2014 Market Share Reports

Transcription

1 2014 Market Share Reports For the Top 125 Accident and Health Insurance Groups and Companies by State and Countrywide DIRECT PREMIUMS MARKET SHARE CUMULATIVE MARKET SHARE

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3 2014 Market Share Reports For the Top 125 Accident and Health Insurance Groups and Companies by State and Countrywide 2015

4 The NAIC is the authoritative source for insurance industry information. Our expert solutions support the efforts of regulators, insurers and researchers by providing detailed and comprehensive insurance information. The NAIC offers a wide range of publications in the following categories: Accounting & Reporting Information about statutory accounting principles and the procedures necessary for fi ling fi nancial annual statements and conducting risk-based capital calculations. Consumer Information Important answers to common questions about auto, home, health and life insurance as well as buyer s guides on annuities, long-term care insurance and Medicare supplement plans. Financial Regulation Useful handbooks, compliance guides and reports on fi nancial analysis, company licensing, state audit requirements and receiverships. Legal Comprehensive collection of NAIC model laws, regulations and guidelines; state laws on insurance topics; and other regulatory guidance on antifraud and consumer privacy. Market Regulation Regulatory and industry guidance on market-related issues, including antifraud, product fi ling requirements, producer licensing and market analysis. NAIC Activities NAIC member directories, in-depth reporting of state regulatory activities and offi cial historical records of NAIC national meetings and other activities. Special Studies Studies, reports, handbooks and regulatory research conducted by NAIC members on a variety of insurancerelated topics. Statistical Reports Valuable and in-demand insurance industry-wide statistical data for various lines of business, including auto, home, health and life insurance. Supplementary Products Guidance manuals, handbooks, surveys and research on a wide variety of issues. Capital Markets & Investment Analysis Information regarding portfolio values and procedures for complying with NAIC reporting requirements. White Papers Relevant studies, guidance and NAIC policy positions on a variety of insurance topics. For more information about NAIC publications, view our online catalog at: All rights reserved. ISBN: Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any storage or retrieval system, without written permission from the NAIC. NAIC Executive Offi ce 444 North Capitol Street, NW Suite 700 Washington, DC NAIC Central Offi ce 1100 Walnut Street Suite 1500 Kansas City, MO NAIC Capital Markets & Investment Analysis Offi ce One New York Plaza, Suite 4210 New York, NY

5 2014 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 Applications...3 Ten-Year Premium Comparison Chart and Graphs...5 Combined Accident and Health Insurance Market Share Reports...11 Technical Notes Index of Insurer Groups and Companies...139

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7 INTRODUCTION These 2014 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 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 on, June 16, 2015, the date this report was generated. Please send any questions regarding this report to researchrequest@naic.org. Links to this report or other NAIC reports can be found on the NAIC website at: NAIC Publications. 1

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9 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 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 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. 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. 3

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11 Ten-Year Premium Comparison Chart and Graphs 5

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13 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS 2014 ACCIDENT AND HEALTH INSURANCE INDUSTRY PROPERTY/CASUALTY, LIFE/HEALTH, FRATERNAL, AND HEALTH INSURERS Year States, and U.S. Territories Aggregate Other Alien and Canada Total States, US Territories, Aggregate Other Alien and Canada ,637,827,226 14,319,503, ,957,330, ,000,845,886 13,911,868, ,912,714, ,908,232,579 13,815,426, ,723,659, ,321,590,037 16,080,552, ,402,142, ,292,880,436 17,920,728, ,213,608, ,255,938,729 19,723,753, ,979,691, ,140,192,426 21,689,282, ,829,475, ,258,493,819 19,391,781, ,650,275, ,653,086,410 12,930,793, ,583,880, ,321,580,320 11,861,962, ,183,543,317 Please note: California Department of Managed Health Care data is not included in years prior to

14 Accident and Health Insurance Industry Total States, U.S. Territories, Aggregate Other Alien and Canada Total Direct Premium Written Billions Year 8

15 Accident and Health Insurance Industry States and U.S. Territories Only Total Direct Premium Written Billions Year 9

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17 Combined Accident and Health Insurance Market Share Reports As Reported on Property/Casualty, Life/Health, Fraternal and Health Annual Statements 11

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19 Accident and Health Insurance Industry Aggregates Property/Casualty, Life/Health, Fraternal, and Health Insurers 2014 Direct Premiums Written by State (In Millions) Canada WA 18,592 MT 1,598 VT 1,029 ND 1,986 OR 10,175 ME 2,826 MN 15,855 ID 2,985 WY 784 NV 5,839 UT 5,361 MI 26,666 AZ 10,485 PA 44,226 IA 5,441 IL 26,802 KS 7,906 OK 6,224 NM 6,442 TX 56,157 VA 17,732 NC 15,972 TN 16,935 AR 4,765 SC 9,636 AL 8,322 GA 20,388 LA 9,800 AK 973 American Somoa Guam Puerto Rico Virgin Islands N Mariana Islands Agg Other Alien , , CT 7,529 NJ 25,419 OH 34,086 KY 13,328 MO 12,174 MS 5,021 HI 6,315 IN 10,828 WV 3,709 CO 11,051 NH 2,823 MA 21,429 RI 4,166 NY 51,181 WI 15,348 SD 1,730 NE 3,922 CA 153, FL 51,693 MD 13,031 DC 5,299 DE 1,531

