Payer Overview
LUMERIS GRP HOLDINGS CORP GRP Market Analysis: Market Share and Coverage by State
LUMERIS GRP HOLDINGS CORP GRP is a regional health insurer with a concentrated state footprint and a focused membership base. Its market role emphasizes targeted contracting in specific Midwestern states rather than nationwide scale.
Payer Overview
LUMERIS GRP HOLDINGS CORP GRP is the #92 largest US A&H payer by premium, writing $956.53M in the US market with a US market share of 0.07% across 6 states. The organization reports an estimated 150.3K members and operates through 4 affiliated subsidiaries, reflecting a focused, regional commercial footprint rather than a nationwide retail presence.
The payer's premium is concentrated in a handful of states, with its largest exposure centered in the Midwest. That concentration shapes negotiating leverage with provider systems, particularly in states where the payer ranks among the top 20 by premium. LUMERIS GRP HOLDINGS CORP GRP does not report premium in US territories or foreign markets, so its commercial relationships and network strategies are centered on the US states where it underwrites business.
4 rows
| Subsidiary | Domicile |
|---|---|
| Essence Healthcare Inc | MO |
| Essence Healthcare PPO Inc | MO |
| Essence Healthcare of Georgia Inc | — |
| Essence Healthcare of Ohio Inc | OH |
National Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| AR | 0.02% | $2.71M | 424 |
| IL | 0.3% | $187.65M | 27.08K |
| IN | 0.01% | $2.23M | 358 |
| KY | 0.05% | $13.37M | 1.53K |
| MO | 2.71% | $748.0M | 120.54K |
Estimated Member Demographics
| Age Band | Missouri | Illinois | Kentucky | Ohio | Indiana | Arkansas | National Total |
|---|---|---|---|---|---|---|---|
| Under 6 | 7501 | 1633 | 91 | 22 | 22 | 23 | 9290 |
| 6–18 | 19340 | 4243 | 234 | 56 | 60 | 63 | 23996 |
| 19–25 | 11798 |
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.