December 2013 Medigap Enrollment & Market Share
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1 Prepared for UnitedHealthcare Ins Co & UnitedHealthcare Ins Co of NY UnitedHealthcare Medicare & Retirement Insurance Solutions By Mark Farrah Associates April 2014
2 Introduction Medicare Supplement Insurance, also known as Medigap insurance, is health insurance sold by private insurance companies to fill coverage gaps for beneficiaries enrolled in the Original Medicare Program, Medicare Parts A and B. These policies help pay some of the health care costs that Original Medicare doesn t cover. Insurance companies offer standardized Medigap plan types that provide different levels of coverage based on benefits mandated by law. This report was prepared expressly for use by UnitedHealthcare Ins Co & UnitedHealthcare Ins Co of NY UnitedHealthcare Medicare & Retirement Insurance Solutions to objectively report UnitedHealth s Medigap membership and market share by state representing the AARP Medicare Supplement Program. The source of the data is the Medicare Supplement Insurance Experience Exhibit that insurers file annually with state insurance regulators and the National Association of Insurance Commissioners (NAIC). Membership and market share are as reported by carrier and aggregated by parent company to reflect Medigap business as of December 31, Enrollment figures for carriers other than UnitedHealthcare, while presented anonymously, are actual accounts. Some beneficiaries are enrolled in pre standardized Medigap plans; this refers to policies issued before the government developed the model to standardize benefits across plans. A few states also permit other Medigap plans to be offered. By statute, other plans differ from model standardized Medigap plans. Note that a few Medigap plans that are regulated by the California Department of Managed Health Care are not included in enrollment totals and market share calculations for this report. This enrollment is noted in the California market overview. Mark Farrah Associates is a licensed data distributor for the NAIC (National Association of Insurance Commissioners). Should you have questions about this report, please contact Mark Farrah Associates. Though every effort was made to accurately report data as filed by carrier, Mark Farrah Associates does not guarantee freedom from errors and we do not assume liability for the accuracy of the information provided in this report. Should readers encounter data anomalies, please contact Mark Farrah Associates. Mark Farrah Associates 16 Ridgewood Circle Kennebunk, ME Phone: (207) Web:
3 United States & Market Share by Leading Carrier UNITEDHEALTHCARE INS CO * 3,504, % MUTUAL OF OMAHA GRP ** 1,005, % WELLPOINT INC GRP ** 607, % HCSC GRP ** 541, % AETNA GRP ** 356, % CNO FINANCIAL GRP ** 344, % BCBS OF MI GRP ** 219, % HIGHMARK GRP ** 190, % BCBS OF MA GRP ** 186, % BCBS OF NJ GRP ** 186, % WELLMARK INC GRP ** 173, % BCBS OF FL GRP ** 154, % BCBS OF NC GRP ** 145, % BCBS OF AL GRP ** 126, % NEW ERA LIFE GRP ** 116, % BCBS OF KS GRP ** 115, % ARKANSAS BCBS GRP ** 109, % LIBERTY NATL GRP ** 109, % AMERICAN ENTERPRISE MUT GRP ** 108, % STATE FARM GRP ** 105, % All Other Medigap Carriers 2,161, % Total 10,568, % *includes UnitedHealthcare Ins Co & UnitedHealthcare Ins Co of NY **Membership and market share are as reported by carrier and aggregated by parent company (includes both individual and group insurance). More than 10.5 million Medicare beneficiaries nationwide are enrolled in a Medigap plan. With over 3.5 million members, UnitedHealthcare covers more enrollees than any other company. UnitedHealthcare plans enroll 33% of the U.S. Medigap market.
4 United States & Market Share by Standardized Plan Type A 158, % B 374, % C 1,133, % D 232, % E 103, % F 5,474, % G 556, % H 46, % I 127, % J 627, % K 49, % L 42, % M 4, % N 573, % Other 562, % Pre standardized 501, % Grand Total 10,568, % Nationwide, about 52% of all Medigap enrollees chose Plan F over other plan types.
5 Hawaii & Market Share by Leading Carrier UNITEDHEALTHCARE INS CO 4, % Medigap Carrier % Medigap Carrier % Medigap Carrier % All Other Medigap Carriers % Total 5, % Medigap plans provide supplemental coverage for 5,215 Medicare beneficiaries in Hawaii. UnitedHealthcare provides Medigap coverage for 81% of those with policies in the state. Hawaii & Market Share by Standardized Plan Type A % B % C % D % E % F 3, % G % H % I % J % K % L % M % N % Other % Pre Standardized % Total 5, % In Hawaii, about 61% of those enrolled in Medigap plans have chosen Plan F.
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