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GAO-06-155R 1 (2005-10-13)

handle is hein.gao/gaocrptasfh0001 and id is 1 raw text is: SGAO Accountability * Integrity Reliability United States Government Accountability Office Washington, DC 20548 October 13, 2005 The Honorable Olympia J. Snowe Chair Committee on Small Business and Entrepreneurship United States Senate The Honorable Christopher Kit Bond United States Senate The Honorable James M. Talent United States Senate Subject: Private Health Insurance: Number and Market Share of Carriers in the Small Group Health Insurance Market in 2004 As a follow-up to our 2002 report on the competitiveness of the small group health insurance market,' you requested updated information on each state and the District of Columbia. Specifically, you asked us to identify-for each state-the number of carriers licensed in the small group market, the largest carriers, and their market share. To obtain this information, we sent an electronic survey to the office responsible for regulating insurance, health plans, or both in all 50 states and the District of Columbia (hereafter referred to as a state). We followed up with nonresponding states by e-mail and by telephone and received responses from 47 states. However, not all 47 states had the information needed to answer all of the questions. For example, 40 states reported the largest carrier and 34 states provided market share data. Also, the responding states varied in how they defined the size of a small group. Most-35- defined a small group as 2 to 50 employees, 10 defined a small group as 1 to 50 employees, and 1 had another definition. We did not verify the information provided by the states. We performed our work from August through October 2005 in accordance with generally accepted government auditing standards. The following summarizes our findings: . The median number of licensed carriers in the small group market per state was 28, with a range from 3 in Rhode Island to 75 in Georgia. 'GAO, Private Health Insurance: Number and Market Share of Carriers in the Small Group Health Insurance Market, GAO-02-536R (Washington, D.C.: Mar. 25, 2002). 2A carrier is generally an entity (either an insurer or managed health care plan) that bears the risk for and administers a range of health benefit offerings. 3 Missouri defined small group as from 3 to 25 employees. GAO-06-155R State Small Group Insurance Markets

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