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HSA Market Report

Managed Care Companies

AETNA HSA, HRA LIVES GROW 49% TO 644,000
Aetna Inc. (Hartford, CT) said it had 644,000 members in HRA and HSA-compatible high-deductible health plans as of Sept. 30, up 49% from the same time last year. Consumer-directed membership accounts for about 4.3% of Aetna’s total commercial lives.

HIGHMARK EXPANDS HSA PLAN OFFERINGS
Highmark Inc. (Pittsburgh), which already offers an HSA plan that requires individuals to complete a medical history before being accepted into the program, has launched another high-deductible plan option open to anyone regardless of the person’s medical condition. Both plans are HSA compatible, with PNC Financial Service Group acting a preferred trustee.

HUMANA PICKS FIRST HORIZON FOR INDIVIDUAL HSAs
Humana Inc. (Louisville, KY) said it has selected First Horizon Msaver (Overland Park, KS) to administer HSAs tied to the company’s individual high-deductible health plans beginning in the fourth-quarter.

UNITEDHEALTH HAS 1.85 MILLION HRA, HSA LIVES
UnitedHealth Group (Minnetonka, MN) had 1.85 million members in HRA and HSA-compatible high-deductible health plans as of Sept. 30, the company reported, up 75% from 1.06 million the same time last year. Through nine months of 2006, United added 675,000 HRA and HSA lives.

AETNA FULL-REPLACEMENT HRA COSTS UP 1%
Aetna Inc. (Hartford, CT) reported that medical costs for full-replacement HRA plans have risen just 1% annually over three years for plans effective January 2003.

CIGNA EYES 300,000 HSA, HRA LIVES IN 2006
Cigna (Philadelphia) expects to have about 300,000 HSA and HRA plan lives in 2006, up from about 100,000 in 2005, according to David Cordani, president of the company’s health segments.

HSAs SLOW OUT OF GATE IN SOME MARKETS
Sales of HSA-compatible high-deductible health plans vary greatly by company and by geographic area (HMN, December 2005), but have been especially slow in certain markets and for certain health plans around the nation.


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