2014 Medicare Supplement Loss Ratios

Transcription

1 2014 Medicare Supplement Loss Ratios

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3 2014 Medicare Supplement Loss Ratios 2015

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5 TABLE OF CONTENTS 2014 MEDICARE SUPPLEMENT LOSS RATIOS INTRODUCTION... 1 Qualifications... 2 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY... 3 U.S. and U.S. Territories Summary... 5 Ten-Year Summary... 6 By Totals... 7 Number of Covered Lives by Map... 9 INDIVIDUAL POLICIES ISSUED THROUGH 2011 U.S. and U.S. Territories By Direct Premiums U.S. and U.S. Territories By INDIVIDUAL POLICIES ISSUED IN 2012, 2013, AND 2014 U.S. and U.S. Territories By Direct Premiums U.S. and U.S. Territories By TOTAL INDIVIDUAL POLICIES U.S. and U.S. Territories By Direct Premiums U.S. and U.S. Territories By GROUP POLICIES ISSUED THROUGH 2011 U.S. and U.S. Territories By Direct Premiums U.S. and U.S. Territories By GROUP POLICIES ISSUED IN 2012, 2013, AND 2014 U.S. and U.S. Territories By Direct Premiums U.S. and U.S. Territories By TOTAL GROUP POLICIES U.S. and U.S. Territories By Direct Premiums U.S. and U.S. Territories By TOTAL POLICIES (Individual and Group) U.S. and U.S. Territories By Direct Premiums U.S. and U.S. Territories By MARKET SHARE BY DIRECT PREMIUMS EARNED Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa

6 Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Guam N. Mariana Islands Puerto Rico U.S. Virgin Islands COMPANY INDEX Sample Medicare Supplement Insurance Exhibit

7 INTRODUCTION Included in this report are the 2014 loss ratios on Medicare supplement business as reported to the National Association of Insurance Commissioners (NAIC). Reporting of these loss ratios, on forms conforming to those developed by the NAIC, is required by the Medicare Catastrophic Coverage Act of 1988, Public Law Although major provisions of the Catastrophic Coverage Act were repealed one year later, this reporting requirement was left intact. The data reported are utilized by state insurance departments to help evaluate insurers compliance with loss ratio standards for Medicare supplement policies. A copy of the experience exhibit, which is used to collect the data, is included. The filing deadline for the 2014 exhibit was March 1, This exhibit is submitted by companies filing the life/health, property/casualty, health and fraternal annual statement blanks. This report shows direct premiums earned, market share, direct claims incurred, loss ratios, and number of covered lives on a countrywide basis for 4,125 filings by 305 insurers filing Medicare Supplement Insurance Experience Exhibits with the NAIC. The report lists companies in descending order of direct premiums earned and in alphabetical order by name. The report also shows insurers experience separately for: 1) individual policies issued through 2011; 2) individual policies issued in 2012, 2013, and 2014; 3) total individual policies; 4) group policies issued through 2011; 5) group policies issued in 2012, 2013, and 2014; 6) total group policies; and 7) total individual and group policies. Also included at the beginning of the report is a table presenting aggregated data for all companies reporting. Insurers reported total direct premiums earned in 2014 of $24.8 billion, with direct claims incurred of $19.0 billion for all Medicare supplement policies. This resulted in an 76.6% loss ratio. A second table presents a 10-year summary of totals for the years 2005 through This table reflects the numbers reported in prior-year Medicare Supplement Loss Ratio Reports. Because companies report this data on a year-to-year basis, there might be some differences between the current-year data and historical data. The majority of the Medicare supplement insurance market is written through individual policies. Total direct premiums earned for individual policies were $18.5 billion, with direct claims incurred of $14.1 billion in This resulted in a 75.9% loss ratio. The loss ratio for individual policies issued through 2011 was slightly lower, at 74.0%. The loss ratio for individual policies issued in 2012, 2013, and 2014 was significantly higher, at 80.2%. Total direct premiums earned for all group policies in 2014 were $6.2 billion, with total direct claims incurred of $4.9 billion, resulting in an 78.7% loss ratio. The loss ratio for group policies issued through 2011 was slightly lower, at 78.4%, whereas the loss ratio for group policies issued in 2012, 2013, and 2014 was slightly higher, at 79.3%. Beginning with the 1994 filings, companies are to report the number of covered lives for each policy form. Total covered lives reported in 2014 for individual and group policies was 11.2 million. In the event that a company has exited this business or was unable to provide the number of covered lives, zeros appear. 1

