Massachusetts Nongroup Health Plan Membership Highlights


2004 2005
Membership in Nongroup Health Plans 1 55,85655,852

Membership in Nongroup Guaranteed Issue Health Plans: 2
Blue Cross and Blue Shield of Massachusetts, Inc. 3 33,05135,362
Commercial Carriers 5742
Health Maintenance Organizations 11,8129,798

TOTAL 44,92045,202

Membership in Nongroup Guaranteed Issue Health Plans offered Only on a Group Conversion Basis: 4
Blue Cross and Blue Shield of Massachusetts, Inc.NANA
Commercial Carriers6245
Health Maintenance OrganizationsNANA

TOTAL 6245

Membership in Closed Nongroup Health Plans: 5
Blue Cross and Blue Shield of Massachusetts, Inc. 3 4,5183,762
Commercial Carriers4,2562,161
Health Maintenance Organizations2,1001,682

TOTAL 10,8747,605

GRAND TOTAL 55,85655,852

Dec 2004 Dec 2005
Carriers Offering Nongroup Guaranteed Issue Health Plans
Blue Cross and Blue Shield of Massachusetts, Inc.11
Commercial Carriers66
Health Maintenance Organizations99

GRAND TOTAL: 1616

Carriers Insuring Massachusetts Residents in
"Closed" Nongroup Health Plans
Blue Cross and Blue Shield of Massachusetts, Inc.11
Commercial Carriers3232
Health Maintenance Organizations87

GRAND TOTAL: 4140

1Membership statistics are based on 2004 and 2005 Membership Reports currently on file with the Division of Insurance ("Division").

2Represents membership in guaranteed issue nongroup health plans subject to M.G.L. c. 176M excluding membership in guaranteed issue health plans available only on a group conversion basis (please see separate line for this information). Beginning November 1, 2001, carriers were permitted to offer alternate plans in addition to standard guaranteed issue plans; Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., Fallon Community Health Plan, Inc., Health New England, Inc. and Harvard Pilgrim Health Care, Inc. offered such plans in 2005 accounting for 18,170 members.

3Membership statistics include both Blue Cross and Blue Shield of Massachusetts, Inc. and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.

4Represents membership in guaranteed issue health plans subject to M.G.L. c. 176M issued only on a group conversion basis. Please see separate report for membership in guaranteed issue health plans available to all eligible persons.

5Represents membership in nongroup plans closed to new enrollment. According to M.G.L. c. 176M §1 a "closed plan" is defined as a "nongroup health plan issued by a carrier to a natural person for said person, as well as any covered dependents, prior to the first day of the first open enrollment period." (October 1, 1997).