26 Worcester Business Journal | Book of Lists 2020 | wbjournal.com
F O C U S H E A L T H C A R E
Top health insurers
Ranked by total Massachusetts members as of Dec. 31, 2019
Name
Total Mass. membership
Q4 2019/
total Mass. membership
Q4 2018
Share of
Mass. market
Q4 2019
For-profit
or
nonprofit? Head of company
Year
licensed
1
Blue Cross and Blue Shield of Massachusetts Inc. (including HMO
Blue)
101 Huntington Ave., Suite 1300, Boston 02199
800-262-2583 • www.bluecrossma.com
598,974
624,217
27.87% Nonprofit
Andrew Dreyfus
president & CEO
1992
2
Tufts Health Public Plans Inc.
705 Mount Auburn St., Watertown 02472
888-257-1985 • www.tuftshealthplan.com
445,507
425,400
20.73% Nonprofit
Jean Yang
president, Public Plans
1997
3
Boston Medical Center Health Plan Inc.
529 Main St., Suite 500, Charlestown 02129
617-748-6000 • www.bmchp.org
316,568
327,691
14.73% Nonprofit
Heather Thiltgen
president
1997
4
Tufts Associated HMO Inc. (a)
705 Mount Auburn St., Watertown 02472
617-972-9400 • www.tuftshealthplan.com
260,674
264,581
12.13% Nonprofit
Thomas A. Croswell
president & CEO,
Tufts Health Plan
1979
5
Fallon Health Inc.
10 Chestnut St., Worcester 01608
508-799-2100 • www.fchp.org
163,187
166,673
7.59% Nonprofit
Richard P. Burke
president & CEO
1977
6
Harvard Pilgrim Health Care Inc.
93 Worcester St., Wellesley 02481
617-509-1000 • www.harvardpilgrim.org
145,049
158,640
6.75% Nonprofit
Michael Carson
president & CEO
1977
7
AllWays Health Partners (b)
399 Revolution Drive, Somerville 02145
866-414-5533 • allwayshealthpartners.org
112,358
117,714
5.23% Nonprofit
David Segal
president & CEO
1986
8
Health New England
1 Monarch Place, Suite 1500, Springfield 01144
413-787-4000 • www.healthnewengland.org
105,733
102,633
4.92% Nonprofit
Marion A. McGowan
president & CEO
1985
9
Aetna Health Inc. (c)
151 Farmington Ave., Hartford, CT 06156
800-872-3862 • www.aetna.com
732
1,398
0.03% For profit
Karen S. Lynch
executive vice president,
CVS Health & president,
Aetna Business Unit
1987
10
Connecticare of Massachusetts Inc.
175 Scott Swamp Road, Farmington, CT 06034
860-674-5757 • www.connecticare.com
191
265
0.01% For profit
Eric Galvin
president
1995
Source: Massachusetts Division of Insurance
(a) Doing business as Tufts Associated Health Plan and Tufts Health Plan
(b) Effective Jan. 8, 2019, rebranded from Neighborhood Health Plan Inc.
(c) Has not offered or renewed small-group health plans to Mass. customers since 2011; acquired by Woonsocket, R.I.-based CVS, effective November 2018.
- Compiled by: Heide Martin, hmartin@nebusinessmedia.com
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Blue Cross Blue Shield
has labeled UMass
Memorial Medical Center
in Worcester as a Blue
Distinction Center.
Fallon Health was able to
reverse its operating loss
at the end of 2019,
coming back to profitability
in the first quarter of 2020
with a net income of $2.3
million. Pictured
is President
& CEO
Richard P.
Burke.
Harvard Pilgrim gave
$70,000 to Regional
Environmental Council in
Worcester, Growing Places
in Leominster, and North
Grafton's Community
Harvest Project for food to
communities.
