM GRP 31,447,390 %0.48 %91.6916 L 370 AFLAC GRP 27,314,528 %0.41 %92.1017 H 2479 DENTEGRA GRP 26,159,926 %0.40 %92.5018 L 2538 AMTRUST NGH GRP 24,095,020 %0.36 %92.8619 L P 3098 TOKIO MARINE HOLDINGS INC GRP 19,401,708 %0.29 %93.1620 L 261 MUTUAL OF OMAHA GRP 18,230,033 %0.28 %93.4321 L H 661 BCBS OF SC GRP 17,717,928 %0.27 %93.7022 L 4832 VOYA FINANCIAL GRP 16,484,287 %0.25 %93.9523 L 20 LINCOLN NATL GRP 15,882,209 %0.24 %94.1924 L H 917 HCSC GRP 15,484,007 %0.23 %94.4225 H 15743 HSA HLTH INS CO 15,247,506 %0.23 %94.6526 L 1348 MEIJI YASUDA LIFE INS GRP 14,869,664 %0.22 %94.8827 L H 549 SUN LIFE ASSUR CO OF CN GRP 14,641,533 %0.22 %95.1028 L 615 BENEFICIAL LIFE GRP 14,555,887 %0.22 %95.3229 L 332 PRINCIPAL FIN GRP 13,667,833 %0.21 %95.5330 L 860 NORTHWESTERN MUT GRP 12,866,478 %0.19 %95.7231 H 4667 CVS CAREMARK GRP 12,370,303 %0.19 %95.9132 L 4855 SUMITOMO LIFE INS GRP 11,484,619 %0.17 %96.0833 L 233 CNO FINANCIAL GRP 11,130,126 %0.17 %96.2534 L 408 AMERICAN NATL FIN GRP 10,666,103 %0.16 %96.4135 L 451 FIDELITY SECURITY GRP 9,526,211 %0.14 %96.5536 L 4011 GENWORTH FIN GRP 9,391,528 %0.14 %96.7037 L P 468 AEGON US HOLDING GRP 9,195,628 %0.14 %96.8438 H 1189 VISION SERV PLAN GRP 9,189,181 %0.14 %96.9739 L P 12 AMERICAN INTL GRP 8,702,178 %0.13 %97.1140 L 111 LIBERTY MUT GRP 8,617,838 %0.13 %97.2441 L 8 ALLSTATE INS GRP 8,188,438 %0.12 %97.3642 L 98 WR BERKLEY CORP GRP 8,178,242 %0.12 %97.4843 H 68420 WMI MUT INS CO 7,726,609 %0.12 %97.6044 L 304 PRUDENTIAL OF AMER GRP 7,659,544 %0.12 %97.7245 L 290 TORCHMARK CORP GRP 7,339,199 %0.11 %97.8346 P 176 STATE FARM GRP 6,689,169 %0.10 %97.9347 L 4888 EQUITABLE FAMILY INS CO GRP 6,037,919 %0.09 %98.0248 L 904 JOHN HANCOCK GRP 5,314,866 %0.08 %98.1049 H 12533 OPTICARE OF UT 4,861,471 %0.07 %98.1750 L 77674 TOWN & COUNTRY LIFE INS CO 4,787,559 %0.07 %98.2551 L 306 CUNA MUT GRP 4,604,351 %0.07 %98.3252 H 4813 EXPRESS SCRIPTS HOLDING GRP 4,597,016 %0.07 %98.3853 L 587 ATLANTIC AMER GRP 4,366,427 %0.07 %98.4554 L 943 AMERITAS MUT HOLDING GRP 4,341,109 %0.07 %98.5255 L 435 MASS MUT LIFE INS GRP 4,198,275 %0.06 %98.5856 L 869 MINNESOTA MUT GRP 4,125,279 %0.06 %98.6457 L 4483 NESTLE SA GRP 4,054,420 %0.06 %98.7058 H 12747 ENVISION INS CO 3,928,449 %0.06 %98.7659 L 839 WESTBRIDGE CAPITAL GRP 3,749,540 %0.06 %98.8260 L H 1199 WELLCARE GRP 3,622,428 %0.05 %98.8761 P 4863 CHINA MINSHENG GRP 3,602,421 %0.05 %98.9362 P 796 QBE INS GRP 3,099,907 %0.05 %98.9863 L 264 HEALTHMARKETS GRP 3,044,800 %0.05 %99.0264 P 158 FAIRFAX FIN GRP 2,934,976 %0.04 %99.07
© 2018 National Association of Insurance Commissioners 107
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Utah
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 181 SWISS RE GRP 2,885,128 %0.04 %99.1166 L P 19 ASSURANT INC GRP 2,604,064 %0.04 %99.1567 L H 812 HIGHMARK GRP 2,603,225 %0.04 %99.1968 P 218 CNA INS GRP 2,569,303 %0.04 %99.2369 L 330 AMERICAN FIDELITY CORP GRP 2,488,170 %0.04 %99.2670 L 826 NEW YORK LIFE GRP 2,313,552 %0.03 %99.3071 L 3527 AMERICAN ENTERPRISE MUT GRP 2,284,003 %0.03 %99.3372 L 687 GUARANTEE TRUST GRP 2,216,754 %0.03 %99.3773 L P 31 BERKSHIRE HATHAWAY GRP 2,212,961 %0.03 %99.4074 L P 140 NATIONWIDE CORP GRP 1,813,646 %0.03 %99.4375 L 4 AMERIPRISE FIN GRP 1,712,153 %0.03 %99.4576 L 367 PHYSICIANS MUT GRP 1,606,734 %0.02 %99.4877 P 3483 PARTNERRE GRP 1,557,411 %0.02 %99.5078 L 90638 BEST LIFE & HLTH INS CO 1,533,860 %0.02 %99.5379 L P 450 GENEVE HOLDINGS INC GRP 1,367,964 %0.02 %99.5580 L 781 UNION LABOR GRP 1,322,505 %0.02 %99.5781 H 15360 COMPREHENSIVE MOBILE PLAN UT INC 1,263,310 %0.02 %99.5982 L P 23 BCS INS GRP 1,224,506 %0.02 %99.6083 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,177,929 %0.02 %99.6284 L P 84 AMERICAN FINANCIAL GRP 1,157,692 %0.02 %99.6485 L 71404 CONTINENTAL GEN INS CO 1,148,254 %0.02 %99.6686 L 588 KANSAS CITY LIFE INS GRP 1,113,347 %0.02 %99.6787 P 4886 BENCHMARK HOLDING GRP 1,005,157 %0.02 %99.6988 L 1117 MANHATTAN LIFE GRP 958,326 %0.01 %99.7089 L 520 NEW ERA LIFE GRP 830,401 %0.01 %99.7290 L 4824 ADVANTAGE CAPITAL GRP 793,298 %0.01 %99.7391 H 477 RENAISSANCE HLTH SERV CORP GRP 741,991 %0.01 %99.7492 L 4862 ASSURITY GRP 734,870 %0.01 %99.7593 L 769 GREAT WEST GRP 718,228 %0.01 %99.7694 L 574 AMERCO CORP GRP 716,663 %0.01 %99.7795 L 761 ALLIANZ INS GRP 711,712 %0.01 %99.7896 L P 212 ZURICH INS GRP 678,786 %0.01 %99.7997 H 4512 DENTAQUEST GRP 647,420 %0.01 %99.8098 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 601,324 %0.01 %99.8199 L 1211 NATIONAL GUARDIAN LIFE INS GRP 559,525 %0.01 %99.82
100 L 3891 GOLDMAN SACHS GRP 558,402 %0.01 %99.83101 H 1260 MAGELLAN HLTH INC GRP 556,089 %0.01 %99.84102 P 27928 AMEX ASSUR CO 549,796 %0.01 %99.85103 L 276 TRUSTMARK MUT HOLDING CO GRP 548,339 %0.01 %99.85104 L 76325 SENIOR HLTH INS CO OF PA 527,772 %0.01 %99.86105 L 4853 AAA LIFE GRP 500,391 %0.01 %99.87106 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 440,068 %0.01 %99.88107 L 11121 UNIFIED LIFE INS CO 401,977 %0.01 %99.88108 L 66214 HEARTLAND NATL LIFE INS CO 393,734 %0.01 %99.89109 L 4815 RESOLUTION LIFE GRP 366,184 %0.01 %99.89110 L 449 FINANCIAL HOLDINGS GRP 358,114 %0.01 %99.90111 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 335,286 %0.01 %99.90112 L 1186 LIFETIME HLTHCARE GRP 333,084 %0.01 %99.91113 L 704 OHIO NATL LIFE GRP 332,676 %0.01 %99.91114 P 3416 AXIS CAPITAL GRP 326,616 %- %99.92115 P 4381 HOUSTON INTL INS GRP 286,510 %- %99.92116 L 64580 ILLINOIS MUT LIFE INS CO 267,745 %- %99.93117 P 1285 XL AMER GRP 246,234 %- %99.93118 L 619 ONEAMERICA FIN PARTNERS GRP 234,871 %- %99.93119 L 535 COLUMBIAN LIFE GRP 226,505 %- %99.94120 L 458 PROTECTIVE LIFE INS GRP 220,566 %- %99.94121 L 350 GENERAL ELECTRIC GRP 209,968 %- %99.94122 L 280 AUTO OWNERS GRP 207,864 %- %99.95123 L 71706 STANDARD LIFE & CAS INS CO 194,919 %- %99.95124 L 671 ANTHEM INC GRP 179,432 %- %99.95125 P 4670 STARR GRP 171,618 %- %99.96
**TOTAL** 6,614,720,079 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 108
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Vermont
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 4745 BCBS OF VT GRP 620,993,348 %51.88 %51.882 L H 707 UNITEDHEALTH GRP 155,842,783 %13.02 %64.903 H 1198 MVP GRP 92,971,438 %7.77 %72.674 L H 901 CIGNA HLTH GRP 54,936,072 %4.59 %77.265 H 4763 NORTHEAST DELTA DENTAL GRP 32,137,051 %2.69 %79.956 L 1 AETNA GRP 18,919,967 %1.58 %81.537 L 233 CNO FINANCIAL GRP 16,779,604 %1.40 %82.938 L 565 UNUM GRP 15,002,199 %1.25 %84.189 H 4667 CVS CAREMARK GRP 13,313,615 %1.11 %85.30
10 L H 119 HUMANA GRP 13,048,229 %1.09 %86.3911 L 241 METROPOLITAN GRP 12,780,153 %1.07 %87.4512 L 4011 GENWORTH FIN GRP 12,528,039 %1.05 %88.5013 L 370 AFLAC GRP 10,816,410 %0.90 %89.4014 L 549 SUN LIFE ASSUR CO OF CN GRP 9,597,629 %0.80 %90.2115 L 1348 MEIJI YASUDA LIFE INS GRP 8,834,628 %0.74 %90.9416 L 3098 TOKIO MARINE HOLDINGS INC GRP 7,861,971 %0.66 %91.6017 L P 31 BERKSHIRE HATHAWAY GRP 6,389,571 %0.53 %92.1418 L 261 MUTUAL OF OMAHA GRP 6,273,839 %0.52 %92.6619 L 4483 NESTLE SA GRP 5,239,547 %0.44 %93.1020 L H 1199 WELLCARE GRP 4,968,846 %0.42 %93.5121 H 1189 VISION SERV PLAN GRP 4,836,074 %0.40 %93.9222 L P 626 CHUBB LTD GRP 4,419,417 %0.37 %94.2923 L 20 LINCOLN NATL GRP 4,361,106 %0.36 %94.6524 L P 140 NATIONWIDE CORP GRP 4,261,025 %0.36 %95.0125 L 904 JOHN HANCOCK GRP 3,530,286 %0.29 %95.3026 L 4855 SUMITOMO LIFE INS GRP 3,408,626 %0.28 %95.5927 L 332 PRINCIPAL FIN GRP 3,163,785 %0.26 %95.8528 L 860 NORTHWESTERN MUT GRP 2,641,455 %0.22 %96.0729 L P 12 AMERICAN INTL GRP 2,626,779 %0.22 %96.2930 L 91 HARTFORD FIRE & CAS GRP 2,462,943 %0.21 %96.5031 L 330 AMERICAN FIDELITY CORP GRP 2,447,994 %0.20 %96.7032 L 468 AEGON US HOLDING GRP 2,404,228 %0.20 %96.9033 L P 111 LIBERTY MUT GRP 2,341,754 %0.20 %97.1034 L P 23 BCS INS GRP 2,235,198 %0.19 %97.2835 L 661 BCBS OF SC GRP 2,110,470 %0.18 %97.4636 L H 812 HIGHMARK GRP 2,096,892 %0.18 %97.6437 L 429 GUARDIAN LIFE GRP 1,648,386 %0.14 %97.7738 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,636,762 %0.14 %97.9139 L 306 CUNA MUT GRP 1,561,037 %0.13 %98.0440 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,558,896 %0.13 %98.1741 L 435 MASS MUT LIFE INS GRP 1,488,884 %0.12 %98.2942 L 4832 VOYA FINANCIAL GRP 1,263,649 %0.11 %98.4043 L 304 PRUDENTIAL OF AMER GRP 1,213,808 %0.10 %98.5044 L 826 NEW YORK LIFE GRP 1,168,059 %0.10 %98.6045 L P 19 ASSURANT INC GRP 1,099,023 %0.09 %98.6946 L 4712 GPM LIFE GRP 1,082,457 %0.09 %98.7847 L 290 TORCHMARK CORP GRP 1,024,309 %0.09 %98.8748 H 12747 ENVISION INS CO 973,611 %0.08 %98.9549 P 176 STATE FARM GRP 939,567 %0.08 %99.0350 H 4813 EXPRESS SCRIPTS HOLDING GRP 830,582 %0.07 %99.1051 L 4 AMERIPRISE FIN GRP 751,105 %0.06 %99.1652 H 2479 DENTEGRA GRP 747,911 %0.06 %99.2253 P 218 CNA INS GRP 709,069 %0.06 %99.2854 L 943 AMERITAS MUT HOLDING GRP 671,294 %0.06 %99.3455 L 8 ALLSTATE INS GRP 584,429 %0.05 %99.3956 L 869 MINNESOTA MUT GRP 584,003 %0.05 %99.4357 H 477 RENAISSANCE HLTH SERV CORP GRP 542,562 %0.05 %99.4858 L 68772 SECURITY MUT LIFE INS CO OF NY 460,258 %0.04 %99.5259 P 796 QBE INS GRP 405,617 %0.03 %99.5560 L 761 ALLIANZ INS GRP 395,207 %0.03 %99.5961 L 1186 LIFETIME HLTHCARE GRP 371,316 %0.03 %99.6262 L 98 WR BERKLEY CORP GRP 353,279 %0.03 %99.6563 L 917 HCSC GRP 334,914 %0.03 %99.6764 L 769 GREAT WEST GRP 298,631 %0.02 %99.70
© 2018 National Association of Insurance Commissioners 109
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Vermont
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 687 GUARANTEE TRUST GRP 295,502 %0.02 %99.7266 L 4862 ASSURITY GRP 292,088 %0.02 %99.7567 L 634 NATIONAL LIFE GRP 273,462 %0.02 %99.7768 P 158 FAIRFAX FIN GRP 247,406 %0.02 %99.7969 L 408 AMERICAN NATL FIN GRP 228,417 %0.02 %99.8170 L 451 FIDELITY SECURITY GRP 221,956 %0.02 %99.8371 L 1216 TIAA FAMILY GRP 217,340 %0.02 %99.8572 L 671 ANTHEM INC GRP 159,591 %0.01 %99.8673 L 4853 AAA LIFE GRP 108,634 %0.01 %99.8774 L 581 BOSTON MUT GRP 108,539 %0.01 %99.8875 P 27928 AMEX ASSUR CO 102,604 %0.01 %99.8976 F 58033 KNIGHTS OF COLUMBUS 86,670 %0.01 %99.8977 L 276 TRUSTMARK MUT HOLDING CO GRP 83,954 %0.01 %99.9078 L 64580 ILLINOIS MUT LIFE INS CO 76,936 %0.01 %99.9179 P 785 MARKEL CORP GRP 74,840 %0.01 %99.9180 L 458 PROTECTIVE LIFE INS GRP 74,148 %0.01 %99.9281 P 2538 AMTRUST NGH GRP 60,714 %0.01 %99.9382 L 367 PHYSICIANS MUT GRP 59,076 %- %99.9383 L 300 HORACE MANN GRP 58,178 %- %99.9484 P 1279 ARCH INS GRP 57,159 %- %99.9485 L 11121 UNIFIED LIFE INS CO 47,431 %- %99.9486 L 76325 SENIOR HLTH INS CO OF PA 42,396 %- %99.9587 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 39,893 %- %99.9588 L 3527 AMERICAN ENTERPRISE MUT GRP 38,563 %- %99.9589 L P 212 ZURICH INS GRP 36,357 %- %99.9690 L 850 PENN MUT GRP 34,046 %- %99.9691 L P 84 AMERICAN FINANCIAL GRP 29,860 %- %99.9692 L 4888 EQUITABLE FAMILY INS CO GRP 29,277 %- %99.9793 L 968 AXA INS GRP 28,003 %- %99.9794 L 1117 MANHATTAN LIFE GRP 26,174 %- %99.9795 L 4736 GGC GRP 23,464 %- %99.9796 L 3891 GOLDMAN SACHS GRP 21,984 %- %99.9797 L 4734 ATHENE GRP 20,768 %- %99.9898 H 1295 CENTENE CORP GRP 19,924 %- %99.9899 L 619 ONEAMERICA FIN PARTNERS GRP 17,879 %- %99.98
100 L 4815 RESOLUTION LIFE GRP 17,356 %- %99.98101 L 704 OHIO NATL LIFE GRP 17,332 %- %99.98102 L 918 JACKSON NATL GRP 16,032 %- %99.98103 L 71404 CONTINENTAL GEN INS CO 13,820 %- %99.98104 L 440 REGAL REINS GRP 12,692 %- %99.98105 L 690 CENTRAL STATES GRP 10,898 %- %99.99106 L P 169 SENTRY INS GRP 10,889 %- %99.99107 L 525 PAN AMER LIFE GRP 10,639 %- %99.99108 L 264 HEALTHMARKETS GRP 10,244 %- %99.99109 L 781 UNION LABOR GRP 10,013 %- %99.99110 L 839 WESTBRIDGE CAPITAL GRP 9,878 %- %99.99111 L 574 AMERCO CORP GRP 9,751 %- %99.99112 P 3416 AXIS CAPITAL GRP 9,436 %- %99.99113 L 4716 FORTRESS GRP 9,244 %- %99.99114 L 587 ATLANTIC AMER GRP 9,072 %- %99.99115 L 450 GENEVE HOLDINGS INC GRP 8,886 %- %99.99116 L 215 KEMPER CORP GRP 7,646 %- %99.99117 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 7,215 %- %100.00118 L 520 NEW ERA LIFE GRP 7,044 %- %100.00119 L 449 FINANCIAL HOLDINGS GRP 6,359 %- %100.00120 L 50 COUNTRY INS & FIN SERV GRP 5,465 %- %100.00121 F 57320 WOODMEN WORLD LIFE INS SOC 5,256 %- %100.00122 F 56499 ASSURED LIFE ASSN 4,482 %- %100.00123 L 350 GENERAL ELECTRIC GRP 4,311 %- %100.00124 L 4750 PRIMERICA GRP 3,936 %- %100.00125 L 66214 HEARTLAND NATL LIFE INS CO 3,887 %- %100.00
**TOTAL** 1,196,884,979 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 110
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 7,229,100,318 %33.29 %33.292 L H 119 HUMANA GRP 1,998,272,381 %9.20 %42.493 L H 707 UNITEDHEALTH GRP 1,905,441,226 %8.77 %51.264 L H 1 AETNA GRP 1,768,852,386 %8.14 %59.405 H 380 CAREFIRST INC GRP 1,567,703,421 %7.22 %66.626 H 1183 SENTARA HLTH MGMT GRP 1,541,574,994 %7.10 %73.727 H 95612 VIRGINIA PREMIER HLTH PLAN INC 1,212,531,932 %5.58 %79.308 H 601 KAISER FOUNDATION GRP 830,159,984 %3.82 %83.129 L H 901 CIGNA HLTH GRP 707,839,478 %3.26 %86.38
10 H 4729 CORVESTA GRP 267,328,830 %1.23 %87.6111 L P 241 METROPOLITAN GRP 222,719,803 %1.03 %88.6412 H 10153 INOVA HLTH PLAN LLC 176,577,544 %0.81 %89.4513 L 370 AFLAC GRP 161,073,397 %0.74 %90.1914 L 261 MUTUAL OF OMAHA GRP 155,811,323 %0.72 %90.9115 L 565 UNUM GRP 137,845,956 %0.63 %91.5516 H 4845 PIEDMONT COMM HLTH GRP 113,887,130 %0.52 %92.0717 L 4011 GENWORTH FIN GRP 106,775,250 %0.49 %92.5618 L H 429 GUARDIAN LIFE GRP 98,373,912 %0.45 %93.0219 H 1260 MAGELLAN HLTH INC GRP 80,345,935 %0.37 %93.3920 L 904 JOHN HANCOCK GRP 74,750,903 %0.34 %93.7321 H 4667 CVS CAREMARK GRP 73,305,031 %0.34 %94.0722 H 1189 VISION SERV PLAN GRP 68,182,849 %0.31 %94.3823 L P 91 HARTFORD FIRE & CAS GRP 54,722,942 %0.25 %94.6324 L 860 NORTHWESTERN MUT GRP 51,249,107 %0.24 %94.8725 L H 812 HIGHMARK GRP 49,479,514 %0.23 %95.1026 L P 468 AEGON US HOLDING GRP 47,321,633 %0.22 %95.3227 L 1348 MEIJI YASUDA LIFE INS GRP 46,299,576 %0.21 %95.5328 L P 3098 TOKIO MARINE HOLDINGS INC GRP 41,865,692 %0.19 %95.7229 L 304 PRUDENTIAL OF AMER GRP 39,947,050 %0.18 %95.9030 L 233 CNO FINANCIAL GRP 37,925,500 %0.17 %96.0831 L 332 PRINCIPAL FIN GRP 36,705,862 %0.17 %96.2532 L 4855 SUMITOMO LIFE INS GRP 32,949,145 %0.15 %96.4033 L 111 LIBERTY MUT GRP 31,947,766 %0.15 %96.5534 L 549 SUN LIFE ASSUR CO OF CN GRP 31,123,728 %0.14 %96.6935 L 435 MASS MUT LIFE INS GRP 30,590,816 %0.14 %96.8336 L 20 LINCOLN NATL GRP 30,235,867 %0.14 %96.9737 L 8 ALLSTATE INS GRP 29,491,932 %0.14 %97.1138 L H 1199 WELLCARE GRP 28,954,343 %0.13 %97.2439 P 176 STATE FARM GRP 26,886,250 %0.12 %97.3640 L P 626 CHUBB LTD GRP 23,703,974 %0.11 %97.4741 L 4832 VOYA FINANCIAL GRP 22,936,516 %0.11 %97.5842 L 943 AMERITAS MUT HOLDING GRP 19,993,260 %0.09 %97.6743 L P 7 FEDERATED MUT GRP 19,213,700 %0.09 %97.7644 L 451 FIDELITY SECURITY GRP 19,183,633 %0.09 %97.8545 L 290 TORCHMARK CORP GRP 18,625,391 %0.09 %97.9346 L P 12 AMERICAN INTL GRP 18,101,572 %0.08 %98.0247 L 826 NEW YORK LIFE GRP 16,896,250 %0.08 %98.0948 L P 19 ASSURANT INC GRP 15,894,777 %0.07 %98.1749 P 218 CNA INS GRP 15,867,586 %0.07 %98.2450 L 306 CUNA MUT GRP 15,180,847 %0.07 %98.3151 H 15959 LIFEWORKS ADVANTAGE LLC 14,024,914 %0.06 %98.3752 H 1230 CAPITAL BLUE CROSS GRP 13,325,195 %0.06 %98.4453 L 4 AMERIPRISE FIN GRP 12,739,688 %0.06 %98.4954 P 4863 CHINA MINSHENG GRP 12,094,243 %0.06 %98.5555 L P 212 ZURICH INS GRP 11,711,502 %0.05 %98.6056 L 200 UNITED SERV AUTOMOBILE ASSN GRP 11,569,590 %0.05 %98.6657 L 661 BCBS OF SC GRP 11,241,976 %0.05 %98.7158 H 4813 EXPRESS SCRIPTS HOLDING GRP 11,082,114 %0.05 %98.7659 L P 23 BCS INS GRP 10,476,745 %0.05 %98.8160 L 330 AMERICAN FIDELITY CORP GRP 9,414,526 %0.04 %98.8561 H 47061 LEGAL SERV PLANS OF VA INC 9,314,246 %0.04 %98.9062 L 1117 MANHATTAN LIFE GRP 9,312,433 %0.04 %98.9463 H 2479 DENTEGRA GRP 9,010,814 %0.04 %98.9864 L P 761 ALLIANZ INS GRP 8,546,079 %0.04 %99.02
© 2018 National Association of Insurance Commissioners 111
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 839 WESTBRIDGE CAPITAL GRP 8,429,047 %0.04 %99.0666 L 4483 NESTLE SA GRP 7,659,429 %0.04 %99.0967 L 869 MINNESOTA MUT GRP 7,540,332 %0.03 %99.1368 L 3527 AMERICAN ENTERPRISE MUT GRP 7,439,658 %0.03 %99.1669 L 4736 GGC GRP 7,236,784 %0.03 %99.2070 P 796 QBE INS GRP 7,158,462 %0.03 %99.2371 L 4888 EQUITABLE FAMILY INS CO GRP 6,909,845 %0.03 %99.2672 P 361 MUNICH RE GRP 6,689,423 %0.03 %99.2973 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,471,373 %0.03 %99.3274 H 12747 ENVISION INS CO 5,887,513 %0.03 %99.3575 L 2538 AMTRUST NGH GRP 5,330,040 %0.02 %99.3776 L 276 TRUSTMARK MUT HOLDING CO GRP 5,203,627 %0.02 %99.4077 L 367 PHYSICIANS MUT GRP 5,197,892 %0.02 %99.4278 L 71404 CONTINENTAL GEN INS CO 5,100,472 %0.02 %99.4479 L P 450 GENEVE HOLDINGS INC GRP 4,737,084 %0.02 %99.4780 L H 917 HCSC GRP 4,150,582 %0.02 %99.4881 L P 140 NATIONWIDE CORP GRP 3,948,677 %0.02 %99.5082 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,898,854 %0.02 %99.5283 L 581 BOSTON MUT GRP 3,871,618 %0.02 %99.5484 P 158 FAIRFAX FIN GRP 3,825,468 %0.02 %99.5685 F 56499 ASSURED LIFE ASSN 3,605,262 %0.02 %99.5786 P 181 SWISS RE GRP 3,362,302 %0.02 %99.5987 L 619 ONEAMERICA FIN PARTNERS GRP 3,326,115 %0.02 %99.6088 L 264 HEALTHMARKETS GRP 3,007,683 %0.01 %99.6289 L H 4719 AMFIRST HOLDINGS GRP 2,899,601 %0.01 %99.6390 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,885,859 %0.01 %99.6491 L 215 KEMPER CORP GRP 2,734,392 %0.01 %99.6692 F 4616 EVERENCE GRP 2,682,847 %0.01 %99.6793 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,621,351 %0.01 %99.6894 F 58033 KNIGHTS OF COLUMBUS 2,598,786 %0.01 %99.6995 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 2,501,580 %0.01 %99.7096 H 477 RENAISSANCE HLTH SERV CORP GRP 2,455,127 %0.01 %99.7297 L 4764 RESERVOIR CAPITAL GRP 2,417,670 %0.01 %99.7398 L P 98 WR BERKLEY CORP GRP 2,401,159 %0.01 %99.7499 L 4853 AAA LIFE GRP 2,125,760 %0.01 %99.75
