Single Vision Solution Inc Market Analysis: Market Share and Coverage by State

Payer Overview

Single Vision Solution Inc operates as a narrowly distributed health and accident payer with a concentrated footprint and modest scale in the national market. It ranks as the #255 US A&H payer by premium and writes $4.73M in the US market, representing a 0.00% US market share across 4 states, while serving an estimated 664 members overall and operating with 0 affiliated subsidiaries. The payer does not hold a #1 position in any state.

Geographically the company focuses on a small set of states with material premium in the Midwest and parts of the Upper South, which shapes its provider contracting leverage and network strategy. Given the compact footprint and the concentration of premium, provider groups negotiating with Single Vision Solution Inc should expect localized contracting dynamics rather than national-scale leverage.

Premium by Scope

Single Vision Solution Inc's premium is exclusively in US states and DC, with $4.73M (100.00% of reported premium) concentrated in that scope. There is no reported premium in US territories or in foreign jurisdictions. For providers, this means negotiations and network strategy should focus on the payer's onshore operations and state-level relationships rather than any territorial or international considerations.

Single Vision Solution Inc's premium is highly concentrated in a small set of states, with $2.65M written in MI and a combined $1.08M in KY, $917K in MO, and $83.5K in NY. This concentration in a few states indicates localized market influence rather than broad national scale, which typically leads to more state-by-state negotiating dynamics with providers.

The geographic strengths are centered in the Midwest and adjacent Upper South, so provider networks that are strong in those regions may have more leverage. National provider groups should be aware that the payer's small overall membership (about 664 members) and focused premium base will limit its attractiveness for broad, multi-state contract terms compared with much larger national payers.

State-by-State Market Position

Single Vision Solution Inc shows its strongest premium presence in the Midwest, led by Michigan where it writes $2.65M in premium. Kentucky and Missouri represent secondary concentrations with $1.08M and $917K respectively, while New York represents a very small exposure at $83.5K. There are no meaningful footprints in the West, Southwest, or a broad Northeast presence beyond the small New York exposure.

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 band is 6–18 (102 members), followed by 55–64 (97 members) and 45–54 (89 members). The smallest age band is Under 6 (39 members) and 75+ (44 members), indicating a relatively younger insured population overall.

State-level profiles show Michigan with the largest member counts across all age bands, especially in the 6–18 and 55–64 groups. New York has the smallest member counts in every age band, reflecting its minimal market share. No state skews dramatically older or younger, but Michigan's larger population means it has more members in every age band, which may influence provider service mix in that state.

Estimated Members by State

SINGLE VISION SOLUTION INC's estimated member distribution is concentrated in Michigan (), followed by Missouri (), Kentucky (), and New York (). This geographic concentration aligns with premium volume and market share, as Michigan is the only state with a measurable market share (0.01%) and the highest premium written.