AIS’s Directory of Health Plans: 2014

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Publication Details

  • Pub Code: GDHP11-11WEB
  • Pages: 624
  • ISBN: 978-1-936230-63-1
  • Copyright 2014

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AIS’s Directory of Health Plans: 2014

The most comprehensive resource available on the U.S. health plan market with enrollment data and contact information for health plans operating in the U.S. The database is also available on CD to permit the creation of the specific analysis that suits the needs of each user.

Place your order through our secure shopping cart

Includes a free print version!
(Multi-user license covers up to 10 users)

A thorough and definitive tool to calculate health plan market share

AIS’s Directory of Health Plans contains enrollment data for all types of health plans, so you can track trends in product design, funding and market sectors. More than a “phone book” directory, the listings include:

  • National and state-level enrollment data by company,
  • National enrollment by company, by sector,
  • Company contact information and ownership information, and
  • Key executives listed by job function.

AIS’s Directory of Health Plans can help you:

  • Discover which health plans offer certain types of plan models and which health plans operate in each state, so you can gauge your competitors' strengths and identify where your opportunities for market expansion lie.
  • Conduct accurate market research using the most currently available data.
  • Create targeted mailing lists and develop call lists to network and generate leads for prospective new partners and clients.
  • Track shifts in enrollment as ACA implementation, integrations, mergers and acquisitions change the competitive landscape.
  • Develop benchmarks for determining the prevalence of certain types of plan models and create projections about which areas are likely to grow.

Convenient, Easy-to-Use Format

AIS’s Directory of Health Plans includes a CD with enrollment and market data — and verified contact names in mailing lists — along with an accompanying book that contains the full directory and an “Executive Summary” of enrollment trends in quick-view tables and charts.

Data is included in three different file formats (Excel, Access, CSV), so you can easily create the specific kind of analysis you want. It includes key executives in mailing lists, so you can quickly sort and create targeted lists. The CD is compatible with most sales force software and similar databases so you can conduct marketing research and develop prospect lists, as well as create detailed company profiles and prospective client lists for your sales team.

The printed book is also sold separately (without the CD), but does not include the CD’s exclusive Excel files that give you a head start on your analyses.

Multi-user site licenses for AIS’s Directory of Health Plans are also available to save you money while providing an accurate data resource for analysts throughout your organization. Call Sales Director Bailey Sterrett at 202-775-9008 x3034 to learn more.

Not sure what type of license is right for you? Click here to learn more about what uses are covered by single- and multi-user licenses (PDF file).

2014 Edition Exclusives

New improvements and enhancements available only in the 2014 edition

  • Brand-new chapters on Medicare Part D (PDP) enrollment, health insurance exchange participation in both public and private exchanges, Accountable Care Organizations (ACOs), and new start-up health plans (including CO-OPs)
  • Access to a dedicated customer support website
  • Updated and expanded data for local-level and subsidiary unit breakdowns, commercial risk enrollment broken down into Individual/Small Group/Large Group enrollment, and more key executive contacts than ever before — with three new job functions: Human Resources, Government Relations and Medicare Operations

Table of Contents

Print Version

  • Chapter 1: Highlights from AIS’s Database of Health Plans: 2014
  • Chapter 2: Directory of Health Insurance Companies
  • Chapter 3: Health Plan Enrollment by State
  • NEW! Chapter 4: Medicare Part D Directory and Enrollment
  • NEW! Chapter 5: Health Plan Participation in Health Insurance Exchanges
  • NEW! Chapter 6: Health Plan Participation in Accountable Care Organizations (ACOs) and Similar Partnerships
  • Chapter 7: NCQA Accreditation Status of U.S. Health Plans
  • NEW! Appendix: New Plan Directory
  • Alphabetical Index

CD Version


All known health insurers were surveyed by AIS staff researchers between Oct. 1, 2013, and Dec. 31, 2013. Organizations were contacted individually and offered options to fill out an online or paper survey, or to provide information via email, fax, mail or telephone interviews. Data provided directly by companies via survey is deemed the most accurate and up-to-date information on that company. For companies that do not return a survey, or where blanks are left on responses, researchers endeavor to complete the record through other means.