8 A market share report containing the top 10 companies by direct premiums earned doing business in each state is included in this publication. A map and report with number of covered lives by state is included in the Summary section. The Company Index includes all 305 insurers, summary totals for each company s premiums and number of covered lives for those years prior to 2011, and a summary total for premiums and number of covered lives for the years 2012, 2013, and Qualifications The accuracy of the reports included in this publication is dependent on the accuracy of the information contained in the exhibits filed by insurers. Even though the data elements used to prepare the reports are extracted from exhibits filed with the NAIC, the NAIC cannot verify or guarantee their accuracy. While the NAIC exercises a great deal of care in capturing data from these exhibits and producing these reports, as with any statistical project of a significant magnitude, errors can occur. Consequently, the NAIC makes no representations or warranties with respect to the accuracy of the data and statistics in this report. Please send any questions regarding this report to researchrequest@naic.org. Links to this report and other NAIC reports can be found on the NAIC website at: NAIC Publications. 2

9 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY 3

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11 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS 2014 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY U.S. and U.S. Territories Direct Direct Direct Claims Incurred Premiums Claims To Premium Incurred Experience on Individual Policies Issued through 2011: 12,885,663,656 9,531,626, % Experience on Individual Policies Issued in 2012, 2013 and 2014: 5,660,943,396 4,537,901, % Experience on Total Individual Policies: 18,546,607,052 14,069,528, % Experience on Group Policies Issued through 2011: 4,032,475,705 3,159,284, % Experience on Group Policies Issued in 2012, 2013 and 2014: 2,181,500,569 1,730,096, % Experience on Total Group Policies 6,213,976,274 4,889,380, % Experience on Total Individual and Group Policies: 24,760,583,326 18,958,908, % 5

12 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS 2014 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE SUMMARY U.S. and U.S. Territories TEN YEAR SUMMARY Direct Premiums (000 s) Direct Claims Incurred (000 s) Direct Claims Incurred to Premiums Experience on Total Individual Policies Issued : Experience on Total Group Policies Issued: Experience on Total Individual and Group Policies Issued: ,689,918 11,541, % ,531,084 11,327, % ,418,507 11,478, % ,798,924 11,754, % ,994,367 11,929, % ,791,963 12,416, % ,510,850 13,171, % ,128,702 13,274, % ,739,081 13,521, % ,546,607 14,069, % ,743,582 4,078, % ,693,711 3,871, % ,075,756 3,316, % ,227,074 3,439, % ,472,932 3,650, % ,710,325 3,777, % ,910,974 3,957, % ,213,811 4,190, % ,662,504 4,479, % ,213,976 4,889, % ,433,500 15,620, % ,224,794 15,198, % ,494,263 14,795, % ,025,998 15,193, % ,467,299 15,580, % ,502,288 16,193, % ,421,824 17,128, % ,342,513 17,464, % ,401,585 18,000, % ,760,583 18,958, % 6

13 June 25, 2015 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS 2014 MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS BY STATE TOTALS Actual Number of Actual Number of Name Premiums Lives Covered Name Premiums Lives Covered ALABAMA 353,379, ,201 ALASKA 21,087,705 11,269 ARIZONA 496,958, ,496 ARKANSAS 346,428, ,416 CALIFORNIA 944,224, ,108 COLORADO 311,609, ,654 CONNECTICUT 328,244, ,446 DELAWARE 105,577,196 51,286 DISTRICT OF COLUMBIA 17,969,282 8,817 FLORIDA 1,775,768, ,177 GEORGIA 653,958, ,393 GUAM 592, HAWAII 11,218,587 6,030 IDAHO 136,428,893 62,660 ILLINOIS 1,665,289, ,858 INDIANA 744,082, ,668 IOWA 582,091, ,507 KANSAS 482,120, ,164 KENTUCKY 406,412, ,265 LOUISIANA 295,684, ,198 MAINE 153,161,039 71,684 MARYLAND 510,543, ,365 MASSACHUSETTS 610,446, ,127 MICHIGAN 694,746, ,229 MINNESOTA 338,731, ,043 MISSISSIPPI 310,411, ,451 MISSOURI 672,266, ,610 MONTANA 135,818,141 64,976 N MARIANA ISLANDS 39, NEBRASKA 350,937, ,535 NEVADA 167,285,125 72,899 NEW HAMPSHIRE 191,927,154 83,229 NEW JERSEY 1,038,596, ,694 NEW MEXICO 96,682,382 50,119 NEW YORK 1,031,449, ,035 NORTH CAROLINA 912,015, ,904 NORTH DAKOTA 112,681,265 50,187 OHIO 873,489, ,293 OKLAHOMA 345,503, ,792 OREGON 250,770, ,705 PENNSYLVANIA 1,254,865, ,643 PUERTO RICO 40,290,772 31,499 RHODE ISLAND 88,441,574 45,052 SOUTH CAROLINA 459,501, ,336 SOUTH DAKOTA 145,278,402 64,893 TENNESSEE 430,311, ,510 TEXAS 1,562,617, ,379 U.S. VIRGIN ISLANDS 11,173,273 8,033 UTAH 119,861,363 60,435 VERMONT 86,017,539 45,021 VIRGINIA 714,745, ,765 WASHINGTON 509,339, ,177 WEST VIRGINIA 167,517,503 79,764 WISCONSIN 612,349, ,378 WYOMING 81,643,758 40,240 Total for All s: 24,760,583,326 11,213,060 CAUTION: THE INFORMATION CONTAINED ON THIS PAGE IS UNAUDITED AND NOT A COMPLETE ANALYSIS NOR IS IT AN EXPRESSION OF OPINION ON ANY INSURER. THIS PAGE MAY CONTAIN INADVERTENT ERRORS. 7

