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Membership and Utilization Reports

Consistent with 211 CMR 43, 211 CMR 52, and 211 CMR 66, the Division requests that accredited carriers and Health Maintenance Organizations (HMOS) file certain utilization and membership information.

Carriers with Managed Care Accreditation and HMOs

November 1, 2024 through October 31, 2026 (Pursuant to M.G.L. c. 176O and 211 CMR 52.00)

Hospital and Medical Service Corporations licensed under M.G.L. chs. 176A and 176B 

  • Blue Cross and Blue Shield of Massachusetts, Inc. 

Insurance Companies licensed under M.G.L. c. 175 

  • Aetna Health Insurance Company 
  • Aetna Life Insurance Company 
  • CIGNA Health and Life Insurance Company 
  • Fallon Health & Life Assurance Company, Inc. 
  • 4 Ever Life Insurance Company 
  • HPHC Insurance Company, Inc. 
  • Mass General Brigham Health Insurance Company 
  • Tufts Insurance Company 
  • UnitedHealthcare Insurance Company United States 
  • Fire Insurance Company 
  • Wellfleet Insurance Company

Health Maintenance Organizations licensed under M.G.L. c. 176G 

  • Aetna Health Inc. (a Connecticut Corporation)
  • Aetna Health Inc. (a Pennsylvania Corporation) 
  • Align Senior Care, Inc.
  • Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. 
  • Boston Medical Center Health Plan, Inc. d/b/a WellSense Health Plan, Inc.
  • Central Mass Health LLC
  • Commonwealth Care Alliance Massachusetts, LLC
  • ConnectiCare of Massachusetts, Inc. 
  • eternalHealth, Inc. 
  • Fallon Community Health Plan, Inc. 
  • Harvard Pilgrim Health Care, Inc. 
  • Health New England, Inc. 
  • Humana Wisconsin Health Organization Insurance Corporation 
  • Longevity Health Plan, Inc.
  • Mass General Brigham Health Plan, Inc. 
  • Molina Healthcare of Wisconsin, Inc.
  • MVP Health Plan, Inc.
  • Tufts Associated Health Maintenance Organization, Inc. (d/b/a Tufts Health Plan)
  • Tufts Health Public Plans, Inc. 
  • UnitedHealthcare of New England, Inc.
  • UnitedHealthcare of Wisconsin, Inc.
  • WellCare Health Plans of Massachusetts, Inc.

Workers' Compensation Preferred Provider Arrangements under M.G.L. chs. 152 and 176I 

  • Baystate Health, Inc.

HMO Quarterly Membership Reporting Guidelines

Accredited Carrier Membership Information

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