Online Health Insurance Marketplace Participation

Posted on: May 30th, 2013 by JPAL No Comments

state insurance marketplace mapAs October rapidly approaches, participation by health insurance companies within the various state online marketplaces is starting to come into focus.

The Maryland Online Marketplace, better know as “Maryland Health Connection” Announced yesterday that 12 health insurers plan to offer plans via their exchange.  The list of participating plans include: Aetna, BEST Life & Health, Carefirst BCBS, Coventry, Delta Dental, DentaQuest, Dominion Dental Services, Evergreen Health Cooperative, Guardian Life, Kaiser Foundation Health Plan, Metropolitan Life, United Concordia, and UnitedHealthcare.

It appears that not all of the plans listed above plan to offer major medical health insurance plans for individuals as some of them are dental plan providers.

Other State Marketplace Participation News

New Jersey: Aetna, Horizon BCBSNJ, AmeriHealth NJ and The Freelancers Co-op of New Jersey plan to participate.  Cigna & UnitedHealthCare have opted out.

Georgia:  Five Insurers plan to offer policies including: Aetna, BCBS Georgia, Humana, Alliant, Kaiser Foundation Health Plan, Coventry & Peach State.

Minnesota: The states 4 largest health insurers Blue Cross Blue Shield Minnesota, HealthPartners, Medica, & UCare all plan on participating in the MNCare online marketplace.

Colorado: 10 Insurers have filed applications to have their individual health plans offered via Connect for Health Colorado: All Savers Insurance Co., Cigna, Colorado Choice, Colorado Health Insurance Cooperative, Denver Health, HMO Colorado (Anthem), Humana, Kaiser Permanente, New Health Ventures and Rocky Mountain HMO

California: 12 insurance companies will compete on the Covered California online platform including: Anthem Blue Cross, Blue Shield of California, Kaiser Permanente, Alameda Alliance For Health, Chinese Community Health Plan, Contra Costa Health Services, Health Net, LA Care Health Plan, Molina Healthcare, Sharp Health Plan, Valley Health Plan, Ventura County Health Care Plan and Western Health Advantage.

Arkansas: 5 Carriers have expressed their intent to participate with the Arkansas Online Insurance Marketplace.  They include, United Security Life & Health, Celtic Insurance Company, QualChoice or Arkansas, Arkansas Blue Cross Blue Cross Blue Shield, and a National Blue Cross Blue Shield Multi-State Plan.

North Carolina: Only 3 carriers will participate in North Carolina’s insurance marketplace in 2014.  Blue Cross Blue Shield of North Carolina, Coventry, and FirstCarolinaCare.  Currently 7 health insurers offer plans for individuals in North Carolina.

Florida: 10 insurers plan to participate in 2014 including Humana, Aetna, Blue Cross Blue Shield of Florida, Cigna, Coventry, Florida Healthcare Plan, Health Options Inc, Molina Healthcare of Florida, Simply Healthcare Plans Inc., Sunshine State HealthPlan.  It should be noted that three of the aforementioned health plans are affiliated with Florida Blue including Blue Cross Blue Shield FL, Florida Healthcare Plan, and Health Options.

Illinois: 6 insurers submitted applications for inclusion.  The states largest health insurer, Blue Cross Blue Shield of Illinois,  CO-OP Health Plan, Land of Lincoln Health, Humana, Aetna, Coventry & and the insurance arm of Carle Foundation.

Ohio: A total of 14 insurance companies filed plans to be available on the insurance marketplace for Ohio residents

Michigan: 14 health insurers filed applications to participate, including 13 that wish to provide individual & family plans.

Vermont: It looks like Vermont residents will have two options, Blue Cross Blue Shield of Vermont and MVP Health Plan

Rhode Island: 6 health insurance companies plan to offer plans.  16 for small businesses and 12 for individuals & families. More details to follow about which health insurers have filed applications

District of Columbia: 3 Insurers plan to participate:  Carefirst Blue Cross Blue Shield, Aetna, & Kaiser Permanente

Oregon: 12 Health insurers plan to offer health plans in the Cover Oregon Marketplace: ATRIO Health Plans, Bridgespan Health Company, Oregon’s Health CO-OP, FamilyCare Health Plans, Freelancers CO-OP, Health Net, Kaiser Permanente, Lifewise, MODA (ODS Health Plan, PacificSource, Providence Health Plan, Trillium Community Health Plan

Iowa: Wellmark and UnitedHealthcare — the states largest health insurers have been mum about their participation.  So far, 6 insurers have filed rates for participation,  CoOportunity Health, Avera Health, Coventry HealthCare, Gunderson HealthPlan, Sanford Health, and Health Alliance Midwest.  Only Coventry and CoOportunity Health plan to offer individual plans statewide, while Avera and Gunderson plan to offer individual plans in regional markets only.