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15 Medicare Supplement Insurance Experience Exhibit 2014 Number of Covered Lives by WA 238,177 OR 126,705 ME 71,684 MN 131,043 ID 62,660 WY 40,240 NV 72,899 VT 45,021 ND 50,187 MT 64,976 WI 252,378 SD 64,893 UT 60,435 CA 427,108 CO 149,654 AZ 232,496 PA 634,643 IL 690,858 KS 215,164 OK 171,792 NM 50,119 OH 390,293 IN 319,668 WV 79,764 KY 188,265 MO 288,610 VA 343,765 NC 425,904 TN 197,510 AR 163,416 SC 216,336 MS 137,451 TX 675,379 GA 298,393 AL 188,201 LA 128,198 AK 11,269 FL 730,177 HI 6,030 N. Mariana Islands 29 Guam 416 Puerto Rico 31,499 Virgin Islands 8,033 9 MA 274,127 RI 45,052 MI 393,229 IA 270,507 NE 152,535 NH 83,229 NY 398,035 CT 146,446 NJ 500,694 MD 207,365 DC 8,817 DE 51,286

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17 INDIVIDUAL POLICIES ISSUED THROUGH 2011 BY DIRECT PREMIUMS EARNED 11

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19 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered UnitedHealthcare Ins Co CT ,438,534, ,909,040, ,449 Health Care Serv Corp A Mut Legal Re IL ,015,435, ,537, ,089 United Of Omaha Life Ins Co NE ,125, ,372, ,449 United World Life Ins Co NE ,547, ,715, ,218 Bankers Life & Cas Co IL ,659, ,324, ,629 BCBS of MA MA ,598, ,338, ,354 Mutual Of Omaha Ins Co NE ,603, ,914, ,710 BCBS Of FL FL ,175, ,361, ,050 Wellmark Inc IA ,352, ,064, ,799 BCBS of NC Inc NC ,734, ,588, ,809 Farm Mut Auto Ins Co IL ,021, ,800, ,769 Anthem Hlth Plans of VA Inc VA ,902, ,970, ,184 Highmark Inc PA ,199, ,087, ,161 United Amer Ins Co NE ,565, ,535, ,531 BCBS Of KS Inc KS ,988, ,048, ,066 USAble Mut Ins Co AR ,985, ,798, ,331 Horizon Ins Co NJ ,581, ,029, ,164 BCBS of AL AL ,624, ,091, ,958 USAA Life Ins Co TX ,000, ,871, ,876 Anthem Hlth Plans Of KY Inc KY ,687, ,513, ,244 Carefirst of MD Inc MD ,503, ,078, ,743 Colonial Penn Life Ins Co PA ,677, ,607, ,526 Anthem Ins Co Inc IN ,120, ,853, ,160 BCBS of GA Inc GA ,364, ,140, ,242 Physicians Mut Ins Co NE ,012, ,410, ,412 American Continental Ins Co TN ,643, ,540, ,208 BCBS of TN Inc TN ,245, ,069, ,973 BCBS Of SC Inc SC ,106, ,650, ,544 BCBS Of NE NE ,771, ,648, ,763 Continental Life Ins Co Brentwood TN ,237, ,734, ,752 Gerber Life Ins Co NY ,898, ,015, ,010 Empire Healthchoice Assur Inc NY ,348, ,157, ,338 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 13

