2018 Market Share Reports For the Top 125 Accident and Health
Insurance Groups and Companies by State
and Countrywide
2019
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2018 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 ..........................................4
Combined Accident and Health Insurance Market Share Reports ................10
Technical Notes ..................................................................................................131
Index of Insurer Groups and Companies ........................................................137
INTRODUCTION
These 2018 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 10, 2019 (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.
© 2019 National Association of Insurance Commissioners 1
© 2019 National Association of Insurance Commissioners 2
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.
© 2019 National Association of Insurance Commissioners 3
Ten-Year Premium Comparison
Chart and Graphs
© 2019 National Association of Insurance Commissioners 4
© 2019 National Association of Insurance Commissioners 5
NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS2018 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
2009 630,292,880,436 17,920,728,529
2010 647,255,938,729 19,723,753,264
2011 680,140,192,426 21,689,282,798
2012 713,258,493,819 19,391,781,687
2013 744,653,086,410 12,930,793,602
2014 824,321,580,320 11,861,962,997
2015 910,497,346,024 10,996,947,190
2016 973,559,455,586 12,125,289,938
2017 1,029,918,282,479 12,372,927,427
2018 1,101,324,253,219 5,840,079,616
648,213,608,965
666,979,691,993
701,829,475,224
732,650,275,506
757,583,880,012
836,183,543,317
921,494,293,214
985,684,745,524
1,042,291,209,906
1,107,164,332,835
Please note: California Department of Managed Health Care data is not included in years prior to 2007.
© 2019 National Association of Insurance Commissioners 6
648 667702
733 758
836
921
986
1,042
1,107
0
100
200
300
400
500
600
700
800
900
1000
1100
1200
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Bill
ion
s
Year
Accident and Health Insurance IndustryTotal States, U.S. Territories, Aggregate Other Alien and Canada
2009 - 2018 Total Direct Premium Written
© 2019 National Association of Insurance Commissioners 7
630 647680
713745
824
910
974
1030
1,101
0
100
200
300
400
500
600
700
800
900
1000
1100
1200
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Bill
ion
s
Year
Accident and Health Insurance IndustryStates and U.S. Territories Only
2009 - 2018 Total Direct Premium Written
© 2019 National Association of Insurance Commissioners 8
© 2019 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
© 2019 National Association of Insurance Commissioners 10
© 2019 National Association of Insurance Commissioners 11
Accident and Health Insurance Industry Aggregates2018 Direct Premiums Written by State
By State and U.S. Territory Totals(In Millions)
Canada: $350VT NH
$1,242 $3,933
MA $24,857RI $4,776CT $9,250
NJ $31,794
DE $2,008MD $16,275DC $5,356
LEGENDAt Most $4,215$4,216 ‐ $9,954$9,955 ‐ $21,057$21,058 ‐ $212,991No Data
Guam (GU) American Samoa (AS) Northern Mariana Islands (MP) Aggregate Other Alien (OT) Puerto Rico (PR) U.S. Virgin Islands (VI)$311 $1 $48 $5,490 $10,293 $278
Minimum 1st Quartile2nd
Quartile 3rd Quartile Maximum$1 $4,216 $9,955 $21,058 $212,990
WA$22,133
OR$12,838
ID$4,029
MT$2,003
CA$212,990
NV$8,339
UT$7,354
WY$1,070
ND$2,497
SD$2,068
MN$19,151
AZ$12,362
CO$14,439
NM$7,881
TX$80,580
OK$7,681
KS$9,617
NE$6,068
MO$16,775
AR$6,707
LA$17,588
MS$7,359
AL$11,997
FL$76,761
GA$27,259
SC$13,200
NC$22,701TN
$21,693
KY$16,667
IL$39,085
IA$11,166
WI$18,959
MI$32,647
IN$17,945
OH$42,890
WV$5,483 VA
$25,230
PA$53,634
ME$3,970
NY$58,861
HI$7,966
AK$1,260
© 2019 National Association of Insurance Commissioners 12
© 2019 National Association of Insurance Commissioners 13
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 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 156,935,200,296 %14.17 %14.172 H CA 601 KAISER FOUNDATION GRP 93,215,984,227 %8.42 %22.593 L H CA 671 ANTHEM INC GRP 67,155,145,750 %6.07 %28.664 L H CA 119 HUMANA GRP 56,027,097,251 %5.06 %33.725 L H CA 1 CVS GRP 55,687,276,909 %5.03 %38.756 L H 917 HCSC GRP 37,823,149,410 %3.42 %42.177 L H 1295 CENTENE CORP GRP 36,373,978,804 %3.29 %45.458 L H CA 901 CIGNA HLTH GRP 29,882,723,013 %2.70 %48.159 L H 1199 WELLCARE GRP 20,523,434,088 %1.85 %50.00
10 L H CA 1531 MOLINA HEALTHCARE INC GRP 18,534,199,807 %1.67 %51.6811 L H 536 GUIDEWELL MUT HOLDING GRP 18,056,097,704 %1.63 %53.3112 CA CALIFORNIA PHYSICIANS' SERVICE 17,113,125,000 %1.55 %54.8513 H 936 INDEPENDENCE HLTH GRP INC GRP 16,165,006,834 %1.46 %56.3114 CA BLUE CROSS OF CALIFORNIA 15,774,640,000 %1.42 %57.7415 L H P CA 812 HIGHMARK GRP 14,872,884,751 %1.34 %59.0816 L H 572 BCBS OF MI GRP 14,218,115,756 %1.28 %60.3717 H 1202 BCBS OF NJ GRP 13,302,193,211 %1.20 %61.5718 H 3683 CARESOURCE GRP 10,005,845,628 %0.90 %62.4719 H 758 BCBS OF NC GRP 9,072,896,543 %0.82 %63.2920 H 380 CAREFIRST INC GRP 8,945,560,156 %0.81 %64.1021 CA HEALTH NET OF CALIFORNIA, INC. 8,784,648,721 %0.79 %64.8922 H P 1324 UPMC HLTH SYSTEM GRP 8,433,935,368 %0.76 %65.6523 H 3637 BCBS OF MA GRP 8,094,697,749 %0.73 %66.3924 H 3498 BCBS OF TN GRP 8,074,363,070 %0.73 %67.1125 L H P CA 241 METROPOLITAN GRP 8,021,420,667 %0.72 %67.8426 L 370 AFLAC GRP 7,905,196,140 %0.71 %68.5527 CA LOCAL INITIATIVE HEALTH AUTHORITY FO 7,870,654,247 %0.71 %69.2628 H 1127 EMBLEM HLTH GRP 7,661,566,539 %0.69 %69.9629 CA UHC OF CALIFORNIA 6,693,413,000 %0.60 %70.5630 H 461 BCBS OF MN GRP 6,408,198,645 %0.58 %71.1431 CA HEALTH NET COMMUNITY SOLUTIONS, INC. 6,244,376,004 %0.56 %71.7032 L 565 UNUM GRP 6,178,415,536 %0.56 %72.2633 L H 570 BCBS OF AL GRP 6,061,109,321 %0.55 %72.8134 L H 1186 LIFETIME HLTHCARE GRP 5,912,716,130 %0.53 %73.3435 L H 1207 CAMBIA HEALTH SOLUTIONS INC 5,434,289,245 %0.49 %73.8336 L H 661 BCBS OF SC GRP 5,381,245,808 %0.49 %74.3237 H 4742 TUFTS GRP 5,145,467,716 %0.46 %74.7838 L H CA 2798 BLUE SHIELD OF CA GRP 4,969,076,330 %0.45 %75.2339 CA INLAND EMPIRE HEALTH PLAN 4,926,583,326 %0.44 %75.6840 H 1552 MEDICA GRP 4,562,817,923 %0.41 %76.0941 L H 261 MUTUAL OF OMAHA GRP 4,289,462,035 %0.39 %76.4842 L H 429 GUARDIAN LIFE GRP 4,101,882,249 %0.37 %76.8543 L H 962 PREMERA BLUE CROSS GRP 3,862,320,172 %0.35 %77.2044 H 3383 SPECTRUM HLTH GRP 3,829,537,938 %0.35 %77.5445 H 770 WELLMARK INC GRP 3,810,933,019 %0.34 %77.8946 H 1258 HEALTHPARTNERS GRP 3,702,325,466 %0.33 %78.2247 H 49948 HAWAII MEDICAL SERV ASSN 3,579,655,773 %0.32 %78.5548 L H 438 LOUISIANA HLTH SERV GRP 3,544,889,321 %0.32 %78.8749 CA ORANGE COUNTY HEALTH AUTHORITY 3,445,699,266 %0.31 %79.1850 H 4380 UCARE GRP 3,434,260,041 %0.31 %79.4951 H 1198 MVP GRP 3,408,137,015 %0.31 %79.7952 L H 730 MEDICAL MUT OF OH GRP 3,185,029,845 %0.29 %80.0853 H 880 IHC INC GRP 3,179,561,057 %0.29 %80.3754 H 1143 GEISINGER INS GRP 3,179,080,004 %0.29 %80.6655 H 595 HARVARD PILGRIM HLTH CARE GRP 3,144,529,755 %0.28 %80.9456 CA DELTA DENTAL OF CALIFORNIA 2,988,929,000 %0.27 %81.2157 L H 876 ARKANSAS BCBS GRP 2,879,223,021 %0.26 %81.4758 CA HERITAGE PROVIDER NETWORK, INC. 2,849,818,381 %0.26 %81.7359 H CA 1189 VISION SERV PLAN GRP 2,823,210,891 %0.25 %81.9860 L H 4802 TRIPLE S GRP 2,777,567,123 %0.25 %82.2361 CA SCAN HEALTH PLAN 2,717,816,000 %0.25 %82.4862 L 20 LINCOLN NATL GRP 2,699,928,602 %0.24 %82.7263 H 4778 HEALTHFIRST INC GRP 2,655,600,833 %0.24 %82.9664 H 55204 HEALTH NOW NY INC 2,652,249,710 %0.24 %83.20
© 2019 National Association of Insurance Commissioners 14
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
States, U.S. Territories, Canada, Aggregate Other Alien
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4011 GENWORTH FIN GRP 2,633,754,393 %0.24 %83.4466 H 4812 INNOVACARE INC GRP 2,610,438,890 %0.24 %83.6867 CA PARTNERSHIP HEALTHPLAN OF CALIFORNIA 2,477,900,084 %0.22 %83.9068 H 1183 SENTARA HLTH MGMT GRP 2,430,178,994 %0.22 %84.1269 H 1260 MAGELLAN HLTH INC GRP 2,370,769,385 %0.21 %84.3370 L P 3098 TOKIO MARINE HOLDINGS INC GRP 2,345,314,088 %0.21 %84.5571 H 1230 CAPITAL BLUE CROSS GRP 2,341,460,768 %0.21 %84.7672 L H 430 BCBS OF KS GRP 2,324,901,246 %0.21 %84.9773 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 2,293,083,387 %0.21 %85.1774 H 481 PRESBYTERIAN HLTHCARE SERV GRP 2,292,846,010 %0.21 %85.3875 H 4788 PROVIDENCE HLTH GRP 2,213,928,994 %0.20 %85.5876 H 53589 BCBS OF AZ INC 2,211,959,730 %0.20 %85.7877 L H 549 SUN LIFE ASSUR CO OF CN GRP 2,204,433,925 %0.20 %85.9878 L H 1301 MEDICAL CARD SYSTEM INC GRP 2,195,370,628 %0.20 %86.1879 CA DAVITA HEALTH PLAN OF CALIFORNIA, IN 2,125,591,906 %0.19 %86.3780 H 4700 MCLAREN HLTH GRP 2,119,788,994 %0.19 %86.5681 H 4708 CDPHP INC GRP 2,062,773,136 %0.19 %86.7582 H 4894 INDEPENDENT HLTH ASSN GRP 2,017,487,277 %0.18 %86.9383 L 860 NORTHWESTERN MUT GRP 2,013,920,045 %0.18 %87.1184 L P 626 CHUBB LTD GRP 2,007,541,271 %0.18 %87.2985 L P 91 HARTFORD FIRE & CAS GRP 1,992,875,366 %0.18 %87.4786 H 95066 HEALTH PARTNERS PLANS INC 1,962,566,742 %0.18 %87.6587 H 52621 UNIVERSITY HLTH CARE INC 1,953,210,500 %0.18 %87.8388 L H 332 PRINCIPAL FIN GRP 1,894,440,636 %0.17 %88.0089 H 537 BCBS OF KC GRP 1,887,782,993 %0.17 %88.1790 H 1311 HENRY FORD HLTH SYSTEM GRP 1,882,366,757 %0.17 %88.3491 L 233 CNO FINANCIAL GRP 1,857,441,563 %0.17 %88.5192 L P 468 AEGON US HOLDING GRP 1,795,501,675 %0.16 %88.6793 H 1212 VANGUARD HLTH VENTURES GRP 1,778,903,487 %0.16 %88.8394 L 1348 MEIJI YASUDA LIFE INS GRP 1,724,482,204 %0.16 %88.9995 H 53473 BCBS OF RI 1,709,976,274 %0.15 %89.1496 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 1,688,510,449 %0.15 %89.2997 H 95329 TEXAS CHILDRENS HLTH PLAN INC 1,678,937,239 %0.15 %89.4498 H 4892 HARRIS HLTH GRP 1,671,353,372 %0.15 %89.5999 H 2479 DENTEGRA GRP 1,668,746,663 %0.15 %89.75
100 H 1290 BLUE CROSS OF ID GRP 1,600,348,646 %0.14 %89.89101 H 4858 BCBS OF NE GRP 1,597,704,134 %0.14 %90.03102 L 904 JOHN HANCOCK GRP 1,590,285,092 %0.14 %90.18103 L H 477 RENAISSANCE HLTH SERV CORP GRP 1,587,873,317 %0.14 %90.32104 H 4741 FALLON GRP 1,538,603,640 %0.14 %90.46105 CA SANTA CLARA COUNTY HEALTH AUTHORITY 1,531,361,000 %0.14 %90.60106 L 304 PRUDENTIAL OF AMER GRP 1,495,890,489 %0.14 %90.73107 H 1192 CARLE HOLDING CO GRP 1,495,235,432 %0.14 %90.87108 H 95612 VIRGINIA PREMIER HLTH PLAN INC 1,462,177,587 %0.13 %91.00109 H 95402 NEIGHBORHOOD HLTH PLAN OF RI INC 1,377,464,664 %0.12 %91.13110 L H 1126 MISSISSIPPI INS GRP 1,374,705,519 %0.12 %91.25111 H 1294 DEAN HLTH GRP 1,372,327,429 %0.12 %91.37112 H 96881 SECURITY HLTH PLAN OF WI INC 1,338,381,854 %0.12 %91.49113 L 4832 VOYA FINANCIAL GRP 1,269,474,256 %0.11 %91.61114 H 55891 NORIDIAN MUT INS CO 1,188,417,685 %0.11 %91.72115 CA FRESNO-KINGS-MADERA REGIONAL HEALTH 1,185,176,640 %0.11 %91.82116 CA SANTA CRUZ-MONTEREY-MERCED MANAGED M 1,145,887,960 %0.10 %91.93117 H 4704 PACIFICSOURCE HLTH PLAN GRP 1,116,639,878 %0.10 %92.03118 H 95662 ELDERPLAN INC 1,088,067,731 %0.10 %92.13119 H 95722 FIRST MEDICAL HLTH PLAN INC 1,080,486,891 %0.10 %92.22120 H 4934 PARTNERS HEALTHCARE SYSTEM GRP 1,045,908,240 %0.09 %92.32121 L 290 TORCHMARK CORP GRP 1,037,707,737 %0.09 %92.41122 H 4512 DENTAQUEST GRP 1,031,738,857 %0.09 %92.51123 CA SAN JOAQUIN COUNTY HEALTH COMMISSION 1,024,571,663 %0.09 %92.60124 P 176 STATE FARM GRP 1,019,642,197 %0.09 %92.69125 CA PRIMECARE MEDICAL NETWORK, INC. 1,005,433,344 %0.09 %92.78
**TOTAL** 1,107,164,332,835 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 15
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 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 156,835,234,916 %14.24 %14.242 H CA 601 KAISER FOUNDATION GRP 93,215,984,227 %8.46 %22.703 L H CA 671 ANTHEM INC GRP 67,155,145,750 %6.10 %28.804 L H CA 119 HUMANA GRP 56,027,097,251 %5.09 %33.895 L H CA 1 CVS GRP 55,388,648,409 %5.03 %38.926 L H 917 HCSC GRP 36,901,007,531 %3.35 %42.277 L H 1295 CENTENE CORP GRP 36,373,978,804 %3.30 %45.578 L H CA 901 CIGNA HLTH GRP 29,315,113,590 %2.66 %48.239 L H 1199 WELLCARE GRP 20,523,434,088 %1.86 %50.10
10 L H CA 1531 MOLINA HEALTHCARE INC GRP 18,534,199,807 %1.68 %51.7811 L H 536 GUIDEWELL MUT HOLDING GRP 18,056,097,704 %1.64 %53.4212 CA 123473 CALIFORNIA PHYSICIANS' SERVICE 17,113,125,000 %1.55 %54.9713 H 936 INDEPENDENCE HLTH GRP INC GRP 16,165,006,834 %1.47 %56.4414 CA 123470 BLUE CROSS OF CALIFORNIA 15,774,640,000 %1.43 %57.8715 L H P CA 812 HIGHMARK GRP 14,872,884,751 %1.35 %59.2216 L H 572 BCBS OF MI GRP 14,218,112,935 %1.29 %60.5217 H 1202 BCBS OF NJ GRP 13,302,193,211 %1.21 %61.7218 H 3683 CARESOURCE GRP 10,005,845,628 %0.91 %62.6319 H 758 BCBS OF NC GRP 9,019,316,856 %0.82 %63.4520 H 380 CAREFIRST INC GRP 8,945,560,156 %0.81 %64.2621 CA 123503 HEALTH NET OF CALIFORNIA, INC. 8,784,648,721 %0.80 %65.0622 H P 1324 UPMC HLTH SYSTEM GRP 8,433,935,368 %0.77 %65.8323 H 3637 BCBS OF MA GRP 8,094,697,749 %0.73 %66.5624 H 3498 BCBS OF TN GRP 8,074,363,070 %0.73 %67.2925 CA 123516 LOCAL INITIATIVE HEALTH AUTHORITY FO 7,870,654,247 %0.71 %68.0126 H 1127 EMBLEM HLTH GRP 7,661,566,539 %0.70 %68.7027 L H P CA 241 METROPOLITAN GRP 7,476,667,907 %0.68 %69.3828 CA 123550 UHC OF CALIFORNIA 6,693,413,000 %0.61 %69.9929 H 461 BCBS OF MN GRP 6,408,198,645 %0.58 %70.5730 CA 123502 HEALTH NET COMMUNITY SOLUTIONS, INC. 6,244,376,004 %0.57 %71.1431 L 565 UNUM GRP 6,166,623,266 %0.56 %71.7032 L H 570 BCBS OF AL GRP 6,061,109,321 %0.55 %72.2533 L H 1186 LIFETIME HLTHCARE GRP 5,912,716,130 %0.54 %72.7934 L H 1207 CAMBIA HEALTH SOLUTIONS INC 5,434,289,245 %0.49 %73.2835 L H 661 BCBS OF SC GRP 5,381,245,808 %0.49 %73.7736 L 370 AFLAC GRP 5,376,357,722 %0.49 %74.2637 H 4742 TUFTS GRP 5,145,467,716 %0.47 %74.7238 L H CA 2798 BLUE SHIELD OF CA GRP 4,969,076,330 %0.45 %75.1839 CA 123509 INLAND EMPIRE HEALTH PLAN 4,926,583,326 %0.45 %75.6240 H 1552 MEDICA GRP 4,562,817,923 %0.41 %76.0441 L H 261 MUTUAL OF OMAHA GRP 4,288,856,214 %0.39 %76.4342 L H 429 GUARDIAN LIFE GRP 4,101,580,133 %0.37 %76.8043 L H 962 PREMERA BLUE CROSS GRP 3,862,320,172 %0.35 %77.1544 H 3383 SPECTRUM HLTH GRP 3,829,537,938 %0.35 %77.5045 H 770 WELLMARK INC GRP 3,810,933,019 %0.35 %77.8446 H 1258 HEALTHPARTNERS GRP 3,702,325,466 %0.34 %78.1847 H 49948 HAWAII MEDICAL SERV ASSN 3,579,655,773 %0.33 %78.5148 L H 438 LOUISIANA HLTH SERV GRP 3,544,889,321 %0.32 %78.8349 CA 123526 ORANGE COUNTY HEALTH AUTHORITY 3,445,699,266 %0.31 %79.1450 H 4380 UCARE GRP 3,434,260,041 %0.31 %79.4551 H 1198 MVP GRP 3,408,137,015 %0.31 %79.7652 L H 730 MEDICAL MUT OF OH GRP 3,185,029,845 %0.29 %80.0553 H 880 IHC INC GRP 3,179,561,057 %0.29 %80.3454 H 1143 GEISINGER INS GRP 3,179,080,004 %0.29 %80.6355 H 595 HARVARD PILGRIM HLTH CARE GRP 3,144,529,755 %0.29 %80.9156 CA 123488 DELTA DENTAL OF CALIFORNIA 2,988,929,000 %0.27 %81.1857 L H 876 ARKANSAS BCBS GRP 2,879,223,021 %0.26 %81.4558 CA 123504 HERITAGE PROVIDER NETWORK, INC. 2,849,818,381 %0.26 %81.7059 H CA 1189 VISION SERV PLAN GRP 2,823,210,891 %0.26 %81.9660 L H 4802 TRIPLE S GRP 2,768,012,185 %0.25 %82.2161 CA 123543 SCAN HEALTH PLAN 2,717,816,000 %0.25 %82.4662 L 20 LINCOLN NATL GRP 2,698,226,181 %0.24 %82.7063 H 4778 HEALTHFIRST INC GRP 2,655,600,833 %0.24 %82.9564 H 55204 HEALTH NOW NY INC 2,652,249,710 %0.24 %83.19
© 2019 National Association of Insurance Commissioners 16
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
States and U.S. Territories
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4011 GENWORTH FIN GRP 2,633,751,239 %0.24 %83.4366 H 4812 INNOVACARE INC GRP 2,610,438,890 %0.24 %83.6667 CA 123528 PARTNERSHIP HEALTHPLAN OF CALIFORNIA 2,477,900,084 %0.22 %83.8968 H 1183 SENTARA HLTH MGMT GRP 2,430,178,994 %0.22 %84.1169 H 1260 MAGELLAN HLTH INC GRP 2,370,769,385 %0.22 %84.3270 L P 3098 TOKIO MARINE HOLDINGS INC GRP 2,344,182,947 %0.21 %84.5471 H 1230 CAPITAL BLUE CROSS GRP 2,341,460,768 %0.21 %84.7572 L H 430 BCBS OF KS GRP 2,324,901,246 %0.21 %84.9673 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 2,293,083,387 %0.21 %85.1774 H 481 PRESBYTERIAN HLTHCARE SERV GRP 2,292,846,010 %0.21 %85.3875 H 4788 PROVIDENCE HLTH GRP 2,213,928,994 %0.20 %85.5876 H 53589 BCBS OF AZ INC 2,211,959,730 %0.20 %85.7877 L H 549 SUN LIFE ASSUR CO OF CN GRP 2,204,778,520 %0.20 %85.9878 L H 1301 MEDICAL CARD SYSTEM INC GRP 2,195,370,628 %0.20 %86.1879 CA 123486 DAVITA HEALTH PLAN OF CALIFORNIA, IN 2,125,591,906 %0.19 %86.3780 H 4700 MCLAREN HLTH GRP 2,119,788,994 %0.19 %86.5681 H 4708 CDPHP INC GRP 2,062,773,136 %0.19 %86.7582 H 4894 INDEPENDENT HLTH ASSN GRP 2,017,487,277 %0.18 %86.9383 L 860 NORTHWESTERN MUT GRP 2,012,436,449 %0.18 %87.1284 L P 91 HARTFORD FIRE & CAS GRP 1,992,840,881 %0.18 %87.3085 H 95066 HEALTH PARTNERS PLANS INC 1,962,566,742 %0.18 %87.4886 H 52621 UNIVERSITY HLTH CARE INC 1,953,210,500 %0.18 %87.6587 L H 332 PRINCIPAL FIN GRP 1,894,280,869 %0.17 %87.8288 H 537 BCBS OF KC GRP 1,887,782,993 %0.17 %88.0089 H 1311 HENRY FORD HLTH SYSTEM GRP 1,882,366,757 %0.17 %88.1790 L 233 CNO FINANCIAL GRP 1,857,345,839 %0.17 %88.3491 L P 468 AEGON US HOLDING GRP 1,795,528,618 %0.16 %88.5092 H 1212 VANGUARD HLTH VENTURES GRP 1,778,903,487 %0.16 %88.6693 L 1348 MEIJI YASUDA LIFE INS GRP 1,724,119,226 %0.16 %88.8294 H 53473 BCBS OF RI 1,709,976,274 %0.16 %88.9795 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 1,688,510,449 %0.15 %89.1396 H 95329 TEXAS CHILDRENS HLTH PLAN INC 1,678,937,239 %0.15 %89.2897 H 4892 HARRIS HLTH GRP 1,671,353,372 %0.15 %89.4398 H 2479 DENTEGRA GRP 1,668,746,663 %0.15 %89.5899 H 1290 BLUE CROSS OF ID GRP 1,600,348,646 %0.15 %89.73
100 H 4858 BCBS OF NE GRP 1,597,704,134 %0.15 %89.87101 L 904 JOHN HANCOCK GRP 1,590,074,177 %0.14 %90.02102 L H 477 RENAISSANCE HLTH SERV CORP GRP 1,587,873,317 %0.14 %90.16103 H 4741 FALLON GRP 1,538,603,640 %0.14 %90.30104 L P 626 CHUBB LTD GRP 1,537,382,997 %0.14 %90.44105 CA 123540 SANTA CLARA COUNTY HEALTH AUTHORITY 1,531,361,000 %0.14 %90.58106 H 1192 CARLE HOLDING CO GRP 1,495,235,432 %0.14 %90.71107 L 304 PRUDENTIAL OF AMER GRP 1,490,853,980 %0.14 %90.85108 H 95612 VIRGINIA PREMIER HLTH PLAN INC 1,462,177,587 %0.13 %90.98109 H 95402 NEIGHBORHOOD HLTH PLAN OF RI INC 1,377,464,664 %0.13 %91.11110 L H 1126 MISSISSIPPI INS GRP 1,374,705,519 %0.12 %91.23111 H 1294 DEAN HLTH GRP 1,372,327,429 %0.12 %91.36112 H 96881 SECURITY HLTH PLAN OF WI INC 1,338,381,854 %0.12 %91.48113 L 4832 VOYA FINANCIAL GRP 1,269,472,338 %0.12 %91.59114 H 55891 NORIDIAN MUT INS CO 1,188,417,685 %0.11 %91.70115 CA 123498 FRESNO-KINGS-MADERA REGIONAL HEALTH 1,185,176,640 %0.11 %91.81116 CA 123541 SANTA CRUZ-MONTEREY-MERCED MANAGED M 1,145,887,960 %0.10 %91.91117 H 4704 PACIFICSOURCE HLTH PLAN GRP 1,116,639,878 %0.10 %92.01118 H 95662 ELDERPLAN INC 1,088,067,731 %0.10 %92.11119 H 95722 FIRST MEDICAL HLTH PLAN INC 1,080,486,891 %0.10 %92.21120 H 4934 PARTNERS HEALTHCARE SYSTEM GRP 1,045,908,240 %0.09 %92.31121 H 4512 DENTAQUEST GRP 1,031,738,857 %0.09 %92.40122 CA 123536 SAN JOAQUIN COUNTY HEALTH COMMISSION 1,024,571,663 %0.09 %92.49123 L 290 TORCHMARK CORP GRP 1,021,608,672 %0.09 %92.59124 P 176 STATE FARM GRP 1,019,642,197 %0.09 %92.68125 CA 123532 PRIMECARE MEDICAL NETWORK, INC. 1,005,433,344 %0.09 %92.77
**TOTAL** 1,101,324,253,219 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 17
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Alabama
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 570 BCBS OF AL GRP 6,046,264,554 %50.40 %50.402 L H 707 UNITEDHEALTH GRP 2,125,842,232 %17.72 %68.123 H 119 HUMANA GRP 776,548,754 %6.47 %74.594 L H 901 CIGNA HLTH GRP 739,307,981 %6.16 %80.755 H 95322 VIVA HLTH INC 739,162,569 %6.16 %86.916 L H 1 CVS GRP 235,636,482 %1.96 %88.887 L 370 AFLAC GRP 131,082,842 %1.09 %89.978 L 565 UNUM GRP 100,612,201 %0.84 %90.819 L P 241 METROPOLITAN GRP 71,717,449 %0.60 %91.41
10 L 290 TORCHMARK CORP GRP 62,501,582 %0.52 %91.9311 L 429 GUARDIAN LIFE GRP 56,104,701 %0.47 %92.3912 L 261 MUTUAL OF OMAHA GRP 54,438,279 %0.45 %92.8513 L 330 AMERICAN FIDELITY CORP GRP 44,836,615 %0.37 %93.2214 H 16103 SIMPRA ADVANTAGE INC 41,085,236 %0.34 %93.5615 L 20 LINCOLN NATL GRP 38,245,966 %0.32 %93.8816 H 1189 VISION SERV PLAN GRP 36,016,819 %0.30 %94.1817 H 2479 DENTEGRA GRP 36,011,152 %0.30 %94.4818 L P 3098 TOKIO MARINE HOLDINGS INC GRP 34,845,552 %0.29 %94.7719 L 4011 GENWORTH FIN GRP 29,988,260 %0.25 %95.0220 L 468 AEGON US HOLDING GRP 28,752,037 %0.24 %95.2621 L 860 NORTHWESTERN MUT GRP 26,648,356 %0.22 %95.4922 L H 1199 WELLCARE GRP 25,777,240 %0.21 %95.7023 L P 23 BCS INS GRP 25,406,431 %0.21 %95.9124 L 332 PRINCIPAL FIN GRP 23,948,566 %0.20 %96.1125 L P 91 HARTFORD FIRE & CAS GRP 21,907,710 %0.18 %96.2926 L 8 ALLSTATE INS GRP 21,243,759 %0.18 %96.4727 L 549 SUN LIFE ASSUR CO OF CN GRP 19,872,491 %0.17 %96.6428 P 176 STATE FARM GRP 17,888,424 %0.15 %96.7929 L 1348 MEIJI YASUDA LIFE INS GRP 17,334,354 %0.14 %96.9330 L 304 PRUDENTIAL OF AMER GRP 15,206,054 %0.13 %97.0631 L 451 FIDELITY SECURITY GRP 15,074,534 %0.13 %97.1832 L 367 PHYSICIANS MUT GRP 14,187,509 %0.12 %97.3033 L 904 JOHN HANCOCK GRP 13,016,700 %0.11 %97.4134 L 233 CNO FINANCIAL GRP 11,664,941 %0.10 %97.5135 L 661 BCBS OF SC GRP 10,943,855 %0.09 %97.6036 L 943 AMERITAS MUT HOLDING GRP 10,296,953 %0.09 %97.6837 L 4855 SUMITOMO LIFE INS GRP 9,934,885 %0.08 %97.7738 L H 812 HIGHMARK GRP 9,707,746 %0.08 %97.8539 L 4832 VOYA FINANCIAL GRP 9,624,710 %0.08 %97.9340 L 1211 NATIONAL GUARDIAN LIFE INS GRP 9,540,059 %0.08 %98.0141 L 520 NEW ERA LIFE GRP 9,143,018 %0.08 %98.0842 L P 450 GENEVE HOLDINGS INC GRP 8,464,763 %0.07 %98.1543 L 65412 LIFE INS CO OF AL 8,364,196 %0.07 %98.2244 H 47051 FIRST COMM HLTH PLAN INC 7,971,681 %0.07 %98.2945 L 826 NEW YORK LIFE GRP 7,359,000 %0.06 %98.3546 P 111 LIBERTY MUT GRP 7,312,711 %0.06 %98.4147 L P 626 CHUBB LTD GRP 7,278,868 %0.06 %98.4748 L 869 MINNESOTA MUT GRP 7,156,814 %0.06 %98.5349 L 4827 SOUTHLAND NATL HOLDING GRP 6,862,280 %0.06 %98.5950 L 435 MASS MUT LIFE INS GRP 6,703,394 %0.06 %98.6551 L 687 GUARANTEE TRUST GRP 6,637,438 %0.06 %98.7052 L P 19 ASSURANT INC GRP 6,626,101 %0.06 %98.7653 L 839 USHEALTH GRP INC GRP 6,337,519 %0.05 %98.8154 L P 12 AMERICAN INTL GRP 6,129,079 %0.05 %98.8655 L 306 CUNA MUT GRP 5,323,842 %0.04 %98.9056 H 4887 BRIGHT HLTH GRP 4,959,184 %0.04 %98.9557 P 158 FAIRFAX FIN GRP 4,780,633 %0.04 %98.9958 L 1117 MANHATTAN LIFE GRP 4,365,577 %0.04 %99.0259 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,346,245 %0.04 %99.0660 L 215 KEMPER CORP GRP 4,343,826 %0.04 %99.0961 L 876 ARKANSAS BCBS GRP 4,281,908 %0.04 %99.1362 L P 140 NATIONWIDE CORP GRP 4,269,054 %0.04 %99.1763 L P 968 AXA INS GRP 4,250,349 %0.04 %99.2064 L 581 BOSTON MUT GRP 4,113,259 %0.03 %99.24
© 2019 National Association of Insurance Commissioners 18
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Alabama
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4 AMERIPRISE FIN GRP 3,286,567 %0.03 %99.2666 L 71404 CONTINENTAL GEN INS CO 3,060,100 %0.03 %99.2967 L P 212 ZURICH INS GRP 2,915,496 %0.02 %99.3168 L 836 WEST SOUTHERN GRP 2,812,740 %0.02 %99.3469 P 34568 CENTENNIAL CAS CO 2,750,756 %0.02 %99.3670 P 218 CNA INS GRP 2,669,192 %0.02 %99.3871 L 761 ALLIANZ INS GRP 2,651,797 %0.02 %99.4072 P 4381 HOUSTON INTL INS GRP 2,589,223 %0.02 %99.4373 L 61921 CITIZENS SECURITY LIFE INS CO 2,503,464 %0.02 %99.4574 L 3527 AMERICAN ENTERPRISE MUT GRP 2,446,527 %0.02 %99.4775 L 4888 EQUITABLE FAMILY INS CO GRP 2,440,917 %0.02 %99.4976 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,294,844 %0.02 %99.5177 P 31 BERKSHIRE HATHAWAY GRP 2,242,340 %0.02 %99.5278 P 796 QBE INS GRP 2,179,966 %0.02 %99.5479 L 619 ONEAMERICA FIN PARTNERS GRP 2,172,302 %0.02 %99.5680 L 4928 NATIONAL GEN GRP 2,132,904 %0.02 %99.5881 L 917 HCSC GRP 2,085,817 %0.02 %99.6082 L 458 PROTECTIVE LIFE INS GRP 2,013,325 %0.02 %99.6183 L 264 HEALTHMARKETS GRP 1,824,504 %0.02 %99.6384 H 4677 TENNESSEE RURAL HLTH GRP 1,816,895 %0.02 %99.6485 H 1260 MAGELLAN HLTH INC GRP 1,807,256 %0.02 %99.6686 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,397,627 %0.01 %99.6787 L 276 TRUSTMARK MUT HOLDING CO GRP 1,396,766 %0.01 %99.6888 L 4853 AAA LIFE GRP 1,392,671 %0.01 %99.6989 H 12747 ENVISION INS CO 1,352,910 %0.01 %99.7090 L 316 NATIONAL SECURITY GRP 1,273,628 %0.01 %99.7191 L 2858 HOMESHIELD CAPITAL GRP 1,239,787 %0.01 %99.7392 L 90638 BEST LIFE & HLTH INS CO 1,232,356 %0.01 %99.7493 P 3483 PARTNERRE GRP 1,213,283 %0.01 %99.7594 L 525 PAN AMER LIFE GRP 1,150,755 %0.01 %99.7695 F 56499 ASSURED LIFE ASSN 1,073,501 %0.01 %99.7696 L 4815 RESOLUTION LIFE GRP 1,059,487 %0.01 %99.7797 L 572 BCBS OF MI GRP 1,010,173 %0.01 %99.7898 L 4862 ASSURITY GRP 1,006,299 %0.01 %99.7999 L 948 GULF GUARANTY GRP 880,901 %0.01 %99.80
100 L 671 ANTHEM INC GRP 870,290 %0.01 %99.80101 L 4932 BRIGHTHOUSE HOLDINGS GRP 834,033 %0.01 %99.81102 L 98 WR BERKLEY CORP GRP 779,880 %0.01 %99.82103 H 477 RENAISSANCE HLTH SERV CORP GRP 769,529 %0.01 %99.82104 L 1186 LIFETIME HLTHCARE GRP 765,828 %0.01 %99.83105 L 4803 SHELTERPOINT GRP INC 758,554 %0.01 %99.84106 L 588 KANSAS CITY LIFE INS GRP 724,038 %0.01 %99.84107 L 69477 TIME INS CO II 687,983 %0.01 %99.85108 P 37540 BEAZLEY INS CO INC 680,610 %0.01 %99.85109 F 57320 WOODMEN WORLD LIFE INS SOC 664,856 %0.01 %99.86110 L 704 OHIO NATL LIFE GRP 660,975 %0.01 %99.87111 P 27928 AMEX ASSUR CO 650,433 %0.01 %99.87112 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 643,941 %0.01 %99.88113 L 769 GREAT WEST GRP 637,575 %0.01 %99.88114 L 11121 UNIFIED LIFE INS CO 617,933 %0.01 %99.89115 L 60216 AMALGAMATED LIFE INS CO 584,325 %- %99.89116 L 4926 HOPMEADOW HOLDINGS GRP 557,272 %- %99.90117 L 7 FEDERATED MUT GRP 522,190 %- %99.90118 P 4904 INTACT FINANCIAL GRP 515,065 %- %99.90119 L 5 ALFA INS GRP 512,868 %- %99.91120 L 4734 APOLLO GLOBAL MGMT GRP 457,167 %- %99.91121 L 587 ATLANTIC AMER GRP 453,650 %- %99.92122 L 4213 WILTON RE GRP 446,098 %- %99.92123 L 69337 AMERICAN FIN SECURITY LIFE INS CO 440,148 %- %99.92124 L 280 AUTO OWNERS GRP 433,933 %- %99.93125 P 501 ALLEGHANY GRP 431,430 %- %99.93
**TOTAL** 11,997,315,008 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 19
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Alaska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 962 PREMERA BLUE CROSS GRP 899,286,833 %71.38 %71.382 L H 1 CVS GRP 84,609,164 %6.72 %78.103 L H 707 UNITEDHEALTH GRP 48,049,947 %3.81 %81.914 L H 901 CIGNA HLTH GRP 20,977,479 %1.67 %83.585 L 241 METROPOLITAN GRP 19,488,029 %1.55 %85.136 L 565 UNUM GRP 13,800,467 %1.10 %86.227 L P 3098 TOKIO MARINE HOLDINGS INC GRP 12,150,171 %0.96 %87.198 H 119 HUMANA GRP 11,595,938 %0.92 %88.119 L 370 AFLAC GRP 11,415,583 %0.91 %89.01
10 L 4832 VOYA FINANCIAL GRP 10,287,249 %0.82 %89.8311 H 1313 OREGON DENTAL GRP 9,759,448 %0.77 %90.6012 L 549 SUN LIFE ASSUR CO OF CN GRP 9,370,387 %0.74 %91.3513 L P 140 NATIONWIDE CORP GRP 6,799,458 %0.54 %91.8914 L 332 PRINCIPAL FIN GRP 6,288,135 %0.50 %92.3915 L 429 GUARDIAN LIFE GRP 5,921,358 %0.47 %92.8616 L 781 UNION LABOR GRP 5,781,565 %0.46 %93.3217 L 4855 SUMITOMO LIFE INS GRP 4,945,257 %0.39 %93.7118 L 661 BCBS OF SC GRP 4,328,511 %0.34 %94.0519 P 176 STATE FARM GRP 4,208,752 %0.33 %94.3920 H 917 HCSC GRP 4,081,329 %0.32 %94.7121 L 261 MUTUAL OF OMAHA GRP 4,010,024 %0.32 %95.0322 L 4011 GENWORTH FIN GRP 3,865,483 %0.31 %95.3323 L P 468 AEGON US HOLDING GRP 3,170,909 %0.25 %95.5924 L 304 PRUDENTIAL OF AMER GRP 3,149,622 %0.25 %95.8425 L P 91 HARTFORD FIRE & CAS GRP 3,111,259 %0.25 %96.0826 H 1189 VISION SERV PLAN GRP 3,075,419 %0.24 %96.3327 L 20 LINCOLN NATL GRP 2,601,203 %0.21 %96.5328 H 12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU 2,166,602 %0.17 %96.7129 L 826 NEW YORK LIFE GRP 2,123,289 %0.17 %96.8730 P 4886 BENCHMARK HOLDING GRP 2,118,935 %0.17 %97.0431 L 330 AMERICAN FIDELITY CORP GRP 2,059,832 %0.16 %97.2132 L P 626 CHUBB LTD GRP 2,023,736 %0.16 %97.3733 L 904 JOHN HANCOCK GRP 1,971,131 %0.16 %97.5234 L P 12 AMERICAN INTL GRP 1,701,720 %0.14 %97.6635 L 869 MINNESOTA MUT GRP 1,698,321 %0.13 %97.7936 L 290 TORCHMARK CORP GRP 1,569,904 %0.12 %97.9237 H 12747 ENVISION INS CO 1,551,443 %0.12 %98.0438 L 1348 MEIJI YASUDA LIFE INS GRP 1,503,258 %0.12 %98.1639 L 860 NORTHWESTERN MUT GRP 1,476,057 %0.12 %98.2840 P 796 QBE INS GRP 1,280,913 %0.10 %98.3841 L 19 ASSURANT INC GRP 1,252,135 %0.10 %98.4842 L 4928 NATIONAL GEN GRP 1,244,167 %0.10 %98.5843 L 8 ALLSTATE INS GRP 1,242,777 %0.10 %98.6844 L 451 FIDELITY SECURITY GRP 882,503 %0.07 %98.7545 L 943 AMERITAS MUT HOLDING GRP 850,192 %0.07 %98.8146 L 200 UNITED SERV AUTOMOBILE ASSN GRP 834,163 %0.07 %98.8847 L 98 WR BERKLEY CORP GRP 770,098 %0.06 %98.9448 H 1199 WELLCARE GRP 767,685 %0.06 %99.0049 L 876 ARKANSAS BCBS GRP 755,381 %0.06 %99.0650 L P 23 BCS INS GRP 720,791 %0.06 %99.1251 P 361 MUNICH RE GRP 713,348 %0.06 %99.1852 P 218 CNA INS GRP 674,909 %0.05 %99.2353 H 2479 DENTEGRA GRP 667,569 %0.05 %99.2854 L 306 CUNA MUT GRP 557,614 %0.04 %99.3355 L P 450 GENEVE HOLDINGS INC GRP 553,663 %0.04 %99.3756 P 158 FAIRFAX FIN GRP 527,122 %0.04 %99.4157 P 3483 PARTNERRE GRP 447,456 %0.04 %99.4558 L 264 HEALTHMARKETS GRP 415,050 %0.03 %99.4859 P 31 BERKSHIRE HATHAWAY GRP 398,579 %0.03 %99.5160 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 380,088 %0.03 %99.5461 L 435 MASS MUT LIFE INS GRP 362,526 %0.03 %99.5762 L 276 TRUSTMARK MUT HOLDING CO GRP 362,118 %0.03 %99.6063 L P 181 SWISS RE GRP 337,472 %0.03 %99.6364 L 367 PHYSICIANS MUT GRP 328,865 %0.03 %99.65
© 2019 National Association of Insurance Commissioners 20
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Alaska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 836 WEST SOUTHERN GRP 293,989 %0.02 %99.6866 L 761 ALLIANZ INS GRP 287,122 %0.02 %99.7067 L 90638 BEST LIFE & HLTH INS CO 250,948 %0.02 %99.7268 L 233 CNO FINANCIAL GRP 236,901 %0.02 %99.7469 L 572 BCBS OF MI GRP 228,080 %0.02 %99.7670 P 4381 HOUSTON INTL INS GRP 216,770 %0.02 %99.7771 L 4815 RESOLUTION LIFE GRP 167,707 %0.01 %99.7972 L 69477 TIME INS CO II 162,074 %0.01 %99.8073 L 769 GREAT WEST GRP 161,763 %0.01 %99.8174 L 588 KANSAS CITY LIFE INS GRP 144,247 %0.01 %99.8275 H 477 RENAISSANCE HLTH SERV CORP GRP 140,679 %0.01 %99.8376 L 4926 HOPMEADOW HOLDINGS GRP 119,010 %0.01 %99.8477 L 50 COUNTRY INS & FIN SERV GRP 118,686 %0.01 %99.8578 L 4 AMERIPRISE FIN GRP 113,629 %0.01 %99.8679 L P 968 AXA INS GRP 111,256 %0.01 %99.8780 L 4853 AAA LIFE GRP 109,943 %0.01 %99.8881 P 27928 AMEX ASSUR CO 108,283 %0.01 %99.8982 L 4862 ASSURITY GRP 102,383 %0.01 %99.9083 L 71404 CONTINENTAL GEN INS CO 96,086 %0.01 %99.9084 L 458 PROTECTIVE LIFE INS GRP 80,454 %0.01 %99.9185 P 4863 CHINA MINSHENG GRP 67,876 %0.01 %99.9286 P 1279 ARCH INS GRP 67,436 %0.01 %99.9287 L 1186 LIFETIME HLTHCARE GRP 59,146 %- %99.9388 L 4734 APOLLO GLOBAL MGMT GRP 58,656 %- %99.9389 L 4932 BRIGHTHOUSE HOLDINGS GRP 58,172 %- %99.9490 P 4670 STARR GRP 52,274 %- %99.9491 P 3416 AXIS CAPITAL GRP 49,642 %- %99.9492 L 3527 AMERICAN ENTERPRISE MUT GRP 49,052 %- %99.9593 L 76325 SENIOR HLTH INS CO OF PA 48,121 %- %99.9594 L 3891 GLOBAL ATLANTIC GRP 40,463 %- %99.9595 L P 212 ZURICH INS GRP 39,840 %- %99.9696 L 88668 MUTUAL OF AMER LIFE INS CO 36,329 %- %99.9697 L 587 ATLANTIC AMER GRP 36,048 %- %99.9698 F 58033 KNIGHTS OF COLUMBUS 35,039 %- %99.9799 L 4888 EQUITABLE FAMILY INS CO GRP 29,473 %- %99.97
100 L 350 GENERAL ELECTRIC GRP 28,873 %- %99.97101 L 1117 MANHATTAN LIFE GRP 26,547 %- %99.97102 L 687 GUARANTEE TRUST GRP 24,307 %- %99.97103 L 704 OHIO NATL LIFE GRP 23,455 %- %99.98104 L 4736 GGC GRP 22,540 %- %99.98105 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 21,855 %- %99.98106 L 449 FINANCIAL HOLDINGS GRP 16,673 %- %99.98107 L 215 KEMPER CORP GRP 15,194 %- %99.98108 L 690 CENTRAL STATES GRP 14,913 %- %99.98109 L 408 AMERICAN NATL FIN GRP 14,882 %- %99.98110 P 785 MARKEL CORP GRP 13,304 %- %99.99111 L 839 USHEALTH GRP INC GRP 12,986 %- %99.99112 L 850 PENN MUT GRP 12,957 %- %99.99113 L 300 HORACE MANN GRP 11,926 %- %99.99114 L 525 PAN AMER LIFE GRP 11,820 %- %99.99115 L 634 NATIONAL LIFE GRP 11,414 %- %99.99116 L 574 AMERCO CORP GRP 10,404 %- %99.99117 L 440 REGAL REINS GRP 9,728 %- %99.99118 L 1216 TIAA FAMILY GRP 9,294 %- %99.99119 L 64580 ILLINOIS MUT LIFE INS CO 8,158 %- %99.99120 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 7,466 %- %99.99121 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 7,035 %- %99.99122 L 1211 NATIONAL GUARDIAN LIFE INS GRP 6,390 %- %100.00123 F 4616 EVERENCE GRP 6,313 %- %100.00124 L 872 BANNER LIFE GRP 5,579 %- %100.00125 L 4824 ADVANTAGE CAPITAL GRP 5,097 %- %100.00
**TOTAL** 1,259,797,101 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 21
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Arizona
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 3,855,960,191 %31.19 %31.192 H 53589 BCBS OF AZ INC 2,211,959,730 %17.89 %49.083 L H 901 CIGNA HLTH GRP 1,052,347,812 %8.51 %57.604 L H 1295 CENTENE CORP GRP 1,038,416,413 %8.40 %66.005 H 119 HUMANA GRP 1,001,722,829 %8.10 %74.106 L H 1 CVS GRP 747,862,693 %6.05 %80.157 H 95982 MEDISUN INC 551,997,771 %4.47 %84.618 L H 671 ANTHEM INC GRP 168,939,189 %1.37 %85.989 L 241 METROPOLITAN GRP 155,124,063 %1.25 %87.24
10 L 261 MUTUAL OF OMAHA GRP 123,146,827 %1.00 %88.2311 H 3658 DELTA DENTAL PLAN OF AZ GRP 87,697,997 %0.71 %88.9412 L 565 UNUM GRP 85,622,166 %0.69 %89.6313 L 370 AFLAC GRP 81,360,205 %0.66 %90.2914 L H 429 GUARDIAN LIFE GRP 54,849,670 %0.44 %90.7415 L 4011 GENWORTH FIN GRP 48,967,952 %0.40 %91.1316 L H 332 PRINCIPAL FIN GRP 46,430,225 %0.38 %91.5117 L 20 LINCOLN NATL GRP 44,865,370 %0.36 %91.8718 L P 91 HARTFORD FIRE & CAS GRP 39,989,348 %0.32 %92.1919 L P 468 AEGON US HOLDING GRP 37,720,823 %0.31 %92.5020 L P 19 ASSURANT INC GRP 35,597,954 %0.29 %92.7921 L 367 PHYSICIANS MUT GRP 34,880,460 %0.28 %93.0722 H 1189 VISION SERV PLAN GRP 34,674,700 %0.28 %93.3523 L H 549 SUN LIFE ASSUR CO OF CN GRP 33,447,373 %0.27 %93.6224 L 904 JOHN HANCOCK GRP 31,630,158 %0.26 %93.8825 L 304 PRUDENTIAL OF AMER GRP 30,680,029 %0.25 %94.1226 L 4832 VOYA FINANCIAL GRP 27,432,616 %0.22 %94.3527 L 839 USHEALTH GRP INC GRP 24,014,156 %0.19 %94.5428 L 4928 NATIONAL GEN GRP 22,715,431 %0.18 %94.7229 L 860 NORTHWESTERN MUT GRP 21,952,498 %0.18 %94.9030 L P 3098 TOKIO MARINE HOLDINGS INC GRP 21,427,840 %0.17 %95.0831 L 943 AMERITAS MUT HOLDING GRP 20,169,820 %0.16 %95.2432 L P 626 CHUBB LTD GRP 20,078,310 %0.16 %95.4033 L 1348 MEIJI YASUDA LIFE INS GRP 19,484,145 %0.16 %95.5634 L 233 CNO FINANCIAL GRP 19,362,023 %0.16 %95.7135 L 4855 SUMITOMO LIFE INS GRP 18,698,383 %0.15 %95.8736 L 200 UNITED SERV AUTOMOBILE ASSN GRP 18,529,355 %0.15 %96.0237 L 3527 AMERICAN ENTERPRISE MUT GRP 18,006,739 %0.15 %96.1638 P 176 STATE FARM GRP 17,084,785 %0.14 %96.3039 L P 181 SWISS RE GRP 17,028,089 %0.14 %96.4440 L 451 FIDELITY SECURITY GRP 16,322,729 %0.13 %96.5741 H 126 EDUCATORS MUT GRP 14,343,317 %0.12 %96.6942 L H 661 BCBS OF SC GRP 14,076,659 %0.11 %96.8043 L 290 TORCHMARK CORP GRP 12,970,248 %0.10 %96.9044 H 4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 12,645,294 %0.10 %97.0145 L 8 ALLSTATE INS GRP 12,598,034 %0.10 %97.1146 L P 140 NATIONWIDE CORP GRP 12,383,039 %0.10 %97.2147 L H 1199 WELLCARE GRP 12,277,159 %0.10 %97.3148 H 4887 BRIGHT HLTH GRP 11,557,807 %0.09 %97.4049 H 47012 SIGHTCARE INC 11,190,832 %0.09 %97.4950 L P 12 AMERICAN INTL GRP 11,156,541 %0.09 %97.5851 L P 31 BERKSHIRE HATHAWAY GRP 10,700,353 %0.09 %97.6752 L 98 WR BERKLEY CORP GRP 10,595,834 %0.09 %97.7553 L 1117 MANHATTAN LIFE GRP 10,434,849 %0.08 %97.8454 H 2479 DENTEGRA GRP 10,365,360 %0.08 %97.9255 L P 450 GENEVE HOLDINGS INC GRP 10,362,763 %0.08 %98.0156 H 1260 MAGELLAN HLTH INC GRP 10,356,371 %0.08 %98.0957 L 435 MASS MUT LIFE INS GRP 10,333,658 %0.08 %98.1758 L 869 MINNESOTA MUT GRP 9,875,488 %0.08 %98.2559 P 218 CNA INS GRP 9,570,062 %0.08 %98.3360 L H 812 HIGHMARK GRP 8,794,768 %0.07 %98.4061 L 408 AMERICAN NATL FIN GRP 8,763,962 %0.07 %98.4762 P 4904 INTACT FINANCIAL GRP 8,546,107 %0.07 %98.5463 L 826 NEW YORK LIFE GRP 8,197,581 %0.07 %98.6164 L 587 ATLANTIC AMER GRP 7,613,849 %0.06 %98.67
© 2019 National Association of Insurance Commissioners 22
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Arizona
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 12747 ENVISION INS CO 7,217,931 %0.06 %98.7366 L 4888 EQUITABLE FAMILY INS CO GRP 6,890,339 %0.06 %98.7867 L 330 AMERICAN FIDELITY CORP GRP 6,715,242 %0.05 %98.8468 L 264 HEALTHMARKETS GRP 6,471,992 %0.05 %98.8969 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 5,915,430 %0.05 %98.9470 L 4 AMERIPRISE FIN GRP 5,649,911 %0.05 %98.9871 L H 917 HCSC GRP 5,608,455 %0.05 %99.0372 L 215 KEMPER CORP GRP 5,465,042 %0.04 %99.0773 L 276 TRUSTMARK MUT HOLDING CO GRP 5,057,093 %0.04 %99.1274 L 761 ALLIANZ INS GRP 4,934,615 %0.04 %99.1675 L 306 CUNA MUT GRP 4,857,453 %0.04 %99.1976 H 4933 COMPREHENSIVE MOBILE GRP 4,399,975 %0.04 %99.2377 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,996,074 %0.03 %99.2678 L P 212 ZURICH INS GRP 3,875,531 %0.03 %99.2979 L 520 NEW ERA LIFE GRP 3,673,401 %0.03 %99.3280 L 2858 HOMESHIELD CAPITAL GRP 3,156,032 %0.03 %99.3581 L 836 WEST SOUTHERN GRP 3,149,814 %0.03 %99.3782 L 69477 TIME INS CO II 2,965,826 %0.02 %99.4083 L 4506 DENTAL ECONOMICS GRP 2,758,722 %0.02 %99.4284 L 71404 CONTINENTAL GEN INS CO 2,758,584 %0.02 %99.4485 L P 84 AMERICAN FINANCIAL GRP 2,699,545 %0.02 %99.4686 P 4381 HOUSTON INTL INS GRP 2,641,359 %0.02 %99.4987 L 687 GUARANTEE TRUST GRP 2,610,593 %0.02 %99.5188 L 4712 GPM LIFE GRP 2,518,710 %0.02 %99.5389 L 4932 BRIGHTHOUSE HOLDINGS GRP 2,459,818 %0.02 %99.5590 P 361 MUNICH RE GRP 2,423,835 %0.02 %99.5791 L P 23 BCS INS GRP 2,391,723 %0.02 %99.5992 L 4824 ADVANTAGE CAPITAL GRP 2,371,090 %0.02 %99.6193 F 56693 GCU 2,278,964 %0.02 %99.6294 L 4853 AAA LIFE GRP 1,820,944 %0.01 %99.6495 H 477 RENAISSANCE HLTH SERV CORP GRP 1,690,946 %0.01 %99.6596 P 796 QBE INS GRP 1,620,508 %0.01 %99.6797 L 76325 SENIOR HLTH INS CO OF PA 1,596,132 %0.01 %99.6898 L 4862 ASSURITY GRP 1,542,359 %0.01 %99.6999 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,464,856 %0.01 %99.70
100 P 158 FAIRFAX FIN GRP 1,441,273 %0.01 %99.71101 P 111 LIBERTY MUT GRP 1,415,166 %0.01 %99.73102 L 50 COUNTRY INS & FIN SERV GRP 1,377,878 %0.01 %99.74103 F 56499 ASSURED LIFE ASSN 1,370,544 %0.01 %99.75104 L 1186 LIFETIME HLTHCARE GRP 1,311,773 %0.01 %99.76105 P 3416 AXIS CAPITAL GRP 1,169,677 %0.01 %99.77106 L 4815 RESOLUTION LIFE GRP 1,031,849 %0.01 %99.78107 P 27928 AMEX ASSUR CO 978,355 %0.01 %99.78108 F 57657 ROYAL NEIGHBORS OF AMER 975,943 %0.01 %99.79109 P 4863 CHINA MINSHENG GRP 964,905 %0.01 %99.80110 L 535 COLUMBIAN LIFE GRP 959,898 %0.01 %99.81111 P 473 AMERICAN FAMILY INS GRP 930,038 %0.01 %99.82112 L 11121 UNIFIED LIFE INS CO 899,920 %0.01 %99.82113 L 769 GREAT WEST GRP 828,569 %0.01 %99.83114 H 68420 WMI MUT INS CO 758,905 %0.01 %99.84115 L 781 UNION LABOR GRP 757,123 %0.01 %99.84116 F 58033 KNIGHTS OF COLUMBUS 726,601 %0.01 %99.85117 H 4512 DENTAQUEST GRP 672,716 %0.01 %99.85118 L 3891 GLOBAL ATLANTIC GRP 647,867 %0.01 %99.86119 L 64580 ILLINOIS MUT LIFE INS CO 638,792 %0.01 %99.86120 L 525 PAN AMER LIFE GRP 627,641 %0.01 %99.87121 L 918 JACKSON NATL GRP 612,452 %- %99.87122 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 576,015 %- %99.88123 L 704 OHIO NATL LIFE GRP 556,235 %- %99.88124 L 4926 HOPMEADOW HOLDINGS GRP 544,099 %- %99.89125 L 572 BCBS OF MI GRP 537,372 %- %99.89
**TOTAL** 12,362,265,411 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 23
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Arkansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 876 ARKANSAS BCBS GRP 2,762,161,054 %41.18 %41.182 L H 707 UNITEDHEALTH GRP 1,094,961,970 %16.33 %57.513 H 119 HUMANA GRP 492,654,628 %7.35 %64.864 H 1295 CENTENE CORP GRP 468,437,649 %6.98 %71.845 H 4807 CATHOLIC HLTH INITIATIVES GRP 344,213,148 %5.13 %76.976 L H 1 CVS GRP 269,913,218 %4.02 %81.007 H 47155 DELTA DENTAL PLAN OF AR INC 207,751,439 %3.10 %84.098 L H 1199 WELLCARE GRP 197,900,679 %2.95 %87.049 L H 901 CIGNA HLTH GRP 84,377,441 %1.26 %88.30
10 L 370 AFLAC GRP 70,016,864 %1.04 %89.3511 H 4730 MCNA GRP 67,173,464 %1.00 %90.3512 L 565 UNUM GRP 59,508,981 %0.89 %91.2413 L 261 MUTUAL OF OMAHA GRP 37,451,642 %0.56 %91.7914 L 20 LINCOLN NATL GRP 31,590,630 %0.47 %92.2715 L H 917 HCSC GRP 30,533,233 %0.46 %92.7216 H 15135 ARKANSAS SUPERIOR SELECT INC 27,979,131 %0.42 %93.1417 L P 241 METROPOLITAN GRP 26,766,202 %0.40 %93.5418 L P 3098 TOKIO MARINE HOLDINGS INC GRP 20,164,992 %0.30 %93.8419 L 429 GUARDIAN LIFE GRP 19,085,253 %0.28 %94.1220 L 8 ALLSTATE INS GRP 16,718,546 %0.25 %94.3721 L 4011 GENWORTH FIN GRP 16,017,520 %0.24 %94.6122 L P 468 AEGON US HOLDING GRP 15,453,902 %0.23 %94.8423 L 290 TORCHMARK CORP GRP 14,505,415 %0.22 %95.0624 L 233 CNO FINANCIAL GRP 14,247,736 %0.21 %95.2725 L 332 PRINCIPAL FIN GRP 13,834,048 %0.21 %95.4826 L 330 AMERICAN FIDELITY CORP GRP 13,813,013 %0.21 %95.6827 L 860 NORTHWESTERN MUT GRP 12,707,361 %0.19 %95.8728 L 1211 NATIONAL GUARDIAN LIFE INS GRP 11,798,871 %0.18 %96.0529 L 304 PRUDENTIAL OF AMER GRP 11,667,711 %0.17 %96.2230 L 1348 MEIJI YASUDA LIFE INS GRP 11,253,883 %0.17 %96.3931 L P 212 ZURICH INS GRP 10,270,944 %0.15 %96.5432 P 176 STATE FARM GRP 9,438,162 %0.14 %96.6833 L P 91 HARTFORD FIRE & CAS GRP 9,153,953 %0.14 %96.8234 L 4832 VOYA FINANCIAL GRP 8,759,937 %0.13 %96.9535 L 904 JOHN HANCOCK GRP 8,548,367 %0.13 %97.0836 L 4922 ENTERPRISE INVESTMENTS GRP 7,211,683 %0.11 %97.1837 P 4863 CHINA MINSHENG GRP 6,946,223 %0.10 %97.2938 L 4855 SUMITOMO LIFE INS GRP 6,913,161 %0.10 %97.3939 L P 626 CHUBB LTD GRP 6,897,946 %0.10 %97.4940 L 276 TRUSTMARK MUT HOLDING CO GRP 6,387,194 %0.10 %97.5941 L 549 SUN LIFE ASSUR CO OF CN GRP 6,314,064 %0.09 %97.6842 L 1117 MANHATTAN LIFE GRP 6,148,207 %0.09 %97.7743 L 839 USHEALTH GRP INC GRP 6,041,434 %0.09 %97.8744 P 796 QBE INS GRP 5,738,964 %0.09 %97.9545 L 61921 CITIZENS SECURITY LIFE INS CO 5,712,388 %0.09 %98.0446 P 158 FAIRFAX FIN GRP 4,974,514 %0.07 %98.1147 L 943 AMERITAS MUT HOLDING GRP 4,971,818 %0.07 %98.1848 L 619 ONEAMERICA FIN PARTNERS GRP 4,883,644 %0.07 %98.2649 L P 12 AMERICAN INTL GRP 4,838,735 %0.07 %98.3350 L P 31 BERKSHIRE HATHAWAY GRP 4,374,525 %0.07 %98.3951 L P 19 ASSURANT INC GRP 4,185,219 %0.06 %98.4652 L 826 NEW YORK LIFE GRP 3,741,984 %0.06 %98.5153 L 215 KEMPER CORP GRP 3,678,163 %0.05 %98.5754 L 687 GUARANTEE TRUST GRP 3,583,370 %0.05 %98.6255 L 367 PHYSICIANS MUT GRP 3,567,022 %0.05 %98.6756 L 3527 AMERICAN ENTERPRISE MUT GRP 3,302,806 %0.05 %98.7257 L 836 WEST SOUTHERN GRP 3,242,507 %0.05 %98.7758 L 520 NEW ERA LIFE GRP 3,212,631 %0.05 %98.8259 L 4764 RESERVOIR CAPITAL GRP 3,183,255 %0.05 %98.8760 P 111 LIBERTY MUT GRP 3,074,940 %0.05 %98.9161 P 218 CNA INS GRP 2,954,717 %0.04 %98.9662 L 98 WR BERKLEY CORP GRP 2,945,754 %0.04 %99.0063 L 451 FIDELITY SECURITY GRP 2,704,094 %0.04 %99.0464 L 869 MINNESOTA MUT GRP 2,674,158 %0.04 %99.08
© 2019 National Association of Insurance Commissioners 24
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Arkansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 71404 CONTINENTAL GEN INS CO 2,667,962 %0.04 %99.1266 L 435 MASS MUT LIFE INS GRP 2,352,188 %0.04 %99.1667 L 4888 EQUITABLE FAMILY INS CO GRP 2,176,353 %0.03 %99.1968 L P 23 BCS INS GRP 2,155,060 %0.03 %99.2269 L P 140 NATIONWIDE CORP GRP 1,959,039 %0.03 %99.2570 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,939,899 %0.03 %99.2871 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,834,330 %0.03 %99.3172 L 123 SHELTER INS GRP 1,778,622 %0.03 %99.3373 L 306 CUNA MUT GRP 1,765,862 %0.03 %99.3674 L 4 AMERIPRISE FIN GRP 1,694,388 %0.03 %99.3875 F 56499 ASSURED LIFE ASSN 1,559,936 %0.02 %99.4176 L P 968 AXA INS GRP 1,529,211 %0.02 %99.4377 H 1260 MAGELLAN HLTH INC GRP 1,440,259 %0.02 %99.4578 L 661 BCBS OF SC GRP 1,389,828 %0.02 %99.4779 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,305,577 %0.02 %99.4980 L 574 AMERCO CORP GRP 1,298,100 %0.02 %99.5181 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,290,117 %0.02 %99.5382 P 313 AEGIS GRP 1,236,473 %0.02 %99.5583 L 66214 HEARTLAND NATL LIFE INS CO 1,218,919 %0.02 %99.5784 L 761 ALLIANZ INS GRP 1,215,809 %0.02 %99.5885 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,205,859 %0.02 %99.6086 L 4736 GGC GRP 1,131,221 %0.02 %99.6287 L 4824 ADVANTAGE CAPITAL GRP 1,104,955 %0.02 %99.6488 L 65412 LIFE INS CO OF AL 1,084,873 %0.02 %99.6589 L P 181 SWISS RE GRP 1,069,642 %0.02 %99.6790 L 69132 STATE MUT INS CO 1,059,840 %0.02 %99.6891 H 2479 DENTEGRA GRP 989,269 %0.01 %99.7092 P 4381 HOUSTON INTL INS GRP 944,748 %0.01 %99.7193 L 11121 UNIFIED LIFE INS CO 886,973 %0.01 %99.7394 L 4928 NATIONAL GEN GRP 882,197 %0.01 %99.7495 L 587 ATLANTIC AMER GRP 786,891 %0.01 %99.7596 L 4213 WILTON RE GRP 711,449 %0.01 %99.7697 L 525 PAN AMER LIFE GRP 683,998 %0.01 %99.7798 H 12747 ENVISION INS CO 677,769 %0.01 %99.7899 L H 812 HIGHMARK GRP 671,576 %0.01 %99.79
100 L 4862 ASSURITY GRP 644,921 %0.01 %99.80101 L 781 UNION LABOR GRP 629,465 %0.01 %99.81102 L 408 AMERICAN NATL FIN GRP 576,204 %0.01 %99.82103 L 4853 AAA LIFE GRP 565,614 %0.01 %99.83104 L 264 HEALTHMARKETS GRP 557,023 %0.01 %99.84105 L 588 KANSAS CITY LIFE INS GRP 552,652 %0.01 %99.84106 L P 7 FEDERATED MUT GRP 469,194 %0.01 %99.85107 H 477 RENAISSANCE HLTH SERV CORP GRP 455,071 %0.01 %99.86108 L 69477 TIME INS CO II 430,997 %0.01 %99.86109 L 4712 GPM LIFE GRP 387,024 %0.01 %99.87110 L P 450 GENEVE HOLDINGS INC GRP 384,188 %0.01 %99.88111 L 1186 LIFETIME HLTHCARE GRP 380,924 %0.01 %99.88112 F 57320 WOODMEN WORLD LIFE INS SOC 375,447 %0.01 %99.89113 L 76325 SENIOR HLTH INS CO OF PA 356,134 %0.01 %99.89114 F 58033 KNIGHTS OF COLUMBUS 335,398 %0.01 %99.90115 L 4815 RESOLUTION LIFE GRP 330,136 %- %99.90116 L 769 GREAT WEST GRP 326,242 %- %99.91117 L 4826 ECG GRP 313,812 %- %99.91118 L 572 BCBS OF MI GRP 312,452 %- %99.92119 F 57657 ROYAL NEIGHBORS OF AMER 287,900 %- %99.92120 L 4734 APOLLO GLOBAL MGMT GRP 281,659 %- %99.93121 P 27928 AMEX ASSUR CO 276,872 %- %99.93122 L 4932 BRIGHTHOUSE HOLDINGS GRP 264,823 %- %99.93123 P 1279 ARCH INS GRP 262,396 %- %99.94124 L 918 JACKSON NATL GRP 261,620 %- %99.94125 L 704 OHIO NATL LIFE GRP 256,736 %- %99.95
**TOTAL** 6,706,878,782 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 25
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
California
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H CA 601 KAISER FOUNDATION GRP 74,408,147,153 %34.94 %34.942 CA CALIFORNIA PHYSICIANS' SERVICE 17,113,125,000 %8.03 %42.973 CA BLUE CROSS OF CALIFORNIA 15,774,640,000 %7.41 %50.384 CA HEALTH NET OF CALIFORNIA, INC. 8,784,648,721 %4.12 %54.505 CA LOCAL INITIATIVE HEALTH AUTHORITY FO 7,870,654,247 %3.70 %58.206 CA UHC OF CALIFORNIA 6,693,413,000 %3.14 %61.347 CA HEALTH NET COMMUNITY SOLUTIONS, INC. 6,244,376,004 %2.93 %64.278 CA INLAND EMPIRE HEALTH PLAN 4,926,583,326 %2.31 %66.589 L H CA 2798 BLUE SHIELD OF CA GRP 4,881,275,588 %2.29 %68.88
10 L H CA 707 UNITEDHEALTH GRP 4,847,294,094 %2.28 %71.1511 L H CA 1 CVS GRP 3,742,958,221 %1.76 %72.9112 CA ORANGE COUNTY HEALTH AUTHORITY 3,445,699,266 %1.62 %74.5313 CA DELTA DENTAL OF CALIFORNIA 2,988,929,000 %1.40 %75.9314 CA HERITAGE PROVIDER NETWORK, INC. 2,849,818,381 %1.34 %77.2715 L H CA 671 ANTHEM INC GRP 2,831,500,565 %1.33 %78.6016 L H CA 901 CIGNA HLTH GRP 2,773,464,930 %1.30 %79.9017 CA SCAN HEALTH PLAN 2,717,816,000 %1.28 %81.1718 CA PARTNERSHIP HEALTHPLAN OF CALIFORNIA 2,477,900,084 %1.16 %82.3419 CA 1531 MOLINA HEALTHCARE INC GRP 2,280,799,897 %1.07 %83.4120 CA DAVITA HEALTH PLAN OF CALIFORNIA, IN 2,125,591,906 %1.00 %84.4121 CA SANTA CLARA COUNTY HEALTH AUTHORITY 1,531,361,000 %0.72 %85.1322 H CA 119 HUMANA GRP 1,298,831,130 %0.61 %85.7423 CA FRESNO-KINGS-MADERA REGIONAL HEALTH 1,185,176,640 %0.56 %86.2924 CA SANTA CRUZ-MONTEREY-MERCED MANAGED M 1,145,887,960 %0.54 %86.8325 CA SAN JOAQUIN COUNTY HEALTH COMMISSION 1,024,571,663 %0.48 %87.3126 CA PRIMECARE MEDICAL NETWORK, INC. 1,005,433,344 %0.47 %87.7827 CA COMMUNITY HEALTH GROUP 950,357,310 %0.45 %88.2328 L H 1295 CENTENE CORP GRP 935,987,477 %0.44 %88.6729 CA 1189 VISION SERV PLAN GRP 922,250,137 %0.43 %89.1030 CA ALAMEDA ALLIANCE FOR HEALTH 884,869,550 %0.42 %89.5231 L H CA 241 METROPOLITAN GRP 846,337,304 %0.40 %89.9132 CA PROVIDENCE HEALTH ASSURANCE 827,567,838 %0.39 %90.3033 CA CONTRA COSTA COUNTY MEDICAL SERVICES 771,791,805 %0.36 %90.6734 CA SAN MATEO HEALTH COMMISSION 770,853,601 %0.36 %91.0335 CA KERN HEALTH SYSTEMS 767,927,000 %0.36 %91.3936 CA WESTERN HEALTH ADVANTAGE 756,684,418 %0.36 %91.7437 CA SANTA BARBARA SAN LUIS OBISPO REGION 750,425,843 %0.35 %92.1038 CA SHARP HEALTH PLAN 725,274,768 %0.34 %92.4439 CA MONARCH HEALTH PLAN 692,102,922 %0.32 %92.7640 CA SCRIPPS HEALTH PLAN SERVICES, INC. 660,182,352 %0.31 %93.0741 CA CALIFORNIA HEALTH AND WELLNESS PLAN 656,788,270 %0.31 %93.3842 CA SAN FRANCISCO COMMUNITY HEALTH AUTHO 601,285,181 %0.28 %93.6643 L H 429 GUARDIAN LIFE GRP 585,441,479 %0.27 %93.9444 L 565 UNUM GRP 576,103,648 %0.27 %94.2145 CA SANTA CLARA COUNTY 530,608,681 %0.25 %94.4646 CA HEALTH NET HEALTH PLAN OF OREGON, IN 499,860,014 %0.23 %94.6947 CA EPIC HEALTH PLAN 477,323,588 %0.22 %94.9248 CA ALIGNMENT HEALTH PLAN 449,172,999 %0.21 %95.1349 CA 15107 SUTTER HLTH PLAN 428,849,759 %0.20 %95.3350 L 370 AFLAC GRP 426,616,919 %0.20 %95.5351 CA CENTRAL HEALTH PLAN OF CALIFORNIA, I 408,228,272 %0.19 %95.7252 CA EASY CHOICE HEALTH PLAN, INC. 388,911,243 %0.18 %95.9053 L 20 LINCOLN NATL GRP 321,037,944 %0.15 %96.0554 CA INTER VALLEY HEALTH PLAN 290,939,913 %0.14 %96.1955 L 4011 GENWORTH FIN GRP 290,882,568 %0.14 %96.3356 L 332 PRINCIPAL FIN GRP 251,281,882 %0.12 %96.4457 CA UNIVERSAL CARE, INC. 250,773,487 %0.12 %96.5658 L 1348 MEIJI YASUDA LIFE INS GRP 248,582,400 %0.12 %96.6859 CA PROSPECT HEALTH PLAN, INC. 242,963,748 %0.11 %96.7960 CA HUMAN AFFAIRS INTERNATIONAL OF CALIF 237,383,477 %0.11 %96.9061 L 4832 VOYA FINANCIAL GRP 223,492,055 %0.10 %97.0162 CA WESTERN DENTAL SERVICES, INC. 208,693,014 %0.10 %97.1163 CA AIDS HEALTHCARE FOUNDATION 194,305,888 %0.09 %97.2064 L P 3098 TOKIO MARINE HOLDINGS INC GRP 173,172,415 %0.08 %97.28
© 2019 National Association of Insurance Commissioners 26
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
California
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 468 AEGON US HOLDING GRP 172,462,976 %0.08 %97.3666 L H CA 812 HIGHMARK GRP 170,889,171 %0.08 %97.4467 L 330 AMERICAN FIDELITY CORP GRP 165,028,565 %0.08 %97.5268 L 261 MUTUAL OF OMAHA GRP 161,855,139 %0.08 %97.5969 L P 91 HARTFORD FIRE & CAS GRP 153,669,107 %0.07 %97.6770 L 81264 NIPPON LIFE INS CO OF AMER 152,907,035 %0.07 %97.7471 CA ON LOK SENIOR HEALTH SERVICES 152,847,116 %0.07 %97.8172 CA DIGNITY HEALTH PROVIDER RESOURCES, I 146,038,344 %0.07 %97.8873 CA PROVIDENCE HEALTH NETWORK 135,924,015 %0.06 %97.9474 CA CHINESE COMMUNITY HEALTH PLAN 133,742,647 %0.06 %98.0075 L 860 NORTHWESTERN MUT GRP 133,502,218 %0.06 %98.0776 CA CHOICE PHYSICIANS NETWORK, INC. 130,633,595 %0.06 %98.1377 L 549 SUN LIFE ASSUR CO OF CN GRP 128,886,578 %0.06 %98.1978 CA ENVOLVE VISION, INC. 123,139,028 %0.06 %98.2579 L 304 PRUDENTIAL OF AMER GRP 122,651,313 %0.06 %98.3080 CA 3502 AMERICAN SPECIALTY GRP 111,723,963 %0.05 %98.3681 L 904 JOHN HANCOCK GRP 108,809,769 %0.05 %98.4182 L P 626 CHUBB LTD GRP 105,660,081 %0.05 %98.4683 L 943 AMERITAS MUT HOLDING GRP 100,563,562 %0.05 %98.5184 CA BROWN & TOLAND HEALTH SERVICES, INC. 99,209,077 %0.05 %98.5585 CA PREMIER HEALTH PLAN SERVICES, INC. 91,019,873 %0.04 %98.5986 P 176 STATE FARM GRP 90,230,092 %0.04 %98.6487 CA SISTEMAS MEDICOS NACIONALES, S.A.DE 89,879,866 %0.04 %98.6888 CA U. S. BEHAVIORAL HEALTH PLAN, CALIFO 88,891,666 %0.04 %98.7289 L 233 CNO FINANCIAL GRP 86,100,948 %0.04 %98.7690 CA 4692 LIBERTY DENTAL PLAN GRP 82,255,522 %0.04 %98.8091 CA 13689 GOLDEN STATE MEDICARE HLTH PLAN 81,710,389 %0.04 %98.8492 CA VENTURA COUNTY HEALTH 77,771,242 %0.04 %98.8793 L P 12 AMERICAN INTL GRP 77,633,423 %0.04 %98.9194 CA OSCAR HEALTH PLAN OF CALIFORNIA 76,447,377 %0.04 %98.9595 L H 1199 WELLCARE GRP 72,399,260 %0.03 %98.9896 CA ACCESS DENTAL PLAN 69,288,917 %0.03 %99.0197 CA SEQUOIA HEALTH PLAN, INC. 68,889,724 %0.03 %99.0598 L 4855 SUMITOMO LIFE INS GRP 67,814,988 %0.03 %99.0899 L 826 NEW YORK LIFE GRP 66,667,513 %0.03 %99.11