100 L 4815 RESOLUTION LIFE GRP 2,095,966 %0.01 %99.76101 L 687 GUARANTEE TRUST GRP 2,084,506 %0.01 %99.77102 L 769 GREAT WEST GRP 1,965,627 %0.01 %99.78103 L 4862 ASSURITY GRP 1,746,857 %0.01 %99.78104 L 11121 UNIFIED LIFE INS CO 1,741,227 %0.01 %99.79105 L 1186 LIFETIME HLTHCARE GRP 1,722,288 %0.01 %99.80106 L 4213 WILTON RE GRP 1,654,543 %0.01 %99.81107 L 76325 SENIOR HLTH INS CO OF PA 1,622,510 %0.01 %99.82108 L 3891 GOLDMAN SACHS GRP 1,535,543 %0.01 %99.82109 P 27928 AMEX ASSUR CO 1,468,625 %0.01 %99.83110 L 572 BCBS OF MI GRP 1,461,165 %0.01 %99.84111 L 408 AMERICAN NATL FIN GRP 1,442,919 %0.01 %99.84112 L 42129 UNITED SECURITY ASSUR CO OF PA 1,431,573 %0.01 %99.85113 L 525 PAN AMER LIFE GRP 1,379,000 %0.01 %99.86114 P 3483 PARTNERRE GRP 1,339,790 %0.01 %99.86115 L 4712 GPM LIFE GRP 1,313,365 %0.01 %99.87116 P 1120 EVEREST REINS HOLDINGS GRP 1,269,197 %0.01 %99.87117 L 520 NEW ERA LIFE GRP 1,241,755 %0.01 %99.88118 L P 31 BERKSHIRE HATHAWAY GRP 1,233,333 %0.01 %99.88119 P 3416 AXIS CAPITAL GRP 1,221,700 %0.01 %99.89120 P 1279 ARCH INS GRP 1,166,653 %0.01 %99.90121 L 458 PROTECTIVE LIFE INS GRP 1,161,952 %0.01 %99.90122 L 64580 ILLINOIS MUT LIFE INS CO 1,112,863 %0.01 %99.91123 P 4670 STARR GRP 1,086,193 %0.01 %99.91124 L 2858 HOMESHIELD CAPITAL GRP 1,081,893 %- %99.92125 P 1285 XL AMER GRP 1,044,032 %- %99.92
**TOTAL** 21,718,722,600 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 112
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Washington
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 601 KAISER FOUNDATION GRP 4,261,641,905 %19.54 %19.542 L H 707 UNITEDHEALTH GRP 3,099,773,136 %14.22 %33.763 L H 962 PREMERA BLUE CROSS GRP 2,897,610,695 %13.29 %47.054 H 1531 MOLINA HEALTHCARE INC GRP 2,661,991,047 %12.21 %59.255 L H 1207 CAMBIA HEALTH SOLUTIONS INC 2,492,083,886 %11.43 %70.686 H 47049 COMMUNITY HLTH PLAN OF WA 1,088,930,970 %4.99 %75.687 L H 1295 CENTENE CORP GRP 890,603,644 %4.08 %79.768 L H 671 ANTHEM INC GRP 589,927,323 %2.71 %82.479 L 1 AETNA GRP 562,256,473 %2.58 %85.04
10 H 47341 DELTA DENTAL OF WA 493,472,915 %2.26 %87.3111 L H 119 HUMANA GRP 380,799,561 %1.75 %89.0512 L H 901 CIGNA HLTH GRP 284,116,354 %1.30 %90.3613 H 4807 CATHOLIC HLTH INITIATIVES GRP 181,876,645 %0.83 %91.1914 L 241 METROPOLITAN GRP 142,584,028 %0.65 %91.8415 L 565 UNUM GRP 130,034,139 %0.60 %92.4416 L 1348 MEIJI YASUDA LIFE INS GRP 97,019,027 %0.44 %92.8917 L 261 MUTUAL OF OMAHA GRP 95,716,111 %0.44 %93.3218 L 370 AFLAC GRP 94,526,458 %0.43 %93.7619 L 549 SUN LIFE ASSUR CO OF CN GRP 80,384,776 %0.37 %94.1320 L 4011 GENWORTH FIN GRP 64,589,505 %0.30 %94.4221 H 4788 PROVIDENCE HLTH GRP 60,833,418 %0.28 %94.7022 H 4667 CVS CAREMARK GRP 59,940,363 %0.27 %94.9823 H 3503 WILLAMETTE DENTAL GRP 59,720,306 %0.27 %95.2524 H 1192 CARLE HOLDING CO GRP 57,404,821 %0.26 %95.5125 L 304 PRUDENTIAL OF AMER GRP 52,320,258 %0.24 %95.7526 H 1189 VISION SERV PLAN GRP 47,775,287 %0.22 %95.9727 L P 3098 TOKIO MARINE HOLDINGS INC GRP 42,122,420 %0.19 %96.1728 L 332 PRINCIPAL FIN GRP 41,341,548 %0.19 %96.3629 L 904 JOHN HANCOCK GRP 40,977,309 %0.19 %96.5430 L 20 LINCOLN NATL GRP 36,049,721 %0.17 %96.7131 L P 468 AEGON US HOLDING GRP 35,824,075 %0.16 %96.8732 L H P 812 HIGHMARK GRP 34,820,185 %0.16 %97.0333 L 860 NORTHWESTERN MUT GRP 34,548,345 %0.16 %97.1934 L P 91 HARTFORD FIRE & CAS GRP 32,386,703 %0.15 %97.3435 L 233 CNO FINANCIAL GRP 32,232,856 %0.15 %97.4936 L 429 GUARDIAN LIFE GRP 30,040,686 %0.14 %97.6237 L 4855 SUMITOMO LIFE INS GRP 29,322,197 %0.13 %97.7638 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 26,241,367 %0.12 %97.8839 L P 19 ASSURANT INC GRP 24,197,095 %0.11 %97.9940 L H 1199 WELLCARE GRP 23,133,728 %0.11 %98.1041 P 176 STATE FARM GRP 22,294,823 %0.10 %98.2042 L 4832 VOYA FINANCIAL GRP 21,702,732 %0.10 %98.3043 H 12747 ENVISION INS CO 20,327,864 %0.09 %98.3944 H 2479 DENTEGRA GRP 18,151,695 %0.08 %98.4745 L P 12 AMERICAN INTL GRP 17,904,719 %0.08 %98.5646 L 290 TORCHMARK CORP GRP 14,213,807 %0.07 %98.6247 P 796 QBE INS GRP 14,084,971 %0.06 %98.6948 L 330 AMERICAN FIDELITY CORP GRP 13,295,560 %0.06 %98.7549 H 47490 DENTAL HEALTH SERVICES 12,981,859 %0.06 %98.8150 L 943 AMERITAS MUT HOLDING GRP 12,771,815 %0.06 %98.8751 L P 111 LIBERTY MUT GRP 12,069,365 %0.06 %98.9252 L 869 MINNESOTA MUT GRP 11,772,651 %0.05 %98.9853 L 826 NEW YORK LIFE GRP 11,708,937 %0.05 %99.0354 L 661 BCBS OF SC GRP 11,332,719 %0.05 %99.0855 L 200 UNITED SERV AUTOMOBILE ASSN GRP 11,332,575 %0.05 %99.1356 L P 626 CHUBB LTD GRP 10,542,092 %0.05 %99.1857 L 435 MASS MUT LIFE INS GRP 10,379,792 %0.05 %99.2358 L 4 AMERIPRISE FIN GRP 9,448,447 %0.04 %99.2759 L P 761 ALLIANZ INS GRP 9,313,426 %0.04 %99.3160 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 8,587,452 %0.04 %99.3561 P 218 CNA INS GRP 8,486,835 %0.04 %99.3962 H 12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU 7,752,387 %0.04 %99.4363 L 918 JACKSON NATL GRP 7,474,424 %0.03 %99.4664 L 8 ALLSTATE INS GRP 7,029,649 %0.03 %99.50
© 2018 National Association of Insurance Commissioners 113
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Washington
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 4813 EXPRESS SCRIPTS HOLDING GRP 5,882,570 %0.03 %99.5266 L 781 UNION LABOR GRP 5,026,520 %0.02 %99.5567 L P 98 WR BERKLEY CORP GRP 4,923,165 %0.02 %99.5768 L 276 TRUSTMARK MUT HOLDING CO GRP 4,777,384 %0.02 %99.5969 L 451 FIDELITY SECURITY GRP 4,643,212 %0.02 %99.6170 L P 140 NATIONWIDE CORP GRP 4,153,418 %0.02 %99.6371 L 306 CUNA MUT GRP 3,902,474 %0.02 %99.6572 P 158 FAIRFAX FIN GRP 3,455,446 %0.02 %99.6673 L 90638 BEST LIFE & HLTH INS CO 3,393,339 %0.02 %99.6874 L P 212 ZURICH INS GRP 3,371,830 %0.02 %99.6975 L 264 HEALTHMARKETS GRP 2,946,435 %0.01 %99.7176 L 4824 ADVANTAGE CAPITAL GRP 2,931,908 %0.01 %99.7277 P 361 MUNICH RE GRP 2,849,125 %0.01 %99.7378 L 1186 LIFETIME HLTHCARE GRP 2,602,441 %0.01 %99.7579 L 572 BCBS OF MI GRP 2,332,156 %0.01 %99.7680 L 11121 UNIFIED LIFE INS CO 2,177,153 %0.01 %99.7781 L 3527 AMERICAN ENTERPRISE MUT GRP 2,172,198 %0.01 %99.7882 P 1120 EVEREST REINS HOLDINGS GRP 2,111,250 %0.01 %99.7983 L 588 KANSAS CITY LIFE INS GRP 2,099,773 %0.01 %99.8084 P 4886 BENCHMARK HOLDING GRP 2,002,533 %0.01 %99.8185 H 477 RENAISSANCE HLTH SERV CORP GRP 1,984,240 %0.01 %99.8186 L 367 PHYSICIANS MUT GRP 1,948,149 %0.01 %99.8287 L 76325 SENIOR HLTH INS CO OF PA 1,853,251 %0.01 %99.8388 L P 450 GENEVE HOLDINGS INC GRP 1,792,799 %0.01 %99.8489 L 71404 CONTINENTAL GEN INS CO 1,739,397 %0.01 %99.8590 L 4815 RESOLUTION LIFE GRP 1,703,606 %0.01 %99.8691 L 4483 NESTLE SA GRP 1,651,615 %0.01 %99.8692 L 4853 AAA LIFE GRP 1,606,177 %0.01 %99.8793 L 769 GREAT WEST GRP 1,553,353 %0.01 %99.8894 L 50 COUNTRY INS & FIN SERV GRP 1,463,668 %0.01 %99.8995 L 687 GUARANTEE TRUST GRP 1,409,354 %0.01 %99.8996 L 408 AMERICAN NATL FIN GRP 1,349,089 %0.01 %99.9097 F 58033 KNIGHTS OF COLUMBUS 1,302,776 %0.01 %99.9098 L 876 ARKANSAS BCBS GRP 1,244,704 %0.01 %99.9199 L 4862 ASSURITY GRP 1,227,999 %0.01 %99.92
100 P 27928 AMEX ASSUR CO 1,038,160 %- %99.92101 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,003,531 %- %99.92102 P 4863 CHINA MINSHENG GRP 926,411 %- %99.93103 L 581 BOSTON MUT GRP 866,387 %- %99.93104 L P 23 BCS INS GRP 861,850 %- %99.94105 L P 181 SWISS RE GRP 838,317 %- %99.94106 L 42129 UNITED SECURITY ASSUR CO OF PA 763,500 %- %99.94107 L 64580 ILLINOIS MUT LIFE INS CO 699,855 %- %99.95108 P 4718 TIPTREE FIN GRP 607,771 %- %99.95109 L 704 OHIO NATL LIFE GRP 579,377 %- %99.95110 L 458 PROTECTIVE LIFE INS GRP 569,825 %- %99.96111 L 3891 GOLDMAN SACHS GRP 561,955 %- %99.96112 P 4904 INTACT FINANCIAL GRP 558,508 %- %99.96113 L 1216 TIAA FAMILY GRP 552,109 %- %99.96114 L 1117 MANHATTAN LIFE GRP 523,247 %- %99.97115 L 4888 EQUITABLE FAMILY INS CO GRP 521,797 %- %99.97116 L 587 ATLANTIC AMER GRP 485,938 %- %99.97117 P 3416 AXIS CAPITAL GRP 442,498 %- %99.97118 L 7 FEDERATED MUT GRP 437,380 %- %99.97119 L 4716 FORTRESS GRP 419,366 %- %99.98120 L 525 PAN AMER LIFE GRP 381,904 %- %99.98121 L 350 GENERAL ELECTRIC GRP 339,984 %- %99.98122 L P 169 SENTRY INS GRP 335,827 %- %99.98123 L 619 ONEAMERICA FIN PARTNERS GRP 323,820 %- %99.98124 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 281,321 %- %99.98125 L 4734 ATHENE GRP 262,316 %- %99.98
**TOTAL** 21,806,218,522 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 114
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
West Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 812 HIGHMARK GRP 1,544,885,495 %29.63 %29.632 L H 119 HUMANA GRP 1,026,833,913 %19.69 %49.323 L H 1 AETNA GRP 781,761,739 %14.99 %64.324 H 1297 HEALTH PLAN GRP 520,143,001 %9.98 %74.295 L H 671 ANTHEM INC GRP 499,790,385 %9.59 %83.886 L H 707 UNITEDHEALTH GRP 264,035,432 %5.06 %88.947 L H 901 CIGNA HLTH GRP 57,167,485 %1.10 %90.048 L 261 MUTUAL OF OMAHA GRP 33,063,910 %0.63 %90.679 H 4667 CVS CAREMARK GRP 33,033,770 %0.63 %91.31
10 H 3683 CARESOURCE GRP 32,203,306 %0.62 %91.9311 L 241 METROPOLITAN GRP 28,848,493 %0.55 %92.4812 H 2479 DENTEGRA GRP 28,181,224 %0.54 %93.0213 L 370 AFLAC GRP 26,050,459 %0.50 %93.5214 L 233 CNO FINANCIAL GRP 25,038,142 %0.48 %94.0015 L 565 UNUM GRP 22,494,448 %0.43 %94.4316 L P 626 CHUBB LTD GRP 20,786,566 %0.40 %94.8317 L 429 GUARDIAN LIFE GRP 18,652,348 %0.36 %95.1918 L 860 NORTHWESTERN MUT GRP 14,333,813 %0.27 %95.4619 H 4813 EXPRESS SCRIPTS HOLDING GRP 13,412,422 %0.26 %95.7220 H 15955 WEST VIRGINIA SENIOR ADVANTAGE INC 12,003,275 %0.23 %95.9521 L 20 LINCOLN NATL GRP 10,093,728 %0.19 %96.1422 L H 1199 WELLCARE GRP 10,020,444 %0.19 %96.3423 P 176 STATE FARM GRP 9,499,407 %0.18 %96.5224 L 290 TORCHMARK CORP GRP 7,613,489 %0.15 %96.6625 L 4011 GENWORTH FIN GRP 7,532,116 %0.14 %96.8126 L 330 AMERICAN FIDELITY CORP GRP 7,384,288 %0.14 %96.9527 L P 468 AEGON US HOLDING GRP 7,284,067 %0.14 %97.0928 L 304 PRUDENTIAL OF AMER GRP 6,807,098 %0.13 %97.2229 L 1348 MEIJI YASUDA LIFE INS GRP 6,560,259 %0.13 %97.3530 L P 12 AMERICAN INTL GRP 6,362,880 %0.12 %97.4731 H 12747 ENVISION INS CO 6,244,077 %0.12 %97.5932 L P 3098 TOKIO MARINE HOLDINGS INC GRP 5,578,156 %0.11 %97.7033 L P 91 HARTFORD FIRE & CAS GRP 5,549,715 %0.11 %97.8034 L 111 LIBERTY MUT GRP 5,147,028 %0.10 %97.9035 L 8 ALLSTATE INS GRP 4,831,145 %0.09 %97.9936 L 332 PRINCIPAL FIN GRP 4,169,920 %0.08 %98.0737 P 158 FAIRFAX FIN GRP 4,063,850 %0.08 %98.1538 L 451 FIDELITY SECURITY GRP 4,025,204 %0.08 %98.2339 L 587 ATLANTIC AMER GRP 3,925,183 %0.08 %98.3040 L 661 BCBS OF SC GRP 3,684,407 %0.07 %98.3741 L 4832 VOYA FINANCIAL GRP 3,666,507 %0.07 %98.4442 P 4863 CHINA MINSHENG GRP 3,610,164 %0.07 %98.5143 H 1189 VISION SERV PLAN GRP 3,038,791 %0.06 %98.5744 L 549 SUN LIFE ASSUR CO OF CN GRP 2,940,548 %0.06 %98.6345 H 477 RENAISSANCE HLTH SERV CORP GRP 2,898,383 %0.06 %98.6846 L 943 AMERITAS MUT HOLDING GRP 2,798,455 %0.05 %98.7447 L P 7 FEDERATED MUT GRP 2,746,902 %0.05 %98.7948 L 904 JOHN HANCOCK GRP 2,563,433 %0.05 %98.8449 L 4483 NESTLE SA GRP 2,452,870 %0.05 %98.8950 L 3527 AMERICAN ENTERPRISE MUT GRP 2,447,013 %0.05 %98.9351 L 71404 CONTINENTAL GEN INS CO 2,436,378 %0.05 %98.9852 L 869 MINNESOTA MUT GRP 2,199,304 %0.04 %99.0253 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,965,210 %0.04 %99.0654 L 4855 SUMITOMO LIFE INS GRP 1,807,817 %0.03 %99.0955 L 408 AMERICAN NATL FIN GRP 1,628,657 %0.03 %99.1356 L 306 CUNA MUT GRP 1,620,825 %0.03 %99.1657 L 826 NEW YORK LIFE GRP 1,504,044 %0.03 %99.1958 L 435 MASS MUT LIFE INS GRP 1,454,609 %0.03 %99.2159 L 839 WESTBRIDGE CAPITAL GRP 1,413,141 %0.03 %99.2460 P 796 QBE INS GRP 1,412,451 %0.03 %99.2761 L P 19 ASSURANT INC GRP 1,386,372 %0.03 %99.2962 L 276 TRUSTMARK MUT HOLDING CO GRP 1,369,148 %0.03 %99.3263 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,307,588 %0.03 %99.3564 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,298,223 %0.02 %99.37
© 2018 National Association of Insurance Commissioners 115
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
West Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4 AMERIPRISE FIN GRP 1,244,301 %0.02 %99.3966 L 367 PHYSICIANS MUT GRP 1,218,948 %0.02 %99.4267 P 181 SWISS RE GRP 1,164,235 %0.02 %99.4468 L 1117 MANHATTAN LIFE GRP 1,151,761 %0.02 %99.4669 L 4888 EQUITABLE FAMILY INS CO GRP 1,150,810 %0.02 %99.4870 L 836 WEST SOUTHERN GRP 1,118,757 %0.02 %99.5171 H 1260 MAGELLAN HLTH INC GRP 1,117,573 %0.02 %99.5372 L 11121 UNIFIED LIFE INS CO 1,035,844 %0.02 %99.5573 L H 917 HCSC GRP 980,449 %0.02 %99.5774 F 56499 ASSURED LIFE ASSN 839,775 %0.02 %99.5875 L P 140 NATIONWIDE CORP GRP 820,889 %0.02 %99.6076 H 1230 CAPITAL BLUE CROSS GRP 812,002 %0.02 %99.6177 L 781 UNION LABOR GRP 801,422 %0.02 %99.6378 L P 31 BERKSHIRE HATHAWAY GRP 794,382 %0.02 %99.6479 P 1285 XL AMER GRP 794,231 %0.02 %99.6680 P 218 CNA INS GRP 784,610 %0.02 %99.6781 L 2538 AMTRUST NGH GRP 760,649 %0.01 %99.6982 L 3891 GOLDMAN SACHS GRP 751,762 %0.01 %99.7083 L 687 GUARANTEE TRUST GRP 690,475 %0.01 %99.7284 P 361 MUNICH RE GRP 625,562 %0.01 %99.7385 F 57657 ROYAL NEIGHBORS OF AMER 612,365 %0.01 %99.7486 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 601,249 %0.01 %99.7587 L 581 BOSTON MUT GRP 587,460 %0.01 %99.7688 L 619 ONEAMERICA FIN PARTNERS GRP 581,715 %0.01 %99.7789 L 61921 CITIZENS SECURITY LIFE INS CO 514,275 %0.01 %99.7890 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 492,212 %0.01 %99.7991 L P 450 GENEVE HOLDINGS INC GRP 480,706 %0.01 %99.8092 L 264 HEALTHMARKETS GRP 456,452 %0.01 %99.8193 L H 4719 AMFIRST HOLDINGS GRP 441,945 %0.01 %99.8294 L 769 GREAT WEST GRP 403,275 %0.01 %99.8395 H P 1324 UPMC HLTH SYSTEM GRP 374,022 %0.01 %99.8396 L 4736 GGC GRP 373,059 %0.01 %99.8497 L 4853 AAA LIFE GRP 372,649 %0.01 %99.8598 L 704 OHIO NATL LIFE GRP 355,863 %0.01 %99.8699 P 1120 EVEREST REINS HOLDINGS GRP 320,189 %0.01 %99.86
100 L 761 ALLIANZ INS GRP 314,525 %0.01 %99.87101 L 968 AXA INS GRP 293,013 %0.01 %99.87102 L 4862 ASSURITY GRP 288,964 %0.01 %99.88103 L 1216 TIAA FAMILY GRP 263,125 %0.01 %99.88104 L P 23 BCS INS GRP 260,171 %- %99.89105 P 4381 HOUSTON INTL INS GRP 257,979 %- %99.89106 H 4696 VISION BENEFITS GRP 252,613 %- %99.90107 L 4734 ATHENE GRP 243,755 %- %99.90108 L 98 WR BERKLEY CORP GRP 243,168 %- %99.91109 L P 212 ZURICH INS GRP 231,524 %- %99.91110 P 4670 STARR GRP 218,487 %- %99.92111 L 458 PROTECTIVE LIFE INS GRP 210,094 %- %99.92112 L 4716 FORTRESS GRP 201,360 %- %99.93113 L 525 PAN AMER LIFE GRP 194,043 %- %99.93114 L 520 NEW ERA LIFE GRP 181,909 %- %99.93115 L 69132 STATE MUT INS CO 181,828 %- %99.94116 L 918 JACKSON NATL GRP 180,323 %- %99.94117 P 3483 PARTNERRE GRP 178,932 %- %99.94118 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 176,554 %- %99.95119 L 76325 SENIOR HLTH INS CO OF PA 162,675 %- %99.95120 L 215 KEMPER CORP GRP 151,726 %- %99.95121 F 58033 KNIGHTS OF COLUMBUS 145,237 %- %99.95122 H 936 INDEPENDENCE HLTH GRP INC GRP 129,909 %- %99.96123 L 2858 HOMESHIELD CAPITAL GRP 127,363 %- %99.96124 L 64580 ILLINOIS MUT LIFE INS CO 117,296 %- %99.96125 P 27928 AMEX ASSUR CO 116,288 %- %99.96
**TOTAL** 5,213,877,553 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 116
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Wisconsin
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 3,769,017,384 %21.40 %21.402 L H 671 ANTHEM INC GRP 1,623,790,178 %9.22 %30.623 L H 119 HUMANA GRP 1,531,135,173 %8.69 %39.324 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 1,463,895,425 %8.31 %47.635 H 1294 DEAN HLTH GRP 1,243,800,184 %7.06 %54.696 H 96881 SECURITY HLTH PLAN OF WI INC 1,222,301,718 %6.94 %61.637 H 2678 NETWORK HLTH GRP 860,893,699 %4.89 %66.528 L H 68 WISCONSIN PHYSICIANS SERV INS GRP 597,840,058 %3.39 %69.929 H 1531 MOLINA HEALTHCARE INC GRP 490,940,829 %2.79 %72.71
