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Top 25 Group Carriers

Employee Benefit News, in partnership with business intelligence data analytics firm miEdge, lists the top 25 large-group health insurance carriers in the United States. Companies are ranked based on in-force group health insurance premiums as of March 12, 2018.

Premiums used to compile the listing for the following companies are based on Form 5500 Schedule A data submitted to the Department of Labor. As such, groups under 100 lives, government entities and church plans are not required to file. Any disclosure on Schedule C's are not contemplated in these numbers.
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1) Kaiser Permanente

In-force health premium: $18,084,169,841
Headquarters: Oakland, Calif.
CEO: Bernard Tyson
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2) UnitedHealthcare

In-force health premium: $12,762,746,976
Headquarters: Minnetonka, Minn.
CEO: David S. Wichmann
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3) Aetna

In-force health premium: $6,956,966,865
Headquarters: Hartford, Conn.
CEO: Mark Bertolini
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4) Health Care Service Corporation (HCSC)

In-force health premium: $6,949,086,022
Headquarters: Chicago
CEO: Paula Steiner
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5) Anthem

In-force health premium: $5,638,655,205
Headquarters: Indianapolis
CEO: Gail Koziara Boudreaux
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6) Cigna

In-force health premium: $4,103,082,231
Headquarters: Bloomfield, Conn.
CEO: David Cordani
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7) Blue Cross Blue Shield of Massachusetts

In-force health premium: $2,462,220,022
Headquarters: Boston
CEO: Andrew Dreyfus
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8) Blue Shield of California

In-force health premium: $2,326,160,020
Headquarters: San Francisco
CEO: Paul Markovich
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9) Blue Cross Blue Shield of Michigan

In-force health premium: $1,723,657,409
Headquarters: Detroit
CEO: Daniel J. Loepp
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10) Highmark

In-force health premium: $1,680,808,579
Headquarters: Pittsburgh
CEO: David Holmberg
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11) Blue Cross and Blue Shield of Florida

In-force health premium: $1,588,232,786
Headquarters: Jacksonville, Fla.
CEO: Patrick J. Geraghty
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12) Independence Blue Cross

In-force health premium: $1,145,724,980
Headquarters: Philadelphia
CEO: Daniel J. Hilferty
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13) Blue Cross and Blue Shield of Kansas

In-force health premium: $918,486,581
Headquarters: Topeka, Kan.
CEO: Danette Wilson
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14) Harvard Pilgrim Health Care

In-force health premium: $910,695,175
Headquarters: Quincy, Mass.
CEO: Eric H. Schultz
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15) Centene Corporation

In-force health premium: $857,833,736
Headquarters: St. Louis
CEO: Michael F. Neidorff
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16) Humana

In-force health premium: $818,236,385
Headquarters: Louisville, Ky.
CEO: Bruce D. Broussard
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17) CareFirst BlueCross BlueShield

In-force health premium: $811,142,545
Headquarters: Baltimore
CEO: Chet Burrell
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18) Excellus BlueCross BlueShield

In-force health premium: $729,575,205
Headquarters: Rochester, N.Y.
CEO: Christopher C. Booth
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19) HAP

In-force health premium: $668,284,156
Headquarters: Detroit
CEO: Teresa (Terri) L. Kline
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20) Horizon Blue Cross Blue Shield of New Jersey

In-force health premium: $645,695,401
Headquarters: Newark, N.J.
CEO: Kevin P. Conlin
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21) Wellmark Blue Cross and Blue Shield of Iowa

In-force health premium: $616,910,272
Headquarters: Des Moines, Iowa
CEO: John D. Forsyth
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22) BlueCross BlueShield of Tennessee

In-force health premium: $603,625,401
Headquarters: Chattanooga, Tenn.
CEO: J.D. Hickey
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23) Priority Health

In-force health premium: $565,111,771
Headquarters: Grand Rapids, Mich.
CEO: Joan Budden
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24) Premera Blue Cross

In-force health premium: $557,175,636
Headquarters: Mountlake Terrace, Wash.
CEO: Jeff Roe
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25) Tufts Health Plan

In-force health premium: $527,771,316
Headquarters: Watertown, Mass.
CEO: Thomas Croswell
Elizabeth Galentine
Former editor-in-chief, Employee Benefit Adviser
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