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21 States, U.S. Territories, Canada, Aggregate Other Alien 1 L H CA 707 UNITEDHEALTH GRP 98,522,822, % % 2 H CA 601 KAISER FOUNDATION GRP 63,544,708, % % 3 L H CA 671 ANTHEM INC GRP 52,431,737, % % 4 L H CA 1 AETNA GRP 48,247,185, % % 5 L H 119 HUMANA GRP 45,822,550, % % 6 L H P 917 HCSC GRP 28,894,004, % % 7 L H CA 901 CIGNA HLTH GRP 21,420,876, % % 8 L 370 AFLAC GRP 14,601,367, % % 9 L H P CA 812 HIGHMARK GRP 14,496,790, % % 10 L H 1295 CENTENE CORP GRP 13,644,856, % % 11 CA BLUE CROSS OF CALIFORNIA 13,373,556, % % 12 H 936 INDEPENDENCE HLTH GRP INC GRP 12,249,432, % % 13 CA CALIFORNIA PHYSICIANS' SERVICE 11,300,553, % % 14 H 1199 WELLCARE GRP 11,160,010, % % 15 L H 536 GUIDEWELL MUT HOLDING GRP 10,767,451, % % 16 L H 572 BCBS OF MI GRP 10,479,804, % % 17 L H CA 1531 MOLINA HEALTHCARE INC GRP 10,056,272, % % 18 H 1202 BCBS OF NJ GRP 10,010,658, % % 19 H 1127 HIP INS GRP 8,439,626, % % 20 H 380 CAREFIRST INC GRP 7,885,227, % % 21 CA HEALTH NET OF CALIFORNIA, INC. 7,418,559, % % 22 H BCBS OF NC INC 7,353,537, % % 23 L H P CA 241 METROPOLITAN GRP 6,766,180, % % 24 H 3637 BCBS OF MA GRP 6,625,095, % % 25 CA UHC OF CALIFORNIA 6,195,357, % % 26 H 3498 BCBS OF TN GRP 6,082,557, % % 27 L H 1186 LIFETIME HLTHCARE GRP 6,076,282, % % 28 H 3683 CARESOURCE GRP 5,629,382, % % 29 L H 1207 CAMBIA HEALTH SOLUTIONS INC 5,473,028, % % 30 L 565 UNUMPROVIDENT CORP GRP 5,259,762, % % 31 H P 1324 UPMC HLTH SYSTEM GRP 4,788,964, % % 32 H 570 BCBS OF AL GRP 4,573,689, % % 33 CA HEALTH NET COMMUNITY SOLUTIONS, INC. 4,427,595, % % 34 H 4742 TUFTS GRP 4,137,855, % % 35 CA L.A. CARE HEALTH PLAN JOINT POWERS A 4,137,151, % % 36 H 461 BCBS OF MN GRP 4,090,336, % % 37 L H P 661 BCBS OF SC GRP 3,797,027, % % 38 L H 962 PREMERA BLUE CROSS GRP 3,636,467, % % 39 H 1552 MEDICA GRP 3,412,255, % % 40 H 770 WELLMARK INC GRP 3,411,277, % % 41 L H 429 GUARDIAN LIFE GRP 3,383,760, % % 42 CA DELTA DENTAL OF CALIFORNIA 3,278,797, % % 43 L 261 MUTUAL OF OMAHA GRP 3,262,797, % % 44 H 1185 GROUP HLTH COOP GRP 3,237,613, % % 45 H 4667 CVS CAREMARK GRP 3,177,062, % % 46 H 4380 UCARE GRP 3,150,896, % % 47 L H 438 LOUISIANA HLTH SERV GRP 2,933,192, % % 48 H HAWAII MEDICAL SERV ASSN 2,904,446, % % 49 H 1258 HEALTHPARTNERS GRP 2,732,817, % % 50 L H 623 HEALTH NET INC GRP 2,727,921, % % 51 L H P CA 19 ASSURANT INC GRP 2,702,482, % % 52 L 4011 GENWORTH FIN GRP 2,605,502, % % 53 H 595 HARVARD PILGRIM HLTH CARE GRP 2,593,823, % % 54 H 3383 SPECTRUM HLTH GRP 2,542,758, % % 55 H HEALTH NOW NY INC 2,462,198, % % 56 L H 730 MEDICAL MUT OF OH GRP 2,409,183, % % 57 H 1311 HENRY FORD HLTH SYSTEM GRP 2,367,104, % % 58 L H 876 ARKANSAS BCBS GRP 2,332,287, % % 59 H CA 1189 VISION SERV PLAN GRP 2,234,971, % % 60 H 4708 CDPHP INC GRP 2,179,468, % % 61 H 1198 MVP GRP 2,127,652, % % 62 H 1143 GEISINGER INS GRP 2,105,902, % % 63 CA HERITAGE PROVIDER NETWORK, INC. 2,072,403, % % 64 CA SCAN HEALTH PLAN 2,013,432, % % 15

22 States, U.S. Territories, Canada, Aggregate Other Alien 65 CA ORANGE COUNTY HEALTH AUTHORITY 2,002,024, % % 66 L H 4802 TRIPLE S GRP 1,963,807, % % 67 H 4640 CAIDAN ENTERPRISES INC GRP 1,949,717, % % 68 L P 468 AEGON US HOLDING GRP 1,940,956, % % 69 H 880 IHC INC GRP 1,898,431, % % 70 L 233 CNO FINANCIAL GRP 1,870,565, % % 71 H 1230 CAPITAL BLUE CROSS GRP 1,864,317, % % 72 CA INLAND EMPIRE HEALTH PLAN 1,847,877, % % 73 L 430 BCBS OF KS GRP 1,828,293, % % 74 L P 91 HARTFORD FIRE & CAS GRP 1,799,089, % % 75 H 4778 HEALTHFIRST INC GRP 1,778,133, % % 76 H BOSTON MEDICAL CENTER HLTH PLAN INC 1,775,857, % % 77 L 2798 BLUE SHIELD OF CA GRP 1,775,029, % % 78 L 549 SUN LIFE ASSUR CO OF CN GRP 1,771,985, % % 79 H 4812 INNOVACARE INC GRP 1,754,869, % % 80 L H 1301 MEDICAL CARD SYSTEM INC GRP 1,751,201, % % 81 H NEIGHBORHOOD HLTH PLAN INC 1,727,541, % % 82 H BCBS OF AZ INC 1,698,938, % % 83 H 481 PRESBYTERIAN HLTHCARE SERV GRP 1,671,890, % % 84 L 904 JOHN HANCOCK GRP 1,652,437, % % 85 H BCBS OF NE 1,652,212, % % 86 L 860 NORTHWESTERN MUT GRP 1,648,854, % % 87 H BCBS OF RI 1,644,253, % % 88 CA PARTNERSHIP HEALTHPLAN OF CALIFORNIA 1,614,463, % % 89 L P 626 ACE LTD GRP 1,539,525, % % 90 L H 953 UNIVERSAL AMER FIN CORP GRP 1,535,735, % % 91 H 537 BCBS OF KC GRP 1,498,442, % % 92 L 20 LINCOLN NATL GRP 1,494,883, % % 93 H 1183 SENTARA HLTH MGMT GRP 1,479,616, % % 94 H 1290 BLUE CROSS OF ID GRP 1,448,763, % % 95 L 332 PRINCIPAL FIN GRP 1,375,564, % % 96 H CARE 1ST HEALTH PLAN 1,349,121, % % 97 L 304 PRUDENTIAL OF AMER GRP 1,348,324, % % 98 H NORIDIAN MUT INS CO 1,330,425, % % 99 H INDEPENDENT HLTH ASSN 1,330,064, % % 100 H 1192 CARLE HOLDING CO GRP 1,304,582, % % 101 H UNIVERSITY HLTH CARE INC 1,293,066, % % 102 L 1348 STANCORP FIN GRP 1,291,981, % % 103 CA DAVITA HEALTHCARE PARTNERS PLAN 1,284,021, % % 104 H 2479 DENTEGRA GRP 1,272,368, % % 105 H HEALTH PARTNERS PLANS INC 1,238,429, % % 106 L 290 LIBERTY NATL GRP 1,231,036, % % 107 H 4788 PROVIDENCE HLTH GRP 1,223,891, % % 108 L H 1126 MISSISSIPPI INS GRP 1,213,075, % % 109 H 4755 AMERICAS 1ST CHOICE GRP 1,180,716, % % 110 H 1294 DEAN HLTH GRP 1,155,408, % % 111 H 4741 FALLON GRP 1,146,480, % % 112 H COMMUNITY HLTH PLAN OF WA 1,123,889, % % 113 H SECURITY HLTH PLAN OF WI INC 1,098,011, % % 114 H 1212 VANGUARD HLTH VENTURES GRP 1,042,247, % % 115 H 477 RENAISSANCE HLTH SERV CORP GRP 1,025,884, % % 116 L P 984 HCC INS HOLDINGS GRP 1,020,839, % % 117 H 3409 HEALTHPLUS OF MI GRP 1,015,833, % % 118 H 4512 DENTAQUEST GRP 964,997, % % 119 P 176 STATE FARM GRP 951,837, % % 120 H 4704 PACIFICSOURCE HLTH PLAN GRP 947,618, % % 121 L P 3098 TOKIO MARINE HOLDINGS INC GRP 927,311, % % 122 H 2678 NETWORK HLTH GRP 906,324, % % 123 H NEIGHBORHOOD HLTH PLAN OF RI INC 895,877, % % 124 H TEXAS CHILDRENS HLTH PLAN INC 878,934, % % 125 L P 12 AMERICAN INTL GRP 878,009, % % **TOTAL** 836,183,543, % % 16

