Company Details for:

COVENTRY HEALTH AND LIFE INSURANCE COMPANY

Address

6705 ROCKLEDGE DR STE 900
BETHESDA MD, 20817-1814

Phone

212-598-8000

Market Share

Link to Supplemental Data Page
Accident & Health
YearLine Market
Share
Num of
Insureds
Direct
Prem
Written
Direct
Prem
Earned
Div.
Paid
Direct
Losses
Paid
Direct
Losses
Incurr
Loss
Ratio
2016 Total Accident & Health 11.10% 177,584 $1,086,790,686 $1,086,790,686 $0 $966,672,298 $942,662,38686.74%
2016 Total Individual Accident & Health 22.24% 121,447 $769,718,515 $769,718,515 $0 $681,272,951 $678,504,50188.15%
2016 Individual Comprehensive Medical Expense 30.13% 90,682 $471,887,638 $471,887,638 $0 $450,995,175 $437,641,70992.74%
2016 Individual Medicare Part D 0.20% 0 $571,110 $571,110 $0 $502,777 $112,41119.68%
2016 Individual Medicare Advantage 56.01% 30,765 $297,259,767 $297,259,767 $0 $229,774,999 $240,750,38180.99%
2016 Total Group Accident & Health 5.01% 56,137 $317,072,171 $317,072,171 $0 $285,399,347 $264,157,88583.31%
2016 Group Comprehensive Medical Expense - Small Employer 10.19% 21,243 $117,753,157 $117,753,157 $0 $98,314,664 $90,875,85877.17%
2016 Group Comprehensive Medical Expense - Large Employer 9.21% 34,073 $192,647,973 $192,647,973 $0 $182,376,390 $168,577,20187.51%
2016 Group Dental 0.23% 190 $574,148 $574,148 $0 $-4,465 $-233,041-40.59%
2016 Group Medicare Advantage 0.84% 631 $6,096,893 $6,096,893 $0 $4,712,758 $4,937,86780.99%
2015 Total Accident & Health 12.70% 255,446 $1,167,372,275 $1,167,372,275 $0 $1,048,024,169 $1,058,553,55090.68%
2015 Total Individual Accident & Health 22.31% 159,524 $673,231,929 $673,231,929 $0 $561,595,671 $628,166,61593.31%
2015 Individual Comprehensive Medical Expense 39.53% 132,678 $514,951,655 $514,951,655 $0 $425,615,654 $493,528,96995.84%
2015 Individual Medicare Part D 0.00% 0 $3,891 $3,891 $0 $196,542 $-158,908-4083.99%
2015 Individual Medicare Advantage 39.57% 26,846 $158,276,383 $158,276,383 $0 $135,783,475 $134,796,55485.17%
2015 Total Group Accident & Health 8.00% 95,922 $494,140,346 $494,140,346 $0 $486,428,498 $430,386,93587.10%
2015 Group Comprehensive Medical Expense - Small Employer 15.64% 38,637 $178,575,591 $178,575,591 $0 $168,919,190 $169,589,15994.97%
2015 Group Comprehensive Medical Expense - Large Employer 12.69% 52,624 $254,683,018 $254,683,018 $0 $277,543,085 $225,199,33188.42%
2015 Group Comprehensive Medical Expense - Association 1.37% 498 $1,739,932 $1,739,932 $0 $1,175,400 $1,110,93363.85%
2015 Group Dental 0.24% 0 $581,672 $581,672 $0 $51,957 $546,95294.03%
2015 Group Medicare Advantage 8.47% 4,163 $58,560,133 $58,560,133 $0 $38,738,866 $33,940,56057.96%
2014 Total Accident & Health 12.77% 280,761 $1,093,803,901 $1,093,803,901 $0 $927,642,879 $985,279,86190.08%
2014 Total Individual Accident & Health 20.85% 156,922 $553,442,423 $553,442,423 $0 $499,313,224 $555,718,011100.41%
2014 Individual Comprehensive Medical Expense 37.42% 123,547 $343,481,424 $343,481,424 $0 $321,017,445 $371,195,909108.07%
2014 Individual Medicare Part D 1.41% 2,101 $4,088,312 $4,088,312 $0 $3,273,925 $3,513,38385.94%
2014 Individual Medicare Advantage 47.82% 31,274 $205,872,687 $205,872,687 $0 $175,021,854 $181,008,71987.92%
2014 Total Group Accident & Health 9.14% 123,839 $540,361,478 $540,361,478 $0 $428,329,655 $429,561,85079.50%
2014 Group Comprehensive Medical Expense - Small Employer 12.90% 34,867 $147,368,746 $147,368,746 $0 $118,225,872 $118,252,81280.24%
2014 Group Comprehensive Medical Expense - Large Employer 18.36% 86,442 $368,068,022 $368,068,022 $0 $290,295,088 $291,638,62879.23%
2014 Group Comprehensive Medical Expense - Association 10.43% 522 $18,387,661 $18,387,661 $0 $14,138,790 $13,844,42675.29%
2014 Group Dental 0.23% 1,319 $537,438 $537,438 $0 $471,295 $471,29587.69%
2014 Group Medicare Advantage 1.07% 689 $5,999,611 $5,999,611 $0 $5,198,610 $5,354,68989.25%

Enforcements

The department has not taken enforcement action against this company in the past three years.
Link to Enforcements Page

Complaint Index

Link to Complaint Index Page
YearLineMarket
Share
Number of
Complaints
Complaint
Index
2016 Health 12.48% 1045 200
2015 Health 11.78% 898 200
2014 Health 10.69% 499 170

Company Changes

Effective Date: 05/01/2011
Comments: Effective 5/1/11 Mercy Health Plans merged with and into the above company

Effective Date: 12/20/2012
Comments: Effective 12/20/2012 this company redomesticated to Missouri.

Effective Date: 05/01/2011
Comments: Effective 5/1/11 Mercy Health Plans merged with and into the Coventry Health and Life Insurance Company

Market Conduct

Date: 12/30/2009

Pdf Links

  Document

Date: 12/30/2016

Pdf Links

  Document

Financial Exams

Date: 06/29/2017

PDF File Link