Payer Overview
LIFETIME HLTHCARE GRP Market Analysis: Market Share and Coverage by State
Lifetime Hlthcare Grp is a regional-focused health insurer with a concentrated footprint and mid-tier national ranking. Its premium and membership are concentrated in a single state, which drives localized contracting dynamics.
Payer Overview
Lifetime Hlthcare Grp operates as a mid-ranked national accident & health carrier, positioned as the #31 US A&H payer by premium with $6.55B reported in US premium and a US market share of 0.46%. The organization reports activity in 1 states and operates through 5 affiliated subsidiaries, serving an estimated 1.1M members according to the supplied census-based estimate.
While Lifetime Hlthcare Grp does not hold a #1 position in any state, its concentrated presence in New York highlights a regional focus that shapes its provider contracting approach and network negotiations. The carrier’s reported premium is entirely within the US states and DC scope, with no disclosed territory or foreign premium.
5 rows
| Subsidiary | Domicile |
|---|---|
| Excellus Health Plan Community Care LLC | NY |
| Excellus Health Plan Inc | NY |
| Medamerica Insurance Company | PA |
| Medamerica Insurance Company of Florida | FL |
| Medamerica Insurance Company of New York | NY |
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| NY | 7.97% | $6.55B | 1.10M |
| National Total | — | $6.55B | 1.10M |
Lifetime Hlthcare Grp's business is highly concentrated in New York, where it writes $6.55B in premium and serves 1.10M estimated members. This single-state concentration means the carrier's market influence and leverage with providers are strongest in New York, and national contracting strategies should account for limited geographic reach. For national provider networks, Lifetime Hlthcare Grp represents a localized counterparty rather than a coast-to-coast payer, so investments in statewide network depth in New York will yield the most direct impact.
State-by-State Market Position
Lifetime Hlthcare Grp's presence is focused in the Northeast, specifically New York, which serves as its sole reported market. The carrier does not appear across the Southeast, Midwest, West, or Southwest in the provided data, so multiregional provider groups will find limited direct leverage from this payer outside New York. Concentration in a single state simplifies contracting priorities: providers seeking material membership exposure should prioritize negotiations and network depth within New York.
Because the firm's premium and membership are concentrated (approximately $6.55B premium and 1.10M members), multi-state provider systems should view Lifetime Hlthcare Grp as a significant regional partner rather than a national one. This distribution suggests focused operational and credentialing efforts in New York will be the most efficient route to access the carrier’s covered population.
Estimated Member Demographics
| Age Band | New York | National Total |
|---|---|---|
| Under 6 | 64,800 | 64,800 |
| 6–18 | 158,907 | 158,907 |
| 19–25 | 104,048 | 104,048 |
| 26–34 | 146,389 | 146,389 |
| 35–44 | 153,421 | 153,421 |
| 45–54 | 150,230 | 150,230 |
| 55–64 | 162,477 | 162,477 |
| 65–74 | 95,095 | 95,095 |
| 75+ | 67,533 | 67,533 |
The largest age bands nationally are 55–64 (162,477), 35–44 (153,421), and 45–54 (150,230), indicating a strong adult presence. The pediatric population (under 18) is also significant, with over 223,000 members. The senior population (65+) comprises over 162,000 members, reflecting a balanced age distribution.
All members are concentrated in New York, with no reported members in other states. This means the demographic profile for LIFETIME HLTHCARE GRP is entirely shaped by New York's population, which does not skew notably older or younger compared to the national average, given the balanced distribution across age bands.
Estimated Members by State
LIFETIME HLTHCARE GRP's estimated member count is 1,102,899 in New York, with no reported members in other states. This geographic concentration aligns with their premium and market share data, which is also focused in New York. The payer does not have a significant member presence outside New York, despite nominal reporting in aggregate categories.
For providers, this means that LIFETIME HLTHCARE GRP's impact is highly localized. The payer's member base is entirely within New York, so provider contracting and care delivery strategies should be tailored to the needs and demographics of this state. Multi-state providers will not encounter this payer outside New York, simplifying network management and reimbursement considerations.