A note on the following numbers
50) UPMC Health Plan
In-force premium: $466,029,623
49) Priority Health
In-force premium: $477,461,265
48) ReliaStar Life Insurance Company
In-force premium: $482,282,222
47) Hawaii Medical Service Association (HMSA)
In-force premium: $483,267,355
46) Health Plan of Nevada
In-force premium: $486,620,678
45) Medical Mutual of Ohio
In-force premium: $490,273,981
44) Blue Cross & Blue Shield of Rhode Island
In-force premium: $508,650,421
43) BlueCross BlueShield of Western New York
In-force premium: $528,522,957
42) BlueCross BlueShield of South Carolina
In-force premium: $554,447,134
41) Blue Cross and Blue Shield of North Carolina
In-force premium: $579,854,279
40) Tufts Health Plan
In-force premium: $596,132,887
39) Blue Cross and Blue Shield of Alabama
In-force premium: $600,884,032
38) Wellmark Blue Cross and Blue Shield of Iowa
In-force premium: $668,310,814
37) Delta Dental of California
In-force premium: $686,824,516
36) Group Health
In-force premium: $742,663,701
35) Reliance Standard Life Insurance Company
In-force premium: $757,117,874
34) Liberty Mutual
In-force premium: $762,554,419
33) BlueCross BlueShield of Tennessee
In-force premium: $772,093,091
32) Horizon Blue Cross Blue Shield of New Jersey
In-force premium: $774,432,050
31) Harvard Pilgrim Health Care
In-force premium: $796,065,261
30) Premera Blue Cross Blue Shield of Alaska
In-force premium: $802,287,684
29) The Standard
In-force premium: $802,523,877
28) Health Alliance Medical Plans
In-force premium: $885,970,394
27) Minnesota Life
In-force premium: $933,036,342
26) Excellus BlueCross BlueShield
In-force premium: $938,389,674