LeadingGroupCarriers.png

Top 25 Group Carriers

Employee Benefit Adviser, in partnership with business intelligence data analytics firm miEdge, lists the top 25 large-group health insurance carriers in the United States. Companies are ranked based on in-force group health insurance premiums as of March 12, 2018.

Premiums used to compile the listing for the following companies are based on Form 5500 Schedule A data submitted to the Department of Labor. As such, groups under 100 lives, government entities and church plans are not required to file. Any disclosure on Schedule C's are not contemplated in these numbers.
KAISER.jpg

1) Kaiser Permanente

In-force health premium: $18,084,169,841
Headquarters: Oakland, Calif.
CEO: Bernard Tyson
UNITED-HEALTHCARE.jpg

2) UnitedHealthcare

In-force health premium: $12,762,746,976
Headquarters: Minnetonka, Minn.
CEO: David S. Wichmann
AETNA3.jpg

3) Aetna

In-force health premium: $6,956,966,865
Headquarters: Hartford, Conn.
CEO: Mark Bertolini
HEALTH-CARE-SERVICE-CORPORATION.jpg

4) Health Care Service Corporation (HCSC)

In-force health premium: $6,949,086,022
Headquarters: Chicago
CEO: Paula Steiner
ANTHEM4.jpg

5) Anthem

In-force health premium: $5,638,655,205
Headquarters: Indianapolis
CEO: Gail Koziara Boudreaux
CIGNA.jpg

6) Cigna

In-force health premium: $4,103,082,231
Headquarters: Bloomfield, Conn.
CEO: David Cordani
BLUE-CROSS-BLUE-SHIELD-OF-MASSACHUSETTS.jpg

7) Blue Cross Blue Shield of Massachusetts

In-force health premium: $2,462,220,022
Headquarters: Boston
CEO: Andrew Dreyfus
BLUE-SHIELD-OF-CALIFORNIA.jpg

8) Blue Shield of California

In-force health premium: $2,326,160,020
Headquarters: San Francisco
CEO: Paul Markovich
BLUE-CROSS-BLUE-SHIELD-OF-MICHIGAN.jpg

9) Blue Cross Blue Shield of Michigan

In-force health premium: $1,723,657,409
Headquarters: Detroit
CEO: Daniel J. Loepp
HIGHMARK.jpg

10) Highmark

In-force health premium: $1,680,808,579
Headquarters: Pittsburgh
CEO: David Holmberg
FLORIDA-BLUE-CROSS-BLUE-SHIELD.jpg

11) Blue Cross and Blue Shield of Florida

In-force health premium: $1,588,232,786
Headquarters: Jacksonville, Fla.
CEO: Patrick J. Geraghty
INDEPENDENCE-BLUE-CROSS.jpg

12) Independence Blue Cross

In-force health premium: $1,145,724,980
Headquarters: Philadelphia
CEO: Daniel J. Hilferty
BLUE-CROSS-BLUE-SHIELD-OF-KANSAS.jpg

13) Blue Cross and Blue Shield of Kansas

In-force health premium: $918,486,581
Headquarters: Topeka, Kan.
CEO: Danette Wilson
HARVARD-PILGRIM-HEALTH-CARE.jpg

14) Harvard Pilgrim Health Care

In-force health premium: $910,695,175
Headquarters: Quincy, Mass.
CEO: Eric H. Schultz
CENTENE-CORPORATION.jpg

15) Centene Corporation

In-force health premium: $857,833,736
Headquarters: St. Louis
CEO: Michael F. Neidorff
HUMANA4.jpg

16) Humana

In-force health premium: $818,236,385
Headquarters: Louisville, Ky.
CEO: Bruce D. Broussard
CAREFIRST-BLUE-CROSS-BLUE-SHIELD.jpg

17) CareFirst BlueCross BlueShield

In-force health premium: $811,142,545
Headquarters: Baltimore
CEO: Chet Burrell
EXCELLUS-BLUE-CROSS-BLUE-SHIELD.jpg

18) Excellus BlueCross BlueShield

In-force health premium: $729,575,205
Headquarters: Rochester, N.Y.
CEO: Christopher C. Booth
HAP.jpg

19) HAP

In-force health premium: $668,284,156
Headquarters: Detroit
CEO: Teresa (Terri) L. Kline
HORIZON-BLUE-CROSS-BLUE-SHIELD-OF-NEW-JERSEY.jpg

20) Horizon Blue Cross Blue Shield of New Jersey

In-force health premium: $645,695,401
Headquarters: Newark, N.J.
CEO: Kevin P. Conlin
BLUE-CROSS-BLUE-SHIELD-OF-IOWA.jpg

21) Wellmark Blue Cross and Blue Shield of Iowa

In-force health premium: $616,910,272
Headquarters: Des Moines, Iowa
CEO: John D. Forsyth
BLUE-CROSS-BLUE-SHIELD-OF-TENNESSEE.jpg

22) BlueCross BlueShield of Tennessee

In-force health premium: $603,625,401
Headquarters: Chattanooga, Tenn.
CEO: J.D. Hickey
PRIORITY-HEALTH.jpg

23) Priority Health

In-force health premium: $565,111,771
Headquarters: Grand Rapids, Mich.
CEO: Joan Budden
PREMERA-BLUE-CROSS.jpg

24) Premera Blue Cross

In-force health premium: $557,175,636
Headquarters: Mountlake Terrace, Wash.
CEO: Jeff Roe
TUFTS-HEALTH-PLAN.jpg

25) Tufts Health Plan

In-force health premium: $527,771,316
Headquarters: Watertown, Mass.
CEO: Thomas Croswell
MORE FROM EMPLOYEE BENEFIT ADVISER