Massachusetts Nongroup Health Plan Membership Highlights


2005 2006
Membership in Nongroup Health Plans 1 52,85248,108

Membership in Nongroup Guaranteed Issue Health Plans: 2
Blue Cross and Blue Shield of Massachusetts, Inc. 3 35,36233,442
Commercial Carriers 4240
Health Maintenance Organizations 9,7988,355

TOTAL 45,20241,837

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 Carriers4530
Health Maintenance OrganizationsNANA

TOTAL 4530

Membership in Closed Nongroup Health Plans: 5
Blue Cross and Blue Shield of Massachusetts, Inc.3,7623,147
Commercial Carriers2,1611,859
Health Maintenance Organizations1,6821,235

TOTAL 7,6056,241

GRAND TOTAL 52,85248,108

Dec 2005 Dec 2006
Carriers Offering Nongroup Guaranteed Issue Health Plans
Blue Cross and Blue Shield of Massachusetts, Inc.11
Commercial Carriers67
Health Maintenance Organizations99

GRAND TOTAL: 1617

Carriers Insuring Massachusetts Residents in
"Closed" Nongroup Health Plans
Blue Cross and Blue Shield of Massachusetts, Inc.11
Commercial Carriers3229
Health Maintenance Organizations77

GRAND TOTAL: 4037

1Membership statistics are based on 2005 and 2006 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 2006 accounting for 19,381 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).