Payer Overview
Sanford Health Group Market Analysis: Market Share and Coverage by State
Sanford Health Group is a regional health insurer focused on the Upper Midwest with a concentrated membership footprint and a modest national premium ranking. Its scale in a few states drives targeted provider contracting and network strategies.
Payer Overview
Sanford Health Group is the #87 largest US A&H payer by reported premium, writing $996.59M in the US market and holding a 0.07% US market share across 5 states. The company reports an estimated 210.1K total members and operates through 3 affiliated subsidiaries, concentrating its business in a handful of Midwestern states rather than nationwide retail footprints.
The payer's premium is largely concentrated in North Dakota and South Dakota, producing a regional profile that supports deep contracting relationships with health systems and physician groups in those states. This focused footprint and the 210.1K member base shape Sanford Health Group's negotiating leverage and network strategy differently than large national carriers with broad, coast-to-coast exposure.
3 rows
| Subsidiary | Domicile |
|---|---|
| Good Samaritan Insurance Plan of Nebraska Inc | NE |
| Sanford Health Plan | SD |
| Sanford Health Plan of Minnesota | MN |
National Market Presence
State Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| IA | 0.02% | $2.61M | 391 |
| MN | 0.13% | $38.2M | 5.95K |
| ND | 19.01% | $624M | 123K |
| NE | 0.16% | $14.7M | 2.60K |
| SD | 10.77% | $317M |
Estimated Member Demographics
| Age Band | North Dakota | South Dakota | Minnesota | Nebraska | Iowa | National Total |
|---|---|---|---|---|---|---|
| Under 6 | 9130 | 5489 | 387 | 184 | 24 | 15214 |
| 6–18 | 21717 | 13659 | 989 | 462 | 64 | 36892 |
| 19–25 | 14052 | 7241 | 532 | 264 | 41 | 22130 |
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.