Payer Overview

GROUP 1001 INS HOLDINGS GRP is the #114 ranked US Accident & Health payer by premium and operates across 50 states. Its US premium footprint totals $456.05M, representing a 0.03% US market share and rolling up through 12 affiliated subsidiaries. The carrier reports an estimated 80.8K members nationally, with concentrated premium in several states that drive its national positioning.

The company's profile is focused on a broad, low-share national footprint rather than dominance in a handful of states; it does not hold a #1 position in any state. This distribution implies sourcing and contracting strategies that emphasize regional provider network relationships and selective, state-specific negotiations rather than a single national network play.

Premium by Scope

GROUP 1001 INS HOLDINGS GRP's premium is entirely within the US States & DC scope, with $456.05M reported in that channel and no recorded premiums in US territories or foreign jurisdictions. For providers assessing this payer, the concentration in the US mainland implies negotiations, credentialing, and network strategies should prioritize state-level dynamics and regional contracting teams. The absence of territory or foreign exposure simplifies compliance and reimbursement alignment to US state regulatory regimes.

GROUP 1001 INS HOLDINGS GRP shows a geographically broad but low-concentration premium footprint. The largest single-state premium is in CA at $129.10M, followed by IL at $52.83M and GA at $28.23M. Nationally reported premium sums to $456.05M and the carrier serves an estimated 80.8K members, so provider contracting teams should expect many states where the payer is a modest regional player rather than a market leader.

From a contracting perspective, the presence in higher-premium states like CA, IL, and GA suggests prioritizing negotiation resources in those markets where leverage and membership are greatest. In smaller states with sub-$1.00M premiums, operations and credentialing should be centralized to control overhead while still supporting local network access.

State-by-State Market Position

The payer's strongest regional presence is in the West and Midwest by premium concentration, led by California ($129.10M) and Illinois ($52.83M). The Southeast also contributes meaningful premium with Georgia at $28.23M and Florida at $18.26M, indicating a dispersed Southern footprint. The Northeast shows moderate positions with New Jersey and Pennsylvania each around $10.4M.

For multi-state provider groups, this distribution implies layered strategies: pursue deeper participation and better rates in CA and IL where premium and membership scale matter, maintain targeted contracting in GA and FL, and adopt standardized agreements for the many states with premiums under $5.00M to limit admin cost. Network development should balance focused local teams in high-premium states with centralized contracting for low-volume states.

Estimated Member Demographics

GROUP 1001 INS HOLDINGS GRP is estimated to cover 60,073 members nationally, based on Census × NAIC share calculations. The age distribution is as follows:

The largest age band is 6-18, followed closely by the 35-44, 45-54, and 55-64 groups. This indicates a member base that is weighted toward families and working-age adults, with a smaller but meaningful senior population. Providers should expect a mix of pediatric, adult, and geriatric care needs, with utilization patterns reflecting preventive, chronic, and acute care across the age spectrum.