24 Worcester Business Journal • Book Of Lists 2015 www.wbjournal.com
Top health insurers in Massachusetts
Ranked by total Massachusetts members (HMO and PPO combined) as of Dec. 31, 2014
Name
Total Mass. membership Q4 2014
Total Mass. membership Q4 2013
Share of Mass.
market, Q4 2014
For-profit or
nonprofit? Head of company Year licensed
1
Blue Cross and Blue Shield of Massachusetts Inc. (including HMO Blue)
101 Huntington Ave., Ste. 1300 , Boston 02199
800-262-2583 • www.bluecrossma.com
620,705
619,308
26.50% Nonprofit
Andrew Dreyfus
President & CEO
1992
2
Neighborhood Health Plan Inc.
253 Summer St., Boston 02210
617-772-5500 • www.nhp.org
340,264 *
272,962 *
14.53% Nonprofit
David Segal
President & CEO
1986
3
Tufts Associated HMO Inc.
1 Mercantile Pl., Worcester 01608
508-757-8300 • www.tuftshealthplan.com
307,633
314,073
13.14% Nonprofit
James Roosevelt Jr.
President & CEO
1979
4
Boston Medical Center Health Plan Inc.
2 Copley Pl., Ste. 600, Boston 02116
617-748-6000 • www.bmchp.org
256,604 *
290,748 *
10.96% Nonprofit
Susan Coakley
President
1997
5
Tufts Health Public Plans Inc. **
101 Station Landing, 4th Floor, Medford 02155
888-257-1985 • www.network-health.org
243,522 *
220,795 *
10.40% Nonprofit
Christopher "Kit" Gorton
President
1997
6
Harvard Pilgrim Health Care Inc.
427 Main St., Ste. 200, Worcester 01608
508-755-2715 • www.harvardpilgrim.org
237,667
272,046
10.15% Nonprofit
Eric H. Schultz
President & CEO
1977
7
Health New England Inc.
1 Monarch Pl., Ste. 1500, Springfield 01144
413-787-4004 • www.healthnewengland.com
150,785
107,010
6.44% For-profit
Maura McCaffrey
President & CEO
1985
8
Fallon Health Inc. ***
10 Chestnut St., Worcester 01608
508-799-2100 • www.fchp.org
142,501
151,213
6.08% Nonprofit
W. Patrick Hughes
President & CEO
1977
Preferred Mutual Insurance Company
One Preferred Way, New Berlin, NY 13411
www.preferredmutual.com
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Source: Massachusetts Division of Insurance, company websites
* Figure represents HMO membership only; insurer does not provide a PPO plan in Mass.
** Formerly known as Network Health LLC
*** On Feb. 1, 2014, Fallon Community Health Plan changed its name to Fallon Health.
- Compiled by: Roger Magnus and Heide Martin, rmagnus@nebusinessmedia.com