20 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Wisconsin Physicians Serv Ins Corp WI ,416, ,343, ,040 Physicians Life Ins Co NE ,471, ,674, ,461 Louisiana Hlth Serv & Ind Co LA ,802, ,832, ,740 Humana Ins Co WI ,338, ,437, ,222 Washington Natl Ins Co IN ,216, ,151, ,635 Healthy Alliance Life Ins Co MO ,215, ,218, ,185 Loyal Amer Life Ins Co OH ,588, ,552, ,244 BCBS of WI WI ,261, ,714, ,526 Noridian Mut Ins Co ND ,831, ,492, ,395 Order of United Commercial Travelers OH ,716, ,401, ,664 American Republic Ins Co IA ,952, ,421, ,809 Standard Life & Accident Ins Co TX ,468, ,016, ,412 Thrivent Financial For Lutherans WI ,698, ,653, ,996 Rocky Mountain Hospital & Medical CO ,664, ,116, ,334 New Era Life Ins Co TX ,423, ,590, ,311 Anthem Hlth Plans Inc CT ,344, ,228, ,468 Bankers Fidelity Life Ins Co GA ,946, ,594, ,181 Country Life Ins Co IL ,387, ,556, ,742 Anthem Hlth Plans of NH NH ,270, ,425, ,286 Sterling Life Ins Co IL ,164, ,947, ,393 Continental Gen Ins Co OH ,497, ,555, ,431 Genworth Life & Ann Ins Co VA ,494, ,353, ,830 United Teacher Assoc Ins Co TX ,096, ,094, ,492 BCBS of KC MO ,017, ,981, ,697 BCBS of AZ Inc AZ ,080, ,580, ,586 Wellmark Of SD Inc SD ,228, ,547, ,201 Constitution Life Ins Co TX ,687, ,590, ,541 American Republic Corp Ins Co NE ,130, ,405, ,712 Woodmen World Assur Life Assn CO ,082, ,952, ,477 Combined Ins Co Of Amer IL ,976, ,651, ,693 Premera Blue Cross WA ,899, ,308, ,932 Philadelphia Amer Life Ins Co TX ,817, ,851, ,720 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 14

21 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Regence BlueShield WA ,326, ,435, ,869 Christian Fidelity Life Ins Co TX ,152, ,853, ,234 BCBS of RI RI ,293, ,748, ,673 Community Ins Co OH ,273, ,459, ,402 American Pioneer Life Ins Co FL ,700, ,331, ,400 Royal Neighbors Of Amer IL ,179, ,121, ,491 Anthem Hlth Plans of ME Inc ME ,779, ,493, ,595 American Family Mut Ins Co WI ,194, ,335, ,906 Equitable Life & Cas Ins Co UT ,887, ,838, ,159 Independence Hospital Ind Plan Inc PA ,770, ,992, ,870 Hospital Serv Assn of NE PA PA ,355, ,561, ,004 Sentinel Security Life Ins Co UT ,845, ,934, ,982 Reserve Natl Ins Co OK ,550, ,164, ,918 Everence Assn Inc IN ,835, ,118, ,918 BCBS Of MS Mut Ins Co MS ,450, ,778, ,935 Golden Rule Ins Co IN ,034, ,801, ,008 Regence BCBS of UT UT ,444, ,103, ,547 New Era Life Ins Co Of Midwest TX ,483, ,784, ,426 Capital Advantage Ins Co PA ,186, ,594, ,789 American Family Life Assur Co of Col NE ,114, ,528, ,404 Old Surety Life Ins Co OK ,027, ,342, ,499 Capital Blue Cross PA ,779, ,408, ,789 Dean Hlth Plan Inc WI ,574, ,572, ,582 Medico Ins Co NE ,308, ,747, ,872 North Amer Ins Co WI ,805, ,756, ,126 Health Net Life Ins Co CA ,723, ,078, ,929 Principal Life Ins Co IA ,696, ,681, ,357 First United Amer Life Ins Co NY ,625, ,510, ,189 Excellus Hlth Plan Inc NY ,620, ,158, ,615 Unicare Life & Hlth Ins Co IN ,915, ,705, ,845 Regence BCBS of OR OR ,688, ,928, ,714 Forethought Life Ins Co IN ,519, ,643, ,849 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 15

