Payer Overview

IHC INC GRP Market Analysis: Market Share and Coverage by State

IHC INC GRP is a regional health insurer with concentrated Western-state exposure and a clear market-leading position in Utah. Its footprint favors localized contracting strategies over broad national scale.

IHC INC GRPHealth InsuranceHealthcare MarketProvider ContractingReimbursementUtahIdahoNevadaColorado

Payer Overview

IHC INC GRP is the #41 largest US A&H payer by reported premium, writing $4.80B in the US and holding a 0.33% US market share across 4 states. The company reports an Estimated Total Members base of 1.15M and operates through 2 affiliated subsidiaries, with its strongest position in Utah where it is ranked #1.

The majority of IHC INC GRP's premium is concentrated in a small set of Western states, which shapes its negotiation leverage and network strategy. Given the concentration, local provider contracting and market-specific rate negotiations in Utah and neighboring states are likely to have outsized impact on the payer's cost structure and network adequacy.

Premium by Scope

Scope	Jurisdictions	Premium	Share of Payer Total
US States & DC	4	$4.80B	100.00%
Total	4	$4.80B	100.00%

IHC INC GRP's premium is exclusively in the US states and DC scope as reported; there is no recorded premium in US territories or foreign jurisdictions. This concentration means the company's commercial and administrative efforts are focused on domestic state markets, primarily in the Mountain West. For providers, that implies contracting discussions and reimbursement benchmarks should be benchmarked to US-state rates and regional comparators rather than territory or international rates.

Subsidiary	Domicile
Selecthealth Benefit Assurance Company Inc	UT
Selecthealth Inc	UT

Subsidiary

Domicile

Selecthealth Benefit Assurance Company Inc

Selecthealth Inc

State	Market Share	Premium Written	Estimated Members
CO	0.25%	$52.6M	10.7K
ID	7.73%	$498M	107K
NV	0.9%	$116M	18.9K
UT	35.99%	$4.13B	1.01M
National Total	—	$4.80B	1.15M

State

Market Share

Premium Written

Estimated Members

0.25%

$52.6M

10.7K

7.73%

$498M

107K

0.9%

$116M

18.9K

35.99%

$4.13B

1.01M

National Total

—

$4.80B

1.15M

Age Band	Colorado	Nevada	Utah	Idaho	National Total
Under 6	646	1153	85546	6766	94110
6-18	1632	2997	220175	19695	244499
19-25	1000	1592	123063	10585	136240
26-34	1575	2491	135801	12647

Age Band

Colorado

Nevada

Utah

Idaho

National Total

Under 6

646

1153

85546

6766

94110

6-18

1632

2997

220175

19695

244499

19-25

1000

1592

123063

10585

136240

26-34

1575

2491

135801

12647

State-by-State Market Position

IHC INC GRP shows its strongest presence in the West. The outright dominance in Utah (ranked #1) and a meaningful position in Idaho reflect a regional strategy focused on the Mountain West. Other Western states such as Nevada and Colorado display modest footprints by comparison.

For multi-state provider groups, this distribution means contracting strategies should be tailored: centralized negotiations may work for administrative alignment, but reimbursement and network adequacy negotiations will require state-specific data, especially in Utah where IHC INC GRP controls the largest share. Regional consolidation benefits will be strongest for providers with scale in Utah, while those focused outside the Mountain West will have less negotiating leverage.

Estimated Members by State

IHC INC GRP's estimated member distribution is highly concentrated in Utah, with 1,012,751 members, accounting for the vast majority of its national insured population. Idaho follows with 107,040 members, while Nevada (18,867) and Colorado (10,671) have much smaller member bases. This geographic concentration aligns closely with the payer's market share dominance in Utah, where it holds the #1 market position and a market share of nearly 36%.

Despite having a presence in six states according to NAIC data, the vast majority of IHC INC GRP's insured lives are in Utah and Idaho. The relatively small member counts in Nevada and Colorado reflect the payer's lower market share and premium volume in those states. For providers, this means that contracting strategies and care delivery models should be tailored primarily to the Utah and Idaho markets, where the payer's influence and member base are most significant.

OpenPayer

Payer Overview

IHC INC GRP 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