100 L P CA 19 ASSURANT INC GRP 64,480,813 %0.03 %99.14101 L 435 MASS MUT LIFE INS GRP 61,252,257 %0.03 %99.17102 L 451 FIDELITY SECURITY GRP 60,694,872 %0.03 %99.20103 L 8 ALLSTATE INS GRP 52,113,142 %0.02 %99.22104 L 290 TORCHMARK CORP GRP 51,335,327 %0.02 %99.25105 P 218 CNA INS GRP 49,069,723 %0.02 %99.27106 L 1211 NATIONAL GUARDIAN LIFE INS GRP 47,899,790 %0.02 %99.29107 H 2479 DENTEGRA GRP 44,404,647 %0.02 %99.31108 L 836 WEST SOUTHERN GRP 44,048,997 %0.02 %99.33109 CA 10756 COMMUNITY CARE HLTH PLAN INC 41,739,196 %0.02 %99.35110 L 98 WR BERKLEY CORP GRP 40,854,531 %0.02 %99.37111 CA SEASIDE HEALTH PLAN 40,784,175 %0.02 %99.39112 L 200 UNITED SERV AUTOMOBILE ASSN GRP 39,702,324 %0.02 %99.41113 CA MEDCORE HP 37,065,228 %0.02 %99.43114 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 36,592,939 %0.02 %99.44115 L P 181 SWISS RE GRP 35,473,797 %0.02 %99.46116 P 158 FAIRFAX FIN GRP 35,043,455 %0.02 %99.48117 L P 31 BERKSHIRE HATHAWAY GRP 34,554,576 %0.02 %99.49118 CA ASPIRE HEALTH PLAN 34,139,503 %0.02 %99.51119 L 306 CUNA MUT GRP 32,191,930 %0.02 %99.52120 CA EYEXAM OF CALIFORNIA, INC. 31,161,655 %0.01 %99.54121 L 4 AMERIPRISE FIN GRP 30,162,731 %0.01 %99.55122 CA ADVENTIST HEALTH PLAN, INC. 30,051,072 %0.01 %99.57123 CA ACCESS SENIOR HEALTHCARE, INC. 28,807,703 %0.01 %99.58124 L P 23 BCS INS GRP 27,765,376 %0.01 %99.59125 L 869 MINNESOTA MUT GRP 26,750,997 %0.01 %99.61
**TOTAL** 212,989,927,313 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 27
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Colorado
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 601 KAISER FOUNDATION GRP 3,699,640,225 %25.62 %25.622 L H 707 UNITEDHEALTH GRP 3,408,110,711 %23.60 %49.233 L H 671 ANTHEM INC GRP 2,213,431,022 %15.33 %64.564 L H 901 CIGNA HLTH GRP 936,302,811 %6.48 %71.045 H 119 HUMANA GRP 675,745,588 %4.68 %75.726 L H 1 CVS GRP 542,460,835 %3.76 %79.487 L H 812 HIGHMARK GRP 524,310,834 %3.63 %83.118 H 4781 COLORADO ACCESS GRP 362,958,252 %2.51 %85.629 H 55875 COLORADO DENTAL SERV INC 204,069,201 %1.41 %87.04
10 H 95750 DENVER HLTH MEDICAL PLAN INC 180,148,085 %1.25 %88.2911 L 241 METROPOLITAN GRP 122,670,390 %0.85 %89.1412 L 565 UNUM GRP 109,230,499 %0.76 %89.8913 H 4887 BRIGHT HLTH GRP 104,156,487 %0.72 %90.6114 L 370 AFLAC GRP 79,490,951 %0.55 %91.1615 H 95774 FRIDAY HLTH PLANS OF CO INC 78,751,729 %0.55 %91.7116 L 261 MUTUAL OF OMAHA GRP 77,606,400 %0.54 %92.2517 L 4011 GENWORTH FIN GRP 54,341,812 %0.38 %92.6218 H 1189 VISION SERV PLAN GRP 52,128,845 %0.36 %92.9819 L 860 NORTHWESTERN MUT GRP 51,191,002 %0.35 %93.3420 L 20 LINCOLN NATL GRP 47,881,428 %0.33 %93.6721 L H 549 SUN LIFE ASSUR CO OF CN GRP 45,231,403 %0.31 %93.9822 L 839 USHEALTH GRP INC GRP 43,283,717 %0.30 %94.2823 L 904 JOHN HANCOCK GRP 41,745,139 %0.29 %94.5724 L 1348 MEIJI YASUDA LIFE INS GRP 40,158,766 %0.28 %94.8525 L H 429 GUARDIAN LIFE GRP 39,316,607 %0.27 %95.1226 L 4832 VOYA FINANCIAL GRP 36,782,016 %0.25 %95.3827 H 16486 HEALTH CO INC 35,050,942 %0.24 %95.6228 L 332 PRINCIPAL FIN GRP 33,137,916 %0.23 %95.8529 L P 91 HARTFORD FIRE & CAS GRP 32,790,747 %0.23 %96.0830 L 233 CNO FINANCIAL GRP 31,399,548 %0.22 %96.2931 L P 468 AEGON US HOLDING GRP 28,076,168 %0.19 %96.4932 L P 181 SWISS RE GRP 24,041,647 %0.17 %96.6633 P 176 STATE FARM GRP 22,738,946 %0.16 %96.8134 L P 3098 TOKIO MARINE HOLDINGS INC GRP 21,769,717 %0.15 %96.9635 L 304 PRUDENTIAL OF AMER GRP 20,251,523 %0.14 %97.1036 L 661 BCBS OF SC GRP 17,792,088 %0.12 %97.2337 L 3527 AMERICAN ENTERPRISE MUT GRP 16,760,613 %0.12 %97.3438 L 4855 SUMITOMO LIFE INS GRP 16,384,595 %0.11 %97.4639 L 330 AMERICAN FIDELITY CORP GRP 15,156,884 %0.10 %97.5640 L P 626 CHUBB LTD GRP 14,507,910 %0.10 %97.6641 L 8 ALLSTATE INS GRP 12,976,671 %0.09 %97.7542 L 290 TORCHMARK CORP GRP 12,809,055 %0.09 %97.8443 L 451 FIDELITY SECURITY GRP 12,772,934 %0.09 %97.9344 L P 19 ASSURANT INC GRP 12,739,180 %0.09 %98.0245 L 200 UNITED SERV AUTOMOBILE ASSN GRP 12,335,933 %0.09 %98.1046 L 435 MASS MUT LIFE INS GRP 10,916,330 %0.08 %98.1847 H 12747 ENVISION INS CO 10,672,113 %0.07 %98.2548 L 367 PHYSICIANS MUT GRP 10,117,607 %0.07 %98.3249 L P 12 AMERICAN INTL GRP 10,090,195 %0.07 %98.3950 L 264 HEALTHMARKETS GRP 9,817,219 %0.07 %98.4651 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 9,552,512 %0.07 %98.5352 L 826 NEW YORK LIFE GRP 8,747,496 %0.06 %98.5953 L 836 WEST SOUTHERN GRP 8,638,402 %0.06 %98.6554 L 98 WR BERKLEY CORP GRP 8,634,165 %0.06 %98.7155 P 218 CNA INS GRP 7,816,906 %0.05 %98.7656 L P 4928 NATIONAL GEN GRP 7,788,115 %0.05 %98.8157 P 796 QBE INS GRP 7,385,219 %0.05 %98.8758 L 4888 EQUITABLE FAMILY INS CO GRP 7,260,026 %0.05 %98.9259 L 943 AMERITAS MUT HOLDING GRP 7,181,825 %0.05 %98.9760 L 215 KEMPER CORP GRP 7,037,318 %0.05 %99.0161 L P 761 ALLIANZ INS GRP 6,456,465 %0.04 %99.0662 L H 1199 WELLCARE GRP 5,892,598 %0.04 %99.1063 L P 31 BERKSHIRE HATHAWAY GRP 5,458,382 %0.04 %99.1464 H 2479 DENTEGRA GRP 5,418,446 %0.04 %99.18
© 2019 National Association of Insurance Commissioners 28
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Colorado
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4 AMERIPRISE FIN GRP 5,320,552 %0.04 %99.2166 L 306 CUNA MUT GRP 5,175,831 %0.04 %99.2567 L 869 MINNESOTA MUT GRP 5,105,879 %0.04 %99.2868 L 4824 ADVANTAGE CAPITAL GRP 4,674,368 %0.03 %99.3269 L 71404 CONTINENTAL GEN INS CO 4,301,554 %0.03 %99.3570 L 69477 TIME INS CO II 4,266,799 %0.03 %99.3871 L 687 GUARANTEE TRUST GRP 4,168,053 %0.03 %99.4072 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,155,984 %0.03 %99.4373 P 158 FAIRFAX FIN GRP 3,211,276 %0.02 %99.4674 L 619 ONEAMERICA FIN PARTNERS GRP 3,108,452 %0.02 %99.4875 L 69132 STATE MUT INS CO 2,981,513 %0.02 %99.5076 L 2858 HOMESHIELD CAPITAL GRP 2,808,416 %0.02 %99.5277 L P 450 GENEVE HOLDINGS INC GRP 2,733,851 %0.02 %99.5478 L P 140 NATIONWIDE CORP GRP 2,598,695 %0.02 %99.5579 L P 23 BCS INS GRP 2,365,348 %0.02 %99.5780 L 276 TRUSTMARK MUT HOLDING CO GRP 2,350,278 %0.02 %99.5981 L 4862 ASSURITY GRP 2,184,015 %0.02 %99.6082 L 1186 LIFETIME HLTHCARE GRP 2,133,953 %0.01 %99.6283 L P 968 AXA INS GRP 2,132,761 %0.01 %99.6384 L P 212 ZURICH INS GRP 2,028,705 %0.01 %99.6585 P 361 MUNICH RE GRP 1,976,331 %0.01 %99.6686 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,935,840 %0.01 %99.6787 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,878,155 %0.01 %99.6988 L 408 AMERICAN NATL FIN GRP 1,745,162 %0.01 %99.7089 P 3416 AXIS CAPITAL GRP 1,711,348 %0.01 %99.7190 L 704 OHIO NATL LIFE GRP 1,677,989 %0.01 %99.7291 L H 917 HCSC GRP 1,676,127 %0.01 %99.7392 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,658,070 %0.01 %99.7493 L 1117 MANHATTAN LIFE GRP 1,552,377 %0.01 %99.7594 L 525 PAN AMER LIFE GRP 1,498,978 %0.01 %99.7795 L 4815 RESOLUTION LIFE GRP 1,387,837 %0.01 %99.7796 L 64580 ILLINOIS MUT LIFE INS CO 1,332,571 %0.01 %99.7897 F 58033 KNIGHTS OF COLUMBUS 1,242,731 %0.01 %99.7998 L 4853 AAA LIFE GRP 1,237,556 %0.01 %99.8099 L 587 ATLANTIC AMER GRP 1,230,333 %0.01 %99.81
100 H 1260 MAGELLAN HLTH INC GRP 1,229,314 %0.01 %99.82101 P 111 LIBERTY MUT GRP 1,204,274 %0.01 %99.83102 L 781 UNION LABOR GRP 1,187,735 %0.01 %99.83103 P 4886 BENCHMARK HOLDING GRP 1,178,354 %0.01 %99.84104 H 477 RENAISSANCE HLTH SERV CORP GRP 1,139,048 %0.01 %99.85105 L 50 COUNTRY INS & FIN SERV GRP 1,086,382 %0.01 %99.86106 L 574 AMERCO CORP GRP 939,708 %0.01 %99.86107 L 769 GREAT WEST GRP 926,439 %0.01 %99.87108 L 4712 GPM LIFE GRP 897,516 %0.01 %99.88109 L 572 BCBS OF MI GRP 885,011 %0.01 %99.88110 P 473 AMERICAN FAMILY INS GRP 883,298 %0.01 %99.89111 F 58009 POLICE & FIREMENS INS ASSN 846,079 %0.01 %99.90112 P 4902 COPIC GRP 804,454 %0.01 %99.90113 L 588 KANSAS CITY LIFE INS GRP 776,145 %0.01 %99.91114 L 76325 SENIOR HLTH INS CO OF PA 764,311 %0.01 %99.91115 P 27928 AMEX ASSUR CO 750,333 %0.01 %99.92116 L 4926 HOPMEADOW HOLDINGS GRP 736,802 %0.01 %99.92117 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 717,502 %- %99.93118 L 4736 GGC GRP 690,961 %- %99.93119 P 4863 CHINA MINSHENG GRP 641,931 %- %99.94120 L 350 GENERAL ELECTRIC GRP 544,259 %- %99.94121 L 918 JACKSON NATL GRP 509,325 %- %99.94122 L 123 SHELTER INS GRP 503,797 %- %99.95123 L 4734 APOLLO GLOBAL MGMT GRP 480,164 %- %99.95124 P 1279 ARCH INS GRP 455,974 %- %99.95125 L 3891 GLOBAL ATLANTIC GRP 448,407 %- %99.96
**TOTAL** 14,438,546,551 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 29
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Connecticut
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 2,511,468,657 %27.15 %27.152 L H 671 ANTHEM INC GRP 2,100,763,773 %22.71 %49.863 H 1127 EMBLEM HLTH GRP 1,835,385,267 %19.84 %69.704 L H 1 CVS GRP 877,789,484 %9.49 %79.195 L H 901 CIGNA HLTH GRP 505,165,112 %5.46 %84.656 H 595 HARVARD PILGRIM HLTH CARE GRP 178,617,046 %1.93 %86.587 L 241 METROPOLITAN GRP 113,568,919 %1.23 %87.818 L H 1199 WELLCARE GRP 107,500,280 %1.16 %88.979 L 565 UNUM GRP 85,027,447 %0.92 %89.89
10 L 4011 GENWORTH FIN GRP 60,295,950 %0.65 %90.5511 L 429 GUARDIAN LIFE GRP 53,531,870 %0.58 %91.1212 L 860 NORTHWESTERN MUT GRP 53,212,357 %0.58 %91.7013 L 370 AFLAC GRP 52,568,785 %0.57 %92.2714 H 119 HUMANA GRP 41,645,852 %0.45 %92.7215 L 468 AEGON US HOLDING GRP 39,214,026 %0.42 %93.1416 L P 91 HARTFORD FIRE & CAS GRP 37,570,402 %0.41 %93.5517 L 20 LINCOLN NATL GRP 33,621,110 %0.36 %93.9118 L 549 SUN LIFE ASSUR CO OF CN GRP 32,791,751 %0.35 %94.2719 L P 3098 TOKIO MARINE HOLDINGS INC GRP 30,668,548 %0.33 %94.6020 L P 626 CHUBB LTD GRP 30,133,127 %0.33 %94.9221 H 1189 VISION SERV PLAN GRP 27,943,046 %0.30 %95.2322 L 904 JOHN HANCOCK GRP 25,813,879 %0.28 %95.5023 L 1348 MEIJI YASUDA LIFE INS GRP 24,853,631 %0.27 %95.7724 L 332 PRINCIPAL FIN GRP 24,360,784 %0.26 %96.0425 L 304 PRUDENTIAL OF AMER GRP 22,374,309 %0.24 %96.2826 L 435 MASS MUT LIFE INS GRP 19,841,020 %0.21 %96.4927 L 261 MUTUAL OF OMAHA GRP 19,468,876 %0.21 %96.7028 L 451 FIDELITY SECURITY GRP 17,387,484 %0.19 %96.8929 H 2918 DELTA DENTAL PLAN OF NJ GRP 16,677,473 %0.18 %97.0730 L 4932 BRIGHTHOUSE HOLDINGS GRP 16,129,449 %0.17 %97.2531 L 1211 NATIONAL GUARDIAN LIFE INS GRP 12,914,791 %0.14 %97.3932 L 233 CNO FINANCIAL GRP 12,481,560 %0.13 %97.5233 L 4832 VOYA FINANCIAL GRP 11,181,295 %0.12 %97.6434 L 943 AMERITAS MUT HOLDING GRP 10,127,786 %0.11 %97.7535 L 4926 HOPMEADOW HOLDINGS GRP 9,936,929 %0.11 %97.8636 L 661 BCBS OF SC GRP 9,689,470 %0.10 %97.9637 L 4855 SUMITOMO LIFE INS GRP 8,739,202 %0.09 %98.0638 L 290 TORCHMARK CORP GRP 8,462,577 %0.09 %98.1539 L P 140 NATIONWIDE CORP GRP 7,958,589 %0.09 %98.2340 L 4 AMERIPRISE FIN GRP 7,841,805 %0.08 %98.3241 H 2479 DENTEGRA GRP 6,823,323 %0.07 %98.3942 H 12747 ENVISION INS CO 6,805,632 %0.07 %98.4743 L 330 AMERICAN FIDELITY CORP GRP 6,706,202 %0.07 %98.5444 L P 31 BERKSHIRE HATHAWAY GRP 6,598,460 %0.07 %98.6145 L 836 WEST SOUTHERN GRP 6,064,928 %0.07 %98.6846 P 218 CNA INS GRP 5,711,101 %0.06 %98.7447 L 687 GUARANTEE TRUST GRP 5,563,373 %0.06 %98.8048 L 781 UNION LABOR GRP 5,205,107 %0.06 %98.8549 L 264 HEALTHMARKETS GRP 5,154,319 %0.06 %98.9150 L 306 CUNA MUT GRP 5,138,599 %0.06 %98.9751 L 826 NEW YORK LIFE GRP 5,123,722 %0.06 %99.0252 L P 12 AMERICAN INTL GRP 4,974,562 %0.05 %99.0753 L 8 ALLSTATE INS GRP 4,739,419 %0.05 %99.1354 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,738,051 %0.05 %99.1855 L P 212 ZURICH INS GRP 4,490,010 %0.05 %99.2356 L 869 MINNESOTA MUT GRP 4,107,639 %0.04 %99.2757 L P 4928 NATIONAL GEN GRP 3,648,617 %0.04 %99.3158 P 796 QBE INS GRP 3,522,399 %0.04 %99.3559 P 158 FAIRFAX FIN GRP 3,456,330 %0.04 %99.3960 L 1186 LIFETIME HLTHCARE GRP 3,394,885 %0.04 %99.4261 L P 19 ASSURANT INC GRP 3,309,035 %0.04 %99.4662 L P 968 AXA INS GRP 3,134,682 %0.03 %99.4963 L P 98 WR BERKLEY CORP GRP 3,046,994 %0.03 %99.5264 P 176 STATE FARM GRP 2,960,123 %0.03 %99.56
© 2019 National Association of Insurance Commissioners 30
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Connecticut
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 276 TRUSTMARK MUT HOLDING CO GRP 2,940,653 %0.03 %99.5966 L H 812 HIGHMARK GRP 2,759,326 %0.03 %99.6267 L 581 BOSTON MUT GRP 2,628,743 %0.03 %99.6568 L P 181 SWISS RE GRP 2,024,296 %0.02 %99.6769 L 525 PAN AMER LIFE GRP 1,553,486 %0.02 %99.6970 L 761 ALLIANZ INS GRP 1,524,275 %0.02 %99.7071 P 3483 PARTNERRE GRP 1,377,120 %0.01 %99.7272 H 477 RENAISSANCE HLTH SERV CORP GRP 1,321,335 %0.01 %99.7373 P 27928 AMEX ASSUR CO 1,270,681 %0.01 %99.7474 F 58009 POLICE & FIREMENS INS ASSN 1,224,329 %0.01 %99.7675 L 367 PHYSICIANS MUT GRP 1,186,075 %0.01 %99.7776 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,131,126 %0.01 %99.7877 L P 23 BCS INS GRP 1,127,935 %0.01 %99.8078 L 4862 ASSURITY GRP 1,089,642 %0.01 %99.8179 F 58033 KNIGHTS OF COLUMBUS 1,006,313 %0.01 %99.8280 L 71404 CONTINENTAL GEN INS CO 985,576 %0.01 %99.8381 P 4904 INTACT FINANCIAL GRP 971,489 %0.01 %99.8482 P 111 LIBERTY MUT GRP 922,880 %0.01 %99.8583 L 769 GREAT WEST GRP 888,075 %0.01 %99.8684 L 69477 TIME INS CO II 738,029 %0.01 %99.8785 P 1279 ARCH INS GRP 724,787 %0.01 %99.8786 L 7 FEDERATED MUT GRP 603,352 %0.01 %99.8887 L P 450 GENEVE HOLDINGS INC GRP 548,759 %0.01 %99.8988 L 704 OHIO NATL LIFE GRP 528,086 %0.01 %99.8989 L 4803 SHELTERPOINT GRP INC 515,298 %0.01 %99.9090 P 4381 HOUSTON INTL INS GRP 496,584 %0.01 %99.9091 L H 917 HCSC GRP 472,178 %0.01 %99.9192 L 690 CENTRAL STATES GRP 435,628 %- %99.9193 L 408 AMERICAN NATL FIN GRP 425,572 %- %99.9294 L 619 ONEAMERICA FIN PARTNERS GRP 418,022 %- %99.9295 L 68772 SECURITY MUT LIFE INS CO OF NY 407,732 %- %99.9396 L 64580 ILLINOIS MUT LIFE INS CO 406,841 %- %99.9397 L 1117 MANHATTAN LIFE GRP 406,277 %- %99.9498 L 458 PROTECTIVE LIFE INS GRP 405,130 %- %99.9499 L 1216 TIAA FAMILY GRP 395,337 %- %99.94
100 P 3416 AXIS CAPITAL GRP 377,040 %- %99.95101 L 634 NATIONAL LIFE GRP 364,006 %- %99.95102 L 440 REGAL REINS GRP 349,913 %- %99.96103 L P 4734 APOLLO GLOBAL MGMT GRP 337,625 %- %99.96104 P 4670 STARR GRP 329,518 %- %99.96105 L 60216 AMALGAMATED LIFE INS CO 324,716 %- %99.97106 P 361 MUNICH RE GRP 317,227 %- %99.97107 L 3527 AMERICAN ENTERPRISE MUT GRP 290,123 %- %99.97108 L 4815 RESOLUTION LIFE GRP 253,143 %- %99.98109 L 850 PENN MUT GRP 242,111 %- %99.98110 L 918 JACKSON NATL GRP 175,936 %- %99.98111 L 572 BCBS OF MI GRP 171,286 %- %99.98112 H 1295 CENTENE CORP GRP 146,390 %- %99.98113 P 785 MARKEL CORP GRP 141,902 %- %99.99114 L 4736 GGC GRP 130,698 %- %99.99115 L 839 USHEALTH GRP INC GRP 106,436 %- %99.99116 L 76325 SENIOR HLTH INS CO OF PA 105,409 %- %99.99117 L 11121 UNIFIED LIFE INS CO 74,847 %- %99.99118 L 4719 AMFIRST HOLDINGS GRP 66,742 %- %99.99119 L 4853 AAA LIFE GRP 59,510 %- %99.99120 L P 169 SENTRY INS GRP 55,438 %- %99.99121 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 53,151 %- %99.99122 L 350 GENERAL ELECTRIC GRP 52,341 %- %99.99123 L 4888 EQUITABLE FAMILY INS CO GRP 49,403 %- %99.99124 L 88668 MUTUAL OF AMER LIFE INS CO 43,934 %- %99.99125 L 872 BANNER LIFE GRP 39,259 %- %99.99
**TOTAL** 9,250,164,151 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 31
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Delaware
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 812 HIGHMARK GRP 756,984,285 %37.71 %37.712 L H 1 CVS GRP 307,876,695 %15.34 %53.043 L H 707 UNITEDHEALTH GRP 241,775,811 %12.04 %65.094 L H 901 CIGNA HLTH GRP 127,372,029 %6.34 %71.435 L P 626 CHUBB LTD GRP 111,119,190 %5.54 %76.976 L P 91 HARTFORD FIRE & CAS GRP 60,167,760 %3.00 %79.967 H 119 HUMANA GRP 55,875,675 %2.78 %82.758 L 241 METROPOLITAN GRP 43,309,318 %2.16 %84.909 H 2479 DENTEGRA GRP 40,051,940 %2.00 %86.90
10 P 4904 INTACT FINANCIAL GRP 25,256,263 %1.26 %88.1611 L 370 AFLAC GRP 17,436,205 %0.87 %89.0312 L 565 UNUM GRP 16,678,958 %0.83 %89.8613 L 4011 GENWORTH FIN GRP 11,316,831 %0.56 %90.4214 L 451 FIDELITY SECURITY GRP 10,284,552 %0.51 %90.9315 L P 3098 TOKIO MARINE HOLDINGS INC GRP 10,243,136 %0.51 %91.4416 L 261 MUTUAL OF OMAHA GRP 10,122,256 %0.50 %91.9517 L 233 CNO FINANCIAL GRP 7,560,594 %0.38 %92.3218 L 20 LINCOLN NATL GRP 7,027,329 %0.35 %92.6719 L 904 JOHN HANCOCK GRP 6,530,128 %0.33 %93.0020 L 429 GUARDIAN LIFE GRP 6,492,379 %0.32 %93.3221 H 1230 CAPITAL BLUE CROSS GRP 6,024,866 %0.30 %93.6222 L P 468 AEGON US HOLDING GRP 5,933,831 %0.30 %93.9223 L 549 SUN LIFE ASSUR CO OF CN GRP 5,671,131 %0.28 %94.2024 H 1189 VISION SERV PLAN GRP 5,428,325 %0.27 %94.4725 H 12747 ENVISION INS CO 5,169,662 %0.26 %94.7326 L 304 PRUDENTIAL OF AMER GRP 4,964,348 %0.25 %94.9827 L 332 PRINCIPAL FIN GRP 4,906,036 %0.24 %95.2228 L H 917 HCSC GRP 4,694,035 %0.23 %95.4529 L 661 BCBS OF SC GRP 4,631,257 %0.23 %95.6930 P 176 STATE FARM GRP 4,388,717 %0.22 %95.9031 L P 12 AMERICAN INTL GRP 4,158,712 %0.21 %96.1132 H 4696 VISION BENEFITS GRP 4,107,881 %0.20 %96.3233 L 408 AMERICAN NATL FIN GRP 3,684,709 %0.18 %96.5034 L 1348 MEIJI YASUDA LIFE INS GRP 3,370,351 %0.17 %96.6735 L 4832 VOYA FINANCIAL GRP 3,247,680 %0.16 %96.8336 L 290 TORCHMARK CORP GRP 3,038,320 %0.15 %96.9837 L 943 AMERITAS MUT HOLDING GRP 2,785,885 %0.14 %97.1238 L H 1199 WELLCARE GRP 2,775,221 %0.14 %97.2639 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,549,232 %0.13 %97.3840 L 8 ALLSTATE INS GRP 2,410,037 %0.12 %97.5041 L 836 WEST SOUTHERN GRP 2,376,195 %0.12 %97.6242 L 869 MINNESOTA MUT GRP 2,370,621 %0.12 %97.7443 L 860 NORTHWESTERN MUT GRP 2,248,704 %0.11 %97.8544 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,927,255 %0.10 %97.9545 L 781 UNION LABOR GRP 1,745,741 %0.09 %98.0446 H 477 RENAISSANCE HLTH SERV CORP GRP 1,740,774 %0.09 %98.1247 L 276 TRUSTMARK MUT HOLDING CO GRP 1,694,010 %0.08 %98.2148 L 4 AMERIPRISE FIN GRP 1,690,843 %0.08 %98.2949 L 435 MASS MUT LIFE INS GRP 1,667,866 %0.08 %98.3750 L 687 GUARANTEE TRUST GRP 1,638,778 %0.08 %98.4651 P 218 CNA INS GRP 1,566,206 %0.08 %98.5352 L 306 CUNA MUT GRP 1,536,427 %0.08 %98.6153 L 98 WR BERKLEY CORP GRP 1,527,582 %0.08 %98.6954 L 4855 SUMITOMO LIFE INS GRP 1,499,556 %0.07 %98.7655 P 796 QBE INS GRP 1,400,944 %0.07 %98.8356 P 4863 CHINA MINSHENG GRP 1,336,064 %0.07 %98.9057 P 158 FAIRFAX FIN GRP 1,269,590 %0.06 %98.9658 L 826 NEW YORK LIFE GRP 1,202,011 %0.06 %99.0259 L P 181 SWISS RE GRP 1,181,621 %0.06 %99.0860 L P 23 BCS INS GRP 1,010,376 %0.05 %99.1361 L P 140 NATIONWIDE CORP GRP 1,003,958 %0.05 %99.1862 L 587 ATLANTIC AMER GRP 799,765 %0.04 %99.2263 H 1260 MAGELLAN HLTH INC GRP 725,839 %0.04 %99.2664 L 525 PAN AMER LIFE GRP 716,236 %0.04 %99.29
© 2019 National Association of Insurance Commissioners 32
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Delaware
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4932 BRIGHTHOUSE HOLDINGS GRP 654,996 %0.03 %99.3266 P 3416 AXIS CAPITAL GRP 644,997 %0.03 %99.3667 L 19 ASSURANT INC GRP 629,184 %0.03 %99.3968 L 367 PHYSICIANS MUT GRP 610,500 %0.03 %99.4269 H 4917 BENECARE DENTAL PLANS GRP 574,540 %0.03 %99.4570 L 839 USHEALTH GRP INC GRP 543,099 %0.03 %99.4771 L 761 ALLIANZ INS GRP 469,749 %0.02 %99.5072 L 1117 MANHATTAN LIFE GRP 461,507 %0.02 %99.5273 L 4862 ASSURITY GRP 459,324 %0.02 %99.5474 P 4381 HOUSTON INTL INS GRP 439,948 %0.02 %99.5775 L P 212 ZURICH INS GRP 418,732 %0.02 %99.5976 L 2858 HOMESHIELD CAPITAL GRP 415,110 %0.02 %99.6177 L 11121 UNIFIED LIFE INS CO 368,518 %0.02 %99.6278 P 501 ALLEGHANY GRP 348,705 %0.02 %99.6479 L 264 HEALTHMARKETS GRP 346,047 %0.02 %99.6680 P 111 LIBERTY MUT GRP 340,868 %0.02 %99.6881 L 330 AMERICAN FIDELITY CORP GRP 327,583 %0.02 %99.6982 L 4718 TIPTREE FIN GRP 324,503 %0.02 %99.7183 L 4853 AAA LIFE GRP 307,745 %0.02 %99.7284 P 361 MUNICH RE GRP 300,977 %0.01 %99.7485 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 282,264 %0.01 %99.7586 L P 450 GENEVE HOLDINGS INC GRP 278,396 %0.01 %99.7787 L 4928 NATIONAL GEN GRP 259,573 %0.01 %99.7888 F 58009 POLICE & FIREMENS INS ASSN 229,834 %0.01 %99.7989 L P 968 AXA INS GRP 227,153 %0.01 %99.8090 L 769 GREAT WEST GRP 221,903 %0.01 %99.8191 L 3436 LIBERTY LIFE GRP TRUST GRP 191,844 %0.01 %99.8292 P 1279 ARCH INS GRP 175,949 %0.01 %99.8393 L 76325 SENIOR HLTH INS CO OF PA 164,901 %0.01 %99.8494 L 71404 CONTINENTAL GEN INS CO 155,930 %0.01 %99.8595 P 27928 AMEX ASSUR CO 141,943 %0.01 %99.8696 F 58033 KNIGHTS OF COLUMBUS 137,670 %0.01 %99.8697 L 69477 TIME INS CO II 137,453 %0.01 %99.8798 L 876 ARKANSAS BCBS GRP 134,826 %0.01 %99.8899 L 4888 EQUITABLE FAMILY INS CO GRP 134,113 %0.01 %99.88
100 L 4736 GGC GRP 134,048 %0.01 %99.89101 L 3527 AMERICAN ENTERPRISE MUT GRP 113,680 %0.01 %99.89102 L 4712 GPM LIFE GRP 112,154 %0.01 %99.90103 L 7 FEDERATED MUT GRP 104,157 %0.01 %99.91104 L 4815 RESOLUTION LIFE GRP 98,743 %- %99.91105 L 581 BOSTON MUT GRP 94,978 %- %99.92106 L 704 OHIO NATL LIFE GRP 93,345 %- %99.92107 L 4734 APOLLO GLOBAL MGMT GRP 88,167 %- %99.92108 L 1216 TIAA FAMILY GRP 87,920 %- %99.93109 L 69337 AMERICAN FIN SECURITY LIFE INS CO 83,288 %- %99.93110 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 83,132 %- %99.94111 L 572 BCBS OF MI GRP 73,338 %- %99.94112 L 4926 HOPMEADOW HOLDINGS GRP 71,595 %- %99.94113 F 4616 EVERENCE GRP 69,343 %- %99.95114 L 3891 GLOBAL ATLANTIC GRP 68,214 %- %99.95115 L 215 KEMPER CORP GRP 58,302 %- %99.95116 L 449 FINANCIAL HOLDINGS GRP 57,776 %- %99.96117 L 4764 RESERVOIR CAPITAL GRP 57,739 %- %99.96118 L 1186 LIFETIME HLTHCARE GRP 52,901 %- %99.96119 L 458 PROTECTIVE LIFE INS GRP 51,826 %- %99.96120 L 671 ANTHEM INC GRP 44,077 %- %99.97121 L 68772 SECURITY MUT LIFE INS CO OF NY 40,913 %- %99.97122 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 40,119 %- %99.97123 L 64580 ILLINOIS MUT LIFE INS CO 39,935 %- %99.97124 L 918 JACKSON NATL GRP 38,547 %- %99.98125 L 619 ONEAMERICA FIN PARTNERS GRP 36,696 %- %99.98
**TOTAL** 2,007,517,871 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 33
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
District Of Columbia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 380 CAREFIRST INC GRP 1,380,538,909 %25.78 %25.782 L H 1 CVS GRP 959,665,726 %17.92 %43.693 L H 707 UNITEDHEALTH GRP 698,656,146 %13.04 %56.744 H 936 INDEPENDENCE HLTH GRP INC GRP 563,484,513 %10.52 %67.265 H 601 KAISER FOUNDATION GRP 465,604,571 %8.69 %75.956 L H 671 ANTHEM INC GRP 220,077,783 %4.11 %80.067 H 4893 TRUSTED HLTH PLANS GRP 156,627,984 %2.92 %82.988 H 2479 DENTEGRA GRP 154,809,605 %2.89 %85.879 L H 901 CIGNA HLTH GRP 145,409,901 %2.71 %88.59
10 H 1189 VISION SERV PLAN GRP 120,975,883 %2.26 %90.8511 L 241 METROPOLITAN GRP 69,435,128 %1.30 %92.1412 P 4904 INTACT FINANCIAL GRP 63,893,303 %1.19 %93.3413 L 565 UNUM GRP 40,701,909 %0.76 %94.1014 P 1120 EVEREST REINS HOLDINGS GRP 33,766,234 %0.63 %94.7315 L 1348 MEIJI YASUDA LIFE INS GRP 22,689,399 %0.42 %95.1516 L 429 GUARDIAN LIFE GRP 22,091,389 %0.41 %95.5617 L 451 FIDELITY SECURITY GRP 17,737,018 %0.33 %95.8918 H 14227 MEDSTAR FAMILY CHOICE 15,242,292 %0.28 %96.1819 L P 626 CHUBB LTD GRP 14,917,470 %0.28 %96.4620 L 370 AFLAC GRP 11,269,584 %0.21 %96.6721 L 261 MUTUAL OF OMAHA GRP 10,990,798 %0.21 %96.8722 L P 3098 TOKIO MARINE HOLDINGS INC GRP 10,192,309 %0.19 %97.0623 L 20 LINCOLN NATL GRP 8,947,970 %0.17 %97.2324 L P 968 AXA INS GRP 8,535,431 %0.16 %97.3925 L P 91 HARTFORD FIRE & CAS GRP 7,845,932 %0.15 %97.5426 L 4011 GENWORTH FIN GRP 7,018,942 %0.13 %97.6727 L 304 PRUDENTIAL OF AMER GRP 6,523,777 %0.12 %97.7928 H 119 HUMANA GRP 6,266,958 %0.12 %97.9129 L 781 UNION LABOR GRP 6,185,801 %0.12 %98.0230 L 1186 LIFETIME HLTHCARE GRP 6,165,014 %0.12 %98.1431 L 860 NORTHWESTERN MUT GRP 5,711,679 %0.11 %98.2432 L 549 SUN LIFE ASSUR CO OF CN GRP 5,631,051 %0.11 %98.3533 L 332 PRINCIPAL FIN GRP 5,276,432 %0.10 %98.4534 L P 12 AMERICAN INTL GRP 5,234,326 %0.10 %98.5435 L H 812 HIGHMARK GRP 5,042,475 %0.09 %98.6436 L P 23 BCS INS GRP 4,802,859 %0.09 %98.7337 H 1230 CAPITAL BLUE CROSS GRP 4,768,480 %0.09 %98.8238 L 904 JOHN HANCOCK GRP 4,089,264 %0.08 %98.8939 L 435 MASS MUT LIFE INS GRP 3,895,427 %0.07 %98.9740 L 468 AEGON US HOLDING GRP 3,359,029 %0.06 %99.0341 P 796 QBE INS GRP 3,331,945 %0.06 %99.0942 L 4855 SUMITOMO LIFE INS GRP 3,040,818 %0.06 %99.1543 L 19 ASSURANT INC GRP 2,527,052 %0.05 %99.2044 L P 181 SWISS RE GRP 2,410,428 %0.05 %99.2445 L 661 BCBS OF SC GRP 2,389,452 %0.04 %99.2946 P 313 AEGIS GRP 2,257,824 %0.04 %99.3347 L P 212 ZURICH INS GRP 2,176,368 %0.04 %99.3748 L 4832 VOYA FINANCIAL GRP 2,059,449 %0.04 %99.4149 H 12747 ENVISION INS CO 1,924,663 %0.04 %99.4450 L H 1199 WELLCARE GRP 1,800,981 %0.03 %99.4851 L 233 CNO FINANCIAL GRP 1,503,244 %0.03 %99.5052 L 943 AMERITAS MUT HOLDING GRP 1,498,328 %0.03 %99.5353 L 525 PAN AMER LIFE GRP 1,381,126 %0.03 %99.5654 P 361 MUNICH RE GRP 1,299,253 %0.02 %99.5855 L 826 NEW YORK LIFE GRP 1,259,176 %0.02 %99.6156 P 218 CNA INS GRP 1,218,086 %0.02 %99.6357 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,188,741 %0.02 %99.6558 P 1279 ARCH INS GRP 961,164 %0.02 %99.6759 L 1117 MANHATTAN LIFE GRP 902,386 %0.02 %99.6960 L 276 TRUSTMARK MUT HOLDING CO GRP 870,594 %0.02 %99.7061 L 4 AMERIPRISE FIN GRP 855,565 %0.02 %99.7262 L 8 ALLSTATE INS GRP 846,108 %0.02 %99.7363 L 306 CUNA MUT GRP 833,606 %0.02 %99.7564 P 158 FAIRFAX FIN GRP 830,545 %0.02 %99.76
© 2019 National Association of Insurance Commissioners 34
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
District Of Columbia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 1260 MAGELLAN HLTH INC GRP 789,029 %0.01 %99.7866 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 627,330 %0.01 %99.7967 P 84 AMERICAN FINANCIAL GRP 627,199 %0.01 %99.8068 P 176 STATE FARM GRP 626,594 %0.01 %99.8169 L 200 UNITED SERV AUTOMOBILE ASSN GRP 615,070 %0.01 %99.8370 L 98 WR BERKLEY CORP GRP 607,562 %0.01 %99.8471 L 290 TORCHMARK CORP GRP 594,108 %0.01 %99.8572 L 4932 BRIGHTHOUSE HOLDINGS GRP 524,470 %0.01 %99.8673 L 869 MINNESOTA MUT GRP 500,162 %0.01 %99.8774 P 3416 AXIS CAPITAL GRP 480,957 %0.01 %99.8875 L 60216 AMALGAMATED LIFE INS CO 430,149 %0.01 %99.8876 L P 450 GENEVE HOLDINGS INC GRP 380,524 %0.01 %99.8977 L 367 PHYSICIANS MUT GRP 357,095 %0.01 %99.9078 P 27928 AMEX ASSUR CO 337,498 %0.01 %99.9079 H 477 RENAISSANCE HLTH SERV CORP GRP 332,263 %0.01 %99.9180 L P 140 NATIONWIDE CORP GRP 317,508 %0.01 %99.9281 L 1216 TIAA FAMILY GRP 251,771 %- %99.9282 L 761 ALLIANZ INS GRP 233,656 %- %99.9383 L 11121 UNIFIED LIFE INS CO 233,516 %- %99.9384 L H 917 HCSC GRP 197,842 %- %99.9385 L 71404 CONTINENTAL GEN INS CO 191,872 %- %99.9486 L 89427 AMERICAN LABOR LIFE INS CO 166,021 %- %99.9487 L 581 BOSTON MUT GRP 153,017 %- %99.9488 P 31 BERKSHIRE HATHAWAY GRP 147,952 %- %99.9589 L 836 WEST SOUTHERN GRP 144,426 %- %99.9590 L 2858 HOMESHIELD CAPITAL GRP 143,431 %- %99.9591 L 4862 ASSURITY GRP 138,845 %- %99.9592 L 4928 NATIONAL GEN GRP 133,804 %- %99.9693 P 4830 UNITED INS HOLDINGS GRP 122,088 %- %99.9694 L 4853 AAA LIFE GRP 113,390 %- %99.9695 L 704 OHIO NATL LIFE GRP 110,374 %- %99.9696 L 4926 HOPMEADOW HOLDINGS GRP 106,552 %- %99.9697 L 458 PROTECTIVE LIFE INS GRP 98,532 %- %99.9798 L 769 GREAT WEST GRP 92,007 %- %99.9799 L 572 BCBS OF MI GRP 90,705 %- %99.97
100 P 785 MARKEL CORP GRP 90,316 %- %99.97101 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 89,124 %- %99.97102 L 4827 SOUTHLAND NATL HOLDING GRP 85,098 %- %99.97103 L 264 HEALTHMARKETS GRP 81,852 %- %99.98104 P 4863 CHINA MINSHENG GRP 77,853 %- %99.98105 L 69477 TIME INS CO II 77,065 %- %99.98106 L 3891 GLOBAL ATLANTIC GRP 77,058 %- %99.98107 L 215 KEMPER CORP GRP 71,392 %- %99.98108 F 58009 POLICE & FIREMENS INS ASSN 70,713 %- %99.98109 L 619 ONEAMERICA FIN PARTNERS GRP 68,891 %- %99.98110 F 58033 KNIGHTS OF COLUMBUS 63,997 %- %99.99111 H 4696 VISION BENEFITS GRP 61,870 %- %99.99112 L 918 JACKSON NATL GRP 55,479 %- %99.99113 L 4213 WILTON RE GRP 53,112 %- %99.99114 L 350 GENERAL ELECTRIC GRP 49,941 %- %99.99115 L 839 USHEALTH GRP INC GRP 48,601 %- %99.99116 L 4734 APOLLO GLOBAL MGMT GRP 47,367 %- %99.99117 L 687 GUARANTEE TRUST GRP 46,248 %- %99.99118 L 76325 SENIOR HLTH INS CO OF PA 42,814 %- %99.99119 L 440 REGAL REINS GRP 38,413 %- %99.99120 L 408 AMERICAN NATL FIN GRP 34,600 %- %99.99121 L 64580 ILLINOIS MUT LIFE INS CO 34,021 %- %100.00122 L 90638 BEST LIFE & HLTH INS CO 32,430 %- %100.00123 L 330 AMERICAN FIDELITY CORP GRP 31,686 %- %100.00124 L 4815 RESOLUTION LIFE GRP 31,115 %- %100.00125 L 88668 MUTUAL OF AMER LIFE INS CO 29,671 %- %100.00
**TOTAL** 5,356,070,175 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 35
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Florida
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 536 GUIDEWELL MUT HOLDING GRP 18,056,097,704 %23.52 %23.522 L H 707 UNITEDHEALTH GRP 13,894,501,950 %18.10 %41.623 H 119 HUMANA GRP 11,543,888,718 %15.04 %56.664 H 1295 CENTENE CORP GRP 6,170,193,871 %8.04 %64.705 L H 671 ANTHEM INC GRP 5,851,309,034 %7.62 %72.326 L H 1 CVS GRP 4,281,125,629 %5.58 %77.907 L H 1199 WELLCARE GRP 3,779,126,905 %4.92 %82.828 L H 901 CIGNA HLTH GRP 2,383,860,697 %3.11 %85.939 H 1531 MOLINA HEALTHCARE INC GRP 1,846,188,827 %2.41 %88.33
10 H 936 INDEPENDENCE HLTH GRP INC GRP 1,207,944,730 %1.57 %89.9111 H 95263 AVMED INC 928,307,304 %1.21 %91.1212 H 4740 HEALTH FIRST GRP 669,884,874 %0.87 %91.9913 H 1260 MAGELLAN HLTH INC GRP 576,848,866 %0.75 %92.7414 L H 241 METROPOLITAN GRP 507,221,608 %0.66 %93.4015 L 370 AFLAC GRP 362,193,815 %0.47 %93.8716 L 565 UNUM GRP 355,686,883 %0.46 %94.3417 L 429 GUARDIAN LIFE GRP 332,384,677 %0.43 %94.7718 H 2479 DENTEGRA GRP 250,371,050 %0.33 %95.1019 L 233 CNO FINANCIAL GRP 191,541,209 %0.25 %95.3520 L 290 TORCHMARK CORP GRP 165,864,618 %0.22 %95.5621 L 4011 GENWORTH FIN GRP 156,797,350 %0.20 %95.7722 L 261 MUTUAL OF OMAHA GRP 151,501,206 %0.20 %95.9623 L 904 JOHN HANCOCK GRP 144,855,520 %0.19 %96.1524 L P 468 AEGON US HOLDING GRP 140,328,861 %0.18 %96.3425 L 20 LINCOLN NATL GRP 138,208,221 %0.18 %96.5226 H 4833 AHF GRP 137,786,519 %0.18 %96.6927 L 549 SUN LIFE ASSUR CO OF CN GRP 131,940,229 %0.17 %96.8728 L H 917 HCSC GRP 126,713,859 %0.17 %97.0329 L 860 NORTHWESTERN MUT GRP 123,777,083 %0.16 %97.1930 L 8 ALLSTATE INS GRP 117,840,826 %0.15 %97.3531 L 332 PRINCIPAL FIN GRP 115,851,666 %0.15 %97.5032 L P 91 HARTFORD FIRE & CAS GRP 108,804,302 %0.14 %97.6433 L 1348 MEIJI YASUDA LIFE INS GRP 100,758,490 %0.13 %97.7734 L P 3098 TOKIO MARINE HOLDINGS INC GRP 93,006,591 %0.12 %97.8935 L P 626 CHUBB LTD GRP 88,943,096 %0.12 %98.0136 L 839 USHEALTH GRP INC GRP 82,642,972 %0.11 %98.1237 L 304 PRUDENTIAL OF AMER GRP 75,870,681 %0.10 %98.2138 L 4855 SUMITOMO LIFE INS GRP 71,435,951 %0.09 %98.3139 H 1189 VISION SERV PLAN GRP 68,200,584 %0.09 %98.4040 H 14243 ULTIMATE HLTH PLANS INC 62,202,713 %0.08 %98.4841 L 4832 VOYA FINANCIAL GRP 58,652,354 %0.08 %98.5542 P 176 STATE FARM GRP 56,770,624 %0.07 %98.6343 L 330 AMERICAN FIDELITY CORP GRP 56,428,810 %0.07 %98.7044 L P 19 ASSURANT INC GRP 53,455,871 %0.07 %98.7745 L 943 AMERITAS MUT HOLDING GRP 46,611,607 %0.06 %98.8346 P 4928 NATIONAL GEN GRP 45,835,468 %0.06 %98.8947 L 451 FIDELITY SECURITY GRP 44,880,514 %0.06 %98.9548 L 276 TRUSTMARK MUT HOLDING CO GRP 34,009,591 %0.04 %98.9949 P 218 CNA INS GRP 33,317,306 %0.04 %99.0450 L P 12 AMERICAN INTL GRP 32,568,517 %0.04 %99.0851 L 200 UNITED SERV AUTOMOBILE ASSN GRP 32,514,048 %0.04 %99.1252 L 435 MASS MUT LIFE INS GRP 32,012,773 %0.04 %99.1653 L H 812 HIGHMARK GRP 31,196,239 %0.04 %99.2054 L 836 WEST SOUTHERN GRP 27,210,269 %0.04 %99.2455 L 4736 GGC GRP 26,969,794 %0.04 %99.2756 L 71404 CONTINENTAL GEN INS CO 26,183,922 %0.03 %99.3157 L 826 NEW YORK LIFE GRP 25,847,923 %0.03 %99.3458 L 869 MINNESOTA MUT GRP 23,786,024 %0.03 %99.3759 L 4932 BRIGHTHOUSE HOLDINGS GRP 20,775,266 %0.03 %99.4060 L 4 AMERIPRISE FIN GRP 19,175,630 %0.02 %99.4361 L 1211 NATIONAL GUARDIAN LIFE INS GRP 17,898,392 %0.02 %99.4562 L 306 CUNA MUT GRP 16,854,138 %0.02 %99.4763 L 661 BCBS OF SC GRP 15,780,465 %0.02 %99.4964 L 264 HEALTHMARKETS GRP 14,468,689 %0.02 %99.51
© 2019 National Association of Insurance Commissioners 36
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Florida
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 69477 TIME INS CO II 14,175,274 %0.02 %99.5366 P 158 FAIRFAX FIN GRP 13,721,170 %0.02 %99.5567 L P 23 BCS INS GRP 12,186,243 %0.02 %99.5668 L P 140 NATIONWIDE CORP GRP 10,953,477 %0.01 %99.5869 P 361 MUNICH RE GRP 10,936,713 %0.01 %99.5970 L 761 ALLIANZ INS GRP 10,258,756 %0.01 %99.6071 L P 212 ZURICH INS GRP 10,131,515 %0.01 %99.6272 L 367 PHYSICIANS MUT GRP 10,125,241 %0.01 %99.6373 L 2858 HOMESHIELD CAPITAL GRP 9,885,492 %0.01 %99.6474 L P 450 GENEVE HOLDINGS INC GRP 9,593,627 %0.01 %99.6675 L 3527 AMERICAN ENTERPRISE MUT GRP 8,955,185 %0.01 %99.6776 H 477 RENAISSANCE HLTH SERV CORP GRP 8,586,530 %0.01 %99.6877 L P 98 WR BERKLEY CORP GRP 8,452,152 %0.01 %99.6978 L 4853 AAA LIFE GRP 8,387,944 %0.01 %99.7079 L 525 PAN AMER LIFE GRP 7,917,021 %0.01 %99.7180 L 1117 MANHATTAN LIFE GRP 7,751,079 %0.01 %99.7281 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 7,740,062 %0.01 %99.7382 L P 31 BERKSHIRE HATHAWAY GRP 7,664,900 %0.01 %99.7483 H 4866 SOLSTICE GRP 7,501,351 %0.01 %99.7584 L P 181 SWISS RE GRP 7,299,252 %0.01 %99.7685 L 408 AMERICAN NATL FIN GRP 7,264,619 %0.01 %99.7786 P 27928 AMEX ASSUR CO 7,117,001 %0.01 %99.7887 L 458 PROTECTIVE LIFE INS GRP 6,333,144 %0.01 %99.7988 L 76325 SENIOR HLTH INS CO OF PA 6,103,306 %0.01 %99.8089 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,086,548 %0.01 %99.8090 L 876 ARKANSAS BCBS GRP 5,833,885 %0.01 %99.8191 P 4904 INTACT FINANCIAL GRP 5,480,531 %0.01 %99.8292 L P 968 AXA INS GRP 5,408,736 %0.01 %99.8393 L 687 GUARANTEE TRUST GRP 5,216,621 %0.01 %99.8394 H 3680 DELTA DENTAL PLAN OF MO GRP 5,022,866 %0.01 %99.8495 H 12747 ENVISION INS CO 4,745,798 %0.01 %99.8496 L 572 BCBS OF MI GRP 4,499,949 %0.01 %99.8597 P 3483 PARTNERRE GRP 4,221,878 %0.01 %99.8698 L 520 NEW ERA LIFE GRP 3,996,538 %0.01 %99.8699 L 581 BOSTON MUT GRP 3,866,893 %0.01 %99.87
100 L 1186 LIFETIME HLTHCARE GRP 3,712,048 %- %99.87101 L 4815 RESOLUTION LIFE GRP 3,634,354 %- %99.88102 L 574 AMERCO CORP GRP 3,593,615 %- %99.88103 P 111 LIBERTY MUT GRP 3,561,969 %- %99.89104 P 796 QBE INS GRP 3,434,562 %- %99.89105 L 3891 GLOBAL ATLANTIC GRP 3,361,773 %- %99.89106 L 4926 HOPMEADOW HOLDINGS GRP 3,288,787 %- %99.90107 L 704 OHIO NATL LIFE GRP 3,218,799 %- %99.90108 L 64580 ILLINOIS MUT LIFE INS CO 3,183,267 %- %99.91109 F 58033 KNIGHTS OF COLUMBUS 3,168,660 %- %99.91110 P 4381 HOUSTON INTL INS GRP 3,046,993 %- %99.91111 L 690 CENTRAL STATES GRP 2,827,922 %- %99.92112 P 4670 STARR GRP 2,694,567 %- %99.92113 L 769 GREAT WEST GRP 2,654,363 %- %99.93114 L 4862 ASSURITY GRP 2,570,708 %- %99.93115 L 918 JACKSON NATL GRP 2,399,258 %- %99.93116 P 4863 CHINA MINSHENG GRP 2,389,130 %- %99.94117 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,339,109 %- %99.94118 L 66214 HEARTLAND NATL LIFE INS CO 2,281,843 %- %99.94119 L 42129 UNITED SECURITY ASSUR CO OF PA 2,187,187 %- %99.94120 L 619 ONEAMERICA FIN PARTNERS GRP 2,181,844 %- %99.95121 L 69132 STATE MUT INS CO 2,139,216 %- %99.95122 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 1,834,439 %- %99.95123 L 1216 TIAA FAMILY GRP 1,790,716 %- %99.95124 L 215 KEMPER CORP GRP 1,690,320 %- %99.96125 L 4824 ADVANTAGE CAPITAL GRP 1,671,511 %- %99.96
**TOTAL** 76,761,150,043 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 37
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Georgia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 5,622,189,428 %20.63 %20.632 L H 671 ANTHEM INC GRP 5,443,484,838 %19.97 %40.593 H 119 HUMANA GRP 2,389,865,995 %8.77 %49.364 H 1295 CENTENE CORP GRP 2,235,250,923 %8.20 %57.565 L H 1 CVS GRP 2,157,881,115 %7.92 %65.486 L H 1199 WELLCARE GRP 2,090,726,908 %7.67 %73.157 H 601 KAISER FOUNDATION GRP 2,025,453,282 %7.43 %80.588 L H 901 CIGNA HLTH GRP 1,077,452,658 %3.95 %84.539 H 3683 CARESOURCE GRP 660,980,701 %2.42 %86.96
10 H 11256 ALLIANT HLTH PLANS INC 484,014,966 %1.78 %88.7311 L P 241 METROPOLITAN GRP 336,829,019 %1.24 %89.9712 L 565 UNUM GRP 233,564,327 %0.86 %90.8213 L 370 AFLAC GRP 226,272,228 %0.83 %91.6514 L 261 MUTUAL OF OMAHA GRP 189,973,377 %0.70 %92.3515 H 2479 DENTEGRA GRP 155,724,717 %0.57 %92.9216 L 429 GUARDIAN LIFE GRP 123,727,442 %0.45 %93.3817 L 860 NORTHWESTERN MUT GRP 77,392,214 %0.28 %93.6618 L P 91 HARTFORD FIRE & CAS GRP 76,063,873 %0.28 %93.9419 L 20 LINCOLN NATL GRP 75,293,834 %0.28 %94.2220 L P 3098 TOKIO MARINE HOLDINGS INC GRP 75,039,178 %0.28 %94.4921 L 451 FIDELITY SECURITY GRP 71,111,421 %0.26 %94.7522 L 4011 GENWORTH FIN GRP 69,694,626 %0.26 %95.0123 L 1348 MEIJI YASUDA LIFE INS GRP 68,843,170 %0.25 %95.2624 L 290 TORCHMARK CORP GRP 51,527,418 %0.19 %95.4525 L 549 SUN LIFE ASSUR CO OF CN GRP 50,733,479 %0.19 %95.6326 L 332 PRINCIPAL FIN GRP 50,556,406 %0.19 %95.8227 L P 468 AEGON US HOLDING GRP 48,502,565 %0.18 %96.0028 L 4832 VOYA FINANCIAL GRP 47,333,938 %0.17 %96.1729 L 943 AMERITAS MUT HOLDING GRP 45,358,672 %0.17 %96.3430 L 8 ALLSTATE INS GRP 44,216,841 %0.16 %96.5031 P 176 STATE FARM GRP 42,222,137 %0.15 %96.6632 L P 626 CHUBB LTD GRP 39,761,827 %0.15 %96.8033 L 904 JOHN HANCOCK GRP 39,452,146 %0.14 %96.9534 H 4921 UNICO PREMIER GRP 39,253,745 %0.14 %97.0935 H 1189 VISION SERV PLAN GRP 37,764,828 %0.14 %97.2336 L 661 BCBS OF SC GRP 35,385,076 %0.13 %97.3637 L H 812 HIGHMARK GRP 34,994,560 %0.13 %97.4938 L 520 NEW ERA LIFE GRP 34,922,686 %0.13 %97.6139 L 304 PRUDENTIAL OF AMER GRP 34,444,357 %0.13 %97.7440 L 839 USHEALTH GRP INC GRP 31,978,697 %0.12 %97.8641 L 233 CNO FINANCIAL GRP 31,382,038 %0.12 %97.9742 L 4928 NATIONAL GEN GRP 25,619,064 %0.09 %98.0743 L 435 MASS MUT LIFE INS GRP 23,877,544 %0.09 %98.1644 L 200 UNITED SERV AUTOMOBILE ASSN GRP 21,680,642 %0.08 %98.2345 L 1117 MANHATTAN LIFE GRP 20,846,733 %0.08 %98.3146 L 4855 SUMITOMO LIFE INS GRP 19,828,065 %0.07 %98.3847 L 330 AMERICAN FIDELITY CORP GRP 17,687,619 %0.06 %98.4548 L 71404 CONTINENTAL GEN INS CO 16,880,101 %0.06 %98.5149 H 12747 ENVISION INS CO 16,088,231 %0.06 %98.5750 L P 12 AMERICAN INTL GRP 15,339,754 %0.06 %98.6351 L 836 WEST SOUTHERN GRP 15,064,926 %0.06 %98.6852 L P 19 ASSURANT INC GRP 15,033,149 %0.06 %98.7453 L 98 WR BERKLEY CORP GRP 12,492,489 %0.05 %98.7854 L P 450 GENEVE HOLDINGS INC GRP 11,624,825 %0.04 %98.8255 L 81264 NIPPON LIFE INS CO OF AMER 11,277,938 %0.04 %98.8756 L P 140 NATIONWIDE CORP GRP 11,014,427 %0.04 %98.9157 L 869 MINNESOTA MUT GRP 10,891,377 %0.04 %98.9558 L P 4718 TIPTREE FIN GRP 10,675,847 %0.04 %98.9959 L 306 CUNA MUT GRP 10,645,572 %0.04 %99.0260 L 826 NEW YORK LIFE GRP 10,266,289 %0.04 %99.0661 L P 181 SWISS RE GRP 9,081,080 %0.03 %99.1062 L 619 ONEAMERICA FIN PARTNERS GRP 8,444,847 %0.03 %99.1363 P 158 FAIRFAX FIN GRP 8,337,626 %0.03 %99.1664 P 218 CNA INS GRP 8,011,711 %0.03 %99.19
© 2019 National Association of Insurance Commissioners 38
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Georgia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 276 TRUSTMARK MUT HOLDING CO GRP 7,213,618 %0.03 %99.2166 L 4 AMERIPRISE FIN GRP 7,057,146 %0.03 %99.2467 H 477 RENAISSANCE HLTH SERV CORP GRP 6,987,639 %0.03 %99.2668 L 587 ATLANTIC AMER GRP 6,676,857 %0.02 %99.2969 L 761 ALLIANZ INS GRP 6,618,087 %0.02 %99.3170 L 367 PHYSICIANS MUT GRP 6,500,095 %0.02 %99.3471 L 2858 HOMESHIELD CAPITAL GRP 6,368,311 %0.02 %99.3672 L H 917 HCSC GRP 6,116,507 %0.02 %99.3873 L P 31 BERKSHIRE HATHAWAY GRP 5,961,300 %0.02 %99.4174 L 687 GUARANTEE TRUST GRP 5,681,441 %0.02 %99.4375 P 111 LIBERTY MUT GRP 5,583,470 %0.02 %99.4576 L P 23 BCS INS GRP 5,560,803 %0.02 %99.4777 L P 968 AXA INS GRP 5,234,132 %0.02 %99.4978 L 264 HEALTHMARKETS GRP 5,074,514 %0.02 %99.5079 H 4794 GROUP ONE THOUSAND ONE GRP 4,909,390 %0.02 %99.5280 P 796 QBE INS GRP 4,851,297 %0.02 %99.5481 L P 212 ZURICH INS GRP 4,619,836 %0.02 %99.5682 L 65412 LIFE INS CO OF AL 4,556,615 %0.02 %99.5783 P 4381 HOUSTON INTL INS GRP 4,333,348 %0.02 %99.5984 L 215 KEMPER CORP GRP 4,333,331 %0.02 %99.6185 L 525 PAN AMER LIFE GRP 4,289,795 %0.02 %99.6286 L 4888 EQUITABLE FAMILY INS CO GRP 4,033,559 %0.01 %99.6487 P 4863 CHINA MINSHENG GRP 3,935,622 %0.01 %99.6588 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 3,824,891 %0.01 %99.6689 L 69477 TIME INS CO II 3,304,644 %0.01 %99.6890 L 3527 AMERICAN ENTERPRISE MUT GRP 3,287,560 %0.01 %99.6991 F 57657 ROYAL NEIGHBORS OF AMER 3,223,330 %0.01 %99.7092 L 4712 GPM LIFE GRP 2,972,830 %0.01 %99.7193 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,805,592 %0.01 %99.7294 H 1260 MAGELLAN HLTH INC GRP 2,714,375 %0.01 %99.7395 L 4815 RESOLUTION LIFE GRP 2,697,358 %0.01 %99.7496 P 361 MUNICH RE GRP 2,587,807 %0.01 %99.7597 H 96265 DENTAL CARE PLUS INC 2,565,703 %0.01 %99.7698 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,327,315 %0.01 %99.7799 L 69132 STATE MUT INS CO 2,123,682 %0.01 %99.78
100 P 27928 AMEX ASSUR CO 2,112,580 %0.01 %99.78101 L 4853 AAA LIFE GRP 1,986,932 %0.01 %99.79102 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,876,475 %0.01 %99.80103 L 581 BOSTON MUT GRP 1,867,644 %0.01 %99.81104 L P 7 FEDERATED MUT GRP 1,780,856 %0.01 %99.81105 L 60216 AMALGAMATED LIFE INS CO 1,710,892 %0.01 %99.82106 L P 84 AMERICAN FINANCIAL GRP 1,659,361 %0.01 %99.82107 L 408 AMERICAN NATL FIN GRP 1,599,946 %0.01 %99.83108 L 458 PROTECTIVE LIFE INS GRP 1,596,469 %0.01 %99.84109 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,571,228 %0.01 %99.84110 L 4862 ASSURITY GRP 1,551,048 %0.01 %99.85111 L 64580 ILLINOIS MUT LIFE INS CO 1,491,931 %0.01 %99.85112 L 1186 LIFETIME HLTHCARE GRP 1,392,436 %0.01 %99.86113 L 61921 CITIZENS SECURITY LIFE INS CO 1,357,556 %- %99.86114 L 572 BCBS OF MI GRP 1,328,662 %- %99.87115 L 4736 GGC GRP 1,307,750 %- %99.87116 L 76325 SENIOR HLTH INS CO OF PA 1,151,080 %- %99.88117 F 57320 WOODMEN WORLD LIFE INS SOC 1,149,640 %- %99.88118 L 50 COUNTRY INS & FIN SERV GRP 1,138,801 %- %99.89119 L 769 GREAT WEST GRP 1,082,801 %- %99.89120 F 58033 KNIGHTS OF COLUMBUS 1,073,376 %- %99.89121 L 3436 LIBERTY LIFE GRP TRUST GRP 1,059,336 %- %99.90122 P 4670 STARR GRP 1,041,520 %- %99.90123 P 4904 INTACT FINANCIAL GRP 1,004,732 %- %99.91124 L 42129 UNITED SECURITY ASSUR CO OF PA 914,868 %- %99.91125 L 4926 HOPMEADOW HOLDINGS GRP 910,449 %- %99.91
**TOTAL** 27,259,008,007 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 39
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Hawaii
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 49948 HAWAII MEDICAL SERV ASSN 3,579,655,773 %44.94 %44.942 H 601 KAISER FOUNDATION GRP 1,529,459,899 %19.20 %64.143 L H 707 UNITEDHEALTH GRP 863,786,395 %10.84 %74.984 L H 1199 WELLCARE GRP 531,167,859 %6.67 %81.655 H 95853 ALOHA CARE 374,237,231 %4.70 %86.356 H 47953 UNIVERSITY HLTH ALLIANCE 330,831,656 %4.15 %90.507 H 48330 HAWAII MGMT ALLIANCE ASSN 206,762,777 %2.60 %93.108 H 119 HUMANA GRP 161,954,143 %2.03 %95.139 L H 1 CVS GRP 53,935,618 %0.68 %95.81
10 L 1348 MEIJI YASUDA LIFE INS GRP 46,187,090 %0.58 %96.3911 L 370 AFLAC GRP 39,829,689 %0.50 %96.8912 L 565 UNUM GRP 33,235,958 %0.42 %97.3013 L 876 ARKANSAS BCBS GRP 20,077,658 %0.25 %97.5614 L 241 METROPOLITAN GRP 17,028,862 %0.21 %97.7715 L 4011 GENWORTH FIN GRP 14,445,520 %0.18 %97.9516 L 904 JOHN HANCOCK GRP 13,352,386 %0.17 %98.1217 L 91 HARTFORD FIRE & CAS GRP 12,612,718 %0.16 %98.2818 L H 901 CIGNA HLTH GRP 11,984,203 %0.15 %98.4319 L 429 GUARDIAN LIFE GRP 10,156,748 %0.13 %98.5620 L 860 NORTHWESTERN MUT GRP 8,782,885 %0.11 %98.6721 L 261 MUTUAL OF OMAHA GRP 7,394,362 %0.09 %98.7622 L 20 LINCOLN NATL GRP 7,257,722 %0.09 %98.8523 L 304 PRUDENTIAL OF AMER GRP 7,119,944 %0.09 %98.9424 L 468 AEGON US HOLDING GRP 6,257,257 %0.08 %99.0225 L 8 ALLSTATE INS GRP 5,308,431 %0.07 %99.0826 L 869 MINNESOTA MUT GRP 4,841,883 %0.06 %99.1527 L P 3098 TOKIO MARINE HOLDINGS INC GRP 4,392,688 %0.06 %99.2028 P 176 STATE FARM GRP 4,218,230 %0.05 %99.2529 L 826 NEW YORK LIFE GRP 4,017,393 %0.05 %99.3030 L 306 CUNA MUT GRP 3,865,278 %0.05 %99.3531 L 4 AMERIPRISE FIN GRP 3,769,500 %0.05 %99.4032 L P 626 CHUBB LTD GRP 3,357,940 %0.04 %99.4433 P 218 CNA INS GRP 3,350,842 %0.04 %99.4834 L 435 MASS MUT LIFE INS GRP 3,063,914 %0.04 %99.5235 L 233 CNO FINANCIAL GRP 2,604,686 %0.03 %99.5636 L 332 PRINCIPAL FIN GRP 2,557,928 %0.03 %99.5937 L P 12 AMERICAN INTL GRP 2,339,859 %0.03 %99.6238 L 71404 CONTINENTAL GEN INS CO 2,113,619 %0.03 %99.6439 L 290 TORCHMARK CORP GRP 2,060,193 %0.03 %99.6740 L 4926 HOPMEADOW HOLDINGS GRP 1,891,399 %0.02 %99.6941 L 761 ALLIANZ INS GRP 1,673,403 %0.02 %99.7142 L 68551 ROYAL STATE NATL INS CO LTD 1,482,351 %0.02 %99.7343 H 2479 DENTEGRA GRP 1,416,767 %0.02 %99.7544 L 1117 MANHATTAN LIFE GRP 1,275,697 %0.02 %99.7745 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,199,733 %0.02 %99.7846 L 1186 LIFETIME HLTHCARE GRP 1,142,939 %0.01 %99.8047 L 781 UNION LABOR GRP 1,137,512 %0.01 %99.8148 L 367 PHYSICIANS MUT GRP 966,415 %0.01 %99.8249 L 4832 VOYA FINANCIAL GRP 947,517 %0.01 %99.8350 L 4815 RESOLUTION LIFE GRP 926,971 %0.01 %99.8551 L 200 UNITED SERV AUTOMOBILE ASSN GRP 859,895 %0.01 %99.8652 L 458 PROTECTIVE LIFE INS GRP 674,021 %0.01 %99.8653 L 4853 AAA LIFE GRP 628,410 %0.01 %99.8754 L 943 AMERITAS MUT HOLDING GRP 605,703 %0.01 %99.8855 L 572 BCBS OF MI GRP 594,638 %0.01 %99.8956 L 4862 ASSURITY GRP 570,746 %0.01 %99.8957 H 12747 ENVISION INS CO 534,525 %0.01 %99.9058 L 769 GREAT WEST GRP 525,319 %0.01 %99.9159 L H 812 HIGHMARK GRP 496,354 %0.01 %99.9160 L 3891 GLOBAL ATLANTIC GRP 463,448 %0.01 %99.9261 L 549 SUN LIFE ASSUR CO OF CN GRP 457,286 %0.01 %99.9362 P 3483 PARTNERRE GRP 455,300 %0.01 %99.9363 L 4855 SUMITOMO LIFE INS GRP 432,029 %0.01 %99.9464 L 918 JACKSON NATL GRP 406,082 %0.01 %99.94
© 2019 National Association of Insurance Commissioners 40
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Hawaii
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 4719 AMFIRST HOLDINGS GRP 334,764 %- %99.9566 P 27928 AMEX ASSUR CO 253,117 %- %99.9567 L P 968 AXA INS GRP 241,136 %- %99.9568 L 687 GUARANTEE TRUST GRP 231,021 %- %99.9669 L 4824 ADVANTAGE CAPITAL GRP 230,850 %- %99.9670 L 4734 APOLLO GLOBAL MGMT GRP 193,777 %- %99.9671 L P 212 ZURICH INS GRP 190,086 %- %99.9672 L 276 TRUSTMARK MUT HOLDING CO GRP 186,467 %- %99.9773 L 4928 NATIONAL GEN GRP 183,612 %- %99.9774 L 76325 SENIOR HLTH INS CO OF PA 166,648 %- %99.9775 P 158 FAIRFAX FIN GRP 149,110 %- %99.9776 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 144,227 %- %99.9777 L 525 PAN AMER LIFE GRP 142,273 %- %99.9878 L 408 AMERICAN NATL FIN GRP 133,076 %- %99.9879 L P 450 GENEVE HOLDINGS INC GRP 128,927 %- %99.9880 L 330 AMERICAN FIDELITY CORP GRP 125,890 %- %99.9881 P 31 BERKSHIRE HATHAWAY GRP 119,894 %- %99.9882 L 19 ASSURANT INC GRP 118,222 %- %99.9883 L 836 WEST SOUTHERN GRP 116,767 %- %99.9884 L 3527 AMERICAN ENTERPRISE MUT GRP 113,116 %- %99.9985 H 477 RENAISSANCE HLTH SERV CORP GRP 98,374 %- %99.9986 L 1216 TIAA FAMILY GRP 91,473 %- %99.9987 L 451 FIDELITY SECURITY GRP 67,194 %- %99.9988 L 350 GENERAL ELECTRIC GRP 65,192 %- %99.9989 F 58033 KNIGHTS OF COLUMBUS 51,718 %- %99.9990 F 57320 WOODMEN WORLD LIFE INS SOC 50,149 %- %99.9991 L 90638 BEST LIFE & HLTH INS CO 46,642 %- %99.9992 L 4888 EQUITABLE FAMILY INS CO GRP 42,507 %- %99.9993 P 1279 ARCH INS GRP 40,308 %- %99.9994 L 581 BOSTON MUT GRP 38,518 %- %99.9995 L P 140 NATIONWIDE CORP GRP 36,569 %- %99.9996 L 839 USHEALTH GRP INC GRP 31,396 %- %99.9997 L 634 NATIONAL LIFE GRP 30,072 %- %99.9998 L 11121 UNIFIED LIFE INS CO 28,801 %- %100.0099 L 50 COUNTRY INS & FIN SERV GRP 26,371 %- %100.00
100 P 3416 AXIS CAPITAL GRP 26,144 %- %100.00101 L 88668 MUTUAL OF AMER LIFE INS CO 24,654 %- %100.00102 L 704 OHIO NATL LIFE GRP 23,171 %- %100.00103 L 4827 SOUTHLAND NATL HOLDING GRP 22,644 %- %100.00104 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 20,844 %- %100.00105 P 4904 INTACT FINANCIAL GRP 20,509 %- %100.00106 L 4213 WILTON RE GRP 17,107 %- %100.00107 P 4670 STARR GRP 16,276 %- %100.00108 L 264 HEALTHMARKETS GRP 16,101 %- %100.00109 L 98 WR BERKLEY CORP GRP 12,874 %- %100.00110 L 440 REGAL REINS GRP 12,360 %- %100.00111 P 169 SENTRY INS GRP 11,540 %- %100.00112 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 11,516 %- %100.00113 L 4736 GGC GRP 10,382 %- %100.00114 L 64580 ILLINOIS MUT LIFE INS CO 9,856 %- %100.00115 L 4826 ECG GRP 8,974 %- %100.00116 L 872 BANNER LIFE GRP 8,296 %- %100.00117 L 449 FINANCIAL HOLDINGS GRP 8,120 %- %100.00118 L 215 KEMPER CORP GRP 7,514 %- %100.00119 L 574 AMERCO CORP GRP 7,427 %- %100.00120 L 850 PENN MUT GRP 6,645 %- %100.00121 F 56499 ASSURED LIFE ASSN 4,944 %- %100.00122 F 4616 EVERENCE GRP 4,464 %- %100.00123 F 57657 ROYAL NEIGHBORS OF AMER 4,178 %- %100.00124 L 690 CENTRAL STATES GRP 4,113 %- %100.00125 L 588 KANSAS CITY LIFE INS GRP 4,004 %- %100.00
**TOTAL** 7,965,738,699 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 41
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Idaho
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 1290 BLUE CROSS OF ID GRP 1,600,348,646 %39.72 %39.722 L H 1207 CAMBIA HEALTH SOLUTIONS INC 444,448,676 %11.03 %50.753 L H 707 UNITEDHEALTH GRP 400,246,032 %9.93 %60.684 H 880 IHC INC GRP 398,230,654 %9.88 %70.575 H 4704 PACIFICSOURCE HLTH PLAN GRP 212,846,493 %5.28 %75.856 H 14933 MONTANA HLTH COOPERATIVE 152,374,097 %3.78 %79.637 L H 1 CVS GRP 125,711,088 %3.12 %82.758 H 119 HUMANA GRP 96,315,232 %2.39 %85.149 L H 901 CIGNA HLTH GRP 69,857,638 %1.73 %86.88
10 H 47791 DELTA DENTAL PLAN OF ID INC 58,535,109 %1.45 %88.3311 H 4730 MCNA GRP 54,901,502 %1.36 %89.6912 L 261 MUTUAL OF OMAHA GRP 35,256,093 %0.88 %90.5713 L 370 AFLAC GRP 33,941,970 %0.84 %91.4114 H 1531 MOLINA HEALTHCARE INC GRP 20,066,200 %0.50 %91.9115 L 241 METROPOLITAN GRP 18,591,687 %0.46 %92.3716 L 565 UNUM GRP 16,423,968 %0.41 %92.7817 L 1348 MEIJI YASUDA LIFE INS GRP 15,754,122 %0.39 %93.1718 L P 468 AEGON US HOLDING GRP 14,889,840 %0.37 %93.5419 L 233 CNO FINANCIAL GRP 14,794,588 %0.37 %93.9020 L 860 NORTHWESTERN MUT GRP 14,042,462 %0.35 %94.2521 H 1189 VISION SERV PLAN GRP 12,122,864 %0.30 %94.5522 H 3503 WILLAMETTE DENTAL GRP 11,685,291 %0.29 %94.8423 L P 3098 TOKIO MARINE HOLDINGS INC GRP 10,307,939 %0.26 %95.1024 L 330 AMERICAN FIDELITY CORP GRP 9,753,009 %0.24 %95.3425 L 332 PRINCIPAL FIN GRP 9,497,511 %0.24 %95.5826 L 4011 GENWORTH FIN GRP 9,060,186 %0.22 %95.8027 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 6,997,625 %0.17 %95.9828 P 176 STATE FARM GRP 6,990,469 %0.17 %96.1529 L 943 AMERITAS MUT HOLDING GRP 6,891,496 %0.17 %96.3230 L 20 LINCOLN NATL GRP 6,368,490 %0.16 %96.4831 L P 91 HARTFORD FIRE & CAS GRP 5,928,572 %0.15 %96.6332 H 601 KAISER FOUNDATION GRP 5,149,203 %0.13 %96.7533 L 904 JOHN HANCOCK GRP 5,137,742 %0.13 %96.8834 L 304 PRUDENTIAL OF AMER GRP 4,956,872 %0.12 %97.0035 L 429 GUARDIAN LIFE GRP 4,702,054 %0.12 %97.1236 L 661 BCBS OF SC GRP 4,663,853 %0.12 %97.2437 L H 1199 WELLCARE GRP 4,466,431 %0.11 %97.3538 L 2878 UNITED HERITAGE MUT GRP 4,360,517 %0.11 %97.4639 L 98 WR BERKLEY CORP GRP 4,187,443 %0.10 %97.5640 L 4928 NATIONAL GEN GRP 3,878,135 %0.10 %97.6641 L 587 ATLANTIC AMER GRP 3,503,969 %0.09 %97.7442 L 549 SUN LIFE ASSUR CO OF CN GRP 3,441,166 %0.09 %97.8343 H 12747 ENVISION INS CO 3,408,339 %0.08 %97.9144 L 290 TORCHMARK CORP GRP 3,407,885 %0.08 %98.0045 L P 626 CHUBB LTD GRP 3,337,469 %0.08 %98.0846 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,744,961 %0.07 %98.1547 L 3527 AMERICAN ENTERPRISE MUT GRP 2,742,477 %0.07 %98.2248 L 8 ALLSTATE INS GRP 2,725,969 %0.07 %98.2849 L 525 PAN AMER LIFE GRP 2,645,301 %0.07 %98.3550 L 4832 VOYA FINANCIAL GRP 2,571,318 %0.06 %98.4151 L 1117 MANHATTAN LIFE GRP 2,451,852 %0.06 %98.4752 L 4855 SUMITOMO LIFE INS GRP 2,364,102 %0.06 %98.5353 L 4824 ADVANTAGE CAPITAL GRP 2,344,768 %0.06 %98.5954 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,322,884 %0.06 %98.6555 L 306 CUNA MUT GRP 2,302,885 %0.06 %98.7156 L 836 WEST SOUTHERN GRP 2,272,596 %0.06 %98.7657 L 826 NEW YORK LIFE GRP 2,100,644 %0.05 %98.8158 P 158 FAIRFAX FIN GRP 2,006,215 %0.05 %98.8659 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,970,633 %0.05 %98.9160 L 4888 EQUITABLE FAMILY INS CO GRP 1,912,117 %0.05 %98.9661 L 687 GUARANTEE TRUST GRP 1,761,075 %0.04 %99.0062 L 869 MINNESOTA MUT GRP 1,749,377 %0.04 %99.0563 L 574 AMERCO CORP GRP 1,644,942 %0.04 %99.0964 L P 12 AMERICAN INTL GRP 1,623,600 %0.04 %99.13
© 2019 National Association of Insurance Commissioners 42
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Idaho
