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
- UnitedHealth
- Kaiser Foundation
- Anthem Inc.
- Humana
- CVS
- Health Care Service Corporation (HCSC)
- Centene Corp
- Cigna Health
- Wellcare
- Molina Healthcare Inc.
- Guidewell Mut Holding
- California Physicians Service
- Independence Health Group Inc.
- Blue Cross of California
- Highmark Group
- Blue Cross Blue Shield of Michigan
- Blue Cross Blue Shield of New Jersey
- Caresource
- Blue Cross Blue Shield of North Carolina
- Carefirst Inc.
- Health Net of California, Inc.
- UPMC Health System
- Blue Cross Blue Shield of Massachusetts
- Blue Cross Blue Shield of Tennessee
- Metropolitan
Source: NAIC
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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.