23 States and U.S. Territories 1 L H CA 707 UNITEDHEALTH GRP 98,462,887, % % 2 H CA 601 KAISER FOUNDATION GRP 63,544,708, % % 3 L H CA 671 ANTHEM INC GRP 52,431,737, % % 4 L H CA 1 AETNA GRP 48,000,111, % % 5 L H 119 HUMANA GRP 45,822,550, % % 6 L H P 917 HCSC GRP 28,833,379, % % 7 L H CA 901 CIGNA HLTH GRP 20,764,198, % % 8 L H P CA 812 HIGHMARK GRP 14,496,790, % % 9 L H 1295 CENTENE CORP GRP 13,644,856, % % 10 CA BLUE CROSS OF CALIFORNIA 13,373,556, % % 11 H 936 INDEPENDENCE HLTH GRP INC GRP 12,249,432, % % 12 CA CALIFORNIA PHYSICIANS' SERVICE 11,300,553, % % 13 H 1199 WELLCARE GRP 11,160,010, % % 14 L H 536 GUIDEWELL MUT HOLDING GRP 10,767,451, % % 15 L H 572 BCBS OF MI GRP 10,479,803, % % 16 L H CA 1531 MOLINA HEALTHCARE INC GRP 10,056,272, % % 17 H 1202 BCBS OF NJ GRP 10,010,658, % % 18 H 1127 HIP INS GRP 8,439,626, % % 19 H 380 CAREFIRST INC GRP 7,885,227, % % 20 CA HEALTH NET OF CALIFORNIA, INC. 7,418,559, % % 21 H BCBS OF NC INC 7,283,012, % % 22 H 3637 BCBS OF MA GRP 6,625,095, % % 23 L H P CA 241 METROPOLITAN GRP 6,345,631, % % 24 CA UHC OF CALIFORNIA 6,195,357, % % 25 H 3498 BCBS OF TN GRP 6,082,557, % % 26 L H 1186 LIFETIME HLTHCARE GRP 6,076,282, % % 27 H 3683 CARESOURCE GRP 5,629,382, % % 28 L H 1207 CAMBIA HEALTH SOLUTIONS INC 5,473,028, % % 29 L 565 UNUMPROVIDENT CORP GRP 5,247,493, % % 30 L 370 AFLAC GRP 4,889,884, % % 31 H P 1324 UPMC HLTH SYSTEM GRP 4,788,964, % % 32 H 570 BCBS OF AL GRP 4,573,689, % % 33 CA HEALTH NET COMMUNITY SOLUTIONS, INC. 4,427,595, % % 34 H 4742 TUFTS GRP 4,137,855, % % 35 CA L.A. CARE HEALTH PLAN JOINT POWERS A 4,137,151, % % 36 H 461 BCBS OF MN GRP 4,090,336, % % 37 L H P 661 BCBS OF SC GRP 3,797,027, % % 38 L H 962 PREMERA BLUE CROSS GRP 3,636,467, % % 39 H 1552 MEDICA GRP 3,412,255, % % 40 H 770 WELLMARK INC GRP 3,411,277, % % 41 L H 429 GUARDIAN LIFE GRP 3,383,441, % % 42 CA DELTA DENTAL OF CALIFORNIA 3,278,797, % % 43 L 261 MUTUAL OF OMAHA GRP 3,262,147, % % 44 H 1185 GROUP HLTH COOP GRP 3,237,613, % % 45 H 4667 CVS CAREMARK GRP 3,177,062, % % 46 H 4380 UCARE GRP 3,150,896, % % 47 L H 438 LOUISIANA HLTH SERV GRP 2,933,192, % % 48 H HAWAII MEDICAL SERV ASSN 2,904,446, % % 49 H 1258 HEALTHPARTNERS GRP 2,732,817, % % 50 L H 623 HEALTH NET INC GRP 2,727,921, % % 51 L H P CA 19 ASSURANT INC GRP 2,693,170, % % 52 L 4011 GENWORTH FIN GRP 2,605,502, % % 53 H 595 HARVARD PILGRIM HLTH CARE GRP 2,593,823, % % 54 H 3383 SPECTRUM HLTH GRP 2,542,758, % % 55 H HEALTH NOW NY INC 2,462,198, % % 56 L H 730 MEDICAL MUT OF OH GRP 2,409,183, % % 57 H 1311 HENRY FORD HLTH SYSTEM GRP 2,367,104, % % 58 L H 876 ARKANSAS BCBS GRP 2,332,287, % % 59 H CA 1189 VISION SERV PLAN GRP 2,234,971, % % 60 H 4708 CDPHP INC GRP 2,179,468, % % 61 H 1198 MVP GRP 2,127,652, % % 62 H 1143 GEISINGER INS GRP 2,105,902, % % 63 CA HERITAGE PROVIDER NETWORK, INC. 2,072,403, % % 64 CA SCAN HEALTH PLAN 2,013,432, % % 17