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 264 HEALTHMARKETS GRP 1,540,637 %0.04 %99.1766 L 435 MASS MUT LIFE INS GRP 1,477,180 %0.04 %99.2067 P 218 CNA INS GRP 1,353,625 %0.03 %99.2468 P 796 QBE INS GRP 1,349,805 %0.03 %99.2769 L P 181 SWISS RE GRP 1,212,046 %0.03 %99.3070 L 276 TRUSTMARK MUT HOLDING CO GRP 1,191,609 %0.03 %99.3371 L 367 PHYSICIANS MUT GRP 1,142,919 %0.03 %99.3672 L 451 FIDELITY SECURITY GRP 1,043,279 %0.03 %99.3873 L 761 ALLIANZ INS GRP 1,001,499 %0.02 %99.4174 H 2479 DENTEGRA GRP 945,700 %0.02 %99.4375 L P 140 NATIONWIDE CORP GRP 926,264 %0.02 %99.4676 P 31 BERKSHIRE HATHAWAY GRP 836,560 %0.02 %99.4877 L P 19 ASSURANT INC GRP 817,966 %0.02 %99.5078 L 4 AMERIPRISE FIN GRP 813,239 %0.02 %99.5279 H 68420 WMI MUT INS CO 774,829 %0.02 %99.5480 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 772,724 %0.02 %99.5681 L P 212 ZURICH INS GRP 740,228 %0.02 %99.5782 P 4886 BENCHMARK HOLDING GRP 687,258 %0.02 %99.5983 L 588 KANSAS CITY LIFE INS GRP 617,107 %0.02 %99.6184 H 1260 MAGELLAN HLTH INC GRP 607,594 %0.02 %99.6285 L 1211 NATIONAL GUARDIAN LIFE INS GRP 567,627 %0.01 %99.6486 H 126 EDUCATORS MUT GRP 563,970 %0.01 %99.6587 L 408 AMERICAN NATL FIN GRP 552,808 %0.01 %99.6688 L 781 UNION LABOR GRP 517,917 %0.01 %99.6889 L 4712 GPM LIFE GRP 509,224 %0.01 %99.6990 L 90638 BEST LIFE & HLTH INS CO 475,413 %0.01 %99.7091 P 4863 CHINA MINSHENG GRP 470,346 %0.01 %99.7192 L 1186 LIFETIME HLTHCARE GRP 468,802 %0.01 %99.7293 L 449 FINANCIAL HOLDINGS GRP 468,706 %0.01 %99.7494 L P 450 GENEVE HOLDINGS INC GRP 461,056 %0.01 %99.7595 L 150 OLD REPUBLIC GRP 450,901 %0.01 %99.7696 L 704 OHIO NATL LIFE GRP 370,980 %0.01 %99.7797 L 3436 LIBERTY LIFE GRP TRUST GRP 365,197 %0.01 %99.7898 L P 23 BCS INS GRP 341,179 %0.01 %99.7899 L 4862 ASSURITY GRP 336,403 %0.01 %99.79
100 L 535 COLUMBIAN LIFE GRP 300,748 %0.01 %99.80101 L 71404 CONTINENTAL GEN INS CO 291,774 %0.01 %99.81102 F 58033 KNIGHTS OF COLUMBUS 282,360 %0.01 %99.81103 L 4815 RESOLUTION LIFE GRP 282,138 %0.01 %99.82104 L H 917 HCSC GRP 273,185 %0.01 %99.83105 L 69132 STATE MUT INS CO 272,722 %0.01 %99.84106 L 64580 ILLINOIS MUT LIFE INS CO 262,458 %0.01 %99.84107 L 458 PROTECTIVE LIFE INS GRP 258,594 %0.01 %99.85108 H 477 RENAISSANCE HLTH SERV CORP GRP 257,802 %0.01 %99.85109 L 11121 UNIFIED LIFE INS CO 251,632 %0.01 %99.86110 L H 812 HIGHMARK GRP 250,093 %0.01 %99.87111 P 4381 HOUSTON INTL INS GRP 248,589 %0.01 %99.87112 P 361 MUNICH RE GRP 231,206 %0.01 %99.88113 L 4853 AAA LIFE GRP 219,773 %0.01 %99.88114 P 3416 AXIS CAPITAL GRP 217,548 %0.01 %99.89115 L 7 FEDERATED MUT GRP 214,999 %0.01 %99.90116 L 4826 ECG GRP 200,708 %- %99.90117 L 769 GREAT WEST GRP 196,603 %- %99.91118 L 350 GENERAL ELECTRIC GRP 190,774 %- %99.91119 L 4926 HOPMEADOW HOLDINGS GRP 188,478 %- %99.91120 L 918 JACKSON NATL GRP 185,358 %- %99.92121 F 56499 ASSURED LIFE ASSN 175,574 %- %99.92122 P 27928 AMEX ASSUR CO 173,352 %- %99.93123 L 50 COUNTRY INS & FIN SERV GRP 166,643 %- %99.93124 L 4932 BRIGHTHOUSE HOLDINGS GRP 163,094 %- %99.94125 P 111 LIBERTY MUT GRP 161,696 %- %99.94
**TOTAL** 4,029,143,107 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 43
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Illinois
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 917 HCSC GRP 16,704,336,872 %42.74 %42.742 L H 707 UNITEDHEALTH GRP 5,059,264,844 %12.94 %55.683 L H 1199 WELLCARE GRP 3,310,204,078 %8.47 %64.154 H 119 HUMANA GRP 2,211,264,184 %5.66 %69.815 H 1295 CENTENE CORP GRP 1,981,921,699 %5.07 %74.886 L H 1 CVS GRP 1,932,781,872 %4.95 %79.837 H 1192 CARLE HOLDING CO GRP 1,415,764,088 %3.62 %83.458 H 1531 MOLINA HEALTHCARE INC GRP 1,007,896,499 %2.58 %86.039 L H 901 CIGNA HLTH GRP 801,239,927 %2.05 %88.08
10 L P 241 METROPOLITAN GRP 396,182,726 %1.01 %89.0911 H 16277 NEXTLEVEL HLTH PARTNERS INC 265,684,156 %0.68 %89.7712 L 261 MUTUAL OF OMAHA GRP 260,331,695 %0.67 %90.4413 L H 115 DELTA DENTAL PLAN OF IL GRP 223,162,545 %0.57 %91.0114 L H 429 GUARDIAN LIFE GRP 213,863,298 %0.55 %91.5515 L 565 UNUM GRP 206,100,128 %0.53 %92.0816 L 370 AFLAC GRP 147,967,024 %0.38 %92.4617 H 1189 VISION SERV PLAN GRP 142,790,136 %0.37 %92.8218 L 860 NORTHWESTERN MUT GRP 129,232,451 %0.33 %93.1619 H 11699 ESSENCE HLTHCARE INC 124,977,860 %0.32 %93.4820 L 332 PRINCIPAL FIN GRP 115,276,721 %0.29 %93.7721 L P 3098 TOKIO MARINE HOLDINGS INC GRP 104,251,319 %0.27 %94.0422 L 4011 GENWORTH FIN GRP 99,207,147 %0.25 %94.2923 L 20 LINCOLN NATL GRP 97,152,008 %0.25 %94.5424 L 451 FIDELITY SECURITY GRP 95,064,206 %0.24 %94.7825 L 233 CNO FINANCIAL GRP 93,568,132 %0.24 %95.0226 L 50 COUNTRY INS & FIN SERV GRP 84,501,840 %0.22 %95.2427 L P 91 HARTFORD FIRE & CAS GRP 82,898,410 %0.21 %95.4528 L 549 SUN LIFE ASSUR CO OF CN GRP 77,320,902 %0.20 %95.6529 H 52553 UNION HLTH SERV INC 75,124,660 %0.19 %95.8430 L P 626 CHUBB LTD GRP 68,841,181 %0.18 %96.0231 H 4843 FAMILY HLTH NETWORK GRP 66,839,287 %0.17 %96.1932 L 304 PRUDENTIAL OF AMER GRP 66,662,083 %0.17 %96.3633 P 176 STATE FARM GRP 56,366,954 %0.14 %96.5034 L 4832 VOYA FINANCIAL GRP 53,454,110 %0.14 %96.6435 L 904 JOHN HANCOCK GRP 53,048,946 %0.14 %96.7736 L 468 AEGON US HOLDING GRP 51,495,545 %0.13 %96.9137 L 1348 MEIJI YASUDA LIFE INS GRP 49,842,126 %0.13 %97.0338 L P 212 ZURICH INS GRP 42,911,565 %0.11 %97.1439 L 4855 SUMITOMO LIFE INS GRP 41,043,141 %0.11 %97.2540 L 4928 NATIONAL GEN GRP 37,246,328 %0.10 %97.3441 L 661 BCBS OF SC GRP 36,196,664 %0.09 %97.4442 L 943 AMERITAS MUT HOLDING GRP 35,890,805 %0.09 %97.5343 P 218 CNA INS GRP 30,861,244 %0.08 %97.6144 L H 812 HIGHMARK GRP 30,782,058 %0.08 %97.6945 L 290 TORCHMARK CORP GRP 29,437,702 %0.08 %97.7646 L 8 ALLSTATE INS GRP 28,094,792 %0.07 %97.8347 L 435 MASS MUT LIFE INS GRP 25,585,564 %0.07 %97.9048 L 836 WEST SOUTHERN GRP 25,051,939 %0.06 %97.9649 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 24,408,011 %0.06 %98.0350 L P 23 BCS INS GRP 23,753,982 %0.06 %98.0951 L P 12 AMERICAN INTL GRP 23,629,251 %0.06 %98.1552 L 3527 AMERICAN ENTERPRISE MUT GRP 23,191,817 %0.06 %98.2153 L P 31 BERKSHIRE HATHAWAY GRP 22,942,572 %0.06 %98.2654 L P 19 ASSURANT INC GRP 22,397,289 %0.06 %98.3255 L P 181 SWISS RE GRP 20,778,430 %0.05 %98.3856 L 81264 NIPPON LIFE INS CO OF AMER 20,630,157 %0.05 %98.4357 L 687 GUARANTEE TRUST GRP 20,248,111 %0.05 %98.4858 L 781 UNION LABOR GRP 18,779,157 %0.05 %98.5359 L 330 AMERICAN FIDELITY CORP GRP 18,080,775 %0.05 %98.5760 L 839 USHEALTH GRP INC GRP 17,992,577 %0.05 %98.6261 H 12747 ENVISION INS CO 17,870,050 %0.05 %98.6762 L 367 PHYSICIANS MUT GRP 17,752,870 %0.05 %98.7163 P 361 MUNICH RE GRP 17,076,166 %0.04 %98.7564 P 158 FAIRFAX FIN GRP 16,098,574 %0.04 %98.80
© 2019 National Association of Insurance Commissioners 44
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Illinois
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4824 ADVANTAGE CAPITAL GRP 14,798,268 %0.04 %98.8366 L 153 PEKIN INS GRP 14,295,253 %0.04 %98.8767 L P 140 NATIONWIDE CORP GRP 14,039,851 %0.04 %98.9168 L P 98 WR BERKLEY CORP GRP 13,846,535 %0.04 %98.9469 L 4888 EQUITABLE FAMILY INS CO GRP 13,804,947 %0.04 %98.9870 L 826 NEW YORK LIFE GRP 13,758,258 %0.04 %99.0171 L 1211 NATIONAL GUARDIAN LIFE INS GRP 13,547,604 %0.03 %99.0572 L 587 ATLANTIC AMER GRP 11,210,373 %0.03 %99.0873 L 1117 MANHATTAN LIFE GRP 10,785,182 %0.03 %99.1074 L P 968 AXA INS GRP 10,474,109 %0.03 %99.1375 H 4811 MEDICAL ASSOCIATES GRP 10,439,866 %0.03 %99.1676 L 4 AMERIPRISE FIN GRP 10,413,284 %0.03 %99.1877 L 520 NEW ERA LIFE GRP 10,277,317 %0.03 %99.2178 L 525 PAN AMER LIFE GRP 10,191,981 %0.03 %99.2479 L P 169 SENTRY INS GRP 9,839,677 %0.03 %99.2680 L 306 CUNA MUT GRP 9,759,698 %0.02 %99.2981 L 869 MINNESOTA MUT GRP 9,616,223 %0.02 %99.3182 L 71404 CONTINENTAL GEN INS CO 9,036,478 %0.02 %99.3383 L 264 HEALTHMARKETS GRP 8,929,177 %0.02 %99.3684 P 796 QBE INS GRP 8,905,506 %0.02 %99.3885 L P 761 ALLIANZ INS GRP 8,361,279 %0.02 %99.4086 L 215 KEMPER CORP GRP 8,246,542 %0.02 %99.4287 H 2479 DENTEGRA GRP 7,722,939 %0.02 %99.4488 L 276 TRUSTMARK MUT HOLDING CO GRP 7,554,325 %0.02 %99.4689 L H 68 WISCONSIN PHYSICIANS SERV INS GRP 7,238,147 %0.02 %99.4890 L 4712 GPM LIFE GRP 7,155,761 %0.02 %99.5091 P 111 LIBERTY MUT GRP 6,781,504 %0.02 %99.5292 L 200 UNITED SERV AUTOMOBILE ASSN GRP 6,547,658 %0.02 %99.5393 H 54127 UNION MEDICAL CENTER 5,960,565 %0.02 %99.5594 L 64580 ILLINOIS MUT LIFE INS CO 5,598,935 %0.01 %99.5695 L 671 ANTHEM INC GRP 5,558,005 %0.01 %99.5896 L 69477 TIME INS CO II 5,551,819 %0.01 %99.5997 H 477 RENAISSANCE HLTH SERV CORP GRP 4,419,954 %0.01 %99.6098 L 574 AMERCO CORP GRP 4,328,675 %0.01 %99.6199 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,249,200 %0.01 %99.62
100 L 4736 GGC GRP 4,084,497 %0.01 %99.63101 L 76325 SENIOR HLTH INS CO OF PA 4,072,995 %0.01 %99.64102 L 4932 BRIGHTHOUSE HOLDINGS GRP 4,023,864 %0.01 %99.65103 H 3595 MERCY HLTH CORP GRP 4,021,177 %0.01 %99.66104 L 408 AMERICAN NATL FIN GRP 3,934,309 %0.01 %99.67105 H 4744 L S S GRP 3,793,510 %0.01 %99.68106 P 4381 HOUSTON INTL INS GRP 3,695,870 %0.01 %99.69107 F 58033 KNIGHTS OF COLUMBUS 3,646,471 %0.01 %99.70108 L 2858 HOMESHIELD CAPITAL GRP 3,601,873 %0.01 %99.71109 L P 450 GENEVE HOLDINGS INC GRP 3,464,207 %0.01 %99.72110 L 60208 AMALGAMATED LIFE & HLTH INS CO 3,413,015 %0.01 %99.73111 L 619 ONEAMERICA FIN PARTNERS GRP 3,394,888 %0.01 %99.74112 L 1186 LIFETIME HLTHCARE GRP 3,365,234 %0.01 %99.75113 H 54259 SIDNEY HILLMAN HLTH CENTRE 3,073,650 %0.01 %99.76114 L 60216 AMALGAMATED LIFE INS CO 3,033,264 %0.01 %99.76115 L 572 BCBS OF MI GRP 2,993,532 %0.01 %99.77116 P 501 ALLEGHANY GRP 2,873,262 %0.01 %99.78117 P 4863 CHINA MINSHENG GRP 2,830,164 %0.01 %99.79118 L 3891 GLOBAL ATLANTIC GRP 2,798,958 %0.01 %99.79119 L 4862 ASSURITY GRP 2,764,066 %0.01 %99.80120 H 1260 MAGELLAN HLTH INC GRP 2,686,322 %0.01 %99.81121 P 473 AMERICAN FAMILY INS GRP 2,619,540 %0.01 %99.81122 L 42129 UNITED SECURITY ASSUR CO OF PA 2,269,211 %0.01 %99.82123 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,220,699 %0.01 %99.82124 L 769 GREAT WEST GRP 2,175,085 %0.01 %99.83125 L 280 AUTO OWNERS GRP 2,165,616 %0.01 %99.84
**TOTAL** 39,085,170,109 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 45
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Indiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 5,969,698,756 %33.27 %33.272 L H 707 UNITEDHEALTH GRP 2,772,456,797 %15.45 %48.723 H 1295 CENTENE CORP GRP 1,863,646,601 %10.39 %59.104 H 119 HUMANA GRP 1,537,565,209 %8.57 %67.675 H 4700 MCLAREN HLTH GRP 1,274,472,840 %7.10 %74.776 L H 1 CVS GRP 796,038,564 %4.44 %79.217 H 3683 CARESOURCE GRP 789,872,503 %4.40 %83.618 L H 901 CIGNA HLTH GRP 295,541,588 %1.65 %85.269 H 4637 INDIANA UNIVERSITY HLTH GRP 196,754,905 %1.10 %86.35
10 H 3828 PHP INDIANA GRP 175,244,541 %0.98 %87.3311 L 261 MUTUAL OF OMAHA GRP 161,284,408 %0.90 %88.2312 L 370 AFLAC GRP 111,377,610 %0.62 %88.8513 L P 3098 TOKIO MARINE HOLDINGS INC GRP 100,723,199 %0.56 %89.4114 L 241 METROPOLITAN GRP 98,305,832 %0.55 %89.9615 H 477 RENAISSANCE HLTH SERV CORP GRP 88,414,210 %0.49 %90.4516 L 565 UNUM GRP 74,858,815 %0.42 %90.8717 L H 429 GUARDIAN LIFE GRP 73,529,439 %0.41 %91.2818 L 233 CNO FINANCIAL GRP 71,398,758 %0.40 %91.6819 L 20 LINCOLN NATL GRP 56,994,374 %0.32 %91.9920 L 4011 GENWORTH FIN GRP 49,005,629 %0.27 %92.2721 L 661 BCBS OF SC GRP 47,776,744 %0.27 %92.5322 L 860 NORTHWESTERN MUT GRP 46,846,392 %0.26 %92.7923 L 836 WEST SOUTHERN GRP 46,505,250 %0.26 %93.0524 L P 468 AEGON US HOLDING GRP 44,107,735 %0.25 %93.3025 H 1212 VANGUARD HLTH VENTURES GRP 44,016,702 %0.25 %93.5426 L 332 PRINCIPAL FIN GRP 43,790,463 %0.24 %93.7927 L 330 AMERICAN FIDELITY CORP GRP 43,676,110 %0.24 %94.0328 L 549 SUN LIFE ASSUR CO OF CN GRP 43,017,685 %0.24 %94.2729 L 3527 AMERICAN ENTERPRISE MUT GRP 40,645,076 %0.23 %94.5030 H 95812 SOUTHEASTERN IN HLTH ORG INC 35,778,691 %0.20 %94.7031 H 1189 VISION SERV PLAN GRP 34,340,585 %0.19 %94.8932 L 4855 SUMITOMO LIFE INS GRP 34,201,288 %0.19 %95.0833 P 796 QBE INS GRP 32,988,372 %0.18 %95.2634 P 176 STATE FARM GRP 32,338,346 %0.18 %95.4435 L P 91 HARTFORD FIRE & CAS GRP 32,150,149 %0.18 %95.6236 P 158 FAIRFAX FIN GRP 29,957,731 %0.17 %95.7937 L 904 JOHN HANCOCK GRP 27,254,492 %0.15 %95.9438 L 4832 VOYA FINANCIAL GRP 25,265,998 %0.14 %96.0839 L 290 TORCHMARK CORP GRP 24,525,111 %0.14 %96.2240 P 4863 CHINA MINSHENG GRP 24,347,304 %0.14 %96.3541 P 867 PROTECTIVE INS CORP GRP 23,454,385 %0.13 %96.4942 L 520 NEW ERA LIFE GRP 22,645,526 %0.13 %96.6143 L 304 PRUDENTIAL OF AMER GRP 21,338,465 %0.12 %96.7344 L P 4928 NATIONAL GEN GRP 20,855,542 %0.12 %96.8545 L 451 FIDELITY SECURITY GRP 19,514,430 %0.11 %96.9646 L 1348 MEIJI YASUDA LIFE INS GRP 19,351,594 %0.11 %97.0647 L P 626 CHUBB LTD GRP 19,153,593 %0.11 %97.1748 L 619 ONEAMERICA FIN PARTNERS GRP 18,453,117 %0.10 %97.2749 L 8 ALLSTATE INS GRP 18,332,759 %0.10 %97.3850 L 215 KEMPER CORP GRP 17,498,971 %0.10 %97.4751 L P 31 BERKSHIRE HATHAWAY GRP 17,138,242 %0.10 %97.5752 L 943 AMERITAS MUT HOLDING GRP 16,878,546 %0.09 %97.6653 L H 1199 WELLCARE GRP 16,165,866 %0.09 %97.7554 L P 12 AMERICAN INTL GRP 15,369,238 %0.09 %97.8455 L P 181 SWISS RE GRP 13,937,050 %0.08 %97.9256 L 98 WR BERKLEY CORP GRP 12,947,089 %0.07 %97.9957 L 367 PHYSICIANS MUT GRP 12,497,487 %0.07 %98.0658 L 839 USHEALTH GRP INC GRP 11,672,151 %0.07 %98.1259 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 11,635,365 %0.06 %98.1960 L P 450 GENEVE HOLDINGS INC GRP 10,779,801 %0.06 %98.2561 L P 140 NATIONWIDE CORP GRP 10,686,025 %0.06 %98.3162 L 587 ATLANTIC AMER GRP 10,645,750 %0.06 %98.3763 L 435 MASS MUT LIFE INS GRP 9,668,252 %0.05 %98.4264 F 4616 EVERENCE GRP 9,128,231 %0.05 %98.47
© 2019 National Association of Insurance Commissioners 46
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Indiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 1117 MANHATTAN LIFE GRP 8,933,638 %0.05 %98.5266 L 3891 GLOBAL ATLANTIC GRP 8,829,730 %0.05 %98.5767 L H 812 HIGHMARK GRP 8,494,749 %0.05 %98.6268 P 218 CNA INS GRP 8,378,594 %0.05 %98.6669 L H 917 HCSC GRP 8,156,013 %0.05 %98.7170 L 869 MINNESOTA MUT GRP 8,091,692 %0.05 %98.7571 L P 212 ZURICH INS GRP 8,075,655 %0.05 %98.8072 L 153 PEKIN INS GRP 7,216,366 %0.04 %98.8473 L 276 TRUSTMARK MUT HOLDING CO GRP 7,102,457 %0.04 %98.8874 L 71404 CONTINENTAL GEN INS CO 7,037,200 %0.04 %98.9275 L P 968 AXA INS GRP 6,717,677 %0.04 %98.9676 P 501 ALLEGHANY GRP 6,593,898 %0.04 %98.9977 L P 19 ASSURANT INC GRP 6,322,574 %0.04 %99.0378 P 4381 HOUSTON INTL INS GRP 6,203,144 %0.03 %99.0679 L 781 UNION LABOR GRP 5,933,451 %0.03 %99.1080 L 687 GUARANTEE TRUST GRP 5,806,768 %0.03 %99.1381 L P 23 BCS INS GRP 5,753,594 %0.03 %99.1682 H 97772 US HLTH & LIFE INS CO INC 5,625,392 %0.03 %99.1983 L 4888 EQUITABLE FAMILY INS CO GRP 5,457,504 %0.03 %99.2284 L 81264 NIPPON LIFE INS CO OF AMER 5,202,543 %0.03 %99.2585 L 264 HEALTHMARKETS GRP 4,639,288 %0.03 %99.2886 L 306 CUNA MUT GRP 4,536,565 %0.03 %99.3087 P 361 MUNICH RE GRP 4,489,937 %0.03 %99.3388 L 408 AMERICAN NATL FIN GRP 4,407,071 %0.02 %99.3589 L 4 AMERIPRISE FIN GRP 4,089,776 %0.02 %99.3790 L 4712 GPM LIFE GRP 4,084,879 %0.02 %99.4091 H 1192 CARLE HOLDING CO GRP 3,699,767 %0.02 %99.4292 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,634,930 %0.02 %99.4493 L 4736 GGC GRP 3,583,113 %0.02 %99.4694 L 826 NEW YORK LIFE GRP 3,492,792 %0.02 %99.4895 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,258,526 %0.02 %99.5096 L 66214 HEARTLAND NATL LIFE INS CO 3,185,768 %0.02 %99.5197 H 2479 DENTEGRA GRP 3,128,208 %0.02 %99.5398 L P 7 FEDERATED MUT GRP 3,097,156 %0.02 %99.5599 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 3,027,121 %0.02 %99.56
100 H 12747 ENVISION INS CO 2,929,651 %0.02 %99.58101 P 3416 AXIS CAPITAL GRP 2,679,744 %0.01 %99.60102 L 90638 BEST LIFE & HLTH INS CO 2,596,084 %0.01 %99.61103 H 4744 L S S GRP 2,423,060 %0.01 %99.62104 L 4862 ASSURITY GRP 2,304,223 %0.01 %99.64105 L 525 PAN AMER LIFE GRP 2,203,432 %0.01 %99.65106 L 4932 BRIGHTHOUSE HOLDINGS GRP 2,105,729 %0.01 %99.66107 H 1260 MAGELLAN HLTH INC GRP 2,022,627 %0.01 %99.67108 H 4677 TENNESSEE RURAL HLTH GRP 1,991,039 %0.01 %99.68109 L P 761 ALLIANZ INS GRP 1,984,496 %0.01 %99.69110 L 76325 SENIOR HLTH INS CO OF PA 1,969,920 %0.01 %99.71111 L 581 BOSTON MUT GRP 1,961,164 %0.01 %99.72112 L 69477 TIME INS CO II 1,793,088 %0.01 %99.73113 L 588 KANSAS CITY LIFE INS GRP 1,689,629 %0.01 %99.74114 L 61921 CITIZENS SECURITY LIFE INS CO 1,667,082 %0.01 %99.74115 P 111 LIBERTY MUT GRP 1,637,469 %0.01 %99.75116 L 574 AMERCO CORP GRP 1,632,483 %0.01 %99.76117 F 58009 POLICE & FIREMENS INS ASSN 1,597,959 %0.01 %99.77118 L 64580 ILLINOIS MUT LIFE INS CO 1,536,355 %0.01 %99.78119 L P 84 AMERICAN FINANCIAL GRP 1,425,017 %0.01 %99.79120 H 96265 DENTAL CARE PLUS INC 1,397,868 %0.01 %99.80121 L 11121 UNIFIED LIFE INS CO 1,388,081 %0.01 %99.80122 F 58033 KNIGHTS OF COLUMBUS 1,353,145 %0.01 %99.81123 L P 4718 TIPTREE FIN GRP 1,322,611 %0.01 %99.82124 P 473 AMERICAN FAMILY INS GRP 1,214,161 %0.01 %99.83125 P 785 MARKEL CORP GRP 1,202,742 %0.01 %99.83
**TOTAL** 17,944,852,928 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 47
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Iowa
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 4,078,069,927 %36.52 %36.522 H 770 WELLMARK INC GRP 2,999,980,277 %26.87 %63.393 L H 671 ANTHEM INC GRP 1,394,170,528 %12.49 %75.884 L H 1 CVS GRP 607,761,477 %5.44 %81.325 H 1552 MEDICA GRP 478,921,609 %4.29 %85.616 H 119 HUMANA GRP 301,210,738 %2.70 %88.317 L 233 CNO FINANCIAL GRP 100,873,403 %0.90 %89.218 H 4811 MEDICAL ASSOCIATES GRP 75,861,479 %0.68 %89.899 L 370 AFLAC GRP 67,839,318 %0.61 %90.50
10 L 261 MUTUAL OF OMAHA GRP 66,886,023 %0.60 %91.1011 L H 901 CIGNA HLTH GRP 62,053,728 %0.56 %91.6512 L 3527 AMERICAN ENTERPRISE MUT GRP 53,708,708 %0.48 %92.1313 L 332 PRINCIPAL FIN GRP 44,086,488 %0.39 %92.5314 L 565 UNUM GRP 39,732,495 %0.36 %92.8915 L 241 METROPOLITAN GRP 39,368,443 %0.35 %93.2416 L P 3098 TOKIO MARINE HOLDINGS INC GRP 35,261,043 %0.32 %93.5517 L 860 NORTHWESTERN MUT GRP 33,871,485 %0.30 %93.8618 L 4011 GENWORTH FIN GRP 32,444,946 %0.29 %94.1519 L 20 LINCOLN NATL GRP 32,428,198 %0.29 %94.4420 H 15888 HEALTHPARTNERS UNITYPOINT HLTH INC 31,659,706 %0.28 %94.7221 L 549 SUN LIFE ASSUR CO OF CN GRP 27,048,751 %0.24 %94.9622 L P 468 AEGON US HOLDING GRP 23,181,081 %0.21 %95.1723 L 687 GUARANTEE TRUST GRP 20,975,595 %0.19 %95.3624 L 904 JOHN HANCOCK GRP 20,571,353 %0.18 %95.5425 H 4730 MCNA GRP 19,761,862 %0.18 %95.7226 L 451 FIDELITY SECURITY GRP 19,567,300 %0.18 %95.9027 L 1348 MEIJI YASUDA LIFE INS GRP 18,538,040 %0.17 %96.0628 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 17,627,469 %0.16 %96.2229 P 176 STATE FARM GRP 17,604,219 %0.16 %96.3830 L 8 ALLSTATE INS GRP 16,083,948 %0.14 %96.5231 L 4888 EQUITABLE FAMILY INS CO GRP 15,676,980 %0.14 %96.6632 L P 91 HARTFORD FIRE & CAS GRP 15,335,564 %0.14 %96.8033 L 304 PRUDENTIAL OF AMER GRP 12,282,816 %0.11 %96.9134 L P 626 CHUBB LTD GRP 12,208,773 %0.11 %97.0235 L P 84 AMERICAN FINANCIAL GRP 12,057,739 %0.11 %97.1336 L 367 PHYSICIANS MUT GRP 11,511,298 %0.10 %97.2337 L 4824 ADVANTAGE CAPITAL GRP 10,741,769 %0.10 %97.3338 H 1189 VISION SERV PLAN GRP 10,659,744 %0.10 %97.4239 H 1192 CARLE HOLDING CO GRP 10,484,570 %0.09 %97.5240 L 290 TORCHMARK CORP GRP 10,202,085 %0.09 %97.6141 L 4832 VOYA FINANCIAL GRP 9,771,460 %0.09 %97.6942 L 4855 SUMITOMO LIFE INS GRP 8,492,813 %0.08 %97.7743 L 429 GUARDIAN LIFE GRP 8,201,051 %0.07 %97.8444 L 943 AMERITAS MUT HOLDING GRP 7,993,947 %0.07 %97.9245 L 826 NEW YORK LIFE GRP 7,951,587 %0.07 %97.9946 L 71404 CONTINENTAL GEN INS CO 7,663,832 %0.07 %98.0647 L 587 ATLANTIC AMER GRP 7,451,145 %0.07 %98.1248 L 330 AMERICAN FIDELITY CORP GRP 7,289,860 %0.07 %98.1949 L P 212 ZURICH INS GRP 6,986,980 %0.06 %98.2550 L 215 KEMPER CORP GRP 6,602,150 %0.06 %98.3151 L H 1199 WELLCARE GRP 6,577,507 %0.06 %98.3752 L 4928 NATIONAL GEN GRP 6,473,292 %0.06 %98.4353 L P 19 ASSURANT INC GRP 6,433,809 %0.06 %98.4854 P 796 QBE INS GRP 6,394,460 %0.06 %98.5455 L P 450 GENEVE HOLDINGS INC GRP 6,372,756 %0.06 %98.6056 H 95839 AVERA HLTH PLANS INC 6,179,404 %0.06 %98.6557 L P 31 BERKSHIRE HATHAWAY GRP 6,151,863 %0.06 %98.7158 L 4 AMERIPRISE FIN GRP 5,528,901 %0.05 %98.7659 L H 812 HIGHMARK GRP 5,504,966 %0.05 %98.8160 H 1258 HEALTHPARTNERS GRP 4,797,708 %0.04 %98.8561 L 836 WEST SOUTHERN GRP 4,567,090 %0.04 %98.8962 P 218 CNA INS GRP 4,430,313 %0.04 %98.9363 L 64580 ILLINOIS MUT LIFE INS CO 4,298,969 %0.04 %98.9764 L 98 WR BERKLEY CORP GRP 4,183,133 %0.04 %99.01
© 2019 National Association of Insurance Commissioners 48
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Iowa
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 761 ALLIANZ INS GRP 4,109,157 %0.04 %99.0466 L 4862 ASSURITY GRP 4,084,365 %0.04 %99.0867 L 435 MASS MUT LIFE INS GRP 3,862,059 %0.03 %99.1168 L 869 MINNESOTA MUT GRP 3,728,522 %0.03 %99.1569 L 839 USHEALTH GRP INC GRP 3,564,595 %0.03 %99.1870 L 61921 CITIZENS SECURITY LIFE INS CO 3,557,164 %0.03 %99.2171 L 661 BCBS OF SC GRP 3,461,252 %0.03 %99.2472 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,226,668 %0.03 %99.2773 L 306 CUNA MUT GRP 3,041,618 %0.03 %99.3074 L P 12 AMERICAN INTL GRP 2,978,827 %0.03 %99.3375 H 936 INDEPENDENCE HLTH GRP INC GRP 2,831,245 %0.03 %99.3576 L 11121 UNIFIED LIFE INS CO 2,720,360 %0.02 %99.3877 L P 181 SWISS RE GRP 2,627,004 %0.02 %99.4078 L 264 HEALTHMARKETS GRP 2,553,186 %0.02 %99.4279 L 1117 MANHATTAN LIFE GRP 2,461,702 %0.02 %99.4480 F 58033 KNIGHTS OF COLUMBUS 2,418,921 %0.02 %99.4781 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 2,218,599 %0.02 %99.4982 L 276 TRUSTMARK MUT HOLDING CO GRP 2,065,497 %0.02 %99.5083 L 574 AMERCO CORP GRP 2,004,217 %0.02 %99.5284 L 1186 LIFETIME HLTHCARE GRP 1,957,444 %0.02 %99.5485 L 619 ONEAMERICA FIN PARTNERS GRP 1,945,027 %0.02 %99.5686 L 50 COUNTRY INS & FIN SERV GRP 1,873,818 %0.02 %99.5787 L 513 IOWA FARM BUREAU GRP 1,805,777 %0.02 %99.5988 H 1246 SANFORD HLTH GRP 1,803,177 %0.02 %99.6189 L 588 KANSAS CITY LIFE INS GRP 1,659,687 %0.01 %99.6290 L 69132 STATE MUT INS CO 1,634,455 %0.01 %99.6491 L 76325 SENIOR HLTH INS CO OF PA 1,615,444 %0.01 %99.6592 H 1260 MAGELLAN HLTH INC GRP 1,472,067 %0.01 %99.6693 P 4863 CHINA MINSHENG GRP 1,460,744 %0.01 %99.6894 L 408 AMERICAN NATL FIN GRP 1,354,597 %0.01 %99.6995 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,338,505 %0.01 %99.7096 P 473 AMERICAN FAMILY INS GRP 1,320,411 %0.01 %99.7197 L 917 HCSC GRP 1,254,113 %0.01 %99.7298 L P 140 NATIONWIDE CORP GRP 1,199,735 %0.01 %99.7399 L 525 PAN AMER LIFE GRP 1,172,093 %0.01 %99.74
100 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,141,649 %0.01 %99.75101 H 2479 DENTEGRA GRP 1,125,339 %0.01 %99.76102 L P 23 BCS INS GRP 1,119,482 %0.01 %99.77103 L 69477 TIME INS CO II 1,099,153 %0.01 %99.78104 H 12747 ENVISION INS CO 1,095,002 %0.01 %99.79105 P 3416 AXIS CAPITAL GRP 1,006,196 %0.01 %99.80106 L 200 UNITED SERV AUTOMOBILE ASSN GRP 972,306 %0.01 %99.81107 L 4815 RESOLUTION LIFE GRP 971,837 %0.01 %99.82108 P 501 ALLEGHANY GRP 971,670 %0.01 %99.83109 L 280 AUTO OWNERS GRP 915,381 %0.01 %99.84110 L 3891 GLOBAL ATLANTIC GRP 849,861 %0.01 %99.85111 L 781 UNION LABOR GRP 810,908 %0.01 %99.85112 L 2858 HOMESHIELD CAPITAL GRP 687,000 %0.01 %99.86113 L 520 NEW ERA LIFE GRP 682,810 %0.01 %99.86114 F 4616 EVERENCE GRP 663,527 %0.01 %99.87115 L 4853 AAA LIFE GRP 657,486 %0.01 %99.88116 L 769 GREAT WEST GRP 627,251 %0.01 %99.88117 H 477 RENAISSANCE HLTH SERV CORP GRP 619,842 %0.01 %99.89118 L 3436 LIBERTY LIFE GRP TRUST GRP 598,060 %0.01 %99.89119 F 56499 ASSURED LIFE ASSN 578,018 %0.01 %99.90120 L 572 BCBS OF MI GRP 560,316 %0.01 %99.90121 P 158 FAIRFAX FIN GRP 560,136 %0.01 %99.91122 L 918 JACKSON NATL GRP 534,890 %- %99.91123 L 449 FINANCIAL HOLDINGS GRP 520,938 %- %99.92124 L 90638 BEST LIFE & HLTH INS CO 434,910 %- %99.92125 L 62928 EMC NATL LIFE CO 429,722 %- %99.93
**TOTAL** 11,165,533,461 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 49
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Kansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 430 BCBS OF KS GRP 2,324,901,246 %24.17 %24.172 L H 707 UNITEDHEALTH GRP 1,723,690,531 %17.92 %42.103 H 1295 CENTENE CORP GRP 1,379,786,436 %14.35 %56.454 L H 671 ANTHEM INC GRP 1,067,728,802 %11.10 %67.555 L H 1 CVS GRP 733,497,225 %7.63 %75.186 H 537 BCBS OF KC GRP 605,212,883 %6.29 %81.477 H 119 HUMANA GRP 524,461,321 %5.45 %86.928 L H 901 CIGNA HLTH GRP 167,894,899 %1.75 %88.679 L H 4638 DELTA DENTAL OF KS GRP 112,485,954 %1.17 %89.84
10 H 1552 MEDICA GRP 91,426,506 %0.95 %90.7911 L 370 AFLAC GRP 65,398,701 %0.68 %91.4712 L 261 MUTUAL OF OMAHA GRP 47,594,443 %0.49 %91.9613 L 233 CNO FINANCIAL GRP 46,329,294 %0.48 %92.4414 L P 241 METROPOLITAN GRP 43,324,495 %0.45 %92.9015 L 565 UNUM GRP 37,259,181 %0.39 %93.2816 L P 3098 TOKIO MARINE HOLDINGS INC GRP 33,196,406 %0.35 %93.6317 L 4011 GENWORTH FIN GRP 24,196,401 %0.25 %93.8818 L 429 GUARDIAN LIFE GRP 21,291,616 %0.22 %94.1019 L 860 NORTHWESTERN MUT GRP 20,953,743 %0.22 %94.3220 L H 549 SUN LIFE ASSUR CO OF CN GRP 20,644,021 %0.21 %94.5321 L P 91 HARTFORD FIRE & CAS GRP 20,293,700 %0.21 %94.7422 L 20 LINCOLN NATL GRP 19,776,884 %0.21 %94.9523 L P 468 AEGON US HOLDING GRP 18,716,434 %0.19 %95.1424 L 332 PRINCIPAL FIN GRP 17,732,897 %0.18 %95.3325 L 3527 AMERICAN ENTERPRISE MUT GRP 17,273,156 %0.18 %95.5126 L 687 GUARANTEE TRUST GRP 17,161,842 %0.18 %95.6927 L 330 AMERICAN FIDELITY CORP GRP 15,939,827 %0.17 %95.8528 P 176 STATE FARM GRP 14,790,784 %0.15 %96.0129 L 904 JOHN HANCOCK GRP 14,274,356 %0.15 %96.1630 L 290 TORCHMARK CORP GRP 13,795,795 %0.14 %96.3031 L 1348 MEIJI YASUDA LIFE INS GRP 13,754,565 %0.14 %96.4432 H 1189 VISION SERV PLAN GRP 12,707,751 %0.13 %96.5733 L 4832 VOYA FINANCIAL GRP 11,736,317 %0.12 %96.7034 L 215 KEMPER CORP GRP 11,580,038 %0.12 %96.8235 L 304 PRUDENTIAL OF AMER GRP 11,353,988 %0.12 %96.9336 L P 626 CHUBB LTD GRP 11,209,032 %0.12 %97.0537 L 451 FIDELITY SECURITY GRP 10,181,783 %0.11 %97.1638 P 796 QBE INS GRP 10,001,270 %0.10 %97.2639 L 839 USHEALTH GRP INC GRP 8,991,182 %0.09 %97.3540 L 661 BCBS OF SC GRP 8,902,701 %0.09 %97.4541 L 8 ALLSTATE INS GRP 8,506,905 %0.09 %97.5442 L 4922 ENTERPRISE INVESTMENTS GRP 8,382,240 %0.09 %97.6243 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 8,328,434 %0.09 %97.7144 L P 19 ASSURANT INC GRP 8,244,816 %0.09 %97.7945 L H 1199 WELLCARE GRP 8,206,441 %0.09 %97.8846 L 943 AMERITAS MUT HOLDING GRP 7,897,380 %0.08 %97.9647 L P 181 SWISS RE GRP 7,136,152 %0.07 %98.0448 L 71404 CONTINENTAL GEN INS CO 6,556,996 %0.07 %98.1049 L 587 ATLANTIC AMER GRP 5,909,303 %0.06 %98.1750 L 435 MASS MUT LIFE INS GRP 5,626,461 %0.06 %98.2251 L 826 NEW YORK LIFE GRP 5,414,005 %0.06 %98.2852 L 836 WEST SOUTHERN GRP 5,264,583 %0.05 %98.3453 L 4888 EQUITABLE FAMILY INS CO GRP 4,901,982 %0.05 %98.3954 F 4616 EVERENCE GRP 4,893,262 %0.05 %98.4455 L P 12 AMERICAN INTL GRP 4,703,668 %0.05 %98.4956 L 367 PHYSICIANS MUT GRP 4,686,303 %0.05 %98.5357 L 4928 NATIONAL GEN GRP 4,667,241 %0.05 %98.5858 L 1117 MANHATTAN LIFE GRP 4,532,646 %0.05 %98.6359 P 218 CNA INS GRP 4,439,336 %0.05 %98.6860 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,306,938 %0.04 %98.7261 L 869 MINNESOTA MUT GRP 4,146,589 %0.04 %98.7662 F 58033 KNIGHTS OF COLUMBUS 4,006,849 %0.04 %98.8163 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,706,490 %0.04 %98.8464 L 520 NEW ERA LIFE GRP 3,686,819 %0.04 %98.88
© 2019 National Association of Insurance Commissioners 50
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Kansas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 408 AMERICAN NATL FIN GRP 3,662,142 %0.04 %98.9266 L P 140 NATIONWIDE CORP GRP 3,607,290 %0.04 %98.9667 L P 968 AXA INS GRP 3,603,358 %0.04 %99.0068 L 4 AMERIPRISE FIN GRP 3,525,910 %0.04 %99.0369 L 98 WR BERKLEY CORP GRP 3,425,757 %0.04 %99.0770 P 158 FAIRFAX FIN GRP 3,414,473 %0.04 %99.1071 L 4855 SUMITOMO LIFE INS GRP 3,353,725 %0.03 %99.1472 H 16159 KANSAS SUPERIOR SELECT INC 3,301,519 %0.03 %99.1773 L 761 ALLIANZ INS GRP 3,229,934 %0.03 %99.2174 L 4824 ADVANTAGE CAPITAL GRP 3,115,383 %0.03 %99.2475 L 4815 RESOLUTION LIFE GRP 2,812,396 %0.03 %99.2776 L 264 HEALTHMARKETS GRP 2,442,988 %0.03 %99.2977 L 306 CUNA MUT GRP 2,424,262 %0.03 %99.3278 P 3416 AXIS CAPITAL GRP 2,256,221 %0.02 %99.3479 L 276 TRUSTMARK MUT HOLDING CO GRP 2,219,235 %0.02 %99.3780 L 69477 TIME INS CO II 2,196,801 %0.02 %99.3981 H 2479 DENTEGRA GRP 2,176,752 %0.02 %99.4182 L 525 PAN AMER LIFE GRP 2,001,663 %0.02 %99.4383 H 477 RENAISSANCE HLTH SERV CORP GRP 1,785,127 %0.02 %99.4584 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,725,079 %0.02 %99.4785 L 572 BCBS OF MI GRP 1,708,585 %0.02 %99.4986 L 4862 ASSURITY GRP 1,633,219 %0.02 %99.5087 L P 450 GENEVE HOLDINGS INC GRP 1,616,641 %0.02 %99.5288 P 111 LIBERTY MUT GRP 1,589,615 %0.02 %99.5489 L 574 AMERCO CORP GRP 1,558,816 %0.02 %99.5590 H 4927 STERLING DENTAL GRP 1,541,494 %0.02 %99.5791 L P 212 ZURICH INS GRP 1,453,370 %0.02 %99.5892 L 581 BOSTON MUT GRP 1,450,966 %0.02 %99.6093 L 619 ONEAMERICA FIN PARTNERS GRP 1,441,785 %0.01 %99.6194 P 473 AMERICAN FAMILY INS GRP 1,435,097 %0.01 %99.6395 L P 23 BCS INS GRP 1,428,800 %0.01 %99.6496 L 1186 LIFETIME HLTHCARE GRP 1,412,153 %0.01 %99.6697 P 31 BERKSHIRE HATHAWAY GRP 1,294,495 %0.01 %99.6798 L 76325 SENIOR HLTH INS CO OF PA 1,265,264 %0.01 %99.6899 L 588 KANSAS CITY LIFE INS GRP 1,228,086 %0.01 %99.70
100 L 513 IOWA FARM BUREAU GRP 1,170,759 %0.01 %99.71101 L 69132 STATE MUT INS CO 1,115,269 %0.01 %99.72102 L 90638 BEST LIFE & HLTH INS CO 1,109,276 %0.01 %99.73103 L 4712 GPM LIFE GRP 1,021,080 %0.01 %99.74104 L 61921 CITIZENS SECURITY LIFE INS CO 947,721 %0.01 %99.75105 L 4932 BRIGHTHOUSE HOLDINGS GRP 904,064 %0.01 %99.76106 P 361 MUNICH RE GRP 903,270 %0.01 %99.77107 L 153 PEKIN INS GRP 891,996 %0.01 %99.78108 L H 812 HIGHMARK GRP 887,635 %0.01 %99.79109 L 123 SHELTER INS GRP 868,795 %0.01 %99.80110 L 64580 ILLINOIS MUT LIFE INS CO 823,908 %0.01 %99.81111 H 12747 ENVISION INS CO 819,377 %0.01 %99.82112 L 66214 HEARTLAND NATL LIFE INS CO 804,757 %0.01 %99.83113 P 4886 BENCHMARK HOLDING GRP 785,040 %0.01 %99.83114 L P 7 FEDERATED MUT GRP 781,979 %0.01 %99.84115 P 4863 CHINA MINSHENG GRP 769,454 %0.01 %99.85116 L 4826 ECG GRP 754,998 %0.01 %99.86117 P 501 ALLEGHANY GRP 710,660 %0.01 %99.86118 L 704 OHIO NATL LIFE GRP 697,084 %0.01 %99.87119 L P 84 AMERICAN FINANCIAL GRP 560,300 %0.01 %99.88120 L 918 JACKSON NATL GRP 546,690 %0.01 %99.88121 L 4736 GGC GRP 544,573 %0.01 %99.89122 L 4926 HOPMEADOW HOLDINGS GRP 541,084 %0.01 %99.89123 L 50 COUNTRY INS & FIN SERV GRP 530,672 %0.01 %99.90124 L 4853 AAA LIFE GRP 522,906 %0.01 %99.91125 L 60216 AMALGAMATED LIFE INS CO 482,068 %0.01 %99.91
**TOTAL** 9,617,006,688 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 51
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Kentucky
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 119 HUMANA GRP 4,064,332,838 %24.39 %24.392 L H 671 ANTHEM INC GRP 3,489,225,785 %20.94 %45.323 L H 1199 WELLCARE GRP 2,970,670,171 %17.82 %63.154 H 52621 UNIVERSITY HLTH CARE INC 1,953,210,500 %11.72 %74.865 L H 1 CVS GRP 1,421,346,994 %8.53 %83.396 L H 707 UNITEDHEALTH GRP 1,034,546,321 %6.21 %89.607 H 3683 CARESOURCE GRP 283,579,994 %1.70 %91.308 L H 901 CIGNA HLTH GRP 157,912,142 %0.95 %92.259 H 477 RENAISSANCE HLTH SERV CORP GRP 138,349,599 %0.83 %93.08
10 L 370 AFLAC GRP 77,567,760 %0.47 %93.5411 L 565 UNUM GRP 76,911,233 %0.46 %94.0112 L 261 MUTUAL OF OMAHA GRP 76,535,340 %0.46 %94.4613 L 241 METROPOLITAN GRP 58,889,487 %0.35 %94.8214 L 330 AMERICAN FIDELITY CORP GRP 47,801,595 %0.29 %95.1015 L P 468 AEGON US HOLDING GRP 38,131,557 %0.23 %95.3316 L 20 LINCOLN NATL GRP 37,298,178 %0.22 %95.5617 L H 812 HIGHMARK GRP 33,902,803 %0.20 %95.7618 L 429 GUARDIAN LIFE GRP 32,458,504 %0.19 %95.9619 L P 3098 TOKIO MARINE HOLDINGS INC GRP 31,699,154 %0.19 %96.1520 L 4011 GENWORTH FIN GRP 30,643,465 %0.18 %96.3321 L 860 NORTHWESTERN MUT GRP 27,911,475 %0.17 %96.5022 L 233 CNO FINANCIAL GRP 27,409,173 %0.16 %96.6623 L 549 SUN LIFE ASSUR CO OF CN GRP 26,178,510 %0.16 %96.8224 L P 91 HARTFORD FIRE & CAS GRP 25,607,402 %0.15 %96.9725 L H 917 HCSC GRP 25,385,511 %0.15 %97.1226 L 8 ALLSTATE INS GRP 24,130,672 %0.14 %97.2727 H 1212 VANGUARD HLTH VENTURES GRP 20,196,876 %0.12 %97.3928 H 95071 BAPTIST HLTH PLAN INC 16,557,098 %0.10 %97.4929 L P 626 CHUBB LTD GRP 16,167,018 %0.10 %97.5930 P 176 STATE FARM GRP 15,023,070 %0.09 %97.6831 L 451 FIDELITY SECURITY GRP 14,353,195 %0.09 %97.7632 L 661 BCBS OF SC GRP 14,334,661 %0.09 %97.8533 L 304 PRUDENTIAL OF AMER GRP 14,145,447 %0.08 %97.9334 L 332 PRINCIPAL FIN GRP 14,014,535 %0.08 %98.0235 L 290 TORCHMARK CORP GRP 13,662,904 %0.08 %98.1036 L 904 JOHN HANCOCK GRP 13,113,340 %0.08 %98.1837 H 96265 DENTAL CARE PLUS INC 11,978,917 %0.07 %98.2538 L 1348 MEIJI YASUDA LIFE INS GRP 11,660,509 %0.07 %98.3239 L 4832 VOYA FINANCIAL GRP 11,290,486 %0.07 %98.3940 L P 12 AMERICAN INTL GRP 9,828,036 %0.06 %98.4541 L 4855 SUMITOMO LIFE INS GRP 9,362,152 %0.06 %98.5042 L 836 WEST SOUTHERN GRP 9,074,842 %0.05 %98.5643 L 3527 AMERICAN ENTERPRISE MUT GRP 8,814,773 %0.05 %98.6144 H 4807 CATHOLIC HLTH INITIATIVES GRP 8,730,683 %0.05 %98.6645 L 619 ONEAMERICA FIN PARTNERS GRP 8,602,992 %0.05 %98.7146 L 71404 CONTINENTAL GEN INS CO 8,602,784 %0.05 %98.7747 L 4928 NATIONAL GEN GRP 8,268,790 %0.05 %98.8248 L 587 ATLANTIC AMER GRP 7,245,821 %0.04 %98.8649 L 367 PHYSICIANS MUT GRP 7,163,716 %0.04 %98.9050 L 3891 GLOBAL ATLANTIC GRP 7,057,801 %0.04 %98.9551 L P 140 NATIONWIDE CORP GRP 6,956,797 %0.04 %98.9952 L 276 TRUSTMARK MUT HOLDING CO GRP 5,865,313 %0.04 %99.0253 H 1189 VISION SERV PLAN GRP 5,803,155 %0.03 %99.0654 L 869 MINNESOTA MUT GRP 5,716,347 %0.03 %99.0955 L P 19 ASSURANT INC GRP 5,646,191 %0.03 %99.1256 L 1117 MANHATTAN LIFE GRP 5,639,756 %0.03 %99.1657 L P 212 ZURICH INS GRP 5,509,805 %0.03 %99.1958 L 435 MASS MUT LIFE INS GRP 5,236,398 %0.03 %99.2259 L 61921 CITIZENS SECURITY LIFE INS CO 4,951,208 %0.03 %99.2560 P 796 QBE INS GRP 4,871,052 %0.03 %99.2861 L 839 USHEALTH GRP INC GRP 4,866,293 %0.03 %99.3162 L 943 AMERITAS MUT HOLDING GRP 4,815,581 %0.03 %99.3463 H 15731 SIGNATURE ADVANTAGE LLC 4,770,572 %0.03 %99.3764 L 826 NEW YORK LIFE GRP 4,396,359 %0.03 %99.40
© 2019 National Association of Insurance Commissioners 52
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Kentucky
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 98 WR BERKLEY CORP GRP 4,289,692 %0.03 %99.4266 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 3,856,468 %0.02 %99.4467 P 218 CNA INS GRP 3,517,715 %0.02 %99.4768 L 408 AMERICAN NATL FIN GRP 3,506,128 %0.02 %99.4969 L 687 GUARANTEE TRUST GRP 3,471,326 %0.02 %99.5170 P 158 FAIRFAX FIN GRP 3,395,767 %0.02 %99.5371 L 4888 EQUITABLE FAMILY INS CO GRP 3,311,752 %0.02 %99.5572 H 730 MEDICAL MUT OF OH GRP 3,294,279 %0.02 %99.5773 L 215 KEMPER CORP GRP 2,902,265 %0.02 %99.5874 L P 31 BERKSHIRE HATHAWAY GRP 2,787,362 %0.02 %99.6075 L 4 AMERIPRISE FIN GRP 2,664,359 %0.02 %99.6276 L 4718 TIPTREE FIN GRP 2,568,503 %0.02 %99.6377 L 65412 LIFE INS CO OF AL 2,437,296 %0.01 %99.6578 L 4712 GPM LIFE GRP 2,318,982 %0.01 %99.6679 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,306,931 %0.01 %99.6880 L 81264 NIPPON LIFE INS CO OF AMER 2,100,378 %0.01 %99.6981 L P 181 SWISS RE GRP 2,083,042 %0.01 %99.7082 H 12747 ENVISION INS CO 1,951,380 %0.01 %99.7183 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,938,643 %0.01 %99.7284 L 306 CUNA MUT GRP 1,787,262 %0.01 %99.7385 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,782,884 %0.01 %99.7486 H 1260 MAGELLAN HLTH INC GRP 1,764,721 %0.01 %99.7687 L P 450 GENEVE HOLDINGS INC GRP 1,742,182 %0.01 %99.7788 L 525 PAN AMER LIFE GRP 1,731,847 %0.01 %99.7889 L 761 ALLIANZ INS GRP 1,678,265 %0.01 %99.7990 H 2479 DENTEGRA GRP 1,655,992 %0.01 %99.8091 P 4381 HOUSTON INTL INS GRP 1,642,137 %0.01 %99.8192 P 3416 AXIS CAPITAL GRP 1,433,266 %0.01 %99.8193 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,256,402 %0.01 %99.8294 L 520 NEW ERA LIFE GRP 1,253,027 %0.01 %99.8395 L 4853 AAA LIFE GRP 1,241,058 %0.01 %99.8496 L P 23 BCS INS GRP 1,215,891 %0.01 %99.8497 H 11082 SINGLE VISION SOLUTION INC 1,161,655 %0.01 %99.8598 L 64580 ILLINOIS MUT LIFE INS CO 1,087,554 %0.01 %99.8699 L 1186 LIFETIME HLTHCARE GRP 1,044,525 %0.01 %99.86
100 L 76325 SENIOR HLTH INS CO OF PA 982,384 %0.01 %99.87101 L 69477 TIME INS CO II 887,328 %0.01 %99.88102 L 123 SHELTER INS GRP 858,486 %0.01 %99.88103 L 574 AMERCO CORP GRP 846,954 %0.01 %99.89104 L 4736 GGC GRP 811,091 %- %99.89105 L 4824 ADVANTAGE CAPITAL GRP 771,762 %- %99.90106 L 4862 ASSURITY GRP 734,225 %- %99.90107 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 696,499 %- %99.90108 L 458 PROTECTIVE LIFE INS GRP 690,482 %- %99.91109 L 60216 AMALGAMATED LIFE INS CO 677,010 %- %99.91110 P 111 LIBERTY MUT GRP 651,986 %- %99.92111 F 57320 WOODMEN WORLD LIFE INS SOC 634,446 %- %99.92112 L P 968 AXA INS GRP 621,562 %- %99.92113 L 4932 BRIGHTHOUSE HOLDINGS GRP 596,126 %- %99.93114 P 4670 STARR GRP 575,721 %- %99.93115 P 501 ALLEGHANY GRP 574,284 %- %99.93116 L 581 BOSTON MUT GRP 572,121 %- %99.94117 P 4904 INTACT FINANCIAL GRP 565,424 %- %99.94118 P 3483 PARTNERRE GRP 554,507 %- %99.94119 L 264 HEALTHMARKETS GRP 554,273 %- %99.95120 L 4213 WILTON RE GRP 545,804 %- %99.95121 L 4734 APOLLO GLOBAL MGMT GRP 543,665 %- %99.95122 L 918 JACKSON NATL GRP 542,260 %- %99.96123 L P 84 AMERICAN FINANCIAL GRP 538,442 %- %99.96124 L 588 KANSAS CITY LIFE INS GRP 513,395 %- %99.96125 L 280 AUTO OWNERS GRP 512,541 %- %99.97
**TOTAL** 16,666,715,664 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 53
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Louisiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 3,905,902,439 %22.21 %22.212 L H 438 LOUISIANA HLTH SERV GRP 3,544,889,321 %20.16 %42.363 H 119 HUMANA GRP 2,398,897,786 %13.64 %56.004 H 1295 CENTENE CORP GRP 2,280,763,254 %12.97 %68.975 L H 671 ANTHEM INC GRP 1,114,906,476 %6.34 %75.316 H 936 INDEPENDENCE HLTH GRP INC GRP 1,100,184,370 %6.26 %81.567 L H 1 CVS GRP 965,821,866 %5.49 %87.068 H 95584 VANTAGE HLTH PLAN INC 405,350,612 %2.30 %89.369 L H 1199 WELLCARE GRP 196,263,671 %1.12 %90.48
10 H 4730 MCNA GRP 171,242,575 %0.97 %91.4511 L H 901 CIGNA HLTH GRP 161,370,482 %0.92 %92.3712 L 565 UNUM GRP 155,263,822 %0.88 %93.2513 L 370 AFLAC GRP 119,457,707 %0.68 %93.9314 L 241 METROPOLITAN GRP 92,504,840 %0.53 %94.4515 L 261 MUTUAL OF OMAHA GRP 71,800,527 %0.41 %94.8616 L 429 GUARDIAN LIFE GRP 51,577,607 %0.29 %95.1617 L P 3098 TOKIO MARINE HOLDINGS INC GRP 41,385,494 %0.24 %95.3918 L 20 LINCOLN NATL GRP 37,246,554 %0.21 %95.6019 L H 812 HIGHMARK GRP 34,801,815 %0.20 %95.8020 H 2479 DENTEGRA GRP 33,510,006 %0.19 %95.9921 L 549 SUN LIFE ASSUR CO OF CN GRP 32,708,154 %0.19 %96.1822 L 860 NORTHWESTERN MUT GRP 32,054,046 %0.18 %96.3623 L 8 ALLSTATE INS GRP 31,119,185 %0.18 %96.5424 L P 468 AEGON US HOLDING GRP 25,008,147 %0.14 %96.6825 L 367 PHYSICIANS MUT GRP 23,752,956 %0.14 %96.8126 L 943 AMERITAS MUT HOLDING GRP 23,645,594 %0.13 %96.9527 P 176 STATE FARM GRP 21,822,475 %0.12 %97.0728 L 233 CNO FINANCIAL GRP 19,060,537 %0.11 %97.1829 L 4011 GENWORTH FIN GRP 18,949,874 %0.11 %97.2930 L 304 PRUDENTIAL OF AMER GRP 17,964,239 %0.10 %97.3931 L P 91 HARTFORD FIRE & CAS GRP 17,754,021 %0.10 %97.4932 L P 19 ASSURANT INC GRP 17,326,429 %0.10 %97.5933 L 1348 MEIJI YASUDA LIFE INS GRP 17,301,236 %0.10 %97.6934 L 661 BCBS OF SC GRP 17,282,925 %0.10 %97.7935 L P 4718 TIPTREE FIN GRP 16,567,226 %0.09 %97.8836 L 332 PRINCIPAL FIN GRP 16,509,447 %0.09 %97.9737 L 4832 VOYA FINANCIAL GRP 16,397,104 %0.09 %98.0738 L 839 USHEALTH GRP INC GRP 15,106,668 %0.09 %98.1539 H 1260 MAGELLAN HLTH INC GRP 14,029,988 %0.08 %98.2340 L 520 NEW ERA LIFE GRP 13,571,345 %0.08 %98.3141 L 290 TORCHMARK CORP GRP 12,160,756 %0.07 %98.3842 L 836 WEST SOUTHERN GRP 12,141,618 %0.07 %98.4543 L 330 AMERICAN FIDELITY CORP GRP 11,612,408 %0.07 %98.5244 L 904 JOHN HANCOCK GRP 10,795,460 %0.06 %98.5845 H 4506 DENTAL ECONOMICS GRP 10,256,665 %0.06 %98.6346 L 1117 MANHATTAN LIFE GRP 10,158,380 %0.06 %98.6947 L 826 NEW YORK LIFE GRP 9,699,968 %0.06 %98.7548 H 1189 VISION SERV PLAN GRP 9,622,559 %0.05 %98.8049 L 4855 SUMITOMO LIFE INS GRP 9,603,544 %0.05 %98.8650 L P 626 CHUBB LTD GRP 8,852,281 %0.05 %98.9151 L P 12 AMERICAN INTL GRP 8,423,876 %0.05 %98.9652 L 61921 CITIZENS SECURITY LIFE INS CO 7,360,496 %0.04 %99.0053 L 71404 CONTINENTAL GEN INS CO 6,903,494 %0.04 %99.0454 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,534,405 %0.04 %99.0755 L 435 MASS MUT LIFE INS GRP 6,136,794 %0.03 %99.1156 L 306 CUNA MUT GRP 5,742,227 %0.03 %99.1457 P 158 FAIRFAX FIN GRP 5,394,657 %0.03 %99.1758 L 869 MINNESOTA MUT GRP 5,108,924 %0.03 %99.2059 L 215 KEMPER CORP GRP 4,827,586 %0.03 %99.2360 L 917 HCSC GRP 4,658,530 %0.03 %99.2561 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,466,823 %0.03 %99.2862 L P 31 BERKSHIRE HATHAWAY GRP 4,401,497 %0.03 %99.3163 L 619 ONEAMERICA FIN PARTNERS GRP 4,111,520 %0.02 %99.3364 L P 212 ZURICH INS GRP 4,082,014 %0.02 %99.35
© 2019 National Association of Insurance Commissioners 54
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Louisiana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 4863 CHINA MINSHENG GRP 4,079,251 %0.02 %99.3866 P 796 QBE INS GRP 3,934,573 %0.02 %99.4067 L 687 GUARANTEE TRUST GRP 3,158,371 %0.02 %99.4268 L 451 FIDELITY SECURITY GRP 3,087,838 %0.02 %99.4369 P 111 LIBERTY MUT GRP 3,075,089 %0.02 %99.4570 L 4928 NATIONAL GEN GRP 2,994,524 %0.02 %99.4771 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 2,988,410 %0.02 %99.4872 L P 140 NATIONWIDE CORP GRP 2,864,604 %0.02 %99.5073 L 4888 EQUITABLE FAMILY INS CO GRP 2,850,801 %0.02 %99.5274 L P 968 AXA INS GRP 2,525,708 %0.01 %99.5375 L 4 AMERIPRISE FIN GRP 2,448,878 %0.01 %99.5576 L 525 PAN AMER LIFE GRP 2,429,828 %0.01 %99.5677 P 218 CNA INS GRP 2,301,997 %0.01 %99.5778 L 2858 HOMESHIELD CAPITAL GRP 2,295,242 %0.01 %99.5979 L 3527 AMERICAN ENTERPRISE MUT GRP 2,292,889 %0.01 %99.6080 L 264 HEALTHMARKETS GRP 2,266,556 %0.01 %99.6181 L 588 KANSAS CITY LIFE INS GRP 2,243,357 %0.01 %99.6282 P 361 MUNICH RE GRP 2,178,702 %0.01 %99.6483 F 56499 ASSURED LIFE ASSN 2,164,954 %0.01 %99.6584 L 98 WR BERKLEY CORP GRP 2,044,522 %0.01 %99.6685 L 276 TRUSTMARK MUT HOLDING CO GRP 1,996,845 %0.01 %99.6786 L 581 BOSTON MUT GRP 1,967,359 %0.01 %99.6887 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,944,634 %0.01 %99.6988 L 4734 APOLLO GLOBAL MGMT GRP 1,812,858 %0.01 %99.7089 L 4925 KUVARE GRP 1,812,139 %0.01 %99.7190 L 4824 ADVANTAGE CAPITAL GRP 1,717,067 %0.01 %99.7291 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,604,521 %0.01 %99.7392 L 587 ATLANTIC AMER GRP 1,577,186 %0.01 %99.7493 L 408 AMERICAN NATL FIN GRP 1,576,922 %0.01 %99.7594 L P 23 BCS INS GRP 1,551,722 %0.01 %99.7695 L P 761 ALLIANZ INS GRP 1,533,199 %0.01 %99.7796 P 4381 HOUSTON INTL INS GRP 1,497,009 %0.01 %99.7897 F 58033 KNIGHTS OF COLUMBUS 1,447,372 %0.01 %99.7998 L 4764 RESERVOIR CAPITAL GRP 1,425,280 %0.01 %99.7999 L 11121 UNIFIED LIFE INS CO 1,417,289 %0.01 %99.80
100 H 12747 ENVISION INS CO 1,326,543 %0.01 %99.81101 F 58009 POLICE & FIREMENS INS ASSN 1,282,579 %0.01 %99.82102 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,274,115 %0.01 %99.82103 L 4862 ASSURITY GRP 1,227,577 %0.01 %99.83104 L 4213 WILTON RE GRP 1,171,800 %0.01 %99.84105 L 574 AMERCO CORP GRP 1,157,080 %0.01 %99.84106 L P 450 GENEVE HOLDINGS INC GRP 1,132,221 %0.01 %99.85107 L 4815 RESOLUTION LIFE GRP 1,099,642 %0.01 %99.86108 L 69132 STATE MUT INS CO 963,126 %0.01 %99.86109 L 4826 ECG GRP 944,470 %0.01 %99.87110 L 69477 TIME INS CO II 875,854 %- %99.87111 L 1186 LIFETIME HLTHCARE GRP 850,583 %- %99.88112 L 4853 AAA LIFE GRP 836,812 %- %99.88113 L P 181 SWISS RE GRP 785,994 %- %99.89114 P 27928 AMEX ASSUR CO 764,129 %- %99.89115 H 115 DELTA DENTAL PLAN OF IL GRP 721,143 %- %99.89116 L 4736 GGC GRP 711,069 %- %99.90117 L 42129 UNITED SECURITY ASSUR CO OF PA 705,052 %- %99.90118 L 64580 ILLINOIS MUT LIFE INS CO 650,356 %- %99.91119 H 477 RENAISSANCE HLTH SERV CORP GRP 604,216 %- %99.91120 L 123 SHELTER INS GRP 603,199 %- %99.91121 L 612 CITIZENS GRP 600,961 %- %99.92122 L 153 PEKIN INS GRP 593,527 %- %99.92123 L 3891 GLOBAL ATLANTIC GRP 540,334 %- %99.92124 F 57320 WOODMEN WORLD LIFE INS SOC 533,575 %- %99.93125 P 1120 EVEREST REINS HOLDINGS GRP 529,337 %- %99.93
**TOTAL** 17,588,127,904 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 55
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Maine
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 1,056,812,374 %26.62 %26.622 H 595 HARVARD PILGRIM HLTH CARE GRP 602,165,760 %15.17 %41.793 L H 707 UNITEDHEALTH GRP 526,902,789 %13.27 %55.064 H 15850 MARTINS POINT GENERATIONS ADVANTAGE 389,856,397 %9.82 %64.885 H 15077 MAINE COMM HLTH OPTIONS 382,615,367 %9.64 %74.526 L H 1 CVS GRP 346,846,806 %8.74 %83.257 L H 901 CIGNA HLTH GRP 111,925,527 %2.82 %86.078 L H 1199 WELLCARE GRP 102,175,523 %2.57 %88.659 H 119 HUMANA GRP 77,872,784 %1.96 %90.61
10 H 4763 NORTHEAST DELTA DENTAL GRP 66,196,485 %1.67 %92.2711 L 565 UNUM GRP 47,768,337 %1.20 %93.4812 L 241 METROPOLITAN GRP 19,979,513 %0.50 %93.9813 L 370 AFLAC GRP 19,158,932 %0.48 %94.4614 L 20 LINCOLN NATL GRP 17,279,303 %0.44 %94.9015 L 4011 GENWORTH FIN GRP 13,904,461 %0.35 %95.2516 L P 91 HARTFORD FIRE & CAS GRP 10,312,624 %0.26 %95.5117 L P 3098 TOKIO MARINE HOLDINGS INC GRP 10,168,174 %0.26 %95.7618 L 233 CNO FINANCIAL GRP 9,243,482 %0.23 %96.0019 L 468 AEGON US HOLDING GRP 8,785,258 %0.22 %96.2220 L 904 JOHN HANCOCK GRP 8,762,668 %0.22 %96.4421 L 549 SUN LIFE ASSUR CO OF CN GRP 7,266,317 %0.18 %96.6222 L 261 MUTUAL OF OMAHA GRP 6,998,145 %0.18 %96.8023 L 943 AMERITAS MUT HOLDING GRP 6,551,104 %0.17 %96.9624 L P 626 CHUBB LTD GRP 6,196,317 %0.16 %97.1225 L 332 PRINCIPAL FIN GRP 6,161,619 %0.16 %97.2826 L 1348 MEIJI YASUDA LIFE INS GRP 5,887,038 %0.15 %97.4227 H 12747 ENVISION INS CO 5,417,090 %0.14 %97.5628 L 860 NORTHWESTERN MUT GRP 4,866,085 %0.12 %97.6829 L 304 PRUDENTIAL OF AMER GRP 4,805,024 %0.12 %97.8030 H 1189 VISION SERV PLAN GRP 4,617,377 %0.12 %97.9231 L 429 GUARDIAN LIFE GRP 4,511,220 %0.11 %98.0332 L 290 TORCHMARK CORP GRP 4,143,148 %0.10 %98.1433 L 869 MINNESOTA MUT GRP 3,584,153 %0.09 %98.2334 L 661 BCBS OF SC GRP 3,395,072 %0.09 %98.3135 L 98 WR BERKLEY CORP GRP 3,279,835 %0.08 %98.4036 L 836 WEST SOUTHERN GRP 3,042,216 %0.08 %98.4737 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,969,215 %0.07 %98.5538 L 4 AMERIPRISE FIN GRP 2,640,479 %0.07 %98.6139 L P 31 BERKSHIRE HATHAWAY GRP 2,624,048 %0.07 %98.6840 L 435 MASS MUT LIFE INS GRP 2,580,631 %0.07 %98.7541 L 4855 SUMITOMO LIFE INS GRP 2,560,427 %0.06 %98.8142 P 176 STATE FARM GRP 2,535,896 %0.06 %98.8743 P 218 CNA INS GRP 2,506,295 %0.06 %98.9444 L 4928 NATIONAL GEN GRP 2,493,820 %0.06 %99.0045 L 264 HEALTHMARKETS GRP 2,409,255 %0.06 %99.0646 L P 450 GENEVE HOLDINGS INC GRP 2,254,617 %0.06 %99.1247 L 4832 VOYA FINANCIAL GRP 1,872,150 %0.05 %99.1648 L 306 CUNA MUT GRP 1,828,382 %0.05 %99.2149 L 826 NEW YORK LIFE GRP 1,690,204 %0.04 %99.2550 L 8 ALLSTATE INS GRP 1,469,253 %0.04 %99.2951 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,375,106 %0.03 %99.3252 L 761 ALLIANZ INS GRP 1,339,782 %0.03 %99.3653 H 2479 DENTEGRA GRP 1,318,711 %0.03 %99.3954 P 158 FAIRFAX FIN GRP 1,273,016 %0.03 %99.4255 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,223,162 %0.03 %99.4556 H 477 RENAISSANCE HLTH SERV CORP GRP 1,209,205 %0.03 %99.4857 L P 12 AMERICAN INTL GRP 1,191,268 %0.03 %99.5158 L 330 AMERICAN FIDELITY CORP GRP 1,184,253 %0.03 %99.5459 L P 19 ASSURANT INC GRP 1,020,356 %0.03 %99.5760 L H 812 HIGHMARK GRP 985,437 %0.02 %99.6061 L 451 FIDELITY SECURITY GRP 904,395 %0.02 %99.6262 L P 968 AXA INS GRP 840,197 %0.02 %99.6463 H 1260 MAGELLAN HLTH INC GRP 823,865 %0.02 %99.6664 L 276 TRUSTMARK MUT HOLDING CO GRP 746,262 %0.02 %99.68
© 2019 National Association of Insurance Commissioners 56
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Maine
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 581 BOSTON MUT GRP 735,814 %0.02 %99.7066 L 69477 TIME INS CO II 703,449 %0.02 %99.7167 L H 917 HCSC GRP 633,812 %0.02 %99.7368 L 367 PHYSICIANS MUT GRP 608,883 %0.02 %99.7569 L 687 GUARANTEE TRUST GRP 591,075 %0.01 %99.7670 L 4853 AAA LIFE GRP 590,730 %0.01 %99.7871 L 76325 SENIOR HLTH INS CO OF PA 554,290 %0.01 %99.7972 L 300 HORACE MANN GRP 538,545 %0.01 %99.8073 L 4862 ASSURITY GRP 531,089 %0.01 %99.8274 L 1186 LIFETIME HLTHCARE GRP 506,500 %0.01 %99.8375 L P 212 ZURICH INS GRP 419,943 %0.01 %99.8476 L 4926 HOPMEADOW HOLDINGS GRP 417,742 %0.01 %99.8577 L P 23 BCS INS GRP 404,580 %0.01 %99.8678 L 769 GREAT WEST GRP 332,208 %0.01 %99.8779 L 3527 AMERICAN ENTERPRISE MUT GRP 330,725 %0.01 %99.8880 L P 140 NATIONWIDE CORP GRP 303,947 %0.01 %99.8981 F 58033 KNIGHTS OF COLUMBUS 258,834 %0.01 %99.8982 L 60216 AMALGAMATED LIFE INS CO 245,940 %0.01 %99.9083 P 361 MUNICH RE GRP 232,547 %0.01 %99.9084 L 150 OLD REPUBLIC GRP 214,302 %0.01 %99.9185 L 408 AMERICAN NATL FIN GRP 203,348 %0.01 %99.9186 P 111 LIBERTY MUT GRP 202,552 %0.01 %99.9287 L 4734 APOLLO GLOBAL MGMT GRP 183,266 %- %99.9288 L 71404 CONTINENTAL GEN INS CO 168,587 %- %99.9389 L 1216 TIAA FAMILY GRP 160,752 %- %99.9390 L 588 KANSAS CITY LIFE INS GRP 154,234 %- %99.9491 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 152,802 %- %99.9492 P 27928 AMEX ASSUR CO 143,904 %- %99.9493 L 68772 SECURITY MUT LIFE INS CO OF NY 140,391 %- %99.9594 P 3416 AXIS CAPITAL GRP 137,865 %- %99.9595 L 64580 ILLINOIS MUT LIFE INS CO 133,507 %- %99.9596 P 501 ALLEGHANY GRP 132,596 %- %99.9697 L 634 NATIONAL LIFE GRP 127,455 %- %99.9698 L 850 PENN MUT GRP 125,006 %- %99.9699 L 1117 MANHATTAN LIFE GRP 115,165 %- %99.97
100 L 458 PROTECTIVE LIFE INS GRP 102,148 %- %99.97101 L 11121 UNIFIED LIFE INS CO 85,906 %- %99.97102 L 4815 RESOLUTION LIFE GRP 74,937 %- %99.97103 P 1120 EVEREST REINS HOLDINGS GRP 71,039 %- %99.98104 L 4712 GPM LIFE GRP 70,892 %- %99.98105 L 619 ONEAMERICA FIN PARTNERS GRP 68,702 %- %99.98106 P 313 AEGIS GRP 64,018 %- %99.98107 L 3891 GLOBAL ATLANTIC GRP 62,071 %- %99.98108 L 704 OHIO NATL LIFE GRP 58,564 %- %99.98109 L 918 JACKSON NATL GRP 56,804 %- %99.98110 L 839 USHEALTH GRP INC GRP 54,229 %- %99.99111 L 4736 GGC GRP 47,908 %- %99.99112 L 525 PAN AMER LIFE GRP 41,861 %- %99.99113 P 785 MARKEL CORP GRP 39,359 %- %99.99114 L 4888 EQUITABLE FAMILY INS CO GRP 36,349 %- %99.99115 L 587 ATLANTIC AMER GRP 32,610 %- %99.99116 L 440 REGAL REINS GRP 30,845 %- %99.99117 L 350 GENERAL ELECTRIC GRP 29,986 %- %99.99118 P 1279 ARCH INS GRP 27,570 %- %99.99119 L 781 UNION LABOR GRP 22,018 %- %99.99120 L 574 AMERCO CORP GRP 21,495 %- %99.99121 L 7 FEDERATED MUT GRP 20,635 %- %99.99122 P 796 QBE INS GRP 19,697 %- %100.00123 L 4213 WILTON RE GRP 18,737 %- %100.00124 F 58181 SUPREME COUNCIL THE ROYAL ARCANUM 15,728 %- %100.00125 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 12,685 %- %100.00
**TOTAL** 3,970,082,792 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 57
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Maryland
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 380 CAREFIRST INC GRP 5,966,039,372 %36.66 %36.662 L H 707 UNITEDHEALTH GRP 2,461,491,778 %15.12 %51.783 H 601 KAISER FOUNDATION GRP 2,442,906,199 %15.01 %66.794 L H 671 ANTHEM INC GRP 1,156,196,217 %7.10 %73.895 L H 1 CVS GRP 804,847,676 %4.95 %78.846 L H 901 CIGNA HLTH GRP 792,503,757 %4.87 %83.717 H 14227 MEDSTAR FAMILY CHOICE 541,131,358 %3.32 %87.038 H 4854 UMMS HLTH PLAN GRP 155,177,958 %0.95 %87.999 H 15700 HOPKINS HLTH ADVANTAGE INC 138,952,855 %0.85 %88.84