10 L 72273 WEA INS CORP 469,748,081 %2.67 %75.3711 H 95311 GROUP HLTH COOP OF S CENTRAL WI 355,374,577 %2.02 %77.3912 H 1552 MEDICA GRP 270,634,886 %1.54 %78.9313 H 13739 CHILDRENS COMM HLTH PLAN INC 258,892,163 %1.47 %80.4014 H 3849 DELTA DENTAL OF WI GRP 232,627,750 %1.32 %81.7215 L 1 AETNA GRP 228,036,786 %1.29 %83.0116 H 15061 COMMON GROUND HLTHCARE COOP 169,123,684 %0.96 %83.9717 H 96628 HEALTH TRADITION HLTH PLAN 152,144,287 %0.86 %84.8418 H 95192 GROUP HLTH COOP OF EAU CLAIRE 134,953,205 %0.77 %85.6019 H 12248 CARE WI HLTH PLAN INC 129,734,323 %0.74 %86.3420 H 1258 HEALTHPARTNERS GRP 123,090,408 %0.70 %87.0421 L H 901 CIGNA HLTH GRP 103,005,377 %0.58 %87.6322 L 565 UNUM GRP 97,217,660 %0.55 %88.1823 H 3595 MERCY HLTH CORP GRP 93,683,924 %0.53 %88.7124 H 1295 CENTENE CORP GRP 92,280,139 %0.52 %89.2325 H 10756 COMMUNITY CARE HEALTH PLAN, INC. 91,989,800 %0.52 %89.7626 L 860 NORTHWESTERN MUT GRP 83,113,671 %0.47 %90.2327 L P 3098 TOKIO MARINE HOLDINGS INC GRP 81,144,556 %0.46 %90.6928 L 549 SUN LIFE ASSUR CO OF CN GRP 80,202,267 %0.46 %91.1429 L P 241 METROPOLITAN GRP 78,551,655 %0.45 %91.5930 L 367 PHYSICIANS MUT GRP 72,086,753 %0.41 %92.0031 L 370 AFLAC GRP 67,570,509 %0.38 %92.3832 H 4667 CVS CAREMARK GRP 64,376,450 %0.37 %92.7533 L 261 MUTUAL OF OMAHA GRP 55,999,105 %0.32 %93.0734 L 4832 VOYA FINANCIAL GRP 53,807,348 %0.31 %93.3735 L 3527 AMERICAN ENTERPRISE MUT GRP 53,710,363 %0.30 %93.6836 L P 91 HARTFORD FIRE & CAS GRP 44,619,476 %0.25 %93.9337 L 4011 GENWORTH FIN GRP 40,374,344 %0.23 %94.1638 L P 468 AEGON US HOLDING GRP 39,467,115 %0.22 %94.3839 P 796 QBE INS GRP 39,301,673 %0.22 %94.6140 L 233 CNO FINANCIAL GRP 36,520,441 %0.21 %94.8141 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 36,402,079 %0.21 %95.0242 L 429 GUARDIAN LIFE GRP 34,151,824 %0.19 %95.2243 L 4855 SUMITOMO LIFE INS GRP 33,677,347 %0.19 %95.4144 L P 12 AMERICAN INTL GRP 32,761,864 %0.19 %95.5945 L 332 PRINCIPAL FIN GRP 32,267,884 %0.18 %95.7846 L 904 JOHN HANCOCK GRP 30,696,360 %0.17 %95.9547 L 20 LINCOLN NATL GRP 30,059,073 %0.17 %96.1248 H 1189 VISION SERV PLAN GRP 29,593,751 %0.17 %96.2949 L 1348 MEIJI YASUDA LIFE INS GRP 29,018,641 %0.16 %96.4550 L 661 BCBS OF SC GRP 27,051,512 %0.15 %96.6151 H 55450 CARE PLUS DENTAL PLANS INC 25,521,765 %0.14 %96.7552 H 4811 MEDICAL ASSOCIATES GRP 25,270,141 %0.14 %96.9053 L P 19 ASSURANT INC GRP 22,906,123 %0.13 %97.0354 L P 626 CHUBB LTD GRP 22,824,297 %0.13 %97.1655 L 8 ALLSTATE INS GRP 22,764,555 %0.13 %97.2856 H 12834 TRILOGY HLTH INS INC 22,301,700 %0.13 %97.4157 L P 450 GENEVE HOLDINGS INC GRP 20,676,572 %0.12 %97.5358 P 176 STATE FARM GRP 20,332,454 %0.12 %97.6459 L 304 PRUDENTIAL OF AMER GRP 18,949,575 %0.11 %97.7560 L P 111 LIBERTY MUT GRP 17,089,264 %0.10 %97.8561 L 4483 NESTLE SA GRP 16,522,890 %0.09 %97.9462 L P 212 ZURICH INS GRP 15,867,168 %0.09 %98.0363 L 290 TORCHMARK CORP GRP 15,810,074 %0.09 %98.1264 H 4879 CENTERBRIDGE CAPITAL PARTNERS GRP 15,151,875 %0.09 %98.21
© 2018 National Association of Insurance Commissioners 117
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Wisconsin
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 7 FEDERATED MUT GRP 14,926,378 %0.08 %98.2966 L 1211 NATIONAL GUARDIAN LIFE INS GRP 12,818,817 %0.07 %98.3767 L H 812 HIGHMARK GRP 12,577,450 %0.07 %98.4468 L 943 AMERITAS MUT HOLDING GRP 12,322,868 %0.07 %98.5169 L 2538 AMTRUST NGH GRP 11,550,629 %0.07 %98.5770 P 158 FAIRFAX FIN GRP 11,182,128 %0.06 %98.6471 H 12747 ENVISION INS CO 10,344,079 %0.06 %98.7072 L 687 GUARANTEE TRUST GRP 9,709,950 %0.06 %98.7573 H 4813 EXPRESS SCRIPTS HOLDING GRP 8,681,175 %0.05 %98.8074 P 473 AMERICAN FAMILY INS GRP 8,112,764 %0.05 %98.8575 L 451 FIDELITY SECURITY GRP 7,365,788 %0.04 %98.8976 H 461 BCBS OF MN GRP 7,133,610 %0.04 %98.9377 L 4 AMERIPRISE FIN GRP 6,721,034 %0.04 %98.9778 L 64580 ILLINOIS MUT LIFE INS CO 6,681,685 %0.04 %99.0079 L H 1199 WELLCARE GRP 6,623,511 %0.04 %99.0480 P 218 CNA INS GRP 6,532,767 %0.04 %99.0881 L 98 WR BERKLEY CORP GRP 6,442,412 %0.04 %99.1282 L 435 MASS MUT LIFE INS GRP 6,157,470 %0.03 %99.1583 P 4863 CHINA MINSHENG GRP 6,098,079 %0.03 %99.1984 L 306 CUNA MUT GRP 5,950,285 %0.03 %99.2285 L 153 PEKIN INS GRP 5,509,276 %0.03 %99.2586 L 826 NEW YORK LIFE GRP 5,280,981 %0.03 %99.2887 L H 917 HCSC GRP 5,116,331 %0.03 %99.3188 L 11121 UNIFIED LIFE INS CO 4,932,828 %0.03 %99.3489 L 761 ALLIANZ INS GRP 4,566,858 %0.03 %99.3690 L 4736 GGC GRP 4,544,161 %0.03 %99.3991 H 4380 UCARE GRP 4,518,535 %0.03 %99.4192 L 588 KANSAS CITY LIFE INS GRP 4,456,046 %0.03 %99.4493 L 150 OLD REPUBLIC GRP 4,355,962 %0.02 %99.4694 L 869 MINNESOTA MUT GRP 4,242,713 %0.02 %99.4995 L P 181 SWISS RE GRP 4,170,763 %0.02 %99.5196 L 330 AMERICAN FIDELITY CORP GRP 4,102,854 %0.02 %99.5497 H 2479 DENTEGRA GRP 3,757,619 %0.02 %99.5698 L 264 HEALTHMARKETS GRP 3,584,189 %0.02 %99.5899 L 408 AMERICAN NATL FIN GRP 3,459,657 %0.02 %99.60
100 P 361 MUNICH RE GRP 3,353,821 %0.02 %99.62101 L 525 PAN AMER LIFE GRP 2,812,738 %0.02 %99.63102 L 574 AMERCO CORP GRP 2,587,539 %0.01 %99.65103 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,585,306 %0.01 %99.66104 L 276 TRUSTMARK MUT HOLDING CO GRP 2,573,387 %0.01 %99.68105 L 781 UNION LABOR GRP 2,565,028 %0.01 %99.69106 L 4862 ASSURITY GRP 2,279,049 %0.01 %99.70107 L 71404 CONTINENTAL GEN INS CO 2,233,446 %0.01 %99.72108 P 4381 HOUSTON INTL INS GRP 2,130,362 %0.01 %99.73109 L P 31 BERKSHIRE HATHAWAY GRP 2,129,283 %0.01 %99.74110 L 1117 MANHATTAN LIFE GRP 2,075,219 %0.01 %99.75111 L P 23 BCS INS GRP 1,902,797 %0.01 %99.76112 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,838,019 %0.01 %99.77113 L 619 ONEAMERICA FIN PARTNERS GRP 1,825,938 %0.01 %99.78114 P 3416 AXIS CAPITAL GRP 1,734,026 %0.01 %99.79115 F 58033 KNIGHTS OF COLUMBUS 1,730,779 %0.01 %99.80116 H 477 RENAISSANCE HLTH SERV CORP GRP 1,596,750 %0.01 %99.81117 P 1120 EVEREST REINS HOLDINGS GRP 1,476,442 %0.01 %99.82118 H 52041 AMERICAN DENTAL PLAN OF WI INC 1,416,191 %0.01 %99.83119 L P 140 NATIONWIDE CORP GRP 1,341,425 %0.01 %99.84120 L 1186 LIFETIME HLTHCARE GRP 1,318,740 %0.01 %99.84121 L 4853 AAA LIFE GRP 1,297,696 %0.01 %99.85122 L 769 GREAT WEST GRP 1,252,474 %0.01 %99.86123 L 76325 SENIOR HLTH INS CO OF PA 1,249,988 %0.01 %99.87124 L 704 OHIO NATL LIFE GRP 1,247,342 %0.01 %99.87125 F 56693 GCU 1,235,459 %0.01 %99.88
**TOTAL** 17,610,132,247 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 118
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Wyoming
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 53767 BCBS OF WY 493,702,331 %53.06 %53.062 L H 707 UNITEDHEALTH GRP 112,262,379 %12.07 %65.133 L H 901 CIGNA HLTH GRP 54,247,536 %5.83 %70.964 L H 1 AETNA GRP 30,867,288 %3.32 %74.285 L 261 MUTUAL OF OMAHA GRP 17,086,986 %1.84 %76.126 L 370 AFLAC GRP 16,022,446 %1.72 %77.847 H 15200 DELTA DENTAL PLAN OF WY 16,014,186 %1.72 %79.568 L H 119 HUMANA GRP 14,861,508 %1.60 %81.169 L 661 BCBS OF SC GRP 7,196,381 %0.77 %81.93
10 H 4667 CVS CAREMARK GRP 7,010,683 %0.75 %82.6811 P 176 STATE FARM GRP 6,569,780 %0.71 %83.3912 L 565 UNUM GRP 5,918,747 %0.64 %84.0313 L 4011 GENWORTH FIN GRP 5,344,065 %0.57 %84.6014 L P 3098 TOKIO MARINE HOLDINGS INC GRP 5,306,151 %0.57 %85.1715 H 1260 MAGELLAN HLTH INC GRP 5,104,451 %0.55 %85.7216 L 839 WESTBRIDGE CAPITAL GRP 4,738,890 %0.51 %86.2317 L 4855 SUMITOMO LIFE INS GRP 4,643,271 %0.50 %86.7318 L 2538 AMTRUST NGH GRP 4,606,092 %0.50 %87.2219 L 241 METROPOLITAN GRP 4,488,172 %0.48 %87.7120 L 233 CNO FINANCIAL GRP 4,445,166 %0.48 %88.1821 L H 812 HIGHMARK GRP 4,187,173 %0.45 %88.6322 L 290 TORCHMARK CORP GRP 3,960,035 %0.43 %89.0623 L 215 KEMPER CORP GRP 3,861,668 %0.42 %89.4724 L 4832 VOYA FINANCIAL GRP 3,826,650 %0.41 %89.8925 L P 468 AEGON US HOLDING GRP 3,799,226 %0.41 %90.2926 L 1348 MEIJI YASUDA LIFE INS GRP 3,256,491 %0.35 %90.6427 L 4483 NESTLE SA GRP 3,205,771 %0.34 %90.9928 L 20 LINCOLN NATL GRP 3,204,941 %0.34 %91.3329 L 330 AMERICAN FIDELITY CORP GRP 3,199,290 %0.34 %91.6830 P 361 MUNICH RE GRP 3,017,815 %0.32 %92.0031 L P 23 BCS INS GRP 2,958,750 %0.32 %92.3232 L P 111 LIBERTY MUT GRP 2,859,551 %0.31 %92.6333 L 860 NORTHWESTERN MUT GRP 2,771,721 %0.30 %92.9234 L P 626 CHUBB LTD GRP 2,683,913 %0.29 %93.2135 L P 12 AMERICAN INTL GRP 2,638,651 %0.28 %93.5036 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,612,853 %0.28 %93.7837 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,427,613 %0.26 %94.0438 L 429 GUARDIAN LIFE GRP 2,322,041 %0.25 %94.2939 L 549 SUN LIFE ASSUR CO OF CN GRP 2,251,139 %0.24 %94.5340 L P 19 ASSURANT INC GRP 2,019,106 %0.22 %94.7541 P 4863 CHINA MINSHENG GRP 1,973,433 %0.21 %94.9642 P 1285 XL AMER GRP 1,808,418 %0.19 %95.1543 L P 91 HARTFORD FIRE & CAS GRP 1,808,408 %0.19 %95.3544 P 796 QBE INS GRP 1,761,257 %0.19 %95.5445 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 1,668,266 %0.18 %95.7246 L 304 PRUDENTIAL OF AMER GRP 1,650,354 %0.18 %95.8947 L 276 TRUSTMARK MUT HOLDING CO GRP 1,646,467 %0.18 %96.0748 P 181 SWISS RE GRP 1,627,901 %0.17 %96.2549 L 904 JOHN HANCOCK GRP 1,590,959 %0.17 %96.4250 L 826 NEW YORK LIFE GRP 1,545,382 %0.17 %96.5851 P 158 FAIRFAX FIN GRP 1,347,064 %0.14 %96.7352 L 332 PRINCIPAL FIN GRP 1,328,534 %0.14 %96.8753 L 4824 ADVANTAGE CAPITAL GRP 1,302,469 %0.14 %97.0154 L 943 AMERITAS MUT HOLDING GRP 1,286,533 %0.14 %97.1555 L P 450 GENEVE HOLDINGS INC GRP 1,218,125 %0.13 %97.2856 L 4888 EQUITABLE FAMILY INS CO GRP 1,189,743 %0.13 %97.4157 L H 1199 WELLCARE GRP 1,186,030 %0.13 %97.5358 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,109,936 %0.12 %97.6559 L 8 ALLSTATE INS GRP 1,103,932 %0.12 %97.7760 L 71404 CONTINENTAL GEN INS CO 1,087,661 %0.12 %97.8961 L 367 PHYSICIANS MUT GRP 1,014,199 %0.11 %98.0062 L 306 CUNA MUT GRP 935,293 %0.10 %98.1063 L 3527 AMERICAN ENTERPRISE MUT GRP 924,161 %0.10 %98.2064 L 1117 MANHATTAN LIFE GRP 880,468 %0.09 %98.29
© 2018 National Association of Insurance Commissioners 119
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Wyoming
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 4886 BENCHMARK HOLDING GRP 867,245 %0.09 %98.3966 L 687 GUARANTEE TRUST GRP 831,852 %0.09 %98.4867 L 408 AMERICAN NATL FIN GRP 774,390 %0.08 %98.5668 L 587 ATLANTIC AMER GRP 762,129 %0.08 %98.6469 P 1279 ARCH INS GRP 660,869 %0.07 %98.7170 H 2479 DENTEGRA GRP 628,983 %0.07 %98.7871 L 435 MASS MUT LIFE INS GRP 625,377 %0.07 %98.8572 L 869 MINNESOTA MUT GRP 597,760 %0.06 %98.9173 H 4813 EXPRESS SCRIPTS HOLDING GRP 592,469 %0.06 %98.9774 L 69132 STATE MUT INS CO 519,237 %0.06 %99.0375 L 4 AMERIPRISE FIN GRP 448,746 %0.05 %99.0876 L 761 ALLIANZ INS GRP 444,290 %0.05 %99.1377 L 4862 ASSURITY GRP 436,073 %0.05 %99.1778 P 218 CNA INS GRP 421,987 %0.05 %99.2279 L 451 FIDELITY SECURITY GRP 417,343 %0.04 %99.2680 L 66214 HEARTLAND NATL LIFE INS CO 413,138 %0.04 %99.3181 H 477 RENAISSANCE HLTH SERV CORP GRP 402,539 %0.04 %99.3582 P 4381 HOUSTON INTL INS GRP 389,121 %0.04 %99.3983 L P 140 NATIONWIDE CORP GRP 319,170 %0.03 %99.4384 L 50 COUNTRY INS & FIN SERV GRP 274,795 %0.03 %99.4685 L P 212 ZURICH INS GRP 254,759 %0.03 %99.4886 L 1186 LIFETIME HLTHCARE GRP 250,738 %0.03 %99.5187 P 3416 AXIS CAPITAL GRP 243,435 %0.03 %99.5488 L 90638 BEST LIFE & HLTH INS CO 241,719 %0.03 %99.5689 P 31 BERKSHIRE HATHAWAY GRP 212,198 %0.02 %99.5990 L 98 WR BERKLEY CORP GRP 209,517 %0.02 %99.6191 H 12747 ENVISION INS CO 204,990 %0.02 %99.6392 F 58033 KNIGHTS OF COLUMBUS 183,444 %0.02 %99.6593 L 4853 AAA LIFE GRP 179,324 %0.02 %99.6794 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 179,284 %0.02 %99.6995 L 520 NEW ERA LIFE GRP 178,513 %0.02 %99.7196 L 769 GREAT WEST GRP 176,248 %0.02 %99.7397 P 1120 EVEREST REINS HOLDINGS GRP 149,796 %0.02 %99.7498 L 574 AMERCO CORP GRP 148,060 %0.02 %99.7699 L 917 HCSC GRP 136,063 %0.01 %99.77
100 L 11121 UNIFIED LIFE INS CO 126,212 %0.01 %99.79101 L 64580 ILLINOIS MUT LIFE INS CO 119,356 %0.01 %99.80102 L 264 HEALTHMARKETS GRP 113,621 %0.01 %99.81103 L 4712 GPM LIFE GRP 106,006 %0.01 %99.82104 L 76325 SENIOR HLTH INS CO OF PA 104,483 %0.01 %99.83105 P 27928 AMEX ASSUR CO 97,675 %0.01 %99.85106 L 4815 RESOLUTION LIFE GRP 90,182 %0.01 %99.86107 L 4826 ECG GRP 89,214 %0.01 %99.86108 L 968 AXA INS GRP 85,330 %0.01 %99.87109 L 4736 GGC GRP 83,448 %0.01 %99.88110 F 56413 UNITED TRANSPORTATION UNION INS ASSN 77,344 %0.01 %99.89111 L 581 BOSTON MUT GRP 75,748 %0.01 %99.90112 L 2858 HOMESHIELD CAPITAL GRP 74,088 %0.01 %99.91113 L 1211 NATIONAL GUARDIAN LIFE INS GRP 68,242 %0.01 %99.91114 L 4716 FORTRESS GRP 65,424 %0.01 %99.92115 L 350 GENERAL ELECTRIC GRP 64,084 %0.01 %99.93116 L 588 KANSAS CITY LIFE INS GRP 57,603 %0.01 %99.93117 L 572 BCBS OF MI GRP 56,882 %0.01 %99.94118 L 4718 TIPTREE FIN GRP 55,390 %0.01 %99.95119 L 918 JACKSON NATL GRP 55,112 %0.01 %99.95120 L 704 OHIO NATL LIFE GRP 50,414 %0.01 %99.96121 L 513 IOWA FARM BUREAU GRP 36,651 %- %99.96122 L 4734 ATHENE GRP 30,612 %- %99.97123 L 449 FINANCIAL HOLDINGS GRP 24,781 %- %99.97124 L 1216 TIAA FAMILY GRP 24,079 %- %99.97125 P 785 MARKEL CORP GRP 20,496 %- %99.97
**TOTAL** 930,377,330 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 120
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
American Samoa
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 11093 TAKECARE INS CO INC 660,556 %98.07 %98.072 L H 707 UNITEDHEALTH GRP 37,906 %5.63 %100.003 L 241 METROPOLITAN GRP 37,176 %5.52 %100.004 L 468 AEGON US HOLDING GRP 31,314 %4.65 %100.005 L 370 AFLAC GRP 26,981 %4.01 %100.006 L 901 CIGNA HLTH GRP 17,595 %2.61 %100.007 L P 761 ALLIANZ INS GRP 3,317 %0.49 %100.008 L 429 GUARDIAN LIFE GRP 2,354 %0.35 %100.009 L 306 CUNA MUT GRP 1,353 %0.20 %100.00
10 L 367 PHYSICIANS MUT GRP 1,192 %0.18 %100.0011 L 565 UNUM GRP 1,010 %0.15 %100.0012 L 290 TORCHMARK CORP GRP 514 %0.08 %100.0013 L 904 JOHN HANCOCK GRP 384 %0.06 %100.0014 L 261 MUTUAL OF OMAHA GRP 303 %0.04 %100.0015 L 4716 FORTRESS GRP 158 %0.02 %100.0016 L 8 ALLSTATE INS GRP 127 %0.02 %100.00
**TOTAL** 673,523 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 121
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Guam
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 P 3098 TOKIO MARINE HOLDINGS INC GRP 133,417,775 %47.87 %47.872 H 11093 TAKECARE INS CO INC 84,437,568 %30.30 %78.173 P 31658 ISLAND HOME INS CO 32,558,564 %11.68 %89.854 L 370 AFLAC GRP 16,970,849 %6.09 %95.945 L 1348 MEIJI YASUDA LIFE INS GRP 3,233,566 %1.16 %97.106 L H 707 UNITEDHEALTH GRP 2,685,239 %0.96 %98.067 L 901 CIGNA HLTH GRP 1,450,058 %0.52 %98.588 L 241 METROPOLITAN GRP 783,284 %0.28 %98.869 L 869 MINNESOTA MUT GRP 641,723 %0.23 %99.10
10 L 468 AEGON US HOLDING GRP 640,949 %0.23 %99.3311 L 8 ALLSTATE INS GRP 620,904 %0.22 %99.5512 L 1 AETNA GRP 456,511 %0.16 %99.7113 L 91 HARTFORD FIRE & CAS GRP 320,628 %0.12 %99.8314 P 10972 FIRST NET INS CO 86,002 %0.03 %99.8615 L 20 LINCOLN NATL GRP 63,821 %0.02 %99.8816 L 408 AMERICAN NATL FIN GRP 60,605 %0.02 %99.9017 L 304 PRUDENTIAL OF AMER GRP 46,659 %0.02 %99.9218 L 769 GREAT WEST GRP 44,222 %0.02 %99.9319 L 565 UNUM GRP 27,960 %0.01 %99.9420 H 12747 ENVISION INS CO 20,944 %0.01 %99.9521 L 306 CUNA MUT GRP 19,921 %0.01 %99.9622 H 4667 CVS CAREMARK GRP 14,832 %0.01 %99.9623 L 826 NEW YORK LIFE GRP 12,896 %- %99.9724 P 4672 DONGBU INS GRP 9,483 %- %99.9725 L 261 MUTUAL OF OMAHA GRP 9,085 %- %99.9826 P 12633 CENTURY INS CO GU LTD 8,950 %- %99.9827 L P 12 AMERICAN INTL GRP 7,552 %- %99.9828 L 233 CNO FINANCIAL GRP 6,651 %- %99.9829 L 435 MASS MUT LIFE INS GRP 6,452 %- %99.9930 L 4832 VOYA FINANCIAL GRP 5,245 %- %99.9931 L 458 PROTECTIVE LIFE INS GRP 5,165 %- %99.9932 L 1117 MANHATTAN LIFE GRP 5,124 %- %99.9933 L 690 CENTRAL STATES GRP 4,320 %- %99.9934 L 943 AMERITAS MUT HOLDING GRP 2,982 %- %100.0035 L 71404 CONTINENTAL GEN INS CO 2,354 %- %100.0036 L 4750 PRIMERICA GRP 2,340 %- %100.0037 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,465 %- %100.0038 L 69310 SURETY LIFE INS CO 1,394 %- %100.0039 L 367 PHYSICIANS MUT GRP 1,346 %- %100.0040 L 429 GUARDIAN LIFE GRP 1,121 %- %100.0041 L 918 JACKSON NATL GRP 692 %- %100.0042 L 449 FINANCIAL HOLDINGS GRP 672 %- %100.0043 L 290 TORCHMARK CORP GRP 538 %- %100.0044 L 781 UNION LABOR GRP 407 %- %100.0045 P 761 ALLIANZ INS GRP 363 %- %100.0046 L 626 CHUBB LTD GRP 324 %- %100.0047 L 4853 AAA LIFE GRP 289 %- %100.0048 L 350 GENERAL ELECTRIC GRP 238 %- %100.0049 L 836 WEST SOUTHERN GRP 133 %- %100.0050 L 904 JOHN HANCOCK GRP 113 %- %100.0051 L 572 BCBS OF MI GRP 66 %- %100.0052 L 330 AMERICAN FIDELITY CORP GRP 29 %- %100.00
**TOTAL** 278,700,334 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 122
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Puerto Rico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 4802 TRIPLE S GRP 2,656,006,736 %26.92 %26.922 H 4812 INNOVACARE INC GRP 2,347,934,534 %23.80 %50.723 L H 1301 MEDICAL CARD SYSTEM INC GRP 1,991,231,196 %20.18 %70.904 H 95722 FIRST MEDICAL HLTH PLAN INC 1,074,213,524 %10.89 %81.795 H 1531 MOLINA HEALTHCARE INC GRP 731,882,245 %7.42 %89.216 L H 119 HUMANA GRP 434,493,341 %4.40 %93.617 H 15125 CONSTELLATION HLTH LLC 233,789,548 %2.37 %95.988 L P 411 MAPFRE INS GRP 82,640,593 %0.84 %96.829 L 370 AFLAC GRP 56,205,013 %0.57 %97.39
10 L 4804 MULTINATIONAL GRP 33,642,507 %0.34 %97.7311 L 69523 TRANS OCEANIC LIFE INS CO 27,738,600 %0.28 %98.0112 L P 626 CHUBB LTD GRP 21,057,598 %0.21 %98.2213 L 525 PAN AMER LIFE GRP 18,048,966 %0.18 %98.4114 H 2479 DENTEGRA GRP 17,353,935 %0.18 %98.5815 H 95730 PLAN DE SALUD MENONITA INC 17,272,143 %0.18 %98.7616 L H 707 UNITEDHEALTH GRP 16,647,283 %0.17 %98.9317 L 233 CNO FINANCIAL GRP 15,381,286 %0.16 %99.0818 L 241 METROPOLITAN GRP 12,458,209 %0.13 %99.2119 L 435 MASS MUT LIFE INS GRP 9,396,672 %0.10 %99.3020 L 261 MUTUAL OF OMAHA GRP 8,024,175 %0.08 %99.3921 L 901 CIGNA HLTH GRP 7,218,662 %0.07 %99.4622 H 95762 PLAN MEDICO SERV DE SALUD BELLA VIST 6,165,065 %0.06 %99.5223 L 71 UNIVERSAL INS CO GRP 6,099,171 %0.06 %99.5824 L P 3593 USIC GRP 5,129,151 %0.05 %99.6425 L 1 AETNA GRP 4,767,470 %0.05 %99.6826 L P 19 ASSURANT INC GRP 3,493,109 %0.04 %99.7227 L P 111 LIBERTY MUT GRP 3,469,473 %0.04 %99.7528 L 8 ALLSTATE INS GRP 2,877,286 %0.03 %99.7829 H 95743 RYDER HLTH PLAN INC 2,478,994 %0.03 %99.8130 L 704 OHIO NATL LIFE GRP 2,290,730 %0.02 %99.8331 L P 12 AMERICAN INTL GRP 2,042,376 %0.02 %99.8532 L 565 UNUM GRP 1,486,187 %0.02 %99.8733 L 91 HARTFORD FIRE & CAS GRP 1,439,269 %0.01 %99.8834 L 304 PRUDENTIAL OF AMER GRP 1,294,711 %0.01 %99.9035 L 968 AXA INS GRP 1,216,072 %0.01 %99.9136 P 26778 INTEGRAND ASSUR CO 1,121,496 %0.01 %99.9237 L 918 JACKSON NATL GRP 1,000,681 %0.01 %99.9338 L 1117 MANHATTAN LIFE GRP 754,198 %0.01 %99.9439 L 87394 MARQUETTE IND & LIFE INS CO 645,254 %0.01 %99.9440 H 81647 BUPA INS CO 615,463 %0.01 %99.9541 L 20 LINCOLN NATL GRP 534,877 %0.01 %99.9542 L 826 NEW YORK LIFE GRP 496,988 %0.01 %99.9643 P 796 QBE INS GRP 454,218 %- %99.9644 L 904 JOHN HANCOCK GRP 421,416 %- %99.9745 P 361 MUNICH RE GRP 396,704 %- %99.9746 L 468 AEGON US HOLDING GRP 377,762 %- %99.9847 H 4667 CVS CAREMARK GRP 375,254 %- %99.9848 H 4813 EXPRESS SCRIPTS HOLDING GRP 367,549 %- %99.9849 L 4832 VOYA FINANCIAL GRP 198,515 %- %99.9950 L 869 MINNESOTA MUT GRP 144,365 %- %99.9951 P 27928 AMEX ASSUR CO 140,474 %- %99.9952 L 769 GREAT WEST GRP 109,109 %- %99.9953 L 429 GUARDIAN LIFE GRP 106,294 %- %99.9954 H 12747 ENVISION INS CO 89,638 %- %99.9955 L 306 CUNA MUT GRP 75,429 %- %99.9956 F 58033 KNIGHTS OF COLUMBUS 71,706 %- %99.9957 P 218 CNA INS GRP 65,178 %- %99.9958 P 1279 ARCH INS GRP 64,395 %- %100.0059 L 4750 PRIMERICA GRP 58,539 %- %100.0060 L 3891 GOLDMAN SACHS GRP 51,531 %- %100.0061 L 458 PROTECTIVE LIFE INS GRP 50,566 %- %100.0062 L 1348 MEIJI YASUDA LIFE INS GRP 43,328 %- %100.0063 L P 212 ZURICH INS GRP 30,965 %- %100.0064 L 276 TRUSTMARK MUT HOLDING CO GRP 27,936 %- %100.00
