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    BUPA INS CO Market Analysis: Market Share and Coverage by State

    BUPA INS CO is an international health insurer with limited on‑shore US presence and a larger foreign premium footprint. This profile focuses on where the company appears in NAIC data and what that means for provider contracting and market access.

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    Payer Overview

    BUPA INS CO is an international health insurer with limited direct presence in the United States market. Nationally, the company reports $0 in US premium and therefore does not occupy a ranked position among US A&H payers. The firm’s US footprint is reported as 0 states and it estimates its total members as N/A, indicating that domestic membership and market penetration are not represented in the NAIC-derived US dataset.

    BUPA INS CO operates through 0 affiliated subsidiaries. While the company has minimal on‑shore operations, it does report activity in US territories totaling $1.39M across 2 jurisdictions and a material foreign premium exposure of $105.74M in Aggregate Other Alien, underscoring that its business is concentrated outside the 50 states rather than within them.

    Premium & Market Share

    Premium by Scope

    BUPA INS CO’s premium is overwhelmingly concentrated in the foreign scope, with $105.74M (98.70%) of reported premium reported outside the US states and DC. The US territories represent a very small slice at $1.39M (1.30%), while on‑shore US states show no reported premium.

    For providers evaluating this payer, the dominance of foreign premium suggests contracting and network strategy should focus on international operations rather than US state markets. The modest territory footprint may require targeted administrative arrangements for those jurisdictions but will not drive large-scale US provider negotiations.

    4 rows

    ScopeJurisdictionsPremiumShare of Payer Total
    US States & DC0$0.000.00%
    US Territories2$1.39M1.30%
    Foreign (Canada + AOA)1$105.74M98.70%
    Total3$107.13M100.00%

    Subsidiary Filings

    National Market Presence

    About ACA Marketplace Data

    The Affordable Care Act (ACA) established federally-facilitated health insurance marketplaces ("exchanges") where individuals and small businesses can shop for and enroll in health plans, often with income-based subsidies. Issuers that participate in these marketplaces are required to report enrollment, claims, and denial data to CMS (Centers for Medicare & Medicaid Services) each year.

    The sections below cover this payer's ACA marketplace-specific footprint — enrollment, plan portfolio, and claims/denial-rate data. This is a narrower, separate population from the NAIC-based commercial data shown earlier on this page (total premium, market share, and membership across all lines of business): ACA marketplace enrollment is typically a small fraction of a payer's total commercial book, and the two datasets should not be treated as equivalent. CMS claims-transparency reporting has also been inconsistent industry-wide since 2020 — many issuers have little or no data for 2021 onward, so a single reporting year is common and does not necessarily indicate anything about the payer's current ACA presence.

    Member Demographics

    Estimated Member Demographics

    Age BandAggregate Other AlienU.S. Virgin IslandsPuerto RicoNational Total
    Under 6Data not available.Data not available.Data not available.Data not available.
    6–18Data not available.Data not available.Data not available.Data not available.
    19–25Data not available.Data not available.Data not available.Data not available.
    26–34Data not available.Data not available.Data not available.

    References

    1. 1.2024 Market Share Reports for the Top Accident and Health Insurance Groups and Companies by State and Countrywide. National Association of Insurance Commissioners (NAIC). Retrieved Aug 11, 2026.Ranks the largest accident and health insurance carriers nationwide and by state, the source for this payer's market share and direct-premium figures.
    2. 2.Health Insurance Exchange Public Use Files (Exchange PUFs). Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.Plan-level enrollment, premium, and cost-sharing data submitted by issuers participating in the ACA Marketplace, the source for this payer's exchange presence figures.
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    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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    Data not available.
    35–44Data not available.Data not available.Data not available.Data not available.
    45–54Data not available.Data not available.Data not available.Data not available.
    55–64Data not available.Data not available.Data not available.Data not available.
    65–74Data not available.Data not available.Data not available.Data not available.
    75+Data not available.Data not available.Data not available.Data not available.

    Data not available.

    Without age band or member count data, it is not possible to interpret the demographic profile or identify which age bands are largest nationally, nor to assess state-level age distribution.

    Estimated Members by State

    Data not available.

    Without state-level member counts, it is not possible to analyze the geographic distribution of estimated members for BUPA INS CO. Providers should be aware that the payer's market share and premium volume are concentrated in "Aggregate Other Alien," with much smaller presence in U.S. Virgin Islands and Puerto Rico, but member counts are not reported.

    Estimated Members by Age Band — BUPA INS CO
    Estimated Members by State — BUPA INS CO