10 L 241 METROPOLITAN GRP 133,393,512 %0.82 %89.6611 L 565 UNUM GRP 123,625,554 %0.76 %90.4212 L 370 AFLAC GRP 115,657,552 %0.71 %91.1313 L 261 MUTUAL OF OMAHA GRP 100,137,928 %0.62 %91.7514 H 119 HUMANA GRP 89,906,824 %0.55 %92.3015 L 429 GUARDIAN LIFE GRP 81,624,211 %0.50 %92.8016 L 4011 GENWORTH FIN GRP 69,111,198 %0.42 %93.2317 L P 91 HARTFORD FIRE & CAS GRP 59,589,654 %0.37 %93.5918 L 20 LINCOLN NATL GRP 56,644,856 %0.35 %93.9419 L P 468 AEGON US HOLDING GRP 47,059,029 %0.29 %94.2320 H 2479 DENTEGRA GRP 45,666,549 %0.28 %94.5121 L 904 JOHN HANCOCK GRP 44,738,086 %0.27 %94.7822 L P 3098 TOKIO MARINE HOLDINGS INC GRP 44,623,289 %0.27 %95.0623 L 549 SUN LIFE ASSUR CO OF CN GRP 42,356,747 %0.26 %95.3224 H 1189 VISION SERV PLAN GRP 34,683,534 %0.21 %95.5325 L 860 NORTHWESTERN MUT GRP 34,083,495 %0.21 %95.7426 L 304 PRUDENTIAL OF AMER GRP 30,906,928 %0.19 %95.9327 L 4855 SUMITOMO LIFE INS GRP 30,850,633 %0.19 %96.1228 L 233 CNO FINANCIAL GRP 29,930,882 %0.18 %96.3029 L 332 PRINCIPAL FIN GRP 28,909,350 %0.18 %96.4830 L 435 MASS MUT LIFE INS GRP 27,948,077 %0.17 %96.6531 L 4832 VOYA FINANCIAL GRP 26,874,270 %0.17 %96.8232 L P 626 CHUBB LTD GRP 23,737,162 %0.15 %96.9633 L H 812 HIGHMARK GRP 23,531,121 %0.14 %97.1134 L 839 USHEALTH GRP INC GRP 22,383,792 %0.14 %97.2535 L 451 FIDELITY SECURITY GRP 21,956,619 %0.13 %97.3836 H 1230 CAPITAL BLUE CROSS GRP 21,349,847 %0.13 %97.5137 P 176 STATE FARM GRP 18,797,788 %0.12 %97.6338 L 290 TORCHMARK CORP GRP 18,235,979 %0.11 %97.7439 P 218 CNA INS GRP 18,110,877 %0.11 %97.8540 L 1348 MEIJI YASUDA LIFE INS GRP 15,458,984 %0.09 %97.9541 L H 1199 WELLCARE GRP 15,234,093 %0.09 %98.0442 H 12747 ENVISION INS CO 14,057,291 %0.09 %98.1343 L 8 ALLSTATE INS GRP 13,581,354 %0.08 %98.2144 L H 917 HCSC GRP 13,412,872 %0.08 %98.2945 L 330 AMERICAN FIDELITY CORP GRP 12,835,931 %0.08 %98.3746 L 200 UNITED SERV AUTOMOBILE ASSN GRP 11,833,166 %0.07 %98.4447 L 826 NEW YORK LIFE GRP 11,443,258 %0.07 %98.5148 L P 12 AMERICAN INTL GRP 10,358,136 %0.06 %98.5849 L 306 CUNA MUT GRP 9,754,568 %0.06 %98.6450 L P 19 ASSURANT INC GRP 9,423,952 %0.06 %98.7051 L P 181 SWISS RE GRP 8,174,097 %0.05 %98.7552 H 4842 PROVIDER PARTNERS HLTH GRP 8,009,083 %0.05 %98.8053 L 4 AMERIPRISE FIN GRP 7,947,751 %0.05 %98.8454 L 943 AMERITAS MUT HOLDING GRP 7,424,717 %0.05 %98.8955 L 264 HEALTHMARKETS GRP 7,399,917 %0.05 %98.9456 L 4932 BRIGHTHOUSE HOLDINGS GRP 7,074,567 %0.04 %98.9857 L 836 WEST SOUTHERN GRP 7,063,730 %0.04 %99.0258 L 1117 MANHATTAN LIFE GRP 6,892,885 %0.04 %99.0659 L 869 MINNESOTA MUT GRP 6,659,213 %0.04 %99.1160 L 661 BCBS OF SC GRP 6,588,441 %0.04 %99.1561 L 1211 NATIONAL GUARDIAN LIFE INS GRP 6,397,013 %0.04 %99.1962 L 276 TRUSTMARK MUT HOLDING CO GRP 5,715,319 %0.04 %99.2263 L 687 GUARANTEE TRUST GRP 5,672,563 %0.03 %99.2664 P 361 MUNICH RE GRP 5,337,306 %0.03 %99.29
© 2019 National Association of Insurance Commissioners 58
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Maryland
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 367 PHYSICIANS MUT GRP 5,104,721 %0.03 %99.3266 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 4,867,387 %0.03 %99.3567 L 781 UNION LABOR GRP 4,590,205 %0.03 %99.3868 H 1260 MAGELLAN HLTH INC GRP 4,482,421 %0.03 %99.4069 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,286,483 %0.03 %99.4370 L 761 ALLIANZ INS GRP 3,920,466 %0.02 %99.4671 L P 140 NATIONWIDE CORP GRP 3,668,240 %0.02 %99.4872 P 796 QBE INS GRP 3,635,878 %0.02 %99.5073 L 408 AMERICAN NATL FIN GRP 3,616,238 %0.02 %99.5274 L 4718 TIPTREE FIN GRP 3,223,754 %0.02 %99.5475 P 4863 CHINA MINSHENG GRP 3,072,632 %0.02 %99.5676 L P 23 BCS INS GRP 2,903,748 %0.02 %99.5877 F 58033 KNIGHTS OF COLUMBUS 2,796,509 %0.02 %99.6078 P 31 BERKSHIRE HATHAWAY GRP 2,771,084 %0.02 %99.6179 L 98 WR BERKLEY CORP GRP 2,694,781 %0.02 %99.6380 H 477 RENAISSANCE HLTH SERV CORP GRP 2,667,990 %0.02 %99.6581 L P 450 GENEVE HOLDINGS INC GRP 2,257,838 %0.01 %99.6682 L 4928 NATIONAL GEN GRP 2,116,718 %0.01 %99.6783 L 76325 SENIOR HLTH INS CO OF PA 2,030,735 %0.01 %99.6984 L 572 BCBS OF MI GRP 1,969,396 %0.01 %99.7085 L 619 ONEAMERICA FIN PARTNERS GRP 1,967,631 %0.01 %99.7186 P 158 FAIRFAX FIN GRP 1,834,937 %0.01 %99.7287 H 4744 L S S GRP 1,814,807 %0.01 %99.7388 L 587 ATLANTIC AMER GRP 1,788,249 %0.01 %99.7489 L 4862 ASSURITY GRP 1,766,905 %0.01 %99.7590 L 4712 GPM LIFE GRP 1,725,581 %0.01 %99.7691 L P 968 AXA INS GRP 1,660,630 %0.01 %99.7792 L 61921 CITIZENS SECURITY LIFE INS CO 1,596,221 %0.01 %99.7893 L 4853 AAA LIFE GRP 1,548,118 %0.01 %99.7994 L 581 BOSTON MUT GRP 1,348,396 %0.01 %99.8095 L 71404 CONTINENTAL GEN INS CO 1,291,208 %0.01 %99.8196 L 962 PREMERA BLUE CROSS GRP 1,234,371 %0.01 %99.8297 P 27928 AMEX ASSUR CO 1,223,343 %0.01 %99.8398 P 785 MARKEL CORP GRP 1,211,655 %0.01 %99.8399 L 69477 TIME INS CO II 1,206,564 %0.01 %99.84
100 L 4815 RESOLUTION LIFE GRP 1,162,945 %0.01 %99.85101 L 525 PAN AMER LIFE GRP 1,106,646 %0.01 %99.85102 L P 212 ZURICH INS GRP 1,102,296 %0.01 %99.86103 L 64580 ILLINOIS MUT LIFE INS CO 1,034,685 %0.01 %99.87104 L 704 OHIO NATL LIFE GRP 979,308 %0.01 %99.87105 L 458 PROTECTIVE LIFE INS GRP 937,359 %0.01 %99.88106 P 111 LIBERTY MUT GRP 918,986 %0.01 %99.88107 L 769 GREAT WEST GRP 917,094 %0.01 %99.89108 L 4827 SOUTHLAND NATL HOLDING GRP 909,094 %0.01 %99.90109 L 4926 HOPMEADOW HOLDINGS GRP 896,888 %0.01 %99.90110 L 4888 EQUITABLE FAMILY INS CO GRP 872,385 %0.01 %99.91111 L 1186 LIFETIME HLTHCARE GRP 860,369 %0.01 %99.91112 L 3527 AMERICAN ENTERPRISE MUT GRP 779,821 %- %99.92113 L 918 JACKSON NATL GRP 745,541 %- %99.92114 P 3416 AXIS CAPITAL GRP 745,421 %- %99.93115 L 3891 GLOBAL ATLANTIC GRP 715,143 %- %99.93116 L 574 AMERCO CORP GRP 698,700 %- %99.93117 L 69132 STATE MUT INS CO 671,532 %- %99.94118 F 4616 EVERENCE GRP 653,200 %- %99.94119 L 4734 APOLLO GLOBAL MGMT GRP 580,289 %- %99.95120 P 4381 HOUSTON INTL INS GRP 537,813 %- %99.95121 L 1216 TIAA FAMILY GRP 526,577 %- %99.95122 L 520 NEW ERA LIFE GRP 519,051 %- %99.96123 L 4826 ECG GRP 474,495 %- %99.96124 L 215 KEMPER CORP GRP 401,285 %- %99.96125 L 449 FINANCIAL HOLDINGS GRP 375,424 %- %99.96
**TOTAL** 16,275,325,268 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 59
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Massachusetts
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 3637 BCBS OF MA GRP 8,094,697,749 %32.56 %32.562 H 4742 TUFTS GRP 4,937,914,957 %19.87 %52.433 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 1,945,659,482 %7.83 %60.264 L H 707 UNITEDHEALTH GRP 1,702,099,139 %6.85 %67.105 H 595 HARVARD PILGRIM HLTH CARE GRP 1,694,261,661 %6.82 %73.926 H 4741 FALLON GRP 1,538,603,640 %6.19 %80.117 H 4934 PARTNERS HEALTHCARE SYSTEM GRP 1,045,908,240 %4.21 %84.328 H 4756 BAYSTATE HLTH GRP 769,607,132 %3.10 %87.419 L H 1 CVS GRP 428,547,077 %1.72 %89.14
10 L H 901 CIGNA HLTH GRP 341,050,288 %1.37 %90.5111 H 4512 DENTAQUEST GRP 259,496,532 %1.04 %91.5512 L 565 UNUM GRP 250,126,238 %1.01 %92.5613 L P 241 METROPOLITAN GRP 229,539,919 %0.92 %93.4814 L 429 GUARDIAN LIFE GRP 110,057,987 %0.44 %93.9315 L 20 LINCOLN NATL GRP 93,689,706 %0.38 %94.3016 H 119 HUMANA GRP 85,799,153 %0.35 %94.6517 L 549 SUN LIFE ASSUR CO OF CN GRP 78,010,401 %0.31 %94.9618 L 4011 GENWORTH FIN GRP 72,359,628 %0.29 %95.2519 L 370 AFLAC GRP 67,929,010 %0.27 %95.5320 H 1571 DELTA DENTAL OF RI GRP 66,710,722 %0.27 %95.8021 L P 3098 TOKIO MARINE HOLDINGS INC GRP 61,875,809 %0.25 %96.0422 L 904 JOHN HANCOCK GRP 59,796,073 %0.24 %96.2923 L P 626 CHUBB LTD GRP 49,210,564 %0.20 %96.4824 L 860 NORTHWESTERN MUT GRP 47,955,968 %0.19 %96.6825 L P 91 HARTFORD FIRE & CAS GRP 45,382,295 %0.18 %96.8626 L 304 PRUDENTIAL OF AMER GRP 44,327,878 %0.18 %97.0427 H 1189 VISION SERV PLAN GRP 40,094,511 %0.16 %97.2028 L 332 PRINCIPAL FIN GRP 38,406,953 %0.15 %97.3529 L 261 MUTUAL OF OMAHA GRP 35,468,660 %0.14 %97.5030 L 1348 MEIJI YASUDA LIFE INS GRP 35,193,532 %0.14 %97.6431 L H 1199 WELLCARE GRP 35,187,663 %0.14 %97.7832 L 435 MASS MUT LIFE INS GRP 33,157,578 %0.13 %97.9133 H 1295 CENTENE CORP GRP 29,607,091 %0.12 %98.0334 L 468 AEGON US HOLDING GRP 25,753,264 %0.10 %98.1335 L 4832 VOYA FINANCIAL GRP 24,609,990 %0.10 %98.2336 L 451 FIDELITY SECURITY GRP 24,116,670 %0.10 %98.3337 L 4855 SUMITOMO LIFE INS GRP 23,119,947 %0.09 %98.4238 L 276 TRUSTMARK MUT HOLDING CO GRP 18,791,206 %0.08 %98.5039 L 4 AMERIPRISE FIN GRP 17,302,768 %0.07 %98.5740 L 671 ANTHEM INC GRP 16,498,798 %0.07 %98.6441 L P 12 AMERICAN INTL GRP 15,897,227 %0.06 %98.7042 H 12747 ENVISION INS CO 15,891,452 %0.06 %98.7643 L 876 ARKANSAS BCBS GRP 15,890,980 %0.06 %98.8344 L 330 AMERICAN FIDELITY CORP GRP 15,883,453 %0.06 %98.8945 L 943 AMERITAS MUT HOLDING GRP 15,811,975 %0.06 %98.9546 L H 812 HIGHMARK GRP 15,707,495 %0.06 %99.0247 L 233 CNO FINANCIAL GRP 13,899,372 %0.06 %99.0748 L 826 NEW YORK LIFE GRP 12,616,212 %0.05 %99.1249 L P 19 ASSURANT INC GRP 10,887,641 %0.04 %99.1750 L 836 WEST SOUTHERN GRP 10,818,650 %0.04 %99.2151 L 98 WR BERKLEY CORP GRP 10,566,124 %0.04 %99.2552 P 218 CNA INS GRP 10,225,926 %0.04 %99.3053 L 4932 BRIGHTHOUSE HOLDINGS GRP 9,410,529 %0.04 %99.3354 L 264 HEALTHMARKETS GRP 8,221,411 %0.03 %99.3755 L 8 ALLSTATE INS GRP 8,202,497 %0.03 %99.4056 P 361 MUNICH RE GRP 8,012,526 %0.03 %99.4357 L 581 BOSTON MUT GRP 7,493,454 %0.03 %99.4658 L 1211 NATIONAL GUARDIAN LIFE INS GRP 7,476,086 %0.03 %99.4959 L P 968 AXA INS GRP 7,375,223 %0.03 %99.5260 L 661 BCBS OF SC GRP 7,157,686 %0.03 %99.5561 L P 23 BCS INS GRP 7,010,744 %0.03 %99.5862 L P 140 NATIONWIDE CORP GRP 6,642,180 %0.03 %99.6163 P 158 FAIRFAX FIN GRP 6,181,486 %0.02 %99.6364 L 290 TORCHMARK CORP GRP 5,969,499 %0.02 %99.65
© 2019 National Association of Insurance Commissioners 60
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Massachusetts
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 869 MINNESOTA MUT GRP 5,781,885 %0.02 %99.6866 P 796 QBE INS GRP 5,694,798 %0.02 %99.7067 L P 212 ZURICH INS GRP 5,230,122 %0.02 %99.7268 L 306 CUNA MUT GRP 5,042,069 %0.02 %99.7469 L P 761 ALLIANZ INS GRP 4,497,027 %0.02 %99.7670 P 111 LIBERTY MUT GRP 3,836,949 %0.02 %99.7871 H 2479 DENTEGRA GRP 3,694,379 %0.01 %99.7972 H 1127 EMBLEM HLTH GRP 3,213,167 %0.01 %99.8073 P 4863 CHINA MINSHENG GRP 2,907,355 %0.01 %99.8174 L 4928 NATIONAL GEN GRP 2,543,888 %0.01 %99.8275 L 4862 ASSURITY GRP 2,053,969 %0.01 %99.8376 L 367 PHYSICIANS MUT GRP 1,931,209 %0.01 %99.8477 L P 450 GENEVE HOLDINGS INC GRP 1,719,565 %0.01 %99.8578 P 27928 AMEX ASSUR CO 1,717,447 %0.01 %99.8579 L 68772 SECURITY MUT LIFE INS CO OF NY 1,632,219 %0.01 %99.8680 L 1186 LIFETIME HLTHCARE GRP 1,620,308 %0.01 %99.8781 L 769 GREAT WEST GRP 1,590,371 %0.01 %99.8782 L H 917 HCSC GRP 1,579,337 %0.01 %99.8883 F 58033 KNIGHTS OF COLUMBUS 1,571,756 %0.01 %99.8984 P 4381 HOUSTON INTL INS GRP 1,452,173 %0.01 %99.8985 L 69477 TIME INS CO II 1,416,594 %0.01 %99.9086 L 4926 HOPMEADOW HOLDINGS GRP 1,382,343 %0.01 %99.9087 L 1216 TIAA FAMILY GRP 1,226,561 %- %99.9188 L P 181 SWISS RE GRP 1,188,362 %- %99.9189 L 64580 ILLINOIS MUT LIFE INS CO 1,091,703 %- %99.9290 P 3416 AXIS CAPITAL GRP 1,084,565 %- %99.9291 L 4815 RESOLUTION LIFE GRP 1,070,733 %- %99.9392 L 781 UNION LABOR GRP 1,057,295 %- %99.9393 H 477 RENAISSANCE HLTH SERV CORP GRP 1,019,784 %- %99.9494 P 3483 PARTNERRE GRP 1,005,043 %- %99.9495 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 883,768 %- %99.9496 L 704 OHIO NATL LIFE GRP 821,893 %- %99.9597 L 71404 CONTINENTAL GEN INS CO 781,700 %- %99.9598 L 60216 AMALGAMATED LIFE INS CO 774,560 %- %99.9599 P 1279 ARCH INS GRP 689,042 %- %99.96
100 L 408 AMERICAN NATL FIN GRP 622,709 %- %99.96101 L 525 PAN AMER LIFE GRP 619,356 %- %99.96102 L 76325 SENIOR HLTH INS CO OF PA 617,338 %- %99.96103 L 200 UNITED SERV AUTOMOBILE ASSN GRP 610,479 %- %99.96104 L 458 PROTECTIVE LIFE INS GRP 575,021 %- %99.97105 L 3527 AMERICAN ENTERPRISE MUT GRP 521,939 %- %99.97106 L 4734 APOLLO GLOBAL MGMT GRP 518,389 %- %99.97107 L 687 GUARANTEE TRUST GRP 460,012 %- %99.97108 L 918 JACKSON NATL GRP 419,925 %- %99.97109 P 31 BERKSHIRE HATHAWAY GRP 406,107 %- %99.98110 L 1117 MANHATTAN LIFE GRP 396,077 %- %99.98111 L 619 ONEAMERICA FIN PARTNERS GRP 394,468 %- %99.98112 L 574 AMERCO CORP GRP 378,290 %- %99.98113 P 4904 INTACT FINANCIAL GRP 364,593 %- %99.98114 P 785 MARKEL CORP GRP 355,308 %- %99.98115 L 440 REGAL REINS GRP 342,703 %- %99.99116 L 7 FEDERATED MUT GRP 335,439 %- %99.99117 L 634 NATIONAL LIFE GRP 334,975 %- %99.99118 L 11121 UNIFIED LIFE INS CO 294,170 %- %99.99119 L 3891 GLOBAL ATLANTIC GRP 270,329 %- %99.99120 L 4736 GGC GRP 220,576 %- %99.99121 L 587 ATLANTIC AMER GRP 168,888 %- %99.99122 L 4853 AAA LIFE GRP 165,856 %- %99.99123 H 4696 VISION BENEFITS GRP 137,194 %- %99.99124 L 350 GENERAL ELECTRIC GRP 129,371 %- %99.99125 L 588 KANSAS CITY LIFE INS GRP 125,932 %- %99.99
**TOTAL** 24,857,161,146 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 61
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Michigan
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 572 BCBS OF MI GRP 14,170,056,321 %43.40 %43.402 H 3383 SPECTRUM HLTH GRP 3,829,537,938 %11.73 %55.133 L H 707 UNITEDHEALTH GRP 1,985,563,181 %6.08 %61.224 L H 1199 WELLCARE GRP 1,970,115,181 %6.03 %67.255 H 1311 HENRY FORD HLTH SYSTEM GRP 1,882,366,757 %5.77 %73.026 H 1531 MOLINA HEALTHCARE INC GRP 1,791,677,928 %5.49 %78.507 H 119 HUMANA GRP 956,263,846 %2.93 %81.438 L H 1 CVS GRP 852,815,063 %2.61 %84.059 H 4700 MCLAREN HLTH GRP 845,316,154 %2.59 %86.63
10 H 477 RENAISSANCE HLTH SERV CORP GRP 704,128,905 %2.16 %88.7911 H 1238 TOTAL HLTH GRP 374,852,096 %1.15 %89.9412 L H 901 CIGNA HLTH GRP 274,397,040 %0.84 %90.7813 L H 4734 APOLLO GLOBAL MGMT GRP 252,121,894 %0.77 %91.5514 H 3408 PHYSICIANS HLTH PLAN OF MID MI GRP 227,694,121 %0.70 %92.2515 L 565 UNUM GRP 189,341,395 %0.58 %92.8316 L 241 METROPOLITAN GRP 171,073,357 %0.52 %93.3517 L 370 AFLAC GRP 165,054,893 %0.51 %93.8618 L 261 MUTUAL OF OMAHA GRP 133,301,385 %0.41 %94.2719 L H 429 GUARDIAN LIFE GRP 110,244,451 %0.34 %94.6120 L 20 LINCOLN NATL GRP 80,063,830 %0.25 %94.8521 H 936 INDEPENDENCE HLTH GRP INC GRP 75,596,056 %0.23 %95.0822 H 1189 VISION SERV PLAN GRP 67,677,641 %0.21 %95.2923 L 661 BCBS OF SC GRP 66,893,619 %0.20 %95.4924 H 1295 CENTENE CORP GRP 63,750,612 %0.20 %95.6925 L P 3098 TOKIO MARINE HOLDINGS INC GRP 57,326,103 %0.18 %95.8726 L H 549 SUN LIFE ASSUR CO OF CN GRP 55,591,520 %0.17 %96.0427 L 4011 GENWORTH FIN GRP 54,767,714 %0.17 %96.2028 L 860 NORTHWESTERN MUT GRP 53,384,229 %0.16 %96.3729 L 332 PRINCIPAL FIN GRP 52,147,934 %0.16 %96.5330 P 10642 CHEROKEE INS CO 51,311,608 %0.16 %96.6831 L P 91 HARTFORD FIRE & CAS GRP 49,247,233 %0.15 %96.8332 L 233 CNO FINANCIAL GRP 43,281,070 %0.13 %96.9733 L 904 JOHN HANCOCK GRP 42,227,483 %0.13 %97.1034 L 4855 SUMITOMO LIFE INS GRP 39,808,803 %0.12 %97.2235 L 304 PRUDENTIAL OF AMER GRP 37,838,666 %0.12 %97.3336 L P 468 AEGON US HOLDING GRP 34,947,046 %0.11 %97.4437 L 4862 ASSURITY GRP 32,430,816 %0.10 %97.5438 L 451 FIDELITY SECURITY GRP 29,508,862 %0.09 %97.6339 H 1212 VANGUARD HLTH VENTURES GRP 29,245,970 %0.09 %97.7240 H 4893 TRUSTED HLTH PLANS GRP 26,985,590 %0.08 %97.8041 L 290 TORCHMARK CORP GRP 26,488,620 %0.08 %97.8842 H 12747 ENVISION INS CO 25,637,650 %0.08 %97.9643 L P 626 CHUBB LTD GRP 25,231,261 %0.08 %98.0444 P 176 STATE FARM GRP 24,303,569 %0.07 %98.1145 L 1348 MEIJI YASUDA LIFE INS GRP 24,061,583 %0.07 %98.1946 L H 812 HIGHMARK GRP 23,267,819 %0.07 %98.2647 L P 23 BCS INS GRP 22,000,940 %0.07 %98.3348 H 97772 US HLTH & LIFE INS CO INC 18,252,906 %0.06 %98.3849 L 943 AMERITAS MUT HOLDING GRP 17,550,594 %0.05 %98.4450 L 8 ALLSTATE INS GRP 17,312,484 %0.05 %98.4951 P 218 CNA INS GRP 16,937,025 %0.05 %98.5452 L 4832 VOYA FINANCIAL GRP 16,672,731 %0.05 %98.5953 L 3527 AMERICAN ENTERPRISE MUT GRP 15,235,579 %0.05 %98.6454 P 4863 CHINA MINSHENG GRP 14,883,397 %0.05 %98.6955 L 4 AMERIPRISE FIN GRP 14,676,237 %0.04 %98.7356 L 435 MASS MUT LIFE INS GRP 14,367,320 %0.04 %98.7757 L H 917 HCSC GRP 14,063,659 %0.04 %98.8258 L 869 MINNESOTA MUT GRP 13,593,953 %0.04 %98.8659 L 306 CUNA MUT GRP 12,688,745 %0.04 %98.9060 L 1211 NATIONAL GUARDIAN LIFE INS GRP 11,766,888 %0.04 %98.9361 L 525 PAN AMER LIFE GRP 11,684,680 %0.04 %98.9762 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 11,618,279 %0.04 %99.0163 H 66753 LIBERTY UNION LIFE ASSUR CO 11,460,504 %0.04 %99.0464 L 1117 MANHATTAN LIFE GRP 10,877,561 %0.03 %99.07
© 2019 National Association of Insurance Commissioners 62
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Michigan
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 12 AMERICAN INTL GRP 10,788,509 %0.03 %99.1166 L 587 ATLANTIC AMER GRP 10,526,862 %0.03 %99.1467 L 81264 NIPPON LIFE INS CO OF AMER 10,254,992 %0.03 %99.1768 L P 140 NATIONWIDE CORP GRP 8,971,896 %0.03 %99.2069 L P 450 GENEVE HOLDINGS INC GRP 8,888,203 %0.03 %99.2270 L 264 HEALTHMARKETS GRP 8,497,543 %0.03 %99.2571 L 588 KANSAS CITY LIFE INS GRP 8,337,106 %0.03 %99.2872 L 330 AMERICAN FIDELITY CORP GRP 8,284,415 %0.03 %99.3073 L 687 GUARANTEE TRUST GRP 7,853,977 %0.02 %99.3374 L P 31 BERKSHIRE HATHAWAY GRP 7,811,632 %0.02 %99.3575 L 839 USHEALTH GRP INC GRP 7,473,331 %0.02 %99.3776 L 826 NEW YORK LIFE GRP 7,425,041 %0.02 %99.4077 L 836 WEST SOUTHERN GRP 7,404,973 %0.02 %99.4278 H 2479 DENTEGRA GRP 7,355,249 %0.02 %99.4479 H 461 BCBS OF MN GRP 7,192,633 %0.02 %99.4680 P 796 QBE INS GRP 7,074,982 %0.02 %99.4881 L P 4928 NATIONAL GEN GRP 7,013,678 %0.02 %99.5182 L 276 TRUSTMARK MUT HOLDING CO GRP 6,771,449 %0.02 %99.5383 L P 19 ASSURANT INC GRP 6,769,309 %0.02 %99.5584 L 98 WR BERKLEY CORP GRP 6,329,556 %0.02 %99.5785 L P 181 SWISS RE GRP 5,177,072 %0.02 %99.5886 H 11204 HERITAGE VISION PLANS INC 4,674,435 %0.01 %99.6087 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,574,371 %0.01 %99.6188 L P 968 AXA INS GRP 4,502,285 %0.01 %99.6289 L 408 AMERICAN NATL FIN GRP 4,403,964 %0.01 %99.6490 H 11082 SINGLE VISION SOLUTION INC 4,397,753 %0.01 %99.6591 L 280 AUTO OWNERS GRP 4,378,460 %0.01 %99.6792 L 781 UNION LABOR GRP 4,245,724 %0.01 %99.6893 H 11107 MIDWESTERN DENTAL PLANS INC 4,215,076 %0.01 %99.6994 L 367 PHYSICIANS MUT GRP 4,095,503 %0.01 %99.7095 L 11121 UNIFIED LIFE INS CO 4,094,809 %0.01 %99.7296 L 4888 EQUITABLE FAMILY INS CO GRP 3,798,222 %0.01 %99.7397 L 761 ALLIANZ INS GRP 3,516,107 %0.01 %99.7498 H 1260 MAGELLAN HLTH INC GRP 3,506,731 %0.01 %99.7599 H 11113 GOLDEN DENTAL PLANS INC 3,487,973 %0.01 %99.76
100 P 158 FAIRFAX FIN GRP 3,456,515 %0.01 %99.77101 L 520 NEW ERA LIFE GRP 3,440,957 %0.01 %99.78102 L 4712 GPM LIFE GRP 3,323,407 %0.01 %99.79103 L 671 ANTHEM INC GRP 3,201,972 %0.01 %99.80104 L 71404 CONTINENTAL GEN INS CO 3,168,884 %0.01 %99.81105 P 361 MUNICH RE GRP 3,069,644 %0.01 %99.82106 L 4853 AAA LIFE GRP 2,997,036 %0.01 %99.83107 L 64580 ILLINOIS MUT LIFE INS CO 2,932,213 %0.01 %99.84108 L 619 ONEAMERICA FIN PARTNERS GRP 2,821,902 %0.01 %99.85109 L P 212 ZURICH INS GRP 2,801,806 %0.01 %99.86110 H 4719 AMFIRST HOLDINGS GRP 2,447,335 %0.01 %99.86111 L 69477 TIME INS CO II 2,296,405 %0.01 %99.87112 H 52025 DENCAP DENTAL PLANS INC 2,087,745 %0.01 %99.88113 P 3416 AXIS CAPITAL GRP 1,758,561 %0.01 %99.88114 L 76325 SENIOR HLTH INS CO OF PA 1,716,655 %0.01 %99.89115 F 58033 KNIGHTS OF COLUMBUS 1,696,462 %0.01 %99.89116 L 704 OHIO NATL LIFE GRP 1,619,604 %- %99.90117 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,555,751 %- %99.90118 L 769 GREAT WEST GRP 1,511,141 %- %99.91119 L 1186 LIFETIME HLTHCARE GRP 1,491,848 %- %99.91120 F 56693 GCU 1,391,168 %- %99.92121 L 153 PEKIN INS GRP 1,358,681 %- %99.92122 L 574 AMERCO CORP GRP 1,350,555 %- %99.92123 L 581 BOSTON MUT GRP 1,325,125 %- %99.93124 L 4815 RESOLUTION LIFE GRP 1,319,971 %- %99.93125 L 3891 GLOBAL ATLANTIC GRP 1,282,965 %- %99.94
**TOTAL** 32,647,045,306 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 63
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Minnesota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 461 BCBS OF MN GRP 6,388,797,809 %33.36 %33.362 H 1258 HEALTHPARTNERS GRP 3,540,071,280 %18.49 %51.853 H 4380 UCARE GRP 3,433,982,705 %17.93 %69.784 H 1552 MEDICA GRP 2,604,607,090 %13.60 %83.385 H 119 HUMANA GRP 475,299,521 %2.48 %85.866 L H 707 UNITEDHEALTH GRP 276,839,754 %1.45 %87.317 H 52627 HENNEPIN HLTH 236,030,540 %1.23 %88.548 H 3492 PREFERREDONE GRP 234,889,362 %1.23 %89.769 L H 1 CVS GRP 201,438,886 %1.05 %90.82
10 H 55034 DELTA DENTAL OF MN 163,314,106 %0.85 %91.6711 L H 901 CIGNA HLTH GRP 127,233,822 %0.66 %92.3312 L 565 UNUM GRP 126,950,734 %0.66 %93.0013 L 241 METROPOLITAN GRP 91,751,562 %0.48 %93.4814 L 370 AFLAC GRP 70,437,701 %0.37 %93.8415 L 4011 GENWORTH FIN GRP 63,958,450 %0.33 %94.1816 L 860 NORTHWESTERN MUT GRP 63,700,401 %0.33 %94.5117 L P 91 HARTFORD FIRE & CAS GRP 61,455,900 %0.32 %94.8318 L 1348 MEIJI YASUDA LIFE INS GRP 58,604,492 %0.31 %95.1419 L 20 LINCOLN NATL GRP 57,122,488 %0.30 %95.4420 L H 917 HCSC GRP 50,877,999 %0.27 %95.7021 L P 3098 TOKIO MARINE HOLDINGS INC GRP 45,816,926 %0.24 %95.9422 H 1189 VISION SERV PLAN GRP 45,170,590 %0.24 %96.1823 L 332 PRINCIPAL FIN GRP 43,875,173 %0.23 %96.4124 L P 468 AEGON US HOLDING GRP 39,297,870 %0.21 %96.6125 L 261 MUTUAL OF OMAHA GRP 39,218,030 %0.20 %96.8226 L P 626 CHUBB LTD GRP 38,577,731 %0.20 %97.0227 L 304 PRUDENTIAL OF AMER GRP 34,238,420 %0.18 %97.2028 L F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 32,877,262 %0.17 %97.3729 L 904 JOHN HANCOCK GRP 31,827,223 %0.17 %97.5330 L 429 GUARDIAN LIFE GRP 30,259,469 %0.16 %97.6931 L 4832 VOYA FINANCIAL GRP 26,615,962 %0.14 %97.8332 L 233 CNO FINANCIAL GRP 24,461,658 %0.13 %97.9633 P 176 STATE FARM GRP 22,312,766 %0.12 %98.0734 P 218 CNA INS GRP 21,672,834 %0.11 %98.1935 L 451 FIDELITY SECURITY GRP 21,566,110 %0.11 %98.3036 L 549 SUN LIFE ASSUR CO OF CN GRP 19,431,333 %0.10 %98.4037 L P 19 ASSURANT INC GRP 18,470,985 %0.10 %98.5038 L 290 TORCHMARK CORP GRP 16,867,388 %0.09 %98.5939 L P 450 GENEVE HOLDINGS INC GRP 15,746,432 %0.08 %98.6740 L 4 AMERIPRISE FIN GRP 14,671,299 %0.08 %98.7541 L 943 AMERITAS MUT HOLDING GRP 12,602,068 %0.07 %98.8142 L 687 GUARANTEE TRUST GRP 12,193,893 %0.06 %98.8743 L 525 PAN AMER LIFE GRP 10,675,934 %0.06 %98.9344 L 869 MINNESOTA MUT GRP 9,646,483 %0.05 %98.9845 L 435 MASS MUT LIFE INS GRP 9,346,174 %0.05 %99.0346 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 8,852,435 %0.05 %99.0847 L 8 ALLSTATE INS GRP 8,681,197 %0.05 %99.1248 L 761 ALLIANZ INS GRP 7,714,351 %0.04 %99.1649 L 71404 CONTINENTAL GEN INS CO 7,233,227 %0.04 %99.2050 L H 1199 WELLCARE GRP 6,918,804 %0.04 %99.2451 L 661 BCBS OF SC GRP 6,747,209 %0.04 %99.2752 L 306 CUNA MUT GRP 6,580,942 %0.03 %99.3053 H 477 RENAISSANCE HLTH SERV CORP GRP 5,316,244 %0.03 %99.3354 L 826 NEW YORK LIFE GRP 5,252,351 %0.03 %99.3655 L 4855 SUMITOMO LIFE INS GRP 5,227,432 %0.03 %99.3956 L 69132 STATE MUT INS CO 5,119,947 %0.03 %99.4157 P 796 QBE INS GRP 4,934,467 %0.03 %99.4458 L 330 AMERICAN FIDELITY CORP GRP 4,764,104 %0.02 %99.4659 L P 98 WR BERKLEY CORP GRP 4,282,380 %0.02 %99.4960 L 64580 ILLINOIS MUT LIFE INS CO 4,253,967 %0.02 %99.5161 L 1186 LIFETIME HLTHCARE GRP 3,857,571 %0.02 %99.5362 L P 12 AMERICAN INTL GRP 3,855,094 %0.02 %99.5563 H 1246 SANFORD HLTH GRP 3,829,826 %0.02 %99.5764 L 836 WEST SOUTHERN GRP 3,706,182 %0.02 %99.59
© 2019 National Association of Insurance Commissioners 64
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Minnesota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4932 BRIGHTHOUSE HOLDINGS GRP 3,489,017 %0.02 %99.6166 P 361 MUNICH RE GRP 3,322,448 %0.02 %99.6267 L H 812 HIGHMARK GRP 3,214,364 %0.02 %99.6468 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,198,422 %0.02 %99.6669 L 572 BCBS OF MI GRP 2,700,230 %0.01 %99.6770 L P 140 NATIONWIDE CORP GRP 2,573,849 %0.01 %99.6971 P 31 BERKSHIRE HATHAWAY GRP 2,553,648 %0.01 %99.7072 L 367 PHYSICIANS MUT GRP 2,550,542 %0.01 %99.7173 F 58033 KNIGHTS OF COLUMBUS 2,506,694 %0.01 %99.7374 L 2858 HOMESHIELD CAPITAL GRP 2,467,720 %0.01 %99.7475 L 4824 ADVANTAGE CAPITAL GRP 2,454,396 %0.01 %99.7576 L P 212 ZURICH INS GRP 2,433,269 %0.01 %99.7677 L 4862 ASSURITY GRP 2,330,825 %0.01 %99.7878 L P 84 AMERICAN FINANCIAL GRP 2,320,659 %0.01 %99.7979 H 2479 DENTEGRA GRP 2,303,523 %0.01 %99.8080 L 3527 AMERICAN ENTERPRISE MUT GRP 1,909,024 %0.01 %99.8181 L P 23 BCS INS GRP 1,795,228 %0.01 %99.8282 L 276 TRUSTMARK MUT HOLDING CO GRP 1,726,032 %0.01 %99.8383 P 473 AMERICAN FAMILY INS GRP 1,653,333 %0.01 %99.8484 L 280 AUTO OWNERS GRP 1,572,948 %0.01 %99.8585 L 876 ARKANSAS BCBS GRP 1,441,640 %0.01 %99.8586 P 501 ALLEGHANY GRP 1,321,876 %0.01 %99.8687 P 4863 CHINA MINSHENG GRP 1,169,592 %0.01 %99.8788 H 12747 ENVISION INS CO 1,120,969 %0.01 %99.8789 P 158 FAIRFAX FIN GRP 1,016,442 %0.01 %99.8890 L 76325 SENIOR HLTH INS CO OF PA 998,617 %0.01 %99.8891 L 50 COUNTRY INS & FIN SERV GRP 997,029 %0.01 %99.8992 H 1260 MAGELLAN HLTH INC GRP 928,731 %- %99.8993 L P 968 AXA INS GRP 927,045 %- %99.9094 L 769 GREAT WEST GRP 919,186 %- %99.9095 L 513 IOWA FARM BUREAU GRP 878,877 %- %99.9196 L P 181 SWISS RE GRP 795,113 %- %99.9197 P 111 LIBERTY MUT GRP 748,124 %- %99.9198 L 588 KANSAS CITY LIFE INS GRP 728,417 %- %99.9299 L 781 UNION LABOR GRP 713,514 %- %99.92
100 L 69477 TIME INS CO II 701,708 %- %99.93101 L 42129 UNITED SECURITY ASSUR CO OF PA 700,524 %- %99.93102 P 3416 AXIS CAPITAL GRP 687,888 %- %99.93103 L 4815 RESOLUTION LIFE GRP 681,556 %- %99.94104 L 619 ONEAMERICA FIN PARTNERS GRP 641,539 %- %99.94105 L 704 OHIO NATL LIFE GRP 572,950 %- %99.94106 L 918 JACKSON NATL GRP 505,065 %- %99.95107 L 4639 RGA INC GRP 473,579 %- %99.95108 L 4928 NATIONAL GEN GRP 457,482 %- %99.95109 L 1117 MANHATTAN LIFE GRP 444,263 %- %99.95110 L 4926 HOPMEADOW HOLDINGS GRP 443,288 %- %99.96111 P 27928 AMEX ASSUR CO 408,200 %- %99.96112 L 3891 GLOBAL ATLANTIC GRP 392,033 %- %99.96113 P 1279 ARCH INS GRP 391,559 %- %99.96114 L 200 UNITED SERV AUTOMOBILE ASSN GRP 373,509 %- %99.96115 L P 169 SENTRY INS GRP 357,494 %- %99.97116 L 634 NATIONAL LIFE GRP 356,939 %- %99.97117 L 458 PROTECTIVE LIFE INS GRP 353,825 %- %99.97118 P 785 MARKEL CORP GRP 339,704 %- %99.97119 L 11121 UNIFIED LIFE INS CO 324,870 %- %99.97120 L 4853 AAA LIFE GRP 317,606 %- %99.97121 L 520 NEW ERA LIFE GRP 295,905 %- %99.98122 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 286,036 %- %99.98123 P 1120 EVEREST REINS HOLDINGS GRP 248,698 %- %99.98124 L 4888 EQUITABLE FAMILY INS CO GRP 240,507 %- %99.98125 L 440 REGAL REINS GRP 230,996 %- %99.98
**TOTAL** 19,150,639,852 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 65
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Mississippi
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 1295 CENTENE CORP GRP 1,780,065,616 %24.19 %24.192 L H 707 UNITEDHEALTH GRP 1,577,849,934 %21.44 %45.633 L H 1126 MISSISSIPPI INS GRP 1,374,705,519 %18.68 %64.314 H 119 HUMANA GRP 767,257,369 %10.43 %74.745 L H 1199 WELLCARE GRP 353,336,698 %4.80 %79.546 L H 901 CIGNA HLTH GRP 243,665,565 %3.31 %82.857 L H 1 CVS GRP 182,148,774 %2.48 %85.328 L 565 UNUM GRP 100,245,504 %1.36 %86.699 L 370 AFLAC GRP 96,606,678 %1.31 %88.00
10 L 261 MUTUAL OF OMAHA GRP 88,429,205 %1.20 %89.2011 H 2479 DENTEGRA GRP 81,774,430 %1.11 %90.3112 L 330 AMERICAN FIDELITY CORP GRP 52,031,809 %0.71 %91.0213 P 111 LIBERTY MUT GRP 44,596,119 %0.61 %91.6214 L 429 GUARDIAN LIFE GRP 39,445,050 %0.54 %92.1615 L 520 NEW ERA LIFE GRP 36,726,940 %0.50 %92.6616 L H P 241 METROPOLITAN GRP 35,598,047 %0.48 %93.1417 L 1117 MANHATTAN LIFE GRP 26,312,142 %0.36 %93.5018 L P 468 AEGON US HOLDING GRP 23,141,421 %0.31 %93.8119 H 1531 MOLINA HEALTHCARE INC GRP 22,833,124 %0.31 %94.1320 L 20 LINCOLN NATL GRP 20,698,987 %0.28 %94.4121 L 943 AMERITAS MUT HOLDING GRP 17,721,174 %0.24 %94.6522 P 176 STATE FARM GRP 16,996,928 %0.23 %94.8823 L 290 TORCHMARK CORP GRP 16,163,680 %0.22 %95.1024 L 8 ALLSTATE INS GRP 16,068,060 %0.22 %95.3225 L P 3098 TOKIO MARINE HOLDINGS INC GRP 15,921,637 %0.22 %95.5326 L 860 NORTHWESTERN MUT GRP 13,261,359 %0.18 %95.7127 L 332 PRINCIPAL FIN GRP 12,583,379 %0.17 %95.8828 L 4011 GENWORTH FIN GRP 10,713,379 %0.15 %96.0329 L 233 CNO FINANCIAL GRP 10,561,222 %0.14 %96.1730 L 367 PHYSICIANS MUT GRP 10,500,391 %0.14 %96.3231 L 435 MASS MUT LIFE INS GRP 10,404,965 %0.14 %96.4632 L H 4719 AMFIRST HOLDINGS GRP 9,715,897 %0.13 %96.5933 L 549 SUN LIFE ASSUR CO OF CN GRP 9,694,163 %0.13 %96.7234 L 304 PRUDENTIAL OF AMER GRP 9,644,028 %0.13 %96.8535 L 661 BCBS OF SC GRP 9,269,441 %0.13 %96.9836 L 904 JOHN HANCOCK GRP 8,741,594 %0.12 %97.1037 L P 19 ASSURANT INC GRP 8,734,340 %0.12 %97.2238 L P 91 HARTFORD FIRE & CAS GRP 8,696,045 %0.12 %97.3339 L 1211 NATIONAL GUARDIAN LIFE INS GRP 8,646,514 %0.12 %97.4540 L 839 USHEALTH GRP INC GRP 7,446,505 %0.10 %97.5541 H 12747 ENVISION INS CO 7,302,562 %0.10 %97.6542 L 4888 EQUITABLE FAMILY INS CO GRP 6,700,718 %0.09 %97.7443 H 1189 VISION SERV PLAN GRP 6,341,428 %0.09 %97.8344 L 1348 MEIJI YASUDA LIFE INS GRP 6,303,889 %0.09 %97.9145 L 215 KEMPER CORP GRP 6,236,131 %0.08 %98.0046 L 836 WEST SOUTHERN GRP 6,110,222 %0.08 %98.0847 L 65412 LIFE INS CO OF AL 5,944,370 %0.08 %98.1648 L P 12 AMERICAN INTL GRP 5,877,420 %0.08 %98.2449 L 948 GULF GUARANTY GRP 5,528,711 %0.08 %98.3250 L 4832 VOYA FINANCIAL GRP 5,496,142 %0.07 %98.3951 L 869 MINNESOTA MUT GRP 4,715,471 %0.06 %98.4652 L 826 NEW YORK LIFE GRP 4,488,089 %0.06 %98.5253 L H 812 HIGHMARK GRP 4,136,107 %0.06 %98.5754 L 4855 SUMITOMO LIFE INS GRP 4,125,692 %0.06 %98.6355 L P 626 CHUBB LTD GRP 4,018,545 %0.05 %98.6856 L 4736 GGC GRP 3,780,889 %0.05 %98.7457 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 3,593,755 %0.05 %98.7858 L 587 ATLANTIC AMER GRP 3,474,099 %0.05 %98.8359 L 525 PAN AMER LIFE GRP 3,383,936 %0.05 %98.8860 L 71404 CONTINENTAL GEN INS CO 3,346,660 %0.05 %98.9261 L 451 FIDELITY SECURITY GRP 3,053,465 %0.04 %98.9662 L 4928 NATIONAL GEN GRP 2,937,223 %0.04 %99.0063 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 2,935,081 %0.04 %99.0464 L 4764 RESERVOIR CAPITAL GRP 2,888,167 %0.04 %99.08
© 2019 National Association of Insurance Commissioners 66
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Mississippi
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 150 OLD REPUBLIC GRP 2,773,879 %0.04 %99.1266 L 306 CUNA MUT GRP 2,591,482 %0.04 %99.1667 P 158 FAIRFAX FIN GRP 2,576,151 %0.04 %99.1968 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,318,009 %0.03 %99.2269 L 66214 HEARTLAND NATL LIFE INS CO 2,296,347 %0.03 %99.2570 F 56499 ASSURED LIFE ASSN 2,262,811 %0.03 %99.2971 L 4826 ECG GRP 2,193,055 %0.03 %99.3172 L 264 HEALTHMARKETS GRP 2,137,040 %0.03 %99.3473 L P 23 BCS INS GRP 1,964,991 %0.03 %99.3774 L 687 GUARANTEE TRUST GRP 1,754,472 %0.02 %99.3975 P 796 QBE INS GRP 1,750,596 %0.02 %99.4276 L 3527 AMERICAN ENTERPRISE MUT GRP 1,726,836 %0.02 %99.4477 L 619 ONEAMERICA FIN PARTNERS GRP 1,685,899 %0.02 %99.4678 P 1120 EVEREST REINS HOLDINGS GRP 1,490,238 %0.02 %99.4879 L 408 AMERICAN NATL FIN GRP 1,427,708 %0.02 %99.5080 L P 181 SWISS RE GRP 1,359,194 %0.02 %99.5281 L 276 TRUSTMARK MUT HOLDING CO GRP 1,300,282 %0.02 %99.5482 L 61921 CITIZENS SECURITY LIFE INS CO 1,251,870 %0.02 %99.5683 L P 31 BERKSHIRE HATHAWAY GRP 1,246,668 %0.02 %99.5784 P 218 CNA INS GRP 1,226,015 %0.02 %99.5985 L P 968 AXA INS GRP 1,174,517 %0.02 %99.6186 L P 212 ZURICH INS GRP 1,125,364 %0.02 %99.6287 L 458 PROTECTIVE LIFE INS GRP 979,926 %0.01 %99.6488 L 4 AMERIPRISE FIN GRP 912,386 %0.01 %99.6589 L 123 SHELTER INS GRP 888,151 %0.01 %99.6690 L 11121 UNIFIED LIFE INS CO 885,032 %0.01 %99.6791 L P 7 FEDERATED MUT GRP 836,119 %0.01 %99.6892 L 2858 HOMESHIELD CAPITAL GRP 833,320 %0.01 %99.6993 L 70122 UNIVERSAL FIDELITY LIFE INS CO 798,896 %0.01 %99.7194 L P 450 GENEVE HOLDINGS INC GRP 770,057 %0.01 %99.7295 H 477 RENAISSANCE HLTH SERV CORP GRP 751,735 %0.01 %99.7396 L 4712 GPM LIFE GRP 745,655 %0.01 %99.7497 L 153 PEKIN INS GRP 737,437 %0.01 %99.7598 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 722,428 %0.01 %99.7699 L 761 ALLIANZ INS GRP 718,986 %0.01 %99.77
100 P 4863 CHINA MINSHENG GRP 686,131 %0.01 %99.78101 L P 140 NATIONWIDE CORP GRP 672,098 %0.01 %99.78102 L 1186 LIFETIME HLTHCARE GRP 656,793 %0.01 %99.79103 L 4862 ASSURITY GRP 622,936 %0.01 %99.80104 L 69477 TIME INS CO II 607,680 %0.01 %99.81105 P 501 ALLEGHANY GRP 550,181 %0.01 %99.82106 L 574 AMERCO CORP GRP 524,464 %0.01 %99.82107 L 876 ARKANSAS BCBS GRP 520,348 %0.01 %99.83108 L 90638 BEST LIFE & HLTH INS CO 509,316 %0.01 %99.84109 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 478,818 %0.01 %99.85110 L 581 BOSTON MUT GRP 475,781 %0.01 %99.85111 L 4853 AAA LIFE GRP 460,954 %0.01 %99.86112 L 3436 LIBERTY LIFE GRP TRUST GRP 450,092 %0.01 %99.86113 F 57320 WOODMEN WORLD LIFE INS SOC 448,608 %0.01 %99.87114 P 3416 AXIS CAPITAL GRP 445,900 %0.01 %99.88115 L 4815 RESOLUTION LIFE GRP 435,688 %0.01 %99.88116 L 3891 GLOBAL ATLANTIC GRP 427,302 %0.01 %99.89117 L 76325 SENIOR HLTH INS CO OF PA 412,432 %0.01 %99.89118 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 391,433 %0.01 %99.90119 L 4506 DENTAL ECONOMICS GRP 386,798 %0.01 %99.90120 P 27928 AMEX ASSUR CO 336,740 %- %99.91121 P 1279 ARCH INS GRP 318,558 %- %99.91122 L 4213 WILTON RE GRP 314,733 %- %99.92123 L 769 GREAT WEST GRP 314,475 %- %99.92124 L 69337 AMERICAN FIN SECURITY LIFE INS CO 297,854 %- %99.93125 L 704 OHIO NATL LIFE GRP 288,219 %- %99.93
**TOTAL** 7,359,107,637 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 67
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Missouri
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 4,047,819,200 %24.13 %24.132 L H 671 ANTHEM INC GRP 2,553,172,590 %15.22 %39.353 L H 1 CVS GRP 1,856,155,582 %11.06 %50.414 H 1295 CENTENE CORP GRP 1,399,909,361 %8.35 %58.765 H 537 BCBS OF KC GRP 1,282,570,110 %7.65 %66.416 H 119 HUMANA GRP 917,429,011 %5.47 %71.877 L H 901 CIGNA HLTH GRP 874,035,812 %5.21 %77.088 L H 1199 WELLCARE GRP 779,821,276 %4.65 %81.739 H 11699 ESSENCE HLTHCARE INC 618,632,042 %3.69 %85.42
10 L 261 MUTUAL OF OMAHA GRP 206,861,346 %1.23 %86.6511 H 3680 DELTA DENTAL PLAN OF MO GRP 175,781,656 %1.05 %87.7012 H 1203 COX INS GRP 154,718,406 %0.92 %88.6213 L 241 METROPOLITAN GRP 116,074,004 %0.69 %89.3214 L 370 AFLAC GRP 113,497,249 %0.68 %89.9915 H 1189 VISION SERV PLAN GRP 107,601,255 %0.64 %90.6316 L 565 UNUM GRP 103,311,899 %0.62 %91.2517 L 468 AEGON US HOLDING GRP 93,856,863 %0.56 %91.8118 L H 429 GUARDIAN LIFE GRP 72,487,495 %0.43 %92.2419 L P 3098 TOKIO MARINE HOLDINGS INC GRP 62,487,498 %0.37 %92.6120 L H 549 SUN LIFE ASSUR CO OF CN GRP 58,417,727 %0.35 %92.9621 L 233 CNO FINANCIAL GRP 56,018,146 %0.33 %93.3022 L P 91 HARTFORD FIRE & CAS GRP 49,344,957 %0.29 %93.5923 L 4011 GENWORTH FIN GRP 49,108,023 %0.29 %93.8824 L 20 LINCOLN NATL GRP 45,580,297 %0.27 %94.1625 L 860 NORTHWESTERN MUT GRP 45,501,995 %0.27 %94.4326 L 332 PRINCIPAL FIN GRP 44,618,742 %0.27 %94.6927 L 661 BCBS OF SC GRP 36,788,923 %0.22 %94.9128 L 1348 MEIJI YASUDA LIFE INS GRP 36,031,220 %0.21 %95.1329 L P 626 CHUBB LTD GRP 32,244,240 %0.19 %95.3230 P 176 STATE FARM GRP 31,394,300 %0.19 %95.5131 L P 19 ASSURANT INC GRP 30,364,845 %0.18 %95.6932 L 904 JOHN HANCOCK GRP 29,781,339 %0.18 %95.8633 H 16235 MISSOURI CHAMBER FEDERATION BENEFIT 27,760,111 %0.17 %96.0334 L 304 PRUDENTIAL OF AMER GRP 25,763,435 %0.15 %96.1835 L 4832 VOYA FINANCIAL GRP 25,132,437 %0.15 %96.3336 L 290 TORCHMARK CORP GRP 23,739,257 %0.14 %96.4837 L 98 WR BERKLEY CORP GRP 22,239,335 %0.13 %96.6138 L 3527 AMERICAN ENTERPRISE MUT GRP 21,034,897 %0.13 %96.7339 L 1117 MANHATTAN LIFE GRP 19,591,463 %0.12 %96.8540 P 1120 EVEREST REINS HOLDINGS GRP 19,156,617 %0.11 %96.9641 L 451 FIDELITY SECURITY GRP 18,376,102 %0.11 %97.0742 L 8 ALLSTATE INS GRP 17,572,270 %0.10 %97.1843 L 330 AMERICAN FIDELITY CORP GRP 16,679,504 %0.10 %97.2844 L 836 WEST SOUTHERN GRP 15,860,047 %0.09 %97.3745 L 4922 ENTERPRISE INVESTMENTS GRP 14,239,407 %0.08 %97.4646 L 943 AMERITAS MUT HOLDING GRP 12,499,648 %0.07 %97.5347 L 687 GUARANTEE TRUST GRP 12,355,524 %0.07 %97.6148 P 158 FAIRFAX FIN GRP 11,173,417 %0.07 %97.6749 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 11,001,309 %0.07 %97.7450 L 869 MINNESOTA MUT GRP 10,960,190 %0.07 %97.8051 L 4855 SUMITOMO LIFE INS GRP 10,907,130 %0.07 %97.8752 L 435 MASS MUT LIFE INS GRP 10,903,550 %0.06 %97.9353 L 4888 EQUITABLE FAMILY INS CO GRP 10,334,307 %0.06 %97.9954 L 839 USHEALTH GRP INC GRP 9,938,754 %0.06 %98.0555 L P 12 AMERICAN INTL GRP 9,740,921 %0.06 %98.1156 L 1211 NATIONAL GUARDIAN LIFE INS GRP 8,739,197 %0.05 %98.1657 L 215 KEMPER CORP GRP 8,639,655 %0.05 %98.2258 L 367 PHYSICIANS MUT GRP 8,627,594 %0.05 %98.2759 L P 181 SWISS RE GRP 8,318,301 %0.05 %98.3260 P 796 QBE INS GRP 8,304,728 %0.05 %98.3761 L P 4928 NATIONAL GEN GRP 8,298,299 %0.05 %98.4262 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 8,048,328 %0.05 %98.4663 L 826 NEW YORK LIFE GRP 7,784,892 %0.05 %98.5164 P 218 CNA INS GRP 7,631,679 %0.05 %98.56
© 2019 National Association of Insurance Commissioners 68
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Missouri
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 574 AMERCO CORP GRP 7,374,913 %0.04 %98.6066 L 2858 HOMESHIELD CAPITAL GRP 7,269,309 %0.04 %98.6467 L P 84 AMERICAN FINANCIAL GRP 7,248,954 %0.04 %98.6968 P 4863 CHINA MINSHENG GRP 6,940,582 %0.04 %98.7369 L P 140 NATIONWIDE CORP GRP 6,875,293 %0.04 %98.7770 L P 23 BCS INS GRP 6,834,188 %0.04 %98.8171 L 69477 TIME INS CO II 6,641,908 %0.04 %98.8572 L P 212 ZURICH INS GRP 6,412,605 %0.04 %98.8973 L H 812 HIGHMARK GRP 6,389,670 %0.04 %98.9274 P 473 AMERICAN FAMILY INS GRP 6,135,563 %0.04 %98.9675 L 264 HEALTHMARKETS GRP 5,745,278 %0.03 %99.0076 L 588 KANSAS CITY LIFE INS GRP 5,703,454 %0.03 %99.0377 L P 450 GENEVE HOLDINGS INC GRP 5,490,730 %0.03 %99.0678 L 200 UNITED SERV AUTOMOBILE ASSN GRP 5,455,158 %0.03 %99.0979 L 761 ALLIANZ INS GRP 4,897,727 %0.03 %99.1280 L 4 AMERIPRISE FIN GRP 4,888,375 %0.03 %99.1581 H 2479 DENTEGRA GRP 4,628,624 %0.03 %99.1882 L 61921 CITIZENS SECURITY LIFE INS CO 4,412,833 %0.03 %99.2183 L H 917 HCSC GRP 4,358,579 %0.03 %99.2384 P 361 MUNICH RE GRP 4,182,399 %0.02 %99.2685 L 71404 CONTINENTAL GEN INS CO 4,163,815 %0.02 %99.2886 L 276 TRUSTMARK MUT HOLDING CO GRP 3,904,611 %0.02 %99.3187 F 58033 KNIGHTS OF COLUMBUS 3,649,073 %0.02 %99.3388 L 123 SHELTER INS GRP 3,589,846 %0.02 %99.3589 L 69132 STATE MUT INS CO 3,523,232 %0.02 %99.3790 L 520 NEW ERA LIFE GRP 3,502,588 %0.02 %99.3991 L 408 AMERICAN NATL FIN GRP 3,282,679 %0.02 %99.4192 L P 31 BERKSHIRE HATHAWAY GRP 3,117,302 %0.02 %99.4393 P 4381 HOUSTON INTL INS GRP 3,067,665 %0.02 %99.4594 L 306 CUNA MUT GRP 2,991,936 %0.02 %99.4795 L 4506 DENTAL ECONOMICS GRP 2,942,829 %0.02 %99.4896 H 4905 NATIONAL HEALTHCARE CORP GRP 2,745,395 %0.02 %99.5097 H 4696 VISION BENEFITS GRP 2,661,352 %0.02 %99.5298 L 11121 UNIFIED LIFE INS CO 2,527,028 %0.02 %99.5399 L 449 FINANCIAL HOLDINGS GRP 2,452,683 %0.01 %99.54
100 L 4824 ADVANTAGE CAPITAL GRP 2,415,341 %0.01 %99.56101 L 4862 ASSURITY GRP 2,208,609 %0.01 %99.57102 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 2,145,299 %0.01 %99.59103 L P 968 AXA INS GRP 2,132,601 %0.01 %99.60104 L 525 PAN AMER LIFE GRP 2,120,838 %0.01 %99.61105 L P 7 FEDERATED MUT GRP 2,089,174 %0.01 %99.62106 L 619 ONEAMERICA FIN PARTNERS GRP 2,005,019 %0.01 %99.64107 H 15757 MISSOURI MEDICARE SELECT LLC 1,979,297 %0.01 %99.65108 L 781 UNION LABOR GRP 1,950,133 %0.01 %99.66109 H 4744 L S S GRP 1,946,509 %0.01 %99.67110 P 3483 PARTNERRE GRP 1,928,558 %0.01 %99.68111 P 37540 BEAZLEY INS CO INC 1,882,483 %0.01 %99.69112 H 477 RENAISSANCE HLTH SERV CORP GRP 1,837,821 %0.01 %99.70113 L H 4638 DELTA DENTAL OF KS GRP 1,816,861 %0.01 %99.71114 L 4719 AMFIRST HOLDINGS GRP 1,801,096 %0.01 %99.73115 L 76325 SENIOR HLTH INS CO OF PA 1,765,876 %0.01 %99.74116 P 3416 AXIS CAPITAL GRP 1,741,323 %0.01 %99.75117 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,716,905 %0.01 %99.76118 L 66214 HEARTLAND NATL LIFE INS CO 1,708,017 %0.01 %99.77119 H 4927 STERLING DENTAL GRP 1,682,704 %0.01 %99.78120 L 4736 GGC GRP 1,668,719 %0.01 %99.79121 H 1260 MAGELLAN HLTH INC GRP 1,587,278 %0.01 %99.80122 L 4853 AAA LIFE GRP 1,587,005 %0.01 %99.81123 F 57711 WESTERN CATHOLIC UNION 1,511,599 %0.01 %99.81124 L 4815 RESOLUTION LIFE GRP 1,510,344 %0.01 %99.82125 L 64580 ILLINOIS MUT LIFE INS CO 1,447,362 %0.01 %99.83
**TOTAL** 16,775,112,403 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 69
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Montana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 917 HCSC GRP 882,023,597 %44.04 %44.042 H 4704 PACIFICSOURCE HLTH PLAN GRP 216,898,976 %10.83 %54.873 H 119 HUMANA GRP 198,105,085 %9.89 %64.764 H 14933 MONTANA HLTH COOPERATIVE 159,091,215 %7.94 %72.705 L H 1 CVS GRP 79,987,989 %3.99 %76.706 L H 707 UNITEDHEALTH GRP 74,641,692 %3.73 %80.427 L H 901 CIGNA HLTH GRP 62,391,296 %3.12 %83.548 L 370 AFLAC GRP 28,246,451 %1.41 %84.959 L 261 MUTUAL OF OMAHA GRP 18,594,779 %0.93 %85.88
10 L 565 UNUM GRP 15,422,556 %0.77 %86.6511 L 233 CNO FINANCIAL GRP 12,664,031 %0.63 %87.2812 H 2479 DENTEGRA GRP 11,898,674 %0.59 %87.8713 L 429 GUARDIAN LIFE GRP 11,068,709 %0.55 %88.4314 P 176 STATE FARM GRP 10,117,832 %0.51 %88.9315 P 4886 BENCHMARK HOLDING GRP 9,529,385 %0.48 %89.4116 H 68420 WMI MUT INS CO 9,457,545 %0.47 %89.8817 L 241 METROPOLITAN GRP 8,734,346 %0.44 %90.3118 L 661 BCBS OF SC GRP 8,627,836 %0.43 %90.7519 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 8,462,029 %0.42 %91.1720 L 4855 SUMITOMO LIFE INS GRP 8,320,953 %0.42 %91.5821 L 860 NORTHWESTERN MUT GRP 7,851,255 %0.39 %91.9822 L 332 PRINCIPAL FIN GRP 7,057,320 %0.35 %92.3323 L 4011 GENWORTH FIN GRP 6,852,780 %0.34 %92.6724 L P 3098 TOKIO MARINE HOLDINGS INC GRP 6,432,740 %0.32 %92.9925 L P 468 AEGON US HOLDING GRP 5,786,684 %0.29 %93.2826 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 5,611,088 %0.28 %93.5627 L P 12 AMERICAN INTL GRP 5,266,647 %0.26 %93.8228 L 839 USHEALTH GRP INC GRP 5,153,323 %0.26 %94.0829 L 20 LINCOLN NATL GRP 4,966,361 %0.25 %94.3330 L 290 TORCHMARK CORP GRP 4,940,234 %0.25 %94.5831 L 4824 ADVANTAGE CAPITAL GRP 4,735,462 %0.24 %94.8132 L 1348 MEIJI YASUDA LIFE INS GRP 4,532,652 %0.23 %95.0433 L 904 JOHN HANCOCK GRP 4,230,083 %0.21 %95.2534 L 549 SUN LIFE ASSUR CO OF CN GRP 4,120,361 %0.21 %95.4535 L 4922 ENTERPRISE INVESTMENTS GRP 3,793,746 %0.19 %95.6436 P 361 MUNICH RE GRP 3,429,021 %0.17 %95.8237 L 304 PRUDENTIAL OF AMER GRP 3,347,233 %0.17 %95.9838 H 1189 VISION SERV PLAN GRP 3,231,704 %0.16 %96.1439 L P 91 HARTFORD FIRE & CAS GRP 3,186,493 %0.16 %96.3040 F 56499 ASSURED LIFE ASSN 2,859,394 %0.14 %96.4541 L 276 TRUSTMARK MUT HOLDING CO GRP 2,710,618 %0.14 %96.5842 L 4928 NATIONAL GEN GRP 2,619,172 %0.13 %96.7143 L P 626 CHUBB LTD GRP 2,580,791 %0.13 %96.8444 L H 1199 WELLCARE GRP 2,480,442 %0.12 %96.9645 L 943 AMERITAS MUT HOLDING GRP 2,377,854 %0.12 %97.0846 L 826 NEW YORK LIFE GRP 2,290,503 %0.11 %97.2047 L P 19 ASSURANT INC GRP 2,181,047 %0.11 %97.3148 L H 812 HIGHMARK GRP 2,161,226 %0.11 %97.4149 L 4888 EQUITABLE FAMILY INS CO GRP 2,152,305 %0.11 %97.5250 L 3527 AMERICAN ENTERPRISE MUT GRP 2,106,953 %0.11 %97.6351 L 330 AMERICAN FIDELITY CORP GRP 2,104,950 %0.11 %97.7352 L 306 CUNA MUT GRP 1,984,662 %0.10 %97.8353 L P 31 BERKSHIRE HATHAWAY GRP 1,961,106 %0.10 %97.9354 L 836 WEST SOUTHERN GRP 1,852,055 %0.09 %98.0255 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,793,731 %0.09 %98.1156 L 4832 VOYA FINANCIAL GRP 1,767,074 %0.09 %98.2057 L 69477 TIME INS CO II 1,555,372 %0.08 %98.2858 L 4826 ECG GRP 1,525,139 %0.08 %98.3559 L 587 ATLANTIC AMER GRP 1,505,741 %0.08 %98.4360 L 98 WR BERKLEY CORP GRP 1,493,841 %0.07 %98.5061 L 435 MASS MUT LIFE INS GRP 1,378,029 %0.07 %98.5762 L P 450 GENEVE HOLDINGS INC GRP 1,360,898 %0.07 %98.6463 P 4381 HOUSTON INTL INS GRP 1,231,718 %0.06 %98.7064 L 1117 MANHATTAN LIFE GRP 1,161,752 %0.06 %98.76
© 2019 National Association of Insurance Commissioners 70
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Montana
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,083,963 %0.05 %98.8166 L 8 ALLSTATE INS GRP 1,080,061 %0.05 %98.8767 L 90638 BEST LIFE & HLTH INS CO 1,021,268 %0.05 %98.9268 L 4 AMERIPRISE FIN GRP 974,684 %0.05 %98.9769 L 264 HEALTHMARKETS GRP 954,334 %0.05 %99.0170 P 218 CNA INS GRP 934,628 %0.05 %99.0671 P 796 QBE INS GRP 933,925 %0.05 %99.1172 L 869 MINNESOTA MUT GRP 905,241 %0.05 %99.1573 L P 181 SWISS RE GRP 879,046 %0.04 %99.2074 L 761 ALLIANZ INS GRP 836,879 %0.04 %99.2475 L 71404 CONTINENTAL GEN INS CO 696,259 %0.03 %99.2776 L 4862 ASSURITY GRP 677,892 %0.03 %99.3177 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 658,314 %0.03 %99.3478 L 1207 CAMBIA HEALTH SOLUTIONS INC 617,148 %0.03 %99.3779 P 158 FAIRFAX FIN GRP 610,963 %0.03 %99.4080 L 449 FINANCIAL HOLDINGS GRP 582,147 %0.03 %99.4381 L 367 PHYSICIANS MUT GRP 576,486 %0.03 %99.4682 P 4863 CHINA MINSHENG GRP 567,328 %0.03 %99.4983 L 4853 AAA LIFE GRP 462,342 %0.02 %99.5184 L 574 AMERCO CORP GRP 454,251 %0.02 %99.5385 L 687 GUARANTEE TRUST GRP 427,081 %0.02 %99.5586 L 408 AMERICAN NATL FIN GRP 422,543 %0.02 %99.5887 L P 23 BCS INS GRP 418,728 %0.02 %99.6088 P 4904 INTACT FINANCIAL GRP 357,878 %0.02 %99.6189 H 1260 MAGELLAN HLTH INC GRP 335,518 %0.02 %99.6390 L P 212 ZURICH INS GRP 325,986 %0.02 %99.6591 L 1186 LIFETIME HLTHCARE GRP 308,751 %0.02 %99.6692 L 76325 SENIOR HLTH INS CO OF PA 308,422 %0.02 %99.6893 H 12747 ENVISION INS CO 300,187 %0.01 %99.6994 L 2878 UNITED HERITAGE MUT GRP 278,976 %0.01 %99.7195 L 4712 GPM LIFE GRP 276,563 %0.01 %99.7296 F 4616 EVERENCE GRP 261,014 %0.01 %99.7397 F 58033 KNIGHTS OF COLUMBUS 257,032 %0.01 %99.7598 L 4764 RESERVOIR CAPITAL GRP 245,525 %0.01 %99.7699 P 111 LIBERTY MUT GRP 244,502 %0.01 %99.77
100 L 769 GREAT WEST GRP 242,828 %0.01 %99.78101 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 239,278 %0.01 %99.80102 L 588 KANSAS CITY LIFE INS GRP 234,308 %0.01 %99.81103 L 69132 STATE MUT INS CO 224,652 %0.01 %99.82104 L P 140 NATIONWIDE CORP GRP 195,188 %0.01 %99.83105 L 3436 LIBERTY LIFE GRP TRUST GRP 191,598 %0.01 %99.84106 L 4932 BRIGHTHOUSE HOLDINGS GRP 174,195 %0.01 %99.85107 L 572 BCBS OF MI GRP 160,864 %0.01 %99.85108 L 876 ARKANSAS BCBS GRP 153,321 %0.01 %99.86109 P 27928 AMEX ASSUR CO 151,555 %0.01 %99.87110 H 477 RENAISSANCE HLTH SERV CORP GRP 148,862 %0.01 %99.88111 L 4815 RESOLUTION LIFE GRP 147,855 %0.01 %99.88112 L 50 COUNTRY INS & FIN SERV GRP 145,818 %0.01 %99.89113 L 4736 GGC GRP 142,830 %0.01 %99.90114 L 704 OHIO NATL LIFE GRP 118,462 %0.01 %99.90115 L 4926 HOPMEADOW HOLDINGS GRP 117,745 %0.01 %99.91116 L 451 FIDELITY SECURITY GRP 115,237 %0.01 %99.92117 L 619 ONEAMERICA FIN PARTNERS GRP 110,598 %0.01 %99.92118 L 520 NEW ERA LIFE GRP 110,198 %0.01 %99.93119 L 64580 ILLINOIS MUT LIFE INS CO 107,851 %0.01 %99.93120 L 350 GENERAL ELECTRIC GRP 106,040 %0.01 %99.94121 L 4734 APOLLO GLOBAL MGMT GRP 101,155 %0.01 %99.94122 L 690 CENTRAL STATES GRP 100,413 %0.01 %99.95123 L 215 KEMPER CORP GRP 78,304 %- %99.95124 L 150 OLD REPUBLIC GRP 67,558 %- %99.96125 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 59,830 %- %99.96
**TOTAL** 2,002,857,405 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 71
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Nebraska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 4858 BCBS OF NE GRP 1,597,704,134 %26.33 %26.332 L H 707 UNITEDHEALTH GRP 1,215,146,306 %20.03 %46.363 H 1552 MEDICA GRP 808,416,891 %13.32 %59.684 H 1295 CENTENE CORP GRP 450,094,676 %7.42 %67.105 H 1199 WELLCARE GRP 375,066,785 %6.18 %73.286 L H 1 CVS GRP 316,137,848 %5.21 %78.497 H 119 HUMANA GRP 150,526,565 %2.48 %80.978 L 261 MUTUAL OF OMAHA GRP 89,192,044 %1.47 %82.449 H 4730 MCNA GRP 60,170,732 %0.99 %83.43
10 P 3416 AXIS CAPITAL GRP 59,692,740 %0.98 %84.4211 L H 901 CIGNA HLTH GRP 49,937,739 %0.82 %85.2412 L 370 AFLAC GRP 49,059,459 %0.81 %86.0513 L 233 CNO FINANCIAL GRP 43,283,241 %0.71 %86.7614 L 451 FIDELITY SECURITY GRP 40,893,458 %0.67 %87.4415 L P 241 METROPOLITAN GRP 37,634,601 %0.62 %88.0616 L 565 UNUM GRP 36,039,062 %0.59 %88.6517 L 943 AMERITAS MUT HOLDING GRP 33,755,984 %0.56 %89.2118 L H 812 HIGHMARK GRP 30,663,628 %0.51 %89.7119 L 332 PRINCIPAL FIN GRP 30,032,540 %0.49 %90.2120 L 4011 GENWORTH FIN GRP 28,644,770 %0.47 %90.6821 L P 3098 TOKIO MARINE HOLDINGS INC GRP 26,591,159 %0.44 %91.1222 L 367 PHYSICIANS MUT GRP 21,998,400 %0.36 %91.4823 L 687 GUARANTEE TRUST GRP 20,842,117 %0.34 %91.8224 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 20,299,476 %0.33 %92.1625 L 860 NORTHWESTERN MUT GRP 18,588,915 %0.31 %92.4626 L 3527 AMERICAN ENTERPRISE MUT GRP 18,183,986 %0.30 %92.7627 L 549 SUN LIFE ASSUR CO OF CN GRP 17,578,611 %0.29 %93.0528 L 20 LINCOLN NATL GRP 16,750,778 %0.28 %93.3329 L 1117 MANHATTAN LIFE GRP 14,674,555 %0.24 %93.5730 P 176 STATE FARM GRP 14,632,769 %0.24 %93.8131 L 4928 NATIONAL GEN GRP 14,423,118 %0.24 %94.0532 L 661 BCBS OF SC GRP 14,019,423 %0.23 %94.2833 L P 91 HARTFORD FIRE & CAS GRP 12,998,058 %0.21 %94.5034 L 290 TORCHMARK CORP GRP 12,895,725 %0.21 %94.7135 L P 468 AEGON US HOLDING GRP 12,262,171 %0.20 %94.9136 L 1348 MEIJI YASUDA LIFE INS GRP 11,140,969 %0.18 %95.0937 L 4888 EQUITABLE FAMILY INS CO GRP 10,993,813 %0.18 %95.2738 L 587 ATLANTIC AMER GRP 10,616,006 %0.17 %95.4539 L 904 JOHN HANCOCK GRP 10,554,600 %0.17 %95.6240 L 4824 ADVANTAGE CAPITAL GRP 10,315,038 %0.17 %95.7941 L 429 GUARDIAN LIFE GRP 9,656,765 %0.16 %95.9542 L P 626 CHUBB LTD GRP 9,656,313 %0.16 %96.1143 H 1189 VISION SERV PLAN GRP 9,551,059 %0.16 %96.2744 L 8 ALLSTATE INS GRP 9,401,252 %0.15 %96.4245 H 47091 DELTA DENTAL OF NE 9,262,453 %0.15 %96.5846 P 361 MUNICH RE GRP 9,186,201 %0.15 %96.7347 L 836 WEST SOUTHERN GRP 8,293,277 %0.14 %96.8748 H 4895 GOOD SAMARITAN INS PLAN GRP 8,013,085 %0.13 %97.0049 L 304 PRUDENTIAL OF AMER GRP 7,254,581 %0.12 %97.1250 L P 450 GENEVE HOLDINGS INC GRP 6,949,782 %0.11 %97.2351 L 71404 CONTINENTAL GEN INS CO 6,938,976 %0.11 %97.3552 L 435 MASS MUT LIFE INS GRP 5,766,960 %0.10 %97.4453 L P 31 BERKSHIRE HATHAWAY GRP 5,675,328 %0.09 %97.5354 L 4855 SUMITOMO LIFE INS GRP 5,621,947 %0.09 %97.6355 P 218 CNA INS GRP 5,617,625 %0.09 %97.7256 P 158 FAIRFAX FIN GRP 5,571,999 %0.09 %97.8157 H 4807 CATHOLIC HLTH INITIATIVES GRP 4,997,537 %0.08 %97.8958 L 4832 VOYA FINANCIAL GRP 4,991,868 %0.08 %97.9859 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 4,982,556 %0.08 %98.0660 P 4863 CHINA MINSHENG GRP 4,849,058 %0.08 %98.1461 L P 98 WR BERKLEY CORP GRP 4,730,124 %0.08 %98.2262 L 839 USHEALTH GRP INC GRP 4,539,392 %0.07 %98.2963 L 4862 ASSURITY GRP 4,160,151 %0.07 %98.3664 L 826 NEW YORK LIFE GRP 3,989,311 %0.07 %98.43
© 2019 National Association of Insurance Commissioners 72
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Nebraska
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 12 AMERICAN INTL GRP 3,933,972 %0.06 %98.4966 L P 181 SWISS RE GRP 3,766,867 %0.06 %98.5567 L H 917 HCSC GRP 3,490,782 %0.06 %98.6168 F 58033 KNIGHTS OF COLUMBUS 3,425,036 %0.06 %98.6769 L 215 KEMPER CORP GRP 3,398,133 %0.06 %98.7270 L 330 AMERICAN FIDELITY CORP GRP 3,237,337 %0.05 %98.7871 L 574 AMERCO CORP GRP 3,230,784 %0.05 %98.8372 L 264 HEALTHMARKETS GRP 3,157,196 %0.05 %98.8873 L 4 AMERIPRISE FIN GRP 2,769,751 %0.05 %98.9374 P 501 ALLEGHANY GRP 2,727,942 %0.04 %98.9775 P 796 QBE INS GRP 2,565,136 %0.04 %99.0176 L 761 ALLIANZ INS GRP 2,521,232 %0.04 %99.0677 L 11121 UNIFIED LIFE INS CO 2,109,548 %0.03 %99.0978 L 869 MINNESOTA MUT GRP 2,107,220 %0.03 %99.1279 L P 140 NATIONWIDE CORP GRP 1,940,463 %0.03 %99.1680 L P 19 ASSURANT INC GRP 1,938,528 %0.03 %99.1981 L 69132 STATE MUT INS CO 1,890,414 %0.03 %99.2282 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,862,161 %0.03 %99.2583 L P 23 BCS INS GRP 1,797,838 %0.03 %99.2884 L 525 PAN AMER LIFE GRP 1,744,213 %0.03 %99.3185 L P 968 AXA INS GRP 1,695,743 %0.03 %99.3486 L P 212 ZURICH INS GRP 1,684,507 %0.03 %99.3687 L 69477 TIME INS CO II 1,406,630 %0.02 %99.3988 L 64580 ILLINOIS MUT LIFE INS CO 1,404,737 %0.02 %99.4189 L 150 OLD REPUBLIC GRP 1,382,192 %0.02 %99.4390 L 276 TRUSTMARK MUT HOLDING CO GRP 1,312,711 %0.02 %99.4691 L 408 AMERICAN NATL FIN GRP 1,311,877 %0.02 %99.4892 L 42129 UNITED SECURITY ASSUR CO OF PA 1,299,294 %0.02 %99.5093 L 588 KANSAS CITY LIFE INS GRP 1,270,992 %0.02 %99.5294 L 4815 RESOLUTION LIFE GRP 1,234,710 %0.02 %99.5495 P 473 AMERICAN FAMILY INS GRP 1,230,291 %0.02 %99.5696 L 306 CUNA MUT GRP 1,093,480 %0.02 %99.5897 L 1186 LIFETIME HLTHCARE GRP 1,039,854 %0.02 %99.5998 F 56499 ASSURED LIFE ASSN 1,004,864 %0.02 %99.6199 H 1260 MAGELLAN HLTH INC GRP 959,488 %0.02 %99.63
100 L 90638 BEST LIFE & HLTH INS CO 948,300 %0.02 %99.64101 L 4736 GGC GRP 941,564 %0.02 %99.66102 L 520 NEW ERA LIFE GRP 931,104 %0.02 %99.67103 L 76325 SENIOR HLTH INS CO OF PA 813,909 %0.01 %99.69104 L 572 BCBS OF MI GRP 808,616 %0.01 %99.70105 L 690 CENTRAL STATES GRP 805,936 %0.01 %99.71106 L 200 UNITED SERV AUTOMOBILE ASSN GRP 788,744 %0.01 %99.73107 L 61921 CITIZENS SECURITY LIFE INS CO 766,547 %0.01 %99.74108 L 3436 LIBERTY LIFE GRP TRUST GRP 752,757 %0.01 %99.75109 P 4381 HOUSTON INTL INS GRP 706,001 %0.01 %99.76110 L 50 COUNTRY INS & FIN SERV GRP 689,324 %0.01 %99.77111 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 669,334 %0.01 %99.79112 F 4616 EVERENCE GRP 666,837 %0.01 %99.80113 L 4932 BRIGHTHOUSE HOLDINGS GRP 651,383 %0.01 %99.81114 F 58009 POLICE & FIREMENS INS ASSN 635,628 %0.01 %99.82115 P 1120 EVEREST REINS HOLDINGS GRP 616,794 %0.01 %99.83116 H 2479 DENTEGRA GRP 584,128 %0.01 %99.84117 L 513 IOWA FARM BUREAU GRP 566,579 %0.01 %99.85118 L 4853 AAA LIFE GRP 496,894 %0.01 %99.86119 L 619 ONEAMERICA FIN PARTNERS GRP 474,826 %0.01 %99.86120 H 12747 ENVISION INS CO 467,884 %0.01 %99.87121 L 66214 HEARTLAND NATL LIFE INS CO 466,157 %0.01 %99.88122 L 918 JACKSON NATL GRP 404,679 %0.01 %99.89123 L 123 SHELTER INS GRP 362,401 %0.01 %99.89124 L 4712 GPM LIFE GRP 350,572 %0.01 %99.90125 L 449 FINANCIAL HOLDINGS GRP 343,711 %0.01 %99.90
