My understanding is that plans are priced on a state-by-state basis within each company based on the claims experience of each state. United American, for example, only has a substantial number of policies (“lives covered”) in 4 states: CA, CT, FL, HI. In IL, where I am, UA only has 1000 G-HD policies in force with a loss ratio of about 70%. For me, it simply doesn’t matter what UA’s experience is in any other state (or all other states)…although of course the national track record as a business is relevant.
This has surprised me, since i assumed that all of a companies policies constituted a single risk pool.
Currently, I’m trying to understand “how small is too small”? E.g. is 1000 policies a reasonable size? 2000? 10000?
P.S. my understanding from a broker is that UA is having a booming fourth quarter in 2025 due to lots of folks losing their Advantage plans and switching to G-HD. Not sure whether these folks are among the more healthy, less healthy, or average heath category. In any case, the stats for 2026 are apparently going to be quite different than the stats for 2025.
This has surprised me, since i assumed that all of a companies policies constituted a single risk pool.
Currently, I’m trying to understand “how small is too small”? E.g. is 1000 policies a reasonable size? 2000? 10000?
P.S. my understanding from a broker is that UA is having a booming fourth quarter in 2025 due to lots of folks losing their Advantage plans and switching to G-HD. Not sure whether these folks are among the more healthy, less healthy, or average heath category. In any case, the stats for 2026 are apparently going to be quite different than the stats for 2025.
Statistics: Posted by JohnDoh — Wed Nov 19, 2025 11:22 pm — Replies 14 — Views 1594