BReports
ARNES
Health & Medical Insurance
Carriers Industry (NAICS 524114)
n Market Reports
n Industry Trends
n Demographic Data
Edition 2011
© C. Barnes & Co.
Health & Medical Insurance Carriers
(NAICS 524114)
TABLE OF CONTENTS
Users' Guide
Industry Definition and Related Industries
Industry Establishments, Sales & Employment Trends
Industry Ratios
Establishments, Firms & Payroll
Sub-Industries - 2010 Estimated Industry Sales ($Millions)
Sub-Industries - 2010 Estimated Number of Establishments
Sub-Industries - 2010 Estimated Number of Employees
5-Year Trend - Estimated Industry Sales ($Millions)
5-Year Trend - Estimated Number of Establishments
5-Year Trend - Estimated Number of Employees
2011 U.S. States - Estimated Number of Establishments
2011 U.S. States - Estimated Industry Sales ($Millions)
2011 U.S. States - Estimated Number of Employees
2012 U.S. States - Estimated Number of Establishments
2012 U.S. States - Estimated Industry Sales ($Millions)
2012 U.S. States - Estimated Number of Employees
2011 U.S. Metropolitan Areas - Estimated Number of Establishments
2011 U.S. Metropolitan Areas - Estimated Industry Sales ($Millions)
2011 U.S. Metropolitan Areas - Estimated Number of Employees
2012 U.S. Metropolitan Areas - Estimated Number of Establishments
2012 U.S. Metropolitan Areas - Estimated Industry Sales ($Millions)
2012 U.S. Metropolitan Areas - Estimated Number of Employees
Definitions and Terms
© 2011 Barnes Reports: U.S. Health and Medical Insurance Carriers Industry 1
Health & Medical Insurance Carriers
(NAICS 524114)
USERS' GUIDE
The Barnes Reports are the leading publications on U.S. industries and estimates and forecasts
on sales and employment demographics. As a way of making the most of this information, we have
included a few suggestions and tips to aid you in processing and using this information.
Managers, planners, and market researchers use this information for a variety of activities:
• Sizing markets and segments – You can estimate the size of the regional markets you sell in
and your company’s market penetration into that market. You can do the same with the market
segments in which you participate.
• Sales territory potential – You can estimate your market penetration and also the market potential
in any regional area or market segment.
• Sales forecasting – With the estimates on the size of the industry, market researchers supporting
a sales force can then estimate and forecast the future size of the industry.
• Advertising strategies – You can use this information for forecasting and estimating sales potential
and target advertising campaigns.
• Competitive analysis – You will use the information to locate your possible competitors (if it is
not already known), to estimate their size, growth and strengths and weaknesses and to see what
market segments in which they participate.
We recognize that many managers today are asked to provide detailed analysis of their markets,
sales territories, distribution channels, and product placements. We have organized these reports in a
logical format making your market analysis and research tasks easy to accomplish.
Copyright © 2010 By C. Barnes & Co.
Printed in USA
All rights reserved. This publication may not be reproduced, stored in any information or retrieval system
or transmitted in whole or in part, in any form or by any means - electronic, mechanical, photocopying,
recording or otherwise - without the express written permission of C. Barnes & Co.
Note: Every effort has been made to verify and ensure the accuracy of the information within this
publication. However, if any errors exist in this publication C. Barnes & Co. disclaims any liability for
any loss or damage to any party as a result of the information or errors in this publication.
© 2011 Barnes Reports: U.S. Health and Medical Insurance Carriers Industry 2
Health & Medical Insurance Carriers
(NAICS 524114)
Industry Definition and Related Industries
NAICS 524114: Health & Medical Insurance Carrier. This industry comprises
establishments primarily engaged in providing hospital, medical, and other
health services to subscribers or members in accordance with prearranged
agreements or service plans, generally in return for specified subscription
charges. The plans may be through a contract with a participating hospital or
physician. Other plans provide for partial indemnity and service benefits.
Includes separate establishments of HMOs which provide insurance.
Related Industries
Medical & Surgical Hospitals
Property & Casualty Insurance Carriers
Offices of Physicians
Offices of Dentists
U.S. Census Categories
NAICS 524114 – Health & Medical Insurance Carriers is almost comparable to:
30% of SIC 6321 – Offices of Direct Health Insurance Carriers and
100% of SIC 6324 - Offices of Hospital & Medical Service Plans
Sub-Industries
Hospital and medical service plans
Dental insurance
Group hospitalization plans
Health Maintenance Organization (HMO), insurance only
© 2011 Barnes Reports: U.S. Health and Medical Insurance Carriers Industry 3
Health & Medical Insurance Carriers
(NAICS 524114)
Industry Establishments, Sales & Employment Trends
Year Percent Chg. Year-to-Year
2008 2009 2010 2011 2012 08-09 09-10 10-11 11-12
Establishments 5,332 5,142 5,251 5,183 5,382 -3.6% 2.1% -1.3% 3.8%
Sales ($Millions) 469,598 442,041 471,046 478,929 526,952 -5.9% 6.6% 1.7% 10.0%
Employment 425,100 409,947 418,883 413,382 429,238 -3.6% 2.2% -1.3% 3.8%
Industry Ratios
Year Percent Chg. Year-to-Year
(Industry Averages) 2008 2009 2010 2011 2012 08-09 09-10 10-11 11-12
Sales ($M)/Estab. 88.07 85.97 89.70 92.40 97.91 -2.4% 4.3% 3.0% 6.0%
Sales ($)/Emp. 1,104,677 1,078,288 1,124,531 1,158,565 1,227,646 -2.4% 4.3% 3.0% 6.0%
Emps. per Estab. 79.7 79.7 79.8 79.8 79.8 0.0% 0.0% 0.0% 0.0%
Establishments, Firms & Payroll
Employee Size of Firm or Establishment
2010 1-4 5-9 10-19 20-99 100-499 500+ Total
Emps. Emps. Emps. Emps. Emps. Emps.
