Health

Winter 2017

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12 HEALTH • Winter 2017 { The Lists } Top health insurers in Massachusetts Ranked by total Massachusetts members as of March 31, 2017 Top health insurers in Massachusetts Ranked by total Massachusetts members as of March 31, 2017 Name Total Mass. membership Q1 2017 Total Mass. membership Q1 2016 Share of Mass. market, Q1 2017 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 609,953 611,214 25.61% Nonprofit Andrew Dreyfus president & CEO 1992 2 Neighborhood Health Plan Inc. 399 Revolution Drive, Somerville 02145 866-414-5533 • www.nhp.org 394,604 433,222 16.57% Nonprofit David Segal president & CEO 1986 3 Tufts Health Public Plans Inc. P.O. Box 9194, Watertown 02471 888-257-1985 • www.network-health.org 359,491 * 301,239 * 15.09% Nonprofit Christopher "Kit" Gorton president, Public Plans 1997 4 Tufts Associated HMO Inc. ** 705 Mount Auburn St., Watertown 02472 617-972-9400 • www.tuftshealthplan.com 275,054 275,859 11.55% Nonprofit Thomas A. Croswell president & CEO, Tufts Health Plan 1979 5 Boston Medical Center Health Plan Inc. 529 Main St., Suite 500, Charlestown 02129 617-748-6000 • www.bmchp.org 242,910 * 222,477 * 10.20% Nonprofit Susan Coakley president 1997 6 Harvard Pilgrim Health Care Inc. 93 Worcester St., Wellesley 02481 617-509-1000 • www.harvardpilgrim.org 194,979 237,727 8.19% Nonprofit Eric H. Schultz president & CEO 1977 7 Health New England Inc. 1 Monarch Place, Suite 1500, Springfield 01144 413-787-4004 • www.healthnewengland.org 150,229 160,379 6.31% For-profit Maura McCaffrey president & CEO 1985 8 Fallon Health Inc. 10 Chestnut St., Worcester 01608 508-799-2100 • www.fchp.org 110,579 * 129,774 4.64% 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.celticarehealth.com 32,709 * 42,322 * 1.37% For-profit Jennifer Weigand *** interim CEO 2009 10 Minuteman Health Inc. **** 38 Chauncey St., Boston 02111 857-263-8242 • www.minutemanhealth.org 8,431 6,574 0.35% Nonprofit Thomas D. Policelli CEO 2013 11 Aetna Health Inc. ***** 151 Farmington Ave., Hartford, CT 06156 800-872-3862 • www.aetna.com 2,549 2,764 0.11% For-profit Mark T. Bertolini chairman & CEO 1987 12 Connecticare of Massachusetts Inc. 175 Scott Swamp Road, Farmington, CT 06034 860-674-5757 • www.connecticare.com 588 872 0.02% For-profit Eric Galvin ****** president & COO 1995 Source: Massachusetts Division of Insurance. Notes: Includes both HMO and PPO members. Starting Q1 2017, carriers are no longer submitting data for this report directly to the Division of Insurance. Instead, Q1 2017 data were produced by the Center for Health Information and Analysis using data submissions by the HMOs to the All-Payer Claims database. * Figure for HMO members; no PPO plan offered in Mass. ** Doing business as Tufts Associated Health Plan and Tufts Health Plan *** Jay Gonzalez, former president and CEO, resigned Dec. 2016. **** As of Aug. 3, 2017, under control of the Mass. Commissioner of Insurance in order to execute run off and closure of the business. Individual insurance policies will remain in effect through Dec. 31, 2017; plan members were directed to select new insurance during open enrollment for coverage beginning Jan. 1, 2018. ***** Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011 ****** Succeeded Michael Wise, former president, as of Feb. 2017. - Compiled by: Heide Martin, hmartin@nebusinessmedia.com Source: Massachusetts Division of Insurance. Notes: Includes both HMO and PPO members. Starting Q1 2017, carriers are no longer submitting data for this report directly to the Division of Insurance. nstead, Q1 2017 data were produced by the Center for Health Information and Analysis using data submissions by the HMOs to the All-Payer Claims database. * Figure for HMO members; no PPO plan offered in Mass. ** Doing business as Tufts Associated Health Plan and Tufts Health Plan *** Jay Gonzalez, former president and CEO, resigned Dec. 2016. **** As of Aug. 3, 2017, under control of the Mass. Commissioner of Insurance in order to execute run off and closure of the business. Individual insurance policies will remain in effect through Dec. 31, 2017; plan members were directed to select new insurance during open enrollment for coverage beginning Jan. 1, 2018. ***** Sept. 1, 2010, ceased offering small group health plans in Massachusetts and stopped renewing small-group health business as of April 1, 2011 ****** Succeeded Michael Wise, former president, as of Feb. 2017. - Compiled by: Heide Martin, hmartin@nebusinessmedia.com

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