© 2018 National Association of Insurance Commissioners 123
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Puerto Rico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4 AMERIPRISE FIN GRP 22,251 %- %100.0066 L 581 BOSTON MUT GRP 22,092 %- %100.0067 L 520 NEW ERA LIFE GRP 21,317 %- %100.0068 L 332 PRINCIPAL FIN GRP 20,299 %- %100.0069 L 4764 RESERVOIR CAPITAL GRP 16,760 %- %100.0070 L 290 TORCHMARK CORP GRP 14,598 %- %100.0071 L 408 AMERICAN NATL FIN GRP 12,917 %- %100.0072 L 781 UNION LABOR GRP 8,726 %- %100.0073 L 4855 SUMITOMO LIFE INS GRP 7,723 %- %100.0074 L P 761 ALLIANZ INS GRP 6,923 %- %100.0075 L 943 AMERITAS MUT HOLDING GRP 6,608 %- %100.0076 L 1211 NATIONAL GUARDIAN LIFE INS GRP 6,072 %- %100.0077 L 367 PHYSICIANS MUT GRP 5,390 %- %100.0078 L 200 UNITED SERV AUTOMOBILE ASSN GRP 5,056 %- %100.0079 P 23 BCS INS GRP 4,839 %- %100.0080 L 850 PENN MUT GRP 4,465 %- %100.0081 L 839 WESTBRIDGE CAPITAL GRP 4,285 %- %100.0082 L 330 AMERICAN FIDELITY CORP GRP 4,233 %- %100.0083 L 76325 SENIOR HLTH INS CO OF PA 3,981 %- %100.0084 L 350 GENERAL ELECTRIC GRP 3,899 %- %100.0085 P 10308 ANTILLES INS CO 2,894 %- %100.0086 L 71404 CONTINENTAL GEN INS CO 2,407 %- %100.0087 L 4011 GENWORTH FIN GRP 2,285 %- %100.0088 L 4853 AAA LIFE GRP 2,185 %- %100.0089 L 449 FINANCIAL HOLDINGS GRP 2,178 %- %100.0090 L P 4716 FORTRESS GRP 1,635 %- %100.0091 F 56456 UNITED STATES LETTER CARRIERS MUT BE 1,527 %- %100.0092 L 572 BCBS OF MI GRP 1,456 %- %100.0093 L 634 NATIONAL LIFE GRP 1,351 %- %100.0094 L 440 REGAL REINS GRP 1,192 %- %100.0095 L 4862 ASSURITY GRP 1,055 %- %100.0096 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 725 %- %100.0097 L 4483 NESTLE SA GRP 718 %- %100.0098 L 450 GENEVE HOLDINGS INC GRP 576 %- %100.0099 L 64580 ILLINOIS MUT LIFE INS CO 540 %- %100.00
100 L 836 WEST SOUTHERN GRP 310 %- %100.00101 L 4734 ATHENE GRP 278 %- %100.00102 L 4213 WILTON RE GRP 229 %- %100.00103 L 264 HEALTHMARKETS GRP 227 %- %100.00104 L 3098 TOKIO MARINE HOLDINGS INC GRP 192 %- %100.00105 L 11121 UNIFIED LIFE INS CO 152 %- %100.00106 L 3527 AMERICAN ENTERPRISE MUT GRP 37 %- %100.00107 L 687 GUARANTEE TRUST GRP 26 %- %100.00108 L 215 KEMPER CORP GRP 17 %- %100.00109 L 150 OLD REPUBLIC GRP 8 %- %100.00
**TOTAL** 9,866,002,292 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 124
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
US Virgin Islands
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L 901 CIGNA HLTH GRP 158,346,662 %61.23 %61.232 L H 707 UNITEDHEALTH GRP 70,450,245 %27.24 %88.473 L 370 AFLAC GRP 10,126,831 %3.92 %92.394 L 411 MAPFRE INS GRP 4,666,259 %1.80 %94.195 L 16074 ELAN SOLUTIONS INC 4,218,614 %1.63 %95.826 L H 4802 TRIPLE S GRP 3,939,834 %1.52 %97.357 H 81647 BUPA INS CO 1,688,872 %0.65 %98.008 L 241 METROPOLITAN GRP 1,215,232 %0.47 %98.479 L 1348 MEIJI YASUDA LIFE INS GRP 693,174 %0.27 %98.74
10 P 15642 UNDERWRITERS AT LLOYD'S LONDON 672,554 %0.26 %99.0011 L 233 CNO FINANCIAL GRP 668,542 %0.26 %99.2612 L 261 MUTUAL OF OMAHA GRP 320,744 %0.12 %99.3813 L 8 ALLSTATE INS GRP 319,355 %0.12 %99.5014 L P 626 CHUBB LTD GRP 273,525 %0.11 %99.6115 L 520 NEW ERA LIFE GRP 120,000 %0.05 %99.6616 L 525 PAN AMER LIFE GRP 117,780 %0.05 %99.7017 H 2479 DENTEGRA GRP 114,689 %0.04 %99.7518 L 565 UNUM GRP 73,152 %0.03 %99.7719 L 304 PRUDENTIAL OF AMER GRP 70,137 %0.03 %99.8020 L 826 NEW YORK LIFE GRP 65,033 %0.03 %99.8321 L 19 ASSURANT INC GRP 58,600 %0.02 %99.8522 L 4855 SUMITOMO LIFE INS GRP 55,106 %0.02 %99.8723 L 429 GUARDIAN LIFE GRP 38,653 %0.01 %99.8824 H 4667 CVS CAREMARK GRP 37,646 %0.01 %99.9025 L 769 GREAT WEST GRP 35,699 %0.01 %99.9126 L 468 AEGON US HOLDING GRP 35,352 %0.01 %99.9327 L 904 JOHN HANCOCK GRP 30,990 %0.01 %99.9428 L 20 LINCOLN NATL GRP 25,546 %0.01 %99.9529 P 27928 AMEX ASSUR CO 24,586 %0.01 %99.9630 P 218 CNA INS GRP 23,684 %0.01 %99.9731 L 458 PROTECTIVE LIFE INS GRP 20,231 %0.01 %99.9832 P 761 ALLIANZ INS GRP 19,063 %0.01 %99.9833 L 4 AMERIPRISE FIN GRP 18,853 %0.01 %99.9934 L 140 NATIONWIDE CORP GRP 17,239 %0.01 %100.0035 L 71404 CONTINENTAL GEN INS CO 17,094 %0.01 %100.0036 L 91 HARTFORD FIRE & CAS GRP 16,074 %0.01 %100.0037 L 435 MASS MUT LIFE INS GRP 14,454 %0.01 %100.0038 L 69523 TRANS OCEANIC LIFE INS CO 14,444 %0.01 %100.0039 L 367 PHYSICIANS MUT GRP 7,324 %- %100.0040 L 917 HCSC GRP 6,177 %- %100.0041 L 4011 GENWORTH FIN GRP 5,137 %- %100.0042 L 4736 GGC GRP 4,961 %- %100.0043 L P 12 AMERICAN INTL GRP 4,239 %- %100.0044 L 781 UNION LABOR GRP 4,205 %- %100.0045 L 290 TORCHMARK CORP GRP 3,934 %- %100.0046 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,819 %- %100.0047 L 306 CUNA MUT GRP 3,068 %- %100.0048 L 918 JACKSON NATL GRP 2,779 %- %100.0049 L 943 AMERITAS MUT HOLDING GRP 2,172 %- %100.0050 L 968 AXA INS GRP 2,022 %- %100.0051 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,762 %- %100.0052 L 64580 ILLINOIS MUT LIFE INS CO 1,193 %- %100.0053 L 4862 ASSURITY GRP 1,111 %- %100.0054 L 264 HEALTHMARKETS GRP 1,107 %- %100.0055 F 56456 UNITED STATES LETTER CARRIERS MUT BE 874 %- %100.0056 L 350 GENERAL ELECTRIC GRP 800 %- %100.0057 L 4750 PRIMERICA GRP 775 %- %100.0058 L 4853 AAA LIFE GRP 742 %- %100.0059 F 57320 WOODMEN WORLD LIFE INS SOC 693 %- %100.0060 L 76325 SENIOR HLTH INS CO OF PA 656 %- %100.0061 L 67253 AMERICAN LIFE & SECURITY CORP 512 %- %100.0062 P 4706 LOCKHART CO GRP 415 %- %100.0063 P 69 FARMERS INS GRP 151 %- %100.0064 L 68772 SECURITY MUT LIFE INS CO OF NY 133 %- %100.00
© 2018 National Association of Insurance Commissioners 125
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
US Virgin Islands
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 572 BCBS OF MI GRP 107 %- %100.0065 L 4716 FORTRESS GRP 107 %- %100.0067 L 450 GENEVE HOLDINGS INC GRP 58 %- %100.0068 L 4483 NESTLE SA GRP 19 %- %100.0069 L 4832 VOYA FINANCIAL GRP 1 %- %100.00
**TOTAL** 258,611,053 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 126
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Northern Mariana Islands
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L 1 AETNA GRP 28,622,106 %67.37 %67.372 P 3098 TOKIO MARINE HOLDINGS INC GRP 6,001,864 %14.13 %81.503 H 11093 TAKECARE INS CO INC 3,765,943 %8.86 %90.364 P 31658 ISLAND HOME INS CO 3,346,048 %7.88 %98.245 L 707 UNITEDHEALTH GRP 258,732 %0.61 %98.856 P 10972 FIRST NET INS CO 139,954 %0.33 %99.187 L 241 METROPOLITAN GRP 124,867 %0.29 %99.478 L 901 CIGNA HLTH GRP 72,753 %0.17 %99.649 L 370 AFLAC GRP 69,482 %0.16 %99.80
10 L 1117 MANHATTAN LIFE GRP 43,383 %0.10 %99.9111 L 468 AEGON US HOLDING GRP 18,815 %0.04 %99.9512 L 8 ALLSTATE INS GRP 10,590 %0.02 %99.9813 H 4667 CVS CAREMARK GRP 2,838 %0.01 %99.9814 L 20 LINCOLN NATL GRP 2,340 %0.01 %99.9915 L 435 MASS MUT LIFE INS GRP 1,365 %- %99.9916 L 943 AMERITAS MUT HOLDING GRP 1,016 %- %99.9917 L 565 UNUM GRP 826 %- %100.0018 L 367 PHYSICIANS MUT GRP 432 %- %100.0019 L 290 TORCHMARK CORP GRP 425 %- %100.0020 L 306 CUNA MUT GRP 376 %- %100.0021 L 261 MUTUAL OF OMAHA GRP 269 %- %100.0022 L 212 ZURICH INS GRP 191 %- %100.0023 P 761 ALLIANZ INS GRP 170 %- %100.00
**TOTAL** 42,484,785 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 127
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Canada
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L P 626 CHUBB LTD GRP 202,500,997 %60.27 %60.272 L 901 CIGNA HLTH GRP 40,172,847 %11.96 %72.233 P 98 WR BERKLEY CORP GRP 23,663,275 %7.04 %79.274 L P 761 ALLIANZ INS GRP 14,481,520 %4.31 %83.585 L P 19 ASSURANT INC GRP 12,498,636 %3.72 %87.306 L 290 TORCHMARK CORP GRP 12,424,701 %3.70 %91.007 L 241 METROPOLITAN GRP 11,722,625 %3.49 %94.498 L 565 UNUM GRP 7,099,642 %2.11 %96.609 F 58033 KNIGHTS OF COLUMBUS 3,892,657 %1.16 %97.76
10 L 1 AETNA GRP 3,190,288 %0.95 %98.7111 L 304 PRUDENTIAL OF AMER GRP 816,636 %0.24 %98.9612 L 20 LINCOLN NATL GRP 759,961 %0.23 %99.1813 L 943 AMERITAS MUT HOLDING GRP 479,342 %0.14 %99.3214 L 111 LIBERTY MUT GRP 337,504 %0.10 %99.4215 P 3416 AXIS CAPITAL GRP 264,597 %0.08 %99.5016 L 826 NEW YORK LIFE GRP 249,308 %0.07 %99.5817 L 860 NORTHWESTERN MUT GRP 238,441 %0.07 %99.6518 L 3098 TOKIO MARINE HOLDINGS INC GRP 200,062 %0.06 %99.7119 L 429 GUARDIAN LIFE GRP 163,240 %0.05 %99.7620 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 145,060 %0.04 %99.8021 L 435 MASS MUT LIFE INS GRP 132,465 %0.04 %99.8422 L 1348 MEIJI YASUDA LIFE INS GRP 117,678 %0.04 %99.8723 L 468 AEGON US HOLDING GRP 97,735 %0.03 %99.9024 L 332 PRINCIPAL FIN GRP 67,492 %0.02 %99.9225 L 261 MUTUAL OF OMAHA GRP 57,047 %0.02 %99.9426 L P 4716 FORTRESS GRP 40,361 %0.01 %99.9527 L 869 MINNESOTA MUT GRP 28,892 %0.01 %99.9628 L 769 GREAT WEST GRP 28,304 %0.01 %99.9729 L 200 UNITED SERV AUTOMOBILE ASSN GRP 15,314 %- %99.9730 L 76325 SENIOR HLTH INS CO OF PA 10,287 %- %99.9831 L 3527 AMERICAN ENTERPRISE MUT GRP 7,978 %- %99.9832 L 306 CUNA MUT GRP 7,539 %- %99.9833 L 4862 ASSURITY GRP 5,703 %- %99.9834 L 91 HARTFORD FIRE & CAS GRP 5,378 %- %99.9835 L 367 PHYSICIANS MUT GRP 5,163 %- %99.9936 L 12 AMERICAN INTL GRP 4,882 %- %99.9937 L 781 UNION LABOR GRP 4,805 %- %99.9938 L 458 PROTECTIVE LIFE INS GRP 4,250 %- %99.9939 L 968 AXA INS GRP 3,769 %- %99.9940 P 169 SENTRY INS GRP 3,145 %- %99.9941 L 440 REGAL REINS GRP 2,869 %- %99.9942 L 8 ALLSTATE INS GRP 2,719 %- %99.9943 L 4832 VOYA FINANCIAL GRP 2,369 %- %99.9944 L 918 JACKSON NATL GRP 2,224 %- %100.0045 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,099 %- %100.0046 L 408 AMERICAN NATL FIN GRP 2,065 %- %100.0047 L 549 SUN LIFE ASSUR CO OF CN GRP 1,847 %- %100.0048 L 276 TRUSTMARK MUT HOLDING CO GRP 1,434 %- %100.0049 L 212 ZURICH INS GRP 1,355 %- %100.0050 L 233 CNO FINANCIAL GRP 1,140 %- %100.0051 F 57215 UKRAINIAN NATL ASSN INC 927 %- %100.0052 L 572 BCBS OF MI GRP 803 %- %100.0053 F 56634 CROATIAN FRATERNAL UNION OF AMER 726 %- %100.0054 L 687 GUARANTEE TRUST GRP 434 %- %100.0055 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 377 %- %100.0056 L 4483 NESTLE SA GRP 288 %- %100.0057 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 247 %- %100.0058 L 264 HEALTHMARKETS GRP 243 %- %100.0058 L 68772 SECURITY MUT LIFE INS CO OF NY 243 %- %100.0060 L 330 AMERICAN FIDELITY CORP GRP 192 %- %100.0061 F 58181 SUPREME COUNCIL THE ROYAL ARCANUM 150 %- %100.0062 L 704 OHIO NATL LIFE GRP 130 %- %100.0063 L 454 SECURITY NATL GRP 55 %- %100.0064 L 4734 ATHENE GRP 40 %- %100.00
© 2018 National Association of Insurance Commissioners 128
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Canada
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 1211 NATIONAL GUARDIAN LIFE INS GRP 30 %- %100.0066 L 4853 AAA LIFE GRP 26 %- %100.0067 L 11121 UNIFIED LIFE INS CO 19 %- %100.0068 L 63223 FEDERAL LIFE INS CO 4 %- %100.00
**TOTAL** 335,974,581 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 129
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Aggregate Other Alien
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L 370 AFLAC GRP 9,771,297,572 %81.18 %81.182 L 241 METROPOLITAN GRP 550,713,616 %4.58 %85.753 L 901 CIGNA HLTH GRP 507,268,491 %4.21 %89.974 L 1 AETNA GRP 346,581,939 %2.88 %92.855 H 917 HCSC GRP 286,067,266 %2.38 %95.226 P 626 CHUBB LTD GRP 205,829,120 %1.71 %96.937 H 81647 BUPA INS CO 104,726,321 %0.87 %97.808 L H 707 UNITEDHEALTH GRP 86,651,431 %0.72 %98.529 L P 12 AMERICAN INTL GRP 43,989,550 %0.37 %98.89
10 L 525 PAN AMER LIFE GRP 40,511,047 %0.34 %99.2211 H 758 BCBS OF NC GRP 31,086,007 %0.26 %99.4812 L 4802 TRIPLE S GRP 9,000,767 %0.07 %99.5613 L 63886 BEST MERIDIAN INS CO 8,144,375 %0.07 %99.6314 P 31 BERKSHIRE HATHAWAY GRP 6,907,333 %0.06 %99.6815 P 4670 STARR GRP 6,834,718 %0.06 %99.7416 P 361 MUNICH RE GRP 6,146,121 %0.05 %99.7917 L H 4719 AMFIRST HOLDINGS GRP 5,471,044 %0.05 %99.8418 L 565 UNUM GRP 5,045,341 %0.04 %99.8819 L 290 TORCHMARK CORP GRP 2,600,353 %0.02 %99.9020 P 98 WR BERKLEY CORP GRP 2,590,733 %0.02 %99.9221 P 111 LIBERTY MUT GRP 1,662,666 %0.01 %99.9322 P 84 AMERICAN FINANCIAL GRP 1,309,722 %0.01 %99.9523 L 860 NORTHWESTERN MUT GRP 1,198,560 %0.01 %99.9624 L 304 PRUDENTIAL OF AMER GRP 1,153,234 %0.01 %99.9725 L 968 AXA INS GRP 834,093 %0.01 %99.9726 P 3098 TOKIO MARINE HOLDINGS INC GRP 719,638 %0.01 %99.9827 L P 212 ZURICH INS GRP 669,068 %0.01 %99.9828 L 261 MUTUAL OF OMAHA GRP 626,571 %0.01 %99.9929 L 435 MASS MUT LIFE INS GRP 536,883 %- %99.9930 L 468 AEGON US HOLDING GRP 429,413 %- %100.0031 L 1348 MEIJI YASUDA LIFE INS GRP 358,638 %- %100.0032 L 904 JOHN HANCOCK GRP 204,157 %- %100.0033 L 761 ALLIANZ INS GRP 194,673 %- %100.0034 L 826 NEW YORK LIFE GRP 167,541 %- %100.0035 L 943 AMERITAS MUT HOLDING GRP 162,506 %- %100.0036 P 10972 FIRST NET INS CO 128,905 %- %100.0037 L 429 GUARDIAN LIFE GRP 121,367 %- %100.0038 H 11093 TAKECARE INS CO INC 98,448 %- %100.0039 L 233 CNO FINANCIAL GRP 95,762 %- %100.0040 L 4 AMERIPRISE FIN GRP 94,339 %- %100.0041 L 332 PRINCIPAL FIN GRP 89,660 %- %100.0042 L 1117 MANHATTAN LIFE GRP 78,058 %- %100.0043 L 91 HARTFORD FIRE & CAS GRP 73,267 %- %100.0044 L 869 MINNESOTA MUT GRP 60,158 %- %100.0045 L 200 UNITED SERV AUTOMOBILE ASSN GRP 46,430 %- %100.0046 P 218 CNA INS GRP 33,537 %- %100.0047 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 28,163 %- %100.0048 L 458 PROTECTIVE LIFE INS GRP 27,745 %- %100.0049 L 8 ALLSTATE INS GRP 26,201 %- %100.0050 L 20 LINCOLN NATL GRP 24,379 %- %100.0051 P 27928 AMEX ASSUR CO 22,134 %- %100.0052 L 704 OHIO NATL LIFE GRP 22,084 %- %100.0053 L 76325 SENIOR HLTH INS CO OF PA 21,927 %- %100.0054 L 367 PHYSICIANS MUT GRP 16,775 %- %100.0055 P 3548 TRAVELERS GRP 15,895 %- %100.0056 L 918 JACKSON NATL GRP 15,126 %- %100.0057 L 850 PENN MUT GRP 14,472 %- %100.0058 L 4853 AAA LIFE GRP 14,430 %- %100.0059 L 4862 ASSURITY GRP 12,392 %- %100.0060 L 634 NATIONAL LIFE GRP 8,449 %- %100.0061 L 50 COUNTRY INS & FIN SERV GRP 7,698 %- %100.0062 L 276 TRUSTMARK MUT HOLDING CO GRP 5,607 %- %100.0063 L 350 GENERAL ELECTRIC GRP 5,406 %- %100.0064 L 781 UNION LABOR GRP 5,346 %- %100.00
© 2018 National Association of Insurance Commissioners 130
ACCIDENT and HEALTH INSURANCE INDUSTRY
PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INUSRERS
2017 MARKET SHARE REPORT - TOTAL PREMIUM
Aggregate Other Alien
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 4672 DONGBU INS GRP 5,314 %- %100.0066 L 687 GUARANTEE TRUST GRP 4,523 %- %100.0067 L 4716 FORTRESS GRP 4,236 %- %100.0068 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,107 %- %100.0069 L 574 AMERCO CORP GRP 3,312 %- %100.0070 L 19 ASSURANT INC GRP 3,063 %- %100.0071 L 4011 GENWORTH FIN GRP 2,939 %- %100.0072 L 836 WEST SOUTHERN GRP 2,882 %- %100.0073 P 4883 SOBC HOLDING LTD GRP 2,377 %- %100.0074 L 140 NATIONWIDE CORP GRP 2,330 %- %100.0075 L 3891 GOLDMAN SACHS GRP 2,256 %- %100.0076 L 451 FIDELITY SECURITY GRP 2,094 %- %100.0077 L 588 KANSAS CITY LIFE INS GRP 1,269 %- %100.0078 L 71404 CONTINENTAL GEN INS CO 1,256 %- %100.0079 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,135 %- %100.0080 F 56499 ASSURED LIFE ASSN 1,010 %- %100.0081 L 449 FINANCIAL HOLDINGS GRP 894 %- %100.0082 L 4213 WILTON RE GRP 797 %- %100.0083 L 11121 UNIFIED LIFE INS CO 665 %- %100.0084 L 330 AMERICAN FIDELITY CORP GRP 659 %- %100.0085 L 3527 AMERICAN ENTERPRISE MUT GRP 647 %- %100.0086 L 408 AMERICAN NATL FIN GRP 636 %- %100.0087 L 4734 ATHENE GRP 466 %- %100.0088 L 4750 PRIMERICA GRP 333 %- %100.0089 L 55 AUTOMOBILE CLUB MI GRP 235 %- %100.0090 L 68772 SECURITY MUT LIFE INS CO OF NY 230 %- %100.0091 L 264 HEALTHMARKETS GRP 190 %- %100.0092 L 581 BOSTON MUT GRP 104 %- %100.0093 L 612 CITIZENS GRP 31 %- %100.00
**TOTAL** 12,036,952,846 %100.00 %100.00
© 2018 National Association of Insurance Commissioners 131
2017 MARKET SHARE REPORTS – ACCIDENT AND HEALTH INSURERS TECHNICAL NOTES
General
Only companies reporting positive premiums are displayed in this report. While companies reporting negative premiums are not listed, the negative premium is still included in the calculation of total premium. Due to the addition of negative premiums to the total premium, the cumulative market share is capped at 100%.
