The NUL

The
2014
NUL
TOp 100
Statistics can tell a lot, not
only about the financial health of
companies, but also how they stack
up against one another. In this annual
feature, we take the pulse of 100 topranking life and health insurers when
measured against four key metrics:
net investment income, total enrollment (health lines only), policy-holder
surplus and net premiums written.
The report card on the last of
these, of particular interest to life
insurance professionals, reveals a
shake-up in the ranks, with a top
three insurer in 2012 displacing the
formerly number one carrier in 2013.
Hence, United Health Group overtook
WellPoint last year in the health segment (all lines); Jackson National
surpassed Prudential Financial in
the annuities space (individual and
group); and Prudential nudged aside
MetLife in life insurance net premiums (excepting credit life).
In two market segments — life/
accident & health (except credit);
and life (supplemental & other) —
the top insurer of 2012 maintained
the top position in 2013. The companies: UnitedHealth Group Inc. and
36
TIAA-CREF, respectively.
A comparison of 2012
and 2013 tables also
reveals significant variations in net premiums
written for individual
companies. Prime
example: Prudential
Financial, which last
year garnered $19.2
billion in net premiums, down from the
$61.1 billion recorded in 2012.
How to explain so significant a
decline? In an e-mailed written reply
to NU, a Prudential spokesperson
attributed the dip to two factors: (1)
a one-time bump from $30 billion
of premium income generated by
pension risk transfer transactions
concluded with General Motors and
Verizon in 2012; and (2) a decrease
in gross sales of variable annuities ($11.447 billion in 2013 versus
$19.977 billion in 2012).
While these items are “almost
certainly the main drivers” for the
premium decline, the spokesperson
cautions that Prudential cannot take
responsibility for the
National Underwriter Life & Health • June 2014
accuracy of data provided
by a third party.
The source of the
stats: SNL Financial,
which bases its figures
on the insurers’
own filings with the
National Association
of Insurance Commissioners. SNL
Financial’s proprietary database — to
which NU has privileged access —
standardizes financial data using the
life and health insurance industries’
financial parameters, terminology
and performance metrics. The company data is also aligned over time to
enable easy comparison of different
periods.
With this as background, read on.
See how your carriers measure up
against the competition. You may be
surprised!
By Warren S. Hersch
and emily holbrook
www.LifeHealthPro.com
1
Net Premiums Written:
Health // All Lines
UnitedHealth Group Inc. — $45,333,706
Company Name
2013 ($000)
2013 ($000)
Company Name
2013 ($000)
Company Name
2013 ($000)
