30+ payers are among the nation's best large and midsize employers

BlueCross BlueShield of Tennessee was ranked fourth overall in Forbes' ranking of the top 500 large employers in America, and Excellus BlueCross BlueShield was ranked second among midsize employers. 

Many of the industry's largest insurers made the list, which includes companies and institutions with 5,000 employees or more, in addition to several state BCBS affiliates. 

Payers also had a presence on Forbes' list of best midsized employers, which includes companies with 1,000 to 5,000 employees.

The rankings, published Feb. 15, are compiled from employee surveys. 

How large payers stacked up: 

No. 4: BCBS Tennessee

No. 114: Humana

No. 136: BCBS Michigan 

No. 195: UnitedHealth Group

No. 242: Cigna

No. 244: Health Care Service Corporation (BCBS Illinois, Montana, New Mexico, Oklahoma, Texas) 

No. 301: BCBS South Carolina 

No. 337: Highmark Health 

No. 352: Molina Healthcare

No. 359: Elevance Health 

No. 455: Centene 

See the full list of large companies here. 

How midsize payers stacked up: 

No. 2: Excellus BCBS

No. 17: BCBS North Carolina

No. 33: Arkansas BCBS

No. 44: BCBS Alabama

No. 56: BCBS Louisiana 

No. 57: Horizon BCBS New Jersey

No. 76: BCBS Massachusetts

No. 89: Premera Blue Cross

No. 93: HealthNow New York 

No. 99: Healthfirst

No. 129: Wellmark BCBS

No. 133: BCBS Nebraska

No. 151: Oscar Health 

No. 177: Tufts Health Plan 

No. 237: Capital Blue Cross

No. 299: BCBS Minnesota

No. 319: Medical Mutual of Ohio

No. 327: Medica 

No. 387: BCBS Kansas

No. 468: WPS Health Solutions  

See the full list of midsize companies here

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