Direct Written Premium Source
States, U.S. Territories, Canada, Aggregate Other Alien The sum of all States, U.S. Territories, Canada, Aggregate Other Alien and California Department of Managed Health Care (DMHC) entities.
States and U.S. Territories The sum of all States, U.S. Territories and California DMHC entities.
States The sum of each respective state’s premium. California includes California DMHC entities.
Property/Casualty Insurers Property/Casualty Annual Statement Page 19 (State Page), Column 1, Lines 13 and 15.1–15.8
Life/Health Insurers Life/Health Annual Statement Page 24 (State Page), Column 1, Lines 24, 24.1, 24.3, 24.4 and 25.6
Fraternal Insurers Fraternal Annual Statement Page 23 (State Page), Column 1, Line 26
Health Insurers Health Annual Statement Page 38 (Schedule T), Lines 1-58, Columns 2–5
Supplemented California Data California DMHC
Market Share
Market Share = Company’s or Group’s premiums divided by the total premiums times 100. Depending on the report, the total premiums are either countrywide or by state/territory.
Cumulative Market Share is the running total of the individual Company or Group market shares.
It should be noted that the Total All Lines and California sections of the report may include entities that report to the California DMHC. For 2017, California DMHC entities included in this report are as follows:
© 2018 National Association of Insurance Commissioners 135
NAIC Group/ Company Code Entity Name
2017 Direct Written Premium
601 Kaiser Foundation Health Plan, Inc. 67,651,909,000
Blue Cross of California 16,792,304,000
California Physicians' Service 14,240,631,000
Local Initiative Health Authority For L.A. County 8,764,306,903
Health Net Community Solutions, Inc. 7,518,750,097
UHC of California 6,605,852,000
Health Net of California, Inc. 6,300,201,947
Inland Empire Health Plan 4,872,370,767
Delta Dental of California 3,745,394,000
Orange County Health Authority 3,549,461,861
1531 Molina Healthcare of California 2,829,678,561
Heritage Provider Network, Inc. 2,714,180,691
Scan Health Plan 2,563,220,000
Partnership HealthPlan of California 2,511,644,387
DaVita Health Plan of California, Inc. 1,858,045,252
1 Aetna Health of California, Inc. 1,580,237,620
Santa Clara County Health Authority 1,471,920,000
Community Health Group 1,178,149,195
Fresno‐Kings‐Madera Regional Health Authority 1,135,866,108
Santa Cruz‐Monterey‐Merced Managed Med. Care Comm. 1,129,948,166
San Joaquin County Health Commission 1,013,930,013
901 Cigna HealthCare of California, Inc. 982,367,002
671 CareMore Health Plan 977,256,000
1189 Vision Service Plan 914,872,195
San Mateo Health Commission 906,421,024
PRIMECARE Medical Network, Inc. 894,362,778
Alameda Alliance For Health 888,536,378
Contra Costa County Medical Services 737,812,719
Western Health Advantage 725,450,574
Kern Health Systems 719,853,000
Santa Barbara San Luis Obispo Regional Health Auth 704,182,549
Sharp Health Plan 686,325,197
Monarch Health Plan 669,360,734
California Health and Wellness Plan 627,663,152
San Francisco Community Health Authority 613,358,625
Scripps Health Plan Services, Inc. 581,877,932
Santa Clara County 506,652,895
EPIC Health Plan 388,417,046
Central Health Plan of California, Inc. 364,415,657
Alignment Health Plan 361,378,101
EASY CHOICE HEALTH PLAN, Inc. 352,230,695
Sutter Health Plan 319,784,555
Inter Valley Health Plan 270,938,343
Human Affairs International of California 263,914,025
AIDS Healthcare Foundation 191,779,326
© 2018 National Association of Insurance Commissioners 136
NAIC Group/ Company Code Entity Name
2017 Direct Written Premium
Dignity Health Provider Resources, Inc. 183,608,833
Universal Care, Inc. 173,493,171
Western Dental Services, Inc. 171,013,185
On Lok Senior Health Services 145,208,648
Chinese Community Health Plan 136,106,413
Prospect Health Plan, Inc. 133,191,344
Envolve Vision, Inc. 117,676,267
Providence Health Network 108,655,949
3502 American Specialty Health Plans, Inc. 100,054,086
Brown and Toland Health Services 93,923,013
U. S. Behavioral Health Plan, California 87,971,207
Bay Area Accountable Care Network, Inc. 87,609,233
Sistemas Medicos Nacionales, S.A.de C.V. 83,377,393
County of Ventura 71,142,878
4692 Liberty Dental Plan of California, Inc. 69,645,638
Access Dental Plan 54,426,403
707 Dental Benefit Providers of California, Inc. 44,284,387
901 Cigna Dental Health of California, Inc. 40,460,571
241 SafeGuard Health Plans, Inc. 40,292,000
Seaside Health Plan 39,594,887
901 Cigna Behavioral Health of California, Inc. 36,897,287
Sequoia Health Plan, Inc. 32,945,613
Access Senior HealthCare, Inc. 31,672,174
EYEXAM of California, Inc. 30,440,069
1 Aetna Dental of California Inc. 28,943,788
Adventist Health Plan, Inc. 28,077,944
Community Care Health Plan, Inc. 27,767,189
Oscar Health Plan of California 26,345,109
Aspire Health Plan 23,411,333
Managed Dental Care 20,745,021
ACN Group of California, Inc. 16,179,375
812 United Concordia Dental Plans of CA, Inc. 15,836,748
Dental Health Services 15,831,705
Imperial Health Plan of California, Inc. 15,570,882
Stanford Health Care Advantage 14,449,550
ConsumerHealth, Inc. 14,303,284
Medcore HP 14,270,474
Managed Health Network 14,124,912
Medi‐Excel, SA de CV 12,910,658
FirstSight Vision Services, Inc. 12,279,831
Magellan Health Services of California‐EmployerSvc 10,852,965
Health and Human Resource Center 9,510,165
Holman Professional Counseling Centers 7,561,903
19 UDC Dental California, Inc. 5,852,400
Humana Health Plan of California, Inc. 5,443,788
© 2018 National Association of Insurance Commissioners 137
NAIC Group/ Company Code Entity Name
2017 Direct Written Premium
965 ValueOptions of California, Inc. 5,407,967
Medical Eye Services, Inc. 4,927,093
AmericasHealth Plan, Inc. 3,751,867
Landmark Healthplan of California, Inc. 3,552,993
Golden West Health Plan, Inc. 2,571,000
Vision Plan of America 2,144,180
Premier Eye Care, Inc. 1,876,577
Empathia Pacific, Inc. 1,342,864
Dedicated Dental Systems, Inc. 968,286
707 UnitedHealthcare Community Plan of California, Inc 774,483
Health Advocate West, Inc. 773,286
Jaimini Health Inc. 554,065
Vision First Eye Care, Inc. 47,614
PIH Health Care Solutions 3,710
1 Aetna Better Health of California Inc. ‐
EyeMax Vision Plan, Inc. ‐
119 Humana EAP and Work‐Life Services of California Inc. ‐
707 UnitedHealthcare Benefits Plan of California (126,805)
TOTAL 177,159,740,923
© 2018 National Association of Insurance Commissioners 138
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4874 A1C HOLDINGS GRP 16005 EON HLTH INC
15988 EON HLTH INC
4853 AAA LIFE GRP 71854 AAA LIFE INS CO
4824 ADVANTAGE CAPITAL GRP 71471 ABILITY INS CO
61115 ATLANTIC COAST LIFE INS CO
68802 SENTINEL SECURITY LIFE INS CO
313 AEGIS GRP 33898 AEGIS SECURITY INS CO
17965 AMERICAN SENTINEL INS CO
468 AEGON US HOLDING GRP 10952 TRANSAMERICA CAS INS CO
70688 TRANSAMERICA FINANCIAL LIFE INS CO
86231 TRANSAMERICA LIFE INS CO
66281 TRANSAMERICA PREMIER LIFE INS CO
1 AETNA GRP 15616 AETNA BETTER HLTH INC
13735 AETNA BETTER HLTH INC
14043 AETNA BETTER HLTH INC
14229 AETNA BETTER HLTH INC
15611 AETNA BETTER HLTH INC
15761 AETNA BETTER HLTH OF KY INS CO
12193 AETNA BETTER HLTH OF MI INC
95318 AETNA BETTER HLTH OF MO LLC
95040 AETNA BETTER HLTH OF TX INC
95910 AETNA DENTAL INC
11183 AETNA DENTAL INC NJ CORP
95173 AETNA HEALTH INC LA
78700 AETNA HLTH & LIFE INS CO
15827 AETNA HLTH ASSUR PA INC
95935 AETNA HLTH INC CT CORP
95088 AETNA HLTH INC FL CORP
95094 AETNA HLTH INC GA CORP
95517 AETNA HLTH INC ME CORP
95287 AETNA HLTH INC NJ CORP
95234 AETNA HLTH INC NY CORP
95109 AETNA HLTH INC PA CORP
95490 AETNA HLTH INC TX CORP
72052 AETNA HLTH INS CO
84450 AETNA HLTH INS CO OF NY
95241 AETNA HLTH OF IA INC
95407 AETNA HLTH OF UTAH INC
60054 AETNA LIFE INS CO
12321 AMERICAN CONTINENTAL INS CO
68500 CONTINENTAL LIFE INS CO BRENTWOOD
81973 COVENTRY HLTH & LIFE INS CO
95114 COVENTRY HLTH CARE OF FL INC
74160 COVENTRY HLTH CARE OF IL INC
© 2018 National Association of Insurance Commissioners 141
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1 AETNA GRP 95489 COVENTRY HLTH CARE OF KS INC
96377 COVENTRY HLTH CARE OF MO INC
95925 COVENTRY HLTH CARE OF NE INC
96555 COVENTRY HLTH CARE OF VA INC
95408 COVENTRY HLTH CARE OF W VA INC
95266 COVENTRY HLTH PLAN OF FL INC
90328 FIRST HLTH LIFE & HLTH INS CO
95846 GROUP DENTAL SERV OF MD INC
11102 HEALTHASSURANCE PA INC
15097 INNOVATION HLTH INS CO
15098 INNOVATION HLTH PLAN INC
16121 TEXAS HLTH + AETNA HLTH INS CO
370 AFLAC GRP 60380 AMERICAN FAMILY LIFE ASSUR CO OF COL
60526 AMERICAN FAMILY LIFE ASSUR CO OF NY
71730 CONTINENTAL AMER INS CO
4833 AHF GRP 12973 AIDS HLTHCARE FOUND MCO OF FL INC
5 ALFA INS GRP 79049 ALFA LIFE INS CORP
501 ALLEGHANY GRP 10472 CAPITOL IND CORP
35157 FAIR AMER INS & REINS CO
18619 PLATTE RIVER INS CO
761 ALLIANZ INS GRP 90611 ALLIANZ LIFE INS CO OF N AMER
64190 ALLIANZ LIFE INS CO OF NY
11630 JEFFERSON INS CO
8 ALLSTATE INS GRP 60186 ALLSTATE LIFE INS CO
70874 ALLSTATE LIFE INS CO OF NY
60534 AMERICAN HERITAGE LIFE INS CO
64831 INTRAMERICA LIFE INS CO
574 AMERCO CORP GRP 61859 CHRISTIAN FIDELITY LIFE INS CO
68349 NORTH AMER INS CO
76112 OXFORD LIFE INS CO
3527 AMERICAN ENTERPRISE MUT GRP 67679 AMERICAN REPUBLIC CORP INS CO
60836 AMERICAN REPUBLIC INS CO
79987 MEDICO CORP LIFE INS CO
31119 MEDICO INS CO
65641 MEDICO LIFE & HLTH INS CO
473 AMERICAN FAMILY INS GRP 10386 AMERICAN FAMILY INS CO
19275 AMERICAN FAMILY MUT INS CO SI
330 AMERICAN FIDELITY CORP GRP 60410 AMERICAN FIDELITY ASSUR CO
60801 AMERICAN PUBLIC LIFE INS CO
84 AMERICAN FINANCIAL GRP 16691 GREAT AMER INS CO
63312 GREAT AMER LIFE INS CO
33723 GREAT AMER SPIRIT INS CO
67083 MANHATTAN NATL LIFE INS CO
32620 NATIONAL INTERSTATE INS CO
© 2018 National Association of Insurance Commissioners 142
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4916 AMERICAN HLTH CO INC GRP 12284 OKLAHOMA SUPERIOR SELECT INC
12 AMERICAN INTL GRP 31674 AIG INS CO PR
26883 AIG SPECIALTY INS CO
60488 AMERICAN GEN LIFE INS CO
19380 AMERICAN HOME ASSUR CO
19445 NATIONAL UNION FIRE INS CO OF PITTS
70106 UNITED STATES LIFE INS CO IN THE CIT
408 AMERICAN NATL FIN GRP 63126 AMERICAN NAT LIFE INS CO OF NY
60739 AMERICAN NATL INS CO
71773 AMERICAN NATL LIFE INS CO OF TX
63657 GARDEN STATE LIFE INS CO
86355 STANDARD LIFE & ACCIDENT INS CO
4755 AMERICAS 1ST CHOICE GRP 12910 AMERICAS 1ST CHOICE HLTH PLANS INC
15544 AMERICAS 1ST CHOICE OF SC INC
10119 FREEDOM HLTH INC
12259 OPTIMUM HLTHCARE INC
4 AMERIPRISE FIN GRP 65005 RIVERSOURCE LIFE INS CO
80594 RIVERSOURCE LIFE INS CO OF NY
943 AMERITAS MUT HOLDING GRP 61301 AMERITAS LIFE INS CORP
60033 AMERITAS LIFE INS CORP OF NY
4719 AMFIRST HOLDINGS GRP 60250 AMFIRST INS CO
81442 MONITOR LIFE INS CO OF NY
69353 TPM LIFE INS CO
2538 AMTRUST NGH GRP 22772 INTEGON IND CORP
29742 INTEGON NATL INS CO
82538 NATIONAL HLTH INS CO
25011 WESCO INS CO
671 ANTHEM INC GRP 12354 AMERIGROUP COMM CARE OF NM INC
16168 AMERIGROUP DC INC
14078 AMERIGROUP INS CO
15807 AMERIGROUP IOWA INC
14276 AMERIGROUP KS INC
14064 AMERIGROUP LA INC
95832 AMERIGROUP MD INC
95373 AMERIGROUP NJ INC
12586 AMERIGROUP NV INC
12941 AMERIGROUP TN INC
95314 AMERIGROUP TX INC
14073 AMERIGROUP WASHINGTON INC
12229 AMGP GA MANAGED CARE CO INC
62825 ANTHEM BLUE CROSS LIFE & HLTH INS CO
60217 ANTHEM HLTH PLANS INC
95120 ANTHEM HLTH PLANS OF KY INC
52618 ANTHEM HLTH PLANS OF ME INC
© 2018 National Association of Insurance Commissioners 143
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
671 ANTHEM INC GRP 53759 ANTHEM HLTH PLANS OF NH
71835 ANTHEM HLTH PLANS OF VA INC
28207 ANTHEM INS CO INC
15543 ANTHEM KY MANAGED CARE PLAN INC
13573 ANTHEM LIFE & DISABILITY INS CO
61069 ANTHEM LIFE INS CO
96962 BCBS HLTHCARE PLAN OF GA INC
54801 BCBS OF GA INC
54003 BCBS OF WI
13562 CAREMORE HLTH PLAN OF AZ INC
13605 CAREMORE HLTH PLAN OF NV
10345 COMMUNITY INS CO
95693 COMPCARE HLTH SERV INS CORP
55093 EMPIRE HEALTHCHOICE ASSUR INC
95433 EMPIRE HEALTHCHOICE HMO INC
97217 GREATER GA LIFE INS CO
95169 HEALTHKEEPERS INC
78972 HEALTHY ALLIANCE LIFE INS CO
95473 HMO CO INC
95358 HMO MO INC
95527 MATTHEW THORTON HLTH PLAN INC
11011 ROCKY MOUNTAIN HOSPITAL & MEDICAL
13726 SIMPLY HLTHCARE PLANS INC
11810 UNICARE HLTH PLAN OF WV INC
80314 UNICARE LIFE & HLTH INS CO
1279 ARCH INS GRP 11150 ARCH INS CO
876 ARKANSAS BCBS GRP 95442 HMO PARTNERS INC
94358 USABLE LIFE
83470 USABLE MUT INS CO
553 ARROWPOINT CAPITAL GRP 24678 ARROWOOD IND CO
4859 ASCENSION HLTH GRP 95240 SETON HLTH PLAN INC
15906 SETON INS CO
4698 ASPEN INS HOLDING GRP 43460 ASPEN AMER INS CO
4909 ASSURANCEAMERICA CORP GRP 11558 ASSURANCEAMERICA INS CO
19 ASSURANT INC GRP 10111 AMERICAN BANKERS INS CO OF FL
60275 AMERICAN BANKERS LIFE ASSUR CO OF FL
67989 AMERICAN MEMORIAL LIFE INS CO
73156 CARIBBEAN AMER LIFE ASSUR CO
30590 CARIBBEAN AMER PROP INS CO
65080 JOHN ALDEN LIFE INS CO
69477 TIME INS CO
52031 UDC DENTAL CA INC DBA UNITED DENTAL
70408 UNION SECURITY INS CO
81477 UNION SECURITY LIFE INS CO OF NY
© 2018 National Association of Insurance Commissioners 144
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4862 ASSURITY GRP 71439 ASSURITY LIFE INS CO
15940 ASSURITY LIFE INS CO OF NY
4734 ATHENE GRP 68039 ATHENE ANN & LIFE ASSUR CO OF NY
61689 ATHENE ANN & LIFE CO
61492 ATHENE ANNUITY & LIFE ASSUR CO
63932 ATHENE LIFE INS CO OF NY
587 ATLANTIC AMER GRP 71919 BANKERS FIDELITY ASSUR CO
61239 BANKERS FIDELITY LIFE INS CO
4805 AULTMAN HLTH FOUNDATION GRP 15461 AULTCARE HLTH INSURING CORP
77216 AULTCARE INS CO
280 AUTO OWNERS GRP 61190 AUTO OWNERS LIFE INS CO
55 AUTOMOBILE CLUB MI GRP 84522 AUTO CLUB LIFE INS CO
968 AXA INS GRP 62944 AXA EQUITABLE LIFE INS CO
78077 MONY LIFE INS CO OF AMER
3416 AXIS CAPITAL GRP 37273 AXIS INS CO
