78 Worcester Business Journal | Book of Lists 2022 | 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, 2021
Health insurer
Total Mass. membership
Q4 2021/
Q4 2020
Share of
Mass. market
Q4 2021
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
534,366
550,379
24.62% Nonprofit
Andrew Dreyfus
president & CEO
1992
2
Tufts Health Public Plans Inc. (1)
705 Mount Auburn St., Watertown 02472
617-972-9400 • www.tuftshealthplan.com
488,823
494,139
22.52% Nonprofit
Cain Hayes
president & CEO, Tufts Health Plan and
Harvard Pilgrim Health Care combined
1997
3
WellSense Health Plan (2)
529 Main St., Suite 500, Charlestown 02129
800-792-4355 • www.wellsense.org
343,664
334,536
15.84% Nonprofit
Heather Thiltgen
president
1997
4
Tufts Associated HMO Inc. (3)
705 Mount Auburn St., Watertown 02472
617-972-9400 • www.tuftshealthplan.com
243,742
254,010
11.23% Nonprofit
Cain Hayes
president & CEO, Tufts Health Plan and
Harvard Pilgrim Health Care combined
1979
5
Fallon Health Inc. (4)
10 Chestnut St., Worcester 01608
508-799-2100 • www.fchp.org
169,642
176,127
7.82% Nonprofit
Richard P. Burke
president & CEO
1977
6
Harvard Pilgrim Health Care Inc. (1)
1 Wellness Way, Canton 02021
617-509-1000 • www.harvardpilgrim.org
144,568
146,137
6.66% Nonprofit
Cain Hayes
president & CEO, Tufts Health Plan and
Harvard Pilgrim Health Care combined
1977
7
Health New England
1 Monarch Place, Suite 1500, Springfield 01144
413-787-4000 • www.healthnewengland.org
123,675
111,751
5.70% Nonprofit
Richard Swift
president & CEO
1985
8
AllWays Health Partners
399 Revolution Drive, Somerville 02145
866-414-5533 • www.allwayshealthpartners.org
119,945
121,164
5.53% Nonprofit
Steven Tringale
CEO
1986
9
Aetna Health Inc. (5)
151 Farmington Ave., Hartford, CT 06156
800-872-3862 • www.aetna.com
1,571
1,220
0.07% For profit
Karen S. Lynch
president & CEO, CVS Health
1987
10
Connecticare of Massachusetts Inc. (6)
175 Scott Swamp Road, Farmington, CT 06034
860-674-5757 • www.connecticare.com
140
168
0.01% For profit
Karen Ignagni
CEO, EmblemHealth companies
1995
Sources: Mass. Division of Insurance and insurer websites and press releases
(1) Tufts Health Plan and Harvard Pilgrim Health Care combined organizations on Jan. 1, 2021.
(2) Data for Boston Medical Center Health Plan Inc. In May 2022, the combined organization of BMC HealthNet Plan in Massachusetts and WellSense Health Plan in New Hampshire rebranded to
WellSense Health Plan across both states.
(3) Doing business as Tufts Associated Health Plan and Tufts Health Plan. Tufts Health Plan and Harvard Pilgrim Health Care combined organizations on Jan. 1, 2021.
(4) Effective April 2021, no longer providing commercial health insurance coverage, instead focusing on government programs including Medicare and Medicaid
(5) Has not offered nor renewed small-group health plans to Mass. customers since 2011; acquired by Woonsocket, R.I.-based CVS Health, effective November 2018
(6) An EmblemHealth company
-Compiled by: Heide Martin, hmartin@nebusinessmedia.com