Payer Overview

AmFirst Holdings Grp operates as a modest national accident & health insurer positioned outside the largest national franchises. The company ranks as the #201 in US A&H market position and writes $71.6M in the US, representing a 0.01% US market share across 29 states. The organization reports an Estimated Total Members base of 10.7K and operates through 2 affiliated subsidiaries, which supports a footprint concentrated in select Southern and Midwestern markets.

While AmFirst Holdings Grp does not hold a #1 position in any state, its premium footprint is focused regionally rather than coast-to-coast. That concentration shapes contracting leverage: provider systems in states where the payer writes larger premium volumes will encounter its most significant negotiating influence, while national multi-state groups should expect limited commercial exposure outside those core states.

Premium by Scope

AmFirst Holdings Grp's premium is exclusively within the US States & DC scope according to the available data, with $71.6M reported in that category and no recorded premium in US territories or foreign jurisdictions. This concentration means providers negotiating with AmFirst Holdings Grp are engaging with a payer whose financial exposure is limited to the domestic state markets listed, increasing the relative importance of state-level contracting performance where the payer has premium. For multi-state providers, the payer represents targeted regional opportunity rather than a broad national contract counterparty.

AmFirst Holdings Grp's premium is concentrated in a limited set of Southern and Midwestern states, with $13.4M in Mississippi and multi-million dollar position in Missouri, Virginia, Texas, Louisiana, and Ohio. The national premium total of $71.6M is driven by these concentrated state positions, which creates localized contracting leverage in those markets. For provider networks, meaningful commercial exposure to this payer will be state-specific rather than uniform across the country.

State-by-State Market Position

AmFirst Holdings Grp shows its strongest regional presence in the Southeast and parts of the Midwest. The Southeastern footprint is highlighted by $13.4M in Mississippi and notable positions in Alabama and Louisiana, while Midwest exposure includes $4.37M in Missouri and $2.76M in Pennsylvania. This regional clustering suggests the payer focuses product distribution and enrollment in contiguous state sets rather than a broad coastal expansion.

For multi-state provider groups, AmFirst Holdings Grp represents concentrated opportunity in specific states — a health system with facilities in Mississippi, Missouri, and Virginia will see more commercial relevance than one with presence only in Western states. Contracting teams should therefore prioritize negotiations in the payer's high-premium states to capture the most material impact of any rate or network changes.

Nationally, the largest age band among AMFIRST HOLDINGS GRP members is 6-18 (1.64K), followed by 55-64 (1.54K), 35-44 (1.52K), and 45-54 (1.50K). The <6 and >75 bands are the smallest, with 619 and 637 members respectively. This points to a membership base that is primarily composed of families and working-age adults, with a significant pre-retirement population.

Some states, such as Mississippi (2.11K) and Alabama (1.67K), have a notably higher concentration of members across all age bands, while states like Alaska (3) and Montana (7) have very few. States with larger member counts tend to have a more balanced age distribution, whereas smaller states may skew toward certain age bands due to their limited sample size.

Estimated Members by State

AMFIRST HOLDINGS GRP's estimated member distribution is highly concentrated in a few states. Mississippi leads with 2.11K members, followed by Alabama (1.67K), Ohio (1.45K), Virginia (730), Missouri (704), and Texas (576). These states collectively account for a significant portion of the total estimated membership. In contrast, states like Alaska (3), Montana (7), and Delaware (10) have minimal representation, highlighting the regional focus of this payer.

This geographic concentration diverges from a more evenly distributed market share, indicating that AMFIRST HOLDINGS GRP's business is not national in scope but rather focused on the South and Midwest. For providers in high-member states such as Mississippi and Alabama, this means AMFIRST HOLDINGS GRP is a notable payer, potentially influencing network participation and care delivery strategies. Conversely, providers in states with low member counts may see little impact from this payer.