24 States and U.S. Territories 65 CA ORANGE COUNTY HEALTH AUTHORITY 2,002,024, % % 66 L H 4802 TRIPLE S GRP 1,959,101, % % 67 H 4640 CAIDAN ENTERPRISES INC GRP 1,949,717, % % 68 L P 468 AEGON US HOLDING GRP 1,940,642, % % 69 L 233 CNO FINANCIAL GRP 1,870,479, % % 70 H 1230 CAPITAL BLUE CROSS GRP 1,864,317, % % 71 CA INLAND EMPIRE HEALTH PLAN 1,847,877, % % 72 L 430 BCBS OF KS GRP 1,828,293, % % 73 L P 91 HARTFORD FIRE & CAS GRP 1,799,078, % % 74 H 880 IHC INC GRP 1,792,528, % % 75 H 4778 HEALTHFIRST INC GRP 1,778,133, % % 76 H BOSTON MEDICAL CENTER HLTH PLAN INC 1,775,857, % % 77 L 2798 BLUE SHIELD OF CA GRP 1,775,029, % % 78 L 549 SUN LIFE ASSUR CO OF CN GRP 1,772,114, % % 79 H 4812 INNOVACARE INC GRP 1,754,869, % % 80 L H 1301 MEDICAL CARD SYSTEM INC GRP 1,751,201, % % 81 H NEIGHBORHOOD HLTH PLAN INC 1,727,541, % % 82 H BCBS OF AZ INC 1,698,938, % % 83 H 481 PRESBYTERIAN HLTHCARE SERV GRP 1,671,890, % % 84 H BCBS OF NE 1,652,212, % % 85 L 904 JOHN HANCOCK GRP 1,652,197, % % 86 L 860 NORTHWESTERN MUT GRP 1,647,334, % % 87 H BCBS OF RI 1,644,253, % % 88 CA PARTNERSHIP HEALTHPLAN OF CALIFORNIA 1,614,463, % % 89 L H 953 UNIVERSAL AMER FIN CORP GRP 1,535,735, % % 90 H 537 BCBS OF KC GRP 1,498,442, % % 91 L 20 LINCOLN NATL GRP 1,493,941, % % 92 H 1183 SENTARA HLTH MGMT GRP 1,479,616, % % 93 H 1290 BLUE CROSS OF ID GRP 1,448,763, % % 94 L 332 PRINCIPAL FIN GRP 1,375,423, % % 95 H CARE 1ST HEALTH PLAN 1,349,121, % % 96 L 304 PRUDENTIAL OF AMER GRP 1,346,106, % % 97 H NORIDIAN MUT INS CO 1,330,425, % % 98 H INDEPENDENT HLTH ASSN 1,330,064, % % 99 H 1192 CARLE HOLDING CO GRP 1,304,582, % % 100 H UNIVERSITY HLTH CARE INC 1,293,066, % % 101 L 1348 STANCORP FIN GRP 1,291,759, % % 102 CA DAVITA HEALTHCARE PARTNERS PLAN 1,284,021, % % 103 H 2479 DENTEGRA GRP 1,272,312, % % 104 H HEALTH PARTNERS PLANS INC 1,238,429, % % 105 H 4788 PROVIDENCE HLTH GRP 1,223,891, % % 106 L 290 LIBERTY NATL GRP 1,216,736, % % 107 L H 1126 MISSISSIPPI INS GRP 1,213,075, % % 108 H 4755 AMERICAS 1ST CHOICE GRP 1,180,716, % % 109 L P 12 AMERICAN INTL GRP 1,167,575, % % 110 H 1294 DEAN HLTH GRP 1,155,408, % % 111 H 4741 FALLON GRP 1,146,480, % % 112 L P 626 ACE LTD GRP 1,143,649, % % 113 H COMMUNITY HLTH PLAN OF WA 1,123,889, % % 114 H SECURITY HLTH PLAN OF WI INC 1,098,011, % % 115 H 1212 VANGUARD HLTH VENTURES GRP 1,042,247, % % 116 H 477 RENAISSANCE HLTH SERV CORP GRP 1,025,884, % % 117 L P 984 HCC INS HOLDINGS GRP 1,020,086, % % 118 H 3409 HEALTHPLUS OF MI GRP 1,015,833, % % 119 H 4512 DENTAQUEST GRP 964,997, % % 120 P 176 STATE FARM GRP 951,762, % % 121 H 4704 PACIFICSOURCE HLTH PLAN GRP 947,618, % % 122 L P 3098 TOKIO MARINE HOLDINGS INC GRP 927,243, % % 123 H 2678 NETWORK HLTH GRP 906,324, % % 124 H NEIGHBORHOOD HLTH PLAN OF RI INC 895,877, % % 125 H TEXAS CHILDRENS HLTH PLAN INC 878,934, % % **TOTAL** 824,321,580, % % 18

25 Alabama 1 H 570 BCBS OF AL GRP 4,573,689, % % 2 L H 707 UNITEDHEALTH GRP 749,675, % % 3 L H 901 CIGNA HLTH GRP 624,243, % % 4 H VIVA HLTH INC 605,984, % % 5 L H 119 HUMANA GRP 525,637, % % 6 L 370 AFLAC GRP 119,072, % % 7 L 565 UNUMPROVIDENT CORP GRP 82,395, % % 8 L H 1 AETNA GRP 76,510, % % 9 L 290 LIBERTY NATL GRP 69,084, % % 10 L H P 241 METROPOLITAN GRP 68,007, % % 11 H 4667 CVS CAREMARK GRP 52,959, % % 12 L 429 GUARDIAN LIFE GRP 43,258, % % 13 H 2479 DENTEGRA GRP 38,140, % % 14 L P 468 AEGON US HOLDING GRP 35,476, % % 15 L 4011 GENWORTH FIN GRP 31,778, % % 16 L 261 MUTUAL OF OMAHA GRP 31,457, % % 17 H 1199 WELLCARE GRP 29,107, % % 18 L 330 AMERICAN FIDELITY CORP GRP 28,047, % % 19 L P 23 BCS INS GRP 27,314, % % 20 H 1189 VISION SERV PLAN GRP 23,386, % % 21 H 4813 EXPRESS SCRIPTS HOLDING GRP 22,829, % % 22 L 91 HARTFORD FIRE & CAS GRP 22,561, % % 23 L 860 NORTHWESTERN MUT GRP 20,544, % % 24 L 20 LINCOLN NATL GRP 20,357, % % 25 L 8 ALLSTATE INS GRP 18,224, % % 26 L P 19 ASSURANT INC GRP 17,794, % % 27 L P 984 HCC INS HOLDINGS GRP 17,596, % % 28 L 332 PRINCIPAL FIN GRP 16,671, % % 29 L 1348 STANCORP FIN GRP 15,803, % % 30 P 176 STATE FARM GRP 15,683, % % 31 L 549 SUN LIFE ASSUR CO OF CN GRP 15,425, % % 32 L 661 BCBS OF SC GRP 13,172, % % 33 L 304 PRUDENTIAL OF AMER GRP 13,037, % % 34 L 904 JOHN HANCOCK GRP 12,392, % % 35 L P 12 AMERICAN INTL GRP 11,494, % % 36 L 111 LIBERTY MUT GRP 11,320, % % 37 L 3098 TOKIO MARINE HOLDINGS INC GRP 11,171, % % 38 L 367 PHYSICIANS MUT GRP 11,095, % % 39 L 233 CNO FINANCIAL GRP 10,371, % % 40 L LIFE INS CO OF AL 8,880, % % 41 L 943 AMERITAS MUT HOLDING GRP 7,767, % % 42 H FIRST COMM HLTH PLAN INC 7,089, % % 43 L 826 NEW YORK LIFE GRP 6,611, % % 44 L 520 NEW ERA LIFE GRP 5,981, % % 45 L 229 ING AMER INS HOLDING GRP 5,894, % % 46 L 812 HIGHMARK GRP 5,864, % % 47 L 435 MASS MUT LIFE INS GRP 5,745, % % 48 L 215 KEMPER CORP GRP 5,659, % % 49 L 1211 NATIONAL GUARDIAN LIFE INS GRP 5,315, % % 50 L 869 MINNESOTA MUT GRP 4,896, % % 51 L P 1129 WHITE MOUNTAINS GRP 4,848, % % 52 L 876 ARKANSAS BCBS GRP 4,759, % % 53 L P 450 GENEVE HOLDINGS INC GRP 4,404, % % 54 L 306 CUNA MUT GRP 4,346, % % 55 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 4,341, % % 56 L P 84 AMERICAN FINANCIAL GRP 3,676, % % 57 L 4 AMERIPRISE FIN GRP 3,549, % % 58 L 4827 SOUTHLAND NATL HOLDING GRP 3,383, % % 59 L P 626 ACE LTD GRP 3,318, % % 60 L 619 ONEAMERICA FIN PARTNERS GRP 3,125, % % 61 P 218 CNA INS GRP 3,049, % % 62 L P 212 ZURICH INS GRP 2,855, % % 63 L 761 ALLIANZ INS GRP 2,791, % % 64 L 1117 HARRIS INS HOLDINGS GRP 2,700, % % 19

