2012_Health Plan Report_031312x Passport 37 G Basic Facts Nonprofit Health Plans
User Manual: Passport 37-G
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BASIC FACTS & FIGURES:
NONPROFIT HEALTH PLANS1
• Of the 154 health plans in the United States with at least 100,000 enrollees, 97 (or 63%) are
nonprofit, 41 are for-profit (27%), and 16 (10%) are government.
• Of the 230,773,945 total enrollees in these 154 health plans, 104,273,365 (or 45%) are in
nonprofit health plans. Fifty-seven percent (57%) of total enrollees (or 132,427,681) are fully
insured lives and, of these, 50% come from nonprofit health plans.
Fully Insured
Enrollment
%
Total
Enrollment
%
Nonprofit
66,074,819
50%
104,273,365
45%
For-Profit
62,377,369
47%
122,407,737
53%
Government
3,975,493
3%
4,092,843
2%
Totals
132,427,681
100%
230,773,945
100%
• The following table ranks these health plans by fully insured enrollment (not including
network lives):
Rank
Fully
Insured
Total
Ownership
Company
Fully Insured
Enrollment
Total
Enrollment
1
1
FP
UnitedHealthcare
18,420,651
34,675,651
2
2
FP
WellPoint, Inc.
13,967,763
29,576,763
3
6
N
Kaiser Permanente
8,013,441
8,959,294
4
3
FP
Aetna
5,564,193
18,636,285
5
4
N
Health Care Service Corporation
4,834,048
12,783,198
6
8
N
Blue Cross Blue Shield of Michigan
4,436,836
4,436,836
7
7
FP
Humana
4,151,075
6,741,375
8
19
FP
Health Net, Inc.
2,574,000
2,574,000
9
10
FP
Coventry Health and Life Insurance Company
2,523,930
3,609,930
10
11
N
AmeriHealth Mercy/Independent Blue Cross
2,373,680
3,528,574
11
18
N
Blue Shield of California
2,213,761
2,731,983
12
22
N
EmblemHealth, Inc.
2,193,706
2,305,015
13
24
FP
AMERIGROUP Community Care
1,997,000
1,997,000
14
5
FP
Cigna
1,946,913
11,499,083
15
13
N
CareFirst Blue Cross Blue Shield
1,896,446
3,496,446
16
26
FP
Molina Healthcare, Inc.
1,883,900
1,883,900
17
9
N
Highmark, Inc.
1,855,398
4,387,427
18
28
N
Horizon Blue Cross Blue Shield
1,736,292
1,736,292
19
12
N
BlueCross BlueShield of Tennessee
1,728,594
3,499,743
1 Source: AISʼs Directory of Health Plans: 2012. For simplicity's sake, the term "nonprofit" is used to describe the ownership of these
plans. By state law, these plans are either nonprofit because they are owned by the community or non-investor-owned because they are
owned by members/subscribers.
2
Rank
Fully
Insured
Total
Ownership
Company
Fully Insured
Enrollment
Total
Enrollment
20
16
N
Blue Cross and Blue Shield of Florida, Inc.
1,723,073
2,801,087
21
31
FP
Centene Corporation
1,615,700
1,626,300
22
33
FP
Wellcare Health Plans, Inc.
1,484,160
1,484,160
23
27
N
Lifetime Healthcare Companies
1,403,513
1,829,096
24
25
N
The Regence Group
1,304,272
1,986,300
25
17
N
Blue Cross Blue Shield of Massachusetts
1,230,000
2,750,000
26
14
N
Blue Cross and Blue Shield of Alabama
1,117,646
3,043,985
27
37
G
LA Care Health Plan
928,779
928,779
28
40
N
CareSource, Inc.
892,708
892,708
29
23
N
Wellmark, Inc.