**TOTAL** 6,067,666,417 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 73
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Nevada
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 4,091,153,216 %49.06 %49.062 L H 671 ANTHEM INC GRP 1,258,336,094 %15.09 %64.153 H 119 HUMANA GRP 785,200,892 %9.42 %73.574 H 4791 RENOWN HLTH GRP 443,225,076 %5.32 %78.885 H 1295 CENTENE CORP GRP 375,080,600 %4.50 %83.386 L H 1 CVS GRP 338,354,307 %4.06 %87.447 H 2418 SAINT MARYS HLTH CARE CORP GRP 134,563,027 %1.61 %89.058 L H 901 CIGNA HLTH GRP 131,499,413 %1.58 %90.639 H 4692 LIBERTY DENTAL PLAN GRP 78,252,009 %0.94 %91.57
10 L H 241 METROPOLITAN GRP 51,775,588 %0.62 %92.1911 L 370 AFLAC GRP 51,518,210 %0.62 %92.8112 L 565 UNUM GRP 36,024,655 %0.43 %93.2413 L H 429 GUARDIAN LIFE GRP 34,415,013 %0.41 %93.6514 H 13813 NEVADA DENTAL BENEFITS LTD 33,307,525 %0.40 %94.0515 L 330 AMERICAN FIDELITY CORP GRP 29,151,798 %0.35 %94.4016 L 549 SUN LIFE ASSUR CO OF CN GRP 29,133,595 %0.35 %94.7517 H 917 HCSC GRP 26,819,272 %0.32 %95.0718 L 261 MUTUAL OF OMAHA GRP 26,336,899 %0.32 %95.3919 L 332 PRINCIPAL FIN GRP 20,703,937 %0.25 %95.6420 L 1348 MEIJI YASUDA LIFE INS GRP 19,905,965 %0.24 %95.8721 H 2479 DENTEGRA GRP 16,996,018 %0.20 %96.0822 L P 468 AEGON US HOLDING GRP 14,740,751 %0.18 %96.2523 L 4011 GENWORTH FIN GRP 14,678,844 %0.18 %96.4324 L 4832 VOYA FINANCIAL GRP 13,973,898 %0.17 %96.6025 L 943 AMERITAS MUT HOLDING GRP 13,510,395 %0.16 %96.7626 L 20 LINCOLN NATL GRP 11,675,839 %0.14 %96.9027 L P 91 HARTFORD FIRE & CAS GRP 11,269,281 %0.14 %97.0428 L 4855 SUMITOMO LIFE INS GRP 10,306,614 %0.12 %97.1629 P 176 STATE FARM GRP 9,391,194 %0.11 %97.2730 H 1189 VISION SERV PLAN GRP 9,203,220 %0.11 %97.3831 L 233 CNO FINANCIAL GRP 8,962,780 %0.11 %97.4932 L 581 BOSTON MUT GRP 8,734,434 %0.10 %97.5933 L 904 JOHN HANCOCK GRP 8,028,030 %0.10 %97.6934 L 4888 EQUITABLE FAMILY INS CO GRP 7,758,508 %0.09 %97.7835 L 304 PRUDENTIAL OF AMER GRP 7,624,751 %0.09 %97.8836 L 781 UNION LABOR GRP 7,291,839 %0.09 %97.9637 L 839 USHEALTH GRP INC GRP 7,200,379 %0.09 %98.0538 L 860 NORTHWESTERN MUT GRP 7,059,866 %0.08 %98.1339 L 451 FIDELITY SECURITY GRP 6,288,765 %0.08 %98.2140 L 290 TORCHMARK CORP GRP 6,058,663 %0.07 %98.2841 L P 626 CHUBB LTD GRP 5,479,608 %0.07 %98.3542 L 1211 NATIONAL GUARDIAN LIFE INS GRP 5,438,463 %0.07 %98.4143 L 661 BCBS OF SC GRP 5,273,895 %0.06 %98.4844 L 90638 BEST LIFE & HLTH INS CO 5,200,111 %0.06 %98.5445 L P 12 AMERICAN INTL GRP 5,096,849 %0.06 %98.6046 L 8 ALLSTATE INS GRP 4,960,600 %0.06 %98.6647 L 588 KANSAS CITY LIFE INS GRP 4,650,251 %0.06 %98.7148 L 367 PHYSICIANS MUT GRP 4,486,301 %0.05 %98.7749 L P 3098 TOKIO MARINE HOLDINGS INC GRP 4,357,065 %0.05 %98.8250 L H 812 HIGHMARK GRP 4,210,506 %0.05 %98.8751 P 31 BERKSHIRE HATHAWAY GRP 3,861,531 %0.05 %98.9252 L 98 WR BERKLEY CORP GRP 3,736,035 %0.04 %98.9653 L P 19 ASSURANT INC GRP 3,714,529 %0.04 %99.0154 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,627,661 %0.04 %99.0555 L H 1199 WELLCARE GRP 3,381,801 %0.04 %99.0956 L 826 NEW YORK LIFE GRP 3,376,413 %0.04 %99.1357 L 836 WEST SOUTHERN GRP 3,367,609 %0.04 %99.1758 L 435 MASS MUT LIFE INS GRP 3,365,986 %0.04 %99.2159 L P 181 SWISS RE GRP 2,656,898 %0.03 %99.2460 L 869 MINNESOTA MUT GRP 2,597,028 %0.03 %99.2861 L 4928 NATIONAL GEN GRP 2,568,935 %0.03 %99.3162 H 477 RENAISSANCE HLTH SERV CORP GRP 2,568,203 %0.03 %99.3463 L 4 AMERIPRISE FIN GRP 2,507,784 %0.03 %99.3764 P 218 CNA INS GRP 2,276,547 %0.03 %99.39
© 2019 National Association of Insurance Commissioners 74
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Nevada
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 3527 AMERICAN ENTERPRISE MUT GRP 2,222,792 %0.03 %99.4266 L 408 AMERICAN NATL FIN GRP 2,152,672 %0.03 %99.4567 P 4863 CHINA MINSHENG GRP 2,140,858 %0.03 %99.4768 L 264 HEALTHMARKETS GRP 2,140,536 %0.03 %99.5069 L 276 TRUSTMARK MUT HOLDING CO GRP 2,061,040 %0.02 %99.5270 L 587 ATLANTIC AMER GRP 1,983,206 %0.02 %99.5571 L 306 CUNA MUT GRP 1,923,970 %0.02 %99.5772 L P 140 NATIONWIDE CORP GRP 1,915,021 %0.02 %99.5973 L P 212 ZURICH INS GRP 1,841,181 %0.02 %99.6174 P 361 MUNICH RE GRP 1,744,361 %0.02 %99.6475 L 1117 MANHATTAN LIFE GRP 1,668,932 %0.02 %99.6676 L 11121 UNIFIED LIFE INS CO 1,610,730 %0.02 %99.6777 L P 450 GENEVE HOLDINGS INC GRP 1,590,303 %0.02 %99.6978 P 158 FAIRFAX FIN GRP 1,549,846 %0.02 %99.7179 L P 968 AXA INS GRP 1,524,675 %0.02 %99.7380 L 520 NEW ERA LIFE GRP 1,227,516 %0.01 %99.7581 L 2858 HOMESHIELD CAPITAL GRP 1,172,418 %0.01 %99.7682 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,159,623 %0.01 %99.7783 P 3416 AXIS CAPITAL GRP 1,073,740 %0.01 %99.7984 L 4853 AAA LIFE GRP 1,009,887 %0.01 %99.8085 P 796 QBE INS GRP 905,382 %0.01 %99.8186 L 761 ALLIANZ INS GRP 874,519 %0.01 %99.8287 P 1279 ARCH INS GRP 701,440 %0.01 %99.8388 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 581,137 %0.01 %99.8489 L P 23 BCS INS GRP 575,799 %0.01 %99.8490 L 4932 BRIGHTHOUSE HOLDINGS GRP 558,006 %0.01 %99.8591 P 4886 BENCHMARK HOLDING GRP 555,959 %0.01 %99.8692 P 27928 AMEX ASSUR CO 543,616 %0.01 %99.8693 L 4862 ASSURITY GRP 524,263 %0.01 %99.8794 F 58033 KNIGHTS OF COLUMBUS 523,763 %0.01 %99.8795 L 69477 TIME INS CO II 517,742 %0.01 %99.8896 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 511,053 %0.01 %99.8997 L 71404 CONTINENTAL GEN INS CO 469,239 %0.01 %99.8998 L 50 COUNTRY INS & FIN SERV GRP 467,785 %0.01 %99.9099 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 459,825 %0.01 %99.90
100 H 12747 ENVISION INS CO 453,476 %0.01 %99.91101 L 769 GREAT WEST GRP 453,127 %0.01 %99.91102 L 687 GUARANTEE TRUST GRP 444,460 %0.01 %99.92103 H 126 EDUCATORS MUT GRP 428,721 %0.01 %99.92104 L 525 PAN AMER LIFE GRP 419,805 %0.01 %99.93105 L 4824 ADVANTAGE CAPITAL GRP 417,662 %0.01 %99.93106 H 68420 WMI MUT INS CO 379,481 %- %99.94107 L 69337 AMERICAN FIN SECURITY LIFE INS CO 377,991 %- %99.94108 P 111 LIBERTY MUT GRP 354,502 %- %99.95109 L 572 BCBS OF MI GRP 335,450 %- %99.95110 L 1186 LIFETIME HLTHCARE GRP 262,271 %- %99.96111 L 350 GENERAL ELECTRIC GRP 250,677 %- %99.96112 L 4926 HOPMEADOW HOLDINGS GRP 246,619 %- %99.96113 L 4815 RESOLUTION LIFE GRP 246,247 %- %99.96114 L 918 JACKSON NATL GRP 230,401 %- %99.97115 L 449 FINANCIAL HOLDINGS GRP 199,809 %- %99.97116 L 704 OHIO NATL LIFE GRP 187,210 %- %99.97117 L 3891 GLOBAL ATLANTIC GRP 187,142 %- %99.97118 L 76325 SENIOR HLTH INS CO OF PA 168,239 %- %99.98119 L 64580 ILLINOIS MUT LIFE INS CO 161,692 %- %99.98120 L 215 KEMPER CORP GRP 138,742 %- %99.98121 L 4734 APOLLO GLOBAL MGMT GRP 134,637 %- %99.98122 L 458 PROTECTIVE LIFE INS GRP 111,651 %- %99.98123 L 4736 GGC GRP 107,564 %- %99.98124 L 1216 TIAA FAMILY GRP 96,283 %- %99.98125 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 81,468 %- %99.99
**TOTAL** 8,338,803,644 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 75
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New Hampshire
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 1,281,377,493 %32.58 %32.582 H 595 HARVARD PILGRIM HLTH CARE GRP 669,485,288 %17.02 %49.603 H 1295 CENTENE CORP GRP 438,199,231 %11.14 %60.744 L H 707 UNITEDHEALTH GRP 349,048,831 %8.87 %69.615 H 13203 BOSTON MEDICAL CENTER HLTH PLAN INC 347,423,905 %8.83 %78.456 L H 901 CIGNA HLTH GRP 141,963,123 %3.61 %82.057 H 4742 TUFTS GRP 95,935,231 %2.44 %84.498 L H 1 CVS GRP 85,746,668 %2.18 %86.679 H 4763 NORTHEAST DELTA DENTAL GRP 65,829,154 %1.67 %88.35
10 H 119 HUMANA GRP 62,022,988 %1.58 %89.9211 L 241 METROPOLITAN GRP 29,463,692 %0.75 %90.6712 L 233 CNO FINANCIAL GRP 28,254,950 %0.72 %91.3913 L 565 UNUM GRP 24,283,457 %0.62 %92.0114 L 370 AFLAC GRP 22,507,685 %0.57 %92.5815 L 549 SUN LIFE ASSUR CO OF CN GRP 21,280,376 %0.54 %93.1216 L 4011 GENWORTH FIN GRP 14,295,444 %0.36 %93.4917 L P 3098 TOKIO MARINE HOLDINGS INC GRP 13,325,355 %0.34 %93.8218 L 261 MUTUAL OF OMAHA GRP 13,299,198 %0.34 %94.1619 L 20 LINCOLN NATL GRP 12,300,109 %0.31 %94.4820 L 290 TORCHMARK CORP GRP 12,199,213 %0.31 %94.7921 L 860 NORTHWESTERN MUT GRP 10,802,496 %0.27 %95.0622 H 15850 MARTINS POINT GENERATIONS ADVANTAGE 10,783,368 %0.27 %95.3323 L 429 GUARDIAN LIFE GRP 9,964,758 %0.25 %95.5924 L 904 JOHN HANCOCK GRP 9,579,557 %0.24 %95.8325 L P 140 NATIONWIDE CORP GRP 9,173,290 %0.23 %96.0626 L H 1199 WELLCARE GRP 8,507,595 %0.22 %96.2827 L 332 PRINCIPAL FIN GRP 7,842,606 %0.20 %96.4828 L H 917 HCSC GRP 7,627,907 %0.19 %96.6729 L P 626 CHUBB LTD GRP 7,613,354 %0.19 %96.8730 L 4832 VOYA FINANCIAL GRP 7,328,140 %0.19 %97.0531 L 468 AEGON US HOLDING GRP 7,208,580 %0.18 %97.2432 L 1348 MEIJI YASUDA LIFE INS GRP 7,024,946 %0.18 %97.4233 L 661 BCBS OF SC GRP 6,969,206 %0.18 %97.5934 P 361 MUNICH RE GRP 6,765,472 %0.17 %97.7735 L P 91 HARTFORD FIRE & CAS GRP 6,556,142 %0.17 %97.9336 L 4855 SUMITOMO LIFE INS GRP 5,897,804 %0.15 %98.0837 H 12747 ENVISION INS CO 5,236,423 %0.13 %98.2138 L 304 PRUDENTIAL OF AMER GRP 5,189,221 %0.13 %98.3539 L 435 MASS MUT LIFE INS GRP 4,773,900 %0.12 %98.4740 L 98 WR BERKLEY CORP GRP 4,714,176 %0.12 %98.5941 L 943 AMERITAS MUT HOLDING GRP 4,612,037 %0.12 %98.7142 H 1189 VISION SERV PLAN GRP 4,341,580 %0.11 %98.8243 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,482,109 %0.09 %98.9044 L 4 AMERIPRISE FIN GRP 3,217,988 %0.08 %98.9945 L 264 HEALTHMARKETS GRP 2,722,465 %0.07 %99.0646 L 826 NEW YORK LIFE GRP 2,240,561 %0.06 %99.1147 P 176 STATE FARM GRP 2,105,424 %0.05 %99.1748 L 8 ALLSTATE INS GRP 2,103,553 %0.05 %99.2249 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,905,296 %0.05 %99.2750 H 2479 DENTEGRA GRP 1,858,106 %0.05 %99.3151 P 796 QBE INS GRP 1,783,434 %0.05 %99.3652 L P 19 ASSURANT INC GRP 1,773,164 %0.05 %99.4153 P 218 CNA INS GRP 1,769,422 %0.04 %99.4554 L 306 CUNA MUT GRP 1,389,833 %0.04 %99.4955 L 812 HIGHMARK GRP 1,366,802 %0.03 %99.5256 L 330 AMERICAN FIDELITY CORP GRP 1,287,399 %0.03 %99.5557 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,202,000 %0.03 %99.5858 P 158 FAIRFAX FIN GRP 1,105,970 %0.03 %99.6159 L 869 MINNESOTA MUT GRP 1,094,878 %0.03 %99.6460 L 836 WEST SOUTHERN GRP 1,049,851 %0.03 %99.6761 L P 450 GENEVE HOLDINGS INC GRP 1,023,107 %0.03 %99.6962 L 761 ALLIANZ INS GRP 991,099 %0.03 %99.7263 L 581 BOSTON MUT GRP 945,047 %0.02 %99.7464 L 451 FIDELITY SECURITY GRP 841,110 %0.02 %99.76
© 2019 National Association of Insurance Commissioners 76
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New Hampshire
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 12 AMERICAN INTL GRP 740,377 %0.02 %99.7866 L 3527 AMERICAN ENTERPRISE MUT GRP 711,771 %0.02 %99.8067 H 1260 MAGELLAN HLTH INC GRP 659,092 %0.02 %99.8268 L 4862 ASSURITY GRP 517,855 %0.01 %99.8369 L 4928 NATIONAL GEN GRP 515,243 %0.01 %99.8470 P 1120 EVEREST REINS HOLDINGS GRP 492,109 %0.01 %99.8671 L 968 AXA INS GRP 411,079 %0.01 %99.8772 L 769 GREAT WEST GRP 410,206 %0.01 %99.8873 L 1186 LIFETIME HLTHCARE GRP 407,687 %0.01 %99.8974 L 276 TRUSTMARK MUT HOLDING CO GRP 406,715 %0.01 %99.9075 P 3416 AXIS CAPITAL GRP 366,419 %0.01 %99.9176 L 4926 HOPMEADOW HOLDINGS GRP 337,510 %0.01 %99.9177 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 284,878 %0.01 %99.9278 H 477 RENAISSANCE HLTH SERV CORP GRP 279,293 %0.01 %99.9379 L 408 AMERICAN NATL FIN GRP 277,813 %0.01 %99.9480 F 58033 KNIGHTS OF COLUMBUS 276,072 %0.01 %99.9481 L P 23 BCS INS GRP 264,363 %0.01 %99.9582 L 781 UNION LABOR GRP 253,381 %0.01 %99.9683 L P 212 ZURICH INS GRP 247,202 %0.01 %99.9684 P 27928 AMEX ASSUR CO 233,515 %0.01 %99.9785 L 69477 TIME INS CO II 222,342 %0.01 %99.9786 L 704 OHIO NATL LIFE GRP 206,093 %0.01 %99.9887 L 367 PHYSICIANS MUT GRP 174,672 %- %99.9888 L 68772 SECURITY MUT LIFE INS CO OF NY 164,931 %- %99.9989 L 71404 CONTINENTAL GEN INS CO 143,027 %- %99.9990 P 785 MARKEL CORP GRP 132,240 %- %100.0091 P 501 ALLEGHANY GRP 126,565 %- %100.0092 L 4815 RESOLUTION LIFE GRP 126,124 %- %100.0093 L 634 NATIONAL LIFE GRP 125,836 %- %100.0094 L 76325 SENIOR HLTH INS CO OF PA 125,049 %- %100.0095 L 11121 UNIFIED LIFE INS CO 116,694 %- %100.0096 L 4853 AAA LIFE GRP 114,932 %- %100.0097 L 64580 ILLINOIS MUT LIFE INS CO 111,111 %- %100.0098 L 1216 TIAA FAMILY GRP 107,476 %- %100.0099 L 588 KANSAS CITY LIFE INS GRP 93,524 %- %100.00
100 L 619 ONEAMERICA FIN PARTNERS GRP 84,803 %- %100.00101 L 1117 MANHATTAN LIFE GRP 82,749 %- %100.00102 P 4381 HOUSTON INTL INS GRP 82,143 %- %100.00103 L 84 AMERICAN FINANCIAL GRP 77,127 %- %100.00104 L 4734 APOLLO GLOBAL MGMT GRP 76,713 %- %100.00105 L 4736 GGC GRP 70,740 %- %100.00106 L 440 REGAL REINS GRP 65,121 %- %100.00107 L 918 JACKSON NATL GRP 63,264 %- %100.00108 L 4712 GPM LIFE GRP 63,100 %- %100.00109 L 3891 GLOBAL ATLANTIC GRP 62,642 %- %100.00110 L 687 GUARANTEE TRUST GRP 57,647 %- %100.00111 P 1279 ARCH INS GRP 54,492 %- %100.00112 L 839 USHEALTH GRP INC GRP 42,411 %- %100.00113 L P 31 BERKSHIRE HATHAWAY GRP 42,047 %- %100.00114 L 300 HORACE MANN GRP 37,454 %- %100.00115 L 850 PENN MUT GRP 31,144 %- %100.00116 L P 169 SENTRY INS GRP 30,102 %- %100.00117 L 7 FEDERATED MUT GRP 29,026 %- %100.00118 L 4888 EQUITABLE FAMILY INS CO GRP 29,002 %- %100.00119 L 690 CENTRAL STATES GRP 28,614 %- %100.00120 L 525 PAN AMER LIFE GRP 28,461 %- %100.00121 L 574 AMERCO CORP GRP 26,739 %- %100.00122 F 58181 SUPREME COUNCIL THE ROYAL ARCANUM 21,650 %- %100.00123 L 50 COUNTRY INS & FIN SERV GRP 21,302 %- %100.00124 L 458 PROTECTIVE LIFE INS GRP 21,079 %- %100.00125 L 587 ATLANTIC AMER GRP 17,946 %- %100.00
**TOTAL** 3,933,336,670 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 77
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New Jersey
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 1202 BCBS OF NJ GRP 13,302,193,211 %41.84 %41.842 L H 707 UNITEDHEALTH GRP 7,114,702,165 %22.38 %64.223 L H 1 CVS GRP 3,538,018,001 %11.13 %75.344 L H 671 ANTHEM INC GRP 1,386,240,380 %4.36 %79.705 L H 901 CIGNA HLTH GRP 1,113,325,624 %3.50 %83.216 H 936 INDEPENDENCE HLTH GRP INC GRP 1,097,382,899 %3.45 %86.667 L H 1199 WELLCARE GRP 743,352,847 %2.34 %89.008 H 4918 CLOVER HLTH GRP 356,542,461 %1.12 %90.129 L H P 241 METROPOLITAN GRP 300,315,650 %0.94 %91.06
10 H 2918 DELTA DENTAL PLAN OF NJ GRP 259,397,809 %0.82 %91.8811 L 565 UNUM GRP 181,534,440 %0.57 %92.4512 L H 429 GUARDIAN LIFE GRP 177,143,607 %0.56 %93.0113 L 370 AFLAC GRP 125,745,141 %0.40 %93.4014 L 4011 GENWORTH FIN GRP 121,745,683 %0.38 %93.7815 H 119 HUMANA GRP 115,540,065 %0.36 %94.1516 L 261 MUTUAL OF OMAHA GRP 109,336,684 %0.34 %94.4917 L 304 PRUDENTIAL OF AMER GRP 109,297,523 %0.34 %94.8318 L H 549 SUN LIFE ASSUR CO OF CN GRP 93,696,247 %0.29 %95.1319 L 233 CNO FINANCIAL GRP 74,655,893 %0.23 %95.3620 H 1189 VISION SERV PLAN GRP 74,551,914 %0.23 %95.6021 L P 3098 TOKIO MARINE HOLDINGS INC GRP 70,822,518 %0.22 %95.8222 L 860 NORTHWESTERN MUT GRP 66,336,298 %0.21 %96.0323 L P 468 AEGON US HOLDING GRP 65,111,626 %0.20 %96.2424 L 904 JOHN HANCOCK GRP 62,016,740 %0.20 %96.4325 L P 91 HARTFORD FIRE & CAS GRP 60,910,902 %0.19 %96.6226 L 81264 NIPPON LIFE INS CO OF AMER 57,831,593 %0.18 %96.8027 L 20 LINCOLN NATL GRP 57,526,556 %0.18 %96.9828 L 4832 VOYA FINANCIAL GRP 54,382,007 %0.17 %97.1629 L P 626 CHUBB LTD GRP 51,857,308 %0.16 %97.3230 L 332 PRINCIPAL FIN GRP 44,054,764 %0.14 %97.4631 L 1348 MEIJI YASUDA LIFE INS GRP 42,146,264 %0.13 %97.5932 L 435 MASS MUT LIFE INS GRP 40,340,818 %0.13 %97.7233 H 4818 MULBERRY HLTH GRP 38,577,060 %0.12 %97.8434 L H 812 HIGHMARK GRP 34,718,055 %0.11 %97.9535 L 451 FIDELITY SECURITY GRP 29,329,435 %0.09 %98.0436 L P 23 BCS INS GRP 28,636,117 %0.09 %98.1337 L 4855 SUMITOMO LIFE INS GRP 27,071,098 %0.09 %98.2138 L 836 WEST SOUTHERN GRP 25,040,689 %0.08 %98.2939 H 14403 CARECENTRIX OF NJ INC 24,022,056 %0.08 %98.3740 L P 12 AMERICAN INTL GRP 23,763,894 %0.07 %98.4441 P 158 FAIRFAX FIN GRP 20,451,820 %0.06 %98.5142 L 276 TRUSTMARK MUT HOLDING CO GRP 19,593,051 %0.06 %98.5743 L P 181 SWISS RE GRP 19,468,867 %0.06 %98.6344 P 218 CNA INS GRP 19,189,568 %0.06 %98.6945 L 826 NEW YORK LIFE GRP 17,494,455 %0.06 %98.7546 L 8 ALLSTATE INS GRP 16,965,078 %0.05 %98.8047 H 2479 DENTEGRA GRP 16,853,092 %0.05 %98.8548 L 4932 BRIGHTHOUSE HOLDINGS GRP 16,805,232 %0.05 %98.9149 L P 19 ASSURANT INC GRP 16,005,456 %0.05 %98.9650 L 943 AMERITAS MUT HOLDING GRP 14,644,408 %0.05 %99.0051 L P 212 ZURICH INS GRP 14,635,773 %0.05 %99.0552 L 98 WR BERKLEY CORP GRP 14,144,805 %0.04 %99.0953 L 290 TORCHMARK CORP GRP 13,027,674 %0.04 %99.1354 L P 4928 NATIONAL GEN GRP 12,360,478 %0.04 %99.1755 L 4 AMERIPRISE FIN GRP 12,320,174 %0.04 %99.2156 L 525 PAN AMER LIFE GRP 12,004,947 %0.04 %99.2557 L P 140 NATIONWIDE CORP GRP 10,959,381 %0.03 %99.2858 P 361 MUNICH RE GRP 10,244,626 %0.03 %99.3259 P 2538 AMTRUST FINANCIAL SERV GRP 10,150,866 %0.03 %99.3560 H 4881 M MELE GRP 9,994,247 %0.03 %99.3861 L P 968 AXA INS GRP 9,302,865 %0.03 %99.4162 P 111 LIBERTY MUT GRP 7,824,431 %0.02 %99.4363 L 587 ATLANTIC AMER GRP 7,510,997 %0.02 %99.4664 P 1279 ARCH INS GRP 7,415,305 %0.02 %99.48
© 2019 National Association of Insurance Commissioners 78
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New Jersey
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 869 MINNESOTA MUT GRP 6,910,640 %0.02 %99.5066 H 4917 BENECARE DENTAL PLANS GRP 6,321,638 %0.02 %99.5267 P 796 QBE INS GRP 6,113,651 %0.02 %99.5468 L P 761 ALLIANZ INS GRP 6,063,218 %0.02 %99.5669 L 781 UNION LABOR GRP 5,988,229 %0.02 %99.5870 L 330 AMERICAN FIDELITY CORP GRP 5,982,888 %0.02 %99.6071 L 1117 MANHATTAN LIFE GRP 5,720,965 %0.02 %99.6272 L 520 NEW ERA LIFE GRP 5,587,863 %0.02 %99.6373 H 85 HEALTHPLEX GRP 5,569,869 %0.02 %99.6574 L 1211 NATIONAL GUARDIAN LIFE INS GRP 5,309,943 %0.02 %99.6775 L 306 CUNA MUT GRP 5,154,184 %0.02 %99.6876 L 60216 AMALGAMATED LIFE INS CO 5,031,612 %0.02 %99.7077 H 11234 DENTAL SERV ORG INC 5,019,952 %0.02 %99.7178 P 176 STATE FARM GRP 4,849,552 %0.02 %99.7379 H 12747 ENVISION INS CO 4,159,705 %0.01 %99.7480 P 4863 CHINA MINSHENG GRP 4,045,907 %0.01 %99.7681 L 367 PHYSICIANS MUT GRP 3,919,105 %0.01 %99.7782 P 27928 AMEX ASSUR CO 3,571,856 %0.01 %99.7883 L 687 GUARANTEE TRUST GRP 2,986,336 %0.01 %99.7984 F 58009 POLICE & FIREMENS INS ASSN 2,975,170 %0.01 %99.8085 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,706,287 %0.01 %99.8186 H 477 RENAISSANCE HLTH SERV CORP GRP 2,693,213 %0.01 %99.8287 F 58033 KNIGHTS OF COLUMBUS 2,667,192 %0.01 %99.8288 L 4862 ASSURITY GRP 2,442,706 %0.01 %99.8389 L P 31 BERKSHIRE HATHAWAY GRP 2,228,198 %0.01 %99.8490 L 876 ARKANSAS BCBS GRP 2,191,935 %0.01 %99.8591 L 4803 SHELTERPOINT GRP INC 2,141,655 %0.01 %99.8592 P 4381 HOUSTON INTL INS GRP 2,134,553 %0.01 %99.8693 L 71404 CONTINENTAL GEN INS CO 1,978,690 %0.01 %99.8694 L 68772 SECURITY MUT LIFE INS CO OF NY 1,977,128 %0.01 %99.8795 L 769 GREAT WEST GRP 1,955,635 %0.01 %99.8896 L 581 BOSTON MUT GRP 1,936,920 %0.01 %99.8897 L 4853 AAA LIFE GRP 1,760,103 %0.01 %99.8998 P 4670 STARR GRP 1,591,860 %0.01 %99.8999 L 69477 TIME INS CO II 1,543,505 %- %99.90
100 L 76325 SENIOR HLTH INS CO OF PA 1,435,717 %- %99.90101 P 3416 AXIS CAPITAL GRP 1,397,374 %- %99.91102 H 4696 VISION BENEFITS GRP 1,354,409 %- %99.91103 L 1186 LIFETIME HLTHCARE GRP 1,350,129 %- %99.92104 P 785 MARKEL CORP GRP 1,324,252 %- %99.92105 L 4764 RESERVOIR CAPITAL GRP 1,310,998 %- %99.92106 L H 917 HCSC GRP 1,290,052 %- %99.93107 L 408 AMERICAN NATL FIN GRP 1,264,538 %- %99.93108 L 1216 TIAA FAMILY GRP 1,155,660 %- %99.94109 L 4926 HOPMEADOW HOLDINGS GRP 1,141,252 %- %99.94110 L P 450 GENEVE HOLDINGS INC GRP 1,099,778 %- %99.94111 L 704 OHIO NATL LIFE GRP 1,058,614 %- %99.95112 L 458 PROTECTIVE LIFE INS GRP 999,448 %- %99.95113 L 4815 RESOLUTION LIFE GRP 990,338 %- %99.95114 L 440 REGAL REINS GRP 978,454 %- %99.96115 H 1295 CENTENE CORP GRP 881,512 %- %99.96116 L 634 NATIONAL LIFE GRP 876,516 %- %99.96117 H 11182 JOHN D KERNAN DMD PA 767,578 %- %99.96118 L 619 ONEAMERICA FIN PARTNERS GRP 767,418 %- %99.97119 L 850 PENN MUT GRP 705,064 %- %99.97120 L 3891 GLOBAL ATLANTIC GRP 668,520 %- %99.97121 L P 4734 APOLLO GLOBAL MGMT GRP 588,176 %- %99.97122 L 200 UNITED SERV AUTOMOBILE ASSN GRP 565,478 %- %99.97123 P 3483 PARTNERRE GRP 482,310 %- %99.98124 H 11246 GROUP DENTAL HLTH ADMINISTRATORS INC 473,889 %- %99.98125 L P 84 AMERICAN FINANCIAL GRP 464,252 %- %99.98
**TOTAL** 31,794,005,343 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 79
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New Mexico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 481 PRESBYTERIAN HLTHCARE SERV GRP 2,292,846,010 %29.09 %29.092 L H 917 HCSC GRP 1,824,826,498 %23.15 %52.253 H 1531 MOLINA HEALTHCARE INC GRP 1,421,979,488 %18.04 %70.294 L H 707 UNITEDHEALTH GRP 1,195,916,257 %15.17 %85.465 H 119 HUMANA GRP 233,326,974 %2.96 %88.426 L H 1 CVS GRP 183,852,033 %2.33 %90.767 H 15011 NEW MEXICO HLTH CONNECTIONS 118,069,286 %1.50 %92.258 H 16281 TRUE HLTH NM INC 91,419,529 %1.16 %93.419 L H 901 CIGNA HLTH GRP 72,852,100 %0.92 %94.34
10 H 477 RENAISSANCE HLTH SERV CORP GRP 49,172,216 %0.62 %94.9611 L 370 AFLAC GRP 33,584,151 %0.43 %95.3912 L 261 MUTUAL OF OMAHA GRP 28,657,598 %0.36 %95.7513 L 565 UNUM GRP 24,738,018 %0.31 %96.0614 L 241 METROPOLITAN GRP 20,905,717 %0.27 %96.3315 L H 812 HIGHMARK GRP 18,740,286 %0.24 %96.5716 L P 91 HARTFORD FIRE & CAS GRP 16,968,639 %0.22 %96.7817 H 14154 CHRISTUS HLTH PLAN 16,759,825 %0.21 %97.0018 L H 671 ANTHEM INC GRP 15,933,619 %0.20 %97.2019 L 4011 GENWORTH FIN GRP 12,463,277 %0.16 %97.3620 H 1189 VISION SERV PLAN GRP 11,976,831 %0.15 %97.5121 L 20 LINCOLN NATL GRP 10,186,328 %0.13 %97.6422 L P 468 AEGON US HOLDING GRP 8,577,837 %0.11 %97.7523 L 904 JOHN HANCOCK GRP 8,457,762 %0.11 %97.8524 L 661 BCBS OF SC GRP 8,248,724 %0.10 %97.9625 L 1348 MEIJI YASUDA LIFE INS GRP 7,659,552 %0.10 %98.0626 L 332 PRINCIPAL FIN GRP 7,156,475 %0.09 %98.1527 L 860 NORTHWESTERN MUT GRP 6,711,274 %0.09 %98.2328 L P 3098 TOKIO MARINE HOLDINGS INC GRP 6,570,167 %0.08 %98.3129 P 176 STATE FARM GRP 6,535,258 %0.08 %98.4030 L 290 TORCHMARK CORP GRP 6,221,643 %0.08 %98.4831 L 304 PRUDENTIAL OF AMER GRP 5,783,893 %0.07 %98.5532 L P 12 AMERICAN INTL GRP 5,681,380 %0.07 %98.6233 L 8 ALLSTATE INS GRP 5,588,862 %0.07 %98.6934 L 429 GUARDIAN LIFE GRP 5,575,147 %0.07 %98.7635 L 330 AMERICAN FIDELITY CORP GRP 5,331,171 %0.07 %98.8336 L H 549 SUN LIFE ASSUR CO OF CN GRP 4,535,360 %0.06 %98.8937 L 233 CNO FINANCIAL GRP 4,409,284 %0.06 %98.9438 L H 1199 WELLCARE GRP 4,385,825 %0.06 %99.0039 L 4832 VOYA FINANCIAL GRP 4,155,523 %0.05 %99.0540 L 943 AMERITAS MUT HOLDING GRP 3,471,387 %0.04 %99.1041 L 869 MINNESOTA MUT GRP 3,348,419 %0.04 %99.1442 L 71404 CONTINENTAL GEN INS CO 3,307,806 %0.04 %99.1843 L 826 NEW YORK LIFE GRP 3,163,554 %0.04 %99.2244 H 12747 ENVISION INS CO 3,077,255 %0.04 %99.2645 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,069,985 %0.04 %99.3046 L P 98 WR BERKLEY CORP GRP 3,039,325 %0.04 %99.3447 H 2479 DENTEGRA GRP 2,522,224 %0.03 %99.3748 L 306 CUNA MUT GRP 2,446,925 %0.03 %99.4049 L 435 MASS MUT LIFE INS GRP 2,269,406 %0.03 %99.4350 L P 626 CHUBB LTD GRP 2,135,159 %0.03 %99.4651 L P 181 SWISS RE GRP 1,821,707 %0.02 %99.4852 L 4855 SUMITOMO LIFE INS GRP 1,805,907 %0.02 %99.5053 L P 19 ASSURANT INC GRP 1,773,714 %0.02 %99.5354 P 4863 CHINA MINSHENG GRP 1,700,130 %0.02 %99.5555 L 4888 EQUITABLE FAMILY INS CO GRP 1,613,304 %0.02 %99.5756 L 451 FIDELITY SECURITY GRP 1,613,036 %0.02 %99.5957 P 501 ALLEGHANY GRP 1,482,704 %0.02 %99.6158 L 215 KEMPER CORP GRP 1,454,965 %0.02 %99.6359 L P 140 NATIONWIDE CORP GRP 1,357,608 %0.02 %99.6460 L 836 WEST SOUTHERN GRP 1,280,251 %0.02 %99.6661 P 218 CNA INS GRP 1,236,706 %0.02 %99.6762 L 3527 AMERICAN ENTERPRISE MUT GRP 1,187,366 %0.02 %99.6963 L 367 PHYSICIANS MUT GRP 1,180,236 %0.01 %99.7064 L P 450 GENEVE HOLDINGS INC GRP 1,044,114 %0.01 %99.72
© 2019 National Association of Insurance Commissioners 80
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New Mexico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 761 ALLIANZ INS GRP 1,029,476 %0.01 %99.7366 L 4 AMERIPRISE FIN GRP 942,764 %0.01 %99.7467 L 4928 NATIONAL GEN GRP 885,000 %0.01 %99.7568 L 276 TRUSTMARK MUT HOLDING CO GRP 861,456 %0.01 %99.7769 L 4824 ADVANTAGE CAPITAL GRP 814,736 %0.01 %99.7870 P 158 FAIRFAX FIN GRP 787,767 %0.01 %99.7971 L 587 ATLANTIC AMER GRP 780,318 %0.01 %99.8072 L P 968 AXA INS GRP 712,872 %0.01 %99.8073 L 90638 BEST LIFE & HLTH INS CO 712,770 %0.01 %99.8174 L 1117 MANHATTAN LIFE GRP 710,293 %0.01 %99.8275 L 408 AMERICAN NATL FIN GRP 707,304 %0.01 %99.8376 L 687 GUARANTEE TRUST GRP 679,019 %0.01 %99.8477 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 618,911 %0.01 %99.8578 L 1211 NATIONAL GUARDIAN LIFE INS GRP 539,916 %0.01 %99.8579 L 918 JACKSON NATL GRP 499,076 %0.01 %99.8680 L 525 PAN AMER LIFE GRP 480,634 %0.01 %99.8781 L P 212 ZURICH INS GRP 451,132 %0.01 %99.8782 L 4826 ECG GRP 423,456 %0.01 %99.8883 L 4853 AAA LIFE GRP 419,106 %0.01 %99.8884 F 58033 KNIGHTS OF COLUMBUS 361,007 %- %99.8985 P 3416 AXIS CAPITAL GRP 348,701 %- %99.8986 L 4932 BRIGHTHOUSE HOLDINGS GRP 337,401 %- %99.9087 L 4862 ASSURITY GRP 333,543 %- %99.9088 L 769 GREAT WEST GRP 332,375 %- %99.9189 L 4922 ENTERPRISE INVESTMENTS GRP 330,422 %- %99.9190 P 796 QBE INS GRP 309,887 %- %99.9191 L 76325 SENIOR HLTH INS CO OF PA 297,829 %- %99.9292 L 4926 HOPMEADOW HOLDINGS GRP 274,469 %- %99.9293 P 27928 AMEX ASSUR CO 270,258 %- %99.9294 L 69477 TIME INS CO II 263,861 %- %99.9395 L 520 NEW ERA LIFE GRP 253,479 %- %99.9396 L 69132 STATE MUT INS CO 248,278 %- %99.9397 L 572 BCBS OF MI GRP 238,211 %- %99.9498 L 350 GENERAL ELECTRIC GRP 234,696 %- %99.9499 H 1260 MAGELLAN HLTH INC GRP 230,865 %- %99.94
100 L P 23 BCS INS GRP 224,202 %- %99.95101 L 4734 APOLLO GLOBAL MGMT GRP 218,342 %- %99.95102 L 7 FEDERATED MUT GRP 209,935 %- %99.95103 L 4213 WILTON RE GRP 186,987 %- %99.95104 L 264 HEALTHMARKETS GRP 179,144 %- %99.96105 L 588 KANSAS CITY LIFE INS GRP 177,218 %- %99.96106 L 4815 RESOLUTION LIFE GRP 169,323 %- %99.96107 L 11121 UNIFIED LIFE INS CO 165,761 %- %99.96108 L 619 ONEAMERICA FIN PARTNERS GRP 160,263 %- %99.96109 L 70122 UNIVERSAL FIDELITY LIFE INS CO 160,111 %- %99.97110 L 581 BOSTON MUT GRP 149,856 %- %99.97111 L 1186 LIFETIME HLTHCARE GRP 147,945 %- %99.97112 L 64580 ILLINOIS MUT LIFE INS CO 137,314 %- %99.97113 L 69337 AMERICAN FIN SECURITY LIFE INS CO 126,623 %- %99.97114 P 4670 STARR GRP 124,795 %- %99.98115 L 574 AMERCO CORP GRP 123,671 %- %99.98116 L 50 COUNTRY INS & FIN SERV GRP 121,868 %- %99.98117 L 4736 GGC GRP 119,783 %- %99.98118 L 3891 GLOBAL ATLANTIC GRP 101,273 %- %99.98119 L 839 USHEALTH GRP INC GRP 98,272 %- %99.98120 L 1216 TIAA FAMILY GRP 96,444 %- %99.98121 L 458 PROTECTIVE LIFE INS GRP 91,844 %- %99.98122 P 785 MARKEL CORP GRP 91,263 %- %99.99123 L 513 IOWA FARM BUREAU GRP 82,269 %- %99.99124 L 4764 RESERVOIR CAPITAL GRP 81,065 %- %99.99125 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 80,870 %- %99.99
**TOTAL** 7,881,379,648 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 81
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New York
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 17,047,223,443 %28.96 %28.962 L H 1186 LIFETIME HLTHCARE GRP 5,826,232,372 %9.90 %38.863 H 1127 EMBLEM HLTH GRP 5,822,968,105 %9.89 %48.754 L H 671 ANTHEM INC GRP 3,529,018,211 %6.00 %54.755 L H 1 CVS GRP 3,388,796,095 %5.76 %60.516 H 1198 MVP GRP 3,243,798,044 %5.51 %66.027 H 4778 HEALTHFIRST INC GRP 2,655,600,833 %4.51 %70.538 H 55204 HEALTH NOW NY INC 2,652,249,710 %4.51 %75.039 H 4708 CDPHP INC GRP 2,062,773,136 %3.50 %78.54
10 H 4894 INDEPENDENT HLTH ASSN GRP 2,017,487,277 %3.43 %81.9711 L H 901 CIGNA HLTH GRP 1,580,796,578 %2.69 %84.6512 H 95662 ELDERPLAN INC 1,088,067,731 %1.85 %86.5013 H 1260 MAGELLAN HLTH INC GRP 711,564,961 %1.21 %87.7114 L H P 241 METROPOLITAN GRP 645,460,488 %1.10 %88.8115 L H 1199 WELLCARE GRP 577,663,190 %0.98 %89.7916 L 429 GUARDIAN LIFE GRP 502,218,872 %0.85 %90.6417 H 119 HUMANA GRP 468,444,260 %0.80 %91.4418 L 565 UNUM GRP 453,903,669 %0.77 %92.2119 L 370 AFLAC GRP 333,559,276 %0.57 %92.7720 H 4818 MULBERRY HLTH GRP 298,796,458 %0.51 %93.2821 L 4011 GENWORTH FIN GRP 210,846,943 %0.36 %93.6422 H 2479 DENTEGRA GRP 204,132,184 %0.35 %93.9923 L 4803 SHELTERPOINT GRP INC 181,873,999 %0.31 %94.3024 L P 626 CHUBB LTD GRP 159,750,712 %0.27 %94.5725 L P 91 HARTFORD FIRE & CAS GRP 158,395,314 %0.27 %94.8426 L 20 LINCOLN NATL GRP 147,599,716 %0.25 %95.0927 L P 3098 TOKIO MARINE HOLDINGS INC GRP 141,105,082 %0.24 %95.3328 L 860 NORTHWESTERN MUT GRP 137,286,544 %0.23 %95.5629 L 904 JOHN HANCOCK GRP 135,708,431 %0.23 %95.7930 L 304 PRUDENTIAL OF AMER GRP 135,457,003 %0.23 %96.0231 L 549 SUN LIFE ASSUR CO OF CN GRP 120,193,195 %0.20 %96.2332 L P 31 BERKSHIRE HATHAWAY GRP 115,944,535 %0.20 %96.4233 L P 468 AEGON US HOLDING GRP 106,757,407 %0.18 %96.6034 H 1189 VISION SERV PLAN GRP 97,365,247 %0.17 %96.7735 L 435 MASS MUT LIFE INS GRP 85,192,527 %0.14 %96.9136 L 826 NEW YORK LIFE GRP 77,589,538 %0.13 %97.0537 L 261 MUTUAL OF OMAHA GRP 77,295,560 %0.13 %97.1838 L 332 PRINCIPAL FIN GRP 75,294,760 %0.13 %97.3039 P 36103 STATE INS FUND DISABILITY BENEFITS 75,188,925 %0.13 %97.4340 L 1348 MEIJI YASUDA LIFE INS GRP 73,911,473 %0.13 %97.5641 L H 812 HIGHMARK GRP 66,084,872 %0.11 %97.6742 L 81264 NIPPON LIFE INS CO OF AMER 62,667,173 %0.11 %97.7843 L P 450 GENEVE HOLDINGS INC GRP 62,399,985 %0.11 %97.8844 H 47112 DENTCARE DELIVERY SYSTEMS INC 60,826,945 %0.10 %97.9945 L 4832 VOYA FINANCIAL GRP 55,223,137 %0.09 %98.0846 L 8 ALLSTATE INS GRP 52,057,178 %0.09 %98.1747 L P 181 SWISS RE GRP 50,930,515 %0.09 %98.2548 P 2538 AMTRUST FINANCIAL SERV GRP 50,672,994 %0.09 %98.3449 L 290 TORCHMARK CORP GRP 48,122,488 %0.08 %98.4250 H 12976 CATHOLIC SPECIAL NEEDS PLAN LLC 47,386,385 %0.08 %98.5051 L 943 AMERITAS MUT HOLDING GRP 45,967,292 %0.08 %98.5852 H 4793 NORTH SHORE LIJ HLTH CARE GRP 44,461,927 %0.08 %98.6653 H 4685 QHP GRP 42,004,572 %0.07 %98.7354 L P 12 AMERICAN INTL GRP 39,887,401 %0.07 %98.8055 L 4855 SUMITOMO LIFE INS GRP 38,644,579 %0.07 %98.8656 L 4932 BRIGHTHOUSE HOLDINGS GRP 38,072,801 %0.06 %98.9357 L 451 FIDELITY SECURITY GRP 36,939,619 %0.06 %98.9958 H 4847 CRYSTAL RUN HLTH GRP 30,987,976 %0.05 %99.0459 P 218 CNA INS GRP 30,374,448 %0.05 %99.0960 P 158 FAIRFAX FIN GRP 28,078,313 %0.05 %99.1461 P 176 STATE FARM GRP 26,191,596 %0.04 %99.1962 L P 19 ASSURANT INC GRP 24,345,131 %0.04 %99.2363 L 661 BCBS OF SC GRP 24,236,809 %0.04 %99.2764 H 12747 ENVISION INS CO 23,771,249 %0.04 %99.31
© 2019 National Association of Insurance Commissioners 82
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
New York
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 98 WR BERKLEY CORP GRP 23,662,197 %0.04 %99.3566 L 276 TRUSTMARK MUT HOLDING CO GRP 21,658,896 %0.04 %99.3967 P 4863 CHINA MINSHENG GRP 20,248,051 %0.03 %99.4268 L 836 WEST SOUTHERN GRP 20,227,434 %0.03 %99.4569 L P 212 ZURICH INS GRP 18,253,258 %0.03 %99.4970 L 4926 HOPMEADOW HOLDINGS GRP 16,435,028 %0.03 %99.5171 L 4 AMERIPRISE FIN GRP 15,149,384 %0.03 %99.5472 L 233 CNO FINANCIAL GRP 14,971,677 %0.03 %99.5673 H 4866 SOLSTICE GRP 14,360,570 %0.02 %99.5974 L 781 UNION LABOR GRP 14,175,523 %0.02 %99.6175 P 1279 ARCH INS GRP 14,158,662 %0.02 %99.6476 P 796 QBE INS GRP 14,144,759 %0.02 %99.6677 L P 968 AXA INS GRP 13,998,419 %0.02 %99.6878 L P 140 NATIONWIDE CORP GRP 12,220,425 %0.02 %99.7179 L 60216 AMALGAMATED LIFE INS CO 11,752,192 %0.02 %99.7380 P 361 MUNICH RE GRP 11,525,330 %0.02 %99.7481 L P 23 BCS INS GRP 11,425,085 %0.02 %99.7682 L 581 BOSTON MUT GRP 10,566,813 %0.02 %99.7883 L 306 CUNA MUT GRP 9,763,563 %0.02 %99.8084 L 68772 SECURITY MUT LIFE INS CO OF NY 9,414,504 %0.02 %99.8185 P 27928 AMEX ASSUR CO 8,416,713 %0.01 %99.8386 H 55271 PUPIL BENEFITS PLAN INC 8,308,507 %0.01 %99.8487 P 111 LIBERTY MUT GRP 7,392,470 %0.01 %99.8688 H 85 HEALTHPLEX GRP 7,269,915 %0.01 %99.8789 P 4928 NATIONAL GEN GRP 5,696,731 %0.01 %99.8890 L 869 MINNESOTA MUT GRP 5,483,034 %0.01 %99.8991 L 477 RENAISSANCE HLTH SERV CORP GRP 4,290,198 %0.01 %99.8992 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,158,354 %0.01 %99.9093 L 769 GREAT WEST GRP 3,670,089 %0.01 %99.9194 L 761 ALLIANZ INS GRP 3,437,110 %0.01 %99.9195 H 4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 3,429,910 %0.01 %99.9296 P 3483 PARTNERRE GRP 3,318,301 %0.01 %99.9397 L 367 PHYSICIANS MUT GRP 2,949,778 %0.01 %99.9398 L 1216 TIAA FAMILY GRP 2,755,294 %- %99.9399 P 3416 AXIS CAPITAL GRP 2,724,438 %- %99.94
100 L 850 PENN MUT GRP 2,712,608 %- %99.94101 L 634 NATIONAL LIFE GRP 2,535,621 %- %99.95102 L 458 PROTECTIVE LIFE INS GRP 2,139,918 %- %99.95103 F 58033 KNIGHTS OF COLUMBUS 2,120,678 %- %99.96104 L 408 AMERICAN NATL FIN GRP 1,934,023 %- %99.96105 L 810 PENN TREATY AMER GRP 1,929,323 %- %99.96106 L 440 REGAL REINS GRP 1,541,618 %- %99.96107 F 58009 POLICE & FIREMENS INS ASSN 1,441,099 %- %99.97108 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,356,904 %- %99.97109 P 4670 STARR GRP 1,281,856 %- %99.97110 H 4896 SPARTAN PLAN HOLDINGS GRP 1,241,553 %- %99.97111 L 330 AMERICAN FIDELITY CORP GRP 1,223,199 %- %99.98112 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,220,260 %- %99.98113 L 88668 MUTUAL OF AMER LIFE INS CO 1,151,770 %- %99.98114 L 71404 CONTINENTAL GEN INS CO 1,047,774 %- %99.98115 L P 4734 APOLLO GLOBAL MGMT GRP 983,985 %- %99.98116 L 1117 MANHATTAN LIFE GRP 951,538 %- %99.98117 P 785 MARKEL CORP GRP 890,952 %- %99.99118 L 200 UNITED SERV AUTOMOBILE ASSN GRP 726,516 %- %99.99119 L 4736 GGC GRP 615,195 %- %99.99120 L 4213 WILTON RE GRP 583,509 %- %99.99121 P 4904 INTACT FINANCIAL GRP 451,347 %- %99.99122 L 839 USHEALTH GRP INC GRP 419,257 %- %99.99123 L 4764 RESERVOIR CAPITAL GRP 394,460 %- %99.99124 L 76325 SENIOR HLTH INS CO OF PA 393,797 %- %99.99125 L 4862 ASSURITY GRP 289,749 %- %99.99
**TOTAL** 58,860,933,917 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 83
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
North Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 758 BCBS OF NC GRP 9,019,316,856 %39.73 %39.732 L H 707 UNITEDHEALTH GRP 5,995,754,342 %26.41 %66.143 H 119 HUMANA GRP 1,854,393,380 %8.17 %74.314 L H 1 CVS GRP 1,642,995,144 %7.24 %81.555 L H 901 CIGNA HLTH GRP 699,620,357 %3.08 %84.636 L 565 UNUM GRP 304,146,664 %1.34 %85.977 L H 241 METROPOLITAN GRP 289,044,856 %1.27 %87.248 L 261 MUTUAL OF OMAHA GRP 239,622,216 %1.06 %88.309 L 370 AFLAC GRP 195,182,585 %0.86 %89.16
10 H 12962 FIRSTCAROLINACARE INS CO INC 132,510,769 %0.58 %89.7411 H 15685 CARE N CARE INS CO OF NC 128,810,693 %0.57 %90.3112 L 20 LINCOLN NATL GRP 121,436,191 %0.53 %90.8513 L 429 GUARDIAN LIFE GRP 88,379,043 %0.39 %91.2414 L 4011 GENWORTH FIN GRP 86,761,701 %0.38 %91.6215 L P 91 HARTFORD FIRE & CAS GRP 79,934,912 %0.35 %91.9716 H 1189 VISION SERV PLAN GRP 77,526,130 %0.34 %92.3117 L 943 AMERITAS MUT HOLDING GRP 77,221,119 %0.34 %92.6518 L 332 PRINCIPAL FIN GRP 76,872,024 %0.34 %92.9919 H 477 RENAISSANCE HLTH SERV CORP GRP 72,261,693 %0.32 %93.3120 L 860 NORTHWESTERN MUT GRP 71,725,682 %0.32 %93.6221 L P 3098 TOKIO MARINE HOLDINGS INC GRP 67,420,043 %0.30 %93.9222 L 904 JOHN HANCOCK GRP 62,180,972 %0.27 %94.1923 L H 812 HIGHMARK GRP 61,247,580 %0.27 %94.4624 L 8 ALLSTATE INS GRP 61,033,576 %0.27 %94.7325 L 233 CNO FINANCIAL GRP 59,536,976 %0.26 %95.0026 L P 468 AEGON US HOLDING GRP 55,514,341 %0.24 %95.2427 L 549 SUN LIFE ASSUR CO OF CN GRP 49,940,637 %0.22 %95.4628 L 4832 VOYA FINANCIAL GRP 40,946,536 %0.18 %95.6429 L 304 PRUDENTIAL OF AMER GRP 37,649,388 %0.17 %95.8130 L P 626 CHUBB LTD GRP 34,565,583 %0.15 %95.9631 L 661 BCBS OF SC GRP 33,326,386 %0.15 %96.1132 L 839 USHEALTH GRP INC GRP 32,328,485 %0.14 %96.2533 L 1211 NATIONAL GUARDIAN LIFE INS GRP 31,239,108 %0.14 %96.3934 L 435 MASS MUT LIFE INS GRP 30,195,016 %0.13 %96.5235 L H 1199 WELLCARE GRP 30,105,209 %0.13 %96.6536 L 451 FIDELITY SECURITY GRP 29,645,083 %0.13 %96.7837 L 4855 SUMITOMO LIFE INS GRP 27,745,990 %0.12 %96.9038 P 176 STATE FARM GRP 27,526,963 %0.12 %97.0339 L 3527 AMERICAN ENTERPRISE MUT GRP 26,151,527 %0.12 %97.1440 L 290 TORCHMARK CORP GRP 25,797,968 %0.11 %97.2541 L P 19 ASSURANT INC GRP 25,257,417 %0.11 %97.3742 L 836 WEST SOUTHERN GRP 22,827,641 %0.10 %97.4743 L 1348 MEIJI YASUDA LIFE INS GRP 22,334,226 %0.10 %97.5644 H 12747 ENVISION INS CO 21,390,621 %0.09 %97.6645 L P 12 AMERICAN INTL GRP 21,207,654 %0.09 %97.7546 L 98 WR BERKLEY CORP GRP 20,023,480 %0.09 %97.8447 L 71404 CONTINENTAL GEN INS CO 16,557,014 %0.07 %97.9148 L 200 UNITED SERV AUTOMOBILE ASSN GRP 16,011,162 %0.07 %97.9849 H 16170 LIBERTY ADVANTAGE LLC 15,343,447 %0.07 %98.0550 L 619 ONEAMERICA FIN PARTNERS GRP 15,113,540 %0.07 %98.1251 L P 31 BERKSHIRE HATHAWAY GRP 14,775,569 %0.07 %98.1852 L 869 MINNESOTA MUT GRP 14,592,533 %0.06 %98.2553 H 4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 14,582,088 %0.06 %98.3154 L P 140 NATIONWIDE CORP GRP 14,420,486 %0.06 %98.3755 L 876 ARKANSAS BCBS GRP 12,978,313 %0.06 %98.4356 L 367 PHYSICIANS MUT GRP 12,278,781 %0.05 %98.4957 L 4928 NATIONAL GEN GRP 12,115,502 %0.05 %98.5458 P 218 CNA INS GRP 11,930,755 %0.05 %98.5959 L 4888 EQUITABLE FAMILY INS CO GRP 11,251,633 %0.05 %98.6460 P 4863 CHINA MINSHENG GRP 10,857,762 %0.05 %98.6961 L 1117 MANHATTAN LIFE GRP 10,588,187 %0.05 %98.7462 L 826 NEW YORK LIFE GRP 10,553,737 %0.05 %98.7863 L P 181 SWISS RE GRP 10,011,059 %0.04 %98.8364 L 4 AMERIPRISE FIN GRP 9,589,681 %0.04 %98.87
© 2019 National Association of Insurance Commissioners 84
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
North Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 525 PAN AMER LIFE GRP 9,276,596 %0.04 %98.9166 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 9,040,556 %0.04 %98.9567 L 687 GUARANTEE TRUST GRP 9,039,676 %0.04 %98.9968 L 306 CUNA MUT GRP 8,881,880 %0.04 %99.0369 L 520 NEW ERA LIFE GRP 8,600,044 %0.04 %99.0770 L 761 ALLIANZ INS GRP 7,670,053 %0.03 %99.1071 L 61921 CITIZENS SECURITY LIFE INS CO 7,613,007 %0.03 %99.1372 L P 23 BCS INS GRP 7,103,003 %0.03 %99.1773 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,884,378 %0.03 %99.2074 L 4932 BRIGHTHOUSE HOLDINGS GRP 6,593,624 %0.03 %99.2275 H 2479 DENTEGRA GRP 6,475,910 %0.03 %99.2576 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 6,293,579 %0.03 %99.2877 L 330 AMERICAN FIDELITY CORP GRP 6,122,864 %0.03 %99.3178 L P 450 GENEVE HOLDINGS INC GRP 5,794,247 %0.03 %99.3379 L 276 TRUSTMARK MUT HOLDING CO GRP 5,632,223 %0.02 %99.3680 L 574 AMERCO CORP GRP 5,452,566 %0.02 %99.3881 P 158 FAIRFAX FIN GRP 5,403,668 %0.02 %99.4182 L 2858 HOMESHIELD CAPITAL GRP 5,303,056 %0.02 %99.4383 L 215 KEMPER CORP GRP 5,149,505 %0.02 %99.4584 L 264 HEALTHMARKETS GRP 4,937,005 %0.02 %99.4785 L P 968 AXA INS GRP 4,541,851 %0.02 %99.4986 P 796 QBE INS GRP 4,414,469 %0.02 %99.5187 H 1260 MAGELLAN HLTH INC GRP 4,127,548 %0.02 %99.5388 L 588 KANSAS CITY LIFE INS GRP 3,919,629 %0.02 %99.5589 L 1186 LIFETIME HLTHCARE GRP 3,890,502 %0.02 %99.5790 L 90638 BEST LIFE & HLTH INS CO 3,874,795 %0.02 %99.5891 L 4824 ADVANTAGE CAPITAL GRP 3,835,450 %0.02 %99.6092 L 4862 ASSURITY GRP 3,655,644 %0.02 %99.6293 L 587 ATLANTIC AMER GRP 3,225,928 %0.01 %99.6394 P 4381 HOUSTON INTL INS GRP 3,086,136 %0.01 %99.6495 L 69477 TIME INS CO II 2,951,552 %0.01 %99.6696 L P 212 ZURICH INS GRP 2,716,891 %0.01 %99.6797 P 111 LIBERTY MUT GRP 2,692,618 %0.01 %99.6898 L 3891 GLOBAL ATLANTIC GRP 2,660,285 %0.01 %99.6999 L 4712 GPM LIFE GRP 2,658,632 %0.01 %99.70
100 L 76325 SENIOR HLTH INS CO OF PA 2,480,716 %0.01 %99.71101 H 115 DELTA DENTAL PLAN OF IL GRP 2,450,306 %0.01 %99.73102 H 461 BCBS OF MN GRP 2,408,393 %0.01 %99.74103 L 408 AMERICAN NATL FIN GRP 2,380,407 %0.01 %99.75104 L 671 ANTHEM INC GRP 2,295,111 %0.01 %99.76105 L 4213 WILTON RE GRP 2,293,793 %0.01 %99.77106 L 4764 RESERVOIR CAPITAL GRP 2,116,229 %0.01 %99.78107 L 917 HCSC GRP 1,953,362 %0.01 %99.78108 L 4926 HOPMEADOW HOLDINGS GRP 1,897,083 %0.01 %99.79109 L 4736 GGC GRP 1,833,634 %0.01 %99.80110 L P 4734 APOLLO GLOBAL MGMT GRP 1,811,859 %0.01 %99.81111 L 64580 ILLINOIS MUT LIFE INS CO 1,798,558 %0.01 %99.82112 L 769 GREAT WEST GRP 1,740,576 %0.01 %99.82113 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,715,855 %0.01 %99.83114 P 10642 CHEROKEE INS CO 1,698,118 %0.01 %99.84115 F 56693 GCU 1,672,997 %0.01 %99.85116 L P 84 AMERICAN FINANCIAL GRP 1,630,732 %0.01 %99.85117 L 4853 AAA LIFE GRP 1,414,424 %0.01 %99.86118 L 572 BCBS OF MI GRP 1,393,762 %0.01 %99.87119 L 4922 ENTERPRISE INVESTMENTS GRP 1,382,970 %0.01 %99.87120 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,360,116 %0.01 %99.88121 L P 7 FEDERATED MUT GRP 1,283,764 %0.01 %99.88122 F 57320 WOODMEN WORLD LIFE INS SOC 1,267,831 %0.01 %99.89123 L 71706 STANDARD LIFE & CAS INS CO 1,234,523 %0.01 %99.90124 P 27928 AMEX ASSUR CO 1,170,660 %0.01 %99.90125 P 501 ALLEGHANY GRP 1,139,845 %0.01 %99.91
**TOTAL** 22,700,948,557 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 85
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
North Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 55891 NORIDIAN MUT INS CO 1,188,417,685 %47.60 %47.602 H 1246 SANFORD HLTH GRP 695,876,868 %27.87 %75.463 H 1552 MEDICA GRP 152,389,326 %6.10 %81.574 L H 1 CVS GRP 53,036,126 %2.12 %83.695 L 370 AFLAC GRP 51,153,210 %2.05 %85.746 H 119 HUMANA GRP 44,337,903 %1.78 %87.527 L H 707 UNITEDHEALTH GRP 29,230,721 %1.17 %88.698 L 233 CNO FINANCIAL GRP 24,423,081 %0.98 %89.669 L H 901 CIGNA HLTH GRP 23,331,526 %0.93 %90.60
10 L 565 UNUM GRP 18,492,157 %0.74 %91.3411 H 55034 DELTA DENTAL OF MN 18,450,965 %0.74 %92.0812 L 261 MUTUAL OF OMAHA GRP 17,432,166 %0.70 %92.7813 L P 468 AEGON US HOLDING GRP 13,388,154 %0.54 %93.3114 L 20 LINCOLN NATL GRP 11,367,784 %0.46 %93.7715 L P 241 METROPOLITAN GRP 9,696,506 %0.39 %94.1616 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 9,223,816 %0.37 %94.5317 L 4011 GENWORTH FIN GRP 6,518,754 %0.26 %94.7918 L 1348 MEIJI YASUDA LIFE INS GRP 6,256,749 %0.25 %95.0419 L 661 BCBS OF SC GRP 6,142,442 %0.25 %95.2820 L 860 NORTHWESTERN MUT GRP 5,510,318 %0.22 %95.5021 L P 626 CHUBB LTD GRP 5,217,789 %0.21 %95.7122 L 904 JOHN HANCOCK GRP 5,032,532 %0.20 %95.9123 L 836 WEST SOUTHERN GRP 4,778,367 %0.19 %96.1124 L 8 ALLSTATE INS GRP 4,709,398 %0.19 %96.2925 L 1186 LIFETIME HLTHCARE GRP 4,313,974 %0.17 %96.4726 L H 812 HIGHMARK GRP 3,889,393 %0.16 %96.6227 L 332 PRINCIPAL FIN GRP 3,875,623 %0.16 %96.7828 L 429 GUARDIAN LIFE GRP 3,782,875 %0.15 %96.9329 L 451 FIDELITY SECURITY GRP 3,564,283 %0.14 %97.0730 L 943 AMERITAS MUT HOLDING GRP 3,533,545 %0.14 %97.2131 P 176 STATE FARM GRP 3,441,809 %0.14 %97.3532 L 304 PRUDENTIAL OF AMER GRP 3,397,102 %0.14 %97.4933 H 4895 GOOD SAMARITAN INS PLAN GRP 3,354,094 %0.13 %97.6234 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,926,690 %0.12 %97.7435 L 3527 AMERICAN ENTERPRISE MUT GRP 2,916,848 %0.12 %97.8636 L 4888 EQUITABLE FAMILY INS CO GRP 2,760,548 %0.11 %97.9737 H 1189 VISION SERV PLAN GRP 2,451,783 %0.10 %98.0738 L 91 HARTFORD FIRE & CAS GRP 2,447,607 %0.10 %98.1639 L 290 TORCHMARK CORP GRP 2,348,093 %0.09 %98.2640 L 876 ARKANSAS BCBS GRP 2,138,563 %0.09 %98.3441 L P 3098 TOKIO MARINE HOLDINGS INC GRP 1,932,718 %0.08 %98.4242 L 549 SUN LIFE ASSUR CO OF CN GRP 1,911,319 %0.08 %98.5043 L H 1199 WELLCARE GRP 1,862,242 %0.07 %98.5744 L 4832 VOYA FINANCIAL GRP 1,768,340 %0.07 %98.6445 L 1117 MANHATTAN LIFE GRP 1,756,119 %0.07 %98.7146 L 4824 ADVANTAGE CAPITAL GRP 1,732,125 %0.07 %98.7847 L P 19 ASSURANT INC GRP 1,506,774 %0.06 %98.8448 L P 181 SWISS RE GRP 1,437,415 %0.06 %98.9049 L 826 NEW YORK LIFE GRP 1,433,845 %0.06 %98.9650 F 58033 KNIGHTS OF COLUMBUS 1,346,816 %0.05 %99.0151 H 1258 HEALTHPARTNERS GRP 1,300,417 %0.05 %99.0652 P 473 AMERICAN FAMILY INS GRP 1,121,365 %0.04 %99.1153 L 4 AMERIPRISE FIN GRP 1,119,227 %0.04 %99.1554 P 111 LIBERTY MUT GRP 1,068,936 %0.04 %99.2055 L 761 ALLIANZ INS GRP 1,021,916 %0.04 %99.2456 L 687 GUARANTEE TRUST GRP 981,560 %0.04 %99.2857 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 912,264 %0.04 %99.3158 L P 12 AMERICAN INTL GRP 865,795 %0.03 %99.3559 L 76325 SENIOR HLTH INS CO OF PA 827,527 %0.03 %99.3860 L 42129 UNITED SECURITY ASSUR CO OF PA 764,047 %0.03 %99.4161 P 218 CNA INS GRP 751,447 %0.03 %99.4462 L 71404 CONTINENTAL GEN INS CO 733,927 %0.03 %99.4763 L 435 MASS MUT LIFE INS GRP 649,680 %0.03 %99.5064 L 69329 SURETY LIFE & CAS INS CO 551,972 %0.02 %99.52
© 2019 National Association of Insurance Commissioners 86
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
North Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 450 GENEVE HOLDINGS INC GRP 550,862 %0.02 %99.5466 L 4862 ASSURITY GRP 513,895 %0.02 %99.5667 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 506,354 %0.02 %99.5868 L 869 MINNESOTA MUT GRP 499,148 %0.02 %99.6069 L 200 UNITED SERV AUTOMOBILE ASSN GRP 487,989 %0.02 %99.6270 L 367 PHYSICIANS MUT GRP 460,909 %0.02 %99.6471 L 619 ONEAMERICA FIN PARTNERS GRP 421,694 %0.02 %99.6672 L 330 AMERICAN FIDELITY CORP GRP 414,983 %0.02 %99.6773 L P 968 AXA INS GRP 393,886 %0.02 %99.6974 H 2479 DENTEGRA GRP 344,022 %0.01 %99.7075 L 64580 ILLINOIS MUT LIFE INS CO 331,052 %0.01 %99.7276 L 69477 TIME INS CO II 326,078 %0.01 %99.7377 L 90638 BEST LIFE & HLTH INS CO 295,978 %0.01 %99.7478 L 4855 SUMITOMO LIFE INS GRP 289,416 %0.01 %99.7579 L 572 BCBS OF MI GRP 269,889 %0.01 %99.7680 L 2858 HOMESHIELD CAPITAL GRP 268,794 %0.01 %99.7781 L 306 CUNA MUT GRP 264,533 %0.01 %99.7882 P 4863 CHINA MINSHENG GRP 255,197 %0.01 %99.7983 H 1260 MAGELLAN HLTH INC GRP 249,025 %0.01 %99.8084 L 7 FEDERATED MUT GRP 224,592 %0.01 %99.8185 L 4815 RESOLUTION LIFE GRP 218,887 %0.01 %99.8286 L 300 HORACE MANN GRP 218,702 %0.01 %99.8387 L 280 AUTO OWNERS GRP 214,066 %0.01 %99.8488 P 3416 AXIS CAPITAL GRP 213,369 %0.01 %99.8589 H 12747 ENVISION INS CO 212,368 %0.01 %99.8690 L 4853 AAA LIFE GRP 201,272 %0.01 %99.8691 L 769 GREAT WEST GRP 172,336 %0.01 %99.8792 L 704 OHIO NATL LIFE GRP 163,978 %0.01 %99.8893 L P 212 ZURICH INS GRP 162,143 %0.01 %99.8894 L 918 JACKSON NATL GRP 161,208 %0.01 %99.8995 L P 140 NATIONWIDE CORP GRP 153,981 %0.01 %99.9096 L 50 COUNTRY INS & FIN SERV GRP 149,659 %0.01 %99.9097 L 588 KANSAS CITY LIFE INS GRP 144,401 %0.01 %99.9198 L 4928 NATIONAL GEN GRP 128,335 %0.01 %99.9199 L 4826 ECG GRP 124,825 %- %99.92
100 L 525 PAN AMER LIFE GRP 124,008 %- %99.92101 L 408 AMERICAN NATL FIN GRP 101,190 %- %99.93102 L 264 HEALTHMARKETS GRP 86,878 %- %99.93103 L 3891 GLOBAL ATLANTIC GRP 80,110 %- %99.94104 L 69132 STATE MUT INS CO 74,165 %- %99.94105 L 4736 GGC GRP 70,363 %- %99.94106 L 917 HCSC GRP 65,797 %- %99.94107 L 587 ATLANTIC AMER GRP 64,443 %- %99.95108 L 3436 LIBERTY LIFE GRP TRUST GRP 58,997 %- %99.95109 L 4900 US ALLIANCE CORP GRP 57,105 %- %99.95110 L 449 FINANCIAL HOLDINGS GRP 56,068 %- %99.95111 L 276 TRUSTMARK MUT HOLDING CO GRP 55,103 %- %99.96112 L P 23 BCS INS GRP 54,270 %- %99.96113 L 458 PROTECTIVE LIFE INS GRP 54,028 %- %99.96114 L 4932 BRIGHTHOUSE HOLDINGS GRP 53,169 %- %99.96115 P 158 FAIRFAX FIN GRP 52,026 %- %99.96116 L 68 WISCONSIN PHYSICIANS SERV INS GRP 51,502 %- %99.97117 L 69337 AMERICAN FIN SECURITY LIFE INS CO 45,833 %- %99.97118 L 215 KEMPER CORP GRP 42,979 %- %99.97119 F 56413 UNITED TRANSPORTATION UNION INS ASSN 42,596 %- %99.97120 L 513 IOWA FARM BUREAU GRP 41,804 %- %99.97121 L 4734 APOLLO GLOBAL MGMT GRP 41,414 %- %99.97122 L 4926 HOPMEADOW HOLDINGS GRP 40,400 %- %99.98123 P 785 MARKEL CORP GRP 38,522 %- %99.98124 L 350 GENERAL ELECTRIC GRP 36,510 %- %99.98125 P 27928 AMEX ASSUR CO 35,917 %- %99.98
**TOTAL** 2,496,934,030 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 87
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Ohio
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 3683 CARESOURCE GRP 8,221,000,918 %19.17 %19.172 L H 707 UNITEDHEALTH GRP 6,375,809,356 %14.87 %34.033 L H 671 ANTHEM INC GRP 6,193,617,437 %14.44 %48.474 L H 1 CVS GRP 4,203,906,054 %9.80 %58.275 L H 730 MEDICAL MUT OF OH GRP 3,181,103,598 %7.42 %65.696 H 1531 MOLINA HEALTHCARE INC GRP 2,590,552,411 %6.04 %71.737 H 1295 CENTENE CORP GRP 2,573,170,629 %6.00 %77.738 H 119 HUMANA GRP 2,220,139,640 %5.18 %82.919 H 1212 VANGUARD HLTH VENTURES GRP 1,685,443,939 %3.93 %86.84
10 H 2838 CHE TRINITY INC GRP 591,864,656 %1.38 %88.2211 H 4805 AULTMAN HLTH FOUNDATION GRP 532,781,405 %1.24 %89.4612 H 3259 SUMMA HLTH GRP 430,845,533 %1.00 %90.4613 L H 901 CIGNA HLTH GRP 357,450,551 %0.83 %91.3014 H 477 RENAISSANCE HLTH SERV CORP GRP 267,307,879 %0.62 %91.9215 L H 241 METROPOLITAN GRP 265,954,809 %0.62 %92.5416 L 565 UNUM GRP 193,274,434 %0.45 %92.9917 H 1297 HEALTH PLAN GRP 178,773,812 %0.42 %93.4118 L H 429 GUARDIAN LIFE GRP 160,920,445 %0.38 %93.7819 L H 549 SUN LIFE ASSUR CO OF CN GRP 146,781,190 %0.34 %94.1320 L 370 AFLAC GRP 136,518,557 %0.32 %94.4421 L H 261 MUTUAL OF OMAHA GRP 133,545,224 %0.31 %94.7522 L P 3098 TOKIO MARINE HOLDINGS INC GRP 101,296,911 %0.24 %94.9923 L 20 LINCOLN NATL GRP 101,008,038 %0.24 %95.2324 H 1189 VISION SERV PLAN GRP 98,818,960 %0.23 %95.4625 L 4011 GENWORTH FIN GRP 89,238,414 %0.21 %95.6726 H 4818 MULBERRY HLTH GRP 86,951,772 %0.20 %95.8727 L 332 PRINCIPAL FIN GRP 80,468,199 %0.19 %96.0628 L 860 NORTHWESTERN MUT GRP 69,707,088 %0.16 %96.2229 L 233 CNO FINANCIAL GRP 66,246,858 %0.15 %96.3730 L 451 FIDELITY SECURITY GRP 61,001,833 %0.14 %96.5131 H 96265 DENTAL CARE PLUS INC 60,565,140 %0.14 %96.6632 L P 91 HARTFORD FIRE & CAS GRP 60,441,556 %0.14 %96.8033 L 304 PRUDENTIAL OF AMER GRP 55,567,356 %0.13 %96.9334 L H 812 HIGHMARK GRP 54,811,175 %0.13 %97.0535 L P 626 CHUBB LTD GRP 53,288,886 %0.12 %97.1836 L 904 JOHN HANCOCK GRP 50,795,267 %0.12 %97.3037 L 4832 VOYA FINANCIAL GRP 48,512,917 %0.11 %97.4138 L 330 AMERICAN FIDELITY CORP GRP 47,253,555 %0.11 %97.5239 L 1348 MEIJI YASUDA LIFE INS GRP 42,920,265 %0.10 %97.6240 L 836 WEST SOUTHERN GRP 39,761,370 %0.09 %97.7141 L 468 AEGON US HOLDING GRP 39,693,824 %0.09 %97.8142 L 290 TORCHMARK CORP GRP 39,653,053 %0.09 %97.9043 L 8 ALLSTATE INS GRP 36,297,618 %0.08 %97.9844 P 176 STATE FARM GRP 35,324,614 %0.08 %98.0645 L 661 BCBS OF SC GRP 33,362,589 %0.08 %98.1446 L P 140 NATIONWIDE CORP GRP 32,766,219 %0.08 %98.2247 L H 1199 WELLCARE GRP 31,960,758 %0.07 %98.2948 L 4855 SUMITOMO LIFE INS GRP 26,416,851 %0.06 %98.3649 H 4816 PREMIER HLTH PARTNERS GRP 26,165,588 %0.06 %98.4250 L P 12 AMERICAN INTL GRP 24,637,278 %0.06 %98.4751 H 12747 ENVISION INS CO 24,019,178 %0.06 %98.5352 L 943 AMERITAS MUT HOLDING GRP 23,200,042 %0.05 %98.5853 L P 98 WR BERKLEY CORP GRP 19,846,178 %0.05 %98.6354 L P 4928 NATIONAL GEN GRP 18,082,041 %0.04 %98.6755 L 3891 GLOBAL ATLANTIC GRP 16,932,162 %0.04 %98.7156 L 3527 AMERICAN ENTERPRISE MUT GRP 16,812,945 %0.04 %98.7557 L 435 MASS MUT LIFE INS GRP 16,616,058 %0.04 %98.7958 L 408 AMERICAN NATL FIN GRP 16,589,837 %0.04 %98.8359 L 619 ONEAMERICA FIN PARTNERS GRP 16,554,717 %0.04 %98.8760 P 158 FAIRFAX FIN GRP 16,510,113 %0.04 %98.9161 L 276 TRUSTMARK MUT HOLDING CO GRP 16,443,883 %0.04 %98.9462 P 796 QBE INS GRP 16,144,176 %0.04 %98.9863 L 367 PHYSICIANS MUT GRP 16,008,361 %0.04 %99.0264 P 218 CNA INS GRP 15,118,406 %0.04 %99.05
© 2019 National Association of Insurance Commissioners 88
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Ohio
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 520 NEW ERA LIFE GRP 14,516,599 %0.03 %99.0966 L P 212 ZURICH INS GRP 13,897,516 %0.03 %99.1267 L 4 AMERIPRISE FIN GRP 13,848,601 %0.03 %99.1568 L P 19 ASSURANT INC GRP 13,781,411 %0.03 %99.1869 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 13,689,604 %0.03 %99.2270 L 826 NEW YORK LIFE GRP 13,644,669 %0.03 %99.2571 L 839 USHEALTH GRP INC GRP 13,327,063 %0.03 %99.2872 L 869 MINNESOTA MUT GRP 12,303,006 %0.03 %99.3173 L 215 KEMPER CORP GRP 12,052,656 %0.03 %99.3474 L 1211 NATIONAL GUARDIAN LIFE INS GRP 11,891,883 %0.03 %99.3675 L 1117 MANHATTAN LIFE GRP 10,754,585 %0.03 %99.3976 L P 181 SWISS RE GRP 10,095,043 %0.02 %99.4177 L 264 HEALTHMARKETS GRP 9,763,071 %0.02 %99.4478 P 361 MUNICH RE GRP 9,426,277 %0.02 %99.4679 H 2479 DENTEGRA GRP 9,366,652 %0.02 %99.4880 L 781 UNION LABOR GRP 9,066,831 %0.02 %99.5081 H 4807 CATHOLIC HLTH INITIATIVES GRP 8,885,493 %0.02 %99.5282 L 71404 CONTINENTAL GEN INS CO 8,377,202 %0.02 %99.5483 L 687 GUARANTEE TRUST GRP 7,862,376 %0.02 %99.5684 L 525 PAN AMER LIFE GRP 6,889,527 %0.02 %99.5785 P 4863 CHINA MINSHENG GRP 6,564,421 %0.02 %99.5986 L P 23 BCS INS GRP 6,448,961 %0.02 %99.6187 L 587 ATLANTIC AMER GRP 6,320,072 %0.01 %99.6288 L 200 UNITED SERV AUTOMOBILE ASSN GRP 6,043,499 %0.01 %99.6389 F 56499 ASSURED LIFE ASSN 5,979,260 %0.01 %99.6590 L 306 CUNA MUT GRP 5,600,614 %0.01 %99.6691 L 4712 GPM LIFE GRP 5,221,393 %0.01 %99.6792 L P 968 AXA INS GRP 4,985,027 %0.01 %99.6893 L 61921 CITIZENS SECURITY LIFE INS CO 4,904,945 %0.01 %99.7094 L 761 ALLIANZ INS GRP 4,864,381 %0.01 %99.7195 L P 31 BERKSHIRE HATHAWAY GRP 4,541,106 %0.01 %99.7296 L 4718 TIPTREE FIN GRP 4,468,822 %0.01 %99.7397 L P 450 GENEVE HOLDINGS INC GRP 4,083,902 %0.01 %99.7498 L H 917 HCSC GRP 4,020,761 %0.01 %99.7599 H 97772 US HLTH & LIFE INS CO INC 3,956,527 %0.01 %99.76