26 Alabama 65 L 451 FIDELITY SECURITY GRP 2,630, % % 66 L 458 PROTECTIVE LIFE INS GRP 2,574, % % 67 L 276 TRUSTMARK INS CO GRP 2,561, % % 68 L 264 HEALTHMARKETS GRP 2,407, % % 69 L 4483 NESTLE SA GRP 2,202, % % 70 H ENVISION INS CO 2,129, % % 71 L EQUITABLE LIFE & CAS INS CO 2,096, % % 72 L 581 BOSTON MUT GRP 2,062, % % 73 L 671 ANTHEM INC GRP 2,009, % % 74 L 525 PAN AMER LIFE GRP 2,003, % % 75 L 839 WESTBRIDGE CAPITAL GRP 1,903, % % 76 P CENTENNIAL CAS CO 1,827, % % 77 P 1279 ARCH INS GRP 1,817, % % 78 L 917 HCSC GRP 1,817, % % 79 F WOODMEN WORLD ASSUR LIFE ASSN 1,708, % % 80 P 158 FAIRFAX FIN GRP 1,600, % % 81 L 200 UNITED SERV AUTOMOBILE ASSN GRP 1,400, % % 82 L 687 GUARANTEE TRUST GRP 1,383, % % 83 L 316 NATIONAL SECURITY GRP 1,380, % % 84 L P 55 AUTOMOBILE CLUB MI GRP 1,290, % % 85 L 4815 RESOLUTION LIFE GRP 1,252, % % 86 L 3527 AMERICAN ENTERPRISE MUT GRP 1,245, % % 87 L P 140 NATIONWIDE CORP GRP 1,147, % % 88 L ASSURITY LIFE INS CO 1,042, % % 89 L P 98 WR BERKLEY CORP GRP 943, % % 90 L 769 GREAT WEST GRP 916, % % 91 F ORDER OF UNITED COMMERCIAL TRAVELERS 908, % % 92 L 1186 LIFETIME HLTHCARE GRP 890, % % 93 L 968 AXA INS GRP 858, % % 94 L 588 KANSAS CITY LIFE INS GRP 854, % % 95 L CITIZENS SECURITY LIFE INS CO 833, % % 96 L P 7 FEDERATED MUT GRP 805, % % 97 F WOODMEN WORLD LIFE INS SOC 790, % % 98 P AMEX ASSUR CO 788, % % 99 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 740, % % 100 L UNIFIED LIFE INS CO 659, % % 101 L 5 ALFA INS GRP 649, % % 102 H 477 RENAISSANCE HLTH SERV CORP GRP 617, % % 103 L 634 NATIONAL LIFE GRP 586, % % 104 L 953 UNIVERSAL AMER FIN CORP GRP 580, % % 105 L 4213 WILTON RE GRP 567, % % 106 P 38 CHUBB INC GRP 550, % % 107 L 41 CITIGROUP GRP 504, % % 108 L SYMPHONIX HLTH INS INC 489, % % 109 L 704 OHIO NATL LIFE GRP 477, % % 110 P 796 QBE INS GRP 424, % % 111 L 4722 PURITAN FINANCIAL CO GRP 418, % % 112 L 572 BCBS OF MI GRP 409,498 - % % 113 L 280 AUTO OWNERS GRP 370,179 - % % 114 L 50 COUNTRY INS & FIN SERV GRP 361,368 - % % 115 L ILLINOIS MUT LIFE INS CO 360,342 - % % 116 L 918 JACKSON NATL GRP 358,510 - % % 117 L 1216 TIAA FAMILY GRP 348,410 - % % 118 L P 150 OLD REPUBLIC GRP 344,089 - % % 119 L P 2538 AMTRUST NGH GRP 340,182 - % % 120 P 31 BERKSHIRE HATHAWAY GRP 335,712 - % % 121 L 4824 ADVANTAGE CAPITAL GRP 323,540 - % % 122 P 181 SWISS RE GRP 319,305 - % % 123 L COMMERCIAL TRAVELERS MUT INS CO 273,940 - % % 124 L 4718 TIPTREE FIN GRP 247,412 - % % 125 L 4734 ATHENE GRP 245,683 - % % **TOTAL** 8,322,312, % % 20

27 Alaska 1 L H 962 PREMERA BLUE CROSS GRP 558,008, % % 2 L 1 AETNA GRP 86,562, % % 3 H 1313 OREGON DENTAL GRP 47,753, % % 4 L 707 UNITEDHEALTH GRP 41,200, % % 5 L P 19 ASSURANT INC GRP 35,881, % % 6 L 984 HCC INS HOLDINGS GRP 20,499, % % 7 L H 901 CIGNA HLTH GRP 19,553, % % 8 L 370 AFLAC GRP 14,097, % % 9 L P 1129 WHITE MOUNTAINS GRP 11,452, % % 10 L 549 SUN LIFE ASSUR CO OF CN GRP 10,541, % % 11 L 229 ING AMER INS HOLDING GRP 9,760, % % 12 L H 241 METROPOLITAN GRP 6,962, % % 13 L H 917 HCSC GRP 6,457, % % 14 L H 119 HUMANA GRP 6,426, % % 15 L P 468 AEGON US HOLDING GRP 5,650, % % 16 L 276 TRUSTMARK INS CO GRP 5,475, % % 17 L 565 UNUMPROVIDENT CORP GRP 4,607, % % 18 L 429 GUARDIAN LIFE GRP 4,340, % % 19 L 91 HARTFORD FIRE & CAS GRP 4,145, % % 20 L 4011 GENWORTH FIN GRP 4,133, % % 21 P 176 STATE FARM GRP 3,332, % % 22 L 332 PRINCIPAL FIN GRP 3,273, % % 23 L 330 AMERICAN FIDELITY CORP GRP 3,196, % % 24 L 261 MUTUAL OF OMAHA GRP 2,854, % % 25 L 264 HEALTHMARKETS GRP 2,746, % % 26 L P 12 AMERICAN INTL GRP 2,732, % % 27 L 304 PRUDENTIAL OF AMER GRP 2,660, % % 28 H 1189 VISION SERV PLAN GRP 2,651, % % 29 L 3098 TOKIO MARINE HOLDINGS INC GRP 2,554, % % 30 L 661 BCBS OF SC GRP 2,411, % % 31 L 826 NEW YORK LIFE GRP 2,041, % % 32 H 4667 CVS CAREMARK GRP 1,869, % % 33 H 1199 WELLCARE GRP 1,803, % % 34 L 869 MINNESOTA MUT GRP 1,782, % % 35 L H 812 HIGHMARK GRP 1,678, % % 36 L 290 LIBERTY NATL GRP 1,670, % % 37 L 904 JOHN HANCOCK GRP 1,629, % % 38 L 20 LINCOLN NATL GRP 1,576, % % 39 L 8 ALLSTATE INS GRP 1,492, % % 40 L 781 UNION LABOR GRP 1,413, % % 41 L 451 FIDELITY SECURITY GRP 1,357, % % 42 H WESTERN GROCERS EMPLOYEE BENEFIT TRU 1,340, % % 43 L 860 NORTHWESTERN MUT GRP 1,294, % % 44 L 876 ARKANSAS BCBS GRP 1,242, % % 45 L P 626 ACE LTD GRP 1,225, % % 46 L P 212 ZURICH INS GRP 1,215, % % 47 L 1348 STANCORP FIN GRP 1,173, % % 48 L P 140 NATIONWIDE CORP GRP 1,004, % % 49 H ENVISION INS CO 810, % % 50 H 4813 EXPRESS SCRIPTS HOLDING GRP 789, % % 51 L UNIFIED LIFE INS CO 757, % % 52 L 450 GENEVE HOLDINGS INC GRP 757, % % 53 P 218 CNA INS GRP 719, % % 54 P 796 QBE INS GRP 633, % % 55 L P 23 BCS INS GRP 620, % % 56 L 111 LIBERTY MUT GRP 588, % % 57 L 943 AMERITAS MUT HOLDING GRP 556, % % 58 L 306 CUNA MUT GRP 555, % % 59 L 4483 NESTLE SA GRP 537, % % 60 L 200 UNITED SERV AUTOMOBILE ASSN GRP 450, % % 61 H 2479 DENTEGRA GRP 446, % % 62 P 181 SWISS RE GRP 399, % % 63 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 344, % % 64 L 435 MASS MUT LIFE INS GRP 331, % % 21