22 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Lincoln Heritage Life Ins Co IL ,400, ,569, ,675 Transamerica Life Ins Co IA ,218, ,947, ,446 Pyramid Life Ins Co KS ,046, ,789, ,724 Blue Cross of ID Hlth Serv Inc ID ,575, ,891, ,374 Pekin Life Ins Co IL ,481, ,971, ,240 Medical Mut Of OH OH ,338, ,130, ,958 American Progressive L&H Ins Of NY NY ,306, ,794, ,771 Aetna Life Ins Co CT ,197, ,647, ,759 Sierra Hlth & Life Ins Co Inc NV ,049, ,428, ,299 HPHC Ins Co Inc MA ,840, ,914, ,482 Guarantee Trust Life Ins Co IL ,892, ,150, ,659 Oxford Life Ins Co AZ ,759, ,839, ,627 Provident Amer Life & Hlth Ins Co OH ,726, ,400, ,545 Pacificare Life & Hlth Ins Co IN ,335, ,264, ,881 Sterling Investors Life Ins Co GA ,299, ,474, ,159 Group Hospitalization & Med Srvcs DC ,186, ,830, ,355 Blue Care Network Of MI MI ,058, ,451, ,812 Central s H & L Co Of Omaha NE ,033, ,236, ,768 BCBS of WY WY ,948, ,755, ,390 Highmark West Virginia Inc. WV ,128, ,879, ,582 Avera Hlth Plans Inc SD ,996, ,113, ,819 Regence Blueshield Of ID Inc ID ,987, ,885, ,120 Mut Ins Co GA ,498, ,057, ,890 Government Personnel Mut Life Ins Co TX ,460, ,828, ,179 Marquette Natl Life Ins Co TX ,102, ,601, ,383 Celtic Ins Co IL ,907, ,861, ,794 Puritan Life Ins Co of Amer TX ,663, ,173, ,759 Nationwide Life Ins Co OH ,413, ,388, ,755 BCBS of VT VT ,241, ,904, ,389 Shenandoah Life Ins Co VA ,881, ,112, ,845 Central Reserve Life Ins Co OH ,735, ,017, ,963 Pennsylvania Life Ins Co PA ,431, ,806, ,858 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 16

23 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Globe Life & Accident Ins Co NE ,201, ,040, ,082 Highmark BCBSD Inc DE ,030, ,329, ,490 Health Now NY Inc NY ,945, ,181, ,212 Great Amer Life Ins Co OH ,455, ,660, ,163 Transamerica Premier Life Ins Co IA ,842, ,219, ,694 Heartland Natl Life Ins Co IN ,799, ,815, ,165 Group Hlth Inc NY ,765, ,123, ,810 United Natl Life Ins Co Of Amer IL ,598, ,546, ,293 Health Net Hlth Plan of OR Inc OR ,492, ,485, ,434 Coventry Hlth & Life Ins Co MO ,488, ,688, ,886 Universal Fidelity Life Ins Co OK ,087, ,284, ,170 Unified Life Ins Co TX ,052, ,587, ,711 First Comm Hlth Plan Inc AL ,927, ,347, ,662 Security Hlth Plan of WI Inc WI ,614, ,849, ,407 Humana Ins Co Of KY KY ,190, ,761, ,584 Inter Cty Hospitalization Plan Inc PA ,033, ,657, ,420 LifeWise Hlth Plan of OR Inc OR ,797, ,503, Ryder Hlth Plan Inc PR ,513, ,050, ,574 Sanford Hlth Plan SD ,304, ,579, ,375 Health Tradition Hlth Plan WI ,236, ,610, ,304 New York Life Ins Co NY ,869, ,075, KPS Hlth Plans WA ,795, ,978, ,026 Physicians Plus Ins Corp WI ,763, ,255, ,079 Genworth Life Ins Co DE ,736, ,577, Paramount Ins Co OH ,581, ,560, Health Alliance Medical Plans IL ,526, ,704, Bankers Conseco Life Ins Co NY ,261, ,627, Conseco Life Ins Co IN ,173, ,623, Humana Hlth Ins Co Of FL Inc FL ,034, ,264, American Gen Life Ins Co TX ,916, ,380, Asuris NW Hlth WA ,849, ,637, Connecticut Gen Life Ins Co CT ,815, ,271, CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 17