100 L 4932 BRIGHTHOUSE HOLDINGS GRP 3,818,690 %0.01 %99.77101 L 4736 GGC GRP 3,757,900 %0.01 %99.77102 P 3416 AXIS CAPITAL GRP 3,735,029 %0.01 %99.78103 F 4616 EVERENCE GRP 3,722,767 %0.01 %99.79104 L 4888 EQUITABLE FAMILY INS CO GRP 3,555,538 %0.01 %99.80105 L 81264 NIPPON LIFE INS CO OF AMER 3,361,330 %0.01 %99.81106 L 76325 SENIOR HLTH INS CO OF PA 3,155,006 %0.01 %99.82107 L 704 OHIO NATL LIFE GRP 3,081,409 %0.01 %99.82108 L 69477 TIME INS CO II 2,962,876 %0.01 %99.83109 L 4862 ASSURITY GRP 2,782,631 %0.01 %99.84110 L 2858 HOMESHIELD CAPITAL GRP 2,749,448 %0.01 %99.84111 P 3483 PARTNERRE GRP 2,436,872 %0.01 %99.85112 L P 84 AMERICAN FINANCIAL GRP 2,367,545 %0.01 %99.85113 L 42129 UNITED SECURITY ASSUR CO OF PA 2,305,196 %0.01 %99.86114 L 4853 AAA LIFE GRP 2,281,392 %0.01 %99.86115 F 58033 KNIGHTS OF COLUMBUS 2,265,749 %0.01 %99.87116 L 64580 ILLINOIS MUT LIFE INS CO 2,260,709 %0.01 %99.87117 P 4381 HOUSTON INTL INS GRP 2,161,864 %0.01 %99.88118 F 58009 POLICE & FIREMENS INS ASSN 2,086,306 %- %99.88119 L P 7 FEDERATED MUT GRP 2,052,446 %- %99.89120 L 4764 RESERVOIR CAPITAL GRP 2,020,442 %- %99.89121 L 1186 LIFETIME HLTHCARE GRP 2,011,708 %- %99.90122 L 581 BOSTON MUT GRP 1,649,511 %- %99.90123 L 11121 UNIFIED LIFE INS CO 1,591,486 %- %99.91124 P 111 LIBERTY MUT GRP 1,543,360 %- %99.91125 L 4815 RESOLUTION LIFE GRP 1,463,709 %- %99.91
**TOTAL** 42,890,367,918 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 89
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Oklahoma
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 917 HCSC GRP 3,257,810,859 %42.41 %42.412 L H 707 UNITEDHEALTH GRP 1,172,893,810 %15.27 %57.683 H 3487 COMMUNITYCARE GRP 649,685,447 %8.46 %66.144 L H 1 CVS GRP 503,037,405 %6.55 %72.695 H 119 HUMANA GRP 470,110,245 %6.12 %78.816 H 13667 GLOBALHEALTH INC 329,989,597 %4.30 %83.117 H 53937 DELTA DENTAL OF OK 162,035,925 %2.11 %85.228 L H 901 CIGNA HLTH GRP 136,071,394 %1.77 %86.999 L 261 MUTUAL OF OMAHA GRP 83,722,028 %1.09 %88.08
10 L 330 AMERICAN FIDELITY CORP GRP 69,058,574 %0.90 %88.9811 L 370 AFLAC GRP 68,675,136 %0.89 %89.8712 L 241 METROPOLITAN GRP 60,285,375 %0.78 %90.6613 L 565 UNUM GRP 47,723,721 %0.62 %91.2814 H 1189 VISION SERV PLAN GRP 46,825,816 %0.61 %91.8915 L 233 CNO FINANCIAL GRP 30,900,650 %0.40 %92.2916 L 549 SUN LIFE ASSUR CO OF CN GRP 28,301,205 %0.37 %92.6617 L 429 GUARDIAN LIFE GRP 27,384,033 %0.36 %93.0118 H 15732 COMMUNITYCARE GOVERNMENT PROGRAMS IN 26,319,874 %0.34 %93.3619 L 20 LINCOLN NATL GRP 21,251,016 %0.28 %93.6320 L 4011 GENWORTH FIN GRP 18,564,336 %0.24 %93.8821 P 176 STATE FARM GRP 17,223,437 %0.22 %94.1022 L 367 PHYSICIANS MUT GRP 16,287,017 %0.21 %94.3123 L P 3098 TOKIO MARINE HOLDINGS INC GRP 15,829,248 %0.21 %94.5224 L P 91 HARTFORD FIRE & CAS GRP 15,119,647 %0.20 %94.7125 L 304 PRUDENTIAL OF AMER GRP 14,254,814 %0.19 %94.9026 L 332 PRINCIPAL FIN GRP 13,240,416 %0.17 %95.0727 L 661 BCBS OF SC GRP 13,155,970 %0.17 %95.2428 L 8 ALLSTATE INS GRP 12,736,724 %0.17 %95.4129 L 860 NORTHWESTERN MUT GRP 12,646,928 %0.16 %95.5730 L H 1199 WELLCARE GRP 11,920,780 %0.16 %95.7331 L 468 AEGON US HOLDING GRP 11,771,903 %0.15 %95.8832 L 839 USHEALTH GRP INC GRP 11,061,947 %0.14 %96.0333 L 290 TORCHMARK CORP GRP 11,044,323 %0.14 %96.1734 L 904 JOHN HANCOCK GRP 10,985,862 %0.14 %96.3135 L 4855 SUMITOMO LIFE INS GRP 9,992,993 %0.13 %96.4436 L P 19 ASSURANT INC GRP 9,732,230 %0.13 %96.5737 L 520 NEW ERA LIFE GRP 9,726,824 %0.13 %96.7038 L 215 KEMPER CORP GRP 8,760,050 %0.11 %96.8139 L 4832 VOYA FINANCIAL GRP 8,750,189 %0.11 %96.9340 L 4888 EQUITABLE FAMILY INS CO GRP 7,927,607 %0.10 %97.0341 L 435 MASS MUT LIFE INS GRP 7,728,989 %0.10 %97.1342 L 943 AMERITAS MUT HOLDING GRP 7,684,273 %0.10 %97.2343 L 1348 MEIJI YASUDA LIFE INS GRP 7,572,130 %0.10 %97.3344 L P 626 CHUBB LTD GRP 7,552,601 %0.10 %97.4345 L 1117 MANHATTAN LIFE GRP 6,509,435 %0.08 %97.5146 L 826 NEW YORK LIFE GRP 6,507,499 %0.08 %97.6047 P 158 FAIRFAX FIN GRP 6,461,984 %0.08 %97.6848 L 264 HEALTHMARKETS GRP 6,383,732 %0.08 %97.7649 L 869 MINNESOTA MUT GRP 6,299,728 %0.08 %97.8450 L 687 GUARANTEE TRUST GRP 5,656,259 %0.07 %97.9251 H 4916 AMERICAN HLTH CO INC GRP 5,434,387 %0.07 %97.9952 L P 12 AMERICAN INTL GRP 5,133,406 %0.07 %98.0653 L P 212 ZURICH INS GRP 5,062,880 %0.07 %98.1254 L 587 ATLANTIC AMER GRP 5,060,401 %0.07 %98.1955 L 70122 UNIVERSAL FIDELITY LIFE INS CO 4,479,273 %0.06 %98.2556 L 451 FIDELITY SECURITY GRP 4,421,700 %0.06 %98.3057 L 836 WEST SOUTHERN GRP 4,123,377 %0.05 %98.3658 P 796 QBE INS GRP 3,976,860 %0.05 %98.4159 L 71404 CONTINENTAL GEN INS CO 3,830,394 %0.05 %98.4660 L 4824 ADVANTAGE CAPITAL GRP 3,676,151 %0.05 %98.5161 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,631,683 %0.05 %98.5562 L P 23 BCS INS GRP 3,594,726 %0.05 %98.6063 L 4928 NATIONAL GEN GRP 3,564,501 %0.05 %98.6564 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,409,462 %0.04 %98.69
© 2019 National Association of Insurance Commissioners 90
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Oklahoma
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 4927 STERLING DENTAL GRP 3,323,586 %0.04 %98.7466 P 4863 CHINA MINSHENG GRP 3,307,519 %0.04 %98.7867 P 111 LIBERTY MUT GRP 3,272,588 %0.04 %98.8268 L 525 PAN AMER LIFE GRP 3,132,533 %0.04 %98.8669 P 218 CNA INS GRP 2,895,593 %0.04 %98.9070 L 98 WR BERKLEY CORP GRP 2,889,707 %0.04 %98.9471 L 4922 ENTERPRISE INVESTMENTS GRP 2,816,515 %0.04 %98.9772 L 408 AMERICAN NATL FIN GRP 2,480,025 %0.03 %99.0173 L 69132 STATE MUT INS CO 2,475,991 %0.03 %99.0474 H 4822 F&R HOLDINGS GRP 2,350,302 %0.03 %99.0775 L 449 FINANCIAL HOLDINGS GRP 2,276,897 %0.03 %99.1076 L 306 CUNA MUT GRP 2,226,223 %0.03 %99.1377 L P 140 NATIONWIDE CORP GRP 2,140,390 %0.03 %99.1678 L 276 TRUSTMARK MUT HOLDING CO GRP 2,070,011 %0.03 %99.1879 P 31 BERKSHIRE HATHAWAY GRP 1,992,945 %0.03 %99.2180 P 785 MARKEL CORP GRP 1,873,591 %0.02 %99.2381 L 4 AMERIPRISE FIN GRP 1,864,328 %0.02 %99.2682 L 3527 AMERICAN ENTERPRISE MUT GRP 1,818,093 %0.02 %99.2883 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,808,927 %0.02 %99.3084 L H 812 HIGHMARK GRP 1,760,009 %0.02 %99.3385 H 2479 DENTEGRA GRP 1,730,237 %0.02 %99.3586 P 4381 HOUSTON INTL INS GRP 1,711,359 %0.02 %99.3787 L P 4718 TIPTREE FIN GRP 1,634,617 %0.02 %99.3988 L 761 ALLIANZ INS GRP 1,615,709 %0.02 %99.4189 L 574 AMERCO CORP GRP 1,599,260 %0.02 %99.4390 P 3483 PARTNERRE GRP 1,389,201 %0.02 %99.4591 L 3891 GLOBAL ATLANTIC GRP 1,389,141 %0.02 %99.4792 L 781 UNION LABOR GRP 1,342,415 %0.02 %99.4993 H 477 RENAISSANCE HLTH SERV CORP GRP 1,320,122 %0.02 %99.5194 L 66214 HEARTLAND NATL LIFE INS CO 1,283,326 %0.02 %99.5295 L 619 ONEAMERICA FIN PARTNERS GRP 1,259,527 %0.02 %99.5496 L 76325 SENIOR HLTH INS CO OF PA 1,254,994 %0.02 %99.5697 L 11121 UNIFIED LIFE INS CO 1,236,806 %0.02 %99.5798 H 4744 L S S GRP 1,214,281 %0.02 %99.5999 L 4853 AAA LIFE GRP 1,174,783 %0.02 %99.60
100 H 12747 ENVISION INS CO 1,163,637 %0.02 %99.62101 L 69477 TIME INS CO II 1,154,541 %0.02 %99.63102 L 123 SHELTER INS GRP 1,144,353 %0.01 %99.65103 L 2858 HOMESHIELD CAPITAL GRP 1,135,689 %0.01 %99.66104 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,115,925 %0.01 %99.68105 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,069,881 %0.01 %99.69106 L 4736 GGC GRP 1,055,989 %0.01 %99.70107 L 4862 ASSURITY GRP 1,043,862 %0.01 %99.72108 F 56499 ASSURED LIFE ASSN 1,030,693 %0.01 %99.73109 L 4213 WILTON RE GRP 969,200 %0.01 %99.74110 P 4670 STARR GRP 946,527 %0.01 %99.76111 P 361 MUNICH RE GRP 899,497 %0.01 %99.77112 L 4826 ECG GRP 828,868 %0.01 %99.78113 H 115 DELTA DENTAL PLAN OF IL GRP 809,846 %0.01 %99.79114 L 572 BCBS OF MI GRP 800,479 %0.01 %99.80115 F 58033 KNIGHTS OF COLUMBUS 761,837 %0.01 %99.81116 L P 450 GENEVE HOLDINGS INC GRP 677,456 %0.01 %99.82117 L 50 COUNTRY INS & FIN SERV GRP 641,163 %0.01 %99.83118 F 56758 LOYAL CHRISTIAN BENEFIT ASSN 606,813 %0.01 %99.83119 L 704 OHIO NATL LIFE GRP 598,876 %0.01 %99.84120 F 57657 ROYAL NEIGHBORS OF AMER 560,154 %0.01 %99.85121 L 588 KANSAS CITY LIFE INS GRP 550,653 %0.01 %99.86122 L 581 BOSTON MUT GRP 541,029 %0.01 %99.86123 L 4926 HOPMEADOW HOLDINGS GRP 528,960 %0.01 %99.87124 F 4616 EVERENCE GRP 517,553 %0.01 %99.88125 L 4764 RESERVOIR CAPITAL GRP 492,570 %0.01 %99.88
**TOTAL** 7,681,053,579 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 91
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Oregon
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 601 KAISER FOUNDATION GRP 2,905,521,147 %22.63 %22.632 H 4788 PROVIDENCE HLTH GRP 2,139,943,184 %16.67 %39.303 L H 1207 CAMBIA HEALTH SOLUTIONS INC 1,718,365,255 %13.38 %52.694 L H 1295 CENTENE CORP GRP 1,330,352,001 %10.36 %63.055 L H 707 UNITEDHEALTH GRP 1,108,652,822 %8.64 %71.686 H 1313 OREGON DENTAL GRP 840,288,405 %6.55 %78.237 H 4704 PACIFICSOURCE HLTH PLAN GRP 685,526,232 %5.34 %83.578 H 10123 ATRIO HLTH PLANS INC 204,495,664 %1.59 %85.169 L H 901 CIGNA HLTH GRP 192,153,770 %1.50 %86.66
10 H 12277 HEALTH PLAN OF CAREOREGON INC 189,500,421 %1.48 %88.1311 L H 1 CVS GRP 146,038,265 %1.14 %89.2712 H 119 HUMANA GRP 102,216,605 %0.80 %90.0713 L 1348 MEIJI YASUDA LIFE INS GRP 89,787,547 %0.70 %90.7714 H 12257 SAMARITAN HLTH PLANS INC 85,259,312 %0.66 %91.4315 L 261 MUTUAL OF OMAHA GRP 73,431,616 %0.57 %92.0016 L 370 AFLAC GRP 69,203,738 %0.54 %92.5417 L P 241 METROPOLITAN GRP 67,623,524 %0.53 %93.0718 H 3503 WILLAMETTE DENTAL GRP 67,408,588 %0.53 %93.5919 L 565 UNUM GRP 67,085,861 %0.52 %94.1220 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 41,285,265 %0.32 %94.4421 L 429 GUARDIAN LIFE GRP 39,486,808 %0.31 %94.7522 H 12253 ALLCARE HLTH PLAN INC 33,492,191 %0.26 %95.0123 L 20 LINCOLN NATL GRP 30,818,406 %0.24 %95.2524 L 4011 GENWORTH FIN GRP 29,073,688 %0.23 %95.4725 L 468 AEGON US HOLDING GRP 28,189,374 %0.22 %95.6926 L 549 SUN LIFE ASSUR CO OF CN GRP 26,668,599 %0.21 %95.9027 L 332 PRINCIPAL FIN GRP 24,664,056 %0.19 %96.0928 L 860 NORTHWESTERN MUT GRP 23,245,704 %0.18 %96.2729 H 47084 FAMILYCARE HLTH PLANS INC 20,398,500 %0.16 %96.4330 P 176 STATE FARM GRP 20,369,094 %0.16 %96.5931 H 1189 VISION SERV PLAN GRP 19,533,039 %0.15 %96.7432 L 904 JOHN HANCOCK GRP 19,080,912 %0.15 %96.8933 L P 91 HARTFORD FIRE & CAS GRP 18,090,182 %0.14 %97.0334 L 1117 MANHATTAN LIFE GRP 17,718,625 %0.14 %97.1735 L 233 CNO FINANCIAL GRP 15,989,513 %0.12 %97.3036 L 330 AMERICAN FIDELITY CORP GRP 15,752,931 %0.12 %97.4237 L 943 AMERITAS MUT HOLDING GRP 15,736,200 %0.12 %97.5438 H 12619 PIONEER EDUCATORS HLTH TRUST 14,635,515 %0.11 %97.6539 L P 3098 TOKIO MARINE HOLDINGS INC GRP 13,677,242 %0.11 %97.7640 L 4855 SUMITOMO LIFE INS GRP 12,991,570 %0.10 %97.8641 H 12747 ENVISION INS CO 12,814,707 %0.10 %97.9642 L H 1199 WELLCARE GRP 11,855,516 %0.09 %98.0543 L 304 PRUDENTIAL OF AMER GRP 11,284,828 %0.09 %98.1444 L P 626 CHUBB LTD GRP 11,262,905 %0.09 %98.2345 H 12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU 10,688,212 %0.08 %98.3146 L 869 MINNESOTA MUT GRP 10,466,651 %0.08 %98.3947 H 15937 MARQUIS ADVANTAGE HLTH PLAN 9,448,492 %0.07 %98.4748 L 661 BCBS OF SC GRP 9,364,853 %0.07 %98.5449 L 4832 VOYA FINANCIAL GRP 8,926,544 %0.07 %98.6150 P 796 QBE INS GRP 8,877,263 %0.07 %98.6851 L 4888 EQUITABLE FAMILY INS CO GRP 8,244,033 %0.06 %98.7452 L P 12 AMERICAN INTL GRP 8,192,392 %0.06 %98.8153 P 218 CNA INS GRP 7,469,897 %0.06 %98.8754 L 200 UNITED SERV AUTOMOBILE ASSN GRP 6,524,375 %0.05 %98.9255 L 290 TORCHMARK CORP GRP 6,480,275 %0.05 %98.9756 L 8 ALLSTATE INS GRP 5,660,588 %0.04 %99.0157 P 31 BERKSHIRE HATHAWAY GRP 5,055,726 %0.04 %99.0558 L 4 AMERIPRISE FIN GRP 4,872,200 %0.04 %99.0959 L 435 MASS MUT LIFE INS GRP 4,859,966 %0.04 %99.1360 L 826 NEW YORK LIFE GRP 4,746,492 %0.04 %99.1661 L 3527 AMERICAN ENTERPRISE MUT GRP 4,697,714 %0.04 %99.2062 L 4712 GPM LIFE GRP 4,361,188 %0.03 %99.2363 L H 812 HIGHMARK GRP 4,184,390 %0.03 %99.2764 L 4824 ADVANTAGE CAPITAL GRP 4,150,265 %0.03 %99.30
© 2019 National Association of Insurance Commissioners 92
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Oregon
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 H 2479 DENTEGRA GRP 3,896,689 %0.03 %99.3366 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,660,446 %0.03 %99.3667 L 264 HEALTHMARKETS GRP 3,504,621 %0.03 %99.3968 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 3,382,387 %0.03 %99.4169 P 4886 BENCHMARK HOLDING GRP 3,124,384 %0.02 %99.4470 L 4928 NATIONAL GEN GRP 3,099,348 %0.02 %99.4671 L 50 COUNTRY INS & FIN SERV GRP 2,607,123 %0.02 %99.4872 L 761 ALLIANZ INS GRP 2,598,998 %0.02 %99.5073 L 4639 RGA INC GRP 2,533,397 %0.02 %99.5274 L 367 PHYSICIANS MUT GRP 2,451,166 %0.02 %99.5475 L 306 CUNA MUT GRP 2,446,673 %0.02 %99.5676 L P 98 WR BERKLEY CORP GRP 2,393,814 %0.02 %99.5877 P 361 MUNICH RE GRP 2,323,228 %0.02 %99.6078 L P 19 ASSURANT INC GRP 2,087,289 %0.02 %99.6179 L 4815 RESOLUTION LIFE GRP 1,959,245 %0.02 %99.6380 L 69477 TIME INS CO II 1,845,898 %0.01 %99.6481 L P 23 BCS INS GRP 1,781,147 %0.01 %99.6682 P 158 FAIRFAX FIN GRP 1,751,798 %0.01 %99.6783 L P 212 ZURICH INS GRP 1,701,014 %0.01 %99.6884 L 588 KANSAS CITY LIFE INS GRP 1,633,434 %0.01 %99.6985 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,612,806 %0.01 %99.7186 L 781 UNION LABOR GRP 1,559,571 %0.01 %99.7287 H 47490 DENTAL HEALTH SERVICES 1,555,178 %0.01 %99.7388 L 2858 HOMESHIELD CAPITAL GRP 1,478,903 %0.01 %99.7489 L 451 FIDELITY SECURITY GRP 1,392,856 %0.01 %99.7590 L 572 BCBS OF MI GRP 1,376,938 %0.01 %99.7691 L P 450 GENEVE HOLDINGS INC GRP 1,372,248 %0.01 %99.7892 L 90638 BEST LIFE & HLTH INS CO 1,271,195 %0.01 %99.7993 L 574 AMERCO CORP GRP 1,193,756 %0.01 %99.7994 L 687 GUARANTEE TRUST GRP 1,056,625 %0.01 %99.8095 L 1186 LIFETIME HLTHCARE GRP 999,457 %0.01 %99.8196 L 836 WEST SOUTHERN GRP 976,603 %0.01 %99.8297 L 408 AMERICAN NATL FIN GRP 952,057 %0.01 %99.8398 H 477 RENAISSANCE HLTH SERV CORP GRP 882,221 %0.01 %99.8399 L 1211 NATIONAL GUARDIAN LIFE INS GRP 864,286 %0.01 %99.84
100 L 4932 BRIGHTHOUSE HOLDINGS GRP 841,390 %0.01 %99.85101 L 276 TRUSTMARK MUT HOLDING CO GRP 828,333 %0.01 %99.85102 L 71404 CONTINENTAL GEN INS CO 762,031 %0.01 %99.86103 P 3416 AXIS CAPITAL GRP 736,280 %0.01 %99.86104 L P 84 AMERICAN FINANCIAL GRP 721,783 %0.01 %99.87105 L 520 NEW ERA LIFE GRP 709,037 %0.01 %99.88106 L 4736 GGC GRP 698,319 %0.01 %99.88107 F 58033 KNIGHTS OF COLUMBUS 673,894 %0.01 %99.89108 L 11121 UNIFIED LIFE INS CO 657,001 %0.01 %99.89109 P 4904 INTACT FINANCIAL GRP 652,100 %0.01 %99.90110 L 4862 ASSURITY GRP 646,230 %0.01 %99.90111 L P 140 NATIONWIDE CORP GRP 620,098 %- %99.91112 L 525 PAN AMER LIFE GRP 588,165 %- %99.91113 L 704 OHIO NATL LIFE GRP 536,342 %- %99.91114 L 4853 AAA LIFE GRP 503,887 %- %99.92115 L 458 PROTECTIVE LIFE INS GRP 480,160 %- %99.92116 L H 917 HCSC GRP 458,367 %- %99.93117 H 4512 DENTAQUEST GRP 441,417 %- %99.93118 L P 181 SWISS RE GRP 439,934 %- %99.93119 L 769 GREAT WEST GRP 437,993 %- %99.94120 L 4926 HOPMEADOW HOLDINGS GRP 421,435 %- %99.94121 P 27928 AMEX ASSUR CO 408,395 %- %99.94122 L 4734 APOLLO GLOBAL MGMT GRP 401,825 %- %99.95123 L 64580 ILLINOIS MUT LIFE INS CO 370,503 %- %99.95124 L 76325 SENIOR HLTH INS CO OF PA 347,023 %- %99.95125 L 918 JACKSON NATL GRP 346,241 %- %99.95
**TOTAL** 12,838,189,488 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 93
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Pennsylvania
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H P 812 HIGHMARK GRP 11,063,727,271 %20.63 %20.632 H 936 INDEPENDENCE HLTH GRP INC GRP 10,651,623,920 %19.86 %40.493 H P 1324 UPMC HLTH SYSTEM GRP 8,432,670,374 %15.72 %56.214 L H 1 CVS GRP 5,717,481,814 %10.66 %66.875 L H 707 UNITEDHEALTH GRP 3,617,599,178 %6.74 %73.626 H 1143 GEISINGER INS GRP 3,179,080,004 %5.93 %79.547 H 1230 CAPITAL BLUE CROSS GRP 2,298,531,390 %4.29 %83.838 H 95066 HEALTH PARTNERS PLANS INC 1,962,566,742 %3.66 %87.499 L H 901 CIGNA HLTH GRP 1,298,869,824 %2.42 %89.91
10 H 119 HUMANA GRP 645,081,910 %1.20 %91.1111 H 1260 MAGELLAN HLTH INC GRP 546,018,215 %1.02 %92.1312 H 1295 CENTENE CORP GRP 483,512,757 %0.90 %93.0313 L 241 METROPOLITAN GRP 314,146,620 %0.59 %93.6214 L 565 UNUM GRP 251,528,714 %0.47 %94.0915 L 370 AFLAC GRP 220,469,252 %0.41 %94.5016 H 2479 DENTEGRA GRP 209,810,033 %0.39 %94.8917 L 429 GUARDIAN LIFE GRP 155,063,149 %0.29 %95.1818 L 549 SUN LIFE ASSUR CO OF CN GRP 148,127,954 %0.28 %95.4519 L 261 MUTUAL OF OMAHA GRP 133,316,608 %0.25 %95.7020 L 4011 GENWORTH FIN GRP 119,308,594 %0.22 %95.9221 L 20 LINCOLN NATL GRP 116,132,302 %0.22 %96.1422 L P 3098 TOKIO MARINE HOLDINGS INC GRP 109,926,949 %0.20 %96.3523 L 233 CNO FINANCIAL GRP 102,207,751 %0.19 %96.5424 L P 91 HARTFORD FIRE & CAS GRP 76,213,863 %0.14 %96.6825 L 304 PRUDENTIAL OF AMER GRP 69,236,227 %0.13 %96.8126 L 520 NEW ERA LIFE GRP 67,462,297 %0.13 %96.9327 L 860 NORTHWESTERN MUT GRP 67,164,236 %0.13 %97.0628 L 904 JOHN HANCOCK GRP 67,155,377 %0.13 %97.1829 L P 626 CHUBB LTD GRP 65,151,362 %0.12 %97.3130 H 1189 VISION SERV PLAN GRP 64,759,225 %0.12 %97.4331 L P 468 AEGON US HOLDING GRP 61,795,251 %0.12 %97.5432 L 332 PRINCIPAL FIN GRP 60,136,630 %0.11 %97.6533 L H 1199 WELLCARE GRP 49,049,503 %0.09 %97.7434 L 1348 MEIJI YASUDA LIFE INS GRP 46,484,699 %0.09 %97.8335 P 176 STATE FARM GRP 45,824,001 %0.09 %97.9236 H 12747 ENVISION INS CO 44,500,411 %0.08 %98.0037 L 435 MASS MUT LIFE INS GRP 40,613,153 %0.08 %98.0838 L P 19 ASSURANT INC GRP 39,947,584 %0.07 %98.1539 L 661 BCBS OF SC GRP 33,122,261 %0.06 %98.2140 P 218 CNA INS GRP 32,423,747 %0.06 %98.2741 H 4696 VISION BENEFITS GRP 31,255,200 %0.06 %98.3342 L P 12 AMERICAN INTL GRP 31,047,916 %0.06 %98.3943 L 8 ALLSTATE INS GRP 29,612,785 %0.06 %98.4444 L 839 USHEALTH GRP INC GRP 27,993,844 %0.05 %98.5045 L 836 WEST SOUTHERN GRP 26,355,454 %0.05 %98.5546 L 3527 AMERICAN ENTERPRISE MUT GRP 25,466,263 %0.05 %98.5947 L 451 FIDELITY SECURITY GRP 25,388,281 %0.05 %98.6448 L 4832 VOYA FINANCIAL GRP 25,254,879 %0.05 %98.6949 L 4855 SUMITOMO LIFE INS GRP 23,434,639 %0.04 %98.7350 L P 181 SWISS RE GRP 23,101,436 %0.04 %98.7751 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 21,830,274 %0.04 %98.8152 L 1117 MANHATTAN LIFE GRP 20,565,981 %0.04 %98.8553 L 290 TORCHMARK CORP GRP 19,891,995 %0.04 %98.8954 L 943 AMERITAS MUT HOLDING GRP 18,817,710 %0.04 %98.9355 L P 140 NATIONWIDE CORP GRP 18,799,755 %0.04 %98.9656 L 4 AMERIPRISE FIN GRP 17,797,103 %0.03 %98.9957 P 158 FAIRFAX FIN GRP 17,708,241 %0.03 %99.0358 L P 31 BERKSHIRE HATHAWAY GRP 17,503,113 %0.03 %99.0659 F 4616 EVERENCE GRP 16,576,084 %0.03 %99.0960 L 619 ONEAMERICA FIN PARTNERS GRP 16,348,715 %0.03 %99.1261 L 826 NEW YORK LIFE GRP 16,141,406 %0.03 %99.1562 L 330 AMERICAN FIDELITY CORP GRP 16,063,608 %0.03 %99.1863 L 276 TRUSTMARK MUT HOLDING CO GRP 15,443,597 %0.03 %99.2164 P 4381 HOUSTON INTL INS GRP 14,631,727 %0.03 %99.24
© 2019 National Association of Insurance Commissioners 94
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Pennsylvania
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 264 HEALTHMARKETS GRP 13,999,011 %0.03 %99.2666 L P 23 BCS INS GRP 13,755,619 %0.03 %99.2967 L 869 MINNESOTA MUT GRP 13,451,603 %0.03 %99.3168 H 4842 PROVIDER PARTNERS HLTH GRP 12,984,435 %0.02 %99.3469 L 98 WR BERKLEY CORP GRP 12,448,747 %0.02 %99.3670 L 306 CUNA MUT GRP 11,932,218 %0.02 %99.3871 L 4928 NATIONAL GEN GRP 11,749,407 %0.02 %99.4072 L P 450 GENEVE HOLDINGS INC GRP 11,550,463 %0.02 %99.4373 P 796 QBE INS GRP 10,341,404 %0.02 %99.4574 H 965 FHC HLTH SYSTEMS GRP 10,158,782 %0.02 %99.4675 L P 212 ZURICH INS GRP 10,055,543 %0.02 %99.4876 L 61921 CITIZENS SECURITY LIFE INS CO 10,033,637 %0.02 %99.5077 L P 761 ALLIANZ INS GRP 10,004,225 %0.02 %99.5278 L 200 UNITED SERV AUTOMOBILE ASSN GRP 9,573,922 %0.02 %99.5479 P 3416 AXIS CAPITAL GRP 8,997,671 %0.02 %99.5680 L 1211 NATIONAL GUARDIAN LIFE INS GRP 8,802,858 %0.02 %99.5781 L 76325 SENIOR HLTH INS CO OF PA 8,691,870 %0.02 %99.5982 L 587 ATLANTIC AMER GRP 8,172,090 %0.02 %99.6083 L P 968 AXA INS GRP 8,086,789 %0.02 %99.6284 L 71404 CONTINENTAL GEN INS CO 7,517,902 %0.01 %99.6385 P 361 MUNICH RE GRP 7,156,569 %0.01 %99.6586 L H 917 HCSC GRP 7,101,907 %0.01 %99.6687 L 687 GUARANTEE TRUST GRP 6,947,070 %0.01 %99.6788 L 4862 ASSURITY GRP 6,745,612 %0.01 %99.6889 L 4932 BRIGHTHOUSE HOLDINGS GRP 6,702,418 %0.01 %99.7090 L 367 PHYSICIANS MUT GRP 6,614,201 %0.01 %99.7191 H 477 RENAISSANCE HLTH SERV CORP GRP 6,415,547 %0.01 %99.7292 H 4881 M MELE GRP 6,251,661 %0.01 %99.7393 P 4863 CHINA MINSHENG GRP 5,973,822 %0.01 %99.7494 L 781 UNION LABOR GRP 5,966,112 %0.01 %99.7695 P 313 AEGIS GRP 5,931,634 %0.01 %99.7796 L 581 BOSTON MUT GRP 5,213,841 %0.01 %99.7897 F 57657 ROYAL NEIGHBORS OF AMER 4,810,397 %0.01 %99.7898 L 42129 UNITED SECURITY ASSUR CO OF PA 4,302,687 %0.01 %99.7999 L P 84 AMERICAN FINANCIAL GRP 4,031,260 %0.01 %99.80
100 L 4853 AAA LIFE GRP 3,709,840 %0.01 %99.81101 L 69477 TIME INS CO II 3,696,226 %0.01 %99.81102 P 111 LIBERTY MUT GRP 3,398,927 %0.01 %99.82103 L 1186 LIFETIME HLTHCARE GRP 3,388,386 %0.01 %99.83104 L 2858 HOMESHIELD CAPITAL GRP 3,263,157 %0.01 %99.83105 L P 4718 TIPTREE FIN GRP 2,913,424 %0.01 %99.84106 L 4712 GPM LIFE GRP 2,816,238 %0.01 %99.84107 L H 4719 AMFIRST HOLDINGS GRP 2,815,670 %0.01 %99.85108 L 4736 GGC GRP 2,809,352 %0.01 %99.85109 L 4815 RESOLUTION LIFE GRP 2,727,999 %0.01 %99.86110 L 408 AMERICAN NATL FIN GRP 2,640,307 %- %99.86111 L 60216 AMALGAMATED LIFE INS CO 2,632,078 %- %99.87112 L 525 PAN AMER LIFE GRP 2,591,812 %- %99.87113 H 461 BCBS OF MN GRP 2,574,823 %- %99.88114 L 4888 EQUITABLE FAMILY INS CO GRP 2,301,032 %- %99.88115 L 769 GREAT WEST GRP 2,243,878 %- %99.89116 F 56227 KSKJ LIFE AMER SLOVENIAN CATHOLIC UN 2,159,571 %- %99.89117 L 704 OHIO NATL LIFE GRP 2,146,690 %- %99.90118 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 2,123,285 %- %99.90119 L 11121 UNIFIED LIFE INS CO 2,101,326 %- %99.90120 H 4896 SPARTAN PLAN HOLDINGS GRP 1,957,013 %- %99.91121 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,954,451 %- %99.91122 L 449 FINANCIAL HOLDINGS GRP 1,945,911 %- %99.91123 L 64580 ILLINOIS MUT LIFE INS CO 1,875,585 %- %99.92124 L 588 KANSAS CITY LIFE INS GRP 1,758,521 %- %99.92125 F 56499 ASSURED LIFE ASSN 1,757,784 %- %99.92
**TOTAL** 53,634,394,241 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 95
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Rhode Island
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 53473 BCBS OF RI 1,709,976,274 %35.80 %35.802 H 95402 NEIGHBORHOOD HLTH PLAN OF RI INC 1,377,464,664 %28.84 %64.653 L H 707 UNITEDHEALTH GRP 1,128,769,336 %23.63 %88.284 H 1571 DELTA DENTAL OF RI GRP 118,505,348 %2.48 %90.765 H 4742 TUFTS GRP 111,617,528 %2.34 %93.106 L H 1 CVS GRP 60,209,455 %1.26 %94.367 L H 901 CIGNA HLTH GRP 29,943,536 %0.63 %94.998 H 1189 VISION SERV PLAN GRP 27,577,622 %0.58 %95.569 L P 241 METROPOLITAN GRP 24,823,048 %0.52 %96.08
10 L 565 UNUM GRP 19,486,479 %0.41 %96.4911 L 370 AFLAC GRP 18,015,956 %0.38 %96.8712 H 119 HUMANA GRP 11,093,162 %0.23 %97.1013 L 4011 GENWORTH FIN GRP 9,334,330 %0.20 %97.3014 L 233 CNO FINANCIAL GRP 8,999,348 %0.19 %97.4915 L 904 JOHN HANCOCK GRP 7,407,208 %0.16 %97.6416 L 860 NORTHWESTERN MUT GRP 7,125,282 %0.15 %97.7917 L 549 SUN LIFE ASSUR CO OF CN GRP 6,574,158 %0.14 %97.9318 L P 626 CHUBB LTD GRP 6,421,265 %0.13 %98.0619 L 1348 MEIJI YASUDA LIFE INS GRP 6,319,701 %0.13 %98.1920 L 20 LINCOLN NATL GRP 5,464,385 %0.11 %98.3121 L P 91 HARTFORD FIRE & CAS GRP 5,344,930 %0.11 %98.4222 L 261 MUTUAL OF OMAHA GRP 4,753,151 %0.10 %98.5223 L P 12 AMERICAN INTL GRP 4,730,779 %0.10 %98.6224 L P 3098 TOKIO MARINE HOLDINGS INC GRP 4,191,988 %0.09 %98.7125 L 429 GUARDIAN LIFE GRP 4,025,621 %0.08 %98.7926 L 4832 VOYA FINANCIAL GRP 3,851,989 %0.08 %98.8727 L 304 PRUDENTIAL OF AMER GRP 3,605,579 %0.08 %98.9528 L H 1199 WELLCARE GRP 3,497,113 %0.07 %99.0229 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,425,558 %0.07 %99.0930 L P 468 AEGON US HOLDING GRP 3,236,428 %0.07 %99.1631 L 435 MASS MUT LIFE INS GRP 3,230,773 %0.07 %99.2332 L 332 PRINCIPAL FIN GRP 2,738,647 %0.06 %99.2833 H 12747 ENVISION INS CO 2,378,973 %0.05 %99.3334 L 8 ALLSTATE INS GRP 2,011,978 %0.04 %99.3835 L 4 AMERIPRISE FIN GRP 1,645,041 %0.03 %99.4136 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,409,843 %0.03 %99.4437 L 4855 SUMITOMO LIFE INS GRP 1,403,126 %0.03 %99.4738 L 98 WR BERKLEY CORP GRP 1,333,325 %0.03 %99.5039 L 826 NEW YORK LIFE GRP 1,326,181 %0.03 %99.5340 L H 812 HIGHMARK GRP 1,249,698 %0.03 %99.5541 H 2479 DENTEGRA GRP 1,244,357 %0.03 %99.5842 L 290 TORCHMARK CORP GRP 1,221,950 %0.03 %99.6043 L 943 AMERITAS MUT HOLDING GRP 1,138,214 %0.02 %99.6344 L P 23 BCS INS GRP 1,134,748 %0.02 %99.6545 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,076,738 %0.02 %99.6746 L P 31 BERKSHIRE HATHAWAY GRP 982,828 %0.02 %99.6947 L 451 FIDELITY SECURITY GRP 913,455 %0.02 %99.7148 L P 761 ALLIANZ INS GRP 877,103 %0.02 %99.7349 L 276 TRUSTMARK MUT HOLDING CO GRP 795,164 %0.02 %99.7550 P 218 CNA INS GRP 755,717 %0.02 %99.7651 L 306 CUNA MUT GRP 704,935 %0.01 %99.7852 L P 212 ZURICH INS GRP 654,579 %0.01 %99.7953 L P 19 ASSURANT INC GRP 641,283 %0.01 %99.8154 L 869 MINNESOTA MUT GRP 632,835 %0.01 %99.8255 L 581 BOSTON MUT GRP 613,134 %0.01 %99.8356 F 58009 POLICE & FIREMENS INS ASSN 581,135 %0.01 %99.8457 L 330 AMERICAN FIDELITY CORP GRP 513,212 %0.01 %99.8658 L 4815 RESOLUTION LIFE GRP 485,267 %0.01 %99.8759 H 477 RENAISSANCE HLTH SERV CORP GRP 374,375 %0.01 %99.8760 L P 140 NATIONWIDE CORP GRP 365,643 %0.01 %99.8861 L P 968 AXA INS GRP 355,347 %0.01 %99.8962 L 4862 ASSURITY GRP 350,950 %0.01 %99.9063 P 361 MUNICH RE GRP 309,574 %0.01 %99.9064 L 1117 MANHATTAN LIFE GRP 271,826 %0.01 %99.91
© 2019 National Association of Insurance Commissioners 96
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Rhode Island
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 3416 AXIS CAPITAL GRP 269,760 %0.01 %99.9166 L 661 BCBS OF SC GRP 217,941 %- %99.9267 L 264 HEALTHMARKETS GRP 203,174 %- %99.9268 P 27928 AMEX ASSUR CO 199,741 %- %99.9369 L 836 WEST SOUTHERN GRP 188,679 %- %99.9370 L 4926 HOPMEADOW HOLDINGS GRP 188,135 %- %99.9371 L 634 NATIONAL LIFE GRP 186,161 %- %99.9472 L 769 GREAT WEST GRP 165,162 %- %99.9473 L 687 GUARANTEE TRUST GRP 163,826 %- %99.9574 L 1186 LIFETIME HLTHCARE GRP 154,717 %- %99.9575 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 143,079 %- %99.9576 L 704 OHIO NATL LIFE GRP 137,022 %- %99.9577 L 619 ONEAMERICA FIN PARTNERS GRP 124,597 %- %99.9678 L 525 PAN AMER LIFE GRP 121,480 %- %99.9679 L 572 BCBS OF MI GRP 103,144 %- %99.9680 F 58033 KNIGHTS OF COLUMBUS 100,260 %- %99.9681 L P 181 SWISS RE GRP 98,887 %- %99.9782 P 158 FAIRFAX FIN GRP 96,652 %- %99.9783 L 781 UNION LABOR GRP 96,216 %- %99.9784 L 4734 APOLLO GLOBAL MGMT GRP 94,850 %- %99.9785 L 408 AMERICAN NATL FIN GRP 94,762 %- %99.9786 L 367 PHYSICIANS MUT GRP 93,836 %- %99.9887 L 4712 GPM LIFE GRP 88,263 %- %99.9888 L 60216 AMALGAMATED LIFE INS CO 75,051 %- %99.9889 P 1279 ARCH INS GRP 70,362 %- %99.9890 L 69477 TIME INS CO II 69,313 %- %99.9891 L 1216 TIAA FAMILY GRP 68,368 %- %99.9892 P 796 QBE INS GRP 58,385 %- %99.9893 L 918 JACKSON NATL GRP 57,400 %- %99.9994 L 917 HCSC GRP 51,591 %- %99.9995 L 440 REGAL REINS GRP 45,938 %- %99.9996 L 64580 ILLINOIS MUT LIFE INS CO 44,196 %- %99.9997 L 3527 AMERICAN ENTERPRISE MUT GRP 41,718 %- %99.9998 L 458 PROTECTIVE LIFE INS GRP 38,095 %- %99.9999 P 785 MARKEL CORP GRP 37,968 %- %99.99
100 L 876 ARKANSAS BCBS GRP 31,361 %- %99.99101 L 68772 SECURITY MUT LIFE INS CO OF NY 31,171 %- %99.99102 L P 450 GENEVE HOLDINGS INC GRP 30,734 %- %99.99103 L 71404 CONTINENTAL GEN INS CO 28,685 %- %99.99104 L 350 GENERAL ELECTRIC GRP 28,611 %- %99.99105 L 574 AMERCO CORP GRP 26,065 %- %99.99106 L 7 FEDERATED MUT GRP 25,075 %- %100.00107 L 4736 GGC GRP 24,307 %- %100.00108 L 76325 SENIOR HLTH INS CO OF PA 23,274 %- %100.00109 P 37540 BEAZLEY INS CO INC 22,311 %- %100.00110 L 3891 GLOBAL ATLANTIC GRP 21,162 %- %100.00111 L 850 PENN MUT GRP 19,764 %- %100.00112 L 4853 AAA LIFE GRP 17,729 %- %100.00113 L 300 HORACE MANN GRP 16,914 %- %100.00114 L 11121 UNIFIED LIFE INS CO 14,775 %- %100.00115 L 62928 EMC NATL LIFE CO 13,289 %- %100.00116 P 4904 INTACT FINANCIAL GRP 13,234 %- %100.00117 L 4213 WILTON RE GRP 12,176 %- %100.00118 P 4670 STARR GRP 11,991 %- %100.00119 F 56456 UNITED STATES LETTER CARRIERS MUT BE 8,524 %- %100.00120 L 4928 NATIONAL GEN GRP 8,268 %- %100.00121 L 88668 MUTUAL OF AMER LIFE INS CO 8,058 %- %100.00122 L 839 USHEALTH GRP INC GRP 7,185 %- %100.00123 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 6,661 %- %100.00124 L 4888 EQUITABLE FAMILY INS CO GRP 6,330 %- %100.00125 L 671 ANTHEM INC GRP 6,143 %- %100.00
**TOTAL** 4,775,918,022 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 97
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
South Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 661 BCBS OF SC GRP 4,565,956,086 %34.59 %34.592 L H 707 UNITEDHEALTH GRP 2,544,734,399 %19.28 %53.873 H 936 INDEPENDENCE HLTH GRP INC GRP 1,465,959,101 %11.11 %64.974 H 119 HUMANA GRP 1,046,683,431 %7.93 %72.905 H 1295 CENTENE CORP GRP 544,986,621 %4.13 %77.036 H 1531 MOLINA HEALTHCARE INC GRP 524,776,932 %3.98 %81.017 L H 1199 WELLCARE GRP 440,408,208 %3.34 %84.348 L H 1 CVS GRP 389,042,579 %2.95 %87.299 L H 901 CIGNA HLTH GRP 316,178,456 %2.40 %89.69
10 L 565 UNUM GRP 93,206,463 %0.71 %90.3911 L 261 MUTUAL OF OMAHA GRP 87,465,248 %0.66 %91.0512 L 241 METROPOLITAN GRP 82,787,476 %0.63 %91.6813 L 370 AFLAC GRP 82,180,030 %0.62 %92.3014 L 429 GUARDIAN LIFE GRP 62,027,016 %0.47 %92.7715 L 4011 GENWORTH FIN GRP 47,605,500 %0.36 %93.1316 L 20 LINCOLN NATL GRP 47,211,394 %0.36 %93.4917 L P 468 AEGON US HOLDING GRP 35,094,169 %0.27 %93.7618 L 904 JOHN HANCOCK GRP 31,742,301 %0.24 %94.0019 L 549 SUN LIFE ASSUR CO OF CN GRP 30,378,173 %0.23 %94.2320 L 304 PRUDENTIAL OF AMER GRP 28,870,858 %0.22 %94.4521 L 233 CNO FINANCIAL GRP 27,991,479 %0.21 %94.6622 L 860 NORTHWESTERN MUT GRP 27,658,545 %0.21 %94.8723 L P 91 HARTFORD FIRE & CAS GRP 27,281,657 %0.21 %95.0824 L 8 ALLSTATE INS GRP 27,016,216 %0.20 %95.2825 L P 31 BERKSHIRE HATHAWAY GRP 26,956,811 %0.20 %95.4826 L 1348 MEIJI YASUDA LIFE INS GRP 26,924,724 %0.20 %95.6927 L 332 PRINCIPAL FIN GRP 26,667,795 %0.20 %95.8928 L 276 TRUSTMARK MUT HOLDING CO GRP 22,663,529 %0.17 %96.0629 L P 3098 TOKIO MARINE HOLDINGS INC GRP 22,416,698 %0.17 %96.2330 H 3680 DELTA DENTAL PLAN OF MO GRP 22,244,584 %0.17 %96.4031 L 520 NEW ERA LIFE GRP 19,527,472 %0.15 %96.5532 P 176 STATE FARM GRP 18,820,149 %0.14 %96.6933 L 4832 VOYA FINANCIAL GRP 16,920,121 %0.13 %96.8234 L 943 AMERITAS MUT HOLDING GRP 15,614,168 %0.12 %96.9435 L 1117 MANHATTAN LIFE GRP 15,434,626 %0.12 %97.0536 L 435 MASS MUT LIFE INS GRP 15,099,714 %0.11 %97.1737 H 12747 ENVISION INS CO 14,378,333 %0.11 %97.2838 L P 626 CHUBB LTD GRP 13,213,505 %0.10 %97.3839 L 290 TORCHMARK CORP GRP 13,016,161 %0.10 %97.4840 L 839 USHEALTH GRP INC GRP 12,395,266 %0.09 %97.5741 L 869 MINNESOTA MUT GRP 10,425,085 %0.08 %97.6542 H 1189 VISION SERV PLAN GRP 10,125,923 %0.08 %97.7343 L 836 WEST SOUTHERN GRP 9,980,327 %0.08 %97.8044 L 98 WR BERKLEY CORP GRP 9,461,293 %0.07 %97.8745 L 3527 AMERICAN ENTERPRISE MUT GRP 8,942,498 %0.07 %97.9446 L H 812 HIGHMARK GRP 8,731,295 %0.07 %98.0147 L P 12 AMERICAN INTL GRP 8,632,187 %0.07 %98.0748 L 200 UNITED SERV AUTOMOBILE ASSN GRP 7,873,319 %0.06 %98.1349 L H 671 ANTHEM INC GRP 7,755,565 %0.06 %98.1950 L 367 PHYSICIANS MUT GRP 7,637,373 %0.06 %98.2551 L 4855 SUMITOMO LIFE INS GRP 7,463,099 %0.06 %98.3152 L 451 FIDELITY SECURITY GRP 7,413,360 %0.06 %98.3653 L 826 NEW YORK LIFE GRP 7,402,758 %0.06 %98.4254 L 71404 CONTINENTAL GEN INS CO 7,254,493 %0.05 %98.4755 L P 23 BCS INS GRP 6,925,670 %0.05 %98.5256 L 4928 NATIONAL GEN GRP 6,806,615 %0.05 %98.5857 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,249,271 %0.05 %98.6258 L P 19 ASSURANT INC GRP 6,017,644 %0.05 %98.6759 L 306 CUNA MUT GRP 5,891,453 %0.04 %98.7160 L P 140 NATIONWIDE CORP GRP 5,770,542 %0.04 %98.7661 P 218 CNA INS GRP 5,407,793 %0.04 %98.8062 L 330 AMERICAN FIDELITY CORP GRP 5,276,294 %0.04 %98.8463 H 477 RENAISSANCE HLTH SERV CORP GRP 4,977,458 %0.04 %98.8864 L 1211 NATIONAL GUARDIAN LIFE INS GRP 4,959,815 %0.04 %98.91
© 2019 National Association of Insurance Commissioners 98
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
South Carolina
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L P 968 AXA INS GRP 4,929,446 %0.04 %98.9566 L 61921 CITIZENS SECURITY LIFE INS CO 4,893,482 %0.04 %98.9967 L 4 AMERIPRISE FIN GRP 4,777,229 %0.04 %99.0268 H 2479 DENTEGRA GRP 4,503,192 %0.03 %99.0669 L 3891 GLOBAL ATLANTIC GRP 4,480,046 %0.03 %99.0970 L 4888 EQUITABLE FAMILY INS CO GRP 4,435,476 %0.03 %99.1371 L P 212 ZURICH INS GRP 4,230,332 %0.03 %99.1672 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 3,982,716 %0.03 %99.1973 L 761 ALLIANZ INS GRP 3,738,720 %0.03 %99.2274 L 619 ONEAMERICA FIN PARTNERS GRP 3,720,242 %0.03 %99.2575 L 587 ATLANTIC AMER GRP 3,686,625 %0.03 %99.2776 L 687 GUARANTEE TRUST GRP 3,662,581 %0.03 %99.3077 L 264 HEALTHMARKETS GRP 3,600,621 %0.03 %99.3378 P 796 QBE INS GRP 3,523,769 %0.03 %99.3579 L 215 KEMPER CORP GRP 3,487,257 %0.03 %99.3880 H 4794 GROUP ONE THOUSAND ONE GRP 3,438,844 %0.03 %99.4181 L 66214 HEARTLAND NATL LIFE INS CO 3,351,999 %0.03 %99.4382 P 158 FAIRFAX FIN GRP 3,304,579 %0.03 %99.4683 H 4719 AMFIRST HOLDINGS GRP 3,190,596 %0.02 %99.4884 L 4932 BRIGHTHOUSE HOLDINGS GRP 3,168,334 %0.02 %99.5185 L P 181 SWISS RE GRP 3,159,082 %0.02 %99.5386 L 4712 GPM LIFE GRP 3,113,752 %0.02 %99.5587 L 525 PAN AMER LIFE GRP 2,952,100 %0.02 %99.5888 L P 4734 APOLLO GLOBAL MGMT GRP 2,902,957 %0.02 %99.6089 P 361 MUNICH RE GRP 2,494,945 %0.02 %99.6290 L 90638 BEST LIFE & HLTH INS CO 2,261,158 %0.02 %99.6391 L 574 AMERCO CORP GRP 2,175,279 %0.02 %99.6592 L 588 KANSAS CITY LIFE INS GRP 2,117,376 %0.02 %99.6793 L 4736 GGC GRP 1,969,412 %0.01 %99.6894 L P 450 GENEVE HOLDINGS INC GRP 1,792,755 %0.01 %99.6995 F 56693 GCU 1,774,641 %0.01 %99.7196 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 1,757,599 %0.01 %99.7297 L 408 AMERICAN NATL FIN GRP 1,693,963 %0.01 %99.7398 L 2858 HOMESHIELD CAPITAL GRP 1,538,141 %0.01 %99.7599 P 4863 CHINA MINSHENG GRP 1,449,524 %0.01 %99.76
100 L 69477 TIME INS CO II 1,424,678 %0.01 %99.77101 L P 7 FEDERATED MUT GRP 1,353,817 %0.01 %99.78102 L 65412 LIFE INS CO OF AL 1,294,573 %0.01 %99.79103 L 81264 NIPPON LIFE INS CO OF AMER 1,249,299 %0.01 %99.80104 L 4862 ASSURITY GRP 1,221,304 %0.01 %99.81105 L 1186 LIFETIME HLTHCARE GRP 1,147,293 %0.01 %99.82106 L H 917 HCSC GRP 1,124,031 %0.01 %99.82107 P 3416 AXIS CAPITAL GRP 1,112,360 %0.01 %99.83108 P 1279 ARCH INS GRP 966,838 %0.01 %99.84109 L 76325 SENIOR HLTH INS CO OF PA 881,986 %0.01 %99.85110 L 769 GREAT WEST GRP 850,382 %0.01 %99.85111 F 58033 KNIGHTS OF COLUMBUS 846,799 %0.01 %99.86112 L 4213 WILTON RE GRP 823,352 %0.01 %99.87113 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 808,610 %0.01 %99.87114 P 111 LIBERTY MUT GRP 799,181 %0.01 %99.88115 P 27928 AMEX ASSUR CO 796,189 %0.01 %99.88116 P 4381 HOUSTON INTL INS GRP 757,151 %0.01 %99.89117 L 11121 UNIFIED LIFE INS CO 664,182 %0.01 %99.89118 L 64580 ILLINOIS MUT LIFE INS CO 611,220 %- %99.90119 L 4926 HOPMEADOW HOLDINGS GRP 606,887 %- %99.90120 L 4815 RESOLUTION LIFE GRP 603,811 %- %99.91121 F 57320 WOODMEN WORLD LIFE INS SOC 596,231 %- %99.91122 L P 84 AMERICAN FINANCIAL GRP 580,940 %- %99.92123 L 4853 AAA LIFE GRP 532,848 %- %99.92124 L 69132 STATE MUT INS CO 528,872 %- %99.92125 P 1120 EVEREST REINS HOLDINGS GRP 512,629 %- %99.93
**TOTAL** 13,200,268,172 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 99
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
South Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 770 WELLMARK INC GRP 810,952,742 %39.22 %39.222 H 95839 AVERA HLTH PLANS INC 243,362,583 %11.77 %50.993 H 1246 SANFORD HLTH GRP 216,520,826 %10.47 %61.464 H 1552 MEDICA GRP 133,231,578 %6.44 %67.905 H 119 HUMANA GRP 94,828,202 %4.59 %72.496 L 370 AFLAC GRP 62,205,467 %3.01 %75.507 H 54097 DELTA DENTAL PLAN OF SD 61,204,377 %2.96 %78.458 L H 1 CVS GRP 54,907,859 %2.66 %81.119 L 233 CNO FINANCIAL GRP 43,619,630 %2.11 %83.22
10 L 261 MUTUAL OF OMAHA GRP 38,407,544 %1.86 %85.0811 L H 707 UNITEDHEALTH GRP 38,282,181 %1.85 %86.9312 L 565 UNUM GRP 21,004,477 %1.02 %87.9413 L H 901 CIGNA HLTH GRP 15,628,974 %0.76 %88.7014 L P 241 METROPOLITAN GRP 13,617,727 %0.66 %89.3615 L 4011 GENWORTH FIN GRP 11,922,394 %0.58 %89.9416 H 1189 VISION SERV PLAN GRP 11,234,419 %0.54 %90.4817 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 10,685,552 %0.52 %91.0018 L 332 PRINCIPAL FIN GRP 10,247,338 %0.50 %91.4919 L 860 NORTHWESTERN MUT GRP 9,011,173 %0.44 %91.9320 P 176 STATE FARM GRP 8,215,678 %0.40 %92.3221 L 20 LINCOLN NATL GRP 7,705,636 %0.37 %92.7022 L P 468 AEGON US HOLDING GRP 7,544,147 %0.36 %93.0623 L 290 TORCHMARK CORP GRP 7,117,517 %0.34 %93.4124 L 549 SUN LIFE ASSUR CO OF CN GRP 5,512,524 %0.27 %93.6725 L 904 JOHN HANCOCK GRP 5,415,552 %0.26 %93.9326 L 367 PHYSICIANS MUT GRP 5,395,964 %0.26 %94.2027 L P 626 CHUBB LTD GRP 5,267,652 %0.25 %94.4528 L 4824 ADVANTAGE CAPITAL GRP 4,690,246 %0.23 %94.6829 L 4832 VOYA FINANCIAL GRP 4,614,273 %0.22 %94.9030 L 826 NEW YORK LIFE GRP 4,612,818 %0.22 %95.1231 L P 3098 TOKIO MARINE HOLDINGS INC GRP 4,353,073 %0.21 %95.3332 H 4895 GOOD SAMARITAN INS PLAN GRP 4,347,855 %0.21 %95.5433 L 8 ALLSTATE INS GRP 4,341,961 %0.21 %95.7534 L 836 WEST SOUTHERN GRP 4,248,902 %0.21 %95.9635 L 1348 MEIJI YASUDA LIFE INS GRP 3,801,411 %0.18 %96.1436 L 429 GUARDIAN LIFE GRP 3,275,559 %0.16 %96.3037 L P 91 HARTFORD FIRE & CAS GRP 3,059,334 %0.15 %96.4538 H 1258 HEALTHPARTNERS GRP 3,038,786 %0.15 %96.6039 L 687 GUARANTEE TRUST GRP 2,883,830 %0.14 %96.7440 L 69132 STATE MUT INS CO 2,730,420 %0.13 %96.8741 L 3527 AMERICAN ENTERPRISE MUT GRP 2,725,682 %0.13 %97.0042 L 451 FIDELITY SECURITY GRP 2,720,675 %0.13 %97.1343 L 304 PRUDENTIAL OF AMER GRP 2,341,242 %0.11 %97.2444 L P 140 NATIONWIDE CORP GRP 2,296,736 %0.11 %97.3645 L 4888 EQUITABLE FAMILY INS CO GRP 2,252,981 %0.11 %97.4646 L 661 BCBS OF SC GRP 2,192,492 %0.11 %97.5747 L H 1199 WELLCARE GRP 2,139,414 %0.10 %97.6748 L 943 AMERITAS MUT HOLDING GRP 2,130,778 %0.10 %97.7849 L P 19 ASSURANT INC GRP 1,906,381 %0.09 %97.8750 P 473 AMERICAN FAMILY INS GRP 1,745,513 %0.08 %97.9551 P 218 CNA INS GRP 1,659,727 %0.08 %98.0352 L P 12 AMERICAN INTL GRP 1,613,433 %0.08 %98.1153 L 42129 UNITED SECURITY ASSUR CO OF PA 1,585,326 %0.08 %98.1954 L 761 ALLIANZ INS GRP 1,405,599 %0.07 %98.2655 L 4 AMERIPRISE FIN GRP 1,352,536 %0.07 %98.3256 L P 7 FEDERATED MUT GRP 1,311,860 %0.06 %98.3957 L 1186 LIFETIME HLTHCARE GRP 1,252,482 %0.06 %98.4558 L 306 CUNA MUT GRP 1,234,703 %0.06 %98.5159 L 71404 CONTINENTAL GEN INS CO 1,227,065 %0.06 %98.5660 L 4928 NATIONAL GEN GRP 1,199,717 %0.06 %98.6261 L 330 AMERICAN FIDELITY CORP GRP 1,192,933 %0.06 %98.6862 H 96598 SOUTH DAKOTA STATE MED HOLDING CO 991,479 %0.05 %98.7363 H 16413 OPTILEGRA INC 915,989 %0.04 %98.7764 L 869 MINNESOTA MUT GRP 894,474 %0.04 %98.82
© 2019 National Association of Insurance Commissioners 100
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
South Dakota
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 215 KEMPER CORP GRP 885,552 %0.04 %98.8666 L 2858 HOMESHIELD CAPITAL GRP 851,412 %0.04 %98.9067 L 4862 ASSURITY GRP 849,178 %0.04 %98.9468 L P 23 BCS INS GRP 822,130 %0.04 %98.9869 L P 450 GENEVE HOLDINGS INC GRP 771,585 %0.04 %99.0270 L 1211 NATIONAL GUARDIAN LIFE INS GRP 760,778 %0.04 %99.0671 L 1117 MANHATTAN LIFE GRP 756,315 %0.04 %99.0972 L 64580 ILLINOIS MUT LIFE INS CO 753,833 %0.04 %99.1373 L 435 MASS MUT LIFE INS GRP 664,333 %0.03 %99.1674 L 69477 TIME INS CO II 659,523 %0.03 %99.1975 F 58033 KNIGHTS OF COLUMBUS 631,290 %0.03 %99.2276 L 408 AMERICAN NATL FIN GRP 631,257 %0.03 %99.2577 L 200 UNITED SERV AUTOMOBILE ASSN GRP 628,659 %0.03 %99.2878 L 76325 SENIOR HLTH INS CO OF PA 588,091 %0.03 %99.3179 L 4855 SUMITOMO LIFE INS GRP 586,004 %0.03 %99.3480 F 4616 EVERENCE GRP 534,634 %0.03 %99.3781 L H 812 HIGHMARK GRP 526,881 %0.03 %99.3982 H 2479 DENTEGRA GRP 515,746 %0.02 %99.4283 L 90638 BEST LIFE & HLTH INS CO 506,559 %0.02 %99.4484 F 56499 ASSURED LIFE ASSN 463,389 %0.02 %99.4685 L P 968 AXA INS GRP 448,535 %0.02 %99.4986 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 446,847 %0.02 %99.5187 L 525 PAN AMER LIFE GRP 407,453 %0.02 %99.5388 H 1260 MAGELLAN HLTH INC GRP 405,962 %0.02 %99.5589 P 4863 CHINA MINSHENG GRP 398,905 %0.02 %99.5790 L P 98 WR BERKLEY CORP GRP 338,928 %0.02 %99.5891 L 4815 RESOLUTION LIFE GRP 316,450 %0.02 %99.6092 L 917 HCSC GRP 308,249 %0.01 %99.6193 H 12747 ENVISION INS CO 302,676 %0.01 %99.6394 L P 181 SWISS RE GRP 301,546 %0.01 %99.6495 L 3436 LIBERTY LIFE GRP TRUST GRP 284,324 %0.01 %99.6696 L 4853 AAA LIFE GRP 276,655 %0.01 %99.6797 L P 212 ZURICH INS GRP 276,438 %0.01 %99.6898 L 280 AUTO OWNERS GRP 269,038 %0.01 %99.6999 L 619 ONEAMERICA FIN PARTNERS GRP 268,305 %0.01 %99.71
100 L 4736 GGC GRP 264,442 %0.01 %99.72101 L 572 BCBS OF MI GRP 244,182 %0.01 %99.73102 P 796 QBE INS GRP 242,837 %0.01 %99.74103 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 238,571 %0.01 %99.76104 L 918 JACKSON NATL GRP 235,346 %0.01 %99.77105 L 4932 BRIGHTHOUSE HOLDINGS GRP 225,126 %0.01 %99.78106 L 769 GREAT WEST GRP 219,546 %0.01 %99.79107 L 587 ATLANTIC AMER GRP 217,407 %0.01 %99.80108 L 520 NEW ERA LIFE GRP 201,495 %0.01 %99.81109 L 50 COUNTRY INS & FIN SERV GRP 191,533 %0.01 %99.82110 L 588 KANSAS CITY LIFE INS GRP 178,573 %0.01 %99.83111 L 574 AMERCO CORP GRP 161,654 %0.01 %99.83112 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 158,249 %0.01 %99.84113 L 276 TRUSTMARK MUT HOLDING CO GRP 151,986 %0.01 %99.85114 H 477 RENAISSANCE HLTH SERV CORP GRP 147,653 %0.01 %99.86115 L 3891 GLOBAL ATLANTIC GRP 146,978 %0.01 %99.86116 P 3416 AXIS CAPITAL GRP 146,466 %0.01 %99.87117 L 264 HEALTHMARKETS GRP 144,132 %0.01 %99.88118 L 11121 UNIFIED LIFE INS CO 138,349 %0.01 %99.88119 L 458 PROTECTIVE LIFE INS GRP 131,812 %0.01 %99.89120 L 4926 HOPMEADOW HOLDINGS GRP 127,233 %0.01 %99.90121 P 37540 BEAZLEY INS CO INC 118,949 %0.01 %99.90122 H 3492 PREFERREDONE GRP 112,257 %0.01 %99.91123 L 62928 EMC NATL LIFE CO 111,689 %0.01 %99.91124 L 704 OHIO NATL LIFE GRP 106,455 %0.01 %99.92125 P 4670 STARR GRP 103,833 %0.01 %99.92
**TOTAL** 2,067,817,220 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 101
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Tennessee
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 3498 BCBS OF TN GRP 8,074,363,070 %37.22 %37.222 L H 707 UNITEDHEALTH GRP 4,602,034,049 %21.21 %58.433 L H 901 CIGNA HLTH GRP 2,081,133,771 %9.59 %68.034 H 119 HUMANA GRP 1,988,826,980 %9.17 %77.205 L H 671 ANTHEM INC GRP 1,751,147,415 %8.07 %85.276 L H 1 CVS GRP 472,406,323 %2.18 %87.457 H 4677 TENNESSEE RURAL HLTH GRP 296,266,846 %1.37 %88.818 H 477 RENAISSANCE HLTH SERV CORP GRP 171,911,872 %0.79 %89.609 L 565 UNUM GRP 170,260,400 %0.78 %90.39
10 L H 1199 WELLCARE GRP 162,985,482 %0.75 %91.1411 L P 241 METROPOLITAN GRP 145,742,049 %0.67 %91.8112 L 370 AFLAC GRP 137,658,666 %0.63 %92.4513 L 261 MUTUAL OF OMAHA GRP 114,469,385 %0.53 %92.9714 H 4818 MULBERRY HLTH GRP 93,330,139 %0.43 %93.4115 L P 3098 TOKIO MARINE HOLDINGS INC GRP 72,450,758 %0.33 %93.7416 L 20 LINCOLN NATL GRP 66,607,711 %0.31 %94.0517 L P 626 CHUBB LTD GRP 61,802,506 %0.28 %94.3318 L 429 GUARDIAN LIFE GRP 57,130,090 %0.26 %94.5919 L 860 NORTHWESTERN MUT GRP 53,293,428 %0.25 %94.8420 L 4011 GENWORTH FIN GRP 51,195,037 %0.24 %95.0821 L H 917 HCSC GRP 47,400,146 %0.22 %95.2922 L 549 SUN LIFE ASSUR CO OF CN GRP 46,822,589 %0.22 %95.5123 L H 812 HIGHMARK GRP 41,767,671 %0.19 %95.7024 L 233 CNO FINANCIAL GRP 39,385,395 %0.18 %95.8825 L P 91 HARTFORD FIRE & CAS GRP 38,152,147 %0.18 %96.0626 H 1189 VISION SERV PLAN GRP 37,913,339 %0.17 %96.2427 L 332 PRINCIPAL FIN GRP 35,252,998 %0.16 %96.4028 L 304 PRUDENTIAL OF AMER GRP 31,957,670 %0.15 %96.5429 L P 468 AEGON US HOLDING GRP 30,784,410 %0.14 %96.6930 L 904 JOHN HANCOCK GRP 28,635,994 %0.13 %96.8231 P 176 STATE FARM GRP 27,519,204 %0.13 %96.9532 L 876 ARKANSAS BCBS GRP 27,407,303 %0.13 %97.0733 L 451 FIDELITY SECURITY GRP 27,261,328 %0.13 %97.2034 L 1348 MEIJI YASUDA LIFE INS GRP 24,824,849 %0.11 %97.3135 L 4832 VOYA FINANCIAL GRP 24,696,472 %0.11 %97.4336 L 8 ALLSTATE INS GRP 24,264,440 %0.11 %97.5437 L 330 AMERICAN FIDELITY CORP GRP 24,018,466 %0.11 %97.6538 L 290 TORCHMARK CORP GRP 23,325,120 %0.11 %97.7639 L 839 USHEALTH GRP INC GRP 21,362,944 %0.10 %97.8540 L 435 MASS MUT LIFE INS GRP 18,326,810 %0.08 %97.9441 L 943 AMERITAS MUT HOLDING GRP 18,124,199 %0.08 %98.0242 L P 12 AMERICAN INTL GRP 17,003,997 %0.08 %98.1043 L 587 ATLANTIC AMER GRP 16,645,862 %0.08 %98.1844 L 4855 SUMITOMO LIFE INS GRP 16,250,265 %0.07 %98.2545 L 520 NEW ERA LIFE GRP 16,036,217 %0.07 %98.3346 L P 23 BCS INS GRP 15,301,448 %0.07 %98.4047 L 570 BCBS OF AL GRP 14,844,767 %0.07 %98.4748 L 1117 MANHATTAN LIFE GRP 14,387,555 %0.07 %98.5349 H 4512 DENTAQUEST GRP 13,612,926 %0.06 %98.5950 L 1211 NATIONAL GUARDIAN LIFE INS GRP 13,016,329 %0.06 %98.6551 L 661 BCBS OF SC GRP 12,999,676 %0.06 %98.7152 L 836 WEST SOUTHERN GRP 12,368,849 %0.06 %98.7753 L 367 PHYSICIANS MUT GRP 12,032,640 %0.06 %98.8354 L P 19 ASSURANT INC GRP 10,273,985 %0.05 %98.8755 P 218 CNA INS GRP 10,209,076 %0.05 %98.9256 L P 31 BERKSHIRE HATHAWAY GRP 9,784,777 %0.05 %98.9757 L 869 MINNESOTA MUT GRP 9,580,752 %0.04 %99.0158 L 3527 AMERICAN ENTERPRISE MUT GRP 9,159,195 %0.04 %99.0559 L 826 NEW YORK LIFE GRP 7,769,411 %0.04 %99.0960 L 264 HEALTHMARKETS GRP 7,493,749 %0.03 %99.1261 L 619 ONEAMERICA FIN PARTNERS GRP 6,661,232 %0.03 %99.1562 L 687 GUARANTEE TRUST GRP 6,563,850 %0.03 %99.1863 L 1186 LIFETIME HLTHCARE GRP 6,488,776 %0.03 %99.2164 L 4 AMERIPRISE FIN GRP 6,348,403 %0.03 %99.24
© 2019 National Association of Insurance Commissioners 102
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Tennessee
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4928 NATIONAL GEN GRP 6,169,583 %0.03 %99.2766 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 5,459,393 %0.03 %99.3067 L 71404 CONTINENTAL GEN INS CO 5,311,986 %0.02 %99.3268 L P 212 ZURICH INS GRP 5,019,607 %0.02 %99.3469 P 158 FAIRFAX FIN GRP 5,016,586 %0.02 %99.3770 L P 761 ALLIANZ INS GRP 4,999,930 %0.02 %99.3971 L 200 UNITED SERV AUTOMOBILE ASSN GRP 4,921,216 %0.02 %99.4172 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 4,750,747 %0.02 %99.4473 L 98 WR BERKLEY CORP GRP 4,651,621 %0.02 %99.4674 L 65412 LIFE INS CO OF AL 4,489,405 %0.02 %99.4875 P 4863 CHINA MINSHENG GRP 4,325,554 %0.02 %99.5076 L 306 CUNA MUT GRP 4,320,343 %0.02 %99.5277 L 215 KEMPER CORP GRP 3,509,648 %0.02 %99.5378 L P 450 GENEVE HOLDINGS INC GRP 3,494,370 %0.02 %99.5579 L P 140 NATIONWIDE CORP GRP 3,399,125 %0.02 %99.5780 H 2479 DENTEGRA GRP 3,284,490 %0.02 %99.5881 L 150 OLD REPUBLIC GRP 2,634,418 %0.01 %99.5982 L 276 TRUSTMARK MUT HOLDING CO GRP 2,582,868 %0.01 %99.6083 L 4888 EQUITABLE FAMILY INS CO GRP 2,525,787 %0.01 %99.6284 L P 968 AXA INS GRP 2,514,857 %0.01 %99.6385 L 81264 NIPPON LIFE INS CO OF AMER 2,454,235 %0.01 %99.6486 H 1260 MAGELLAN HLTH INC GRP 2,419,488 %0.01 %99.6587 P 111 LIBERTY MUT GRP 2,363,530 %0.01 %99.6688 P 3416 AXIS CAPITAL GRP 2,355,517 %0.01 %99.6789 P 361 MUNICH RE GRP 2,339,416 %0.01 %99.6890 L 581 BOSTON MUT GRP 2,279,447 %0.01 %99.6991 L 61921 CITIZENS SECURITY LIFE INS CO 2,216,013 %0.01 %99.7092 L 408 AMERICAN NATL FIN GRP 2,199,607 %0.01 %99.7193 F 56499 ASSURED LIFE ASSN 2,114,795 %0.01 %99.7294 H 12747 ENVISION INS CO 2,068,241 %0.01 %99.7395 L 69477 TIME INS CO II 1,904,011 %0.01 %99.7496 L 525 PAN AMER LIFE GRP 1,889,517 %0.01 %99.7597 L 2858 HOMESHIELD CAPITAL GRP 1,864,525 %0.01 %99.7698 P 3483 PARTNERRE GRP 1,832,429 %0.01 %99.7799 L P 84 AMERICAN FINANCIAL GRP 1,804,082 %0.01 %99.78
100 P 4381 HOUSTON INTL INS GRP 1,802,932 %0.01 %99.78101 L 4862 ASSURITY GRP 1,766,567 %0.01 %99.79102 L 4853 AAA LIFE GRP 1,659,750 %0.01 %99.80103 L P 181 SWISS RE GRP 1,596,398 %0.01 %99.81104 L 4815 RESOLUTION LIFE GRP 1,582,925 %0.01 %99.81105 L 574 AMERCO CORP GRP 1,520,301 %0.01 %99.82106 P 796 QBE INS GRP 1,419,109 %0.01 %99.83107 L 704 OHIO NATL LIFE GRP 1,393,797 %0.01 %99.83108 L 4736 GGC GRP 1,350,661 %0.01 %99.84109 L 3891 GLOBAL ATLANTIC GRP 1,328,067 %0.01 %99.85110 L 90638 BEST LIFE & HLTH INS CO 1,207,143 %0.01 %99.85111 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,188,451 %0.01 %99.86112 L 572 BCBS OF MI GRP 1,180,314 %0.01 %99.86113 L 4824 ADVANTAGE CAPITAL GRP 1,176,112 %0.01 %99.87114 L 4213 WILTON RE GRP 1,154,423 %0.01 %99.87115 L 123 SHELTER INS GRP 1,150,943 %0.01 %99.88116 L 76325 SENIOR HLTH INS CO OF PA 1,111,627 %0.01 %99.88117 L 4826 ECG GRP 1,040,070 %- %99.89118 L H 4719 AMFIRST HOLDINGS GRP 967,037 %- %99.89119 L P 4718 TIPTREE FIN GRP 866,375 %- %99.90120 F 58033 KNIGHTS OF COLUMBUS 828,292 %- %99.90121 F 57320 WOODMEN WORLD LIFE INS SOC 818,355 %- %99.91122 P 27928 AMEX ASSUR CO 795,001 %- %99.91123 L 4734 APOLLO GLOBAL MGMT GRP 788,372 %- %99.91124 P 4904 INTACT FINANCIAL GRP 771,627 %- %99.92125 L 769 GREAT WEST GRP 742,920 %- %99.92
**TOTAL** 21,693,194,803 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 103
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Texas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 16,219,408,427 %20.13 %20.132 L H 917 HCSC GRP 13,793,334,152 %17.12 %37.253 H 1295 CENTENE CORP GRP 7,510,630,666 %9.32 %46.574 H 119 HUMANA GRP 7,044,965,320 %8.74 %55.315 L H 671 ANTHEM INC GRP 5,246,776,075 %6.51 %61.826 L H 901 CIGNA HLTH GRP 4,281,258,704 %5.31 %67.137 L H 1 CVS GRP 3,999,556,100 %4.96 %72.108 L H 1531 MOLINA HEALTHCARE INC GRP 3,326,618,647 %4.13 %76.239 H 95329 TEXAS CHILDRENS HLTH PLAN INC 1,678,937,239 %2.08 %78.31
10 H 4892 HARRIS HLTH GRP 1,671,353,372 %2.07 %80.3811 L H 1199 WELLCARE GRP 1,384,295,192 %1.72 %82.1012 H 600 SCOTT & WHITE GRP 813,289,763 %1.01 %83.1113 H 4512 DENTAQUEST GRP 754,929,613 %0.94 %84.0514 L H 241 METROPOLITAN GRP 702,522,006 %0.87 %84.9215 H 95809 DRISCOLL CHILDRENS HLTH PLAN 665,857,628 %0.83 %85.7516 H 3549 FIRSTCARE GRP 586,817,128 %0.73 %86.4717 H 95414 PARKLAND COMM HLTH PLAN INC 576,208,810 %0.72 %87.1918 H 4730 MCNA GRP 563,199,268 %0.70 %87.8919 H 95822 COOK CHILDRENS HLTH PLAN 554,916,257 %0.69 %88.5820 H 2738 COMMUNITY FIRST GRP 539,593,799 %0.67 %89.2521 L 565 UNUM GRP 487,914,188 %0.61 %89.8522 L 370 AFLAC GRP 411,913,477 %0.51 %90.3623 L 261 MUTUAL OF OMAHA GRP 403,879,544 %0.50 %90.8624 H 4818 MULBERRY HLTH GRP 383,622,366 %0.48 %91.3425 H 12827 KS PLAN ADMINISTRATORS LLC 376,242,614 %0.47 %91.8126 L H 429 GUARDIAN LIFE GRP 349,274,638 %0.43 %92.2427 L 20 LINCOLN NATL GRP 269,664,939 %0.33 %92.5828 H 4828 CHILDRENS HLTH SYSTEM OF TX GRP 266,099,546 %0.33 %92.9129 L H 549 SUN LIFE ASSUR CO OF CN GRP 199,623,961 %0.25 %93.1530 H 52635 EL PASO FIRST HLTH PLANS INC 196,194,166 %0.24 %93.4031 H 1189 VISION SERV PLAN GRP 185,815,325 %0.23 %93.6332 H 2479 DENTEGRA GRP 163,639,969 %0.20 %93.8333 H 14154 CHRISTUS HLTH PLAN 153,526,877 %0.19 %94.0234 L 332 PRINCIPAL FIN GRP 152,458,168 %0.19 %94.2135 L 4011 GENWORTH FIN GRP 147,582,730 %0.18 %94.3936 L 943 AMERITAS MUT HOLDING GRP 143,503,621 %0.18 %94.5737 L P 91 HARTFORD FIRE & CAS GRP 139,853,223 %0.17 %94.7538 L P 468 AEGON US HOLDING GRP 133,475,425 %0.17 %94.9139 L P 626 CHUBB LTD GRP 132,983,974 %0.17 %95.0840 L P 3098 TOKIO MARINE HOLDINGS INC GRP 129,943,099 %0.16 %95.2441 L 304 PRUDENTIAL OF AMER GRP 129,535,913 %0.16 %95.4042 L 1348 MEIJI YASUDA LIFE INS GRP 124,988,057 %0.16 %95.5543 H 14151 SENDERO HLTH PLANS INC 124,928,995 %0.16 %95.7144 L 4832 VOYA FINANCIAL GRP 120,603,553 %0.15 %95.8645 H 4808 MEMORIAL HERMANN GRP 118,149,336 %0.15 %96.0046 L 839 USHEALTH GRP INC GRP 117,070,584 %0.15 %96.1547 H 13151 CARE N CARE INS CO INC 108,989,525 %0.14 %96.2848 L 8 ALLSTATE INS GRP 108,744,144 %0.13 %96.4249 L 860 NORTHWESTERN MUT GRP 107,164,535 %0.13 %96.5550 L 233 CNO FINANCIAL GRP 103,422,777 %0.13 %96.6851 L 661 BCBS OF SC GRP 102,426,329 %0.13 %96.8152 L 451 FIDELITY SECURITY GRP 99,743,983 %0.12 %96.9353 L 904 JOHN HANCOCK GRP 99,562,166 %0.12 %97.0654 P 176 STATE FARM GRP 93,686,908 %0.12 %97.1755 L 290 TORCHMARK CORP GRP 91,571,571 %0.11 %97.2956 L H P 812 HIGHMARK GRP 89,855,322 %0.11 %97.4057 H 2798 BLUE SHIELD OF CA GRP 87,800,742 %0.11 %97.5158 L 520 NEW ERA LIFE GRP 80,861,423 %0.10 %97.6159 L 1211 NATIONAL GUARDIAN LIFE INS GRP 75,703,930 %0.09 %97.7060 L P 12 AMERICAN INTL GRP 74,322,288 %0.09 %97.7961 L 4855 SUMITOMO LIFE INS GRP 72,074,017 %0.09 %97.8862 L 330 AMERICAN FIDELITY CORP GRP 62,690,236 %0.08 %97.9663 H 4859 ASCENSION HLTH GRP 61,963,131 %0.08 %98.0464 L P 19 ASSURANT INC GRP 61,935,714 %0.08 %98.11