28 Alaska 65 L 761 ALLIANZ INS GRP 310, % % 66 L 769 GREAT WEST GRP 285, % % 67 L 1295 CENTENE CORP GRP 279, % % 68 L 367 PHYSICIANS MUT GRP 259, % % 69 L 690 CENTRAL STATES GRP 248, % % 70 L 4815 RESOLUTION LIFE GRP 224, % % 71 L 233 CNO FINANCIAL GRP 221, % % 72 L 671 ANTHEM INC GRP 192, % % 73 L SYMPHONIX HLTH INS INC 180, % % 74 L 968 AXA INS GRP 167, % % 75 L 458 PROTECTIVE LIFE INS GRP 160, % % 76 L 50 COUNTRY INS & FIN SERV GRP 144, % % 77 P AMEX ASSUR CO 140, % % 78 L P 98 WR BERKLEY CORP GRP 138, % % 79 L 4 AMERIPRISE FIN GRP 131, % % 80 L 492 SECURITY AMER FINANCIAL ENTERPRISES 123, % % 81 L P 169 SENTRY INS GRP 99, % % 82 L SENIOR HLTH INS CO OF PA 97, % % 83 L 55 AUTOMOBILE CLUB MI GRP 95, % % 84 L 572 BCBS OF MI GRP 83, % % 85 L 84 AMERICAN FINANCIAL GRP 82, % % 86 L 1186 LIFETIME HLTHCARE GRP 79, % % 87 L 3527 AMERICAN ENTERPRISE MUT GRP 76, % % 88 L ASSURITY LIFE INS CO 66, % % 89 L 588 KANSAS CITY LIFE INS GRP 63, % % 90 L 1211 NATIONAL GUARDIAN LIFE INS GRP 61, % % 91 L 41 CITIGROUP GRP 60, % % 92 P 3416 AXIS CAPITAL GRP 59, % % 93 L 918 JACKSON NATL GRP 57, % % 94 P 38 CHUBB INC GRP 57, % % 95 L BEST LIFE & HLTH INS CO 54, % % 96 L 4734 ATHENE GRP 48,102 - % % 97 L 350 GENERAL ELECTRIC GRP 44,830 - % % 98 H 477 RENAISSANCE HLTH SERV CORP GRP 39,935 - % % 99 P 4670 STARR GRP 30,498 - % % 100 L EQUITABLE LIFE & CAS INS CO 26,389 - % % 101 L MUTUAL OF AMER LIFE INS CO 26,213 - % % 102 L 1207 CAMBIA HEALTH SOLUTIONS INC 24,516 - % % 103 L 953 UNIVERSAL AMER FIN CORP GRP 23,474 - % % 104 L 525 PAN AMER LIFE GRP 23,469 - % % 105 L 300 HORACE MANN GRP 22,848 - % % 106 L STARMOUNT LIFE INS CO 20,928 - % % 107 L 687 GUARANTEE TRUST GRP 20,749 - % % 108 P 4574 CATLIN US INS GRP 20,148 - % % 109 L 449 FINANCIAL HOLDINGS GRP 17,370 - % % 110 P 785 MARKEL CORP GRP 15,501 - % % 111 F KNIGHTS OF COLUMBUS 15,274 - % % 112 L 440 REGAL REINS GRP 15,149 - % % 113 L 215 KEMPER CORP GRP 15,006 - % % 114 L 634 NATIONAL LIFE GRP 14,842 - % % 115 L ILLINOIS MUT LIFE INS CO 13,858 - % % 116 L 408 AMERICAN NATL FIN GRP 12,911 - % % 117 L 850 PENN MUT GRP 12,429 - % % 118 L 587 ATLANTIC AMER GRP 11,606 - % % 119 P 150 OLD REPUBLIC GRP 10,618 - % % 120 L 1117 HARRIS INS HOLDINGS GRP 10,093 - % % 121 L 839 WESTBRIDGE CAPITAL GRP 9,890 - % % 122 L 1216 TIAA FAMILY GRP 9,362 - % % 123 L 704 OHIO NATL LIFE GRP 9,217 - % % 124 L 574 AMERCO CORP GRP 9,177 - % % 125 F ORDER OF UNITED COMMERCIAL TRAVELERS 7,541 - % % **TOTAL** 973,006, % % 22

29 Arizona 1 L H 707 UNITEDHEALTH GRP 2,489,456, % % 2 H BCBS OF AZ INC 1,698,938, % % 3 L H 623 HEALTH NET INC GRP 1,131,121, % % 4 L H 901 CIGNA HLTH GRP 785,677, % % 5 H MERCY MARICOPA INTEGRATED CARE 778,397, % % 6 L H 119 HUMANA GRP 762,943, % % 7 L H 1 AETNA GRP 630,591, % % 8 H MEDISUN INC 229,238, % % 9 L H 671 ANTHEM INC GRP 190,522, % % 10 H SCAN HLTH PLAN AZ 157,742, % % 11 L H 241 METROPOLITAN GRP 135,629, % % 12 L H P 19 ASSURANT INC GRP 107,533, % % 13 L 261 MUTUAL OF OMAHA GRP 103,985, % % 14 H 4759 VANGUARD HLTH GRP 87,073, % % 15 L 565 UNUMPROVIDENT CORP GRP 72,805, % % 16 L 370 AFLAC GRP 68,268, % % 17 H 3658 DELTA DENTAL PLAN OF AZ GRP 55,217, % % 18 L 4011 GENWORTH FIN GRP 45,654, % % 19 L H 429 GUARDIAN LIFE GRP 42,678, % % 20 L P 468 AEGON US HOLDING GRP 42,257, % % 21 H 1199 WELLCARE GRP 41,200, % % 22 L P 91 HARTFORD FIRE & CAS GRP 39,244, % % 23 L P 1129 WHITE MOUNTAINS GRP 38,021, % % 24 L 332 PRINCIPAL FIN GRP 32,099, % % 25 H 4667 CVS CAREMARK GRP 31,664, % % 26 L 904 JOHN HANCOCK GRP 29,722, % % 27 H 1189 VISION SERV PLAN GRP 25,839, % % 28 L H 661 BCBS OF SC GRP 22,111, % % 29 L 304 PRUDENTIAL OF AMER GRP 21,900, % % 30 L 233 CNO FINANCIAL GRP 21,637, % % 31 L 451 FIDELITY SECURITY GRP 20,452, % % 32 L 20 LINCOLN NATL GRP 20,258, % % 33 L P 626 ACE LTD GRP 20,080, % % 34 L 549 SUN LIFE ASSUR CO OF CN GRP 19,936, % % 35 L 367 PHYSICIANS MUT GRP 19,413, % % 36 H 4786 COMPASS COOPERATIVE GRP 17,709, % % 37 L 860 NORTHWESTERN MUT GRP 16,679, % % 38 L 290 LIBERTY NATL GRP 16,375, % % 39 L P 12 AMERICAN INTL GRP 16,056, % % 40 P 176 STATE FARM GRP 15,381, % % 41 L P 450 GENEVE HOLDINGS INC GRP 15,067, % % 42 L H 812 HIGHMARK GRP 14,916, % % 43 L 1348 STANCORP FIN GRP 14,585, % % 44 L 943 AMERITAS MUT HOLDING GRP 14,543, % % 45 L 229 ING AMER INS HOLDING GRP 13,230, % % 46 L 3527 AMERICAN ENTERPRISE MUT GRP 12,788, % % 47 L P 111 LIBERTY MUT GRP 12,610, % % 48 L 276 TRUSTMARK INS CO GRP 11,598, % % 49 H SIGHTCARE INC 10,384, % % 50 L P 984 HCC INS HOLDINGS GRP 10,327, % % 51 L 264 HEALTHMARKETS GRP 10,244, % % 52 H EMPLOYERS DENTAL SERV 10,154, % % 53 P 218 CNA INS GRP 9,878, % % 54 L 8 ALLSTATE INS GRP 9,573, % % 55 L 435 MASS MUT LIFE INS GRP 8,723, % % 56 L 200 UNITED SERV AUTOMOBILE ASSN GRP 8,375, % % 57 L 408 AMERICAN NATL FIN GRP 8,138, % % 58 H 2479 DENTEGRA GRP 7,992, % % 59 L 869 MINNESOTA MUT GRP 7,267, % % 60 L EQUITABLE LIFE & CAS INS CO 7,033, % % 61 L 826 NEW YORK LIFE GRP 7,026, % % 62 H ENVISION INS CO 6,741, % % 63 L 330 AMERICAN FIDELITY CORP GRP 6,394, % % 64 L H 917 HCSC GRP 6,258, % % 23

