|
Report
on
Arizona
Health
Insurers
An aid
to
comparison
shopping
for
health
insurance
May 2006
| Health Insurers with 2,500 or More Enrollees in 2004 |
Small Employer Group (2-50) |
Other Group Health |
Individual Insurance |
Total Health Insurance* |
Market Share |
Complaints to Insurance Department |
Annual Health Care Appeals |
No. of Enforcement Action(s) by Insurance Department |
| (including HMO's) |
Enrollees |
Enrollees |
Enrollees |
Enrollees |
(based on written premium) |
# of Complaints |
Ratio of Complaints to Enrollees |
Total Enrollee Appeals |
Appeals Resolved in Enrollee's Favor |
(within last 5 years) |
| AETNA HEALTH INC. (HMO) |
13,699 |
98,876 |
167 |
112,742 |
5.8% |
20 |
0.12 |
512 |
211 |
- |
| AETNA LIFE INS CO |
1,219 |
10,379 |
- |
11,598 |
1.3% |
25 |
0.19 |
173 |
72 |
1 ($75,000 Fine) |
| AMERICAN COMMUNITY MUTUAL INS CO |
2,838 |
980 |
- |
3,818 |
0.7% |
4 |
0.27 |
35 |
22 |
2 ($105,000 in Fines) |
| BLUE CROSS AND BLUE SHIELD OF ARIZONA, INC. |
61,047 |
88,962 |
138,849 |
288,858 |
16.6% |
34 |
0.11 |
3,803 |
1,834 |
1 ($8,000 Fine) |
| CENTRAL RESERVE LIFE INS CO |
2,176 |
1,441 |
- |
3,617 |
0.3% |
2 |
0.53 |
113 |
75 |
2 ($95,000 in Fines) |
| CIGNA HEALTHCARE OF ARIZONA, INC. (HMO) |
2,872 |
87,636 |
10,046 |
100,554 |
10.6% |
36 |
0.27 |
1,459 |
991 |
3 ($19,000 in Fines) |
| CONNECTICUT GENERAL LIFE INS CO |
6,896 |
78,058 |
- |
84,954 |
3.4% |
27 |
0.18 |
1,217 |
823 |
2 ($110,000 in Fines) |
| CORPORATE HEALTH INS CO |
17,977 |
- |
- |
17,977 |
0.1% |
0 |
0.00 |
51 |
24 |
|
| FORTIS INS CO (now TIME INS CO) |
612 |
9,696 |
1,874 |
12,182 |
0.9% |
26 |
1.72 |
13 |
5 |
1 ($28,000 Fine) |
| GOLDEN RULE INS CO |
- |
7,091 |
74 |
7,165 |
0.6% |
8 |
0.52 |
77 |
41 |
1 |
| GREAT-WEST HEALTHCARE OF ARIZONA, INC. (HMO) |
71 |
5,166 |
- |
5,237 |
0.3% |
0 |
0.00 |
17 |
8 |
|
| HEALTH NET LIFE INS CO |
31,740 |
50,363 |
20,517 |
102,620 |
3.6% |
22 |
0.21 |
311 |
162 |
1 ($41,600 Fine) |
| HEALTH NET OF ARIZONA, INC. (HMO) |
10,581 |
60,596 |
8,556 |
79,733 |
2.4% |
30 |
0.26 |
455 |
308 |
1 ($58,000 in Fine) |
| HUMANA HEALTH PLAN, INC. (HMO) |
4,528 |
12,681 |
- |
17,209 |
1.4% |
6 |
0.18 |
173 |
140 |
2 ($49,000 in Fines) |
| HUMANA INS CO |
15,089 |
9,869 |
- |
24,958 |
3.3% |
19 |
0.35 |
679 |
387 |
2 ($70,000 in Fines) |
| JOHN ALDEN LIFE INS CO |
3,334 |
1,532 |
592 |
5,458 |
0.5% |
10 |
1.19 |
11 |
5 |
1 ($120,000 in Fine) |
| MEGA LIFE AND HEALTH INS CO, THE |
69 |
4,463 |
- |
4,532 |
0.6% |
10 |
1.39 |
13 |
1 |
2 ($27,500 Fines) |
| MID-WEST NATIONAL LIFE INS CO OF TENN. |
- |
3,079 |
17 |
3,096 |
0.2% |
8 |
1.50 |
17 |
3 |
1 ($20,000 Fine) |
| PACIFIC LIFE & ANNUITY CO |
2,758 |
971 |
- |
3,729 |
0.5% |
3 |
0.26 |
37 |
11 |
1 ($38,000 Fine) |
| PACIFICARE LIFE ASSURANCE CO |
8,109 |
27,187 |
31 |
35,327 |
2.2% |
20 |
0.55 |
115 |
86 |
1 ($20,000 Fine) |
| PACIFICARE OF ARIZONA, INC. (HMO) |
35,536 |
87,046 |
3,623 |
126,205 |
6.8% |
48 |
0.21 |
523 |
321 |
1 ( $125,000 Fine) |
| PRINCIPAL LIFE INS CO |
5,052 |
918 |
- |
5,970 |
0.7% |
4 |
0.02 |
6 |
4 |
1 ($24,000 Fine) |
| RELIASTAR LIFE INS CO |
- |
16,971 |
- |
16,971 |
0.2% |
1 |
0.01 |
0 |
0 |
|
| UNICARE LIFE & HEALTH INS CO |
2 |
3,730 |
10 |
3,742 |
0.2% |
1 |
0.11 |
18 |
8 |
|
| UNITED HEALTHCARE INS CO |
94,745 |
468,460 |
293 |
563,498 |
12.8% |
66 |
0.10 |
367 |
187 |
1 |
| UNITED HEALTHCARE OF ARIZONA, INC. (HMO) |
- |
25,297 |
259 |
25,556 |
1.4% |
16 |
0.62 |
1,630 |
933 |
| |