24 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered United Hlthcare of AL Inc AL ,787, ,351, Jefferson Natl Life Ins Co TX ,761, ,321, Liberty Natl Life Ins Co NE ,736, ,082, ,061 Idealife Ins Co CT ,634, , Avalon Ins Co PA ,518, ,044, Central United Life Ins Co AR ,354, , Transamerica Financial Life Ins Co NY ,298, , Unity Hlth Plans Ins Corp WI ,245, , Alliance Hlth & Life Ins Co MI ,140, , Kanawha Ins Co SC ,071, , Union Fidelity Life Ins Co KS , , Humana Ins Co of NY NY , , Auto Owners Life Ins Co MI , , Hartford Life Ins Co CT , , The Vt Hlth Plan LLC VT , , BCBSM Inc MN , , BridgeSpan Hlth Co UT , , Shelter Life Ins Co MO , , UTMB Hlth Plans Inc TX , , Columbian Mut Life Ins Co NY , , Consumers Life Ins Co OH , , Ability Ins Co NE , , Communitycare Life & Hlth Ins Co OK , , Providence Hlth Plan OR , , American Family Life Assur Co of NY NY , , MercyCare HMO Inc WI , , SPJST TX , , Southwest Serv Life Ins Co TX , , Medico Corp Life Ins Co NE , , American Income Life Ins Co IN , , Inter Cnty Hlth Plan Inc PA , , ,412 Medica Hlth Plans MN , , CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 18

25 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Compcare Hlth Serv Ins Corp WI , , Jackson Natl Life Ins Co MI , , HMO dba Blue Plus MN , , John Alden Life Ins Co WI , , Companion Life Ins Co SC , , Humana Hlth Benefit Plan of LA Inc LA , , Horizon Hlthcare Serv Inc NJ , ,020, ,631 American Family Ins Co OH , , Sanford Hlth Plan of MN MN , , Time Ins Co WI , , WPS Hlth Plan Inc WI , , New W Hlth Serv MT , , Jefferson Life Ins Co TX , , Central s Ind Co Of Omaha NE , , Union Labor Life Ins Co MD , , Trustmark Ins Co IL , , Hawaii Medical Serv Assn HI , , UCare MN MN , , CDPHP Universal Benefits Inc NY , , Prudential Ins Co Of Amer NJ , , Allianz Life Ins Co Of N Amer MN , , United Farm Family Life Ins Co IN , , American Natl Ins Co TX , , USAble Life AR , , Upmc Hlth Benefits Inc PA , , IA Amer Life Ins Co TX , , National Found Life Ins Co TX , , United Security Assur Co Of PA PA , , Sagicor Life Ins Co TX , , st Century Premier Ins Co PA , , Cincinnati Equitable Life Ins Co OH , , Group Hlth Coop of Eau Claire WI , , CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 19

26 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Kansas City Life Ins Co MO , , Medisun Inc AZ , , Medical Hlth Insuring Corp of OH OH , , Central Security Life Ins Co TX , , Mid West Natl Life Ins Co Of TN TX , , United Hlthcare of AZ Inc AZ , , EPIC Life Ins Co WI , , US Hlth & Life Ins Co Inc MI , , Assurity Life Ins Co NE , , Voya Retirement Ins & Ann Co CT , , CSA Fraternal Life IL , , National Hlth Ins Co TX , , Colonial Life & Accident Ins Co SC , , Protective Life Ins Co TN , , Federated Mut Ins Co MN , , LifeSecure Ins Co MI , , Provident Amer Ins Co TX , , National Cas Co WI , , Old Amer Ins Co MO , Federal Life Ins Co IL , , Cincinnati Life Ins Co OH , , Lincoln Republic Ins Co ND , , United Heritage Life Ins Co ID , , Midwestern United Life Ins Co IN , , Security Life Of Denver Ins Co CO , , Motorists Commercial Mut Ins Co OH , Metropolitan Life Ins Co NY , , Hartford Life & Accident Ins Co CT , , Investors Heritage Life Ins Co KY , , BCS Ins Co OH , Investors Life Ins Co N Amer TX , Hartford Life & Ann Ins Co CT CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 20

27 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by Direct Premiums U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 of Dom Cocode Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Careamerica Life Ins Co CA CICA Life Ins Co of Amer CO National Guardian Life Ins Co WI ,334 2, Reliable Life Ins Co MO Rocky Mountain Hlthcare Options Inc CO ,360 N/A 0 Madison Natl Life Ins Co Inc WI American Fidelity Assur Co OK , , TOTAL 12,885,663,656 9,531,626, ,945,845 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 21