30 Arizona 65 L P 4 AMERIPRISE FIN GRP 5,736, % % 66 L 839 WESTBRIDGE CAPITAL GRP 5,441, % % 67 L P 212 ZURICH INS GRP 5,373, % % 68 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 5,238, % % 69 L 761 ALLIANZ INS GRP 5,049, % % 70 L P 140 NATIONWIDE CORP GRP 4,605, % % 71 L 3098 TOKIO MARINE HOLDINGS INC GRP 4,599, % % 72 L P 84 AMERICAN FINANCIAL GRP 4,286, % % 73 H 4813 EXPRESS SCRIPTS HOLDING GRP 3,983, % % 74 L 4483 NESTLE SA GRP 3,943, % % 75 H 126 EDUCATORS MUT GRP 3,924, % % 76 L 306 CUNA MUT GRP 3,883, % % 77 L P 31 BERKSHIRE HATHAWAY GRP 3,365, % % 78 H AVESIS INS INC 3,280, % % 79 P 38 CHUBB INC GRP 3,234, % % 80 L SENIOR HLTH INS CO OF PA 2,854, % % 81 H HEALTH CHOICE INS CO 2,850, % % 82 L 215 KEMPER CORP GRP 2,780, % % 83 L P 23 BCS INS GRP 2,694, % % 84 L 98 WR BERKLEY CORP GRP 2,466, % % 85 L 1211 NATIONAL GUARDIAN LIFE INS GRP 2,456, % % 86 H THE UNIVERSITY OF AZ HLTH PLANS UNIV 2,441, % % 87 L 4712 GPM LIFE GRP 2,318, % % 88 F ORDER OF UNITED COMMERCIAL TRAVELERS 2,220, % % 89 L 1117 HARRIS INS HOLDINGS GRP 2,178, % % 90 L 4824 ADVANTAGE CAPITAL GRP 2,032, % % 91 L SYMPHONIX HLTH INS INC 1,882, % % 92 F ROYAL NEIGHBORS OF AMER 1,820, % % 93 L 535 COLUMBIAN LIFE GRP 1,725, % % 94 L 55 AUTOMOBILE CLUB MI GRP 1,559, % % 95 P 158 FAIRFAX FIN GRP 1,513, % % 96 L 1186 LIFETIME HLTHCARE GRP 1,411, % % 97 L 4815 RESOLUTION LIFE GRP 1,408, % % 98 L 525 PAN AMER LIFE GRP 1,402, % % 99 H 477 RENAISSANCE HLTH SERV CORP GRP 1,371, % % 100 F WOODMEN WORLD ASSUR LIFE ASSN 1,350, % % 101 L 687 GUARANTEE TRUST GRP 1,272, % % 102 P AMEX ASSUR CO 1,248, % % 103 L 769 GREAT WEST GRP 1,247, % % 104 L 50 COUNTRY INS & FIN SERV GRP 1,224, % % 105 P 473 AMERICAN FAMILY INS GRP 1,199, % % 106 L ASSURITY LIFE INS CO 1,160, % % 107 L 918 JACKSON NATL GRP 1,006, % % 108 H PREMIER CHOICE DENTAL INC 985, % % 109 L 588 KANSAS CITY LIFE INS GRP 933, % % 110 L SENTINEL SECURITY LIFE INS CO 921, % % 111 L WMI MUT INS CO 815, % % 112 L LINCOLN HERITAGE LIFE INS CO 784, % % 113 L ILLINOIS MUT LIFE INS CO 765, % % 114 P 3416 AXIS CAPITAL GRP 727, % % 115 L UNIFIED LIFE INS CO 682, % % 116 L 953 UNIVERSAL AMER FIN CORP GRP 653, % % 117 L 350 GENERAL ELECTRIC GRP 617, % % 118 L 492 SECURITY AMER FINANCIAL ENTERPRISES 605, % % 119 L 458 PROTECTIVE LIFE INS GRP 599, % % 120 F KNIGHTS OF COLUMBUS 560, % % 121 L 619 ONEAMERICA FIN PARTNERS GRP 552, % % 122 L 968 AXA INS GRP 541, % % 123 P 796 QBE INS GRP 529, % % 124 L 520 NEW ERA LIFE GRP 496,782 - % % 125 L 4734 ATHENE GRP 470,675 - % % **TOTAL** 10,485,462, % % 24

