5-Year Enrollment Trends for Blues vs. Non-Blues Analyzed by Mark Farrah Associates

5-Year Enrollment Trends for Blues vs. Non-Blues Analyzed by Mark Farrah Associates

Health insurance companies provided fully insured coverage for approximately 183 million people in 2025, a decrease of over 1.1 million from 2021. Blue Cross Blue Shield (BCBS) association members, parent organizations, and their subsidiaries insured about 37.2% of the total health insurance market. In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, examined health insurance enrollment changes in key segments for Blue Cross Blue Shield (BCBS) and Non-BCBS companies between 2021 and 2025.

Some highlights include:

Individual enrollment for BCBS companies increased 16.5% over the last 5 years, and non-BCBS companies reported a 78.2% increase during the same period.

Fully insured Group enrollment, which includes the Federal Employees Health Benefits Program (FEHBP), continued to experience decreases throughout the 5-year timeframe for both Blues and non-Blues plans.