Firms 593 115 71 147 129 223 1,279
Establishments 1,952 577 454 796 616 238 5,255
Payroll ($Millions) 38 35 46 313 1,073 27,730 29,234
* Firms (total company) are represented by employee size of firm.
Establishments (individual locations) are represented by employee size of establishments.
"Total establishments" do not include "unknown employees" so will not match "total establishments" in other parts of the report.
© 2011 Barnes Reports: U.S. Health and Medical Insurance Carriers Industry 4
Health & Medical Insurance Carriers
(NAICS 524114)
Sub-Industries – 2010 Estimated Industry Sales ($Millions)
Total
Sub-Industries Sales
Hospital and medical service plans $59,453.9
Dental insurance $1,219.1
Group hospitalization plans $12,618.4
Health Maintenance Organization $33,235.8
Sub-Industries – 2010 Estimated Number of Establishments
Total
Sub-Industries Establishments
Hospital and medical service plans 45,661
Dental insurance 6,630
Group hospitalization plans 7,921
Health Maintenance Organization (HMO), insurance only 24,223
Sub-Industries – 2010 Estimated Number of Employees
Total
Sub-Industries Employment
Hospital and medical service plans 573,251
Dental insurance 46,123
Group hospitalization plans 117,888
Health Maintenance Organization (HMO), insurance only 245,267
© 2011 Barnes Reports: U.S. Health and Medical Insurance Carriers Industry 5
Health & Medical Insurance Carriers
(NAICS 524114)
5-Year Trend – Estimated Industry Sales ($Millions)
Employee Size of Establishment Total
Year 1-4 5-9 10-19 20-49 50-99 100-249 250-499 500-999 >1000 Un- Industry
Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. known Sales
Emps.
2008 3,964 2,930 5,993 8,873 16,709 67,375 105,600 80,560 156,870 20,724 469,598
2009 3,731 2,758 5,641 8,352 15,728 63,419 99,400 75,830 147,660 19,521 442,041
2010 3,975 2,938 6,010 8,898 16,756 67,566 105,899 80,788 157,314 20,901 471,046
2011 4,042 2,988 6,111 9,048 17,038 68,701 107,679 82,146 159,958 21,220 478,929
2012 4,447 3,287 6,724 9,955 18,747 75,593 118,480 90,386 176,004 23,328 526,952
5-Year Trend – Estimated Number of Establishments
Employee Size of Establishment Total
Year 1-4 5-9 10-19 20-49 50-99 100-249 250-499 500-999 >1000 Un- Establish-
Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. known ments
Emps.
2008 1,982 586 461 467 341 385 240 152 90 630 5,332
2009 1,911 565 445 450 329 371 231 147 87 608 5,142
2010 1,952 577 454 460 336 379 236 150 89 620 5,255
2011 1,927 570 448 454 331 374 233 148 87 612 5,186
2012 2,001 592 465 471 344 389 242 153 91 636 5,384
5-Year Trend – Estimated Number of Employees
Employee Size of Establishment Total
Year 1-4 5-9 10-19 20-49 50-99 100-249 250-499 500-999 >1000 Un- Employ-
Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. known ment
Emps.
2008 5,946 3,516 6,454 14,944 20,801 51,205 73,200 92,112 116,730 40,192 425,100
2009 5,734 3,390 6,224 14,410 20,058 49,376 70,586 88,823 112,562 38,784 409,947
2010 5,856 3,463 6,356 14,718 20,486 50,429 72,091 90,716 114,961 39,808 418,883
2011 5,780 3,418 6,274 14,526 20,220 49,774 71,154 89,537 113,467 39,232 413,382
2012 6,002 3,549 6,515 15,085 20,997 51,687 73,890 92,980 117,830 40,704 429,238
© 2011 Barnes Reports: U.S. Health and Medical Insurance Carriers Industry 6
Health & Medical Insurance Carriers
(NAICS 524114)
U.S. States – Estimated Number of Establishments
Year: 2011
Employee Size of Establishment Total
Area Name 1-4 5-9 10-19 20-49 50-99 100-249 250-499 500-999 >1000 Un- Estab-lish-
Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. Emps. known ments
Emps.
U.S. Total 1927 570 448 454 331 374 233 148 87 612 5186
Alabama 25 12 6 6 3 3 1 0 1 8 64
Alaska 4 0 0 1 1 0 0 0 0 1 7
Arizona 58 16 17 21 12 9 7 3 1 19 163
Arkansas 14 3 4 6 2 5 1 2 0 5 41
California 154 43 48 49 39 25 30 14 10 55 465
Colorado 42 12 8 17 3 8 4 1 1 13 107
Connecticut 31 8 5 4 5 11 3 3 6 10 85
Delaware 10 5 3 2 4 4 1 0 0 4 32
District of
Columbia 16 3 0 3 1 1 1 1 0 3 28
Florida 153 39 32 42 16 22 13 9 4 44 373
Georgia 49 21 17 8 6 9 3 2 3 16 133
Hawaii 9 1 0 0 2 2 0 0 1 2 17