Humana is set to exit the commerical group medical insurance business, phasing out its employer group commercial medical products over the next 18 to 24 months. The exit leaves just under 1 million members who will need to shift to other payers.
Most of the payer's commercial business is concentrated in Florida, Texas, Georgia and Kentucky, where Humana is headquartered.
According to the company's end-of-year earnings report, at the end of 2022, Humana had 556,300 fully-insured commercial members and 430,100 members in self-funded plans that Humana administers. Humana will continue to offer specialty insurance, including vision and dental, in the commercial market.
Humana plans to shift its focus to government-funded insurance. The payer had 5.1 million individual Medicare Advantage members at the end of 2022.
Here are the markets where Humana has the most commercial insurance business:
Florida
Fully insured commercial group: 105,200 members
Administrative services only: 32,200 members
Texas
Fully insured commercial group: 78,800 members
Administrative services only: 40,800 members
Kentucky
Fully insured commercial group: 73,700 members
Administrative services only: 32,200 members
Georgia
Fully insured commercial group: 64,400 members
Administrative services only: 72,300 members
Ohio
Fully insured commercial group: 24,200 members
Administrative services only: 23,900 members
Tennessee
Fully insured commercial group: 29,600 members
Administrative services only: 15,500 members
Illinois
Fully insured commercial group: 16,300 members
Administrative services only: 2,500 members
Missouri/Kansas
Fully insured commercial group: 23,000 members
Administrative services only: 22,700 members
Louisiana
Fully insured commercial group: 22,900 members
Administrative services only: 18,100 members
Wisconsin
Fully insured commercial group: 39,800 members
Administrative services only: 23,900 members
Indiana
Fully insured commercial group: 12,500 members
Administrative services only: 7,900 members
Michigan
Fully insured commercial group: 700 members
Administrative services only: 1,700 members
Arizona
Fully insured commercial group: 9,700 members
Administrative services only: 5,100 members
Other markets
Fully insured commercial group: 55,500 members
Administrative services only: 17,700 members