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Market Share of Top Individual Health Insurers Increased 20% Over Past 5 Years

 

June 11, 2020

 

 

The leading individual health insurers by market share increased their percentage from about 30% overall market share in 2015 to just over 50% in 2019. Individual enrollment declined from 16.7 million to 12.4 million enrollees between 2015 and 2019. The top individual insurers gained 657k, however, all other insurers lost 4.95m enrollees during this 5-year time period.

  • Current individual market leader, Centene gained the most enrollees during this 5-year frame, increasing over 1.6 million.
  • GuideWell had the second largest gain from 2015 to 2019, increasing almost 567k enrollees.
  • Anthem lost the most enrollees with a decrease of just over 1 million.
  • Second to Anthem, HCSC lost almost 779k.

Falling just out of the top plans in 2019, UnitedHealth had almost 1.14 million enrollees in 2015 and dropped to just about 261k in 2019; a loss of nearly 875k.
 

2019 Top Individual Insurers
Over the Past 5 Years
Parent 2015 2016 2017 2018 2019
 Centene 144,674  581,482  995,268  1,404,809  1,750,192 
 Guidewell 574,848  749,036  988,211  1,175,758  1,141,595 
 Kaiser Foundation  864,737  938,748  1,018,285  1,184,104  1,031,502 
 HCSC 1,625,406  1,162,797  915,598  850,546  846,928 
 Blue Shield of CA  609,531  707,821  665,549  783,811  726,407 
 Anthem  1,707,145  1,666,380  1,590,863  658,330  686,268 
 Subtotal  5,526,341  5,806,264  6,173,774  6,057,358  6,182,892 
 All Others 11,180,772  10,363,164  7,947,205  6,893,786  6,228,798 
 Total 16,707,113  16,169,428  14,120,979  12,951,144  12,411,690 
 Source: Health Coverage Portal™, Mark Farrah Associates, Supplemental Health Care Exhibit as reported in the NAIC Annual   Financial Statement & CA DMHC

 

About Mark Farrah Associates (MFA)

Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry.  Our product portfolio includes Health Coverage Portal™, County Health Coverage™, Medicare Business Online™, Medicare Benefits Analyzer™, Health Plans USA™ and 5500 Employer Health plus.  For more information about these products, refer to the informational videos and brochures available under the Our Products section of the website or call 724-338-4100.

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