867 BALDWIN & LYONS GRP 12416 PROTECTIVE INS CO
872 BANNER LIFE GRP 94250 BANNER LIFE INS CO
66230 WILLIAM PENN LIFE INS CO OF NY
4756 BAYSTATE HLTH GRP 95673 HEALTH NEW ENGLAND INC
14198 HNE INS CO
15521 HNE OF CT INC
570 BCBS OF AL GRP 55433 BCBS OF AL
81531 UTIC INS CO
537 BCBS OF KC GRP 47171 BCBS OF KC
10753 BLUE ADVANTAGE PLUS OF KC INC
95315 GOOD HLTH HMO INC
76040 MISSOURI VALLEY LIFE & HLTH INS CO
430 BCBS OF KS GRP 12143 ADVANCE INS CO OF KS
15481 BC BS KS SOLUTIONS INC
70729 BCBS OF KS INC
3637 BCBS OF MA GRP 53228 BCBS OF MA
12219 BCBS OF MA HMO BLUE INC
572 BCBS OF MI GRP 54291 BCBS OF MI MUT INS CO
95610 BLUE CARE NETWORK OF MI
52037 BLUE CARE OF MI INC
11557 BLUE CROSS COMPLETE OF MI LLC
77720 LIFESECURE INS CO
461 BCBS OF MN GRP 55026 BCBSM INC
95649 HMO DBA BLUE PLUS
61522 MII LIFE INC
758 BCBS OF NC GRP 54631 BCBS OF NC INC
4858 BCBS OF NE GRP 77780 BCBS OF NE
15901 SAPPHIRE EDGE INC
1202 BCBS OF NJ GRP 11146 HORIZON HLTHCARE DENTAL INC
© 2018 National Association of Insurance Commissioners 145
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1202 BCBS OF NJ GRP 95529 HORIZON HLTHCARE OF NJ INC
55069 HORIZON HLTHCARE SERV INC
14690 HORIZON INS CO
661 BCBS OF SC GRP 38520 BCBS OF SC INC
95741 BLUECHOICE HLTHPLAN OF SC INC
77828 COMPANION LIFE INS CO
92444 COMPANION LIFE INS CO OF CA
12285 NIAGARA LIFE & HLTH INS CO
52120 TOTAL DENTAL ADMINISTRATORS HLTH PLA
11560 TOTAL DENTAL ADMINISTRATORS OF UT
3498 BCBS OF TN GRP 54518 BCBS OF TN INC
65463 GOLDEN SECURITY INS CO
15005 SECURITYCARE OF TN INC
14046 VOLUNTEER STATE HLTH PLAN INC
4745 BCBS OF VT GRP 53295 BCBS OF VT
95696 THE VT HLTH PLAN LLC
23 BCS INS GRP 80985 4 EVER LIFE INS CO
38245 BCS INS CO
4886 BENCHMARK HOLDING GRP 41394 BENCHMARK INS CO
615 BENEFICIAL LIFE GRP 61395 BENEFICIAL LIFE INS CO
81019 DESERET MUT INS CO
31 BERKSHIRE HATHAWAY GRP 42390 AMGUARD INS CO
20931 ATLANTA INTL INS CO
22276 BERKSHIRE HATHAWAY SPECIALTY INS CO
34274 CENTRAL STATES IND CO OF OMAHA
82880 CSI LIFE INS CO
38962 GENESIS INS CO
22063 GOVERNMENT EMPLOYEES INS CO
97764 IDEALIFE INS CO
20079 NATIONAL FIRE & MARINE INS CO
20087 NATIONAL IND CO
20052 NATIONAL LIAB & FIRE INS CO
1290 BLUE CROSS OF ID GRP 15022 BLUE CROSS OF ID CARE PLUS INC
60095 BLUE CROSS OF ID HLTH SERV INC
2798 BLUE SHIELD OF CA GRP 61557 BLUE SHIELD OF CA LIFE & HLTH INS CO
15143 CARE 1ST HEALTH PLAN
581 BOSTON MUT GRP 61476 BOSTON MUT LIFE INS CO
78140 LIFE INS CO OF BOSTON & NY
4887 BRIGHT HLTH GRP 15963 BRIGHT HLTH INS CO
4640 CAIDAN ENTERPRISES INC GRP 14145 MERIDIAN HLTH PLAN OF IA INC
13189 MERIDIAN HLTH PLAN OF IL INC
52563 MERIDIAN HLTH PLAN OF MI INC
1207 CAMBIA HEALTH SOLUTIONS INC 47350 ASURIS NW HLTH
95303 BRIDGESPAN HLTH CO
© 2018 National Association of Insurance Commissioners 146
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INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1207 CAMBIA HEALTH SOLUTIONS INC 97985 LIFEMAP ASSUR CO
54933 REGENCE BCBS OF OR
54550 REGENCE BCBS OF UT
53902 REGENCE BLUESHIELD
60131 REGENCE BLUESHIELD OF ID INC
1230 CAPITAL BLUE CROSS GRP 12358 AVALON INS CO
14411 CAPITAL ADVANTAGE ASSUR CO
41203 CAPITAL ADVANTAGE INS CO
54720 CAPITAL BLUE CROSS
95657 DOMINION DENTAL SERV INC
95199 KEYSTONE HLTH PLAN CENTRAL INC
15793 VIBRA HLTH PLAN INC
380 CAREFIRST INC GRP 96202 CAREFIRST BLUECHOICE INC
47058 CAREFIRST OF MD INC
60113 FIRST CARE INC
53007 GROUP HOSPITALIZATION & MED SRVCS
13130 THE DENTAL NETWORK INC
3683 CARESOURCE GRP 95201 CARESOURCE
15710 CARESOURCE GA CO
10142 CARESOURCE IN
15479 CARESOURCE KY CO
15728 CARESOURCE W VA CO
1192 CARLE HOLDING CO GRP 15478 HEALTH ALLIANCE CONNECT INC
77950 HEALTH ALLIANCE MEDICAL PLANS
95513 HEALTH ALLIANCE MIDWEST INC
15082 HEALTH ALLIANCE NW HLTH PLAN
4807 CATHOLIC HLTH INITIATIVES GRP 15493 CLEARRIVER HLTH
15752 HARVESTPLAINS HLTH OF IA
15488 HEARTLANDPLAINS HLTH
95448 QCA HLTH PLAN INC
15751 QUALCHOICE ADVANTAGE INC
70998 QUALCHOICE LIFE & HLTH INS CO INC
15499 RIVERLINK HLTH
15486 RIVERLINK HLTH OF KY INC
12909 SOUNDPATH HLTH
15487 STABLEVIEW HLTH INC
4708 CDPHP INC GRP 95491 CAPITAL DISTRICT PHYSICIANS HLTHPLN
47027 CDPHP UNIVERSAL BENEFITS INC
1295 CENTENE CORP GRP 12959 ABSOLUTE TOTAL CARE INC
15762 AMBETTER OF MAGNOLIA INC
15729 AMBETTER OF PEACH STATE INC
71013 BANKERS RESERVE LIFE INS CO OF WI
11834 BUCKEYE COMM HLTH PLAN INC
80799 CELTIC INS CO
© 2018 National Association of Insurance Commissioners 147
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INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1295 CENTENE CORP GRP 13632 CELTICARE HLTH PLAN OF MA INC
95831 COORDINATED CARE CORP
15352 COORDINATED CARE OF WA INC
14226 GRANITE STATE HLTH PLAN INC
15895 HEALTH NET COMM SOLUTIONS OF AZ
95800 HEALTH NET HLTH PLAN OF OR INC
66141 HEALTH NET LIFE INS CO
95206 HEALTH NET OF AZ INC
14218 HOME STATE HLTH PLAN INC
14053 ILLINICARE HLTH PLAN INC
13970 LOUISIANA HEALTHCARE CONNECTIONS INC
13923 MAGNOLIA HLTH PLAN INC
96822 MANAGED HLTH SERV INS CORP
10769 MICHIGAN COMPLETE HLTH INC
15902 NEBRASKA TOTAL CARE INC
12315 PEACH STATE HLTH PLAN INC
16143 SILVERSUMMIT HEALTHPLAN INC
14345 SUNFLOWER STATE HLTH PLAN INC
15927 SUNSHINE HLTH COMM SOLUTIONS INC
13148 SUNSHINE STATE HLTH PLAN INC
15912 SUPERIOR HEALTHPLAN COMM SOLUTIONS I
95647 SUPERIOR HLTHPLAN INC
12559 TRILLIUM COMM HLTH PLAN INC
4879 CENTERBRIDGE CAPITAL PARTNERS GRP 95387 BLOCK VISION OF TX INC
52005 SUPERIOR VISION INS PLAN OF WI INC
690 CENTRAL STATES GRP 61751 CENTRAL STATES H & L CO OF OMAHA
2838 CHE TRINITY INC GRP 13123 MOUNT CARMEL HLTH INS CO
95655 MOUNT CARMEL HLTH PLAN INC
4828 CHILDRENS HLTH SYSTEM OF TX GRP 15485 CHILDRENS MEDICAL CENTER HLTH PLAN
4863 CHINA MINSHENG GRP 38776 SIRIUS AMER INS CO
626 CHUBB LTD GRP 22667 ACE AMER INS CO
30953 CHUBB INS CO OF PR
62146 COMBINED INS CO OF AMER
78697 COMBINED LIFE INS CO OF NY
20281 FEDERAL INS CO
20303 GREAT NORTHERN INS CO
27960 ILLINOIS UNION INS CO
43575 INDEMNITY INS CO OF NORTH AMER
22713 INSURANCE CO OF N AMER
20346 PACIFIC IND CO
20397 VIGILANT INS CO
901 CIGNA HLTH GRP 12814 ALLEGIANCE LIFE & HLTH INS CO INC
88366 AMERICAN RETIREMENT LIFE INS CO
10095 BRAVO HLTH MID ATLANTIC INC
© 2018 National Association of Insurance Commissioners 148
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
901 CIGNA HLTH GRP 11524 BRAVO HLTH PA INC
61727 CENTRAL RESERVE LIFE INS CO
11175 CIGNA DENTAL HLTH OF CO INC
95380 CIGNA DENTAL HLTH OF DE INC
52021 CIGNA DENTAL HLTH OF FL INC
52024 CIGNA DENTAL HLTH OF KS INC
52108 CIGNA DENTAL HLTH OF KY INC
48119 CIGNA DENTAL HLTH OF MD INC
11160 CIGNA DENTAL HLTH OF MO INC
95179 CIGNA DENTAL HLTH OF NC INC
11167 CIGNA DENTAL HLTH OF NJ INC
47805 CIGNA DENTAL HLTH OF OH INC
47041 CIGNA DENTAL HLTH OF PA INC
95037 CIGNA DENTAL HLTH OF TX INC
52617 CIGNA DENTAL HLTH OF VA INC
47013 CIGNA DENTAL HLTH PLAN OF AZ INC
95525 CIGNA HLTCARE OF IN INC
67369 CIGNA HLTH & LIFE INS CO
95125 CIGNA HLTHCARE OF AZ INC
95604 CIGNA HLTHCARE OF CO INC
95660 CIGNA HLTHCARE OF CT INC
95136 CIGNA HLTHCARE OF FL INC
96229 CIGNA HLTHCARE OF GA INC
95602 CIGNA HLTHCARE OF IL INC
95132 CIGNA HLTHCARE OF NC INC
95500 CIGNA HLTHCARE OF NJ INC
95708 CIGNA HLTHCARE OF SC INC
95635 CIGNA HLTHCARE OF ST LOUIS INC
95606 CIGNA HLTHCARE OF TN INC
95383 CIGNA HLTHCARE OF TX INC
64548 CIGNA LIFE INS CO OF NY
62308 CONNECTICUT GEN LIFE INS CO
12902 HEALTHSPRING LIFE & HLTH INS CO INC
95781 HEALTHSPRING OF AL INC
11532 HEALTHSPRING OF FL INC
11522 HEALTHSPRING OF TN INC
65498 LIFE INS CO OF N AMER
65722 LOYAL AMER LIFE INS CO
67903 PROVIDENT AMER LIFE & HLTH INS CO
77399 STERLING LIFE INS CO
838 CINCINNATI EQUITABLE CO GRP 88064 CINCINNATI EQUITABLE LIFE INS CO
244 CINCINNATI FIN GRP 76236 THE CINCINNATI LIFE INS CO
612 CITIZENS GRP 71463 CICA LIFE INS CO OF AMER
82082 CITIZENS NATL LIFE INS CO
© 2018 National Association of Insurance Commissioners 149
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INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
612 CITIZENS GRP 75208 MAGNOLIA GUARANTY LIFE INS CO
60076 SECURITY PLAN LIFE INS CO
4774 CLOISTER MUT & WINDSOR MOUNT JOY GRP 18007 CLOISTER MUT CAS INS CO
218 CNA INS GRP 20427 AMERICAN CAS CO OF READING PA
20443 CONTINENTAL CAS CO
233 CNO FINANCIAL GRP 68560 BANKERS CONSECO LIFE INS CO
61263 BANKERS LIFE & CAS CO
62065 COLONIAL PENN LIFE INS CO
70319 WASHINGTON NATL INS CO
878 COLONIAL SAVINGS GRP 88153 COLONIAL LIFE INS CO OF TX
4781 COLORADO ACCESS GRP 95733 COLORADO ACCESS
535 COLUMBIAN LIFE GRP 76023 COLUMBIAN LIFE INS CO
62103 COLUMBIAN MUT LIFE INS CO
2738 COMMUNITY FIRST GRP 11143 COMMUNITY FIRST GRP HOSPITAL SERV CO
95248 COMMUNITY FIRST HLTH PLANS INC
3487 COMMUNITYCARE GRP 11691 COMMUNITYCARE HMO INC
89008 COMMUNITYCARE LIFE & HLTH INS CO
4902 COPIC GRP 11860 COPIC INS CO
4729 CORVESTA GRP 78301 CORVESTA LIFE INS CO
55611 DELTA DENTAL OF VA
50 COUNTRY INS & FIN SERV GRP 62553 COUNTRY LIFE INS CO
1203 COX INS GRP 60040 COX HLTH SYSTEMS INS CO
1339 CROY HALL MGMT GRP 82392 REGAL LIFE OF AMER INS CO
82430 SOUTHWEST SERV LIFE INS CO
4847 CRYSTAL RUN HLTH GRP 15677 CRYSTAL RUN HLTH INS CO INC
15797 CRYSTAL RUN HLTH PLAN LLC
306 CUNA MUT GRP 62626 CMFG LIFE INS CO
86126 MEMBERS LIFE INS CO
4667 CVS CAREMARK GRP 67660 PENNSYLVANIA LIFE INS CO
12575 SILVERSCRIPT INS CO
1294 DEAN HLTH GRP 96156 DEAN HLTH PLAN INC
4638 DELTA DENTAL OF KS GRP 54615 DELTA DENTAL PLAN OF KS INC
13175 SURENCY LIFE & HLTH INS CO
1571 DELTA DENTAL OF RI GRP 52632 ALTUS DENTAL INS CO INC
55301 DELTA DENTAL OF RI
3849 DELTA DENTAL OF WI GRP 54046 DELTA DENTAL OF WI INC
12352 WYSSTA INS CO INC
3658 DELTA DENTAL PLAN OF AZ GRP 53597 ARIZONA DENTAL INS SERV INC
115 DELTA DENTAL PLAN OF IL GRP 47589 DELTA DENTAL OF IL
15297 PROTEC INS CO
92525 TRUASSURE INS CO
3680 DELTA DENTAL PLAN OF MO GRP 47035 ADVANTICA DENTAL BENEFITS INC
12278 ADVANTICA INS CO
55697 DELTA DENTAL OF MO
© 2018 National Association of Insurance Commissioners 150
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
2918 DELTA DENTAL PLAN OF NJ GRP 15987 DELTA DENTAL OF CT INC
55085 DELTA DENTAL OF NJ INC
11179 FLAGSHIP HLTH SYSTEMS INC
598 DELTA GRP 62650 DELTA LIFE INS CO
4506 DENTAL ECONOMICS GRP 64696 FIRST CONTINENTAL LIFE & ACC
69060 GUARANTY ASSUR CO
4512 DENTAQUEST GRP 52060 DENTAL SERV OF MA INC
12307 DENTAQUEST USA INS CO INC
15497 DSM MA INS CO INC
67636 DSM USA INS CO INC
2479 DENTEGRA GRP 95366 ALPHA DENTAL OF AZ INC
47092 ALPHA DENTAL OF NM INC
95778 ALPHA DENTAL OF NV INC
11174 ALPHA DENTAL OF UT INC
95163 ALPHA DENTAL PROGRAMS INC
81396 DELTA DENTAL INS CO
11132 DELTA DENTAL OF DE INC
55263 DELTA DENTAL OF NY
54798 DELTA DENTAL OF PA
12329 DELTA DENTAL OF W VA
47085 DELTA DENTAL PLAN OF PR INC
73474 DENTEGRA INS CO
12210 DENTEGRA INS CO OF NEW ENGLAND
4672 DONGBU INS GRP 13620 DB INS CO LTD
4826 ECG GRP 71390 PURITAN LIFE INS CO OF AMER
126 EDUCATORS MUT GRP 12515 EDUCATORS HLTH PLANS LIFE ACCIDENT &
81701 EDUCATORS MUT INS ASSOC
1127 EMBLEM HLTH GRP 14913 CONNECTICARE BENEFITS INC
95675 CONNECTICARE INC
11209 CONNECTICARE INS CO INC
95299 CONNECTICARE OF MA INC
55239 GROUP HLTH INC
55247 HEALTH INS PLAN OF GREATER NY
60094 HIP INS CO OF NY
4888 EQUITABLE FAMILY INS CO GRP 62952 EQUITABLE LIFE & CAS INS CO
91785 EQUITABLE NATL LIFE INS CO INC
89184 STERLING INVESTORS LIFE INS CO
213 ERIE INS GRP 70769 ERIE FAMILY LIFE INS CO
4616 EVERENCE GRP 57991 EVERENCE ASSN INC
74209 EVERENCE INS CO
1120 EVEREST REINS HOLDINGS GRP 26921 EVEREST REINS CO
4813 EXPRESS SCRIPTS HOLDING GRP 34720 MEDCO CONTAINMENT INS CO OF NY
63762 MEDCO CONTAINMENT LIFE INS CO
4822 F&R HOLDINGS GRP 12844 NATIONAL DENTAL CARE INC
© 2018 National Association of Insurance Commissioners 151
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4822 F&R HOLDINGS GRP 13208 PRE PAID DENTAL SERV INC
13211 SENIORDENT DENTAL PLAN INC
158 FAIRFAX FIN GRP 21105 NORTH RIVER INS CO
25534 TIG INS CO
21113 UNITED STATES FIRE INS CO
4741 FALLON GRP 95541 FALLON COMM HLTH PLAN INC
66828 FALLON HLTH & LIFE ASSUR CO
4843 FAMILY HLTH NETWORK GRP 15209 COMMUNITY CARE ALLIANCE OF IL NFP
15774 FAMILY HLTH NETWORK INC
69 FARMERS INS GRP 34789 21ST CENTURY CENTENNIAL INS CO
20796 21ST CENTURY PREMIER INS CO
569 FARMERS MUT HAIL INS GRP 13897 FARMERS MUT HAIL INS CO OF IA
7 FEDERATED MUT GRP 63258 FEDERATED LIFE INS CO
13935 FEDERATED MUT INS CO
965 FHC HLTH SYSTEMS GRP 47025 VALUE BEHAVIORAL HLTH OF PA INC
95799 VALUE OPTIONS OF TX INC
451 FIDELITY SECURITY GRP 71870 FIDELITY SECURITY LIFE INS CO
67288 FIDELITY SECURITY LIFE INS CO OF NY
449 FINANCIAL HOLDINGS GRP 61999 AMERICO FIN LIFE & ANN INS CO
90212 GREAT SOUTHERN LIFE INS CO
63487 INVESTORS LIFE INS CO N AMER
67180 OHIO STATE LIFE INS CO
87645 UNITED FIDELITY LIFE INS CO
4752 FIRST TRINITY FIN GRP 70742 FAMILY BENEFIT LIFE INS CO
60227 TRINITY LIFE INS CO
3549 FIRSTCARE GRP 95138 SHA LLC
66117 SOUTHWEST LIFE & HLTH INS CO
4716 FORTRESS GRP 60518 AMERICAN HLTH & LIFE INS CO
65951 MERIT LIFE INS CO
41211 TRITON INS CO
1309 FRANKENMUTH GRP 32069 PATRIOT INS CO
4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 85286 FRESENIUS HLTH
12288 FRESENIUS HLTH PLANS OF NC INC
15939 FRESENIUS HLTH PLANS OF NY INC
12597 FRESENIUS HLTH PLANS OF TX INC
1143 GEISINGER INS GRP 95923 GEISINGER HLTH PLAN
10244 GEISINGER IND INS CO
12743 GEISINGER QUALITY OPTIONS INC
350 GENERAL ELECTRIC GRP 62596 UNION FIDELITY LIFE INS CO
450 GENEVE HOLDINGS INC GRP 26581 INDEPENDENCE AMER INS CO
65781 MADISON NATL LIFE INS CO INC
69078 STANDARD SECURITY LIFE INS CO OF NY
4011 GENWORTH FIN GRP 65536 GENWORTH LIFE & ANN INS CO
70025 GENWORTH LIFE INS CO
© 2018 National Association of Insurance Commissioners 152
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4011 GENWORTH FIN GRP 72990 GENWORTH LIFE INS CO OF NY
