Payer Overview
Carle Holding Co Grp Market Analysis: Market Share and Coverage by State
Carle Holding Co Grp is a regional health insurer focused on a concentrated set of states with localized contracting strength. Its footprint supports targeted negotiations with providers rather than broad national leverage.
Payer Overview
Carle Holding Co Grp operates as a regional health insurer with a concentrated but meaningful national presence. The company ranks as the #74 largest US A&H payer and reports $1.98B in US premium, representing a 0.14% US market share across 5 states. The organization reports an Estimated Total Members figure of 289.4K and operates through 5 affiliated subsidiaries, shaping its underwriting and provider contracting approach.
The payer does not hold a #1 position in any US state. Carle Holding Co Grp's premium and membership are highly concentrated in the Midwest, with the largest single-state premium position in Illinois. This concentrated footprint and modest national ranking influence negotiation leverage with national provider groups while offering deeper local relationships in its core states.
5 rows
| Subsidiary | Domicile |
|---|---|
| Firstcarolinacare Insurance Company Inc | NC |
| Health Alliance Connect Inc | IL |
| Health Alliance Medical Plans | IL |
| Health Alliance Midwest Inc | IL |
| Health Alliance Nw Health Plan | WA |
National Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| IA | 0.11% | $17.2M | 2.59K |
| IL | 2.72% | $1.72B | 248.7K |
| IN | 0.03% | $10.8M | 1.73K |
| NC | 0.2% | $97.1M | 14.6K |
| WA | 0.38% | $128M | 21.7K |
Estimated Member Demographics
| Age Band | Illinois | Washington | North Carolina | Iowa | Indiana | National Total |
|---|---|---|---|---|---|---|
| Under 6 | 14995 | 1308 | 828 | 159 | 107 | 17398 |
| 6–18 | 38970 | 3216 | 2125 | 425 | 289 | 45024 |
| 19–25 | 23269 | 1848 | 1382 | 269 | 177 | 26945 |
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.