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Maine.gov > PFR Home > Insurance Regulation > Employer Information > Market Snapshot - Individual Health Insurers

Market Snapshot - Individual Medical

Company (State of Domicile) NAIC# Number Insured1 Market Share
  12/31/06 12/31/07 6/30/08 12/31/06 12/31/07 6/30/08
Companies Currently Offering Coverage:
Anthem BC/BS (Maine) - 52618            
- PPO 33,991 30,187 21,913 81% 74% 54%
- HMO Maine2 39 27 0 0% 0% 0%
Mega Life & Health (OK) 97055 6,797 9,757 11,257 16% 24% 28%
CIGNA (Maine) 95447 16 15 0 0% 0% 0%
Harvard Pilgrim (MA) 96911 14 6 6,843 0% 0% 17%
Aetna Health (Maine) 95517 10 9 9 0% 0% 0%
Subtotal 40,867 40,001 40,022 97% 98% 98%
Companies Renewing but Not Offering New Coverage:
Golden Rule (IL) 62286 519 463 414 1% 1% 1%
Prudential (NJ) 68241 155 128 114 0% 0% 0%
Washington National (IL) 70319 154 138 123 0% 0% 0%
American Republic (IA) 60836 85 53 47 0% 0% 0%
State Farm (IL) 25178 57 49 44 0% 0% 0%
AXA Equitable Life 62944 67 62 55 0% 0% 0%
Mutual of Omaha (NE) 71412 8 3 3 0% 0% 0%
Other 49 35 31 0% 0% 0%
Subtotal 1,094 931 833 3% 2% 2%
TOTAL 41,961 40,932 40,855 100% 100% 100%
1 Unavailable data is estimated and shown in bold. Yearly totals for Number Insured reflect actual counts submitted from 940 reports and may differ slightly from financial statement data.
2 HMO Maine is a line of business of Anthem Blue Cross and Blue Shield.

Note: The Net Income (Loss) information formerly included in the Snapshot can be found at the link below.

http://www.maine.gov/pfr/insurance/hmo/financial.htm

Recent Rate Increases
Company Average
Increase
Number
Affected
  Eff. date
Aetna 15.0% 6 policies 7/1/2006
American National 17.0% 2 policies 3/1/2008
Anthem: DirigoChoice 18.1% 4,349 contracts 3/1/2007
Anthem: HMO Maine 14.0% 27 lives 4/1/2008
Anthem: H S A 15.0% 826 lives 6/1/2006
Anthem: P P O 12.5% 13,502 policies 1/1/2008
Central United 50.0% 3 policies 3/6/2007
CIGNA 4.3% 14 lives 9/1/2008
5.2% 16 lives 3/1/2008
Golden Rule 12.0% 247 policies 4/15/2008
Harvard Pilgrim 8.0% 13 lives 12/1/2007
MEGA 0.0% 5,506 lives 1/1/2006
Principal 13.0% 1 policy 2/1/2009
Prudential 22.0% 18 policies 8/1/2008
30.0% 17 policies 7/1/2008
State Farm 30.0% 2 riders 8/1/2006
Trustmark 20.0% 2 policies 6/4/2008
United American 10.0% 1 policy 10/1/2007

 

Pending Rate Increases
Company Average
Increase
Number
Affected
  Eff. date
Central United 40% 1 policy  
MEGA 7.0% 10,026 lives  
United American 10.0% 1 policy 9/1/2008

Source: Bureau of Insurance

Last Updated: October 28, 2008