RENAISSANCE HLTH SERV CORP GRP Market Analysis: Market Share and Coverage by State

Payer Overview

Renaissance HLTH SERV CORP GRP ranks as the #71 largest US A&H payer by premium, operating across 8 states with a US premium of $2.22B and a US market share of 0.15%. The organization reports an estimated total membership of 315.1K and operates through 11 affiliated subsidiaries, positioning it as a regional yet meaningful commercial and administrative player in the employer and group markets.

The payer's largest concentrations are in the Midwest and parts of the Southeast, which supports focused provider contracting strategies in states where they carry higher premiums and membership. With no reported US territory or foreign premium, Renaissance HLTH SERV CORP GRP's footprint is concentrated in the US states listed, which simplifies network management and payer-provider negotiations to the domestic market.

Premium by Scope

Renaissance HLTH SERV CORP GRP's premium is entirely concentrated in the US states; there is no reported premium in US territories or foreign jurisdictions. This exclusive domestic concentration means providers negotiating with this payer can focus on US-state regulatory environments and network strategies without needing to account for territory or international variations.

Renaissance HLTH SERV CORP GRP shows notable concentration in the Midwest, with $809M of premium in Michigan and $388M in Ohio. The payer's total US premium of $2.22B is driven primarily by these larger state positions, while the remaining footprint is distributed across smaller but strategically significant positions in Arkansas, Tennessee, Indiana, Kentucky, North Carolina, and New Mexico. This distribution implies that national contracting will need to prioritize Midwest network coverage while maintaining targeted agreements in the Southeast and Southwest.

From a provider contracting perspective, systems operating in Michigan and Ohio will encounter the greatest membership exposure — together representing well over a third of the payer's premium — and therefore should prioritize negotiation and performance arrangements with Renaissance HLTH SERV CORP GRP. Smaller-state presences still matter for regional hospital systems and large medical groups that span state lines, but the scale in the Midwest drives most leverage for network discussions.

State-by-State Market Position

The Affordable Care Act (ACA) established federally-facilitated health insurance marketplaces ("exchanges") where individuals and small businesses can shop for and enroll in health plans, often with income-based subsidies. Issuers that participate in these marketplaces are required to report enrollment, claims, and denial data to CMS (Centers for Medicare & Medicaid Services) each year.

The sections below cover this payer's ACA marketplace-specific footprint — enrollment, plan portfolio, and claims/denial-rate data. This is a narrower, separate population from the NAIC-based commercial data shown earlier on this page (total premium, market share, and membership across all lines of business): ACA marketplace enrollment is typically a small fraction of a payer's total commercial book, and the two datasets should not be treated as equivalent. CMS claims-transparency reporting has also been inconsistent industry-wide since 2020 — many issuers have little or no data for 2021 onward, so a single reporting year is common and does not necessarily indicate anything about the payer's current ACA presence.

Estimated Member Demographics

Nationally, the largest age bands are 6–18 (48,253 members), 55–64 (45,790 members), and 45–54 (43,362 members), indicating a strong presence among school-age children and pre-seniors. The smallest segments are Under 6 (18,340 members) and 75+ (20,439 members), suggesting limited pediatric and senior concentration compared to the adult population.

State-level analysis shows Michigan as the largest contributor across all age bands, with over 115,000 members. Other states such as Ohio, Tennessee, and Arkansas also have substantial member counts. No state skews dramatically older or younger, but New Mexico has a notably smaller member base, with fewer seniors and children compared to larger states. Overall, the payer's demographic profile is balanced, with a slight tilt toward adult and pre-senior populations.