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Top 25 Health Insurance Companies in the U.S.

Written by: Alex Flitton
January 13, 2020 at 4:09 PM

Below are the top 25 health insurance companies in the United States. They are listed by size of market share, in descending order.

As an added level of clarification, size of market share does not always correlate with quality of product or service provided, nor does it guarantee the company will retain its position through the entire year. This list considers data gathered through the end of 2018.

Top 25 U.S. Health Insurance Companies, By Market Share

  1. UnitedHealth
  2. Kaiser Foundation
  3. Anthem Inc.
  4. Humana
  5. CVS
  6. Health Care Service Corporation (HCSC)
  7. Centene Corp
  8. Cigna Health
  9. Wellcare
  10. Molina Healthcare Inc.
  11. Guidewell Mut Holding
  12. California Physicians Service
  13. Independence Health Group Inc.
  14. Blue Cross of California
  15. Highmark Group
  16. Blue Cross Blue Shield of Michigan
  17. Blue Cross Blue Shield of New Jersey
  18. Caresource
  19. Blue Cross Blue Shield of North Carolina
  20. Carefirst Inc.
  21. Health Net of California, Inc.
  22. UPMC Health System
  23. Blue Cross Blue Shield of Massachusetts
  24. Blue Cross Blue Shield of Tennessee
  25. Metropolitan

Source: NAIC

If you're looking for a health insurance policy, we recommend visiting our partner, Stride Health, to find one.

Health Insurance Data, 2019

According to the US department of labor, In 2019, U.S. health insurers collected approximately $870.6 billion in premiums. Compared to 2018, there was a 2% increase in premium spending from US consumers. Group health insurance has traditionally been the primary option for employers who offer health benefits to employees.

However, more options exist for small- to medium-size businesses that cannot afford a group health plan. Health reimbursement arrangements (HRAs) are one of those options.

Health Reimbursement Arrangements

PeopleKeep offers HRA administration software for small businesses. It enables employers to gain control over their health benefits budget, and provide a simple, effective solution to manage the benefit.

If you're a small business looking for an alternative to expensive group policies, the HRA enables your employees to choose a policy that best fits their needs.

Curious to know which HRA fit's your organization's needs best? Take our quiz

Interested in providing affordable health insurance to your employees? Learn how in The Small Business's Guide to Health Benefits in 2020.

Topics: Health Industry News

Additional Resources

Get our guide on how to offer health benefits with a small budget.
Want to get your healthcare costs reimbursed? See how in our webinar.