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.
1) Kaiser Permanente
In-force health premium: $18,084,169,841 Headquarters: Oakland, Calif. CEO: Bernard Tyson
2) UnitedHealthcare
In-force health premium: $12,762,746,976 Headquarters: Minnetonka, Minn. CEO: David S. Wichmann
3) Aetna
In-force health premium: $6,956,966,865 Headquarters: Hartford, Conn. CEO: Mark Bertolini
4) Health Care Service Corporation (HCSC)
In-force health premium: $6,949,086,022 Headquarters: Chicago CEO: Paula Steiner
5) Anthem
In-force health premium: $5,638,655,205 Headquarters: Indianapolis CEO: Gail Koziara Boudreaux
6) Cigna
In-force health premium: $4,103,082,231 Headquarters: Bloomfield, Conn. CEO: David Cordani
7) Blue Cross Blue Shield of Massachusetts
In-force health premium: $2,462,220,022 Headquarters: Boston CEO: Andrew Dreyfus
8) Blue Shield of California
In-force health premium: $2,326,160,020 Headquarters: San Francisco CEO: Paul Markovich
9) Blue Cross Blue Shield of Michigan
In-force health premium: $1,723,657,409 Headquarters: Detroit CEO: Daniel J. Loepp
10) Highmark
In-force health premium: $1,680,808,579 Headquarters: Pittsburgh CEO: David Holmberg
11) Blue Cross and Blue Shield of Florida
In-force health premium: $1,588,232,786 Headquarters: Jacksonville, Fla. CEO: Patrick J. Geraghty
12) Independence Blue Cross
In-force health premium: $1,145,724,980 Headquarters: Philadelphia CEO: Daniel J. Hilferty
13) Blue Cross and Blue Shield of Kansas
In-force health premium: $918,486,581 Headquarters: Topeka, Kan. CEO: Danette Wilson
14) Harvard Pilgrim Health Care
In-force health premium: $910,695,175 Headquarters: Quincy, Mass. CEO: Eric H. Schultz
15) Centene Corporation
In-force health premium: $857,833,736 Headquarters: St. Louis CEO: Michael F. Neidorff
16) Humana
In-force health premium: $818,236,385 Headquarters: Louisville, Ky. CEO: Bruce D. Broussard
17) CareFirst BlueCross BlueShield
In-force health premium: $811,142,545 Headquarters: Baltimore CEO: Chet Burrell
18) Excellus BlueCross BlueShield
In-force health premium: $729,575,205 Headquarters: Rochester, N.Y. CEO: Christopher C. Booth
19) HAP
In-force health premium: $668,284,156 Headquarters: Detroit CEO: Teresa (Terri) L. Kline
20) Horizon Blue Cross Blue Shield of New Jersey
In-force health premium: $645,695,401 Headquarters: Newark, N.J. CEO: Kevin P. Conlin
21) Wellmark Blue Cross and Blue Shield of Iowa
In-force health premium: $616,910,272 Headquarters: Des Moines, Iowa CEO: John D. Forsyth
22) BlueCross BlueShield of Tennessee
In-force health premium: $603,625,401 Headquarters: Chattanooga, Tenn. CEO: J.D. Hickey
23) Priority Health
In-force health premium: $565,111,771 Headquarters: Grand Rapids, Mich. CEO: Joan Budden
24) Premera Blue Cross
In-force health premium: $557,175,636 Headquarters: Mountlake Terrace, Wash. CEO: Jeff Roe
25) Tufts Health Plan
In-force health premium: $527,771,316 Headquarters: Watertown, Mass. CEO: Thomas Croswell
What will happen when patients finally feel comfortable returning to their healthcare providers’ offices? One survey projects a possible 5.3% increase in health plan costs for large employers in 2021.