Benefits insurance carriersranked
Insurance carriers on employer benefit plans, ranked by premiums reported on Schedule A of 2024 Form 5500 filings. Self-insured medical plans pay carriers for administration rather than premiums, so a carrier's fully-insured book is what shows here.
Carriers by premiums · 2024173
1. UnitedHealthcare$3.3B · 8,701 plans
2. Cigna$3.1B · 8,611 plans
3. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC.$2.5B · 723 plans
4. Delta Dental$2.3B · 8,916 plans
5. MetLife$2.1B · 11,034 plans
6. BLUECROSS BLUESHIELD OF ILLINOIS$1.7B · 1,130 plans
7. BLUE CROSS BLUE SHIELD OF MICHIGAN$1.5B · 955 plans
8. The Standard$1.3B · 3,666 plans
9. BLUE CROSS BLUE SHIELD OF FLORIDA$1.2B · 737 plans
10. BLUE CROSS BLUE SHIELD OF ILLINOIS$1.1B · 297 plans
11. BLUE CROSS AND BLUE SHIELD OF ALABAMA$1.1B · 409 plans
12. Anthem (Elevance)$1.1B · 3,407 plans
13. INDEPENDENCE BLUE CROSS$972.3M · 296 plans
14. VSP$771.3M · 10,379 plans
15. BLUE CARE NETWORK OF MICHIGAN$762.4M · 662 plans
16. Aetna (CVS Health)$528.8M · 4,418 plans
17. BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA$520.1M · 225 plans
18. EXCELLUS BLUE CROSS BLUE SHIELD$486.1M · 326 plans
19. BLUECROSS BLUESHIELD OF TENNESSEE, INC.$485.7M · 452 plans
20. WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA$445.2M · 208 plans
21. Prudential$428.9M · 2,449 plans
22. MEDICAL MUTUAL$358.1M · 205 plans
23. BLUECROSS BLUESHIELD OF TEXAS$318.0M · 1,262 plans
24. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS$271.5M · 102 plans
25. HEALTH CARE SERVICE CORPORATION$265.3M · 278 plans
26. HEALTH OPTIONS, INC.$261.9M · 182 plans
27. MEDICAL MUTUAL OF OHIO$246.6M · 165 plans
28. BLUE CROSS BLUE SHIELD OF ALABAMA$244.9M · 115 plans
29. BLUE CROSS AND BLUE SHIELD OF LOUISIANA$235.5M · 180 plans
30. BLUECROSS BLUESHIELD OF OKLAHOMA$221.0M · 224 plans
31. BLUE CROSS BLUE SHIELD OF TEXAS$193.8M · 284 plans
32. ARKANSAS BLUE CROSS AND BLUE SHIELD$189.2M · 147 plans
33. BLUE CROSS AND BLUE SHIELD OF KANSAS$188.0M · 146 plans
34. BLUE CROSS BLUE SHIELD OF RHODE ISLAND$170.0M · 127 plans
35. TRIPLE S SALUD, INC.$168.7M · 204 plans
36. Kaiser Permanente$166.8M · 7,001 plans
37. The Hartford$163.5M · 5,397 plans
38. Guardian$158.2M · 8,511 plans
39. Lincoln Financial$152.6M · 5,999 plans
40. UNIVERSITY HEALTH ALLIANCE$151.7M · 138 plans
41. HEALTH OPTIONS$148.4M · 217 plans
42. MCS LIFE INSURANCE COMPANY$148.0M · 154 plans
43. CAPITAL ADVANTAGE ASSURANCE COMPANY$77.0M · 198 plans
44. UNITED CONCORDIA INSURANCE COMPANY$75.5M · 625 plans
45. HAWAII MEDICAL SERVICE ASSOCIATION$61.2M · 975 plans
46. REGENCE BLUECROSS BLUESHIELD OF OREGON$60.8M · 120 plans
47. EyeMed (FSL)$46.9M · 7,154 plans
48. SELECTHEALTH$39.8M · 180 plans
49. PREMERA BLUE CROSS$31.4M · 168 plans
50. HIGHMARK, INC.$30.3M · 221 plans
51. WELLMARK HEALTH PLAN OF IOWA$28.2M · 100 plans
52. NATIONWIDE LIFE INSURANCE COMPANY$26.9M · 113 plans
53. Unum$23.8M · 8,323 plans
54. SECURIAN LIFE INSURANCE COMPANY$22.1M · 312 plans
55. Sun Life$21.9M · 4,423 plans