31 Arkansas 1 L H 876 ARKANSAS BCBS GRP 2,214,278, % % 2 L H 707 UNITEDHEALTH GRP 681,132, % % 3 L H 119 HUMANA GRP 443,185, % % 4 H 4807 CATHOLIC HLTH INITIATIVES GRP 169,981, % % 5 L 1295 CENTENE CORP GRP 125,486, % % 6 L H 1 AETNA GRP 119,611, % % 7 H 1199 WELLCARE GRP 117,253, % % 8 H DELTA DENTAL PLAN OF AR INC 111,579, % % 9 L 370 AFLAC GRP 72,571, % % 10 L H 901 CIGNA HLTH GRP 65,321, % % 11 L 565 UNUMPROVIDENT CORP GRP 55,243, % % 12 H 4667 CVS CAREMARK GRP 42,714, % % 13 L H P 241 METROPOLITAN GRP 31,449, % % 14 L 261 MUTUAL OF OMAHA GRP 31,267, % % 15 L H 917 HCSC GRP 29,531, % % 16 L 290 LIBERTY NATL GRP 22,471, % % 17 L 8 ALLSTATE INS GRP 20,895, % % 18 L P 468 AEGON US HOLDING GRP 20,511, % % 19 L 20 LINCOLN NATL GRP 16,476, % % 20 L 984 HCC INS HOLDINGS GRP 16,358, % % 21 L 91 HARTFORD FIRE & CAS GRP 15,516, % % 22 L 233 CNO FINANCIAL GRP 15,081, % % 23 L 4011 GENWORTH FIN GRP 14,922, % % 24 L 332 PRINCIPAL FIN GRP 14,389, % % 25 L P 19 ASSURANT INC GRP 14,298, % % 26 L 330 AMERICAN FIDELITY CORP GRP 13,472, % % 27 H 4813 EXPRESS SCRIPTS HOLDING GRP 12,989, % % 28 L 429 GUARDIAN LIFE GRP 12,402, % % 29 L 860 NORTHWESTERN MUT GRP 10,080, % % 30 L 304 PRUDENTIAL OF AMER GRP 9,495, % % 31 P 176 STATE FARM GRP 8,784, % % 32 L 904 JOHN HANCOCK GRP 8,704, % % 33 L P 1129 WHITE MOUNTAINS GRP 8,513, % % 34 L P 12 AMERICAN INTL GRP 8,319, % % 35 L 549 SUN LIFE ASSUR CO OF CN GRP 7,940, % % 36 L P 111 LIBERTY MUT GRP 7,889, % % 37 L 953 UNIVERSAL AMER FIN CORP GRP 7,847, % % 38 L 1348 STANCORP FIN GRP 7,158, % % 39 L P 212 ZURICH INS GRP 6,905, % % 40 L 1211 NATIONAL GUARDIAN LIFE INS GRP 6,736, % % 41 L P 626 ACE LTD GRP 6,336, % % 42 L 943 AMERITAS MUT HOLDING GRP 5,254, % % 43 L 839 WESTBRIDGE CAPITAL GRP 4,845, % % 44 L 3098 TOKIO MARINE HOLDINGS INC GRP 4,696, % % 45 L 1117 HARRIS INS HOLDINGS GRP 4,616, % % 46 L OLD SURETY LIFE INS CO 4,230, % % 47 L 215 KEMPER CORP GRP 4,206, % % 48 L 687 GUARANTEE TRUST GRP 4,172, % % 49 L CITIZENS SECURITY LIFE INS CO 3,518, % % 50 L 264 HEALTHMARKETS GRP 3,455, % % 51 L 4796 NATIONAL TEACHERS ASSOC LIFE GROUP 3,422, % % 52 L 3527 AMERICAN ENTERPRISE MUT GRP 3,332, % % 53 L 84 AMERICAN FINANCIAL GRP 3,314, % % 54 L P 7 FEDERATED MUT GRP 3,292, % % 55 L 826 NEW YORK LIFE GRP 3,260, % % 56 P 158 FAIRFAX FIN GRP 3,222, % % 57 P 796 QBE INS GRP 3,137, % % 58 L 276 TRUSTMARK INS CO GRP 3,006, % % 59 L 367 PHYSICIANS MUT GRP 2,993, % % 60 P 218 CNA INS GRP 2,914, % % 61 L 4483 NESTLE SA GRP 2,558, % % 62 L 229 ING AMER INS HOLDING GRP 2,511, % % 63 L EQUITABLE LIFE & CAS INS CO 2,333, % % 64 L SOUTHERN FARM BUREAU LIFE INS CO 2,182, % % 25

32 Arkansas 65 L P 23 BCS INS GRP 2,085, % % 66 L 869 MINNESOTA MUT GRP 2,073, % % 67 L H 812 HIGHMARK GRP 2,064, % % 68 F WOODMEN WORLD ASSUR LIFE ASSN 2,019, % % 69 L 4 AMERIPRISE FIN GRP 1,910, % % 70 L 574 AMERCO CORP GRP 1,851, % % 71 L 619 ONEAMERICA FIN PARTNERS GRP 1,835, % % 72 L 661 BCBS OF SC GRP 1,757, % % 73 L 520 NEW ERA LIFE GRP 1,743, % % 74 F ORDER OF UNITED COMMERCIAL TRAVELERS 1,729, % % 75 L HEARTLAND NATL LIFE INS CO 1,630, % % 76 L 435 MASS MUT LIFE INS GRP 1,580, % % 77 P 3416 AXIS CAPITAL GRP 1,555, % % 78 L 98 WR BERKLEY CORP GRP 1,428, % % 79 L 123 SHELTER INS GRP 1,350, % % 80 L 306 CUNA MUT GRP 1,315, % % 81 L 761 ALLIANZ INS GRP 1,309, % % 82 L P 450 GENEVE HOLDINGS INC GRP 1,295, % % 83 H 2479 DENTEGRA GRP 1,247, % % 84 L LIFE INS CO OF AL 1,246, % % 85 L 525 PAN AMER LIFE GRP 1,212, % % 86 F 2938 THRIVENT FINANCIAL FOR LUTHERANS GRP 1,193, % % 87 L 671 ANTHEM INC GRP 1,192, % % 88 H ENVISION INS CO 1,114, % % 89 P 181 SWISS RE GRP 1,023, % % 90 L STARMOUNT LIFE INS CO 933, % % 91 L 408 AMERICAN NATL FIN GRP 932, % % 92 L P 140 NATIONWIDE CORP GRP 921, % % 93 L 451 FIDELITY SECURITY GRP 903, % % 94 L 4213 WILTON RE GRP 894, % % 95 L 200 UNITED SERV AUTOMOBILE ASSN GRP 829, % % 96 L 588 KANSAS CITY LIFE INS GRP 748, % % 97 L SENIOR HLTH INS CO OF PA 650, % % 98 L JEFFERSON NATL LIFE INS CO 642, % % 99 L SYMPHONIX HLTH INS INC 579, % % 100 F ROYAL NEIGHBORS OF AMER 559, % % 101 L 4824 ADVANTAGE CAPITAL GRP 542, % % 102 L 769 GREAT WEST GRP 541, % % 103 L ASSURITY LIFE INS CO 535, % % 104 L 4722 PURITAN FINANCIAL CO GRP 522, % % 105 F WOODMEN WORLD LIFE INS SOC 488, % % 106 L 55 AUTOMOBILE CLUB MI GRP 486, % % 107 L 4826 ECG GRP 445, % % 108 L 1186 LIFETIME HLTHCARE GRP 443, % % 109 L 4815 RESOLUTION LIFE GRP 382, % % 110 L 4712 GPM LIFE GRP 368, % % 111 L 918 JACKSON NATL GRP 366, % % 112 H 477 RENAISSANCE HLTH SERV CORP GRP 351, % % 113 P 38 CHUBB INC GRP 340, % % 114 P AMEX ASSUR CO 336, % % 115 L 458 PROTECTIVE LIFE INS GRP 330, % % 116 P 31 BERKSHIRE HATHAWAY GRP 322, % % 117 L UNIFIED LIFE INS CO 314, % % 118 L 781 UNION LABOR GRP 314, % % 119 F KNIGHTS OF COLUMBUS 286, % % 120 L 587 ATLANTIC AMER GRP 270, % % 121 L 41 CITIGROUP GRP 266, % % 122 L 581 BOSTON MUT GRP 257, % % 123 L ILLINOIS MUT LIFE INS CO 254, % % 124 L 968 AXA INS GRP 248, % % 125 L 4727 J & P HOLDINGS GRP 228,300 - % % **TOTAL** 4,765,304, % % 26