881,140
2,112,949
30
20
N
Blue Cross and Blue Shield of North Carolina
837,208
2,422,499
31
21
N
Blue Cross and Blue Shield of Minnesota
807,896
2,415,472
32
32
FP
Triple-S Management Corporation
774,711
1,614,711
33
42
N
BlueCross BlueShield of South Carolina
765,569
765,569
34
43
FP
Assurant Health
722,000
722,000
35
34
N
Blue Cross and Blue Shield of Louisiana
721,394
1,448,708
36
30
N
Premera, Inc.
721,042
1,641,268
37
49
G
North Carolina State Health Plan
663,000
663,000
38
45
N
Arkansas BlueCross BlueShield
658,023
699,798
39
50
N
Blue Cross and Blue Shield of Kansas
656,498
656,498
40
44
N
Group Health Cooperative
640,201
709,702
41
15
N
Medical Mutual of Ohio
636,591
2,811,059
42
52
N
Fidelis Care, Inc.
635,016
635,016
43
48
N
Priority Health
627,699
667,699
44
55
N
Healthfirst
621,933
621,933
45
36
N
Tufts Associated Health Plans, Inc.
620,653
940,343
46
35
N
Harvard Pilgrim Health Care, Inc.
564,879
1,160,048
47
57
N
Government Employees Health Association (GEHA)
563,050
563,050
48
29
N
Medica Health Plans
533,894
1,700,894
49
46
N
Hawaii Medical Service Association
530,072
689,913
50
59
N
Inland Empire Health Plan
520,224
524,721
51
62
N
UAW Retiree Medical Benefit Trust
518,000
518,000
52
51
N
SelectHealth
507,520
645,060
53
39
N
Capital Blue Cross
505,092
905,092
54
41
N
HealthPartners, Inc.
492,593
828,354
55
54
N
BlueCross BlueShield of Western New York and
BlueCross BlueShield of Northeastern New York
490,598
625,329
56
53
N
MVP Health Care Preferred Care
469,765
630,748
57
65
N
Affinity
441,432
441,432
58
66
G
CalOPTIMA
434,637
434,637
59
56
N
UPMC Health Plan, Inc.
431,727
589,323
60
61
N
Blue Cross and Blue Shield of Kansas City
423,470
519,680
61
71
G
MetroPlus Health Plan, Inc.
411,475
411,475
62
60
N
Blue Cross Blue Shield of Arizona
381,280
521,876
63
64
N
Health Alliance Plan of Michigan
367,170
467,641
64
78
FP
Healthspring USA, LLC
345,898
345,898
65
79
N
Texas Children's Health Plan
336,949
336,949
66
67
N
Sentara Health Plans, Inc.
333,406
434,063
67
80
FP
First Medical Health Plan, Inc.
326,913
326,913
68
77
N
Capital District Physicians Health Plan, Inc.
322,476
355,579
69
47
N
Blue Cross and Blue Shield of Nebraska
322,114
672,374
70
70
FP
Care1st Health Plan
316,007
411,760
3
Rank
Fully
Insured
Total
Ownership
Company
Fully Insured
Enrollment
Total
Enrollment
71
82
N
MDWise
306,100
306,100
72
73
N
Blue Cross & Blue Shield of Mississippi
303,956
403,956
73
72
FP
Presbyterian Health Plan/Presbyterian Insurance
Company
297,090
407,994
74
83
N
Health Plus (PHSP), Inc.
293,564
293,564
75
84
FP
Meridian Health Plan of Michigan, Inc.
290,000
290,000
76
68
N
Blue Cross of Idaho Health Service, Inc.
288,223
417,673
77
76
N
Independent Health Association, Inc.
286,004
360,905
78
87
N
Community Health Plan of Washington
267,718
267,718
79
69
N
Blue Cross Blue Shield of North Dakota
267,576
411,982
80
63
N
Blue Cross & Blue Shield of Rhode Island
261,764
484,029
81
89
N
Community Health Network of Connecticut, Inc. (CHNCT)
257,131
257,131
82
88
FP
Dean Health Insurance, Inc.
256,968
265,800
83
85
N
Geisinger Health Plan
253,404
275,270
84
93
N
Neighborhood Health Plan, Inc.
