Payer Overview
SCOTT & WHITE GRP Market Analysis: Market Share and Coverage by State
Scott & White Group is a Texas-focused health insurer with a concentrated membership base and a modest national premium footprint. The payer operates through several affiliated subsidiaries and serves a sizable plan population within its home state.
Payer Overview
Scott & White Group is a regional health insurer with a focused footprint in Texas, operating as the #59 ranked US A&H payer by premium. The organization writes $2.67B in the US market and holds a 0.19% US market share, serving members across 1 states and operating through 5 affiliated subsidiaries. Estimated total membership for the organization is 365.7K, concentrated in Texas where its market presence is strongest.
Scott & White Group does not hold a #1 position in any state. Its national exposure is concentrated entirely within the US mainland and there is no reported premium in US territories or foreign markets, reflecting a business model tightly focused on a single-state footprint rather than a multi-state or international expansion.
5 rows
| Subsidiary | Domicile |
|---|---|
| Baylor Scott & White Insurance Company | TX |
| Scott & White Care Plans | TX |
| Scott & White Health Plan | TX |
| Sha LLC | TX |
| Southwest Life & Health Insurance Company | TX |
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| TX | 1.88% | $2.67B | 365.7K |
| National Total | — | $2.67B | 365.7K |
Scott & White Group's premium and membership are highly concentrated in Texas. With $2.67B in premium written and 365.7K estimated members concentrated in a single state, the payer's national concentration is low despite a meaningful regional presence. This single-state focus means provider contracting strategies should be tailored to Texas market conditions rather than broad multi-state benchmarks.
The concentrated footprint provides bargaining clarity for local provider systems: network negotiations, reimbursement models, and care management initiatives can be designed around Texas regulatory and competitive dynamics. National providers that operate in multiple states should approach Scott & White Group with Texas-specific proposals rather than expecting systemwide terms to apply.
Estimated Member Demographics
| Age Band | Texas | National Total |
|---|---|---|
| Under 6 | 23,714 | 23,714 |
| 6–18 | 61,731 | 61,731 |
| 19–25 | 35,188 | 35,188 |
| 26–34 | 49,470 | 49,470 |
| 35–44 | 57,405 | 57,405 |
| 45–54 | 52,563 | 52,563 |
| 55–64 | 47,315 | 47,315 |
| 65–74 | 23,119 |
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.