Payer Overview

WISCONSIN PHYSICIANS SERV INS GRP Market Analysis: Market Share and Coverage by State

Wisconsin Physicians Serv Ins Grp is a regional-focused health insurer with a dominant Wisconsin presence and smaller operations in four additional states. It functions as a modest national player with concentrated Midwestern strengths that influence provider contracting locally.

Wisconsin Physicians Serv Ins GrpHealth InsuranceHealthcare MarketProvider ContractingReimbursementWisconsinIllinoisFloridaOhioMichigan

Payer Overview

Wisconsin Physicians Serv Ins Grp ranks as the #128 largest US A&H payer by premium and reports $352.73M in US premium, representing a 0.02% US market share across 5 states. The organization operates through 3 affiliated subsidiaries and serves an estimated 57.6K members overall, with its core franchise concentrated in the Midwest.

The company's footprint is focused on Wisconsin while maintaining smaller presences in Illinois, Florida, Michigan, and Ohio. This concentrated geography means that national commercial strategies are anchored by a strong state-level position in Wisconsin even as the payer remains a modest-sized national participant.

Premium by Scope

Scope	Jurisdictions	Premium	Share of Payer Total
US States & DC	5	$352.73M	100.00%
Total	5	$352.73M	100.00%

The payer's premium is exclusively within the US states and DC scope as reported, with $352.73M concentrated in that category. There is no reported premium in US territories or foreign jurisdictions, so the company's market exposure is fully onshore.

For providers evaluating this payer, the concentration in US states implies negotiations and network strategies should focus on state-level dynamics — particularly Wisconsin — rather than international or territory considerations.

Subsidiary	Domicile
Epic Life Insurance Company	WI
Wisconsin Physicians Services Insurance Corporation	WI
Wps Health Plan Inc	—

Subsidiary

Domicile

Epic Life Insurance Company

Wisconsin Physicians Services Insurance Corporation

Wps Health Plan Inc

—

State	Market Share	Premium Written	Estimated Members
FL	0.01%	$9.29M	1.06K
IL	0.01%	$6.12M	0.883K
MI	<0.01%	$786K	0.112K
OH	<0.01%	$2.82M	0.384K
WI	1.21%	$333.71M	55.2K

State

Market Share

Premium Written

Estimated Members

0.01%

$9.29M

1.06K

0.01%

$6.12M

0.883K

<0.01%

$786K

0.112K

<0.01%

$2.82M

0.384K

1.21%

$333.71M

55.2K

Age Band	Wisconsin	Florida	Illinois	Ohio	Michigan	National Total
Under 6	3303	53	53	23	6	3440
6–18	8755	144	138	61	17	9115
19–25	5357	92	83	36	11	5579

Age Band

Wisconsin

Florida

Illinois

Ohio

Michigan

National Total

Under 6

3303

3440

6–18

8755

144

138

9115

19–25

5357

5579

State-by-State Market Position

Wisconsin is the clear center of gravity for this payer, representing the only meaningful market position and the sole top-tier ranking. The Midwest shows the strongest presence due to this Wisconsin concentration, while the Northeast, West, and Southwest show no material footprint. The Southeast has a light presence via Florida, but it is comparatively minor.

Top-ranked performance is singularly in Wisconsin, which drives most premium and membership. For multi-state provider groups, this distribution means contracting and operational focus should be Midwest-centric with targeted, lower-effort engagement in Florida, Illinois, Michigan, and Ohio. National negotiations will have limited leverage unless Wisconsin terms are prioritized.

Estimated Members by State

WISCONSIN PHYSICIANS SERV INS GRP's estimated member distribution is highly concentrated in Wisconsin, with 55,163 members out of a national total of 57,597. Florida follows with 1,055 members, Illinois with 883, Ohio with 384, and Michigan with 112. This geographic concentration aligns closely with the payer's market share and premium volume, as Wisconsin is the only state where the payer holds a significant market share (1.21%).

The other states—Florida, Illinois, Ohio, and Michigan—have minimal member counts, reflecting their very low market shares (0.01% or less). For providers, this means that contracting opportunities and care delivery impact are overwhelmingly focused in Wisconsin, with only niche presence in the other states. Multi-state provider groups will find the payer's influence almost entirely limited to Wisconsin, and should prioritize engagement there for network and reimbursement strategies.

OpenPayer

Payer Overview

WISCONSIN PHYSICIANS SERV INS GRP Market Analysis: Market Share and Coverage by State

Payer Overview

Premium by Scope

National Market Presence

Estimated Member Demographics

State-by-State Market Position

Estimated Members by State