244,014
244,014
85
94
N
Boston Medical Center HealthNet Plan
237,691
237,691
86
81
N
AvMed, Inc.
235,465
310,656
87
86
FP
PacificSource Health Plans
227,858
272,827
88
95
N
UCare
223,734
223,734
89
97
N
HealthPlus of Michigan, Inc.
214,483
214,483
90
92
FP
Health Alliance Medical Plans, Inc.
214,113
250,113
91
99
N
Family Health Partners
213,336
213,336
92
100
G
Central California Alliance for Health
209,074
209,074
93
101
G
Community Health Choice, Inc.
207,232
207,232
94
102
N
Partnership Health Plan of California
206,637
206,637
95
75
N
Providence Health Plan
205,459
389,697
96
105
N
Priority Partners
204,539
204,539
97
106
FP
Aveta, Inc.
203,354
203,354
98
107
N
Phoenix Health Plan/Abrazo Advantage
197,860
197,860
99
110
N
Parkland Community Health Plan
193,784
193,784
100
111
FP
Health Choice AZ, Inc.
192,770
192,770
101
114
N
Security Health Plan of Wisconsin, Inc.
180,451
180,451
102
115
FP
Healthmarkets, Inc.
171,816
171,816
103
98
FP
Lovelace Health Plan
169,506
214,000
104
116
G
CalViva Health
168,753
168,753
105
117
FP
Universal Health Care
164,839
164,839
106
119
N
Fallon Community Health Plan
162,579
162,579
107
120
N
Maryland Physicians Care (MPC)
162,000
162,000
108
58
N
Blue Cross of Northeastern Pennsylvania
160,692
531,380
109
121
N
Health Partners of Philadelphia
159,436
159,436
110
122
N
Virginia Premier Health Plan, Inc.
157,320
157,320
111
123
FP
Universal American Corporation- MA Division
156,752
156,752
112
104
FP
Arise Health Plan
155,252
206,272
113
124
N
CareOregon
154,452
154,452
114
112
N
Paramount Care, Inc. (ProMedica Health System)
151,764
190,448
115
126
FP
South Carolina Solutions
142,960
142,960
116
127
N
Community Health Group
136,789
136,789
117
128
G
Santa Clara Family Health Plan
135,472
135,472
118
129
G
North Carolina Health Choice (NCHC) for Children
134,625
134,625
119
118
N
Scott and White Health Plan
132,469
164,014
120
132
N
SCAN Health Plan
131,098
131,098
121
131
FP
Landmark Healthplan of California, Inc.
130,994
133,555
4
Rank
Fully
Insured
Total
Ownership
Company
Fully Insured
Enrollment
Total
Enrollment
122
133
G
Maricopa Integrated Health System/University of Arizona
Healthcare
130,415
130,415
123
91
N
Blue Cross and Blue Shield of Montana
127,757
250,562
124
109
N
Rocky Mountain Health Plans
125,406
197,316
125
136
N
Kern Health Systems, Inc.
124,852
124,852
126
134
G
Community First Health Plans, Inc.
117,103
128,869
127
141
FP
CommunityCare Managed Healthcare Plans of Oklahoma
117,040
117,040
128
142
FP
Physicians Plus Insurance Corporation
115,801
115,801
129
138
G
Health Plan of San Joaquin
114,537
120,121
130
143
G
Oklahoma State and Education Employees Group
Insurance Board
113,285
113,285
131
144
N
Chartered Health Plan Inc., The
110,268
110,268
132
145
N
Hudson Health Plan
110,000
110,000
133
146
FP
XLHealth Cooperation/Care Improvement Plus
109,391
109,391
134
103
N
Blue Cross Blue Shield of Delaware
106,402
206,402
135
148
G
CenCal Health
105,788
105,788
136
147
FP
American National Insurance Company
103,335
105,835
137
113
N
AultCare Health Plans
103,013
187,932
138
151
G
Contra Costa Health Plan
101,318
101,318
139
152
N
American Postal Workers Union Health Plans
100,915
100,915
140
153
N
Cook Children's Health Plan (CCHP)
100,285
100,285
141
130
FP
FirstCare
96,875
133,986
142
137
FP
Health New England, Inc.