Arizona: Unitedhealthcare will not be participating in Arizona’s health insurance exchange in 2014, and they intend to take their time to see how the exchanges will work.  However Arizona will have a sufficient amount of competition among carriers as Blue Cross Blue Shield of Arizona, Aetna, Cigna, Health Net, Humana, University of Arizona Health Plan, and Compass Health Cooperative have all seeked approval to participate.

Mississippi: The Mississippi health insurance marketplace will boast coverage options from Humana, Magnolia Health Plan, and Centene.  The state’s two largest insurers: Blue Cross Blue Shield of Mississippi, and UnitedHealthCare have declined to participate.

Missouri:  UnitedHealthcare, Cigna, and Assurant do not intend to participate in 2014.  Aetna (via subsidiary Coventry), Anthem Blue Cross Blue Shield, and Centene, will likely participate among others

Alabama: Blue Cross Blue Shield of Alabama, UnitedHealthcare & Humana have applied to sell qualified health plans in all or part of state.

Wisconsin: 13 health insurers intend to offer plans including Dean Health Plan, Gunderson Health Plan, Arise (WPS Health Plan), Physicians Plus Insurance, Common Ground Health Cooperative, Compcare Health Services Corp., Group Health Cooperative, Health Tradition Health Plan, Medica Health Plan, MercyCare HMO, Molina Healthcare, Security Health Plan, Unity Health Plan.  Noticeably absent are prominent insurers Anthem Blue Cross Blue Shield, Humana, and UnitedHealthCare.

Connecticut: Customers shopping on the Connecticut online exchange will have 3 health insurer options, but most notably those options will not include Connecticut based Aetna, who withdrew it application.  The 3 insurers participating appear to be Anthem, UnitedHealthcare & HealthyCT.

Pennsylvania: 8 health insurers plan to sell policies to individuals including Highmark Blue Cross, Capital Blue Cross, Independence Blue Cross, Blue Cross of Northeastern PA, UPMC Health Plan, Geisinger Health Plan, Aetna & HealthAmerica.

Idaho: 5 insurers to offer plans to individuals in Idaho including: Altius, Blue Cross of Idaho, SelectHealth, PacificSource and BridgeSpan.  Blue Cross, PacificSource and SelectHealth will also offer plans for small businesses.

Delaware: 3 health insurers were certified to offer health plans on the exchange: Highmark Blue Cross Blue Shield of Delaware, Coventry Health & Life Insurance Co, and Coventry Healthcare of Delaware.  In addition, four insurers will offer stand alone dental plans.

Hawaii: Only 2 insurers will offer health plans to Hawaiians via their exchange:  Kaiser Permanente & Hawaii Medical Services Corporation.

Washington: 4 insurers have been approved to sell individual health plans on the exchange: Group Health Cooperative, Bridgespan (Parent Co. Regence BlueShield), Premera Blue Cross, Lifewise Health Plan.  5 other insurers who applied to participate were declined.

Virginia: 9 insurers will offer individual health plans to Virginia residents including Aetna, Healthkeepers (Anthem), Coventry, Optima Health, Kaiser Foundation Health Plan among others.  In addition 6 others will offer only small group plans

Indiana: 4 Health insurers will participate including Physician’s Health Plan (PHP).  More information to follow.

Utah: 5 insurers will participate in the federally facilitated exchange for individuals in Utah including Regence BlueCross BlueShield  Altius Health Plan, Humana, SelectHealth and UnitedHealthcare.

Arkansas: 5 insurers intend to participate including: United Security Life & Health, Celtic Insurance Company, QualChoice of Arkansas, Arkansas Blue Cross Blue Cross Blue Shield, and potentially a National Blue Cross Blue Shield Multi-State Plan.

Note: Many of the state participation summaries above indicate health insurers who have applied for inclusion in various state or Federal marketplaces.  Some states will opt to only select the most competitive of offerings.

Bookmark this page and stop back often.  It will be updated with with state online marketplace participation updates.

[updated June 7th with 3 more states]

[updated June 10th with Colorado insurer filings]

[updated June 11th with Illinois, Ohio, Michigan, Vermont, DC, Rhode Island, & Oregon]

[updated July 3rd, with update from Iowa]

[updated July 25th with Arizona, Missouri, Alabama  and Mississippi information]

[updated Aug 8 with Wisconsin, California & Connecticut, Georgia & Maryland  updates]

[updated Aug 9 with updates from Pennsylvania & Idaho]

[updated Aug 12 with updates from Hawaii, Delaware, Indiana, Virginia, Kansas & Washington State]

[updated Aug 19th Utah and Arkansas  updates]

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