171 GERMANIA INS GRP 67920 GERMANIA LIFE INS CO
4736 GGC GRP 62359 CONSTITUTION LIFE INS CO
67814 PHOENIX LIFE INS CO
68284 PYRAMID LIFE INS CO
3891 GOLDMAN SACHS GRP 84824 COMMONWEALTH ANN & LIFE INS CO
69140 FIRST ALLMERICA FIN LIFE INS CO
91642 FORETHOUGHT LIFE INS CO
4712 GPM LIFE GRP 63967 GOVERNMENT PERSONNEL MUT LIFE INS CO
67059 GPM HLTH & LIFE INS CO
267 GRANGE MUT CAS GRP 71218 GRANGE LIFE INS CO
769 GREAT WEST GRP 68322 GREAT W LIFE & ANN INS CO
79359 GREAT W LIFE & ANN INS CO OF NY
76694 LONDON LIFE REINS CO
80705 US BR GREAT WEST LIFE ASSUR CO
80659 US BUSINESS OF CANADA LIFE ASSUR CO
4794 GROUP ONE THOUSAND ONE GRP 72664 DELAWARE LIFE INS CO OF NY
687 GUARANTEE TRUST GRP 64211 GUARANTEE TRUST LIFE INS CO
92703 UNITED NATL LIFE INS CO OF AMER
429 GUARDIAN LIFE GRP 15307 ACCESS DENTAL PLAN OF NV INC
11163 AVESIS INS INC
71714 BERKSHIRE LIFE INS CO OF AMER
60239 FIRST COMMONWEALTH INS CO
12146 FIRST COMMONWEALTH LTD HLTH SERV COR
11221 FIRST COMMONWEALTH LTD HLTH SERV COR
47716 FIRST COMMONWEALTH OF MO INC
64246 GUARDIAN LIFE INS CO OF AMER
11199 MANAGED DENTAL GUARD INC
52556 MANAGED DENTALGUARD INC
14142 MANAGED DENTALGUARD INC
60237 PREMIER ACCESS INS CO
536 GUIDEWELL MUT HOLDING GRP 98167 BCBS OF FL
15118 BEHEALTHY FLORIDA INC
95112 CAPITAL HLTH PLAN INC
76031 FLORIDA COMBINED LIFE INS CO INC
13567 FLORIDA HLTH CARE PLAN INC
95089 HEALTH OPTIONS INC
948 GULF GUARANTY GRP 77976 GULF GUAR LIFE INS CO
3478 HALLMARK FIN SERV GRP 43494 AMERICAN HALLMARK INS CO OF TX
4892 HARRIS HLTH GRP 95615 COMMUNITY HLTH CHOICE INC
16133 COMMUNITY HLTH CHOICE TX INC
91 HARTFORD FIRE & CAS GRP 19682 HARTFORD FIRE INS CO
70815 HARTFORD LIFE & ACCIDENT INS CO
71153 HARTFORD LIFE & ANN INS CO
© 2018 National Association of Insurance Commissioners 153
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
91 HARTFORD FIRE & CAS GRP 88072 HARTFORD LIFE INS CO
595 HARVARD PILGRIM HLTH CARE GRP 96717 HARVARD PILGRIM HEALTH CARE NEW ENG
96911 HARVARD PILGRIM HLTH CARE INC
15492 HARVARD PILGRIM HLTH CARE OF CT INC
18975 HPHC INS CO INC
917 HCSC GRP 71129 DEARBORN NATL LIFE INS CO
85090 DEARBORN NATL LIFE INS CO OF NY
11814 GHS HMO INC DBA BLUELINCS HMO
29718 GHS INS CO
14048 GHS MANAGED HLTH CARE PLANS INC
78611 HCSC INS SERV CO
70670 HEALTH CARE SERV CORP A MUT LEGAL RE
4740 HEALTH FIRST GRP 15882 HEALTH FIRST COMMERCIAL PLANS INC
15880 HEALTH FIRST HLTH PLANS INC
14140 HEALTH FIRST INS INC
1297 HEALTH PLAN GRP 95677 THE HLTH PLAN OF WVA INC
60016 THP INS CO
4778 HEALTHFIRST INC GRP 95284 HEALTHFIRST HLTH PLAN INC
16031 HEALTHFIRST INS CO INC
264 HEALTHMARKETS GRP 61832 CHESAPEAKE LIFE INS CO
66087 MID WEST NATL LIFE INS CO OF TN
1258 HEALTHPARTNERS GRP 52628 GROUP HLTH PLAN INC
95766 HEALTHPARTNERS INC
44547 HEALTHPARTNERS INS CO
85 HEALTHPLEX GRP 11172 HEALTHPLEX INS CO
11173 INTERNATIONAL HLTHCARE SERV INC
1311 HENRY FORD HLTH SYSTEM GRP 60134 ALLIANCE HLTH & LIFE INS CO
95814 HAP MIDWEST HLTH PLAN INC
95844 HEALTH ALLIANCE PLAN OF MI
812 HIGHMARK GRP 60147 FIRST PRIORITY LIFE INS CO INC
96938 GATEWAY HLTH PLAN INC
12325 GATEWAY HLTH PLAN OF OH INC
53287 HIGHMARK BCBSD INC
15508 HIGHMARK BENEFITS GRP INC
35599 HIGHMARK CAS INS CO
95048 HIGHMARK CHOICE CO
15507 HIGHMARK COVERAGE ADVANTAGE INC
54771 HIGHMARK INC
10131 HIGHMARK SELECT RESOURCES INC
15460 HIGHMARK SENIOR HLTH CO
15459 HIGHMARK SENIOR SOLUTIONS CO
54828 HIGHMARK WEST VIRGINIA INC.
71768 HM HLTH INS CO
93440 HM LIFE INS CO
© 2018 National Association of Insurance Commissioners 154
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
812 HIGHMARK GRP 60213 HM LIFE INS CO OF NY
96601 HMO OF NE PA
89070 UNITED CONCORDIA COMPANIES INC
47089 UNITED CONCORDIA DENTAL PLAN PA INC
95253 UNITED CONCORDIA DENTAL PLANS
95789 UNITED CONCORDIA DENTAL PLANS CA INC
95160 UNITED CONCORDIA DENTAL PLANS TX INC
96150 UNITED CONCORDIA DENTAL PLNS OF MW
85766 UNITED CONCORDIA INS CO
60222 UNITED CONCORDIA INS CO OF NY
15020 WEST VIRGINIA FAMILY HLTH PLAN INC
2858 HOMESHIELD CAPITAL GRP 99724 LIFESHIELD NATL INS CO
300 HORACE MANN GRP 22578 HORACE MANN INS CO
64513 HORACE MANN LIFE INS CO
4381 HOUSTON INTL INS GRP 18694 GREAT MIDWEST INS CO
119 HUMANA GRP 12151 ARCADIAN HLTH PLAN INC
95092 CAREPLUS HLTH PLANS INC
95754 CARITEN HLTH PLAN INC
95158 CHA HMO INC
52015 COMPBENEFITS CO
11228 COMPBENEFITS DENTAL INC
60984 COMPBENEFITS INS CO
95161 DENTICARE INC
60052 HUMANA BENEFIT PLAN OF IL INC
95519 HUMANA EMPLOYERS HLTH PLAN GA INC
95642 HUMANA HLTH BENEFIT PLAN OF LA INC
13558 HUMANA HLTH CO OF NY INC
69671 HUMANA HLTH INS CO OF FL INC
95885 HUMANA HLTH PLAN INC
95348 HUMANA HLTH PLAN OF OH INC
95024 HUMANA HLTH PLAN OF TX INC
95721 HUMANA HLTH PLANS OF PR
73288 HUMANA INS CO
60219 HUMANA INS CO OF KY
12634 HUMANA INS CO OF NY
84603 HUMANA INS CO OF PR INC
95270 HUMANA MEDICAL PLAN INC
14224 HUMANA MEDICAL PLAN OF MI INC
14462 HUMANA MEDICAL PLAN OF PA INC
12908 HUMANA MEDICAL PLAN OF UT INC
12282 HUMANA REGIONAL HLTH PLAN INC
95342 HUMANA WI HLTH ORG INS CORP
70580 HUMANADENTAL INS CO
11695 INDEPENDENT CARE HLTH PLAN
© 2018 National Association of Insurance Commissioners 155
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
119 HUMANA GRP 65110 KANAWHA INS CO
54739 THE DENTAL CONCERN INC
880 IHC INC GRP 63245 SELECTHEALTH BENEFIT ASSUR CO INC
95153 SELECTHEALTH INC
936 INDEPENDENCE HLTH GRP INC GRP 15088 AMERIHEALTH CARITAS DC INC
15800 AMERIHEALTH CARITAS IA INC
14143 AMERIHEALTH CARITAS LA INC
95044 AMERIHEALTH HMO INC
60061 AMERIHEALTH INS CO OF NJ
15104 AMERIHEALTH MI INC
14261 AMERIHEALTH NE INC
14378 FLORIDA TRUE HLTH INC
54704 INDEPENDENCE HOSPITAL IND PLAN INC
53252 INTER CNTY HLTH PLAN INC
54763 INTER CTY HOSPITALIZATION PLAN INC
95056 KEYSTONE HLTH PLAN E INC
93688 QCC INS CO
95458 SELECT HLTH OF SC INC
96660 VISTA HLTH PLAN INC
4894 INDEPENDENT HLTH ASSN GRP 95308 INDEPENDENT HLTH ASSN
47034 INDEPENDENT HLTH BENEFITS CORP
542 INDIANA FARM BUREAU GRP 69892 UNITED FARM FAMILY LIFE INS CO
69922 UNITED HOME LIFE INS CO
4637 INDIANA UNIVERSITY HLTH GRP 13164 INDIANA UNIVERSITY HLTH PLANS INC
15450 INDIANA UNIVERSITY HLTH PLANS NFP IN
95807 MDWISE INC
15584 MDWISE MARKETPLACE INC
315 INDUSTRIAL ALLIANCE GRP 91693 IA AMER LIFE INS CO
67148 OCCIDENTAL LIFE INS CO OF NC
4812 INNOVACARE INC GRP 11157 MMM HLTHCARE INC
12534 MMM MULTI HLTH INC
4904 INTACT FINANCIAL GRP 27154 ATLANTIC SPECIALTY INS CO
14231 HOMELAND INS CO OF DE
34452 HOMELAND INS CO OF NY
14190 OBI NATL INS CO
513 IOWA FARM BUREAU GRP 63088 FARM BUREAU LIFE INS CO
2358 ISMIE GRP 68519 PHYSICIANS BENEFITS TRUST LIFE INS
918 JACKSON NATL GRP 65056 JACKSON NATL LIFE INS CO
904 JOHN HANCOCK GRP 93610 JOHN HANCOCK LIFE & HLTH INS CO
86375 JOHN HANCOCK LIFE INS CO OF NY
65838 JOHN HANCOCK LIFE INS CO USA
601 KAISER FOUNDATION GRP 11538 KAISER FOUND HLTH PLAN INC HI REGION
95639 KAISER FOUND HLTH PLAN MID ATLANTI
95669 KAISER FOUND HLTH PLAN OF CO
© 2018 National Association of Insurance Commissioners 156
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
601 KAISER FOUNDATION GRP 96237 KAISER FOUND HLTH PLAN OF GA INC
95540 KAISER FOUND HLTH PLAN OF THE NW
47055 KAISER FOUND HLTH PLAN OF WA OPTIONS
95672 KAISER FOUNDATION HLTH PLAN OF WA
60053 KAISER PERMANENTE INS CO
588 KANSAS CITY LIFE INS GRP 65129 KANSAS CITY LIFE INS CO
67199 OLD AMER INS CO
69272 SUNSET LIFE INS CO OF AMER
215 KEMPER CORP GRP 66397 MUTUAL SAVINGS LIFE INS CO
68357 RELIABLE LIFE INS CO
68462 RESERVE NATL INS CO
69779 UNION NATL LIFE INS CO
69930 UNITED INS CO OF AMER
3384 KERNAN GRP 30175 ORISKA INS CO
4835 KILPATRICK LIFE GRP 74918 KILPATRICK LIFE INS CO
4744 L S S GRP 14158 ACCESSCARE GEN INC
14119 ACCESSCARE GEN LLC
14343 ACCESSCARE GEN OK LLC
4748 LEON HIX GRP 11128 GREENVILLE CAS INS CO INC
4692 LIBERTY DENTAL PLAN GRP 14057 LIBERTY DENTAL PLAN OF MO INC
11159 LIBERTY DENTAL PLAN OF NJ INC
13566 LIBERTY DENTAL PLAN OF NV INC
3436 LIBERTY LIFE GRP TRUST GRP 66001 AMERICAN BENEFIT LIFE INS CO
73539 CONTINENTAL LIFE INS CO
68543 LIBERTY BANKERS LIFE INS CO
111 LIBERTY MUT GRP 19704 AMERICAN STATES INS CO
23647 IRONSHORE IND INC
19917 LIBERTY INS UNDERWRITERS INC
65315 LIBERTY LIFE ASSUR CO OF BOSTON
23043 LIBERTY MUT INS CO
24074 OHIO CAS INS CO
1186 LIFETIME HLTHCARE GRP 55107 EXCELLUS HLTH PLAN INC
69515 MEDAMERICA INS CO
12967 MEDAMERICA INS CO OF FL
83437 MEDAMERICA INS CO OF NY
20 LINCOLN NATL GRP 67652 FIRST PENN PACIFIC LIFE INS CO
62057 LINCOLN LIFE & ANN CO OF NY
65676 LINCOLN NATL LIFE INS CO
4706 LOCKHART CO GRP 17779 GUARDIAN INS CO INC
438 LOUISIANA HLTH SERV GRP 95643 HMO LA INC
81200 LOUISIANA HLTH SERV & IND CO
60009 SOUTHERN NATL LIFE INS CO INC
4881 M MELE GRP 11195 DENTAL DELIVERY SYSTEMS INC
28231 FIDELIO INS CO
© 2018 National Association of Insurance Commissioners 157
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1260 MAGELLAN HLTH INC GRP 15280 ALPHACARE OF NY INC
14447 FLORIDA MHS INC
47019 MAGELLAN BEHAVIORAL HLTH OF PA INC
16043 MAGELLAN COMPLETE CARE OF VA LLC
97292 MAGELLAN LIFE INS CO
18750 MERIT HLTH INS CO
1117 MANHATTAN LIFE GRP 63053 FAMILY LIFE INS CO
65870 MANHATTAN LIFE INS CO
61883 MANHATTANLIFE ASSUR CO OF AMER
85189 WESTERN UNITED LIFE ASSUR CO
411 MAPFRE INS GRP 19941 AMERICAN COMMERCE INS CO
85561 MAPFRE LIFE INS CO
77054 MAPFRE LIFE INS CO OF PR
31690 MAPFRE PAN AMER INS CO
43052 MAPFRE PRAICO INS CO
785 MARKEL CORP GRP 35378 EVANSTON INS CO
38970 MARKEL INS CO
435 MASS MUT LIFE INS GRP 65935 MASSACHUSETTS MUT LIFE INS CO
526 MAXIMUM CORP GRP 61735 CENTRAL SECURITY LIFE INS CO
80993 WESTERN AMER LIFE INS CO
4700 MCLAREN HLTH GRP 14217 MCLAREN HLTH PLAN COMM
95562 MCLAREN HLTH PLAN INC
4730 MCNA GRP 14063 MCNA INS CO
1552 MEDICA GRP 52626 MEDICA HLTH PLANS
95232 MEDICA HLTH PLANS OF WI
12459 MEDICA INS CO
4811 MEDICAL ASSOCIATES GRP 95782 MEDICAL ASSOC CLINIC HLTH PLAN OF WI
52559 MEDICAL ASSOC HLTH PLAN INC
1301 MEDICAL CARD SYSTEM INC GRP 13022 MCS ADVANTAGE INC
60030 MCS LIFE INS CO
730 MEDICAL MUT OF OH GRP 62375 CONSUMERS LIFE INS CO
95828 MEDICAL HLTH INSURING CORP OF OH
29076 MEDICAL MUT OF OH
1348 MEIJI YASUDA LIFE INS GRP 64343 PACIFIC GUARDIAN LIFE INS CO LTD
69019 STANDARD INS CO
89009 STANDARD LIFE INS CO OF NY
4808 MEMORIAL HERMANN GRP 10076 MEMORIAL HERMANN HLTH INS CO
15489 MEMORIAL HERMANN HLTH PLAN INC
226 MERCHANTS MUT GRP 23329 MERCHANTS MUT INS CO
3595 MERCY HLTH CORP GRP 12195 MERCYCARE HMO INC
60215 MERCYCARE INS CO
241 METROPOLITAN GRP 87726 BRIGHTHOUSE LIFE INS CO
62634 DELAWARE AMER LIFE INS CO
63665 GENERAL AMER LIFE INS CO
© 2018 National Association of Insurance Commissioners 158
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INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
241 METROPOLITAN GRP 14170 METLIFE HLTH PLANS INC
65978 METROPOLITAN LIFE INS CO
26298 METROPOLITAN PROP & CAS INS CO
91626 NEW ENGLAND LIFE INS CO
52009 SAFEGUARD HLTH PLANS INC
95051 SAFEGUARD HLTH PLANS INC
79014 SAFEHEALTH LIFE INS CO
67 MICHIGAN FARM BUREAU GRP 21555 FARM BUREAU MUT INS CO OF MI
74799 LEADERS LIFE INS CO
869 MINNESOTA MUT GRP 66168 MINNESOTA LIFE INS CO
93742 SECURIAN LIFE INS CO
1126 MISSISSIPPI INS GRP 60111 BCBS OF MS MUT INS CO
68535 BLUEBONNET LIFE INS CO
514 MISSOURI FARM BUREAU GRP 63118 FARM BUREAU LIFE INS CO OF MO
1531 MOLINA HEALTHCARE INC GRP 13128 MOLINA HLTHCARE OF FL INC
14104 MOLINA HLTHCARE OF IL INC
52630 MOLINA HLTHCARE OF MI
95739 MOLINA HLTHCARE OF NM
12334 MOLINA HLTHCARE OF OH INC
15600 MOLINA HLTHCARE OF PR INC
15329 MOLINA HLTHCARE OF SC INC LLC
10757 MOLINA HLTHCARE OF TX INC
13778 MOLINA HLTHCARE OF TX INS CO
95502 MOLINA HLTHCARE OF UT INC DBA AMFAM
96270 MOLINA HLTHCARE OF WA INC
12007 MOLINA HLTHCARE OF WI INC
291 MOTORISTS MUT GRP 13331 MOTORISTS COMMERCIAL MUT INS CO
4818 MULBERRY HLTH GRP 15777 OSCAR INS CO
15281 OSCAR INS CORP
15585 OSCAR INS CORP OF NJ
4804 MULTINATIONAL GRP 72087 MULTINATIONAL LIFE INS CO
361 MUNICH RE GRP 19720 AMERICAN ALT INS CORP
23469 AMERICAN MODERN HOME INS CO
261 MUTUAL OF OMAHA GRP 62243 COMPANION LIFE INS CO
71412 MUTUAL OF OMAHA INS CO
88080 OMAHA HLTH INS CO
13100 OMAHA INS CO
69868 UNITED OF OMAHA LIFE INS CO
72850 UNITED WORLD LIFE INS CO
1198 MVP GRP 11125 MVP HLTH INS CO
95521 MVP HLTH PLAN INC
47062 MVP HLTH SERV CORP
1211 NATIONAL GUARDIAN LIFE INS GRP 81426 COMMERCIAL TRAVELERS LIFE INS CO
66583 NATIONAL GUARDIAN LIFE INS CO
© 2018 National Association of Insurance Commissioners 159
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INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1211 NATIONAL GUARDIAN LIFE INS GRP 97241 SETTLERS LIFE INS CO
4905 NATIONAL HEALTHCARE CORP GRP 16000 NHC ADVANTAGE LLC
634 NATIONAL LIFE GRP 65528 LIFE INS CO OF THE SOUTHWEST
66680 NATIONAL LIFE INS CO
316 NATIONAL SECURITY GRP 66788 NATIONAL SECURITY INS CO
4796 NATIONAL TEACHERS ASSOC LIFE GROUP 87963 NATIONAL TEACHERS ASSOC LIFE INS CO
15320 NTA LIFE INS CO OF NEW YORK
140 NATIONWIDE CORP GRP 13838 FARMLAND MUT INS CO
64327 HARLEYSVILLE LIFE INS CO
64017 JEFFERSON NATL LIFE INS CO
11991 NATIONAL CAS CO
92657 NATIONWIDE LIFE & ANN INS CO
66869 NATIONWIDE LIFE INS CO
23787 NATIONWIDE MUT INS CO
4483 NESTLE SA GRP 70939 GERBER LIFE INS CO
2678 NETWORK HLTH GRP 15087 NETWORK HLTH INS CORP
95737 NETWORK HLTH PLAN
520 NEW ERA LIFE GRP 81132 LIFE OF AMER INS CO
78743 NEW ERA LIFE INS CO
69698 NEW ERA LIFE INS CO OF MIDWEST
67784 PHILADELPHIA AMER LIFE INS CO
826 NEW YORK LIFE GRP 66915 NEW YORK LIFE INS CO
732 NLASCO GRP 15474 NATIONAL LLOYDS INS CO
324 NORTH CAROLINA FARM BUREAU GRP 14842 NORTH CAROLINA FARM BUR MUT INS CO
4793 NORTH SHORE LIJ HLTH CARE GRP 15309 NORTH SHORE LIJ CARECONNECT INS CO
4763 NORTHEAST DELTA DENTAL GRP 47079 DELTA DENTAL PLAN OF NH
53279 DELTA DENTAL PLAN OF VT
14369 MAINE DENTAL SERV CORP
13646 RED TREE INS CO INC
860 NORTHWESTERN MUT GRP 69000 NORTHWESTERN LONG TERM CARE INS CO
67091 NORTHWESTERN MUT LIFE INS CO
963 OHIO MUT GRP 13072 UNITED OHIO INS CO
704 OHIO NATL LIFE GRP 89206 OHIO NATL LIFE ASSUR CORP
67172 OHIO NATL LIFE INS CO
220 OKLAHOMA FARM BUREAU GRP 21563 OKLAHOMA FARM BUREAU MUT INS CO
150 OLD REPUBLIC GRP 67261 OLD REPUBLIC LIFE INS CO
619 ONEAMERICA FIN PARTNERS GRP 60895 AMERICAN UNITED LIFE INS CO
67911 PIONEER MUT LIFE INS CO
69116 STATE LIFE INS CO
1167 OPTIMUM GRP 65960 WINDSOR LIFE INS CO
1313 OREGON DENTAL GRP 54941 DELTA DENTAL PLAN OF OR
47098 MODA HLTH PLAN INC
4704 PACIFICSOURCE HLTH PLAN GRP 12595 PACIFICSOURCE COMM HLTH PLANS
54976 PACIFICSOURCE HLTH PLANS
© 2018 National Association of Insurance Commissioners 160
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
525 PAN AMER LIFE GRP 66427 MUTUAL TRUST LIFE INS CO A PAN AMER
67539 PAN AMER LIFE INS CO
12952 PAN AMER LIFE INS CO OF PR
3483 PARTNERRE GRP 11835 PARTNERRE AMER INS CO
74900 PARTNERRE LIFE REINS CO OF AMER
153 PEKIN INS GRP 67628 PEKIN LIFE INS CO
850 PENN MUT GRP 68446 LONGEVITY INS CO
67644 PENN MUT LIFE INS CO
68632 VANTIS LIFE INS CO
810 PENN TREATY AMER GRP 60243 AMERICAN INDEPENDENT NTWRK INS CO NY
3828 PHP INDIANA GRP 12331 PHP INS CO OF IN INC
95436 PHYSICIANS HLTH PLAN OF N IN INC
3408 PHYSICIANS HLTH PLAN OF MID MI GRP 12816 PHP INS CO
95849 PHYSICIANS HLTH PLAN
367 PHYSICIANS MUT GRP 72125 PHYSICIANS LIFE INS CO
80578 PHYSICIANS MUT INS CO
4845 PIEDMONT COMM HLTH GRP 15791 PIEDMONT COMM HLTHCARE HMO INC
95811 PIEDMONT COMM HLTHCARE INC
629 PLATEAU GRP 97152 PLATEAU INS CO
4819 PREFERRED INS GRP 15595 PREFERRED INS AFFIL INC
14080 PREFERRED INS SERV INC
3492 PREFERREDONE GRP 95724 PREFERREDONE COMM HLTH PLAN
11817 PREFERREDONE INS CO
962 PREMERA BLUE CROSS GRP 94188 LIFEWISE ASSUR CO
84930 LIFEWISE HLTH PLAN OF OR INC
52633 LIFEWISE HLTH PLAN OF WA
47570 PREMERA BLUE CROSS
4816 PREMIER HLTH PARTNERS GRP 15530 PREMIER HLTH INSURING CORP
15484 PREMIER HLTH PLAN INC
481 PRESBYTERIAN HLTHCARE SERV GRP 95330 PRESBYTERIAN HLTH PLAN INC
11504 PRESYBYTERIAN INS CO INC
4750 PRIMERICA GRP 61409 NATIONAL BENEFIT LIFE INS CO
65919 PRIMERICA LIFE INS CO
332 PRINCIPAL FIN GRP 61271 PRINCIPAL LIFE INS CO
458 PROTECTIVE LIFE INS GRP 66370 MONY LIFE INS CO
88536 PROTECTIVE LIFE & ANNUITY INS CO
68136 PROTECTIVE LIFE INS CO
70335 WEST COAST LIFE INS CO
4788 PROVIDENCE HLTH GRP 15203 PROVIDENCE HLTH ASSUR
95005 PROVIDENCE HLTH PLAN
4842 PROVIDER PARTNERS HLTH GRP 15719 PROVIDER PARTNERS HLTH PLAN INC
14458 PROVIDER PARTNERS HLTH PLAN OF PA IN
304 PRUDENTIAL OF AMER GRP 68241 PRUDENTIAL INS CO OF AMER
796 QBE INS GRP 39217 QBE INS CORP
© 2018 National Association of Insurance Commissioners 161
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
796 QBE INS GRP 10140 QBE SEGUROS
11515 QBE SPECIALTY INS CO
440 REGAL REINS GRP 66265 MONARCH LIFE INS CO
477 RENAISSANCE HLTH SERV CORP GRP 54674 DELTA DENTAL OF KY INC
54658 DELTA DENTAL OF NC
54526 DELTA DENTAL OF TN
52634 DELTA DENTAL PLAN OF IN INC
54305 DELTA DENTAL PLAN OF MI INC
47287 DELTA DENTAL PLAN OF NM INC
54402 DELTA DENTAL PLAN OF OH INC
48127 DENTAL CHOICE INC
61700 RENAISSANCE LIFE & HLTH INS CO OF AM
15638 RENAISSANCE LIFE & HLTH INS CO OF NY
4791 RENOWN HLTH GRP 95350 HOMETOWN HLTH PLAN INC
48305 HOMETOWN HLTH PROVIDERS INS CO
4764 RESERVOIR CAPITAL GRP 60183 S USA LIFE INS CO INC
60176 SBLI USA LIFE INS CO INC
68845 SHENANDOAH LIFE INS CO
4815 RESOLUTION LIFE GRP 65595 LINCOLN BENEFIT LIFE CO
4639 RGA INC GRP 93572 RGA REINS CO
2418 SAINT MARYS HLTH CARE CORP GRP 95793 PROMINENCE HEALTHFIRST
15452 PROMINENCE HEALTHFIRST OF TX INC
11079 PROMINENCE PREFERRED HLTH INS CO
431 SAMMONS ENTERPRISES GRP 83607 GUGGENHEIM LIFE & ANN CO
66044 MIDLAND NATL LIFE INS CO
66974 NORTH AMER CO LIFE & HLTH INS
1246 SANFORD HLTH GRP 52554 SANFORD HEART OF AMER HLTH PLAN
95683 SANFORD HLTH PLAN
95725 SANFORD HLTH PLAN OF MN
600 SCOTT & WHITE GRP 11670 INSURANCE CO OF SCOTT & WHITE
95099 SCOTT & WHITE HLTH PLAN
454 SECURITY NATL GRP 69485 SECURITY NATL LIFE INS CO
242 SELECTIVE INS GRP 12572 SELECTIVE INS CO OF AMER
1183 SENTARA HLTH MGMT GRP 70715 OPTIMA HLTH INS CO
95281 OPTIMA HLTH PLAN
169 SENTRY INS GRP 24988 SENTRY INS A MUT CO
68810 SENTRY LIFE INS CO
68829 SENTRY LIFE INS CO OF NY
21180 SENTRY SELECT INS CO
123 SHELTER INS GRP 65757 SHELTER LIFE INS CO
4803 SHELTERPOINT GRP INC 89958 SHELTERPOINT INS CO
81434 SHELTERPOINT LIFE INS CO
4883 SOBC HOLDING LTD GRP 11977 NORTHWESTERN NATL INS CO SEG ACCNT
4866 SOLSTICE GRP 12341 SOLSTICE BENEFITS INC
© 2018 National Association of Insurance Commissioners 162
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4866 SOLSTICE GRP 13971 SOLSTICE HEALTH INS CO
533 SOUTH CAROLINA FARM BUREAU MUT GRP 15164 SOUTH CAROLINA FARM BUR MUT INS CO
4827 SOUTHLAND NATL HOLDING GRP 81043 BANKERS LIFE INS CO
84786 COLORADO BANKERS LIFE INS CO
93777 PAVONIA LIFE INS CO OF MI
79057 SOUTHLAND NATL INS CORP