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29 INDIVIDUAL POLICIES ISSUED THROUGH 2011 BY COMPANY NAME 23

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31 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by of Dom Cocode U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered 21st Century Premier Ins Co PA , , Ability Ins Co NE , , Aetna Life Ins Co CT ,197, ,647, ,759 Alliance Hlth & Life Ins Co MI ,140, , Allianz Life Ins Co Of N Amer MN , , American Continental Ins Co TN ,643, ,540, ,208 American Family Ins Co OH , , American Family Life Assur Co of Col NE ,114, ,528, ,404 American Family Life Assur Co of NY NY , , American Family Mut Ins Co WI ,194, ,335, ,906 American Fidelity Assur Co OK , , American Gen Life Ins Co TX ,916, ,380, American Income Life Ins Co IN , , American Natl Ins Co TX , , American Pioneer Life Ins Co FL ,700, ,331, ,400 American Progressive L&H Ins Of NY NY ,306, ,794, ,771 American Republic Corp Ins Co NE ,130, ,405, ,712 American Republic Ins Co IA ,952, ,421, ,809 Anthem Hlth Plans Inc CT ,344, ,228, ,468 Anthem Hlth Plans Of KY Inc KY ,687, ,513, ,244 Anthem Hlth Plans of ME Inc ME ,779, ,493, ,595 Anthem Hlth Plans of NH NH ,270, ,425, ,286 Anthem Hlth Plans of VA Inc VA ,902, ,970, ,184 Anthem Ins Co Inc IN ,120, ,853, ,160 Assurity Life Ins Co NE , , Asuris NW Hlth WA ,849, ,637, Auto Owners Life Ins Co MI , , Avalon Ins Co PA ,518, ,044, Avera Hlth Plans Inc SD ,996, ,113, ,819 Bankers Conseco Life Ins Co NY ,261, ,627, Bankers Fidelity Life Ins Co GA ,946, ,594, ,181 Bankers Life & Cas Co IL ,659, ,324, ,629 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 25

32 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by of Dom Cocode U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered BCBS of AL AL ,624, ,091, ,958 BCBS of AZ Inc AZ ,080, ,580, ,586 BCBS Of FL FL ,175, ,361, ,050 BCBS of GA Inc GA ,364, ,140, ,242 BCBS of KC MO ,017, ,981, ,697 BCBS Of KS Inc KS ,988, ,048, ,066 BCBS of MA MA ,598, ,338, ,354 BCBS Of MS Mut Ins Co MS ,450, ,778, ,935 BCBS of NC Inc NC ,734, ,588, ,809 BCBS Of NE NE ,771, ,648, ,763 BCBS of RI RI ,293, ,748, ,673 BCBS Of SC Inc SC ,106, ,650, ,544 BCBS of TN Inc TN ,245, ,069, ,973 BCBS of VT VT ,241, ,904, ,389 BCBS of WI WI ,261, ,714, ,526 BCBS of WY WY ,948, ,755, ,390 BCBSM Inc MN , , BCS Ins Co OH , Blue Care Network Of MI MI ,058, ,451, ,812 Blue Cross of ID Hlth Serv Inc ID ,575, ,891, ,374 BridgeSpan Hlth Co UT , , Capital Advantage Ins Co PA ,186, ,594, ,789 Capital Blue Cross PA ,779, ,408, ,789 Careamerica Life Ins Co CA Carefirst of MD Inc MD ,503, ,078, ,743 CDPHP Universal Benefits Inc NY , , Celtic Ins Co IL ,907, ,861, ,794 Central Reserve Life Ins Co OH ,735, ,017, ,963 Central Security Life Ins Co TX , , Central s H & L Co Of Omaha NE ,033, ,236, ,768 Central s Ind Co Of Omaha NE , , Central United Life Ins Co AR ,354, , CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 26

33 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by of Dom Cocode U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Christian Fidelity Life Ins Co TX ,152, ,853, ,234 CICA Life Ins Co of Amer CO Cincinnati Equitable Life Ins Co OH , , Cincinnati Life Ins Co OH , , Colonial Life & Accident Ins Co SC , , Colonial Penn Life Ins Co PA ,677, ,607, ,526 Columbian Mut Life Ins Co NY , , Combined Ins Co Of Amer IL ,976, ,651, ,693 Community Ins Co OH ,273, ,459, ,402 Communitycare Life & Hlth Ins Co OK , , Companion Life Ins Co SC , , Compcare Hlth Serv Ins Corp WI , , Connecticut Gen Life Ins Co CT ,815, ,271, Conseco Life Ins Co IN ,173, ,623, Constitution Life Ins Co TX ,687, ,590, ,541 Consumers Life Ins Co OH , , Continental Gen Ins Co OH ,497, ,555, ,431 Continental Life Ins Co Brentwood TN ,237, ,734, ,752 Country Life Ins Co IL ,387, ,556, ,742 Coventry Hlth & Life Ins Co MO ,488, ,688, ,886 CSA Fraternal Life IL , , Dean Hlth Plan Inc WI ,574, ,572, ,582 Empire Healthchoice Assur Inc NY ,348, ,157, ,338 EPIC Life Ins Co WI , , Equitable Life & Cas Ins Co UT ,887, ,838, ,159 Everence Assn Inc IN ,835, ,118, ,918 Excellus Hlth Plan Inc NY ,620, ,158, ,615 Federal Life Ins Co IL , , Federated Mut Ins Co MN , , First Comm Hlth Plan Inc AL ,927, ,347, ,662 First United Amer Life Ins Co NY ,625, ,510, ,189 Forethought Life Ins Co IN ,519, ,643, ,849 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 27

