FIRST CONTINENTAL LIFE & ACC Market Analysis: Market Share and Coverage by State - OpenPayer

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Payer Overview

FIRST CONTINENTAL LIFE & ACC Market Analysis: Market Share and Coverage by State

First Continental Life & Acc is a small regional A&H carrier with a narrow state footprint and limited national market influence. Its operations are concentrated in a handful of states and include a small foreign exposure.

FIRST CONTINENTAL LIFE & ACCHealth InsuranceHealthcare MarketProvider ContractingReimbursementTXLAMOMA

Payer Overview

First Continental Life & Acc is a regional accident & health carrier positioned well below the major national players, ranking as the #240 payer in the US A&H market with $11.23M in US premium and a 0% US market share. The company reports operations across 9 states + DC and serves an estimated 1.4K total members while operating with 0 affiliated subsidiaries.

First Continental Life & Acc's US revenue footprint is concentrated in a small set of states rather than broadly distributed, and it also reports a modest international exposure to Aggregate Other Alien totaling $21.8K. This mix highlights a business that is primarily focused on targeted state markets with limited scale nationally.

Premium by Scope

Scope	Jurisdictions	Premium	Share of Payer Total
US States & DC	9	$11.23M	99.77%
Foreign (Canada + AOA)	1	$21.8K	0.19%
Total	10	$11.25M	100.00%

First Continental Life & Acc is overwhelmingly concentrated in the US states and DC, with $11.23M representing essentially the entire premium footprint. The foreign exposure is minimal at $21.8K, indicating only a token presence outside the US.

This concentration implies that providers and contracting teams should focus on state-level relationships and network adequacy within the payer's core states rather than expecting broad national leverage. The tiny foreign premium is unlikely to materially affect provider negotiations or network strategy.

National Market Presence

State	Market Share	Premium Written	Estimated Members
LA	0.02%	$5.14M	493
MA	<0.01%	$384K	59
MO	<0.01%	$1.31M	211
TX	<0.01%	$4.29M	587
DE	<0.01%	$25.0K

Estimated Member Demographics

Age Band	Louisiana	Texas	Vermont	Massachusetts	Rhode Island	Delaware	District Of Columbia	Hawaii	Missouri	National Total
Under 6	29	38	0	3	0	0	0	0	13	84
6–18	75	99	0	9

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Payer Overview

FIRST CONTINENTAL LIFE & ACC Market Analysis: Market Share and Coverage by State

Payer Overview

Premium by Scope

National Market Presence

Estimated Member Demographics

State-by-State Market Position

Estimated Members by State