Saturday, February 04, 2012

Health Costs for Employers - NH Insurance Market

MEMBERSHIP OVERVIEW

In 2009, the average number of members in New Hampshire reported to the NHID was 611,435. Of this total, 42.3% were self-insured membership and 7.4% of the total was membership enrolled in a high deductible health plan (HDHP).

Calendar Year 2009 Membership Distribution

The following is a breakdown of membership by health insurance carrier:

Health Insurance Carrier/TPA Members Percent of Total
Aetna 17,979 2.9%
Anthem-NH 313,014 51.2%
Cigna 2,374 0.4%
Conn Gen Life Ins 93,206 15.2%
Golden Rule 266 0.0%
Great West 1,447 0.2%
Guardian Life 152 0.0%
Harvard Pilgrim Health Care 152,883 25.0%
John Alden 1,484 0.2%
MVP 23,503 3.8%
Time Insurance Company 3,986 0.7%
United 1,142 0.2%
Total Membership 611,435 100.0%

 

The following is a breakdown of membership by market category (employer group size):

Market Category Members Percent of Total
Employers with 1 Employee 6,000 1.0%
Employers with 2-9 Employees 47,720 7.8%
Employers with 10-25 Employees 44,535 7.3%
Employers with 26-50 Employees 31,298 5.1%
Employers with 51-99 Employees 43,216 7.1%
Employers with >= 100 Employees 377,415 61.7%
Individual (as group conversion) 663 0.1%
Individual Policy 29,193 4.8%
Employers Through Qualified Trust 31,395 5.1%

 

The following is a breakdown of membership by coverage category (line of business):

Insurance Type Members Percent of Total
EPO 23,121 3.8%
HMO 316,863 51.8%
Indemnity 11,240 1.8%
POS 82,990 13.6%
PPO 177,222 29.0%

 

The following is a breakdown of membership by coverage type:

Coverage Type Members Percent of Total
Self Funded without Stop Loss 225,780 36.9%
Self Funded with Stop Loss 33,010 5.4%
Underwritten 350,732 57.4%
Short Term, Non-renewable Health Insurance 1,913 0.3%