34 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by of Dom Cocode U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Genworth Life & Ann Ins Co VA ,494, ,353, ,830 Genworth Life Ins Co DE ,736, ,577, Gerber Life Ins Co NY ,898, ,015, ,010 Globe Life & Accident Ins Co NE ,201, ,040, ,082 Golden Rule Ins Co IN ,034, ,801, ,008 Government Personnel Mut Life Ins Co TX ,460, ,828, ,179 Great Amer Life Ins Co OH ,455, ,660, ,163 Group Hlth Coop of Eau Claire WI , , Group Hlth Inc NY ,765, ,123, ,810 Group Hospitalization & Med Srvcs DC ,186, ,830, ,355 Guarantee Trust Life Ins Co IL ,892, ,150, ,659 Hartford Life & Accident Ins Co CT , , Hartford Life & Ann Ins Co CT Hartford Life Ins Co CT , , Hawaii Medical Serv Assn HI , , Health Alliance Medical Plans IL ,526, ,704, Health Care Serv Corp A Mut Legal Re IL ,015,435, ,537, ,089 Health Net Hlth Plan of OR Inc OR ,492, ,485, ,434 Health Net Life Ins Co CA ,723, ,078, ,929 Health Now NY Inc NY ,945, ,181, ,212 Health Tradition Hlth Plan WI ,236, ,610, ,304 Healthy Alliance Life Ins Co MO ,215, ,218, ,185 Heartland Natl Life Ins Co IN ,799, ,815, ,165 Highmark BCBSD Inc DE ,030, ,329, ,490 Highmark Inc PA ,199, ,087, ,161 Highmark West Virginia Inc. WV ,128, ,879, ,582 HMO dba Blue Plus MN , , Horizon Hlthcare Serv Inc NJ , ,020, ,631 Horizon Ins Co NJ ,581, ,029, ,164 Hospital Serv Assn of NE PA PA ,355, ,561, ,004 HPHC Ins Co Inc MA ,840, ,914, ,482 Humana Hlth Benefit Plan of LA Inc LA , , CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 28

35 NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS June 25, MEDICARE SUPPLEMENT INSURANCE EXPERIENCE REPORTS In Order by of Dom Cocode U.S. and U.S. Territories INDIVIDUAL POLICIES ISSUED THROUGH 2011 Group Code Direct Premiums Loss Incurred to Direct Claims Premiums % Incurred % Number of Lives Covered Humana Hlth Ins Co Of FL Inc FL ,034, ,264, Humana Ins Co WI ,338, ,437, ,222 Humana Ins Co Of KY KY ,190, ,761, ,584 Humana Ins Co of NY NY , , IA Amer Life Ins Co TX , , Idealife Ins Co CT ,634, , Independence Hospital Ind Plan Inc PA ,770, ,992, ,870 Inter Cnty Hlth Plan Inc PA , , ,412 Inter Cty Hospitalization Plan Inc PA ,033, ,657, ,420 Investors Heritage Life Ins Co KY , , Investors Life Ins Co N Amer TX , Jackson Natl Life Ins Co MI , , Jefferson Life Ins Co TX , , Jefferson Natl Life Ins Co TX ,761, ,321, John Alden Life Ins Co WI , , Kanawha Ins Co SC ,071, , Kansas City Life Ins Co MO , , KPS Hlth Plans WA ,795, ,978, ,026 Liberty Natl Life Ins Co NE ,736, ,082, ,061 LifeSecure Ins Co MI , , LifeWise Hlth Plan of OR Inc OR ,797, ,503, Lincoln Heritage Life Ins Co IL ,400, ,569, ,675 Lincoln Republic Ins Co ND , , Louisiana Hlth Serv & Ind Co LA ,802, ,832, ,740 Loyal Amer Life Ins Co OH ,588, ,552, ,244 Madison Natl Life Ins Co Inc WI Marquette Natl Life Ins Co TX ,102, ,601, ,383 Medica Hlth Plans MN , , Medical Hlth Insuring Corp of OH OH , , Medical Mut Of OH OH ,338, ,130, ,958 Medico Corp Life Ins Co NE , , Medico Ins Co NE ,308, ,747, ,872 CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. 29