Payer Overview

Physicians Mutual Group is a national health insurer operating as the #104 ranked US A&H payer by premium, writing $583M in the US and holding a 0.04% US market share across 44 states. The company maintains an estimated 93.9K members and operates through 3 affiliated subsidiaries, positioning it as a regional specialist with pockets of concentrated market power rather than a nationwide dominant carrier.

This footprint is concentrated in select Midwestern and Plains states where the carrier registers meaningful state-level shares, while many states show much smaller exposures. That pattern creates opportunities and risks for provider contracting: negotiated rates and network participation will matter most in states where Physicians Mutual Group is concentrated, and multi-state systems should prioritize engagement in those markets.

Premium by Scope

Physicians Mutual Group's premium is exclusively within the US States & DC scope per the provided data, with $583M reported in that scope and no recorded premiums in US territories or foreign jurisdictions. This concentration implies that the payer's business and network leverage are focused on the continental U.S. and nearby states reported, so providers negotiating with Physicians Mutual Group should prioritize U.S. state-level contracting dynamics rather than territory or international exposure.

Estimated Member Demographics

PHYSICIANS MUT GRP is estimated to cover 88,594 members nationally, based on Census and NAIC market share data. The table below details the estimated member count by age band:

The largest age band is , representing over 14,000 members, followed by the 35-44, 45-54, and 55-64 bands, each with over 12,000 members. This distribution indicates a payer population with significant pediatric and middle-aged adult representation, with a moderate senior presence.