56. PRIORITY HEALTH$21.1M · 261 plans
57. VISION BENEFITS OF AMERICA$20.2M · 535 plans
58. HAWAII DENTAL SERVICE$18.0M · 189 plans
59. Voya$17.6M · 1,722 plans
60. BLUE CROSS BLUE SHIELD OF ARIZONA$17.0M · 289 plans
61. WILLAMETTE DENTAL OF WASHINGTON, INC.$16.8M · 123 plans
62. NORTHWESTERN MUTUAL$15.5M · 143 plans
63. HCC LIFE INSURANCE COMPANY$15.4M · 714 plans
64. GUARDIAN$15.1M · 1,874 plans
65. WILLAMETTE DENTAL INSURANCE, INC.$15.0M · 144 plans
66. THE UNION LABOR LIFE INSURANCE COMPANY$15.0M · 316 plans
67. Mutual of Omaha$14.0M · 8,467 plans
68. Humana$13.8M · 862 plans
69. CONTINENTAL AMERICAN INSURANCE COMPANY$13.2M · 1,217 plans
70. BLUE CROSS OF CALIFORNIA$11.2M · 1,294 plans
71. HIGHMARK INC.$10.9M · 328 plans
72. Reliance Standard$9.7M · 3,015 plans
73. BLUE CROSS BLUE SHIELD OF NORTH CAROLINA$9.4M · 110 plans
74. UPMC HEALTH OPTIONS$8.8M · 169 plans
75. AMERICAN FIDELITY ASSURANCE COMPANY$7.6M · 123 plans
76. BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA$7.6M · 355 plans
77. EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA$7.4M · 1,181 plans
78. BLUE CROSS BLUE SHIELD OF NORTH DAKOTA$7.2M · 118 plans
79. MVP HEALTHCARE$6.5M · 105 plans
80. LIFE INSURANCE COMPANY OF NORTH AMERICA$5.7M · 4,707 plans
81. Principal$5.6M · 4,170 plans
82. HARVARD PILGRIM HEALTH CARE$5.6M · 199 plans
83. CAREFIRST OF MARYLAND, INC.$5.2M · 102 plans
84. PRIORITY HEALTH INSURANCE COMPANY$4.9M · 174 plans
85. MAGELLAN HEALTHCARE$3.8M · 172 plans
86. HEALTHPARTNERS INSURANCE COMPANY$3.6M · 117 plans
87. SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.$3.5M · 101 plans
88. HORIZON HEALTHCARE SERVICES, INC.$3.0M · 224 plans
89. QBE INSURANCE$2.8M · 120 plans
90. NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA$2.8M · 214 plans
91. Symetra$2.8M · 1,112 plans
92. AFLAC$2.3M · 1,430 plans
93. TOKIO MARINE$2.3M · 171 plans
94. COMPANION LIFE INSURANCE COMPANY$1.8M · 485 plans
95. BLUE SHIELD OF CALIFORNIA$1.8M · 122 plans
96. HM LIFE INSURANCE COMPANY$1.7M · 864 plans
97. Ameritas$1.7M · 1,586 plans
98. MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY$1.7M · 165 plans
99. ZURICH AMERICAN INSURANCE COMPANY$1.3M · 622 plans
100. PROVIDENCE HEALTH PLAN$1.3M · 119 plans
101. USABLE LIFE$1.2M · 797 plans
102. COLONIAL LIFE & ACCIDENT INSURANCE COMPANY$1.1M · 1,383 plans
103. EVEREST REINSURANCE COMPANY$1.1M · 348 plans
104. DEARBORN LIFE INSURANCE COMPANY$1.1M · 2,012 plans
105. HEALTHY ALLIANCE LIFE INSURANCE COMPANY$1.1M · 126 plans
106. TRUSTMARK INSURANCE COMPANY$1.1M · 273 plans
107. STARMOUNT LIFE INSURANCE COMPANY$806K · 873 plans
108. DEAN HEALTH PLAN INC$688K · 104 plans
109. AMERICAN UNITED LIFE INSURANCE COMPANY$649K · 531 plans
110. ASSURITY LIFE INSURANCE COMPANY$522K · 178 plans
111. CALIFORNIA PHYSICIANS' SERVICE$448K · 242 plans
112. FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY$376K · 125 plans
113. COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY$312K · 518 plans
114. AMERICAN PUBLIC LIFE INSURANCE COMPANY$228K · 111 plans
115. SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION$226K · 224 plans
116. PARAMOUNT DENTAL$158K · 115 plans
117. TRANSAMERICA LIFE INSURANCE COMPANY$153K · 648 plans
118. KANSAS CITY LIFE INSURANCE COMPANY$102K · 123 plans
119. SURENCY LIFE AND HEALTH$82K · 121 plans
120. AMERICAN HERITAGE LIFE INSURANCE COMPANY$72K · 1,190 plans
121. RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA$68K · 108 plans
122. FLORIDA COMBINED LIFE$57K · 137 plans
123. ARAG INSURANCE COMPANY$51K · 560 plans
124. ACE AMERICAN INSURANCE COMPANY$39K · 484 plans
125. FEDERAL INSURANCE COMPANY$32K · 903 plans
126. CURALINC HEALTHCARE$24K · 154 plans
127. COMMUNITY EYE CARE$18K · 163 plans
128. NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK$16K · 376 plans
129. DELAWARE AMERICAN LIFE INSURANCE COMPANY$8K · 141 plans
130. CURALINC, LLC, D.B.A. CURALINC HEALTHCARE$4K · 108 plans
131. ALPHA DENTAL PROGRAMS, INC.$4K · 104 plans
132. UNITED HERITAGE LIFE INSURANCE COMPANY$2K · 112 plans
133. METROPOLITAN GENERAL INSURANCE COMPANY$1K · 1,118 plans
134. HEALTH AND HUMAN RESOURCE CENTER$202 · 173 plans
135. WYSSTA INSURANCE COMPANY INC$0 · 359 plans
136. WESTERN HEALTH ADVANTAGE$0 · 123 plans
137. UNITED BEHAVIORAL HEALTH DBA OPTUM$0 · 300 plans
138. ULLIANCE, INC.$0 · 109 plans
139. TELUS HEALTH (US) LTD.$0 · 158 plans
140. TELADOC HEALTH, INC.$0 · 137 plans
141. SUTTER HEALTH PLAN$0 · 238 plans
142. SPRING HEALTH$0 · 108 plans
143. SIMNSA$0 · 132 plans
144. SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION$0 · 106 plans
145. QUARTZ HEALTH BENEFIT PLANS CORPORATION$0 · 130 plans
146. PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD$0 · 145 plans
147. PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD$0 · 104 plans
148. PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD$0 · 755 plans
149. OPTUM HEALTH (UNIMERICA INSURANCE COMPANY)$0 · 370 plans
150. NEW DIRECTIONS BEHAVIORAL HEALTH$0 · 127 plans
151. NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA$0 · 433 plans
152. NATIONAL FRANCHISE ASSOCIATION HEALTH PLUS-CELL$0 · 131 plans
153. MEDICA INSURANCE COMPANY$0 · 246 plans
154. LEGALPLANS, USA$0 · 177 plans
155. LEGAL RESOURCES$0 · 152 plans
156. JANUS ASSOCIATES, INC. DBA BHS$0 · 129 plans
157. HEALTH PLAN OF NEVADA$0 · 106 plans
158. HEALTH NET$0 · 248 plans
159. HEALTH ADVOCATE SOLUTIONS, INC.$0 · 293 plans
160. FOUR EVER LIFE INSURANCE COMPANY$0 · 109 plans
161. EMPATHIA, INC.$0 · 126 plans
162. DELAWARE AMERICAN LIFE INSURANCE OF AMERICA$0 · 106 plans
163. CURALINC, LLC DBA CURALINC HEALTHCARE$0 · 109 plans
164. COMPSYCH CORPORATION$0 · 289 plans
165. COMPSYCH$0 · 265 plans
166. COMMUNITY INSURANCE COMPANY$0 · 480 plans
167. COMBINED INSURANCE COMPANY OF AMERICA$0 · 111 plans
168. COMBINED INSURANCE$0 · 117 plans
169. CAREFIRST BLUECHOICE, INC.$0 · 207 plans
170. CANOPY$0 · 104 plans
171. CALIFORNIA PHYSICIANS SERVICE$0 · 348 plans
172. BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC.$0 · 203 plans
173. AVALON INSURANCE COMPANY$0 · 140 plans