3383 SPECTRUM HLTH GRP 95561 PRIORITY HLTH
11520 PRIORITY HLTH CHOICE INC
12208 PRIORITY HLTH INS CO
4670 STARR GRP 38318 STARR IND & LIAB CO
13604 STARR SURPLUS LINES INS CO
175 STATE AUTO MUT GRP 25135 STATE AUTOMOBILE MUT INS CO
176 STATE FARM GRP 25143 STATE FARM FIRE & CAS CO
25178 STATE FARM MUT AUTO INS CO
4855 SUMITOMO LIFE INS GRP 78417 FIRST SYMETRA NATL LIFE INS CO OF NY
68608 SYMETRA LIFE INS CO
3259 SUMMA HLTH GRP 10649 SUMMA INS CO INC
95202 SUMMACARE INC
549 SUN LIFE ASSUR CO OF CN GRP 68047 PROFESSIONAL INS CO
80926 SUN LIFE & HLTH INS CO
11111 UDC OF MI INC
52022 UDC OH INC DBA UNITED DENTAL CARE OH
11244 UNION SECURITY DENTALCARE OF NJ INC
47708 UNITED DENTAL CARE OF AZ INC
52032 UNITED DENTAL CARE OF CO INC
47044 UNITED DENTAL CARE OF MO INC
47042 UNITED DENTAL CARE OF NM INC
95142 UNITED DENTAL CARE OF TX INC
95450 UNITED DENTAL CARE OF UT INC
80802 US BR SUN LIFE ASSUR CO OF CANADA
181 SWISS RE GRP 73504 LUMICO LIFE INS CO
25038 NORTH AMER CAPACITY INS CO
82627 SWISS RE LIFE & HLTH AMER INC
39845 WESTPORT INS CORP
4759 TENET HEALTHCARE CORP GRP 12346 ALLEGIAN INS CO
10160 PHOENIX HLTH PLANS INC
4677 TENNESSEE RURAL HLTH GRP 94587 MEMBERS HLTH INS CO
89005 TRH HLTH INS CO
809 TEXAS FARM BUREAU MUT GRP 25380 TEXAS FARM BUREAU MUT INS CO
88 THE HANOVER INS GRP 42552 NOVA CAS CO
2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 56014 THRIVENT FINANCIAL FOR LUTHERANS
97721 THRIVENT LIFE INS CO
1216 TIAA FAMILY GRP 69345 TEACHERS INS & ANN ASSOC OF AMER
60142 TIAA CREF LIFE INS CO
© 2018 National Association of Insurance Commissioners 163
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4718 TIPTREE FIN GRP 61298 BANKERS LIFE OF LA
11162 INSURANCE CO OF THE SOUTH
97691 LIFE OF THE SOUTH INS CO
10051 LYNDON SOUTHERN INS CO
10970 RESPONSE IND CO OF CA
60242 SOUTHERN FINANCIAL LIFE INS CO
3098 TOKIO MARINE HOLDINGS INC GRP 10367 AVEMCO INS CO
41742 FIRST INS CO OF HI LTD
71005 FIRST RELIANCE STANDARD LIFE INS CO
92711 HCC LIFE INS CO
11243 HCC SPECIALTY INS CO
42374 HOUSTON CAS CO
18058 PHILADELPHIA IND INS CO
68381 RELIANCE STANDARD LIFE INS CO
11216 TOKIO MARINE PACIFIC INS LTD
29599 US SPECIALTY INS CO
290 TORCHMARK CORP GRP 60577 AMERICAN INCOME LIFE INS CO
77968 FAMILY HERITAGE LIFE INS CO OF AMER
91472 GLOBE LIFE & ACCIDENT INS CO
74101 GLOBE LIFE INS CO OF NY
65331 LIBERTY NATL LIFE INS CO
10093 NATIONAL INCOME LIFE INS CO
92916 UNITED AMER INS CO
1238 TOTAL HLTH GRP 95644 TOTAL HLTH CARE INC
12326 TOTAL HLTH CARE USA INC
4829 TREBUCHET INS GRP 20621 LAMORAK INS CO
4802 TRIPLE S GRP 11152 TRIPLE S ADVANTAGE INC
61158 TRIPLE S BLUE
55816 TRIPLE S SALUD INC
73814 TRIPLE S VIDA INC
4893 TRUSTED HLTH PLANS GRP 11081 HARBOR HLTH PLAN INC
14225 TRUSTED HLTH PLAN DC INC
276 TRUSTMARK MUT HOLDING CO GRP 61425 TRUSTMARK INS CO
62863 TRUSTMARK LIFE INS CO
4742 TUFTS GRP 95688 TUFTS ASSOCIATED HLTH MAINTENANCE OR
15737 TUFTS HLTH FREEDOM INS CO
14131 TUFTS HLTH PUBLIC PLANS INC
60117 TUFTS INS CO INC
4380 UCARE GRP 12924 UCARE HLTH INC
52629 UCARE MN
4854 UMMS HLTH PLAN GRP 15528 UNIVERSITY OF MD HLTH ADVANTAGE INC
781 UNION LABOR GRP 69744 UNION LABOR LIFE INS CO
248 UNITED FIRE & CAS GRP 69973 UNITED LIFE INS CO
2878 UNITED HERITAGE MUT GRP 63983 UNITED HERITAGE LIFE INS CO
© 2018 National Association of Insurance Commissioners 164
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4830 UNITED INS HOLDINGS GRP 14311 INTERBORO INS CO
200 UNITED SERV AUTOMOBILE ASSN GRP 69663 USAA LIFE INS CO
707 UNITEDHEALTH GRP 82406 ALL SAVERS INS CO
95497 AMERICHOICE OF NJ INC
12558 CARE IMPROVEMENT PLUS OF TX INS CO
12567 CARE IMPROVEMENT PLUS S CENTRAL INS
14041 CARE IMPROVEMENT PLUS WI INS CO
52053 DENTAL BENEFIT PROVIDERS OF IL INC
62286 GOLDEN RULE INS CO
79480 HARKEN HLTH INS CO
96342 HEALTH PLAN OF NV
60321 MAMSI LIFE & HLTH INS CO
96310 MD INDIVIDUAL PRACTICE ASSN INC
12155 MEDICA HLTHCARE PLANS INC
95251 NATIONAL PACIFIC DENTAL INC
95123 NEIGHBORHOOD HLTH PARTNERSHIP INC
95758 NEVADA PACIFIC DENTAL INC
96940 OPTIMUM CHOICE INC
69647 OPTUM INS OF OH INC
78026 OXFORD HLTH INS INC
96798 OXFORD HLTH PLANS CT INC
95506 OXFORD HLTH PLANS NJ INC
95479 OXFORD HLTH PLANS NY INC
70785 PACIFICARE LIFE & HLTH INS CO
95617 PACIFICARE OF AZ INC
95434 PACIFICARE OF CO INC
95685 PACIFICARE OF NV INC
11494 PHYSICIANS HLTH CHOICE OF TX LLC
11176 PREFERRED CARE PARTNERS INC
47004 ROCKY MOUNTAIN HLTHCARE OPTIONS INC
95482 ROCKY MOUNTAIN HMO INC
71420 SIERRA HLTH & LIFE INS CO INC
84549 SYMPHONIX HLTH INS INC
91529 UNIMERICA INS CO
11596 UNIMERICA LIFE INS CO OF NY
95716 UNITED HLTH CARE OF MS INC
60318 UNITED HLTHCARE INS CO OF IL
60093 UNITED HLTHCARE INS CO OF NY
95025 UNITED HLTHCARE MID ATLANTIC INC
95784 UNITED HLTHCARE OF AL INC
95446 UNITED HLTHCARE OF AR INC
96016 UNITED HLTHCARE OF AZ INC
95090 UNITED HLTHCARE OF CO INC
95264 UNITED HLTHCARE OF FL INC
© 2018 National Association of Insurance Commissioners 165
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
707 UNITEDHEALTH GRP 95850 UNITED HLTHCARE OF GA INC
96644 UNITED HLTHCARE OF KY LTD
95833 UNITED HLTHCARE OF LA INC
95591 UNITED HLTHCARE OF MIDLANDS INC
95186 UNITED HLTHCARE OF OH INC
95501 UNITED HLTHCARE OF UT INC
95174 UNITEDHEALTHCARE BENEFITS OF TX INC
95467 UNITEDHEALTHCARE COMM PLAN INC
12323 UNITEDHEALTHCARE COMM PLAN OF OH INC
11141 UNITEDHEALTHCARE COMM PLAN OF TX LLC
79413 UNITEDHEALTHCARE INS CO
12231 UNITEDHEALTHCARE INS CO OF THE RIVER
97179 UNITEDHEALTHCARE LIFE INS CO
95776 UNITEDHEALTHCARE OF IL INC
96385 UNITEDHEALTHCARE OF MIDWEST INC
95103 UNITEDHEALTHCARE OF NC INC
95149 UNITEDHEALTHCARE OF NEW ENGLAND INC
13214 UNITEDHEALTHCARE OF NM INC
95085 UNITEDHEALTHCARE OF NY INC
95893 UNITEDHEALTHCARE OF OR INC
95220 UNITEDHEALTHCARE OF PA INC
95765 UNITEDHEALTHCARE OF TX INC
48038 UNITEDHEALTHCARE OF WA INC
95710 UNITEDHEALTHCARE OF WI INC
95378 UNITEDHEALTHCARE PLAN OF THE RIVER V
96903 UNITEDHEATHCARE OF OK INC
71 UNIVERSAL INS CO GRP 60041 UNIVERSAL LIFE INS CO
4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 95101 GUNDERSEN HLTH PLAN INC
14202 GUNDERSEN HLTH PLAN MN
95341 PHYSICIANS PLUS INS CORP
95796 UNITY HLTH PLANS INS CORP
565 UNUM GRP 62049 COLONIAL LIFE & ACCIDENT INS CO
64297 FIRST UNUM LIFE INS CO
67598 PAUL REVERE LIFE INS CO
68195 PROVIDENT LIFE & ACCIDENT INS CO
68209 PROVIDENT LIFE & CAS INS CO
68985 STARMOUNT LIFE INS CO
62235 UNUM LIFE INS CO OF AMER
1324 UPMC HLTH SYSTEM GRP 47024 COMMUNITY CARE BEHAVIORAL HLTH ORG
11995 UPMC FOR YOU INC
11018 UPMC HLTH BENEFITS INC
15451 UPMC HLTH COVERAGE INC
11994 UPMC HLTH NTWRK INC
15345 UPMC HLTH OPTIONS INC
© 2018 National Association of Insurance Commissioners 166
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1324 UPMC HLTH SYSTEM GRP 95216 UPMC HLTH PLAN INC
4900 US ALLIANCE CORP GRP 14188 DAKOTA CAPITAL LIFE INS CO
14165 US ALLIANCE LIFE & SECURITY CO
3593 USIC GRP 44423 UNITED SURETY & IND CO
11067 USIC LIFE INS CO
1212 VANGUARD HLTH VENTURES GRP 12353 PARAMOUNT ADVANTAGE
95566 PARAMOUNT CARE OF MI INC
95189 PARAMOUNT HLTH CARE
11518 PARAMOUNT INS CO
203 VIRGINIA FARM BUREAU GRP 10022 COUNTRYWAY INS CO
26034 VIRGINIA FARM BUREAU MUT INS CO
4696 VISION BENEFITS GRP 13750 VISION BENEFITS OF AMER II INC
53953 VISION BENEFITS OF AMER INC
1189 VISION SERV PLAN GRP 47029 EASTERN VISION SERV PLAN INC
54380 VISION SERV PLAN
32395 VISION SERV PLAN INS CO
39616 VISION SERV PLAN INS CO
12516 VISION SERV PLAN OF IL NFP
53031 VSP VISION CARE INC
4832 VOYA FINANCIAL GRP 67105 RELIASTAR LIFE INS CO
61360 RELIASTAR LIFE INS CO OF NY
68713 SECURITY LIFE OF DENVER INS CO
80942 VOYA INS & ANN CO
86509 VOYA RETIREMENT INS & ANN CO
4727 WARRIOR INVICTUS HOLDING CO GRP 81108 UNITED SECURITY HLTH & CAS INS CO
1199 WELLCARE GRP 80624 AMERICAN PROGRESSIVE L&H INS OF NY
11229 HARMONY HLTH PLAN INC
12913 MISSOURI CARE INC
10768 SELECTCARE HLTH PLANS INC
10096 SELECTCARE OF TX INC
83445 WELLCARE HLTH INS OF AZ INC
64467 WELLCARE HLTH INS OF KY INC
15510 WELLCARE HLTH PLANS OF KY INC
13020 WELLCARE HLTH PLANS OF NJ INC
95310 WELLCARE OF CT INC
95081 WELLCARE OF FL INC
10760 WELLCARE OF GA INC
15951 WELLCARE OF NE INC
12749 WELLCARE OF OH INC
11775 WELLCARE OF SC INC
12964 WELLCARE OF TX INC
10155 WELLCARE PRESCRIPTION INS INC
770 WELLMARK INC GRP 95531 WELLMARK HLTH PLAN OF IA INC
88848 WELLMARK INC
© 2018 National Association of Insurance Commissioners 167
ACCIDENT AND HEALTH INSURANCE INDUSTRY2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
770 WELLMARK INC GRP 60128 WELLMARK OF SD INC
15935 WELLMARK SYNERGY HLTH INC
15934 WELLMARK VALUE HLTH PLAN INC
836 WEST SOUTHERN GRP 99937 COLUMBUS LIFE INS CO
65242 LAFAYETTE LIFE INS CO
70483 WESTERN & SOUTHERN LIFE INS CO
839 WESTBRIDGE CAPITAL GRP 89087 ENTERPRISE LIFE INS CO
62324 FREEDOM LIFE INS CO OF AMER
98205 NATL FOUNDATION LIFE INS CO
3503 WILLAMETTE DENTAL GRP 52555 WILLAMETTE DENTAL INS INC
95819 WILLAMETTE DENTAL OF ID INC
47050 WILLAMETTE DENTAL OF WA INC
4213 WILTON RE GRP 69396 TEXAS LIFE INS CO
62413 WILCAC LIFE INS CO
65900 WILCO LIFE INS CO
60704 WILTON REASSUR LIFE CO OF NY
68 WISCONSIN PHYSICIANS SERV INS GRP 15926 ASPIRUS ARISE HLTH PLAN OF WI INC
64149 EPIC LIFE INS CO
53139 WISCONSIN PHYSICIANS SERV INS CORP
10159 WPS HLTH PLAN INC
98 WR BERKLEY CORP GRP 64890 BERKLEY LIFE & HLTH INS CO
40045 STARNET INS CO
1285 XL AMER GRP 19518 CATLIN INS CO
22322 GREENWICH INS CO
212 ZURICH INS GRP 80896 CENTRE LIFE INS CO
21326 EMPIRE FIRE & MARINE INS CO
63177 FARMERS NEW WORLD LIFE INS CO
16535 ZURICH AMER INS CO
90557 ZURICH AMER LIFE INS CO
14178 ZURICH AMER LIFE INS CO OF NY
© 2018 National Association of Insurance Commissioners 168
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
77879 5 STAR LIFE INS CO47006 ADVANTAGE DENTAL PLAN INC16148 AETNA BETTER HEALTH OF NV INC12253 ALLCARE HLTH PLAN INC11256 ALLIANT HLTH PLANS INC95853 ALOHA CARE13293 AMALGAMATED CAS INS CO60208 AMALGAMATED LIFE & HLTH INS CO60216 AMALGAMATED LIFE INS CO52041 AMERICAN DENTAL PLAN OF WI INC69337 AMERICAN FIN SECURITY LIFE INS CO60542 AMERICAN HOME LIFE INS CO88820 AMERICAN INTEGRITY LIFE INS CO89427 AMERICAN LABOR LIFE INS CO67253 AMERICAN LIFE & SECURITY CORP56286 AMERICAN MUT LIFE ASSN27928 AMEX ASSUR CO10308 ANTILLES INS CO86118 ARKANSAS BANKERS LIFE INS CO15135 ARKANSAS SUPERIOR SELECT INC56499 ASSURED LIFE ASSN61093 ATLANTA LIFE INS CO11217 ATLANTIC SOUTHERN DENTAL FOUND10123 ATRIO HLTH PLANS INC95839 AVERA HLTH PLANS INC95263 AVMED INC61212 BALTIMORE LIFE INS CO95071 BAPTIST HLTH PLAN INC57223 BAPTIST LIFE ASSN53589 BCBS OF AZ INC53473 BCBS OF RI53767 BCBS OF WY37540 BEAZLEY INS CO INC90638 BEST LIFE & HLTH INS CO13203 BOSTON MEDICAL CENTER HLTH PLAN INC81647 BUPA INS CO61573 CAPITAL RESERVE LIFE INS CO13151 CARE N CARE INS CO INC15685 CARE N CARE INS CO OF NC55450 CARE PLUS DENTAL PLANS INC12248 CARE WI HLTH PLAN INC14403 CARECENTRIX OF NJ INC10144 CARECORE NJ LLC58130 CATHOLIC ASSN OF FORESTERS56030 CATHOLIC FINANCIAL LIFE57770 CATHOLIC HOLY FAMILY SOCIETY57487 CATHOLIC ORDER OF FORESTERS12976 CATHOLIC SPECIAL NEEDS PLAN LLC57053 CATHOLIC UNITED FINANCIAL34568 CENTENNIAL CAS CO10917 CENTURY CAS CO12633 CENTURY INS CO GU LTD10642 CHEROKEE INS CO13739 CHILDRENS COMM HLTH PLAN INC14154 CHRISTUS HLTH PLAN
© 2018 National Association of Insurance Commissioners 169
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
83968 CITIZENS FIDELITY INS CO61921 CITIZENS SECURITY LIFE INS CO86371 CLOVER INS CO55875 COLORADO DENTAL SERV INC15061 COMMON GROUND HLTHCARE COOP10756 COMMUNITY CARE HLTH PLAN INC47049 COMMUNITY HLTH PLAN OF WA15732 COMMUNITYCARE GOVERNMENT PROGRAMS IN15238 COMPREHENSIVE MOBILE INS CO INC15360 COMPREHENSIVE MOBILE PLAN UT INC15125 CONSTELLATION HLTH LLC71404 CONTINENTAL GEN INS CO95822 COOK CHILDRENS HLTH PLAN56634 CROATIAN FRATERNAL UNION OF AMER56138 CSA FRATERNAL LIFE35483 DAILY UNDERWRITERS OF AMER55034 DELTA DENTAL OF MN47091 DELTA DENTAL OF NE53937 DELTA DENTAL OF OK47341 DELTA DENTAL OF WA47155 DELTA DENTAL PLAN OF AR INC47791 DELTA DENTAL PLAN OF ID INC54097 DELTA DENTAL PLAN OF SD15200 DELTA DENTAL PLAN OF WY52025 DENCAP DENTAL PLANS INC47074 DENTA CHEK OF MD INC96265 DENTAL CARE PLUS INC11241 DENTAL GRP OF NJ INC47490 DENTAL HLTH SERV12213 DENTAL PRACTICE ASSN OF NJ INC11234 DENTAL SERV ORG INC47112 DENTCARE DELIVERY SYSTEMS INC95750 DENVER HLTH MEDICAL PLAN INC95809 DRISCOLL CHILDRENS HLTH PLAN52635 EL PASO FIRST HLTH PLANS INC16074 ELAN SOLUTIONS INC95662 ELDERPLAN INC62928 EMC NATL LIFE CO53090 EMPLOYERS DENTAL SERV56049 EMPLOYES MUT BENEFIT ASSN12747 ENVISION INS CO11699 ESSENCE HLTHCARE INC47084 FAMILYCARE HLTH PLANS INC13757 FARM BUREAU MUT INS CO OF AR INC63223 FEDERAL LIFE INS CO63290 FIDELITY LIFE ASSN A LEGAL RESERVE L47051 FIRST COMM HLTH PLAN INC95722 FIRST MEDICAL HLTH PLAN INC10972 FIRST NET INS CO12962 FIRSTCAROLINACARE INS CO INC63495 FORESTERS LIFE INS ANN CO83992 FOUNDATION LIFE INS CO OF AR95774 FRIDAY HLTH PLANS OF CO INC56693 GCU56154 GLEANER LIFE INS SOCIETY
© 2018 National Association of Insurance Commissioners 170
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
13667 GLOBALHEALTH INC11113 GOLDEN DENTAL PLANS INC95453 GRAND VALLEY HLTH PLAN INC12982 GREAT PLAINS CAS INC11246 GROUP DENTAL HLTH ADMINISTRATORS INC95192 GROUP HLTH COOP OF EAU CLAIRE95311 GROUP HLTH COOP OF S CENTRAL WI64238 GUARANTY INCOME LIFE INS CO49948 HAWAII MEDICAL SERV ASSN48330 HAWAII MGMT ALLIANCE ASSN15081 HEALTH CHOICE INS CO14481 HEALTH CHOICE UTAH INC13992 HEALTH INS CO OF AMER INC55204 HEALTH NOW NY INC95066 HEALTH PARTNERS PLANS INC12277 HEALTH PLAN OF CAREOREGON INC96687 HEALTH RESOURCES INC10122 HEALTH SUN HLTH PLANS96628 HEALTH TRADITION HLTH PLAN48011 HEALTH VENTURES NTWRK INC13035 HEALTHFIRST HEALTHPLAN OF NJ INC15888 HEALTHPARTNERS UNITYPOINT HLTH INC66214 HEARTLAND NATL LIFE INS CO52627 HENNEPIN HLTH11204 HERITAGE VISION PLANS INC27952 HOOSIER MOTOR MUT INS CO15700 HOPKINS HLTH ADVANTAGE INC15743 HSA HLTH INS CO64580 ILLINOIS MUT LIFE INS CO58068 INDEPENDENT ORDER OF FORESTERS US BR81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC10153 INOVA HLTH PLAN LLC26778 INTEGRAND ASSUR CO64904 INVESTORS HERITAGE LIFE INS CO31658 ISLAND HOME INS CO94790 JEFFERSON LIFE INS CO11182 JOHN D KERNAN DMD PA58033 KNIGHTS OF COLUMBUS12827 KS PLAN ADMINISTRATORS LLC56227 KSKJ LIFE AMER SLOVENIAN CATHOLIC UN47061 LEGAL SERV PLANS OF VA INC66753 LIBERTY UNION LIFE ASSUR CO65412 LIFE INS CO OF AL15959 LIFEWORKS ADVANTAGE LLC65927 LINCOLN HERITAGE LIFE INS CO14427 LOUISIANA FARM BUREAU MUT INS CO56758 LOYAL CHRISTIAN BENEFIT ASSN61018 MAGNA INS CO15077 MAINE COMM HLTH OPTIONS87394 MARQUETTE IND & LIFE INS CO15937 MARQUIS ADVANTAGE HLTH PLAN15850 MARTINS POINT GENERATIONS ADVANTAGE74322 MEDICAL BENEFITS MUT LIFE INS CO95982 MEDISUN INC14227 MEDSTAR FAMILY CHOICE
© 2018 National Association of Insurance Commissioners 171
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
11107 MIDWESTERN DENTAL PLANS INC16235 MISSOURI CHAMBER FEDERATION BENEFIT15757 MISSOURI MEDICARE SELECT LLC57541 MODERN WOODMEN OF AMER14933 MONTANA HLTH COOPERATIVE80020 MOUNTAIN LIFE INS CO88668 MUTUAL OF AMER LIFE INS CO86959 NATIONAL FAMILY CARE LIFE INS CO30155 NATIONAL INS CO OF WI INS56073 NATIONAL MUT BENEFIT16135 NATIONAL PREVENTIVE SOLUTIONS CORP66850 NATIONAL WESTERN LIFE INS CO11109 NEIGHBORHOOD HLTH PLAN INC95402 NEIGHBORHOOD HLTH PLAN OF RI INC13813 NEVADA DENTAL BENEFITS LTD15011 NEW MEXICO HLTH CONNECTIONS95829 NEW W HLTH SERV15094 NEXDENT DENTAL PLANS INC81264 NIPPON LIFE INS CO OF AMER55891 NORIDIAN MUT INS CO67032 NORTH CAROLINA MUT LIFE INS CO67326 OLD SURETY LIFE INS CO12533 OPTICARE OF UT56383 ORDER OF UNITED COMMERCIAL TRAVELERS67393 OZARK NATL LIFE INS CO95414 PARKLAND COMM HLTH PLAN INC13607 PEOPLES HLTH INC15009 PIEDMONT WELLSTAR HLTH PLANS INC12619 PIONEER EDUCATORS HLTH TRUST95730 PLAN DE SALUD MENONITA INC95762 PLAN MEDICO SERV DE SALUD BELLA VIST58009 POLICE & FIREMENS INS ASSN56820 POLISH FALCONS OF AMER56839 POLISH NATL UNION OF AMER57940 PORTUGUESE FRATERNAL SOCIETY OF AMER76538 PRESIDENTIAL LIFE INS CO68179 PROVIDENT AMER INS CO15730 PRUITTHEALTH PREMIER INC55271 PUPIL BENEFITS PLAN INC12209 RESTORATION RRG INC12471 RETAILERS INS CO57657 ROYAL NEIGHBORS OF AMER68551 ROYAL STATE NATL INS CO LTD15091 RURAL MUT INS CO95743 RYDER HLTH PLAN INC60445 SAGICOR LIFE INS CO12257 SAMARITAN HLTH PLANS INC96881 SECURITY HLTH PLAN OF WI INC68772 SECURITY MUT LIFE INS CO OF NY14151 SENDERO HLTH PLANS INC76325 SENIOR HLTH INS CO OF PA78662 SENIOR LIFE INS CO12776 SENIOR WHOLE HLTH OF NY INC54259 SIDNEY HILLMAN HLTH CENTRE47012 SIGHTCARE INC
© 2018 National Association of Insurance Commissioners 172
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
15731 SIGNATURE ADVANTAGE LLC11082 SINGLE VISION SOLUTION INC57673 SLOVENE NATL BENEFIT SOCIETY57142 SONS OF NORWAY96598 SOUTH DAKOTA STATE MED HOLDING CO95812 SOUTHEASTERN IN HLTH ORG INC68896 SOUTHERN FARM BUREAU LIFE INS CO57436 SPJST71706 STANDARD LIFE & CAS INS CO36103 STATE INS FUND DISABILITY BENEFITS69132 STATE MUT INS CO15462 STERLING DENTAL OF N AMER LLC11953 STERLING DENTAL SERV LLC96280 SUPERIOR DENTAL CARE INC58181 SUPREME COUNCIL THE ROYAL ARCANUM69329 SURETY LIFE & CAS INS CO69310 SURETY LIFE INS CO15107 SUTTER HLTH PLAN99538 SWBC LIFE INS CO11093 TAKECARE INS CO INC95329 TEXAS CHILDRENS HLTH PLAN INC12239 TIMBER PRODUCTS MANUFACTURERS TRUST12970 TOUCHSTONE HLTH HMO INC77674 TOWN & COUNTRY LIFE INS CO69523 TRANS OCEANIC LIFE INS CO56006 TRAVELERS PROTECTIVE ASSN OF AMER12834 TRILOGY HLTH INS INC57215 UKRAINIAN NATL ASSN INC14243 ULTIMATE HLTH PLANS INC15642 UNDERWRITERS AT LLOYD'S LONDON32727 UNDERWRITERS AT LLOYDS11121 UNIFIED LIFE INS CO52553 UNION HLTH SERV INC54127 UNION MEDICAL CENTER42129 UNITED SECURITY ASSUR CO OF PA56456 UNITED STATES LETTER CARRIERS MUT BE56413 UNITED TRANSPORTATION UNION INS ASSN70122 UNIVERSAL FIDELITY LIFE INS CO70130 UNIVERSAL GUAR LIFE INS CO47953 UNIVERSITY HLTH ALLIANCE52621 UNIVERSITY HLTH CARE INC15648 UNIVERSITY OF UT HLTH PLANS52615 UPPER PENINSULA HLTH PLAN LLC97772 US HLTH & LIFE INS CO INC83666 USA INS CO95764 UTMB HLTH PLANS INC95584 VANTAGE HLTH PLAN INC95612 VIRGINIA PREMIER HLTH PLAN INC95322 VIVA HLTH INC72273 WEA INS CORP15955 WEST VIRGINIA SENIOR ADVANTAGE INC57711 WESTERN CATHOLIC UNION12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU57010 WILLIAM PENN ASSN15640 WISCO DENTAL INS CO INC
© 2018 National Association of Insurance Commissioners 173
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2017 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
68420 WMI MUT INS CO57320 WOODMEN WORLD LIFE INS SOC57290 WORKMENS BENEFIT FUND OF THE USA
© 2018 National Association of Insurance Commissioners 174