Employer health plans · Maine
Employer health plans in Maine
How Maine employers fund their health plans and which carriers insure them.
2024 plan filings
Employer health plans in Maine at a glance
Employer plan filings, 2024
Large employer health plans
279
form year 2024
Fully insured
163
58% of large plans
Self-funded
112
12% with stop-loss
Small plans
2
fewer details reported
Median premium per person covered
$7,992
insured contracts, all carriers
Insurance carriers for Maine employer health plans
Insured large plans by carrier group, form year 2024
| Carrier | Plans | Share | Persons covered | Median premium / person | Median broker % |
|---|---|---|---|---|---|
| Anthem (Elevance Health) | 29 | 18% | 38,543 | $8,193 | 3.2% |
| Cigna | 28 | 17% | 10,960 | $7,637 | 4.0% |
| Aetna | 19 | 12% | 6,518 | $7,214 | 3.1% |
| UnitedHealthcare | 12 | 7% | 4,132 | $5,997 | 3.1% |
| Blue Cross Blue Shield | 8 | 5% | 1,425 | $8,271 | 2.9% |
| Kaiser Permanente | 2 | 1% | 135 | $5,971 | 4.6% |
Fully insured vs self-funded
Large employer health plans, 2020–2024
| Form year | Large plans | Insured | Self-funded | Self-funded share |
|---|---|---|---|---|
| 2020 | 260 | 163 | 93 | 36% |
| 2021 | 299 | 197 | 98 | 33% |
| 2022 | 281 | 169 | 109 | 39% |
| 2023 | 309 | 190 | 111 | 36% |
| 2024 | 279 | 163 | 112 | 40% |
| 2025 (partial) | 220 | 126 | 90 | 41% |
Methodology
How these numbers are calculated
- Sources: employer health plan filings for 2020–2024 (2025 is still coming in and is labelled partial), negotiated rates published by health insurers and hospitals (2026), and Medicare fee schedules for reference.
- Which plans count: large employer health plans, placed in the state of the employer's business address. A carrier's figures count plans with a major-medical insurance contract with that carrier. Self-funded plans that a carrier only administers are not counted under that carrier, and supplemental coverage (dental, vision, accident, hospital indemnity) is excluded.
- Premium per person covered: premium divided by the persons covered on the contract, for contracts covering at least 20 persons.
- Broker pay: commissions and fees paid on each contract, as a share of that contract's premium.
- Network rates: physician negotiated rates for the Employer 50 services, from a sample of providers, shown as a percentage of Medicare. Shown only where the network passes Medlyze's quality checks for the state.
- Hospital prices: commercial negotiated rates (2026) for the whole hospital stay or the hospital's facility charge. Medicare Advantage, Medicaid and individual-market rates are excluded, and so is Humana, whose hospital rates are almost all Medicare. Physician, anesthesia and implant charges are separate.
- Not a judgement: differences describe the plans and rates analyzed. They are not findings about any employer, carrier or broker, and they say nothing about quality or value.
Get the full figures
Brokers: an Employer Account Brief on one employer, or a Prospect List for this market. Employers: a Plan Cost Benchmark for your own plan, with every hospital near your people.