Payer Overview
Security Health Plan of WI Inc. Market Analysis: Market Share and Coverage by State
Security Health Plan of WI Inc. is a regional health insurer with a focused state footprint and a modest share of the national A&H market. Its operations are concentrated in Wisconsin, informing targeted provider contracting and reimbursement strategies.
Payer Overview
Security Health Plan of WI Inc. is a regional health insurer operating primarily within the U.S. mainland that plays a defined role in the national accident & health market as the #82 ranked US A&H payer by premium. The company writes $1.48B in US premium with a US market share of 0.1%, and it reports a footprint across 1 states with an estimated 245.4K total members. Security Health Plan of WI Inc. does not hold a #1 position in any state and operates through 0 affiliated subsidiaries.
The payer's US operations are concentrated in a single state, reflecting a focused geographic strategy rather than a multi-state footprint. That concentration means contracting and network strategies will be driven by state-level dynamics and relationships rather than national-scale network design.
National Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| WI | 5.38% | $1.48B | 245K |
| National Total | — | $1.48B | 245K |
Security Health Plan of WI Inc. shows a highly concentrated national footprint, with $1.48B in premium and 245K estimated members all located in Wisconsin. This concentration means the payer's negotiating leverage and provider network strategy will be driven by Wisconsin market dynamics rather than national scale. For provider contracting, this creates an opportunity to focus relationship-building and reimbursement models specifically around Wisconsin regulatory and utilization patterns.
Given the single-state concentration, the payer's exposure to regulatory shifts, Medicaid expansion decisions, and state-level cost trends is amplified. Providers should prioritize state-specific performance metrics and local network partnerships when engaging with this payer.
Estimated Member Demographics
| Age Band | Wisconsin | National Total |
|---|---|---|
| Under 6 | 14695 | 14695 |
| 6–18 | 38949 | 38949 |
| 19–25 | 23834 | 23834 |
| 26–34 | 28513 | 28513 |
| 35–44 | 33968 | 33968 |
| 45–54 | 32639 | 32639 |
| 55–64 | 37518 | 37518 |
| 65–74 | 20650 |
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.