SeeSurance

We don’t sell insurance. We just provide the data. Free health insurance insights | search by state, size, company. Built proudly in Iowa.

[SeeSurance @SeeSurance]

5 Reasons We Started a Free Health Insurance Data Platform:

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The data confirms that the fully insured small group market is shrinking and consolidating nationwide. Total national enrollment fell from ~11.9M covered lives in 2020 to ~9.9M in 2024, a 17.3% reduction. Most states experienced net reductions. Carrier consolidation was evident in Colorado, Texas, New York, and Michigan, each of which saw multiple issuer exits over the period. The largest enrollment losses occurred in New York and Texas. Together, these two states account for nearly 20% of the total national decline. Ohio, Kentucky, and Missouri also saw their fully insured small group markets shrink. Among states with substantial initial markets Georgia experienced the steepest percentage drop, losing 75.2% of its covered lives in small group which coincided with Humana announcing exit in employer-sponsored commercial group medical insurance market nationwide.

[SeeSurance @SeeSurance]

Colorado’s fully insured small group market is shrinking and consolidating. Overall enrollment dropped 24% over the last five reported years (from 242,893 in 2020 to 184,623 in 2024), and the number of active carriers decreased from a peak of 14 down to just 6.

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@Benefitsguynick So in our mind the question would be, whose premiums keep going up, while overall claim payments are going down, and why?

[SeeSurance @SeeSurance]

The thing is, its not too hard to find that out in the world. MLR is one thing, and no doubt has its value. But what we do a little differently, because it's not so easy to find, is we like to focus on Simple Loss Ratio, for a simple reason, one that I would guess that you probably appreciate too!- it's direct claims. You pay premiums so that insurance pays claims. None of the other stuff like quality improvement expenses, etc. Just that direct premium to claims relationship.

[SeeSurance @SeeSurance]

@Benefitsguynick We would love to know that too! Any Colorado business owners out there that have changed carriers or switched fully funded to self funded, or other arrangements... what were your driving factors?

[SeeSurance @SeeSurance]

Search in your state at https://t.co/uB8Q8sLXIY.

[SeeSurance @SeeSurance]

These are observed data trends, not conclusions about strategy or causation. But they show how quickly a small‑group market can shift and consolidate when overall enrollment shrinks.

[SeeSurance @SeeSurance]

In the 90s, airline prices sat inside private reservation systems ordinary people couldn’t access. When Expedia surfaced that data, it changed the market. Health insurance tools are doing the same today, turning public-but‑hidden carrier data into usable information.

[SeeSurance @SeeSurance]

Health insurance premium and claims data aren’t hidden because they’re confusing, they’re hidden by bad formatting. When payout numbers sit in huge, messy files, comparing plans becomes impossible. Big changes in local insurance trends stay completely out of sight.

[SeeSurance @SeeSurance]

The government shares massive health insurance data files every year. But when that data is trapped in giant files you cannot easily open, it is not truly public. True transparency means any person can read the numbers without a tech expert.

[SeeSurance @SeeSurance]

A very beautiful Iowa evening and a break in the heat, which is nice.