Top Health Plan Administrative Services Only companies in Maryland
July 21, 2026
Mark Farrah Associates (MFA) presents a comparative analysis of the top Administrative Services Only (ASO) companies in Maryland using new comparison tools found only in MFA’s ASO Employer Health plus (AEHP) product. The Baltimore/Washington interconnected megalopolis area is home to numerous self-insured companies that take direct financial risks for their employees’ health. The region’s highly diversified economy spans manufacturing, retail services, public administration, real estate, higher education, information technology, defense contracting, health care, and biotechnology.
Source: ASO Employer Health Plus
The top four administrators, based on number of contracts in Maryland are UnitedHealth, CareFirst, CVS and Cigna. These four companies cover 98% of the Maryland self-insured marketplace.
- CareFirst, the largest administrator in the state, covers approximately 42% of known employers. It is the top administrator in 16 of Maryland’s 24 counties.
- UnitedHealth, with roughly 20% of the ASO contracts in Maryland, covers employers in all counties and is the top administrator in 6 of those counties.
- CVS Health also has employer contracts statewide and is the leading administrator in Cecil (CE) and Wicomico (WI) counties.
- Cigna, another leading administrator in Maryland, has more contracts statewide than CVS, but is not the leader in any specific county.
About ASO Employer Health plus
ASO Employer Health plus is a unique database that provides valuable insights into the self-insured/Administrative Services Only (ASO) segment of the health insurance market. Product features include over 350,000 employers matched with their health plan administrators, coverage of 30 leading health plan administrators, over 270,000 employers matched with their company addresses including county and Metropolitan Statistical Area data, national/state/county heat maps, and a user-friendly web interface with easy-to-navigate tables and download to Excel capability. ASO Employer Health Plus has been designed to provide visibility for insurance administrators and their self-insured customers. The tool offers value for competitive intelligence, sales, marketing efforts and more!
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™, 5500 Employer Health PLUS, ASO Employer Health plus and Health Plans USA™. For more information about these products, refer to the product pages and brochures available under the Our Products section of the website (www.markfarrah.com), or call 724-338-4100.
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