93,929
121,898
143
135
N
McLaren Health Plan
92,456
127,456
144
139
FP
Health Plan of the Upper Ohio Valley, Inc.
92,018
117,958
145
125
N
Blue Cross and Blue Shield of Vermont
91,678
145,652
146
90
FP
ODS Companies, The
80,927
255,077
147
108
FP
SummaCare Health Plan, Inc.
70,869
197,539
148
38
N
Trustmark Companies
66,574
917,586
149
96
FP
Preferred One
64,058
216,491
150
74
N
Bluegrass Family Health, Inc.
46,000
396,340
151
140
FP
DAKOTACARE
44,040
117,940
152
149
N
Hometown Health Plan, Inc.
39,173
103,890
153
150
N
University Health Care Health Plans
38,560
102,560
154
154
G
US Family Health Plan
0
100,000
132,427,681
230,773,945
Subsidiary/Affiliate Detail:
• Aetna, Inc. = Aetna and Mercy Care Plan
• Affinity Health System = Affinity Health Plan and Network Health Plan
• Arkansas BlueCross BlueShield = Arkansas BlueCross BlueShield and HMO Partners, Inc.
• Blue Cross Blue Shield of Florida, Inc. = Blue Cross Blue Shield of Florida, Inc., Capital Health Plan, Inc., and Florida Health Care Plans, Inc.
• Care1st Health Plan = Care 1st Health Plan and Care 1st Health Plan of Arizona, Inc.
• EmblemHealth, Inc. = ConnectiCare of Massachusetts, Inc, ConnectiCare, Inc., GHI, and HIP
• Group Health Cooperative = Group Health Cooperative and KPS Health Plans
• Health Care Service Corporation = Blue Cross and Blue Shield of Illinois (7,290,656), Blue Cross and Blue Shield of Texas (4,617,520), Blue Cross
and Blue Shield of Oklahoma (598,157), and Blue Cross and Blue Shield of New Mexico (276,865).
• Highmark, Inc. = Gateway Health Plan, Highmark Blue Cross Blue Shield , and Highmark Blue Cross Blue Shield West Virginia
• Independence Blue Cross = AmeriHealth Insurance Company of New Jersey/AmeriHealth HMO, Inc., AmeriHealth Mercy Family of Companies,
Independence Blue Cross, Inter-County Health Plans, Inc., and Passport Health Plan/Passport Advantage
• Kaiser Permanente = Kaiser Foundation Health Plan of Colorado, Kaiser Foundation Health Plan of Georgia, Kaiser Foundation Health Plan of
Hawaii, Kaiser Foundation Health Plan of Ohio, Inc., Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., Kaiser Foundation Health
Plan of the Northwest, Inc., and Kaiser Foundation Health Plan, Inc.
• Lifetime Healthcare Companies = Excellus BlueCross BlueShield, Univera Community Health, and Univera Healthcare
• Medical Mutual of Ohio = Carolina Care Plan, Inc., and Medical Mutual
• Premera, Inc. = Lifewise Health Plan of Oregon and Lifewise Health Plan of Washington
• Promedica Health System = Paramount Care of Michigan and Paramount Care, Inc.
• The Regence Group = Asuris Northwest Health, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah, Regence
5
Subsidiary/Affiliate Detail:
BlueShield, and Regence BlueShield of Idaho
• Tufts Associated Health Plans, Inc. = Network Health and Tufts Associated Health Plans, Inc.
• University of Arizona Healthcare = Maricopa Health Plan, University Care Advantage, LLC, and University Physicians Health Plans
• University of Pittsburg Medical Center = Pittsburgh Care Partnership, Inc. and UPMC Health Plan, Inc.
• Wellmark, Inc. = Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dakota
• WellPoint, Inc. = MCS Life Insurance Company and WellPoint, Inc.
