ZING HLTH ENTERPRISES GRP Market Analysis: Market Share and Coverage by State

Payer Overview

ZING HLTH ENTERPRISES GRP occupies a modest but distinct position in the national accident & health landscape as the #149 US A&H payer by premium. Its reported US premium is $249.61M, representing a 0.02% US market share and operations across 3 states. The organization reports an estimated total membership of 36.6K and operates through 3 affiliated subsidiaries.

Although ZING HLTH ENTERPRISES GRP does not hold a #1 position in any state, its concentrated presence in a small set of states suggests focused regional strategies rather than broad national scale. All of its recorded premium is within the US states and DC scope, with no reported premium in US territories or foreign markets.

Premium by Scope

ZING HLTH ENTERPRISES GRP's premium is exclusively within the US States & DC scope, accounting for 100.00% of its reported premium. There is no reported premium in US territories or foreign markets.

This concentration implies that provider groups negotiating with ZING HLTH ENTERPRISES GRP should prioritize its US-state network strategies, as all of the payer's commercial weight and membership reside in the domestic state markets.

ZING HLTH ENTERPRISES GRP's premium is concentrated in the Midwest, with $176M in Illinois alone, followed by $37.7M in Michigan and $36.2M in Indiana. The carrier's reported 36.6K members are similarly concentrated across these three states. This geographic concentration indicates that regional provider networks and state-level regulatory approaches will drive most contracting leverage and operational focus.

For national provider groups, the payer's footprint suggests targeted negotiation efforts in the Midwest rather than a broad national contracting rollout. With $176M centered in a single state, multi-state groups should prioritize Illinois while maintaining capacity in Indiana and Michigan to cover the carrier's full membership base.

State-by-State Market Position

ZING HLTH ENTERPRISES GRP shows its strongest presence in the Midwest region. Illinois is the dominant state by premium and scale, followed by Michigan and Indiana. There is no material presence reported in the Northeast, Southeast, West, or Southwest regions.

For multi-state provider organizations, this distribution means contracting strategy can be regionally concentrated: invest in Illinois capabilities first because it holds the largest premium concentration ($176M), then expand network capacity in Michigan () and Indiana (). The payer's limited geographic spread reduces complexity for credentialing and claims operations compared with national payers, but it increases the importance of state-level reimbursement terms and regulatory engagement.

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 bands are 6–18 (5,759 members), 55–64 (5,203 members), 35–44 (5,187 members), and 45–54 (5,063 members). The senior population (65–74 and 75+) is notably smaller, with a combined total of 5,092 members. Illinois, the largest state by membership, mirrors the national distribution, while Indiana and Michigan have slightly higher proportions in the older age bands relative to their total membership.

This demographic profile indicates that ZING HLTH ENTERPRISES GRP's insured population is primarily composed of families and working-age adults, with a strong presence in the pediatric and adolescent segments. Providers should expect a care mix that emphasizes preventive services, chronic disease management, and pediatric care, with less demand for geriatric and senior-focused services.

Estimated Members by State