Survey data are audited against public records as available. For listed entities that prefer for AIS to fill out enrollment information from publicly available data sources, fully insured commercial enrollment is from third-quarter 2013 state insurance department filings. Medicare enrollment was updated from the December 2013 Centers for Medicare and Medicaid Services (CMS) records. Medicaid enrollment, when not provided by the company, was collected from state Medicaid agency reports ranging in date from September to December 2013, whichever was the latest available report as of Dec. 31.

Data from company websites, SEC filings, company press releases and published news reports were used to supplement the records.

Data Fields

  • Company information — Company Name, Company Owner, Profit Status, Private/Public, Stock Symbol, Aliases, Contracted PBM, Contracted Specialty Pharmacy Vendor, States Served
  • Contact information — Address, URL, Business Phone, Automated Phone, Fax
  • Executives by job function — CEO, President, Operations, Finance, Medical/Clinical, General Counsel/Legal Affairs, Provider Relations/Network, Marketing/Sales, Member Relations, Pharmacy, Public Relations, Information Systems, Purchasing, Claims Management, DM/Wellness; Human Resources; Government Relations; Medicare Operations
  • Enrollment data — Total Medical, Total Fully Funded, Commercial Risk (Total/Individual/Small Group/Large Group), Medicare Supplement, Public Sector Risk, Total Medicare Advantage, Medicare Coordinated Care Plans, Medicare Cost Plans, Medicare PFFS, PACE Programs, Medicaid HMO, Medicaid FFS, SCHIP and Other Public-Sector, Unspecified Risk, Self-Funded/ASO, Medicare Part D, FEHBP/FEP, and enrollment specific to each state, DC and Puerto Rico.


For the eleventh year in a row, America’s Health Insurance Plans (AHIP) — the national trade association representing health plans — has selected AIS’s Directory of Health Plans as the official directory resource.

Written By

AIS’s Directory of Health Plans is published by Atlantic Information Services, Inc. (AIS). The research and data tracking is conducted by in-house researchers who work exclusively for AIS.

To produce AIS’s Directory of Health Plans, AIS’s on-staff researchers personally interview or survey a knowledgeable person at each health plan — including subsidiaries and parent companies — to get a clear picture of product offerings, contracts and markets. We work hard to ensure that each covered life is counted only once, and is categorized by plan models that are defined in a consistent and meaningful manner which reflect the current industry. By maintaining our impeccable research standards and strict methodology through ten annual editions, AIS’s health plan data offers true year-over-year comparisons and extremely accurate and sensitive insight into developing trends.

AIS is proud to maintain this extensive, proprietary database of information and to consistently publish reliable and practical information that can help you in evaluating market trends and succeeding in the health care market.

Written For

  • Health plan executives, managed care and managed markets directors
  • Analysts, market researchers and business development managers
  • Network directors, contract and payer relations managers
  • Health care policy makers
  • Sales and marketing directors, brand managers
  • Account executives, product managers
  • Benefits advisors
  • Actuaries

AIS Guarantee

Order AIS’s Directory of Health Plans for a 30-day risk-free inspection and test for yourself the value of this highly practical resource. If within 30 days you're not interested in keeping it, just return it to AIS and we will send you a prompt, full refund or credit. For CD purchasers, refunds will not be made once the seal on the CD package has been broken. Please review your copy of the print version prior to breaking the seal.

Shipping Information

This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping and handling cost is $12 per item.

Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $45, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

View Sample (PDF)

AIS’s Directory of Health Plans: 2014

Place your order through our secure shopping cart

Includes a free print version!
(Multi-user license covers up to 10 users)

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