© 2019 National Association of Insurance Commissioners 104
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Texas
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 200 UNITED SERV AUTOMOBILE ASSN GRP 59,921,251 %0.07 %98.1966 L 367 PHYSICIANS MUT GRP 49,470,085 %0.06 %98.2567 L 435 MASS MUT LIFE INS GRP 48,071,907 %0.06 %98.3168 L 71404 CONTINENTAL GEN INS CO 47,149,114 %0.06 %98.3769 L P 98 WR BERKLEY CORP GRP 47,052,657 %0.06 %98.4370 L 408 AMERICAN NATL FIN GRP 46,874,562 %0.06 %98.4871 L 525 PAN AMER LIFE GRP 46,660,840 %0.06 %98.5472 L 1117 MANHATTAN LIFE GRP 43,937,477 %0.05 %98.6073 L P 4928 NATIONAL GEN GRP 43,155,309 %0.05 %98.6574 L P 23 BCS INS GRP 42,300,407 %0.05 %98.7075 L 836 WEST SOUTHERN GRP 36,411,375 %0.05 %98.7576 L 826 NEW YORK LIFE GRP 36,393,133 %0.05 %98.7977 L 869 MINNESOTA MUT GRP 36,038,557 %0.04 %98.8478 L P 181 SWISS RE GRP 35,253,154 %0.04 %98.8879 P 158 FAIRFAX FIN GRP 31,969,527 %0.04 %98.9280 L P 31 BERKSHIRE HATHAWAY GRP 31,917,324 %0.04 %98.9681 P 796 QBE INS GRP 31,554,900 %0.04 %99.0082 P 218 CNA INS GRP 29,558,314 %0.04 %99.0483 L P 212 ZURICH INS GRP 29,150,923 %0.04 %99.0784 L 215 KEMPER CORP GRP 26,463,444 %0.03 %99.1185 L 306 CUNA MUT GRP 26,055,087 %0.03 %99.1486 L 574 AMERCO CORP GRP 24,264,726 %0.03 %99.1787 L 4 AMERIPRISE FIN GRP 23,143,419 %0.03 %99.2088 L 4922 ENTERPRISE INVESTMENTS GRP 19,154,054 %0.02 %99.2289 L P 140 NATIONWIDE CORP GRP 18,906,896 %0.02 %99.2490 L H 876 ARKANSAS BCBS GRP 18,493,178 %0.02 %99.2791 P 4863 CHINA MINSHENG GRP 18,207,819 %0.02 %99.2992 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 17,727,647 %0.02 %99.3193 L 264 HEALTHMARKETS GRP 17,424,213 %0.02 %99.3394 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 16,692,700 %0.02 %99.3595 P 111 LIBERTY MUT GRP 16,635,593 %0.02 %99.3796 L P 761 ALLIANZ INS GRP 16,158,361 %0.02 %99.3997 L 276 TRUSTMARK MUT HOLDING CO GRP 14,836,579 %0.02 %99.4198 L 687 GUARANTEE TRUST GRP 14,704,557 %0.02 %99.4399 L 2858 HOMESHIELD CAPITAL GRP 14,683,069 %0.02 %99.45
100 H 4879 CENTERBRIDGE CAPITAL PARTNERS GRP 14,311,636 %0.02 %99.47101 P 361 MUNICH RE GRP 13,473,116 %0.02 %99.48102 L 4506 DENTAL ECONOMICS GRP 13,424,767 %0.02 %99.50103 H 2418 SAINT MARYS HLTH CARE CORP GRP 12,833,926 %0.02 %99.52104 L P 450 GENEVE HOLDINGS INC GRP 12,663,212 %0.02 %99.53105 L 1339 CROY HALL MGMT GRP 12,372,728 %0.02 %99.55106 L P 968 AXA INS GRP 12,168,207 %0.02 %99.56107 H 477 RENAISSANCE HLTH SERV CORP GRP 12,138,997 %0.02 %99.58108 L 3527 AMERICAN ENTERPRISE MUT GRP 11,428,836 %0.01 %99.59109 L 619 ONEAMERICA FIN PARTNERS GRP 10,921,997 %0.01 %99.61110 P 3483 PARTNERRE GRP 10,595,042 %0.01 %99.62111 L 4824 ADVANTAGE CAPITAL GRP 10,552,175 %0.01 %99.63112 L 4888 EQUITABLE FAMILY INS CO GRP 10,146,173 %0.01 %99.64113 P 4381 HOUSTON INTL INS GRP 9,744,254 %0.01 %99.66114 L 587 ATLANTIC AMER GRP 9,662,932 %0.01 %99.67115 L 918 JACKSON NATL GRP 9,435,666 %0.01 %99.68116 L 69477 TIME INS CO II 9,214,606 %0.01 %99.69117 H 12747 ENVISION INS CO 8,727,274 %0.01 %99.70118 L 4736 GGC GRP 7,875,272 %0.01 %99.71119 L 81264 NIPPON LIFE INS CO OF AMER 7,427,639 %0.01 %99.72120 L 4213 WILTON RE GRP 6,776,051 %0.01 %99.73121 P 501 ALLEGHANY GRP 6,757,540 %0.01 %99.74122 L 4862 ASSURITY GRP 6,688,513 %0.01 %99.75123 L 781 UNION LABOR GRP 6,644,080 %0.01 %99.75124 L 76325 SENIOR HLTH INS CO OF PA 6,575,500 %0.01 %99.76125 F 58033 KNIGHTS OF COLUMBUS 5,903,093 %0.01 %99.77
**TOTAL** 80,579,732,750 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 105
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Utah
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 880 IHC INC GRP 2,781,330,403 %37.82 %37.822 L H 707 UNITEDHEALTH GRP 1,277,070,006 %17.37 %55.193 L H 1207 CAMBIA HEALTH SOLUTIONS INC 1,041,390,303 %14.16 %69.354 L H 1 CVS GRP 521,548,022 %7.09 %76.445 H 1531 MOLINA HEALTHCARE INC GRP 363,620,977 %4.94 %81.386 H 15648 UNIVERSITY OF UT HLTH PLANS 183,144,116 %2.49 %83.877 L H 901 CIGNA HLTH GRP 179,746,586 %2.44 %86.328 H 126 EDUCATORS MUT GRP 98,854,290 %1.34 %87.669 H 119 HUMANA GRP 92,474,800 %1.26 %88.92
10 H 14481 HEALTH CHOICE UTAH INC 61,113,998 %0.83 %89.7511 L P 241 METROPOLITAN GRP 55,200,316 %0.75 %90.5012 L H 429 GUARDIAN LIFE GRP 41,765,294 %0.57 %91.0713 L P 626 CHUBB LTD GRP 38,131,106 %0.52 %91.5914 L 565 UNUM GRP 35,802,661 %0.49 %92.0715 L P 91 HARTFORD FIRE & CAS GRP 32,128,417 %0.44 %92.5116 L 20 LINCOLN NATL GRP 29,715,015 %0.40 %92.9217 L 370 AFLAC GRP 26,627,138 %0.36 %93.2818 L 4928 NATIONAL GEN GRP 20,863,635 %0.28 %93.5619 H 2479 DENTEGRA GRP 20,388,387 %0.28 %93.8420 L 4832 VOYA FINANCIAL GRP 20,357,221 %0.28 %94.1221 L 261 MUTUAL OF OMAHA GRP 20,265,088 %0.28 %94.3922 L P 3098 TOKIO MARINE HOLDINGS INC GRP 18,285,271 %0.25 %94.6423 L H 661 BCBS OF SC GRP 17,072,766 %0.23 %94.8724 L H 917 HCSC GRP 16,214,214 %0.22 %95.0925 L 332 PRINCIPAL FIN GRP 15,803,959 %0.21 %95.3126 L 860 NORTHWESTERN MUT GRP 13,889,668 %0.19 %95.5027 L H 549 SUN LIFE ASSUR CO OF CN GRP 13,506,645 %0.18 %95.6828 L 4855 SUMITOMO LIFE INS GRP 12,831,431 %0.17 %95.8529 L 408 AMERICAN NATL FIN GRP 12,385,375 %0.17 %96.0230 H 15743 HSA HLTH INS CO 12,113,139 %0.16 %96.1931 L 233 CNO FINANCIAL GRP 11,249,339 %0.15 %96.3432 L 98 WR BERKLEY CORP GRP 10,675,755 %0.15 %96.4933 L 1348 MEIJI YASUDA LIFE INS GRP 10,512,375 %0.14 %96.6334 H 1189 VISION SERV PLAN GRP 10,374,661 %0.14 %96.7735 L 451 FIDELITY SECURITY GRP 9,839,544 %0.13 %96.9036 L 4011 GENWORTH FIN GRP 9,363,518 %0.13 %97.0337 L 8 ALLSTATE INS GRP 8,888,802 %0.12 %97.1538 L P 468 AEGON US HOLDING GRP 8,550,492 %0.12 %97.2739 L 304 PRUDENTIAL OF AMER GRP 8,142,715 %0.11 %97.3840 L 615 BENEFICIAL LIFE GRP 8,052,259 %0.11 %97.4941 L 839 USHEALTH GRP INC GRP 7,516,300 %0.10 %97.5942 L 290 TORCHMARK CORP GRP 7,350,923 %0.10 %97.6943 L P 12 AMERICAN INTL GRP 7,347,775 %0.10 %97.7944 H 68420 WMI MUT INS CO 7,106,943 %0.10 %97.8945 L 943 AMERITAS MUT HOLDING GRP 7,037,691 %0.10 %97.9846 L 836 WEST SOUTHERN GRP 6,860,987 %0.09 %98.0847 P 176 STATE FARM GRP 6,463,235 %0.09 %98.1648 L 4888 EQUITABLE FAMILY INS CO GRP 5,643,358 %0.08 %98.2449 L 904 JOHN HANCOCK GRP 4,970,571 %0.07 %98.3150 L 77674 TOWN & COUNTRY LIFE INS CO 4,801,604 %0.07 %98.3751 H 12533 OPTICARE OF UT 4,770,598 %0.06 %98.4452 L 869 MINNESOTA MUT GRP 4,764,095 %0.06 %98.5053 L 306 CUNA MUT GRP 4,644,652 %0.06 %98.5754 L 330 AMERICAN FIDELITY CORP GRP 4,498,643 %0.06 %98.6355 L 587 ATLANTIC AMER GRP 4,485,904 %0.06 %98.6956 L 435 MASS MUT LIFE INS GRP 4,118,878 %0.06 %98.7457 L 4926 HOPMEADOW HOLDINGS GRP 3,869,754 %0.05 %98.8058 P 158 FAIRFAX FIN GRP 3,699,398 %0.05 %98.8559 L 264 HEALTHMARKETS GRP 3,589,420 %0.05 %98.9060 L H 1199 WELLCARE GRP 3,502,843 %0.05 %98.9461 L P 181 SWISS RE GRP 3,446,866 %0.05 %98.9962 P 796 QBE INS GRP 3,266,171 %0.04 %99.0363 H 4730 MCNA GRP 3,236,552 %0.04 %99.0864 L P 31 BERKSHIRE HATHAWAY GRP 3,148,962 %0.04 %99.12
© 2019 National Association of Insurance Commissioners 106
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Utah
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L H 812 HIGHMARK GRP 3,061,632 %0.04 %99.1666 L 687 GUARANTEE TRUST GRP 2,902,691 %0.04 %99.2067 H 12747 ENVISION INS CO 2,849,149 %0.04 %99.2468 P 4863 CHINA MINSHENG GRP 2,655,229 %0.04 %99.2869 L 3527 AMERICAN ENTERPRISE MUT GRP 2,564,999 %0.03 %99.3170 L 826 NEW YORK LIFE GRP 2,410,841 %0.03 %99.3571 P 218 CNA INS GRP 2,320,299 %0.03 %99.3872 L P 23 BCS INS GRP 1,906,314 %0.03 %99.4073 L 367 PHYSICIANS MUT GRP 1,800,137 %0.02 %99.4374 L P 84 AMERICAN FINANCIAL GRP 1,685,512 %0.02 %99.4575 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,676,488 %0.02 %99.4776 L 4 AMERIPRISE FIN GRP 1,670,722 %0.02 %99.5077 L 90638 BEST LIFE & HLTH INS CO 1,525,296 %0.02 %99.5278 L 520 NEW ERA LIFE GRP 1,392,089 %0.02 %99.5479 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,348,027 %0.02 %99.5580 P 4886 BENCHMARK HOLDING GRP 1,341,076 %0.02 %99.5781 H 4933 COMPREHENSIVE MOBILE GRP 1,328,485 %0.02 %99.5982 L 781 UNION LABOR GRP 1,295,927 %0.02 %99.6183 L 71404 CONTINENTAL GEN INS CO 1,238,666 %0.02 %99.6284 L P 19 ASSURANT INC GRP 1,215,358 %0.02 %99.6485 L 1117 MANHATTAN LIFE GRP 1,212,809 %0.02 %99.6686 L 69477 TIME INS CO II 1,173,179 %0.02 %99.6787 L P 450 GENEVE HOLDINGS INC GRP 1,093,985 %0.01 %99.6988 L P 140 NATIONWIDE CORP GRP 993,344 %0.01 %99.7089 L 588 KANSAS CITY LIFE INS GRP 965,199 %0.01 %99.7190 P 3483 PARTNERRE GRP 924,240 %0.01 %99.7391 L 4862 ASSURITY GRP 835,630 %0.01 %99.7492 H 477 RENAISSANCE HLTH SERV CORP GRP 822,772 %0.01 %99.7593 L 761 ALLIANZ INS GRP 777,046 %0.01 %99.7694 L 4824 ADVANTAGE CAPITAL GRP 735,413 %0.01 %99.7795 L 61921 CITIZENS SECURITY LIFE INS CO 696,345 %0.01 %99.7896 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 695,391 %0.01 %99.7997 L P 212 ZURICH INS GRP 662,586 %0.01 %99.8098 L 619 ONEAMERICA FIN PARTNERS GRP 619,599 %0.01 %99.8199 L 574 AMERCO CORP GRP 599,661 %0.01 %99.81
100 L 769 GREAT WEST GRP 554,684 %0.01 %99.82101 P 27928 AMEX ASSUR CO 544,082 %0.01 %99.83102 L 3891 GLOBAL ATLANTIC GRP 535,052 %0.01 %99.84103 P 3416 AXIS CAPITAL GRP 524,642 %0.01 %99.84104 L 4853 AAA LIFE GRP 519,018 %0.01 %99.85105 H 1260 MAGELLAN HLTH INC GRP 508,042 %0.01 %99.86106 L 449 FINANCIAL HOLDINGS GRP 507,125 %0.01 %99.87107 L 4826 ECG GRP 479,748 %0.01 %99.87108 L 525 PAN AMER LIFE GRP 434,962 %0.01 %99.88109 L 76325 SENIOR HLTH INS CO OF PA 429,546 %0.01 %99.88110 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 427,543 %0.01 %99.89111 H 4512 DENTAQUEST GRP 421,155 %0.01 %99.89112 L 704 OHIO NATL LIFE GRP 412,369 %0.01 %99.90113 L 66214 HEARTLAND NATL LIFE INS CO 366,151 %- %99.91114 L P 968 AXA INS GRP 337,949 %- %99.91115 L 1186 LIFETIME HLTHCARE GRP 337,646 %- %99.91116 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 321,528 %- %99.92117 P 4381 HOUSTON INTL INS GRP 307,363 %- %99.92118 L 4815 RESOLUTION LIFE GRP 296,471 %- %99.93119 L 4932 BRIGHTHOUSE HOLDINGS GRP 295,743 %- %99.93120 L 64580 ILLINOIS MUT LIFE INS CO 278,575 %- %99.94121 P 361 MUNICH RE GRP 258,829 %- %99.94122 P 111 LIBERTY MUT GRP 258,293 %- %99.94123 L 4734 APOLLO GLOBAL MGMT GRP 224,469 %- %99.95124 L 458 PROTECTIVE LIFE INS GRP 223,702 %- %99.95125 L 535 COLUMBIAN LIFE GRP 217,795 %- %99.95
**TOTAL** 7,354,039,294 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 107
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Vermont
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 4745 BCBS OF VT GRP 558,419,829 %44.98 %44.982 L H 707 UNITEDHEALTH GRP 176,765,731 %14.24 %59.223 H 1198 MVP GRP 164,338,971 %13.24 %72.454 L H 901 CIGNA HLTH GRP 66,543,914 %5.36 %77.815 L H 1 CVS GRP 38,098,940 %3.07 %80.886 H 4763 NORTHEAST DELTA DENTAL GRP 31,227,843 %2.52 %83.407 L 233 CNO FINANCIAL GRP 16,849,425 %1.36 %84.758 H 119 HUMANA GRP 13,421,278 %1.08 %85.839 L 4011 GENWORTH FIN GRP 12,201,372 %0.98 %86.82
10 L 565 UNUM GRP 11,332,925 %0.91 %87.7311 L 370 AFLAC GRP 11,090,655 %0.89 %88.6212 L 241 METROPOLITAN GRP 10,407,806 %0.84 %89.4613 L P 3098 TOKIO MARINE HOLDINGS INC GRP 9,228,108 %0.74 %90.2014 L 1348 MEIJI YASUDA LIFE INS GRP 7,806,921 %0.63 %90.8315 L 549 SUN LIFE ASSUR CO OF CN GRP 7,756,634 %0.62 %91.4616 L P 91 HARTFORD FIRE & CAS GRP 7,312,156 %0.59 %92.0517 L 261 MUTUAL OF OMAHA GRP 7,256,424 %0.58 %92.6318 L P 31 BERKSHIRE HATHAWAY GRP 5,695,173 %0.46 %93.0919 L 4832 VOYA FINANCIAL GRP 5,582,338 %0.45 %93.5420 L 20 LINCOLN NATL GRP 5,178,615 %0.42 %93.9621 H 1189 VISION SERV PLAN GRP 5,155,407 %0.42 %94.3722 L 836 WEST SOUTHERN GRP 4,844,691 %0.39 %94.7623 L H 1199 WELLCARE GRP 4,776,034 %0.38 %95.1524 L P 626 CHUBB LTD GRP 3,996,526 %0.32 %95.4725 L 904 JOHN HANCOCK GRP 3,416,585 %0.28 %95.7426 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,406,221 %0.27 %96.0227 L 332 PRINCIPAL FIN GRP 3,398,225 %0.27 %96.2928 L 860 NORTHWESTERN MUT GRP 2,641,201 %0.21 %96.5029 L 330 AMERICAN FIDELITY CORP GRP 2,598,975 %0.21 %96.7130 H 12747 ENVISION INS CO 2,543,122 %0.20 %96.9231 L 468 AEGON US HOLDING GRP 2,425,686 %0.20 %97.1132 L P 23 BCS INS GRP 2,135,277 %0.17 %97.2933 L 429 GUARDIAN LIFE GRP 2,103,561 %0.17 %97.4634 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,819,198 %0.15 %97.6035 L 4855 SUMITOMO LIFE INS GRP 1,678,756 %0.14 %97.7436 L P 12 AMERICAN INTL GRP 1,585,819 %0.13 %97.8737 L 306 CUNA MUT GRP 1,555,264 %0.13 %97.9938 P 361 MUNICH RE GRP 1,483,960 %0.12 %98.1139 L 435 MASS MUT LIFE INS GRP 1,477,611 %0.12 %98.2340 L 304 PRUDENTIAL OF AMER GRP 1,340,836 %0.11 %98.3441 L P 968 AXA INS GRP 1,290,190 %0.10 %98.4442 L 826 NEW YORK LIFE GRP 1,204,088 %0.10 %98.5443 L 290 TORCHMARK CORP GRP 1,095,981 %0.09 %98.6344 L 4712 GPM LIFE GRP 968,803 %0.08 %98.7045 P 176 STATE FARM GRP 933,724 %0.08 %98.7846 L 4932 BRIGHTHOUSE HOLDINGS GRP 830,542 %0.07 %98.8547 H 2479 DENTEGRA GRP 817,775 %0.07 %98.9148 L P 19 ASSURANT INC GRP 801,929 %0.06 %98.9849 L 661 BCBS OF SC GRP 776,451 %0.06 %99.0450 L P 140 NATIONWIDE CORP GRP 753,980 %0.06 %99.1051 L 4 AMERIPRISE FIN GRP 742,210 %0.06 %99.1652 P 218 CNA INS GRP 733,606 %0.06 %99.2253 L 943 AMERITAS MUT HOLDING GRP 729,669 %0.06 %99.2854 L 8 ALLSTATE INS GRP 717,161 %0.06 %99.3455 L 68772 SECURITY MUT LIFE INS CO OF NY 574,440 %0.05 %99.3856 H 477 RENAISSANCE HLTH SERV CORP GRP 522,118 %0.04 %99.4257 L 869 MINNESOTA MUT GRP 517,909 %0.04 %99.4758 L 4926 HOPMEADOW HOLDINGS GRP 484,389 %0.04 %99.5059 L H 812 HIGHMARK GRP 458,522 %0.04 %99.5460 P 796 QBE INS GRP 421,391 %0.03 %99.5861 L 761 ALLIANZ INS GRP 402,670 %0.03 %99.6162 L 1186 LIFETIME HLTHCARE GRP 364,111 %0.03 %99.6463 L 98 WR BERKLEY CORP GRP 349,795 %0.03 %99.6764 L 917 HCSC GRP 330,158 %0.03 %99.69
© 2019 National Association of Insurance Commissioners 108
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Vermont
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4862 ASSURITY GRP 315,569 %0.03 %99.7266 L 687 GUARANTEE TRUST GRP 269,213 %0.02 %99.7467 L 451 FIDELITY SECURITY GRP 245,424 %0.02 %99.7668 L 634 NATIONAL LIFE GRP 225,770 %0.02 %99.7869 L 408 AMERICAN NATL FIN GRP 210,801 %0.02 %99.7970 L 1216 TIAA FAMILY GRP 205,206 %0.02 %99.8171 L 769 GREAT WEST GRP 197,134 %0.02 %99.8372 L 581 BOSTON MUT GRP 186,351 %0.02 %99.8473 L 671 ANTHEM INC GRP 165,502 %0.01 %99.8574 L 4853 AAA LIFE GRP 103,154 %0.01 %99.8675 F 58033 KNIGHTS OF COLUMBUS 97,739 %0.01 %99.8776 P 158 FAIRFAX FIN GRP 96,181 %0.01 %99.8877 P 27928 AMEX ASSUR CO 94,101 %0.01 %99.8978 L 64580 ILLINOIS MUT LIFE INS CO 87,358 %0.01 %99.8979 L 69477 TIME INS CO II 77,302 %0.01 %99.9080 P 785 MARKEL CORP GRP 72,674 %0.01 %99.9181 L 276 TRUSTMARK MUT HOLDING CO GRP 71,546 %0.01 %99.9182 P 1279 ARCH INS GRP 66,789 %0.01 %99.9283 L 458 PROTECTIVE LIFE INS GRP 63,539 %0.01 %99.9284 L 367 PHYSICIANS MUT GRP 59,217 %- %99.9385 L 839 USHEALTH GRP INC GRP 53,155 %- %99.9386 L 300 HORACE MANN GRP 52,764 %- %99.9387 L P 212 ZURICH INS GRP 51,417 %- %99.9488 L 1117 MANHATTAN LIFE GRP 49,460 %- %99.9489 P 4928 NATIONAL GEN GRP 47,366 %- %99.9590 L 11121 UNIFIED LIFE INS CO 46,270 %- %99.9591 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 41,703 %- %99.9592 L 3527 AMERICAN ENTERPRISE MUT GRP 40,155 %- %99.9693 L 71404 CONTINENTAL GEN INS CO 34,669 %- %99.9694 L 4888 EQUITABLE FAMILY INS CO GRP 34,548 %- %99.9695 P 111 LIBERTY MUT GRP 32,851 %- %99.9796 L 76325 SENIOR HLTH INS CO OF PA 30,986 %- %99.9797 L 850 PENN MUT GRP 30,738 %- %99.9798 L 3891 GLOBAL ATLANTIC GRP 29,668 %- %99.9799 L P 84 AMERICAN FINANCIAL GRP 29,125 %- %99.97
100 L 4734 APOLLO GLOBAL MGMT GRP 26,071 %- %99.98101 L 704 OHIO NATL LIFE GRP 22,207 %- %99.98102 P 3416 AXIS CAPITAL GRP 20,045 %- %99.98103 L 4736 GGC GRP 18,944 %- %99.98104 H 1295 CENTENE CORP GRP 18,609 %- %99.98105 L 4815 RESOLUTION LIFE GRP 16,641 %- %99.98106 L 587 ATLANTIC AMER GRP 14,185 %- %99.99107 L 781 UNION LABOR GRP 13,499 %- %99.99108 L 619 ONEAMERICA FIN PARTNERS GRP 13,162 %- %99.99109 L 918 JACKSON NATL GRP 11,744 %- %99.99110 L 525 PAN AMER LIFE GRP 10,623 %- %99.99111 L 574 AMERCO CORP GRP 10,521 %- %99.99112 L 264 HEALTHMARKETS GRP 9,501 %- %99.99113 L 215 KEMPER CORP GRP 9,100 %- %99.99114 L 440 REGAL REINS GRP 8,353 %- %99.99115 L P 450 GENEVE HOLDINGS INC GRP 8,033 %- %99.99116 L 449 FINANCIAL HOLDINGS GRP 6,921 %- %99.99117 L 520 NEW ERA LIFE GRP 6,479 %- %99.99118 L 690 CENTRAL STATES GRP 6,291 %- %100.00119 L P 169 SENTRY INS GRP 5,945 %- %100.00120 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 5,341 %- %100.00121 F 56499 ASSURED LIFE ASSN 4,952 %- %100.00122 F 57320 WOODMEN WORLD LIFE INS SOC 4,820 %- %100.00123 L 50 COUNTRY INS & FIN SERV GRP 4,457 %- %100.00124 L 66214 HEARTLAND NATL LIFE INS CO 4,265 %- %100.00125 L 4750 PRIMERICA GRP 4,070 %- %100.00
**TOTAL** 1,241,546,533 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 109
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 671 ANTHEM INC GRP 7,246,473,112 %28.72 %28.722 L H 707 UNITEDHEALTH GRP 2,855,513,230 %11.32 %40.043 H 1183 SENTARA HLTH MGMT GRP 2,430,178,994 %9.63 %49.674 L H 1 CVS GRP 1,990,789,803 %7.89 %57.565 H 119 HUMANA GRP 1,869,394,933 %7.41 %64.976 H 380 CAREFIRST INC GRP 1,598,981,875 %6.34 %71.317 H 95612 VIRGINIA PREMIER HLTH PLAN INC 1,462,177,587 %5.80 %77.108 L H 901 CIGNA HLTH GRP 1,330,100,104 %5.27 %82.389 H 601 KAISER FOUNDATION GRP 1,116,898,676 %4.43 %86.80
10 H 1260 MAGELLAN HLTH INC GRP 459,060,090 %1.82 %88.6211 H 4729 CORVESTA GRP 279,952,876 %1.11 %89.7312 H 4845 PIEDMONT COMM HLTH GRP 258,859,795 %1.03 %90.7613 L P 241 METROPOLITAN GRP 221,933,395 %0.88 %91.6414 L 370 AFLAC GRP 164,716,593 %0.65 %92.2915 L 261 MUTUAL OF OMAHA GRP 162,726,136 %0.64 %92.9416 L 565 UNUM GRP 148,139,717 %0.59 %93.5217 L 4011 GENWORTH FIN GRP 105,953,186 %0.42 %93.9418 L 429 GUARDIAN LIFE GRP 101,902,725 %0.40 %94.3519 H 1189 VISION SERV PLAN GRP 81,842,985 %0.32 %94.6720 L 904 JOHN HANCOCK GRP 71,811,363 %0.28 %94.9621 L 20 LINCOLN NATL GRP 65,701,788 %0.26 %95.2222 L 1348 MEIJI YASUDA LIFE INS GRP 61,963,500 %0.25 %95.4623 L 860 NORTHWESTERN MUT GRP 54,464,048 %0.22 %95.6824 L P 91 HARTFORD FIRE & CAS GRP 53,695,939 %0.21 %95.8925 L P 468 AEGON US HOLDING GRP 44,549,219 %0.18 %96.0726 L P 3098 TOKIO MARINE HOLDINGS INC GRP 44,091,628 %0.17 %96.2427 L 304 PRUDENTIAL OF AMER GRP 42,699,564 %0.17 %96.4128 L 332 PRINCIPAL FIN GRP 41,865,866 %0.17 %96.5829 L H 812 HIGHMARK GRP 40,567,296 %0.16 %96.7430 L 233 CNO FINANCIAL GRP 37,398,968 %0.15 %96.8931 L 4855 SUMITOMO LIFE INS GRP 34,758,758 %0.14 %97.0232 L 8 ALLSTATE INS GRP 30,895,774 %0.12 %97.1533 L 549 SUN LIFE ASSUR CO OF CN GRP 30,550,310 %0.12 %97.2734 L 435 MASS MUT LIFE INS GRP 30,242,340 %0.12 %97.3935 L 4832 VOYA FINANCIAL GRP 29,655,369 %0.12 %97.5036 L H 1199 WELLCARE GRP 28,449,805 %0.11 %97.6237 P 176 STATE FARM GRP 27,297,191 %0.11 %97.7338 L P 626 CHUBB LTD GRP 24,869,392 %0.10 %97.8239 L 451 FIDELITY SECURITY GRP 23,247,611 %0.09 %97.9240 L 943 AMERITAS MUT HOLDING GRP 20,994,308 %0.08 %98.0041 L 839 USHEALTH GRP INC GRP 18,591,807 %0.07 %98.0742 L 826 NEW YORK LIFE GRP 18,492,464 %0.07 %98.1543 L 290 TORCHMARK CORP GRP 18,268,652 %0.07 %98.2244 H 15959 LIFEWORKS ADVANTAGE LLC 17,676,107 %0.07 %98.2945 L 306 CUNA MUT GRP 15,973,749 %0.06 %98.3546 P 218 CNA INS GRP 15,405,229 %0.06 %98.4147 L P 12 AMERICAN INTL GRP 15,388,812 %0.06 %98.4748 L 200 UNITED SERV AUTOMOBILE ASSN GRP 12,627,676 %0.05 %98.5249 P 4863 CHINA MINSHENG GRP 12,482,051 %0.05 %98.5750 L 661 BCBS OF SC GRP 12,465,118 %0.05 %98.6251 L 4 AMERIPRISE FIN GRP 12,348,726 %0.05 %98.6752 L P 23 BCS INS GRP 10,746,251 %0.04 %98.7153 L P 19 ASSURANT INC GRP 10,663,974 %0.04 %98.7654 L 1117 MANHATTAN LIFE GRP 10,424,620 %0.04 %98.8055 L 3527 AMERICAN ENTERPRISE MUT GRP 10,365,213 %0.04 %98.8456 L P 212 ZURICH INS GRP 10,332,626 %0.04 %98.8857 H 2479 DENTEGRA GRP 10,197,575 %0.04 %98.9258 H 47061 LEGAL SERV PLANS OF VA INC 9,504,609 %0.04 %98.9659 L 4928 NATIONAL GEN GRP 9,467,485 %0.04 %99.0060 L 330 AMERICAN FIDELITY CORP GRP 9,224,963 %0.04 %99.0361 H 1230 CAPITAL BLUE CROSS GRP 9,216,065 %0.04 %99.0762 L P 761 ALLIANZ INS GRP 9,169,262 %0.04 %99.1163 P 796 QBE INS GRP 8,871,409 %0.04 %99.1464 L 869 MINNESOTA MUT GRP 8,776,248 %0.03 %99.18
© 2019 National Association of Insurance Commissioners 110
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 71404 CONTINENTAL GEN INS CO 7,883,951 %0.03 %99.2166 L 836 WEST SOUTHERN GRP 7,308,727 %0.03 %99.2467 L P 450 GENEVE HOLDINGS INC GRP 7,153,475 %0.03 %99.2668 L 4888 EQUITABLE FAMILY INS CO GRP 6,731,615 %0.03 %99.2969 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 6,190,157 %0.02 %99.3270 L 4736 GGC GRP 6,139,242 %0.02 %99.3471 L P 140 NATIONWIDE CORP GRP 5,852,467 %0.02 %99.3672 L 276 TRUSTMARK MUT HOLDING CO GRP 5,786,745 %0.02 %99.3973 L P 181 SWISS RE GRP 5,708,775 %0.02 %99.4174 L 367 PHYSICIANS MUT GRP 5,598,567 %0.02 %99.4375 P 158 FAIRFAX FIN GRP 5,130,481 %0.02 %99.4576 L P 98 WR BERKLEY CORP GRP 4,972,053 %0.02 %99.4777 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 4,504,724 %0.02 %99.4978 L 4932 BRIGHTHOUSE HOLDINGS GRP 4,394,773 %0.02 %99.5179 H 12747 ENVISION INS CO 4,196,048 %0.02 %99.5280 L H 917 HCSC GRP 4,071,283 %0.02 %99.5481 L 1211 NATIONAL GUARDIAN LIFE INS GRP 3,911,103 %0.02 %99.5582 L 4926 HOPMEADOW HOLDINGS GRP 3,839,559 %0.02 %99.5783 L 619 ONEAMERICA FIN PARTNERS GRP 3,809,995 %0.02 %99.5884 P 361 MUNICH RE GRP 3,728,479 %0.01 %99.6085 L 581 BOSTON MUT GRP 3,685,254 %0.01 %99.6186 P 111 LIBERTY MUT GRP 3,457,919 %0.01 %99.6387 L 2858 HOMESHIELD CAPITAL GRP 3,353,147 %0.01 %99.6488 F 56499 ASSURED LIFE ASSN 3,222,670 %0.01 %99.6589 L 264 HEALTHMARKETS GRP 3,216,299 %0.01 %99.6790 L 215 KEMPER CORP GRP 3,132,631 %0.01 %99.6891 L 687 GUARANTEE TRUST GRP 3,045,619 %0.01 %99.6992 L H 4719 AMFIRST HOLDINGS GRP 2,883,511 %0.01 %99.7093 L P 968 AXA INS GRP 2,828,475 %0.01 %99.7194 F 58033 KNIGHTS OF COLUMBUS 2,753,055 %0.01 %99.7295 F 4616 EVERENCE GRP 2,720,106 %0.01 %99.7496 L 4764 RESERVOIR CAPITAL GRP 2,694,891 %0.01 %99.7597 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,573,229 %0.01 %99.7698 L P 7 FEDERATED MUT GRP 2,472,868 %0.01 %99.7799 H 477 RENAISSANCE HLTH SERV CORP GRP 2,471,377 %0.01 %99.78
100 L 68896 SOUTHERN FARM BUREAU LIFE INS CO 2,444,479 %0.01 %99.79101 L 4815 RESOLUTION LIFE GRP 2,246,560 %0.01 %99.79102 L P 31 BERKSHIRE HATHAWAY GRP 2,179,943 %0.01 %99.80103 L 4853 AAA LIFE GRP 2,132,363 %0.01 %99.81104 L 69477 TIME INS CO II 1,914,185 %0.01 %99.82105 L 4712 GPM LIFE GRP 1,742,461 %0.01 %99.83106 L 3891 GLOBAL ATLANTIC GRP 1,725,747 %0.01 %99.83107 L 4862 ASSURITY GRP 1,691,185 %0.01 %99.84108 L 1186 LIFETIME HLTHCARE GRP 1,658,663 %0.01 %99.85109 L 4213 WILTON RE GRP 1,579,060 %0.01 %99.85110 L 76325 SENIOR HLTH INS CO OF PA 1,525,419 %0.01 %99.86111 L 572 BCBS OF MI GRP 1,488,567 %0.01 %99.86112 L 769 GREAT WEST GRP 1,424,921 %0.01 %99.87113 L 408 AMERICAN NATL FIN GRP 1,386,574 %0.01 %99.88114 P 27928 AMEX ASSUR CO 1,337,210 %0.01 %99.88115 L 587 ATLANTIC AMER GRP 1,280,157 %0.01 %99.89116 L 42129 UNITED SECURITY ASSUR CO OF PA 1,259,075 %- %99.89117 L 11121 UNIFIED LIFE INS CO 1,253,985 %- %99.90118 L 525 PAN AMER LIFE GRP 1,239,353 %- %99.90119 L 781 UNION LABOR GRP 1,059,974 %- %99.90120 L 458 PROTECTIVE LIFE INS GRP 1,049,481 %- %99.91121 L 64580 ILLINOIS MUT LIFE INS CO 1,046,361 %- %99.91122 H 4896 SPARTAN PLAN HOLDINGS GRP 1,027,007 %- %99.92123 P 4381 HOUSTON INTL INS GRP 1,023,173 %- %99.92124 P 4670 STARR GRP 985,361 %- %99.92125 P 3416 AXIS CAPITAL GRP 983,649 %- %99.93
**TOTAL** 25,230,096,572 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 111
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Washington
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 601 KAISER FOUNDATION GRP 4,616,532,079 %20.86 %20.862 L H 707 UNITEDHEALTH GRP 3,377,695,110 %15.26 %36.123 L H 962 PREMERA BLUE CROSS GRP 2,961,749,107 %13.38 %49.504 H 1531 MOLINA HEALTHCARE INC GRP 2,464,182,966 %11.13 %60.635 L H 1207 CAMBIA HEALTH SOLUTIONS INC 2,229,455,907 %10.07 %70.716 L H 1295 CENTENE CORP GRP 917,672,802 %4.15 %74.857 H 47049 COMMUNITY HLTH PLAN OF WA 865,757,978 %3.91 %78.778 L H 1 CVS GRP 750,514,860 %3.39 %82.169 H 47341 DELTA DENTAL OF WA 498,870,261 %2.25 %84.41
10 L H 671 ANTHEM INC GRP 491,150,300 %2.22 %86.6311 H 119 HUMANA GRP 445,274,813 %2.01 %88.6412 L H 901 CIGNA HLTH GRP 372,869,016 %1.68 %90.3313 H 4807 CATHOLIC HLTH INITIATIVES GRP 189,863,458 %0.86 %91.1814 L 565 UNUM GRP 136,198,467 %0.62 %91.8015 L 241 METROPOLITAN GRP 118,771,248 %0.54 %92.3416 L 261 MUTUAL OF OMAHA GRP 104,373,354 %0.47 %92.8117 L 370 AFLAC GRP 97,331,766 %0.44 %93.2518 L 549 SUN LIFE ASSUR CO OF CN GRP 96,899,281 %0.44 %93.6819 L 1348 MEIJI YASUDA LIFE INS GRP 95,414,100 %0.43 %94.1220 H 4788 PROVIDENCE HLTH GRP 73,985,810 %0.33 %94.4521 H 1192 CARLE HOLDING CO GRP 64,983,106 %0.29 %94.7422 L 4011 GENWORTH FIN GRP 64,029,507 %0.29 %95.0323 H 3503 WILLAMETTE DENTAL GRP 63,596,376 %0.29 %95.3224 H 1189 VISION SERV PLAN GRP 59,405,235 %0.27 %95.5925 L P 91 HARTFORD FIRE & CAS GRP 56,392,643 %0.25 %95.8426 L 304 PRUDENTIAL OF AMER GRP 54,536,396 %0.25 %96.0927 L 20 LINCOLN NATL GRP 49,101,315 %0.22 %96.3128 L 332 PRINCIPAL FIN GRP 47,952,566 %0.22 %96.5329 L P 3098 TOKIO MARINE HOLDINGS INC GRP 41,447,829 %0.19 %96.7230 L 904 JOHN HANCOCK GRP 39,648,641 %0.18 %96.8931 L 860 NORTHWESTERN MUT GRP 37,278,535 %0.17 %97.0632 L P 468 AEGON US HOLDING GRP 35,816,315 %0.16 %97.2233 L 4855 SUMITOMO LIFE INS GRP 33,484,631 %0.15 %97.3834 L H P 812 HIGHMARK GRP 32,762,047 %0.15 %97.5235 L 233 CNO FINANCIAL GRP 31,212,063 %0.14 %97.6736 L 429 GUARDIAN LIFE GRP 31,073,328 %0.14 %97.8137 L P 12 AMERICAN INTL GRP 27,489,001 %0.12 %97.9338 H 12747 ENVISION INS CO 24,106,411 %0.11 %98.0439 P 176 STATE FARM GRP 22,158,742 %0.10 %98.1440 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 21,767,840 %0.10 %98.2441 H 2479 DENTEGRA GRP 21,072,988 %0.10 %98.3342 L H 1199 WELLCARE GRP 20,985,583 %0.09 %98.4343 L 4832 VOYA FINANCIAL GRP 16,006,531 %0.07 %98.5044 L 290 TORCHMARK CORP GRP 15,462,859 %0.07 %98.5745 P 796 QBE INS GRP 15,028,327 %0.07 %98.6446 L 330 AMERICAN FIDELITY CORP GRP 14,298,657 %0.06 %98.7047 L 661 BCBS OF SC GRP 13,944,564 %0.06 %98.7648 L 943 AMERITAS MUT HOLDING GRP 13,666,825 %0.06 %98.8349 L 200 UNITED SERV AUTOMOBILE ASSN GRP 12,796,109 %0.06 %98.8850 L 826 NEW YORK LIFE GRP 11,972,355 %0.05 %98.9451 L P 19 ASSURANT INC GRP 11,687,984 %0.05 %98.9952 L 869 MINNESOTA MUT GRP 11,387,052 %0.05 %99.0453 L 435 MASS MUT LIFE INS GRP 10,994,820 %0.05 %99.0954 L 69477 TIME INS CO II 10,657,566 %0.05 %99.1455 L P 626 CHUBB LTD GRP 9,911,739 %0.04 %99.1956 L P 761 ALLIANZ INS GRP 9,714,752 %0.04 %99.2357 H 12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU 9,409,530 %0.04 %99.2758 H 47490 DENTAL HEALTH SERVICES 9,193,234 %0.04 %99.3159 L 4 AMERIPRISE FIN GRP 9,131,645 %0.04 %99.3560 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 8,857,590 %0.04 %99.3961 P 218 CNA INS GRP 8,326,463 %0.04 %99.4362 L 8 ALLSTATE INS GRP 8,145,371 %0.04 %99.4763 L 918 JACKSON NATL GRP 6,997,618 %0.03 %99.5064 L 451 FIDELITY SECURITY GRP 6,903,627 %0.03 %99.53
© 2019 National Association of Insurance Commissioners 112
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Washington
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 781 UNION LABOR GRP 6,164,668 %0.03 %99.5666 L P 98 WR BERKLEY CORP GRP 4,818,884 %0.02 %99.5867 L 306 CUNA MUT GRP 4,195,753 %0.02 %99.6068 P 361 MUNICH RE GRP 3,725,425 %0.02 %99.6269 L 276 TRUSTMARK MUT HOLDING CO GRP 3,639,888 %0.02 %99.6370 L P 140 NATIONWIDE CORP GRP 3,637,479 %0.02 %99.6571 P 158 FAIRFAX FIN GRP 3,480,914 %0.02 %99.6772 L 264 HEALTHMARKETS GRP 3,457,298 %0.02 %99.6873 L 90638 BEST LIFE & HLTH INS CO 3,148,581 %0.01 %99.7074 L 836 WEST SOUTHERN GRP 2,801,007 %0.01 %99.7175 L 4824 ADVANTAGE CAPITAL GRP 2,614,432 %0.01 %99.7276 L 1186 LIFETIME HLTHCARE GRP 2,590,153 %0.01 %99.7377 L 572 BCBS OF MI GRP 2,509,491 %0.01 %99.7478 H 477 RENAISSANCE HLTH SERV CORP GRP 2,055,402 %0.01 %99.7579 L P 212 ZURICH INS GRP 2,040,150 %0.01 %99.7680 L 3527 AMERICAN ENTERPRISE MUT GRP 2,016,495 %0.01 %99.7781 P 1120 EVEREST REINS HOLDINGS GRP 1,967,015 %0.01 %99.7882 L 367 PHYSICIANS MUT GRP 1,939,579 %0.01 %99.7983 L 71404 CONTINENTAL GEN INS CO 1,885,984 %0.01 %99.8084 L 4853 AAA LIFE GRP 1,763,025 %0.01 %99.8185 P 4886 BENCHMARK HOLDING GRP 1,755,745 %0.01 %99.8186 L 588 KANSAS CITY LIFE INS GRP 1,720,416 %0.01 %99.8287 L 76325 SENIOR HLTH INS CO OF PA 1,646,683 %0.01 %99.8388 L 4815 RESOLUTION LIFE GRP 1,630,534 %0.01 %99.8489 L 4932 BRIGHTHOUSE HOLDINGS GRP 1,529,905 %0.01 %99.8490 L 50 COUNTRY INS & FIN SERV GRP 1,440,806 %0.01 %99.8591 F 58033 KNIGHTS OF COLUMBUS 1,370,573 %0.01 %99.8692 H 4704 PACIFICSOURCE HLTH PLAN GRP 1,368,177 %0.01 %99.8693 L 687 GUARANTEE TRUST GRP 1,346,021 %0.01 %99.8794 L 1211 NATIONAL GUARDIAN LIFE INS GRP 1,325,462 %0.01 %99.8795 L 408 AMERICAN NATL FIN GRP 1,302,302 %0.01 %99.8896 L P 181 SWISS RE GRP 1,281,015 %0.01 %99.8997 L P 23 BCS INS GRP 1,261,115 %0.01 %99.8998 L 4862 ASSURITY GRP 1,258,332 %0.01 %99.9099 P 4863 CHINA MINSHENG GRP 1,250,367 %0.01 %99.90
100 L P 450 GENEVE HOLDINGS INC GRP 1,139,959 %0.01 %99.91101 L 769 GREAT WEST GRP 1,129,924 %0.01 %99.91102 L 2858 HOMESHIELD CAPITAL GRP 1,035,320 %- %99.92103 L 4926 HOPMEADOW HOLDINGS GRP 1,008,017 %- %99.92104 L 876 ARKANSAS BCBS GRP 965,592 %- %99.93105 P 27928 AMEX ASSUR CO 847,369 %- %99.93106 L 42129 UNITED SECURITY ASSUR CO OF PA 771,131 %- %99.93107 L 1117 MANHATTAN LIFE GRP 757,442 %- %99.94108 P 31 BERKSHIRE HATHAWAY GRP 754,535 %- %99.94109 L 581 BOSTON MUT GRP 743,628 %- %99.94110 L 3891 GLOBAL ATLANTIC GRP 710,208 %- %99.95111 L 64580 ILLINOIS MUT LIFE INS CO 709,315 %- %99.95112 L 704 OHIO NATL LIFE GRP 634,893 %- %99.95113 L 4734 APOLLO GLOBAL MGMT GRP 603,649 %- %99.96114 L 525 PAN AMER LIFE GRP 602,372 %- %99.96115 P 4904 INTACT FINANCIAL GRP 542,519 %- %99.96116 L 7 FEDERATED MUT GRP 530,506 %- %99.96117 L 458 PROTECTIVE LIFE INS GRP 506,996 %- %99.97118 L 1216 TIAA FAMILY GRP 504,912 %- %99.97119 L 4888 EQUITABLE FAMILY INS CO GRP 500,284 %- %99.97120 L 619 ONEAMERICA FIN PARTNERS GRP 493,770 %- %99.97121 P 3416 AXIS CAPITAL GRP 460,982 %- %99.97122 L 587 ATLANTIC AMER GRP 460,308 %- %99.98123 L 4928 NATIONAL GEN GRP 399,850 %- %99.98124 P 4670 STARR GRP 328,275 %- %99.98125 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 328,227 %- %99.98
**TOTAL** 22,132,962,152 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 113
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
West Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 812 HIGHMARK GRP 1,559,198,903 %28.44 %28.442 H 119 HUMANA GRP 1,111,160,471 %20.26 %48.703 L H 1 CVS GRP 995,186,519 %18.15 %66.854 H 1297 HEALTH PLAN GRP 497,213,952 %9.07 %75.925 L H 671 ANTHEM INC GRP 455,084,056 %8.30 %84.226 L H 707 UNITEDHEALTH GRP 291,241,775 %5.31 %89.537 L H 901 CIGNA HLTH GRP 79,890,679 %1.46 %90.998 H 3683 CARESOURCE GRP 50,411,512 %0.92 %91.919 L 261 MUTUAL OF OMAHA GRP 35,397,516 %0.65 %92.55
10 L 241 METROPOLITAN GRP 29,472,406 %0.54 %93.0911 H 2479 DENTEGRA GRP 28,521,848 %0.52 %93.6112 L 370 AFLAC GRP 26,850,218 %0.49 %94.1013 L 233 CNO FINANCIAL GRP 24,100,158 %0.44 %94.5414 L 565 UNUM GRP 21,821,607 %0.40 %94.9415 L 429 GUARDIAN LIFE GRP 18,068,677 %0.33 %95.2716 L 20 LINCOLN NATL GRP 17,661,526 %0.32 %95.5917 L 860 NORTHWESTERN MUT GRP 15,012,188 %0.27 %95.8618 L P 626 CHUBB LTD GRP 13,561,359 %0.25 %96.1119 H 15955 WEST VIRGINIA SENIOR ADVANTAGE INC 10,308,437 %0.19 %96.3020 L P 140 NATIONWIDE CORP GRP 9,832,232 %0.18 %96.4821 P 176 STATE FARM GRP 9,787,265 %0.18 %96.6622 L H 1199 WELLCARE GRP 9,280,994 %0.17 %96.8223 H 12747 ENVISION INS CO 8,802,116 %0.16 %96.9824 L P 3098 TOKIO MARINE HOLDINGS INC GRP 8,685,680 %0.16 %97.1425 L 330 AMERICAN FIDELITY CORP GRP 7,668,174 %0.14 %97.2826 L 290 TORCHMARK CORP GRP 7,478,986 %0.14 %97.4227 L 1348 MEIJI YASUDA LIFE INS GRP 7,414,462 %0.14 %97.5528 L 4011 GENWORTH FIN GRP 7,376,277 %0.13 %97.6929 L 304 PRUDENTIAL OF AMER GRP 6,831,187 %0.12 %97.8130 L P 468 AEGON US HOLDING GRP 6,114,831 %0.11 %97.9331 L P 91 HARTFORD FIRE & CAS GRP 5,699,627 %0.10 %98.0332 L 332 PRINCIPAL FIN GRP 4,937,599 %0.09 %98.1233 L 8 ALLSTATE INS GRP 4,866,042 %0.09 %98.2134 L 587 ATLANTIC AMER GRP 4,301,482 %0.08 %98.2935 P 158 FAIRFAX FIN GRP 3,721,498 %0.07 %98.3536 L 836 WEST SOUTHERN GRP 3,648,589 %0.07 %98.4237 L 661 BCBS OF SC GRP 3,405,524 %0.06 %98.4838 L 451 FIDELITY SECURITY GRP 3,082,942 %0.06 %98.5439 L 4832 VOYA FINANCIAL GRP 3,010,638 %0.05 %98.5940 H 1189 VISION SERV PLAN GRP 2,987,447 %0.05 %98.6541 H 477 RENAISSANCE HLTH SERV CORP GRP 2,881,585 %0.05 %98.7042 L 943 AMERITAS MUT HOLDING GRP 2,879,045 %0.05 %98.7543 L 869 MINNESOTA MUT GRP 2,705,964 %0.05 %98.8044 L 3527 AMERICAN ENTERPRISE MUT GRP 2,534,705 %0.05 %98.8545 L 4855 SUMITOMO LIFE INS GRP 2,497,304 %0.05 %98.8946 P 4863 CHINA MINSHENG GRP 2,478,348 %0.05 %98.9447 L 71404 CONTINENTAL GEN INS CO 2,360,367 %0.04 %98.9848 L 839 USHEALTH GRP INC GRP 2,328,949 %0.04 %99.0349 L 549 SUN LIFE ASSUR CO OF CN GRP 2,215,380 %0.04 %99.0750 L 904 JOHN HANCOCK GRP 2,204,726 %0.04 %99.1151 L P 181 SWISS RE GRP 1,930,598 %0.04 %99.1452 L 1117 MANHATTAN LIFE GRP 1,807,170 %0.03 %99.1753 L 276 TRUSTMARK MUT HOLDING CO GRP 1,772,647 %0.03 %99.2154 L 408 AMERICAN NATL FIN GRP 1,693,432 %0.03 %99.2455 L 306 CUNA MUT GRP 1,637,979 %0.03 %99.2756 L 826 NEW YORK LIFE GRP 1,578,398 %0.03 %99.3057 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,492,784 %0.03 %99.3258 L 435 MASS MUT LIFE INS GRP 1,482,210 %0.03 %99.3559 L P 12 AMERICAN INTL GRP 1,451,347 %0.03 %99.3860 L 367 PHYSICIANS MUT GRP 1,351,509 %0.02 %99.4061 L 4888 EQUITABLE FAMILY INS CO GRP 1,236,179 %0.02 %99.4262 L 4 AMERIPRISE FIN GRP 1,190,164 %0.02 %99.4563 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,172,076 %0.02 %99.4764 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,074,352 %0.02 %99.49
© 2019 National Association of Insurance Commissioners 114
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
West Virginia
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 581 BOSTON MUT GRP 1,072,620 %0.02 %99.5166 L P 968 AXA INS GRP 980,425 %0.02 %99.5267 L 687 GUARANTEE TRUST GRP 965,743 %0.02 %99.5468 L H 917 HCSC GRP 956,874 %0.02 %99.5669 L 4928 NATIONAL GEN GRP 878,224 %0.02 %99.5870 L 1211 NATIONAL GUARDIAN LIFE INS GRP 841,642 %0.02 %99.5971 L P 19 ASSURANT INC GRP 821,939 %0.01 %99.6172 L P 23 BCS INS GRP 812,191 %0.01 %99.6273 H 1230 CAPITAL BLUE CROSS GRP 797,630 %0.01 %99.6474 L P 31 BERKSHIRE HATHAWAY GRP 796,055 %0.01 %99.6575 P 218 CNA INS GRP 782,708 %0.01 %99.6676 H 1260 MAGELLAN HLTH INC GRP 772,271 %0.01 %99.6877 F 56499 ASSURED LIFE ASSN 766,741 %0.01 %99.6978 L 61921 CITIZENS SECURITY LIFE INS CO 726,633 %0.01 %99.7179 L P 450 GENEVE HOLDINGS INC GRP 725,398 %0.01 %99.7280 L 781 UNION LABOR GRP 714,252 %0.01 %99.7381 L 3891 GLOBAL ATLANTIC GRP 713,302 %0.01 %99.7482 L H 4719 AMFIRST HOLDINGS GRP 686,042 %0.01 %99.7683 H 461 BCBS OF MN GRP 662,440 %0.01 %99.7784 L 11121 UNIFIED LIFE INS CO 649,819 %0.01 %99.7885 L 619 ONEAMERICA FIN PARTNERS GRP 550,094 %0.01 %99.7986 F 57657 ROYAL NEIGHBORS OF AMER 512,015 %0.01 %99.8087 P 4381 HOUSTON INTL INS GRP 472,160 %0.01 %99.8188 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 452,905 %0.01 %99.8289 L 264 HEALTHMARKETS GRP 430,437 %0.01 %99.8290 L 98 WR BERKLEY CORP GRP 405,717 %0.01 %99.8391 L 4734 APOLLO GLOBAL MGMT GRP 405,412 %0.01 %99.8492 L 4853 AAA LIFE GRP 394,200 %0.01 %99.8593 L 704 OHIO NATL LIFE GRP 358,084 %0.01 %99.8594 L 4926 HOPMEADOW HOLDINGS GRP 335,828 %0.01 %99.8695 L 4736 GGC GRP 315,232 %0.01 %99.8796 P 111 LIBERTY MUT GRP 295,164 %0.01 %99.8797 L 761 ALLIANZ INS GRP 283,822 %0.01 %99.8898 L 2858 HOMESHIELD CAPITAL GRP 279,801 %0.01 %99.8899 L 4862 ASSURITY GRP 270,416 %- %99.89
100 L 769 GREAT WEST GRP 269,124 %- %99.89101 L 1216 TIAA FAMILY GRP 263,659 %- %99.90102 L 215 KEMPER CORP GRP 261,491 %- %99.90103 P 796 QBE INS GRP 250,191 %- %99.91104 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 240,100 %- %99.91105 L 520 NEW ERA LIFE GRP 219,779 %- %99.91106 H 4696 VISION BENEFITS GRP 218,467 %- %99.92107 L 458 PROTECTIVE LIFE INS GRP 200,112 %- %99.92108 L 525 PAN AMER LIFE GRP 197,799 %- %99.92109 P 501 ALLEGHANY GRP 196,673 %- %99.93110 L 4764 RESERVOIR CAPITAL GRP 185,303 %- %99.93111 P 37540 BEAZLEY INS CO INC 183,796 %- %99.93112 L 4932 BRIGHTHOUSE HOLDINGS GRP 173,461 %- %99.94113 F 58033 KNIGHTS OF COLUMBUS 167,249 %- %99.94114 L 918 JACKSON NATL GRP 162,811 %- %99.94115 L 69132 STATE MUT INS CO 153,408 %- %99.95116 L 69477 TIME INS CO II 153,133 %- %99.95117 L 76325 SENIOR HLTH INS CO OF PA 139,191 %- %99.95118 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 127,100 %- %99.95119 H P 1324 UPMC HLTH SYSTEM GRP 126,463 %- %99.96120 P 3483 PARTNERRE GRP 126,318 %- %99.96121 L P 7 FEDERATED MUT GRP 113,785 %- %99.96122 P 27928 AMEX ASSUR CO 112,567 %- %99.96123 L 64580 ILLINOIS MUT LIFE INS CO 110,753 %- %99.97124 L 449 FINANCIAL HOLDINGS GRP 109,861 %- %99.97125 F 57320 WOODMEN WORLD LIFE INS SOC 103,893 %- %99.97
**TOTAL** 5,483,191,888 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 115
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Wisconsin
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 707 UNITEDHEALTH GRP 3,949,493,042 %20.83 %20.832 H 4870 UNIVERSITY HLTH CARE & GUNDERSEN LUT 1,677,439,415 %8.85 %29.683 L H 671 ANTHEM INC GRP 1,631,474,812 %8.61 %38.284 H 119 HUMANA GRP 1,526,448,721 %8.05 %46.345 H 1294 DEAN HLTH GRP 1,372,327,429 %7.24 %53.576 H 96881 SECURITY HLTH PLAN OF WI INC 1,338,381,854 %7.06 %60.637 H 2678 NETWORK HLTH GRP 995,296,472 %5.25 %65.888 L H 4939 WEA GRP 643,341,209 %3.39 %69.289 L H 68 WISCONSIN PHYSICIANS SERV INS GRP 582,490,249 %3.07 %72.35
10 H 15061 COMMON GROUND HLTHCARE COOP 564,943,967 %2.98 %75.3311 H 13739 CHILDRENS COMM HLTH PLAN INC 440,686,745 %2.32 %77.6512 H 95311 GROUP HLTH COOP OF S CENTRAL WI 387,806,781 %2.05 %79.7013 L H 1 CVS GRP 319,763,042 %1.69 %81.3814 H 1552 MEDICA GRP 293,824,923 %1.55 %82.9315 H 3849 DELTA DENTAL OF WI GRP 252,440,943 %1.33 %84.2716 H 95192 GROUP HLTH COOP OF EAU CLAIRE 163,070,891 %0.86 %85.1317 H 1531 MOLINA HEALTHCARE INC GRP 157,591,012 %0.83 %85.9618 H 1258 HEALTHPARTNERS GRP 153,117,275 %0.81 %86.7619 H 12248 CARE WI HLTH PLAN INC 150,814,076 %0.80 %87.5620 L H 901 CIGNA HLTH GRP 128,015,108 %0.68 %88.2421 H 1295 CENTENE CORP GRP 120,993,618 %0.64 %88.8722 H 3595 MERCY HLTH CORP GRP 103,828,787 %0.55 %89.4223 L 565 UNUM GRP 101,988,704 %0.54 %89.9624 L 549 SUN LIFE ASSUR CO OF CN GRP 97,212,453 %0.51 %90.4725 H 10756 COMMUNITY CARE HEALTH PLAN, INC. 94,920,957 %0.50 %90.9726 L 860 NORTHWESTERN MUT GRP 91,035,999 %0.48 %91.4527 L P 3098 TOKIO MARINE HOLDINGS INC GRP 88,680,975 %0.47 %91.9228 L 367 PHYSICIANS MUT GRP 80,153,388 %0.42 %92.3429 L P 241 METROPOLITAN GRP 74,570,484 %0.39 %92.7430 L 370 AFLAC GRP 68,805,481 %0.36 %93.1031 L 261 MUTUAL OF OMAHA GRP 61,785,295 %0.33 %93.4232 L 3527 AMERICAN ENTERPRISE MUT GRP 60,791,802 %0.32 %93.7533 L P 91 HARTFORD FIRE & CAS GRP 49,930,849 %0.26 %94.0134 L 20 LINCOLN NATL GRP 48,599,688 %0.26 %94.2735 L 4832 VOYA FINANCIAL GRP 46,858,137 %0.25 %94.5136 P 796 QBE INS GRP 43,016,712 %0.23 %94.7437 L 4011 GENWORTH FIN GRP 41,675,221 %0.22 %94.9638 L 429 GUARDIAN LIFE GRP 40,088,696 %0.21 %95.1739 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 38,007,727 %0.20 %95.3740 L P 468 AEGON US HOLDING GRP 36,161,151 %0.19 %95.5641 L 4855 SUMITOMO LIFE INS GRP 36,085,064 %0.19 %95.7542 L 233 CNO FINANCIAL GRP 35,139,542 %0.19 %95.9443 L 332 PRINCIPAL FIN GRP 34,049,463 %0.18 %96.1244 L 661 BCBS OF SC GRP 33,960,230 %0.18 %96.3045 L 1348 MEIJI YASUDA LIFE INS GRP 33,422,070 %0.18 %96.4746 L 904 JOHN HANCOCK GRP 29,237,503 %0.15 %96.6347 H 12834 TRILOGY HLTH INS INC 28,624,518 %0.15 %96.7848 L P 12 AMERICAN INTL GRP 28,025,284 %0.15 %96.9349 H 1189 VISION SERV PLAN GRP 27,950,304 %0.15 %97.0750 H 55450 CARE PLUS DENTAL PLANS INC 26,241,982 %0.14 %97.2151 H 4811 MEDICAL ASSOCIATES GRP 25,777,256 %0.14 %97.3552 L P 626 CHUBB LTD GRP 23,764,934 %0.13 %97.4753 L 8 ALLSTATE INS GRP 23,512,345 %0.12 %97.6054 L 304 PRUDENTIAL OF AMER GRP 21,318,386 %0.11 %97.7155 P 176 STATE FARM GRP 20,229,668 %0.11 %97.8256 L 836 WEST SOUTHERN GRP 18,595,671 %0.10 %97.9157 L P 450 GENEVE HOLDINGS INC GRP 17,815,366 %0.09 %98.0158 L 290 TORCHMARK CORP GRP 16,876,163 %0.09 %98.1059 L P 212 ZURICH INS GRP 16,819,013 %0.09 %98.1960 H 4879 CENTERBRIDGE CAPITAL PARTNERS GRP 14,079,317 %0.07 %98.2661 P 158 FAIRFAX FIN GRP 13,228,169 %0.07 %98.3362 L 4928 NATIONAL GEN GRP 12,362,556 %0.07 %98.3963 L 943 AMERITAS MUT HOLDING GRP 12,050,422 %0.06 %98.4664 L 330 AMERICAN FIDELITY CORP GRP 11,342,460 %0.06 %98.52
© 2019 National Association of Insurance Commissioners 116
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Wisconsin
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 1211 NATIONAL GUARDIAN LIFE INS GRP 10,642,126 %0.06 %98.5766 L 451 FIDELITY SECURITY GRP 10,016,754 %0.05 %98.6367 L P 19 ASSURANT INC GRP 9,980,522 %0.05 %98.6868 H 12747 ENVISION INS CO 9,857,771 %0.05 %98.7369 L 98 WR BERKLEY CORP GRP 9,521,688 %0.05 %98.7870 L 687 GUARANTEE TRUST GRP 9,472,013 %0.05 %98.8371 L P 31 BERKSHIRE HATHAWAY GRP 8,470,266 %0.04 %98.8872 P 473 AMERICAN FAMILY INS GRP 7,722,272 %0.04 %98.9273 L 64580 ILLINOIS MUT LIFE INS CO 6,925,261 %0.04 %98.9574 P 218 CNA INS GRP 6,887,648 %0.04 %98.9975 L H 1199 WELLCARE GRP 6,875,030 %0.04 %99.0376 L H 812 HIGHMARK GRP 6,840,059 %0.04 %99.0677 L 4 AMERIPRISE FIN GRP 6,682,599 %0.04 %99.1078 H 461 BCBS OF MN GRP 6,562,547 %0.03 %99.1379 L 435 MASS MUT LIFE INS GRP 6,503,272 %0.03 %99.1780 L 306 CUNA MUT GRP 6,324,198 %0.03 %99.2081 L P 181 SWISS RE GRP 5,901,988 %0.03 %99.2382 P 4863 CHINA MINSHENG GRP 5,650,389 %0.03 %99.2683 L 588 KANSAS CITY LIFE INS GRP 5,373,658 %0.03 %99.2984 L 826 NEW YORK LIFE GRP 5,350,030 %0.03 %99.3285 L H 917 HCSC GRP 5,165,592 %0.03 %99.3486 L 11121 UNIFIED LIFE INS CO 4,983,846 %0.03 %99.3787 L 869 MINNESOTA MUT GRP 4,939,221 %0.03 %99.4088 L 761 ALLIANZ INS GRP 4,488,474 %0.02 %99.4289 L 153 PEKIN INS GRP 4,319,188 %0.02 %99.4490 L 1117 MANHATTAN LIFE GRP 4,186,958 %0.02 %99.4791 L 525 PAN AMER LIFE GRP 4,149,716 %0.02 %99.4992 L 69477 TIME INS CO II 3,976,036 %0.02 %99.5193 L 4736 GGC GRP 3,971,990 %0.02 %99.5394 P 361 MUNICH RE GRP 3,963,915 %0.02 %99.5595 H 2479 DENTEGRA GRP 3,940,747 %0.02 %99.5796 L 264 HEALTHMARKETS GRP 3,667,642 %0.02 %99.5997 P 501 ALLEGHANY GRP 3,518,671 %0.02 %99.6198 L 276 TRUSTMARK MUT HOLDING CO GRP 3,226,406 %0.02 %99.6399 L 71404 CONTINENTAL GEN INS CO 3,222,287 %0.02 %99.64
100 L 408 AMERICAN NATL FIN GRP 3,107,521 %0.02 %99.66101 P 4381 HOUSTON INTL INS GRP 2,922,989 %0.02 %99.67102 L P 140 NATIONWIDE CORP GRP 2,817,062 %0.01 %99.69103 L 781 UNION LABOR GRP 2,723,073 %0.01 %99.70104 L P 7 FEDERATED MUT GRP 2,526,261 %0.01 %99.72105 L 4862 ASSURITY GRP 2,434,403 %0.01 %99.73106 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 2,347,324 %0.01 %99.74107 H 477 RENAISSANCE HLTH SERV CORP GRP 2,295,249 %0.01 %99.75108 L 574 AMERCO CORP GRP 2,179,292 %0.01 %99.77109 L P 968 AXA INS GRP 2,086,390 %0.01 %99.78110 L 619 ONEAMERICA FIN PARTNERS GRP 1,891,224 %0.01 %99.79111 F 58033 KNIGHTS OF COLUMBUS 1,843,872 %0.01 %99.80112 P 3416 AXIS CAPITAL GRP 1,843,028 %0.01 %99.81113 L 520 NEW ERA LIFE GRP 1,778,555 %0.01 %99.82114 L P 23 BCS INS GRP 1,773,291 %0.01 %99.83115 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 1,678,709 %0.01 %99.83116 F 56693 GCU 1,428,318 %0.01 %99.84117 H 52041 AMERICAN DENTAL PLAN OF WI INC 1,357,762 %0.01 %99.85118 L 1186 LIFETIME HLTHCARE GRP 1,313,808 %0.01 %99.86119 L 4853 AAA LIFE GRP 1,307,643 %0.01 %99.86120 L 704 OHIO NATL LIFE GRP 1,277,467 %0.01 %99.87121 L 280 AUTO OWNERS GRP 1,241,576 %0.01 %99.88122 L 572 BCBS OF MI GRP 1,094,176 %0.01 %99.88123 L 76325 SENIOR HLTH INS CO OF PA 1,080,150 %0.01 %99.89124 L 50 COUNTRY INS & FIN SERV GRP 1,026,880 %0.01 %99.89125 P 1279 ARCH INS GRP 999,043 %0.01 %99.90
**TOTAL** 18,959,323,636 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 117
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Wyoming
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 53767 BCBS OF WY 608,993,777 %56.94 %56.942 L H 707 UNITEDHEALTH GRP 127,357,784 %11.91 %68.843 L H 901 CIGNA HLTH GRP 51,347,165 %4.80 %73.644 L H 1 CVS GRP 40,836,695 %3.82 %77.465 L 261 MUTUAL OF OMAHA GRP 17,742,742 %1.66 %79.126 H 15200 DELTA DENTAL PLAN OF WY 17,700,069 %1.65 %80.787 L 370 AFLAC GRP 16,209,088 %1.52 %82.298 H 119 HUMANA GRP 16,096,707 %1.50 %83.809 L 661 BCBS OF SC GRP 10,351,652 %0.97 %84.76
10 L 4928 NATIONAL GEN GRP 8,124,722 %0.76 %85.5211 P 176 STATE FARM GRP 6,934,903 %0.65 %86.1712 L 565 UNUM GRP 6,064,894 %0.57 %86.7413 L 4011 GENWORTH FIN GRP 5,447,668 %0.51 %87.2514 L 20 LINCOLN NATL GRP 5,143,561 %0.48 %87.7315 L 839 USHEALTH GRP INC GRP 5,100,306 %0.48 %88.2116 L 241 METROPOLITAN GRP 4,823,785 %0.45 %88.6617 L 330 AMERICAN FIDELITY CORP GRP 4,625,520 %0.43 %89.0918 L 4855 SUMITOMO LIFE INS GRP 4,558,065 %0.43 %89.5219 L 233 CNO FINANCIAL GRP 4,516,803 %0.42 %89.9420 L P 3098 TOKIO MARINE HOLDINGS INC GRP 4,293,923 %0.40 %90.3421 L 836 WEST SOUTHERN GRP 4,256,297 %0.40 %90.7422 L 290 TORCHMARK CORP GRP 4,081,538 %0.38 %91.1223 L 215 KEMPER CORP GRP 4,012,974 %0.38 %91.4924 L 549 SUN LIFE ASSUR CO OF CN GRP 3,983,143 %0.37 %91.8725 L 4832 VOYA FINANCIAL GRP 3,726,218 %0.35 %92.2226 L P 12 AMERICAN INTL GRP 3,544,182 %0.33 %92.5527 L 1348 MEIJI YASUDA LIFE INS GRP 3,198,358 %0.30 %92.8528 L 860 NORTHWESTERN MUT GRP 2,957,243 %0.28 %93.1229 L 468 AEGON US HOLDING GRP 2,832,999 %0.26 %93.3930 L 200 UNITED SERV AUTOMOBILE ASSN GRP 2,814,943 %0.26 %93.6531 L P 626 CHUBB LTD GRP 2,768,596 %0.26 %93.9132 L H 812 HIGHMARK GRP 2,596,738 %0.24 %94.1533 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 2,582,811 %0.24 %94.3934 L P 23 BCS INS GRP 2,432,140 %0.23 %94.6235 L 429 GUARDIAN LIFE GRP 2,247,181 %0.21 %94.8336 P 158 FAIRFAX FIN GRP 2,064,315 %0.19 %95.0237 H 1260 MAGELLAN HLTH INC GRP 2,063,090 %0.19 %95.2238 L 904 JOHN HANCOCK GRP 1,951,797 %0.18 %95.4039 P 361 MUNICH RE GRP 1,861,041 %0.17 %95.5740 L P 91 HARTFORD FIRE & CAS GRP 1,847,205 %0.17 %95.7541 L P 968 AXA INS GRP 1,812,339 %0.17 %95.9242 L 304 PRUDENTIAL OF AMER GRP 1,730,033 %0.16 %96.0843 L 826 NEW YORK LIFE GRP 1,632,256 %0.15 %96.2344 L 276 TRUSTMARK MUT HOLDING CO GRP 1,608,091 %0.15 %96.3845 L P 181 SWISS RE GRP 1,596,634 %0.15 %96.5346 L 451 FIDELITY SECURITY GRP 1,471,783 %0.14 %96.6747 L 943 AMERITAS MUT HOLDING GRP 1,449,660 %0.14 %96.8048 L 332 PRINCIPAL FIN GRP 1,442,577 %0.13 %96.9449 L 4824 ADVANTAGE CAPITAL GRP 1,256,454 %0.12 %97.0550 H 12239 TIMBER PRODUCTS MANUFACTURERS TRUST 1,212,209 %0.11 %97.1751 L 4888 EQUITABLE FAMILY INS CO GRP 1,190,850 %0.11 %97.2852 L H 1199 WELLCARE GRP 1,189,724 %0.11 %97.3953 L 8 ALLSTATE INS GRP 1,183,530 %0.11 %97.5054 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 1,084,835 %0.10 %97.6055 L P 450 GENEVE HOLDINGS INC GRP 1,074,975 %0.10 %97.7056 L 367 PHYSICIANS MUT GRP 1,070,250 %0.10 %97.8057 L 587 ATLANTIC AMER GRP 1,063,321 %0.10 %97.9058 L 306 CUNA MUT GRP 1,061,803 %0.10 %98.0059 L 1117 MANHATTAN LIFE GRP 996,479 %0.09 %98.1060 L 71404 CONTINENTAL GEN INS CO 975,666 %0.09 %98.1961 P 4863 CHINA MINSHENG GRP 890,835 %0.08 %98.2762 P 796 QBE INS GRP 880,236 %0.08 %98.3563 L 3527 AMERICAN ENTERPRISE MUT GRP 847,310 %0.08 %98.4364 P 4886 BENCHMARK HOLDING GRP 745,474 %0.07 %98.50
© 2019 National Association of Insurance Commissioners 118
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Wyoming
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 111 LIBERTY MUT GRP 741,485 %0.07 %98.5766 L 869 MINNESOTA MUT GRP 729,704 %0.07 %98.6467 L 4826 ECG GRP 685,595 %0.06 %98.7068 L 69132 STATE MUT INS CO 679,165 %0.06 %98.7769 L 408 AMERICAN NATL FIN GRP 676,915 %0.06 %98.8370 L 520 NEW ERA LIFE GRP 672,112 %0.06 %98.8971 H 2479 DENTEGRA GRP 648,769 %0.06 %98.9572 L 687 GUARANTEE TRUST GRP 632,496 %0.06 %99.0173 L 435 MASS MUT LIFE INS GRP 615,162 %0.06 %99.0774 L P 140 NATIONWIDE CORP GRP 570,123 %0.05 %99.1275 L P 19 ASSURANT INC GRP 499,622 %0.05 %99.1776 H 477 RENAISSANCE HLTH SERV CORP GRP 479,911 %0.04 %99.2177 L 761 ALLIANZ INS GRP 474,157 %0.04 %99.2678 P 218 CNA INS GRP 457,224 %0.04 %99.3079 L 66214 HEARTLAND NATL LIFE INS CO 456,822 %0.04 %99.3480 L 4 AMERIPRISE FIN GRP 436,381 %0.04 %99.3881 L 4862 ASSURITY GRP 417,838 %0.04 %99.4282 L 90638 BEST LIFE & HLTH INS CO 398,455 %0.04 %99.4683 P 4381 HOUSTON INTL INS GRP 342,385 %0.03 %99.4984 L 4712 GPM LIFE GRP 324,229 %0.03 %99.5285 L 69477 TIME INS CO II 303,561 %0.03 %99.5586 L 50 COUNTRY INS & FIN SERV GRP 282,592 %0.03 %99.5887 L P 212 ZURICH INS GRP 268,109 %0.03 %99.6088 L 1186 LIFETIME HLTHCARE GRP 239,579 %0.02 %99.6389 L 98 WR BERKLEY CORP GRP 235,642 %0.02 %99.6590 L 2858 HOMESHIELD CAPITAL GRP 213,982 %0.02 %99.6791 P 31 BERKSHIRE HATHAWAY GRP 204,415 %0.02 %99.6992 P 3416 AXIS CAPITAL GRP 201,473 %0.02 %99.7193 L 81779 INDIVIDUAL ASSUR CO LIFE HLTH & ACC 197,351 %0.02 %99.7294 F 58033 KNIGHTS OF COLUMBUS 188,216 %0.02 %99.7495 L 4853 AAA LIFE GRP 178,861 %0.02 %99.7696 P 1279 ARCH INS GRP 178,153 %0.02 %99.7897 H 12747 ENVISION INS CO 174,736 %0.02 %99.7998 L 574 AMERCO CORP GRP 134,982 %0.01 %99.8099 L 769 GREAT WEST GRP 128,042 %0.01 %99.82
100 L 917 HCSC GRP 124,896 %0.01 %99.83101 L 264 HEALTHMARKETS GRP 113,040 %0.01 %99.84102 L 64580 ILLINOIS MUT LIFE INS CO 107,252 %0.01 %99.85103 P 27928 AMEX ASSUR CO 104,041 %0.01 %99.86104 L 1211 NATIONAL GUARDIAN LIFE INS GRP 98,843 %0.01 %99.87105 L 4932 BRIGHTHOUSE HOLDINGS GRP 95,868 %0.01 %99.88106 L 4815 RESOLUTION LIFE GRP 90,628 %0.01 %99.88107 L 449 FINANCIAL HOLDINGS GRP 87,095 %0.01 %99.89108 L 4734 APOLLO GLOBAL MGMT GRP 84,548 %0.01 %99.90109 L 76325 SENIOR HLTH INS CO OF PA 81,731 %0.01 %99.91110 F 56413 UNITED TRANSPORTATION UNION INS ASSN 75,606 %0.01 %99.92111 L 3436 LIBERTY LIFE GRP TRUST GRP 64,713 %0.01 %99.92112 L 4926 HOPMEADOW HOLDINGS GRP 61,762 %0.01 %99.93113 L 350 GENERAL ELECTRIC GRP 59,548 %0.01 %99.93114 L 581 BOSTON MUT GRP 56,723 %0.01 %99.94115 L 4736 GGC GRP 56,392 %0.01 %99.94116 L 588 KANSAS CITY LIFE INS GRP 51,936 %- %99.95117 L 918 JACKSON NATL GRP 51,606 %- %99.95118 L 704 OHIO NATL LIFE GRP 51,025 %- %99.96119 L 11121 UNIFIED LIFE INS CO 50,991 %- %99.96120 L 572 BCBS OF MI GRP 43,442 %- %99.97121 L 513 IOWA FARM BUREAU GRP 31,330 %- %99.97122 F 56499 ASSURED LIFE ASSN 30,683 %- %99.97123 L 3891 GLOBAL ATLANTIC GRP 26,262 %- %99.98124 P 1120 EVEREST REINS HOLDINGS GRP 25,506 %- %99.98125 L 1216 TIAA FAMILY GRP 21,381 %- %99.98
**TOTAL** 1,069,595,256 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 119
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
American Samoa
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 H 11093 TAKECARE INS CO INC 601,618 %85.65 %85.652 L 241 METROPOLITAN GRP 35,751 %5.09 %90.743 L 370 AFLAC GRP 22,387 %3.19 %93.934 L H 707 UNITEDHEALTH GRP 16,251 %2.31 %96.245 L 468 AEGON US HOLDING GRP 13,077 %1.86 %98.106 L 901 CIGNA HLTH GRP 5,319 %0.76 %98.867 L 429 GUARDIAN LIFE GRP 1,930 %0.27 %99.138 L 306 CUNA MUT GRP 1,290 %0.18 %99.329 L 367 PHYSICIANS MUT GRP 1,192 %0.17 %99.49
