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wbjournal.com | November 21, 2016 | Worcester Business Journal 17 BRINGING HEALTHCARE TO LIFE www.reliantmedicalgroup.org 16-122 WBJ Book of Lists banner ad.indd 1 5/25/2016 4:31:40 PM Top health insurers in Massachusetts Ranked by total Massachusetts members as of March 31 1 Name Total Mass. membership Q1 2016 Total Mass. membership Q1 2015 Share of Mass. market, Q1 2016 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 611,214 617,008 25.21% Nonprofit Andrew Dreyfus president & CEO 1992 2 Neighborhood Health Plan Inc. 253 Summer St., Boston 02210 617-772-5500 • www.nhp.org 433,222 379,993 17.87% Nonprofit David Segal president & CEO 1986 3 Tufts Health Public Plans Inc. 2 P.O. Box 9194, Watertown 02471 888-257-1985 • www.tuftshealthplan.com 301,239 3 270,373 3 12.43% Nonprofit Christopher "Kit" Gorton president, Public Plans 1997 4 Tufts Associated HMO Inc. 4 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 275,859 292,295 11.38% Nonprofit Thomas Croswell 5 president & CEO, Tufts Health Plan 1979 5 Harvard Pilgrim Health Care Inc. 427 Main St., Suite 200, Worcester 01608 508-755-2715 • www.harvardpilgrim.org 237,727 239,937 9.81% Nonprofit Eric H. Schultz president & CEO 1977 6 Boston Medical Center Health Plan Inc. 2 Copley Place, Suite 600, Boston 02116 617-748-6000 • www.bmchp.org 222,477 3 245,058 3 9.18% Nonprofit Susan Coakley president 1997 7 Health New England Inc. 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4004 • www.healthnewengland.com 160,379 159,615 6.62% For-profit Maura McCaffrey president & CEO 1985 8 Fallon Health Inc. 6 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 129,774 143,729 5.35% Nonprofit Richard P. Burke president & CEO 1977 9 CeltiCare Health Plan of Massachusetts Inc. 200 West St., Suite 250, Waltham 02451 855-678-6975 • www.celticarehealthplan.com 42,322 3 53,906 3 1.75% For-profit Jay Gonzalez president & CEO 2009 10 Minuteman Health Inc. 7 38 Chauncey St., Boston 02111 857-263-8242 • www.minutemanhealth.org 6,574 5,332 0.27% Nonprofit Thomas D. Policelli CEO 2013 11 Aetna Health Inc. 8 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 2,764 1,451 0.11% For-profit Mark T. Bertolini chairman & CEO 1987 12 Connecticare of Massachusetts Inc. 175 Scott Swamp Road, Farmington, CT 06032 860-674-5757 • www.connecticare.com 872 1,292 0.04% For-profit Michael Wise president 1995 Sources: Massachusetts Division of Insurance Consumer Affairs and Business Regulation, company websites 1 Includes both HMO (closed network) and PPO plans 2 Formerly known as Network Health LLC 3 Figure for HMO members; no PPO plan offered in Massachusetts 4 Doing business as Tufts Associated Health Plan and Tufts Health Plan 5 Succeeded James Roosevelt Jr. as CEO in January 6 On Feb. 1, 2014, Fallon Community Health Plan changed its name to Fallon Health. 7 Began offering membership in plans Jan. 1, 2014 8 Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011 - Compiled by: Heide Martin, hmartin@nebusinessmedia.com Top health insurers in Massachusetts H E A L T H C A R E F O C U S Did We Miss You? We want to publish the most complete and accurate lists possible. To correct an error or submit information, please contact Stephanie R. Meagher, director of research at smeagher@nebusinessmedia.com or at 508-755-8004, ext. 262. Top health insurers in Massachusetts Ranked by total Massachusetts members as of March 31 1 Name Total Mass. membership Q1 2016 Total Mass. membership Q1 2015 Share of Mass. market, Q1 2016 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 611,214 617,008 25.21% Nonprofit Andrew Dreyfus president & CEO 1992 2 Neighborhood Health Plan Inc. 253 Summer St., Boston 02210 617-772-5500 • www.nhp.org 433,222 379,993 17.87% Nonprofit David Segal president & CEO 1986 3 Tufts Health Public Plans Inc. 2 P.O. Box 9194, Watertown 02471 888-257-1985 • www.tuftshealthplan.com 301,239 3 270,373 3 12.43% Nonprofit Christopher "Kit" Gorton president, Public Plans 1997 4 Tufts Associated HMO Inc. 4 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 275,859 292,295 11.38% Nonprofit Thomas Croswell 5 president & CEO, Tufts Health Plan 1979 5 Harvard Pilgrim Health Care Inc. 427 Main St., Suite 200, Worcester 01608 508-755-2715 • www.harvardpilgrim.org 237,727 239,937 9.81% Nonprofit Eric H. Schultz president & CEO 1977 6 Boston Medical Center Health Plan Inc. 2 Copley Place, Suite 600, Boston 02116 617-748-6000 • www.bmchp.org 222,477 3 245,058 3 9.18% Nonprofit Susan Coakley president 1997 7 Health New England Inc. 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4004 • www.healthnewengland.com 160,379 159,615 6.62% For-profit Maura McCaffrey president & CEO 1985 8 Fallon Health Inc. 6 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 129,774 143,729 5.35% Nonprofit Richard P. Burke president & CEO 1977 9 CeltiCare Health Plan of Massachusetts Inc. 200 West St., Suite 250, Waltham 02451 855-678-6975 • www.celticarehealthplan.com 42,322 3 53,906 3 1.75% For-profit Jay Gonzalez president & CEO 2009 10 Minuteman Health Inc. 7 38 Chauncey St., Boston 02111 857-263-8242 • www.minutemanhealth.org 6,574 5,332 0.27% Nonprofit Thomas D. Policelli CEO 2013 11 Aetna Health Inc. 8 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 2,764 1,451 0.11% For-profit Mark T. Bertolini chairman & CEO 1987 12 Connecticare of Massachusetts Inc. 175 Scott Swamp Road, Farmington, CT 06032 860-674-5757 • www.connecticare.com 872 1,292 0.04% For-profit Michael Wise president 1995 Sources: Massachusetts Division of Insurance Consumer Affairs and Business Regulation, company websites 1 Includes both HMO (closed network) and PPO plans 2 Formerly known as Network Health LLC 3 Figure for HMO members; no PPO plan offered in Massachusetts 4 Doing business as Tufts Associated Health Plan and Tufts Health Plan 5 Succeeded James Roosevelt Jr. as CEO in January 6 On Feb. 1, 2014, Fallon Community Health Plan changed its name to Fallon Health. 7 Began offering membership in plans Jan. 1, 2014 8 Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011 - Compiled by: Heide Martin, hmartin@nebusinessmedia.com