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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 2 ($9,000 Fine)
UNITED OF OMAHA LIFE INS CO - 2,839 - 2,839 0.2% 2 0.03 57 38 1 ($18,000 fine)

Contains 2004 - 2005 data as available.
Insurers report Enrollment and Appeals figures. This list does not represent an endorsement of any particular insurer. * Does not include Medicare enrollees.

 


 




 
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