10 L P 761 ALLIANZ INS GRP 965 %0.14 %99.6211 L 8 ALLSTATE INS GRP 688 %0.10 %99.7212 L 565 UNUM GRP 578 %0.08 %99.8013 L 290 TORCHMARK CORP GRP 514 %0.07 %99.8814 L 904 JOHN HANCOCK GRP 392 %0.06 %99.9315 L 261 MUTUAL OF OMAHA GRP 276 %0.04 %99.9716 L 4734 APOLLO GLOBAL MGMT GRP 140 %0.02 %99.9917 L 1 CVS GRP 51 %0.01 %100.00
**TOTAL** 702,419 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 120
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Guam
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 P 3098 TOKIO MARINE HOLDINGS INC GRP 148,787,113 %47.87 %47.872 H 11093 TAKECARE INS CO INC 75,867,494 %24.41 %72.273 P 31658 ISLAND HOME INS CO 33,346,814 %10.73 %83.004 L 60246 NETCARE LIFE & HLTH INS CO 24,874,863 %8.00 %91.005 L 370 AFLAC GRP 17,977,237 %5.78 %96.796 L 1348 MEIJI YASUDA LIFE INS GRP 2,418,479 %0.78 %97.577 L H 707 UNITEDHEALTH GRP 2,346,923 %0.76 %98.328 L 901 CIGNA HLTH GRP 1,574,786 %0.51 %98.839 L 869 MINNESOTA MUT GRP 717,019 %0.23 %99.06
10 L 241 METROPOLITAN GRP 667,282 %0.21 %99.2711 L 8 ALLSTATE INS GRP 635,214 %0.20 %99.4812 L H 1 CVS GRP 481,176 %0.15 %99.6313 L 91 HARTFORD FIRE & CAS GRP 347,757 %0.11 %99.7414 L 468 AEGON US HOLDING GRP 344,938 %0.11 %99.8615 P 10972 FIRST NET INS CO 80,526 %0.03 %99.8816 L 408 AMERICAN NATL FIN GRP 62,829 %0.02 %99.9017 L 20 LINCOLN NATL GRP 54,830 %0.02 %99.9218 L 304 PRUDENTIAL OF AMER GRP 51,129 %0.02 %99.9419 L 769 GREAT WEST GRP 29,376 %0.01 %99.9520 L 565 UNUM GRP 28,626 %0.01 %99.9521 L 306 CUNA MUT GRP 20,805 %0.01 %99.9622 H 12747 ENVISION INS CO 20,774 %0.01 %99.9723 L 261 MUTUAL OF OMAHA GRP 13,341 %- %99.9724 L 826 NEW YORK LIFE GRP 10,857 %- %99.9825 P 12633 CENTURY INS CO GU LTD 10,785 %- %99.9826 L 435 MASS MUT LIFE INS GRP 9,950 %- %99.9827 P 4672 DONGBU INS GRP 7,538 %- %99.9828 L 4832 VOYA FINANCIAL GRP 7,444 %- %99.9929 L 233 CNO FINANCIAL GRP 5,963 %- %99.9930 L 1117 MANHATTAN LIFE GRP 5,124 %- %99.9931 L 458 PROTECTIVE LIFE INS GRP 5,111 %- %99.9932 L P 12 AMERICAN INTL GRP 3,576 %- %99.9933 L 943 AMERITAS MUT HOLDING GRP 3,564 %- %99.9934 L 690 CENTRAL STATES GRP 3,038 %- %100.0035 L 4932 BRIGHTHOUSE HOLDINGS GRP 3,036 %- %100.0036 L 4750 PRIMERICA GRP 2,410 %- %100.0037 L 69310 SURETY LIFE INS CO 1,394 %- %100.0038 L 429 GUARDIAN LIFE GRP 1,121 %- %100.0039 L 367 PHYSICIANS MUT GRP 930 %- %100.0040 L 4926 HOPMEADOW HOLDINGS GRP 909 %- %100.0041 L 71404 CONTINENTAL GEN INS CO 873 %- %100.0042 L 918 JACKSON NATL GRP 692 %- %100.0043 L 449 FINANCIAL HOLDINGS GRP 672 %- %100.0044 L 290 TORCHMARK CORP GRP 645 %- %100.0045 L 781 UNION LABOR GRP 396 %- %100.0046 L 904 JOHN HANCOCK GRP 375 %- %100.0047 L 626 CHUBB LTD GRP 326 %- %100.0048 L 4853 AAA LIFE GRP 289 %- %100.0049 L 350 GENERAL ELECTRIC GRP 238 %- %100.0050 L 572 BCBS OF MI GRP 66 %- %100.00
**TOTAL** 310,836,653 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 121
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Puerto Rico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 4802 TRIPLE S GRP 2,764,797,889 %26.86 %26.862 H 4812 INNOVACARE INC GRP 2,610,438,890 %25.36 %52.223 L H 1301 MEDICAL CARD SYSTEM INC GRP 2,195,370,628 %21.33 %73.554 H 95722 FIRST MEDICAL HLTH PLAN INC 1,080,486,891 %10.50 %84.055 H 1531 MOLINA HEALTHCARE INC GRP 715,397,035 %6.95 %91.006 L H 119 HUMANA GRP 456,509,897 %4.44 %95.447 L P 411 MAPFRE INS GRP 74,628,962 %0.73 %96.168 H 95730 PLAN DE SALUD MENONITA INC 70,582,368 %0.69 %96.859 L 370 AFLAC GRP 57,933,845 %0.56 %97.41
10 L 4804 MULTINATIONAL GRP 34,298,623 %0.33 %97.7411 L 69523 TRANS OCEANIC LIFE INS CO 27,851,128 %0.27 %98.0112 L P 626 CHUBB LTD GRP 20,559,619 %0.20 %98.2113 H 2479 DENTEGRA GRP 19,306,887 %0.19 %98.4014 L 79715 COOPERATIVA DE SEGUROS DE VIDA 18,627,629 %0.18 %98.5815 L 525 PAN AMER LIFE GRP 18,205,222 %0.18 %98.7616 L H 707 UNITEDHEALTH GRP 16,720,005 %0.16 %98.9217 L 233 CNO FINANCIAL GRP 15,363,674 %0.15 %99.0718 L 241 METROPOLITAN GRP 14,770,917 %0.14 %99.2119 L 435 MASS MUT LIFE INS GRP 9,203,380 %0.09 %99.3020 L 261 MUTUAL OF OMAHA GRP 8,148,641 %0.08 %99.3821 L H 901 CIGNA HLTH GRP 7,393,273 %0.07 %99.4522 L H 1 CVS GRP 7,358,245 %0.07 %99.5323 L 71 UNIVERSAL INS CO GRP 6,636,872 %0.06 %99.5924 H 95762 PLAN MEDICO SERV DE SALUD BELLA VIST 6,484,376 %0.06 %99.6525 L P 3593 USIC GRP 5,336,591 %0.05 %99.7026 L P 19 ASSURANT INC GRP 3,518,555 %0.03 %99.7427 L 8 ALLSTATE INS GRP 3,478,122 %0.03 %99.7728 L 20 LINCOLN NATL GRP 2,466,030 %0.02 %99.8029 L 704 OHIO NATL LIFE GRP 2,269,999 %0.02 %99.8230 L P 12 AMERICAN INTL GRP 2,206,882 %0.02 %99.8431 H 95743 RYDER HLTH PLAN INC 2,010,771 %0.02 %99.8632 L 91 HARTFORD FIRE & CAS GRP 1,568,311 %0.02 %99.8733 L 565 UNUM GRP 1,407,727 %0.01 %99.8934 L 304 PRUDENTIAL OF AMER GRP 1,350,848 %0.01 %99.9035 L 968 AXA INS GRP 1,092,537 %0.01 %99.9136 P 111 LIBERTY MUT GRP 1,082,117 %0.01 %99.9237 P 26778 INTEGRAND ASSUR CO 1,008,305 %0.01 %99.9338 L 1117 MANHATTAN LIFE GRP 923,975 %0.01 %99.9439 P 361 MUNICH RE GRP 891,910 %0.01 %99.9540 L 918 JACKSON NATL GRP 879,901 %0.01 %99.9641 H 81647 BUPA INS CO 658,090 %0.01 %99.9742 L 87394 MARQUETTE IND & LIFE INS CO 631,551 %0.01 %99.9743 L 826 NEW YORK LIFE GRP 481,156 %- %99.9844 P 796 QBE INS GRP 361,003 %- %99.9845 L 904 JOHN HANCOCK GRP 349,725 %- %99.9846 L 4932 BRIGHTHOUSE HOLDINGS GRP 175,530 %- %99.9847 L 429 GUARDIAN LIFE GRP 143,054 %- %99.9948 P 27928 AMEX ASSUR CO 142,890 %- %99.9949 L 869 MINNESOTA MUT GRP 142,590 %- %99.9950 L 468 AEGON US HOLDING GRP 134,418 %- %99.9951 P 1279 ARCH INS GRP 88,966 %- %99.9952 L 769 GREAT WEST GRP 86,855 %- %99.9953 P 218 CNA INS GRP 77,097 %- %99.9954 L 306 CUNA MUT GRP 71,805 %- %99.9955 F 58033 KNIGHTS OF COLUMBUS 69,558 %- %99.9956 L 839 USHEALTH GRP INC GRP 66,522 %- %99.9957 H 12747 ENVISION INS CO 59,255 %- %100.0058 L 4750 PRIMERICA GRP 55,262 %- %100.0059 L 458 PROTECTIVE LIFE INS GRP 47,764 %- %100.0060 L 3891 GLOBAL ATLANTIC GRP 36,252 %- %100.0061 L 4832 VOYA FINANCIAL GRP 33,493 %- %100.0062 L 1348 MEIJI YASUDA LIFE INS GRP 30,443 %- %100.0063 L 332 PRINCIPAL FIN GRP 25,082 %- %100.0064 L 212 ZURICH INS GRP 24,125 %- %100.00
© 2019 National Association of Insurance Commissioners 122
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Puerto Rico
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 4855 SUMITOMO LIFE INS GRP 22,769 %- %100.0066 L 581 BOSTON MUT GRP 21,579 %- %100.0067 L 276 TRUSTMARK MUT HOLDING CO GRP 20,963 %- %100.0068 L 290 TORCHMARK CORP GRP 16,303 %- %100.0069 L 520 NEW ERA LIFE GRP 16,266 %- %100.0070 L 4764 RESERVOIR CAPITAL GRP 16,200 %- %100.0071 L 4 AMERIPRISE FIN GRP 15,795 %- %100.0072 L 408 AMERICAN NATL FIN GRP 10,717 %- %100.0073 L 943 AMERITAS MUT HOLDING GRP 10,163 %- %100.0074 L 4926 HOPMEADOW HOLDINGS GRP 9,264 %- %100.0075 L 200 UNITED SERV AUTOMOBILE ASSN GRP 8,475 %- %100.0076 L P 761 ALLIANZ INS GRP 7,915 %- %100.0077 L 781 UNION LABOR GRP 7,688 %- %100.0078 H 12587 AUXILIO SALUD PLUS INC 7,120 %- %100.0079 L 330 AMERICAN FIDELITY CORP GRP 7,040 %- %100.0080 L 367 PHYSICIANS MUT GRP 4,825 %- %100.0081 L 572 BCBS OF MI GRP 4,560 %- %100.0082 L 850 PENN MUT GRP 4,453 %- %100.0083 L 449 FINANCIAL HOLDINGS GRP 3,485 %- %100.0084 L 350 GENERAL ELECTRIC GRP 3,265 %- %100.0085 P 1289 AMERICAN FIDELITY & LIBERTY INC GRP 2,734 %- %100.0086 L 4853 AAA LIFE GRP 2,398 %- %100.0087 L P 4734 APOLLO GLOBAL MGMT GRP 2,377 %- %100.0088 L 4011 GENWORTH FIN GRP 2,261 %- %100.0089 L 71404 CONTINENTAL GEN INS CO 2,250 %- %100.0090 F 56456 UNITED STATES LETTER CARRIERS MUT BE 1,465 %- %100.0091 L 440 REGAL REINS GRP 1,192 %- %100.0092 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 1,188 %- %100.0093 L 3527 AMERICAN ENTERPRISE MUT GRP 1,079 %- %100.0094 L 634 NATIONAL LIFE GRP 1,039 %- %100.0095 L 4862 ASSURITY GRP 911 %- %100.0096 L 64580 ILLINOIS MUT LIFE INS CO 894 %- %100.0097 L 836 WEST SOUTHERN GRP 732 %- %100.0098 L 450 GENEVE HOLDINGS INC GRP 576 %- %100.0099 P 23 BCS INS GRP 484 %- %100.00
100 L 4213 WILTON RE GRP 229 %- %100.00101 L 11121 UNIFIED LIFE INS CO 212 %- %100.00102 L 76325 SENIOR HLTH INS CO OF PA 130 %- %100.00103 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 116 %- %100.00104 L 264 HEALTHMARKETS GRP 52 %- %100.00105 L 3436 LIBERTY LIFE GRP TRUST GRP 42 %- %100.00106 L 1211 NATIONAL GUARDIAN LIFE INS GRP 26 %- %100.00107 L 215 KEMPER CORP GRP 17 %- %100.00
**TOTAL** 10,292,801,191 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 123
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
US Virgin Islands
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L 901 CIGNA HLTH GRP 174,427,232 %62.82 %62.822 L H 707 UNITEDHEALTH GRP 74,448,980 %26.81 %89.633 L 370 AFLAC GRP 9,885,686 %3.56 %93.194 H 16074 ELAN INS USVI INC 7,150,672 %2.58 %95.775 L H 4802 TRIPLE S GRP 3,214,296 %1.16 %96.936 L 411 MAPFRE INS GRP 1,735,233 %0.62 %97.557 H 81647 BUPA INS CO 1,508,557 %0.54 %98.108 L 241 METROPOLITAN GRP 1,333,464 %0.48 %98.589 L 233 CNO FINANCIAL GRP 669,445 %0.24 %98.82
10 L 1348 MEIJI YASUDA LIFE INS GRP 640,472 %0.23 %99.0511 P 15642 UNDERWRITERS AT LLOYDS LONDON 523,929 %0.19 %99.2412 L P 626 CHUBB LTD GRP 353,459 %0.13 %99.3613 L 261 MUTUAL OF OMAHA GRP 325,846 %0.12 %99.4814 L 8 ALLSTATE INS GRP 302,735 %0.11 %99.5915 H 2479 DENTEGRA GRP 135,718 %0.05 %99.6416 L 520 NEW ERA LIFE GRP 113,630 %0.04 %99.6817 L H 1 CVS GRP 110,645 %0.04 %99.7218 L 4855 SUMITOMO LIFE INS GRP 77,980 %0.03 %99.7519 L 826 NEW YORK LIFE GRP 77,931 %0.03 %99.7820 L 565 UNUM GRP 74,372 %0.03 %99.8021 L 304 PRUDENTIAL OF AMER GRP 65,747 %0.02 %99.8322 L 525 PAN AMER LIFE GRP 52,315 %0.02 %99.8523 L 19 ASSURANT INC GRP 51,898 %0.02 %99.8624 L 468 AEGON US HOLDING GRP 35,894 %0.01 %99.8825 L 429 GUARDIAN LIFE GRP 35,393 %0.01 %99.8926 L 904 JOHN HANCOCK GRP 28,411 %0.01 %99.9027 P 27928 AMEX ASSUR CO 23,999 %0.01 %99.9128 P 218 CNA INS GRP 23,476 %0.01 %99.9229 L 769 GREAT WEST GRP 21,937 %0.01 %99.9330 L 435 MASS MUT LIFE INS GRP 18,852 %0.01 %99.9331 L 839 USHEALTH GRP INC GRP 18,044 %0.01 %99.9432 L 4932 BRIGHTHOUSE HOLDINGS GRP 16,387 %0.01 %99.9433 L 4 AMERIPRISE FIN GRP 15,502 %0.01 %99.9534 L 71404 CONTINENTAL GEN INS CO 15,367 %0.01 %99.9635 L 69523 TRANS OCEANIC LIFE INS CO 14,592 %0.01 %99.9636 L 458 PROTECTIVE LIFE INS GRP 14,251 %0.01 %99.9737 L 91 HARTFORD FIRE & CAS GRP 10,453 %- %99.9738 P 761 ALLIANZ INS GRP 7,301 %- %99.9739 L 917 HCSC GRP 7,228 %- %99.9740 L 4832 VOYA FINANCIAL GRP 6,198 %- %99.9841 L 367 PHYSICIANS MUT GRP 5,951 %- %99.9842 L 4011 GENWORTH FIN GRP 5,695 %- %99.9843 L P 12 AMERICAN INTL GRP 5,658 %- %99.9844 L 4926 HOPMEADOW HOLDINGS GRP 5,392 %- %99.9945 L 781 UNION LABOR GRP 5,178 %- %99.9946 L 20 LINCOLN NATL GRP 5,017 %- %99.9947 L 943 AMERITAS MUT HOLDING GRP 3,738 %- %99.9948 L 290 TORCHMARK CORP GRP 3,722 %- %99.9949 L 200 UNITED SERV AUTOMOBILE ASSN GRP 3,458 %- %99.9950 L 306 CUNA MUT GRP 3,311 %- %99.9951 L 918 JACKSON NATL GRP 2,084 %- %99.9952 L 1117 MANHATTAN LIFE GRP 1,473 %- %100.0053 L 968 AXA INS GRP 1,359 %- %100.0054 L 4862 ASSURITY GRP 1,288 %- %100.0055 L 140 NATIONWIDE CORP GRP 1,249 %- %100.0056 L 4736 GGC GRP 961 %- %100.0057 F 56456 UNITED STATES LETTER CARRIERS MUT BE 958 %- %100.0058 L 4734 APOLLO GLOBAL MGMT GRP 898 %- %100.0059 L 350 GENERAL ELECTRIC GRP 788 %- %100.0060 L 4750 PRIMERICA GRP 775 %- %100.0061 L 4853 AAA LIFE GRP 714 %- %100.0062 L 76325 SENIOR HLTH INS CO OF PA 656 %- %100.0063 L 64580 ILLINOIS MUT LIFE INS CO 540 %- %100.0064 F 57320 WOODMEN WORLD LIFE INS SOC 520 %- %100.00
© 2019 National Association of Insurance Commissioners 124
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
US Virgin Islands
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 L 67253 AMERICAN LIFE & SECURITY CORP 510 %- %100.0066 L 450 GENEVE HOLDINGS INC GRP 346 %- %100.0067 L 449 FINANCIAL HOLDINGS GRP 344 %- %100.0068 P 4706 LOCKHART CO GRP 219 %- %100.0069 L 1211 NATIONAL GUARDIAN LIFE INS GRP 192 %- %100.0070 P 69 FARMERS INS GRP 151 %- %100.0071 L 68772 SECURITY MUT LIFE INS CO OF NY 133 %- %100.0072 L 572 BCBS OF MI GRP 107 %- %100.00
**TOTAL** 277,656,912 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 125
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Northern Mariana Islands
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L H 1 CVS GRP 32,976,516 %68.28 %68.282 P 3098 TOKIO MARINE HOLDINGS INC GRP 5,922,480 %12.26 %80.543 H 11093 TAKECARE INS CO INC 4,578,528 %9.48 %90.024 P 31658 ISLAND HOME INS CO 2,931,497 %6.07 %96.095 L 60246 NETCARE LIFE & HLTH INS CO 1,249,789 %2.59 %98.686 L 707 UNITEDHEALTH GRP 225,350 %0.47 %99.157 P 10972 FIRST NET INS CO 109,919 %0.23 %99.388 L 901 CIGNA HLTH GRP 88,403 %0.18 %99.569 L 241 METROPOLITAN GRP 73,260 %0.15 %99.71
10 L 370 AFLAC GRP 65,406 %0.14 %99.8511 L 1117 MANHATTAN LIFE GRP 43,010 %0.09 %99.9412 L 468 AEGON US HOLDING GRP 13,642 %0.03 %99.9613 L 8 ALLSTATE INS GRP 10,879 %0.02 %99.9914 L 20 LINCOLN NATL GRP 2,427 %0.01 %99.9915 L 261 MUTUAL OF OMAHA GRP 1,649 %- %99.9916 L 565 UNUM GRP 826 %- %100.0017 L 943 AMERITAS MUT HOLDING GRP 677 %- %100.0018 L 367 PHYSICIANS MUT GRP 432 %- %100.0019 L 306 CUNA MUT GRP 376 %- %100.0020 P 4672 DONGBU INS GRP 300 %- %100.0021 L 290 TORCHMARK CORP GRP 146 %- %100.00
**TOTAL** 48,295,512 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 126
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Canada
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L 626 CHUBB LTD GRP 211,785,749 %60.52 %60.522 L 901 CIGNA HLTH GRP 36,820,429 %10.52 %71.053 P 98 WR BERKLEY CORP GRP 29,071,865 %8.31 %79.354 L 241 METROPOLITAN GRP 14,433,611 %4.12 %83.485 L 290 TORCHMARK CORP GRP 13,458,250 %3.85 %87.326 L P 761 ALLIANZ INS GRP 13,435,971 %3.84 %91.167 L P 19 ASSURANT INC GRP 12,520,520 %3.58 %94.748 L 565 UNUM GRP 7,379,368 %2.11 %96.859 F 58033 KNIGHTS OF COLUMBUS 4,036,599 %1.15 %98.01
10 L 1 CVS GRP 2,854,759 %0.82 %98.8211 L 20 LINCOLN NATL GRP 1,669,030 %0.48 %99.3012 L 304 PRUDENTIAL OF AMER GRP 825,428 %0.24 %99.5313 L 860 NORTHWESTERN MUT GRP 278,733 %0.08 %99.6114 P 3416 AXIS CAPITAL GRP 199,683 %0.06 %99.6715 L 826 NEW YORK LIFE GRP 198,288 %0.06 %99.7316 L 429 GUARDIAN LIFE GRP 181,803 %0.05 %99.7817 L 435 MASS MUT LIFE INS GRP 126,462 %0.04 %99.8218 F 56383 ORDER OF UNITED COMMERCIAL TRAVELERS 105,343 %0.03 %99.8519 L 468 AEGON US HOLDING GRP 103,083 %0.03 %99.8720 L 1348 MEIJI YASUDA LIFE INS GRP 99,625 %0.03 %99.9021 L 261 MUTUAL OF OMAHA GRP 97,708 %0.03 %99.9322 L 332 PRINCIPAL FIN GRP 69,369 %0.02 %99.9523 L 3098 TOKIO MARINE HOLDINGS INC GRP 45,263 %0.01 %99.9624 L 869 MINNESOTA MUT GRP 22,368 %0.01 %99.9725 L 769 GREAT WEST GRP 14,150 %- %99.9726 L 3527 AMERICAN ENTERPRISE MUT GRP 9,092 %- %99.9827 L 306 CUNA MUT GRP 7,340 %- %99.9828 L 200 UNITED SERV AUTOMOBILE ASSN GRP 6,780 %- %99.9829 L 76325 SENIOR HLTH INS CO OF PA 6,068 %- %99.9830 L 4862 ASSURITY GRP 5,703 %- %99.9831 L 367 PHYSICIANS MUT GRP 5,590 %- %99.9932 L P 12 AMERICAN INTL GRP 5,358 %- %99.9933 L 458 PROTECTIVE LIFE INS GRP 4,969 %- %99.9934 L 968 AXA INS GRP 4,852 %- %99.9935 L 781 UNION LABOR GRP 3,694 %- %99.9936 L 572 BCBS OF MI GRP 2,821 %- %99.9937 L 8 ALLSTATE INS GRP 2,712 %- %99.9938 L 440 REGAL REINS GRP 2,623 %- %99.9939 L 4926 HOPMEADOW HOLDINGS GRP 2,113 %- %99.9940 L 408 AMERICAN NATL FIN GRP 2,060 %- %99.9941 L 71404 CONTINENTAL GEN INS CO 2,038 %- %100.0042 L 4832 VOYA FINANCIAL GRP 1,918 %- %100.0043 L 91 HARTFORD FIRE & CAS GRP 1,915 %- %100.0044 L 943 AMERITAS MUT HOLDING GRP 1,659 %- %100.0045 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,520 %- %100.0046 F 58068 INDEPENDENT ORDER OF FORESTERS US BR 1,518 %- %100.0047 L 212 ZURICH INS GRP 1,355 %- %100.0048 H 707 UNITEDHEALTH GRP 1,255 %- %100.0049 L 276 TRUSTMARK MUT HOLDING CO GRP 1,146 %- %100.0050 L 918 JACKSON NATL GRP 1,112 %- %100.0051 F 57215 UKRAINIAN NATL ASSN INC 842 %- %100.0052 L 836 WEST SOUTHERN GRP 460 %- %100.0053 L P 4734 APOLLO GLOBAL MGMT GRP 381 %- %100.0054 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 247 %- %100.0055 L 68772 SECURITY MUT LIFE INS CO OF NY 243 %- %100.0056 L 687 GUARANTEE TRUST GRP 215 %- %100.0057 L 454 SECURITY NATL GRP 165 %- %100.0058 L 704 OHIO NATL LIFE GRP 130 %- %100.0059 F 58181 SUPREME COUNCIL THE ROYAL ARCANUM 124 %- %100.0060 L 1211 NATIONAL GUARDIAN LIFE INS GRP 30 %- %100.0061 L 233 CNO FINANCIAL GRP 26 %- %100.0062 L 11121 UNIFIED LIFE INS CO 19 %- %100.0063 L 63223 FEDERAL LIFE INS CO 4 %- %100.00
**TOTAL** 349,923,120 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 127
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Aggregate Other Alien
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
1 L 370 AFLAC GRP 2,528,838,418 %46.06 %46.062 H 917 HCSC GRP 922,141,879 %16.80 %62.863 L 901 CIGNA HLTH GRP 530,788,994 %9.67 %72.534 L 241 METROPOLITAN GRP 530,319,149 %9.66 %82.195 L 1 CVS GRP 295,773,741 %5.39 %87.576 P 626 CHUBB LTD GRP 258,372,525 %4.71 %92.287 H 81647 BUPA INS CO 103,363,709 %1.88 %94.168 L H 707 UNITEDHEALTH GRP 99,964,125 %1.82 %95.989 L P 12 AMERICAN INTL GRP 60,310,341 %1.10 %97.08
10 H 758 BCBS OF NC GRP 53,579,687 %0.98 %98.0611 L 525 PAN AMER LIFE GRP 41,871,859 %0.76 %98.8212 P 31 BERKSHIRE HATHAWAY GRP 13,480,076 %0.25 %99.0613 L 63886 BEST MERIDIAN INS CO 9,817,964 %0.18 %99.2414 L 4802 TRIPLE S GRP 9,554,938 %0.17 %99.4215 P 111 LIBERTY MUT GRP 8,732,378 %0.16 %99.5816 P 4670 STARR GRP 8,580,004 %0.16 %99.7317 L 565 UNUM GRP 4,412,902 %0.08 %99.8118 L 304 PRUDENTIAL OF AMER GRP 4,211,081 %0.08 %99.8919 L 290 TORCHMARK CORP GRP 2,640,815 %0.05 %99.9420 L H 4719 AMFIRST HOLDINGS GRP 1,858,605 %0.03 %99.9721 P 98 WR BERKLEY CORP GRP 1,659,006 %0.03 %100.0022 L 860 NORTHWESTERN MUT GRP 1,204,863 %0.02 %100.0023 P 84 AMERICAN FINANCIAL GRP 1,179,216 %0.02 %100.0024 P 3098 TOKIO MARINE HOLDINGS INC GRP 1,085,878 %0.02 %100.0025 L 968 AXA INS GRP 791,626 %0.01 %100.0026 L 435 MASS MUT LIFE INS GRP 585,573 %0.01 %100.0027 L P 212 ZURICH INS GRP 584,388 %0.01 %100.0028 L 261 MUTUAL OF OMAHA GRP 508,113 %0.01 %100.0029 L 1348 MEIJI YASUDA LIFE INS GRP 263,353 %- %100.0030 L 1117 MANHATTAN LIFE GRP 212,192 %- %100.0031 L 904 JOHN HANCOCK GRP 210,915 %- %100.0032 L 826 NEW YORK LIFE GRP 202,876 %- %100.0033 L 761 ALLIANZ INS GRP 166,672 %- %100.0034 P 10972 FIRST NET INS CO 138,716 %- %100.0035 L 429 GUARDIAN LIFE GRP 120,313 %- %100.0036 L 4 AMERIPRISE FIN GRP 97,294 %- %100.0037 L 233 CNO FINANCIAL GRP 95,698 %- %100.0038 L 332 PRINCIPAL FIN GRP 90,398 %- %100.0039 L 60246 NETCARE LIFE & HLTH INS CO 86,448 %- %100.0040 P 158 FAIRFAX FIN GRP 84,863 %- %100.0041 H 11093 TAKECARE INS CO INC 81,415 %- %100.0042 L 943 AMERITAS MUT HOLDING GRP 80,357 %- %100.0043 L 869 MINNESOTA MUT GRP 61,530 %- %100.0044 H 47953 UNIVERSITY HLTH ALLIANCE 60,534 %- %100.0045 L 4888 EQUITABLE FAMILY INS CO GRP 58,137 %- %100.0046 L 306 CUNA MUT GRP 40,339 %- %100.0047 L 200 UNITED SERV AUTOMOBILE ASSN GRP 36,553 %- %100.0048 L 458 PROTECTIVE LIFE INS GRP 33,983 %- %100.0049 L 20 LINCOLN NATL GRP 33,391 %- %100.0050 L 91 HARTFORD FIRE & CAS GRP 32,570 %- %100.0051 P 27928 AMEX ASSUR CO 31,778 %- %100.0052 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 28,482 %- %100.0053 L 8 ALLSTATE INS GRP 20,985 %- %100.0054 L 704 OHIO NATL LIFE GRP 19,303 %- %100.0055 L 367 PHYSICIANS MUT GRP 17,797 %- %100.0056 P 218 CNA INS GRP 17,671 %- %100.0057 L 918 JACKSON NATL GRP 16,415 %- %100.0058 L 4853 AAA LIFE GRP 16,011 %- %100.0059 L 76325 SENIOR HLTH INS CO OF PA 14,807 %- %100.0060 L 4862 ASSURITY GRP 13,033 %- %100.0061 L 50 COUNTRY INS & FIN SERV GRP 9,552 %- %100.0062 L 574 AMERCO CORP GRP 7,043 %- %100.0063 L 850 PENN MUT GRP 6,489 %- %100.0064 L 276 TRUSTMARK MUT HOLDING CO GRP 6,270 %- %100.00
© 2019 National Association of Insurance Commissioners 128
ACCIDENT and HEALTH INSURANCE INDUSTRYPROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL and HEALTH INSURERS
2018 MARKET SHARE REPORT - TOTAL PREMIUM
Aggregate Other Alien
Group/Company NameDirect Written Market
CumulativeMarket
Rank TypeBusiness
ShareSharePremiumCodeCompanyGroup/
65 P 4672 DONGBU INS GRP 5,813 %- %100.0066 L 350 GENERAL ELECTRIC GRP 5,579 %- %100.0067 L 781 UNION LABOR GRP 5,507 %- %100.0068 L 4734 APOLLO GLOBAL MGMT GRP 4,561 %- %100.0069 P 4725 ENSTAR GRP 3,945 %- %100.0070 L 19 ASSURANT INC GRP 3,315 %- %100.0071 L 4011 GENWORTH FIN GRP 3,154 %- %100.0072 L 836 WEST SOUTHERN GRP 3,079 %- %100.0073 L 4926 HOPMEADOW HOLDINGS GRP 2,775 %- %100.0074 L 140 NATIONWIDE CORP GRP 2,524 %- %100.0075 P 4883 SOBC HOLDING LTD GRP 2,377 %- %100.0076 L 71404 CONTINENTAL GEN INS CO 2,193 %- %100.0077 L 451 FIDELITY SECURITY GRP 2,133 %- %100.0078 L 3891 GLOBAL ATLANTIC GRP 1,864 %- %100.0079 L 4855 SUMITOMO LIFE INS GRP 1,813 %- %100.0080 L 588 KANSAS CITY LIFE INS GRP 1,587 %- %100.0081 L 3527 AMERICAN ENTERPRISE MUT GRP 1,016 %- %100.0082 L 449 FINANCIAL HOLDINGS GRP 894 %- %100.0083 F 56634 CROATIAN FRATERNAL UNION OF AMER 703 %- %100.0084 L 408 AMERICAN NATL FIN GRP 654 %- %100.0085 L 687 GUARANTEE TRUST GRP 599 %- %100.0086 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 522 %- %100.0087 L 11121 UNIFIED LIFE INS CO 506 %- %100.0088 L 1211 NATIONAL GUARDIAN LIFE INS GRP 410 %- %100.0089 L 68772 SECURITY MUT LIFE INS CO OF NY 346 %- %100.0090 L 4750 PRIMERICA GRP 333 %- %100.0091 L 581 BOSTON MUT GRP 313 %- %100.0092 L 55 AUTOMOBILE CLUB MI GRP 204 %- %100.0093 L 872 BANNER LIFE GRP 100 %- %100.0094 L 4932 BRIGHTHOUSE HOLDINGS GRP 35 %- %100.0095 L 612 CITIZENS GRP 17 %- %100.0096 L 454 SECURITY NATL GRP 15 %- %100.00
**TOTAL** 5,490,156,496 %100.00 %100.00
© 2019 National Association of Insurance Commissioners 129
© 2019 National Association of Insurance Commissioners 130
Technical Notes
© 2019 National Association of Insurance Commissioners 131
© 2019 National Association of Insurance Commissioners 132
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 2018, California DMHC entities included in this report are as follows:
© 2019 National Association of Insurance Commissioners 133
NAIC Group/ Company Code Entity Name
2018 Direct Written Premium
601 Kaiser Foundation Health Plan, Inc. 74,328,569,000
California Physicians' Service 17,113,125,000
Blue Cross of California 15,774,640,000
Health Net of California, Inc. 8,784,648,721
Local Initiative Health Authority for Los Angeles County 7,870,654,247
UHC of California 6,693,413,000
Health Net Community Solutions, Inc. 6,244,376,004
Inland Empire Health Plan 4,926,583,326
Orange County Health Authority 3,445,699,266
Delta Dental of California 2,988,929,000
Heritage Provider Network, Inc. 2,849,818,381
Scan Health Plan 2,717,816,000
Partnership HealthPlan of California 2,477,900,084
2798 Blue Shield of California Promise Health Plan 2,376,534,292
1531 Molina Healthcare of California 2,280,799,897
DaVita Health Plan of California, Inc. 2,125,591,906
Santa Clara County Health Authority 1,531,361,000
1 Aetna Health of California Inc. 1,389,195,176
Fresno‐Kings‐Madera Regional Health Authority 1,185,176,640
Santa Cruz‐Monterey‐Merced Managed Med. Care Comm. 1,145,887,960
San Joaquin County Health Commission 1,024,571,663
PRIMECARE Medical Network, Inc. 1,005,433,344
Community Health Group 950,357,310
1189 Vision Service Plan 922,250,137
671 CareMore Health Plan 910,363,000
901 Cigna HealthCare of California, Inc. 887,498,311
Alameda Alliance For Health 884,869,550
Providence Health Assurance 827,567,838
Contra Costa County Medical Services 771,791,805
San Mateo Health Commission 770,853,601
Kern Health Systems 767,927,000
Western Health Advantage 756,684,418
Santa Barbara San Luis Obispo Regional Health Auth 750,425,843
Sharp Health Plan 725,274,768
Monarch Health Plan 692,102,922
Scripps Health Plan Services, Inc. 660,182,352
California Health and Wellness Plan 656,788,270
San Francisco Community Health Authority 601,285,181
Santa Clara County 530,608,681
Health Net Health Plan of Oregon, Inc. 499,860,014
EPIC Health Plan 477,323,588
Alignment Health Plan 449,172,999
Sutter Health Plan 428,849,759
Central Health Plan of California, Inc. 408,228,272
EASY CHOICE HEALTH PLAN, Inc. 388,911,243
© 2019 National Association of Insurance Commissioners 134
NAIC Group/ Company Code Entity Name
2018 Direct Written Premium
Inter Valley Health Plan 290,939,913
Universal Care, Inc. 250,773,487
Prospect Health Plan, Inc. 242,963,748
Human Affairs International of California 237,383,477
Western Dental Services, Inc. 208,693,014
AIDS Healthcare Foundation 194,305,888
On Lok Senior Health Services 152,847,116
Dignity Health Provider Resources, Inc. 146,038,344
Providence Health Network 135,924,015
Chinese Community Health Plan 133,742,647
Choice Physicians Network, Inc. 130,633,595
Envolve Vision, Inc. 123,139,028
3502 American Specialty Health Plans of California, Inc. 111,723,963
Brown & Toland Health Services, Inc. 99,209,077
Premier Health Plan Services, Inc. 91,019,873
Sistemas Medicos Nacionales, S.A.de C.V. 89,879,866
U. S. Behavioral Health Plan, California 88,891,666
4692 Liberty Dental Plan of California, Inc. 82,255,522
Golden State Medicare Health Plan 81,710,389
Ventura County Health 77,771,242
Oscar Health Plan of California 76,447,377
Access Dental Plan 69,288,917
Sequoia Health Plan, Inc. 68,889,724
Community Care Health Plan, Inc. 41,739,196
Seaside Health Plan 40,784,175
707 Dental Benefit Providers of California, Inc. 39,950,545
901 Cigna Dental Health of California, Inc. 39,749,268
241 SafeGuard Health Plans, Inc. 37,629,000
Medcore HP 37,065,228
901 Cigna Behavioral Health of California, Inc. 34,169,678
Aspire Health Plan 34,139,503
707 UnitedHealthcare Community Plan of California, Inc 31,419,809
EYEXAM of California, Inc. 31,161,655
Adventist Health Plan, Inc. 30,051,072
Access Senior HealthCare, Inc. 28,807,703
1 Aetna Dental of California Inc. 26,868,472
Imperial Health Plan of California, Inc. 24,924,177
Stanford Health Care Advantage 24,903,732
1 Aetna Better Health of California Inc. 21,217,878
Managed Dental Care 20,262,519
Medi‐Excel, SA de CV 17,588,490
Dental Health Services 15,721,310
Consumer Health, Inc. 15,566,363
812 United Concordia Dental Plans of CA, Inc. 15,229,778
ACN Group of California, Inc. 14,842,046
© 2019 National Association of Insurance Commissioners 135
NAIC Group/ Company Code Entity Name
2018 Direct Written Premium
Managed Health Network 14,182,971
Magellan Health Services of California‐EmployerSvc 10,382,279
FirstSight Vision Services, Inc. 9,763,500
Health and Human Resource Center, Inc. 9,482,068
California Dental Network, Inc. 9,177,099
Holman Professional Counseling Centers 8,384,648
AmericasHealth Plan, Inc. 6,354,346
965 ValueOptions of California, Inc. 5,205,277
19 UDC Dental California, Inc. 4,995,507
Claremont Behavioral Services, Inc. 4,690,999
Medical Eye Services, Inc. 4,649,616
Landmark Healthplan of California, Inc. 3,436,906
Vision Plan of America 2,820,389
Golden West Health Plan, Inc. 2,166,000
Premier Eye Care, Inc. 1,564,429
Empathia Pacific, Inc. 1,362,841
Health Advocate West, Inc. 955,791
Dedicated Dental Systems, Inc. 926,916
Jaimini Health Inc. 635,346
Vision First Eye Care, Inc. 53,684
119 Humana EAP and Work‐Life Services of California Inc. 29,621
707 UnitedHealthcare Benefits Plan of California 109
Humana Health Plan of California, Inc. (1,177,688)
Total 189,908,206,908
© 2019 National Association of Insurance Commissioners 136
Index of Insurer Groups and Companies
© 2019 National Association of Insurance Commissioners 137
© 2019 National Association of Insurance Commissioners 138
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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
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 16197 AHF MCO OF GA INC
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
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
1289 AMERICAN FIDELITY & LIBERTY INC GRP 35963 AF&L INS CO
76759 SENIOR AMER INS CO
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
© 2019 National Association of Insurance Commissioners 139
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 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
19429 INSURANCE CO OF THE STATE OF PA
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
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 FINANCIAL SERV GRP 25011 WESCO INS CO
671 ANTHEM INC GRP 15544 AMERICAS 1ST CHOICE OF SC INC
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
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
© 2019 National Association of Insurance Commissioners 140
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 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 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
16345 CCHA LLC
10345 COMMUNITY INS CO
95693 COMPCARE HLTH SERV INS CORP
55093 EMPIRE HEALTHCHOICE ASSUR INC
95433 EMPIRE HEALTHCHOICE HMO INC
10119 FREEDOM HLTH INC
97217 GREATER GA LIFE INS CO
10122 HEALTH SUN HLTH PLANS
95169 HEALTHKEEPERS INC
78972 HEALTHY ALLIANCE LIFE INS CO
95473 HMO CO INC
95358 HMO MO INC
95527 MATTHEW THORTON HLTH PLAN INC
12259 OPTIMUM HLTHCARE INC
11011 ROCKY MOUNTAIN HOSPITAL & MEDICAL
13726 SIMPLY HLTHCARE PLANS INC
11810 UNICARE HLTH PLAN OF WV INC
80314 UNICARE LIFE & HLTH INS CO
15929 WISCONSIN COLLABORATIVE INS CO
4734 APOLLO GLOBAL MGMT GRP 60518 AMERICAN HLTH & LIFE INS CO
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
65951 MERIT LIFE INS CO
41211 TRITON INS CO
52615 UPPER PENINSULA HLTH PLAN LLC
80942 VOYA INS & ANN 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
© 2019 National Association of Insurance Commissioners 141
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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
52031 UDC DENTAL CA INC DBA UNITED DENTAL
70408 UNION SECURITY INS CO
81477 UNION SECURITY LIFE INS CO OF NY
4862 ASSURITY GRP 71439 ASSURITY LIFE INS CO
15940 ASSURITY 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
19518 CATLIN INS CO
22322 GREENWICH INS CO
78077 MONY LIFE INS CO OF AMER
3416 AXIS CAPITAL GRP 37273 AXIS 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
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
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 INS INC
© 2019 National Association of Insurance Commissioners 142
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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
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
4917 BENECARE DENTAL PLANS GRP 11217 ATLANTIC SOUTHERN DENTAL FOUND
16338 CONNECTICUT DENTAL PRACTICE ORGANIZA
12213 DENTAL PRACTICE ASSN OF NJ INC
615 BENEFICIAL LIFE GRP 61395 BENEFICIAL LIFE INS CO
81019 DESERET MUT INS CO
31 BERKSHIRE HATHAWAY GRP 42390 AMGUARD 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
32280 WELLFLEET INS CO
20931 WELLFLEET NY 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 47732 BLUE SHIELD OF CA
61557 BLUE SHIELD OF CA LIFE & HLTH INS CO
© 2019 National Association of Insurance Commissioners 143
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
2798 BLUE SHIELD OF CA GRP 15143 CARE 1ST HEALTH PLAN
71331 CAREAMERICA LIFE INS CO
581 BOSTON MUT GRP 61476 BOSTON MUT LIFE INS CO
78140 LIFE INS CO OF BOSTON & NY
4887 BRIGHT HLTH GRP 16122 BRIGHT HLTH CO OF AZ
15963 BRIGHT HLTH INS CO
16102 BRIGHT HLTH INS CO OF AL INC
4932 BRIGHTHOUSE HOLDINGS GRP 87726 BRIGHTHOUSE LIFE INS CO
91626 NEW ENGLAND LIFE INS CO
1207 CAMBIA HEALTH SOLUTIONS INC 47350 ASURIS NW HLTH
95303 BRIDGESPAN HLTH CO
78879 COMMENCEMENT BAY RISK MGMT INS CO
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
16003 DOMINION NATL INS CO
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 15488 HEARTLANDPLAINS HLTH
95448 QCA HLTH PLAN INC
15751 QUALCHOICE ADVANTAGE INC
70998 QUALCHOICE LIFE & HLTH INS CO INC
15499 RIVERLINK HLTH
© 2019 National Association of Insurance Commissioners 144
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4807 CATHOLIC HLTH INITIATIVES GRP 15486 RIVERLINK HLTH OF KY INC
12909 SOUNDPATH HLTH
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
16130 ARKANSAS HLTH & WELLNESS HLTH PLAN I
71013 BANKERS RESERVE LIFE INS CO OF WI
16310 BRIDGEWAY HLTH SOLUTIONS OF AZ INC
11834 BUCKEYE COMM HLTH PLAN INC
16112 BUCKEYE HLTH PLAN COMM SOLUTIONS INC
80799 CELTIC INS CO
13632 CELTICARE HLTH PLAN OF MA INC
95831 COORDINATED CARE CORP
15352 COORDINATED CARE OF WA INC
16106 ENVOLVE DENTAL OF TX 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
16041 PENNSYLVANIA HLTH & WELLNESS 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
© 2019 National Association of Insurance Commissioners 145
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4863 CHINA MINSHENG GRP 38776 SIRIUS AMER INS CO
626 CHUBB LTD GRP 22667 ACE AMER INS CO
38989 CHUBB CUSTOM INS CO
30953 CHUBB INS CO OF PR
10052 CHUBB NATL INS CO
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
11524 BRAVO HLTH PA INC
10144 CARECORE NJ LLC
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
© 2019 National Association of Insurance Commissioners 146
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 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 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
61727 CIGNA NATL HLTH INS CO
62308 CONNECTICUT GEN LIFE INS CO
12902 HEALTHSPRING LIFE & HLTH INS CO INC
11532 HEALTHSPRING OF FL INC
65498 LIFE INS CO OF N AMER
65722 LOYAL AMER LIFE INS CO
34720 MEDCO CONTAINMENT INS CO OF NY
63762 MEDCO CONTAINMENT 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
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
4918 CLOVER HLTH GRP 86371 CLOVER 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 95248 COMMUNITY FIRST HLTH PLANS INC
3487 COMMUNITYCARE GRP 11691 COMMUNITYCARE HMO INC
89008 COMMUNITYCARE LIFE & HLTH INS CO
4933 COMPREHENSIVE MOBILE GRP 15238 COMPREHENSIVE MOBILE INS CO INC
15360 COMPREHENSIVE MOBILE PLAN UT INC
4902 COPIC GRP 11860 COPIC INS CO
4729 CORVESTA GRP 78301 CLEAR SPRING HLTH 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
© 2019 National Association of Insurance Commissioners 147
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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
1 CVS GRP 14043 AETNA BETTER HLTH INC
14229 AETNA BETTER HLTH INC
13735 AETNA BETTER HLTH INC
15616 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
95241 AETNA HLTH OF IA INC
95407 AETNA HLTH OF UTAH INC
60054 AETNA LIFE INS CO
16194 ALLINA HLTH & AETNA INS CO
12321 AMERICAN CONTINENTAL INS CO
16058 BANNER HLTH & AETNA HLTH INS CO
16059 BANNER HLTH & AETNA HLTH PLAN INC
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
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
© 2019 National Association of Insurance Commissioners 148
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1 CVS GRP 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
67660 PENNSYLVANIA LIFE INS CO
12575 SILVERSCRIPT INS CO
16121 TEXAS HLTH + AETNA HLTH INS CO
16132 TEXAS HLTH + AETNA HLTH PLAN INC
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 12278 ADVANTICA INS CO
55697 DELTA DENTAL OF MO
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 47006 ADVANTAGE DENTAL PLAN INC
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
© 2019 National Association of Insurance Commissioners 149
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
2479 DENTEGRA GRP 73474 DENTEGRA INS CO
12210 DENTEGRA INS CO OF NEW ENGLAND
4784 DG ELMORE GRP 94790 JEFFERSON LIFE INS CO
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
4725 ENSTAR GRP 25496 STARSTONE NATL INS CO
4922 ENTERPRISE INVESTMENTS GRP 67326 OLD SURETY LIFE INS CO
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
1120 EVEREST REINS HOLDINGS GRP 26921 EVEREST REINS CO
4822 F&R HOLDINGS GRP 12844 NATIONAL DENTAL CARE INC
13208 PRE PAID DENTAL SERV INC
13211 SENIORDENT DENTAL PLAN INC
158 FAIRFAX FIN GRP 25054 HUDSON INS CO
21105 NORTH RIVER 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
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
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
© 2019 National Association of Insurance Commissioners 150
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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
1309 FRANKENMUTH GRP 32069 PATRIOT INS CO
4846 FRESENIUS MEDICAL CARE HOLDINGS GRP 85286 FRESENIUS HLTH PLANS INS CO
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
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 NASSAU LIFE INS CO
68284 NASSAU LIFE INS CO OF KS
3891 GLOBAL ATLANTIC GRP 84824 COMMONWEALTH ANN & LIFE INS CO
69140 FIRST ALLMERICA FIN LIFE INS CO
91642 FORETHOUGHT LIFE INS CO
4895 GOOD SAMARITAN INS PLAN GRP 16154 GOOD SAMARITAN INS PLAN OF ND LLC
16151 GOOD SAMARITAN INS PLAN OF NE INC
16153 GOOD SAMARITAN INS PLAN OF SD INC
4712 GPM LIFE GRP 63967 GOVERNMENT PERSONNEL MUT LIFE INS CO
67059 GPM HLTH & 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
15988 EON HLTH INC
16005 EON HLTH INC
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
© 2019 National Association of Insurance Commissioners 151
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
429 GUARDIAN LIFE GRP 60239 FIRST COMMONWEALTH INS CO
11221 FIRST COMMONWEALTH LTD HLTH SERV COR
12146 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
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
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 LIFE INS CO
85090 DEARBORN NATL LIFE INS CO OF NY
11814 GHS HMO INC DBA BLUELINCS HMO
29718 GHS INS CO
78611 HCSC INS SERV CO
70670 HEALTH CARE SERV CORP A MUT LEGAL RE
4740 HEALTH FIRST GRP 16272 HEALTH FIRST COMMERCIAL PLANS IN
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
© 2019 National Association of Insurance Commissioners 152
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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
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
4926 HOPMEADOW HOLDINGS GRP 71153 TALCOTT RESOLUTION LIFE & ANN INS CO
88072 TALCOTT RESOLUTION LIFE 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
88595 EMPHESYS INS CO
© 2019 National Association of Insurance Commissioners 153
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
119 HUMANA GRP 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
16280 HUMANA HLTH PLAN OF CA 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
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
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
© 2019 National Association of Insurance Commissioners 154
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4637 INDIANA UNIVERSITY HLTH GRP 15450 INDIANA UNIVERSITY HLTH PLANS NFP IN
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
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
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 71218 GRANGE LIFE INS CO
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
4925 KUVARE GRP 64238 GUARANTY INCOME LIFE INS CO
69973 UNITED 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
16372 LIBERTY DENTAL PLAN ORG OF NJ INC
3436 LIBERTY LIFE GRP TRUST GRP 66001 AMERICAN BENEFIT LIFE INS CO
© 2019 National Association of Insurance Commissioners 155
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INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
3436 LIBERTY LIFE GRP TRUST GRP 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
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
65315 LIBERTY LIFE ASSUR CO OF BOSTON
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
1260 MAGELLAN HLTH INC GRP 14447 FLORIDA MHS INC
47019 MAGELLAN BEHAVIORAL HLTH OF PA INC
14641 MAGELLAN COMPLETE CARE OF AZ INC
15550 MAGELLAN COMPLETE CARE OF LA INC
16043 MAGELLAN COMPLETE CARE OF VA LLC
97292 MAGELLAN LIFE INS CO
18750 MERIT HLTH INS CO
12776 SENIOR WHOLE HLTH OF NY INC
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 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
95807 MDWISE INC
© 2019 National Association of Insurance Commissioners 156
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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
95779 MCS HLTH MGMT OPTIONS INC
60030 MCS LIFE INS CO
730 MEDICAL MUT OF OH GRP 95828 MEDICAL HLTH INSURING CORP OF OH
29076 MEDICAL MUT OF OH
62375 MEDMUTUAL LIFE INS CO
96280 SUPERIOR DENTAL CARE INC
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 62634 DELAWARE AMER LIFE INS CO
14170 METLIFE HLTH PLANS INC
65978 METROPOLITAN LIFE INS CO
26298 METROPOLITAN PROP & CAS INS CO
97136 METROPOLITAN TOWER LIFE INS CO
95051 SAFEGUARD HLTH PLANS INC
52009 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
16301 MOLINA HLTHCARE OF MS INC
95739 MOLINA HLTHCARE OF NM
12334 MOLINA HLTHCARE OF OH INC
15600 MOLINA HLTHCARE OF PR INC
15329 MOLINA HLTHCARE OF SC INC
© 2019 National Association of Insurance Commissioners 157
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1531 MOLINA HEALTHCARE INC GRP 10757 MOLINA HLTHCARE OF TX INC
13778 MOLINA HLTHCARE OF TX INS CO
95502 MOLINA HLTHCARE OF UT INC DBA AMFAM
15133 MOLINA HLTHCARE OF VA INC
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 16231 OSCAR GARDEN STATE INS CORP
15777 OSCAR INS CO
15281 OSCAR INS CORP
15585 OSCAR INS CORP OF NJ
16202 OSCAR INS CORP OF OH
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
4928 NATIONAL GEN GRP 22772 INTEGON IND CORP
29742 INTEGON NATL INS CO
82538 NATIONAL HLTH INS CO
1211 NATIONAL GUARDIAN LIFE INS GRP 81426 COMMERCIAL TRAVELERS LIFE INS CO
66583 NATIONAL GUARDIAN LIFE INS CO
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
2678 NETWORK HLTH GRP 15087 NETWORK HLTH INS CORP
© 2019 National Association of Insurance Commissioners 158
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
2678 NETWORK HLTH GRP 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
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
4934 PARTNERS HEALTHCARE SYSTEM GRP 11109 ALLWAYS HLTH PARTNERS INC
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
© 2019 National Association of Insurance Commissioners 159
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
4845 PIEDMONT COMM HLTH GRP 15791 PIEDMONT COMM HLTHCARE HMO INC
95811 PIEDMONT COMM HLTHCARE INC
629 PLATEAU GRP 97152 PLATEAU INS CO
4955 POWELL INS GRP 78662 SENIOR LIFE 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 PRESBYTERIAN INS CO INC
4750 PRIMERICA GRP 61409 NATIONAL BENEFIT LIFE INS CO
65919 PRIMERICA LIFE INS CO
332 PRINCIPAL FIN GRP 53090 EMPLOYERS DENTAL SERV
61271 PRINCIPAL LIFE INS CO
867 PROTECTIVE INS CORP GRP 12416 PROTECTIVE 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
10140 QBE SEGUROS
11515 QBE SPECIALTY INS CO
4685 QHP GRP 13691 QUALITY HLTH PLANS OF NY INC
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
61700 RENAISSANCE LIFE & HLTH INS CO OF AM
15638 RENAISSANCE LIFE & HLTH INS CO OF NY
© 2019 National Association of Insurance Commissioners 160
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
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 80055 GREENHOUSE LIFE INS CO
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
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
4896 SPARTAN PLAN HOLDINGS GRP 16150 SPARTAN PLAN IL INC
16166 SPARTAN PLAN NY INC
16127 SPARTAN PLAN PA INC
16149 SPARTAN PLAN VA INC
3383 SPECTRUM HLTH GRP 95561 PRIORITY HLTH
11520 PRIORITY HLTH CHOICE INC
© 2019 National Association of Insurance Commissioners 161
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
3383 SPECTRUM HLTH GRP 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
4927 STERLING DENTAL GRP 15462 STERLING DENTAL OF N AMER LLC
11953 STERLING DENTAL SERV LLC
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 85561 ELIPS LIFE INS CO
73504 LUMICO LIFE 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
4718 TIPTREE FIN GRP 61298 BANKERS LIFE OF LA
40754 BLUE RIDGE IND CO
11162 INSURANCE CO OF THE SOUTH
97691 LIFE OF THE SOUTH INS CO
10051 LYNDON SOUTHERN INS CO
10970 RESPONSE IND CO OF CA
© 2019 National Association of Insurance Commissioners 162
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 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 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
42374 HOUSTON CAS CO
18058 PHILADELPHIA IND INS CO
68381 RELIANCE STANDARD LIFE INS CO
11243 TOKIO MARINE GRV RE INC
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 14225 TRUSTED HLTH PLAN DC INC
11081 TRUSTED HLTH PLAN MI 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
4921 UNICO PREMIER GRP 15730 PRUITTHEALTH PREMIER INC
781 UNION LABOR GRP 69744 UNION LABOR LIFE INS CO
2878 UNITED HERITAGE MUT GRP 63983 UNITED HERITAGE LIFE INS CO
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
© 2019 National Association of Insurance Commissioners 163
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
707 UNITEDHEALTH GRP 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
13607 PEOPLES HLTH INC
11494 PHYSICIANS HLTH CHOICE OF TX LLC
11176 PREFERRED CARE PARTNERS 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
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
© 2019 National Association of Insurance Commissioners 164
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
707 UNITEDHEALTH GRP 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 14202 GUNDERSEN HLTH PLAN MN
95796 QUARTZ HLTH BENEFIT PLANS CORP
95341 QUARTZ HLTH INS CORP
95101 QUARTZ HLTH PLAN 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
67601 UNUM 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
95216 UPMC HLTH PLAN INC
4900 US ALLIANCE CORP GRP 14188 DAKOTA CAPITAL LIFE INS CO
14165 US ALLIANCE LIFE & SECURITY CO
839 USHEALTH GRP INC GRP 89087 ENTERPRISE LIFE INS CO
© 2019 National Association of Insurance Commissioners 165
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
839 USHEALTH GRP INC GRP 62324 FREEDOM LIFE INS CO OF AMER
98205 NATL FOUNDATION LIFE INS CO
3593 USIC GRP 44423 UNITED SURETY & IND CO
11067 USIC LIFE INS CO
1212 VANGUARD HLTH VENTURES GRP 96687 HEALTH RESOURCES INC
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
86509 VOYA RETIREMENT INS & ANN CO
4727 WARRIOR INVICTUS HOLDING CO GRP 81108 UNITED SECURITY HLTH & CAS INS CO
4939 WEA GRP 96628 HEALTH TRADITION HLTH PLAN INC
72273 WEA INS CORP
1199 WELLCARE GRP 80624 AMERICAN PROGRESSIVE L&H INS OF NY
11229 HARMONY HLTH PLAN INC
13189 MERIDIAN HLTH PLAN OF IL INC
52563 MERIDIAN HLTH PLAN OF MI 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
10884 WELLCARE HLTH INS OF NY 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
11775 WELLCARE OF SC INC
12964 WELLCARE OF TX INC
© 2019 National Association of Insurance Commissioners 166
ACCIDENT AND HEALTH INSURANCE INDUSTRY2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Affiliated With a Group
by Group Name
Group Code Group Name
IndividualCompany Code Company Name
1199 WELLCARE GRP 10155 WELLCARE PRESCRIPTION INS INC
770 WELLMARK INC GRP 95531 WELLMARK HLTH PLAN OF IA INC
88848 WELLMARK INC
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
70939 GERBER LIFE INS CO
65242 LAFAYETTE LIFE INS CO
75264 NATIONAL INTEGRITY LIFE INS CO
70483 WESTERN & SOUTHERN 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
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
© 2019 National Association of Insurance Commissioners 167
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
77879 5 STAR LIFE INS CO12253 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 CO15135 ARKANSAS SUPERIOR SELECT INC56499 ASSURED LIFE ASSN61093 ATLANTA LIFE INS CO10123 ATRIO HLTH PLANS INC12587 AUXILIO SALUD PLUS INC95839 AVERA HLTH PLANS INC95263 AVMED INC61212 BALTIMORE LIFE INS CO95071 BAPTIST HLTH PLAN INC57223 BAPTIST LIFE ASSN53589 BCBS OF AZ INC55891 BCBS OF ND53473 BCBS OF RI53767 BCBS OF WY37540 BEAZLEY INS CO INC90638 BEST LIFE & HLTH INS CO13203 BOSTON MEDICAL CENTER HLTH PLAN INC81647 BUPA INS CO15006 CALIFORNIA DENTAL NETWORK INC13151 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 INC58130 CATHOLIC ASSN OF FORESTERS56030 CATHOLIC FINANCIAL LIFE57770 CATHOLIC HOLY FAMILY SOCIETY57347 CATHOLIC LIFE INS57487 CATHOLIC ORDER OF FORESTERS12976 CATHOLIC SPECIAL NEEDS PLAN LLC57053 CATHOLIC UNITED FINANCIAL34568 CENTENNIAL CAS CO12633 CENTURY INS CO GU LTD10642 CHEROKEE INS CO13739 CHILDRENS COMM HLTH PLAN INC14154 CHRISTUS HLTH PLAN83968 CITIZENS FIDELITY INS CO61921 CITIZENS SECURITY LIFE INS CO55875 COLORADO DENTAL SERV INC15061 COMMON GROUND HLTHCARE COOP
© 2019 National Association of Insurance Commissioners 168
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
10756 COMMUNITY CARE HLTH PLAN INC47049 COMMUNITY HLTH PLAN OF WA15732 COMMUNITYCARE GOVERNMENT PROGRAMS IN71404 CONTINENTAL GEN INS CO95822 COOK CHILDRENS HLTH PLAN79715 COOPERATIVA DE SEGUROS DE VIDA56634 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 SERV11234 DENTAL SERV ORG INC47112 DENTCARE DELIVERY SYSTEMS INC95750 DENVER HLTH MEDICAL PLAN INC95809 DRISCOLL CHILDRENS HLTH PLAN52635 EL PASO FIRST HLTH PLANS INC16074 ELAN INS USVI INC95662 ELDERPLAN INC62928 EMC NATL LIFE CO56049 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 SOCIETY13667 GLOBALHEALTH INC11113 GOLDEN DENTAL PLANS INC13689 GOLDEN STATE MEDICARE HLTH PLAN12982 GREAT PLAINS CAS INC11246 GROUP DENTAL HLTH ADMINISTRATORS INC95192 GROUP HLTH COOP OF EAU CLAIRE95311 GROUP HLTH COOP OF S CENTRAL WI49948 HAWAII MEDICAL SERV ASSN48330 HAWAII MGMT ALLIANCE ASSN
© 2019 National Association of Insurance Commissioners 169
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
14481 HEALTH CHOICE UTAH INC16486 HEALTH CO INC55204 HEALTH NOW NY INC95066 HEALTH PARTNERS PLANS INC12277 HEALTH PLAN OF CAREOREGON INC48011 HEALTH VENTURES NTWRK 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 & ACC26778 INTEGRAND ASSUR CO64904 INVESTORS HERITAGE LIFE INS CO31658 ISLAND HOME INS CO11182 JOHN D KERNAN DMD PA16159 KANSAS SUPERIOR SELECT INC58033 KNIGHTS OF COLUMBUS12827 KS PLAN ADMINISTRATORS LLC56227 KSKJ LIFE AMER SLOVENIAN CATHOLIC UN47061 LEGAL SERV PLANS OF VA INC16170 LIBERTY ADVANTAGE LLC66753 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 CHOICE11107 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 CORP15952 NATIONAL PROSPERITY LIFE & HLTH INS66850 NATIONAL WESTERN LIFE INS CO95402 NEIGHBORHOOD HLTH PLAN OF RI INC60246 NETCARE LIFE & HLTH INS CO
© 2019 National Association of Insurance Commissioners 170
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
13813 NEVADA DENTAL BENEFITS LTD15011 NEW MEXICO HLTH CONNECTIONS15094 NEXDENT DENTAL PLANS INC16277 NEXTLEVEL HLTH PARTNERS INC81264 NIPPON LIFE INS CO OF AMER12533 OPTICARE OF UT16413 OPTILEGRA INC56383 ORDER OF UNITED COMMERCIAL TRAVELERS67393 OZARK NATL LIFE INS CO95414 PARKLAND COMM HLTH PLAN 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 CO55271 PUPIL BENEFITS PLAN INC12471 RETAILERS INS CO57657 ROYAL NEIGHBORS OF AMER68551 ROYAL STATE NATL INS CO LTD61573 ROYALTY CAPITAL LIFE INS CO15091 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 PA54259 SIDNEY HILLMAN HLTH CENTRE47012 SIGHTCARE INC15731 SIGNATURE ADVANTAGE LLC16103 SIMPRA ADVANTAGE INC11082 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 CO19178 SOUTHERN GUAR INS CO57436 SPJST71706 STANDARD LIFE & CAS INS CO36103 STATE INS FUND DISABILITY BENEFITS69132 STATE MUT INS CO15081 STEWARD HLTH CHOICE 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 INC
© 2019 National Association of Insurance Commissioners 171
ACCIDENT AND HEALTH INSURANCE INDUSTRY 2018 MARKET SHARE REPORT
INDEX OF COMPANIESCompanies Not Affiliated With a Group
by Company Name
IndividualCompany Code Company Name
95329 TEXAS CHILDRENS HLTH PLAN INC12239 TIMBER PRODUCTS MANUFACTURERS TRUST69477 TIME INS CO II77674 TOWN & COUNTRY LIFE INS CO69523 TRANS OCEANIC LIFE INS CO56006 TRAVELERS PROTECTIVE ASSN OF AMER12834 TRILOGY HLTH INS INC16281 TRUE HLTH NM INC57215 UKRAINIAN NATL ASSN INC14243 ULTIMATE HLTH PLANS INC32727 UNDERWRITERS AT LLOYDS15642 UNDERWRITERS AT LLOYDS LONDON11121 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 PLANS97772 US HLTH & LIFE INS CO INC83666 USA INS CO95764 UTMB HLTH PLANS INC95584 VANTAGE HLTH PLAN INC95612 VIRGINIA PREMIER HLTH PLAN INC95322 VIVA HLTH INC15955 WEST VIRGINIA SENIOR ADVANTAGE INC57711 WESTERN CATHOLIC UNION12339 WESTERN GROCERS EMPLOYEE BENEFIT TRU57010 WILLIAM PENN ASSN68420 WMI MUT INS CO57320 WOODMEN WORLD LIFE INS SOC57290 WORKMENS BENEFIT FUND OF THE USA
© 2019 National Association of Insurance Commissioners 172
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