2 HlthCare Svc Corp. a Mutual
22,907,202
35 HealthPartners Inc.
2,604,677
68 PacificSource Health Plans
1,024,764
3 Aetna Inc.
20,152,135
36 Medical Mutual of Ohio
2,595,055
69 Health Net Inc.
1,015,268
4 Humana Inc.
17,763,545
37 UCare Minnesota
2,499,741
70 Security Health Plan of WI Inc
1,001,791
5 Highmark Insurance Group
11,600,670
38 HealthNow New York Inc.
2,479,438
71 Health Partners Plans Inc.
1,000,261
6 Independence Blue Cross
10,143,430
39 Henry Ford Health System
2,376,025
72 Dental Service of MA Inc.
945,227
7 EmblemHealth Inc.
9,953,243
40 Spectrum Health System
2,305,494
73 HealthPlus of Michigan Inc.
916,808
8 Centene Corp.
9,923,740
41 MVP Health Care Inc.
2,248,562
74 Community Health Plan of WA
901,919
9 Horizon Healthcare Svcs Inc.
9,454,057
42 Cap District Physicians’ Hlth
1,993,861
75 Ministry Health Care Inc.
894,787
10 Blue Cross Blue Shield of MI
9,284,298
43 Triple-S Mgmt Corp.
1,974,866
76 Texas Children’s Hlth Plan Inc
792,436
11 BC&BS of Florida Inc.
8,918,898
44 Geisinger Health System Fndtn
1,963,771
77 AvMed Inc.
778,271
12 WellCare Health Plans Inc.
8,823,869
45 Capital Blue Cross
1,921,898
78 Universal American Corp.
774,479
13 CareFirst Inc.
7,348,849
46 Independent Health Assn.
1,842,460
79 Express Scripts Holding Co.
762,748
14 Cigna Corp.
6,864,285
47 Gateway Health Plan L.P.
1,809,544
80 CommunityCare Managed Hlthcr
735,520
15 Excellus Health Plan Inc.
6,289,316
48 Managed Health Inc.
1,613,417
81 AHS Medical Holdings LLC
716,157
16 BC&BS of Massachusetts Inc.
6,242,807
49 Blue Cross & Blue Shield of NE
1,584,501
82 Hosp Svc Assn. of Northeastern
711,809
17 Molina Healthcare Inc.
5,946,528
50 USAble Mutual Insurance Co.
1,549,357
83 ProMedica Health System Inc.
702,924
18 Cambia Health Solutions Inc.
5,872,671
51 Blue Cross & Blue Shield of RI
1,539,968
84 Peoples Health Inc.
699,690
19 Blue Cross & Blue Shield of NC
5,819,892
52 Blue Cross Blue Shield of AZ
1,522,135
85 University Health Care Inc.
685,371
20 BlueCross BlueShield of TN Inc
5,357,689
53 BC&BS of Kansas City
1,502,397
86 Community Health Choice Inc.
663,182
21 University of Pittsburgh Med
4,550,820
54 Intermountain Health Care Inc.
1,463,586
87 First Medical Health Plan Inc.
643,364
22 CareSource Mgmt Group Co.
4,154,067
55 Sentara Healthcare
1,414,483
88 Elderplan Inc.
642,534
23 Blue Cross & Blue Shield of AL
4,130,973
56 Boston Med Center Health Plan
1,388,669
89 Unity Health Plans Ins Corp.
636,586
4,077,859
57 Neighborhood Health Plan Inc.
1,362,970
90 Blue Cross & Blue Shield of VT
594,330
25 Tufts Assocd Hlth Maintenance
3,816,028
58 Presbyterian Healthcare Svcs
1,293,288
91 Baylor Scott & White Health
590,843
26 Wellmark Inc.
3,314,945
59 Blue Cross of Idaho Health Svc
1,243,606
92 WI Physicians Svc Ins Corp.
580,183
27 Group Health Cooperative
3,283,180
60 Fallon Community Hlth Plan Inc
1,230,615
93 Viva Health Inc.
554,836
28 Medica Holding Co.
3,242,438
61 America’s 1st Choice Ins Group
1,223,602
94 Indiana University Health Inc.
548,081
29 CVS Caremark Corp.
3,134,956
62 BC&BS of MS a Mutual Ins Co.
1,190,802
95 Baystate Health Inc.
546,695
30 PREMERA
3,045,860
63 Renaissance Health Svc Corp.
1,183,984
96 McLaren Health Care Corp.
534,668
31 Louisiana Hlth Svc & Indem Co.
2,647,841
64 Caidan Enterprises Inc.
1,164,738
97 Parkland Cmnty Health Plan Inc
519,455
32 Hawaii Medical Service Assn.
2,640,036
65 Providence Health Insurance Group
1,132,846
98 St. Joseph Health System
500,687
33 Harvard Pilgrim HlthCare Inc.
2,636,676
66 Carle Holding Co.
1,129,499
99 Summa Health System Inc.
497,125
34 Companion Health Group
2,629,198
67 SSM Health Care Corp.
1,075,863
100 HealthSpan Integrated Care
473,889
24
Blue Cross and Blue Shield of Minnesota
www.LifeHealthPro.com June 2014 • National Underwriter Life & Health
37

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