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    TakeCare Insurance Company, Inc. Market Analysis: Market Share and Coverage by State

    TakeCare Insurance Company, Inc. is a niche insurer with minimal presence in the 50 US states and DC but a material footprint in select US territories and limited foreign exposure. Its concentration outside the continental US shapes its contracting leverage and provider network strategy.

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    Payer Overview

    TakeCare Insurance Company, Inc. operates as a specialist insurer with a concentrated footprint that includes territories and limited foreign exposure. The company reports $0 in US premium and a US market rank of #0, reflecting no measurable presence in the 50 states and DC, while operating through 0 affiliated subsidiaries. The insurer also reports an international presence with $16.9K in foreign premium tied to Aggregate Other Alien exposure.

    Although TakeCare Insurance Company, Inc. does not report US premium across the 50 states and DC, it maintains a substantial territorial footprint of $89.6M across 3 US territories, underscoring a business model focused outside the continental US. This territorial concentration has implications for national provider contracting and reimbursement strategies, as the payer's commercial leverage and network breadth will be very different from national carriers with broad state-by-state enrollment.

    Premium & Market Share

    Premium by Scope

    TakeCare Insurance Company, Inc.'s premium is overwhelmingly concentrated in US territories, which represent $89.6M or 99.81% of the payer's reported premium. The US States & DC scope shows no reported premium, indicating no measurable footprint across the 50 states and DC.

    The foreign exposure is minimal at $16.9K, representing 0.19% of total premium. For providers evaluating contracting with this payer, the territorial concentration suggests negotiations and network strategies should focus on territorial markets rather than pursuing broad national agreements.

    4 rows

    ScopeJurisdictionsPremiumShare of Payer Total
    US States & DC0$0.000.00%
    US Territories3$89.6M99.81%
    Foreign (Canada + AOA)1$16.9K0.19%
    Total4$89.7M100.00%

    Subsidiary Filings

    National Market Presence

    About ACA Marketplace Data

    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.

    Member Demographics

    Estimated Member Demographics

    Data not available. No age band or member count data is reported for TAKECARE INS CO INC in the provided dataset.

    Age BandGuamNorthern Mariana IslandsAmerican SamoaAggregate Other AlienNational Total
    Under 6Data not availableData not availableData not availableData not availableData not available
    6–18Data not availableData not availableData not availableData not availableData not available
    19–25Data not availableData not availableData not available

    References

    1. 1.2024 Market Share Reports for the Top Accident and Health Insurance Groups and Companies by State and Countrywide. National Association of Insurance Commissioners (NAIC). Retrieved Aug 11, 2026.Ranks the largest accident and health insurance carriers nationwide and by state, the source for this payer's market share and direct-premium figures.
    2. 2.Health Insurance Exchange Public Use Files (Exchange PUFs). Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.Plan-level enrollment, premium, and cost-sharing data submitted by issuers participating in the ACA Marketplace, the source for this payer's exchange presence figures.
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    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.

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    Data not available
    Data not available
    26–34Data not availableData not availableData not availableData not availableData not available
    35–44Data not availableData not availableData not availableData not availableData not available
    45–54Data not availableData not availableData not availableData not availableData not available
    55–64Data not availableData not availableData not availableData not availableData not available
    65–74Data not availableData not availableData not availableData not availableData not available
    75+Data not availableData not availableData not availableData not availableData not available

    No interpretation of age band distribution is possible due to lack of data.

    Estimated Members by State

    Data not available. The dataset does not provide estimated member counts by state for TAKECARE INS CO INC.

    Without state-level member counts, it is not possible to analyze the geographic distribution of the insured population or to assess alignment with market share or premium volume. Providers should reference premium and market share data as proxies for payer presence until member counts are available.

    Estimated Members by Age Band — TAKECARE INS CO INC
    Estimated Members by State — TAKECARE INS CO INC