This illustration shows how health plan companies can be organized.
Health Plan Company Organization:
- For Profit – can be a Health Maintenance Organization (HMO) (such as UnitedHealthcare of Illinois, Inc.) or an Insurance Company (such as HealthPartners Insurance Company or Medica Insurance Company)
- Non-Profit – can be a Health Maintenance Organization (HMO) (such as Blue Plus, HealthPartners, Inc., Medica Health Plans, or UCare Minnesota) or a Health Service Plan Corporation (such as Blue Cross Blue Shield of Minnesota)
Figures are for illustration purposes only and do not include all health plan companies.

Page 5 – Ways to Describe Types of Health Care Coverage Offered

This illustration shows what types of health insurance coverage are offered within Minnesota.
- Private (Commercial) Coverage
  - Self-Insured Coverage – where health plan companies offer claims processing, network rental, or both, to employers who chose to take on the risk of their employee’s health care cost through self-insurance.
  - Fully-Insured Coverage – including Large Group (50 or more employees), Small Group (2 to 50 employees), and Individual Market (such as plans purchased through MNsure). In fully insured plans, the health plan company takes on the risk of health care costs.
- Public Coverage
  - State Public Programs, including Medical Assistance (Medicaid) and MinnesotaCare. Only HMOs can contract with the Minnesota Department of Human Services to offer this coverage.
  - Medicare, including Medicare Cost plans, Medicare Part D (prescription drug) plans, and Medicare Advantage plans. Health plan companies have contracts with the federal government to offer these services.
Figures are for illustration purposes only and do not include all types of public and private coverage.

Page 12 – Allina Health & Aetna Insurance Company Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for Allina Health & Aetna Insurance Company from 2019 through 2022. For the majority of years, these percentages were under 0%.

Page 15 – BCBS of MN & Blue Plus Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for BCBS of MN & Blue Plus from 2018 through 2022. For Blue Plus, these percentages were above 0% the majority of years, with the exception of their 2019 underwriting margin. For BCBS of MN, the only years the total underwriting margin was above 0% was 2020 and 2022; for the total profit margin, all years except 2019 were above 0%.

Page 16 – BCBS of MN & Blue Plus Key Financial Illustrations, Continued

This line chart shows the Commercial Medical Loss Ratio (MLR) for BCBS of MN & Blue Plus from 2018 through 2022 for the small group market (both plans), and the individual market for Blue Plus. During these years, the MLR was above the required MLR of 80%, with the exception of 2018 for the small group market (both plans), and in 2020 for BCBS of MN’ small group market.

Page 20 – County Based Purchasers Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for County Based Purchasers from 2018 through 2022. IMCare and PrimeWest Health have had positive underwriting and profit margins since 2020; South Country Health Alliance has had positive underwriting and profit margins since 2019.

Page 24 – HealthPartners Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for Group Health Plan, Inc., HealthPartners Insurance Company, and HealthPartners, Inc. from 2018 through 2022. Group Health Plan, Inc. has not had any underwriting or profit margins above 0% during this time period; HealthPartners Insurance Company has only had positive underwriting margins from 2018-2020 and positive profit margins from 2018-2021. HealthPartners, Inc. has had positive or flat underwriting and profit margins from 2018-2022.

Page 25 – HealthPartners Key Financial Illustrations, Continued

This line chart shows the Commercial Medical Loss Ratio (MLR) for HealthPartners’ plans from 2018 through 2022. During these years, the MLR was above the required MLR of 80%, for the following years and market segments:

Group Health Plan, Inc. – Individual Market: 2019-2022
HealthPartners Insurance Company – Individual Market: 2020-2021
HealthPartners Insurance Company – Small Group Market: 2018-2022
HealthPartners, Inc. – Individual Market: 2018-2022
HealthPartners, Inc. – Small Group Market: 2018-2022

Page 27 – Hennepin Health Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for Hennepin Health from 2018 through 2022. Hennepin Health only had positive underwriting and profit margins in 2018, 2020, and 2022.

Page 30 – Medica Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for Medica Health Plans and Medica Insurance Company from 2018 through 2022. These companies either had flat or positive underwriting and profit margins from 2018 through 2022.

Page 31 – Medica Key Financial Illustrations, Continued

This line chart shows the Commercial Medical Loss Ratio (MLR) for Medica Insurance Company’s individual and small group market from 2018 through 2022. During these years, the MLR was above the required MLR of 80%.

Page 33 – PreferredOne Insurance Company Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for PreferredOne Insurance Company from 2018 through 2022. The only year PreferredOne Insurance Company had a positive underwriting margin was in 2020 and had positive profit margins in 2019 and 2020.

Page 34 – PreferredOne Insurance Company Key Financial Illustrations, Continued

This line chart shows the Commercial Medical Loss Ratio (MLR) for PreferredOne Insurance Company’s individual and small group market from 2018 through 2022. During these years, the MLR was above the required MLR of 80%.

Page 36 – Quartz Health Plan MN Corporation Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for Quartz Health Plan MN Corporation from 2018 through 2022. Quartz Health Plan MN Corporation had positive underwriting margins from 2019-2021 and had flat or positive profit margins from 2019-2022.

Page 37 – Quartz Health Plan MN Corporation Key Financial Illustrations, Continued

This line chart shows the Commercial Medical Loss Ratio (MLR) for Quartz Health Plan MN Corporation’s individual and small group market from 2018 through 2022. During these years, the MLR was above the required MLR of 80%, with the exception of 2021 for the small group market. Note: Quartz entered the individual market in 2021.

Page 39 – Sanford HealthPlan of MN Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for Sanford HealthPlan of MN from 2018 through 2022. Sanford HealthPlan of MN had positive underwriting and profit margins only in 2020.

Page 40 – Sanford HealthPlan of MN Key Financial Illustrations, Continued

This line chart shows the Commercial Medical Loss Ratio (MLR) for Sanford HealthPlan of MN’s small group market from 2018 through 2022. During these years, the MLR was above the required MLR of 80% for only 2019-2021.

Page 42 – UCare MN Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for UCare MN from 2018 through 2022. UCare MN had positive underwriting and profit margins in all years except 2019.

Page 43 – UCare MN Key Financial Illustrations, Continued

This line chart shows the Commercial Medical Loss Ratio (MLR) for UCare MN’s individual market from 2018 through 2022. During these years, the MLR was above the required MLR of 80% for only 2021 and 2022.

Page 46 – Medica Community Health Plan Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for Medica Community Health Plan from 2018 through 2022. Medica Community Health Plan had positive underwriting and profit margins in all years except 2021 and 2022.

Page 48 – UCare Health, Inc. Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for UCare Health, Inc. from 2018 through 2022. UCare Health, Inc. had positive underwriting and profit margins in all years except 2019 and 2020.

Page 50 – UnitedHealthcare of IL Key Financial Illustrations

These two line charts show the total underwriting margin and total profit margin for UnitedHealthcare of IL from 2020 through 2022. UnitedHealthcare of IL had positive underwriting and profit margins in all years except 2020.