Iowa's health insurance industry primarily caters to the diverse healthcare needs of its residents. Various companies operate within the state, offering products like individual, family, Medicare, and supplemental health insurance, alongside specialized services such as dental and vision coverage. The industry is increasingly focusing on technology-driven solutions, emphasizing better care management and cost containment. Notably, the demand for more personalized, flexible health plans is rising, as consumers seek options that cater to their unique health challenges. This trend signals a progression towards more customer-centric models, reflecting changes in consumer preferences and the evolving healthcare landscape.

The companies highlighted in this listing vary significantly in size and expertise, with most headquartered in Des Moines, Iowa. Established between the 1920s and 2010s, these firms specialize in offerings that include Medicare Supplement and individual health plans, among other insurance products. Some, like Wellmark Blue Cross and Blue Shield and American Republic, boast thousands of employees and long histories, while others may be smaller agencies dedicated to personalized service. Each firm contributes uniquely to Iowa's health insurance ecosystem, catering to different demographics and customer needs.

Continue reading to discover the top health insurance companies in Iowa.

Top 20 Health Insurance Companies in Iowa

1. Wellmark Blue Cross and Blue Shield

• Website: wellmark.com
• Ownership type: Private
• Headquarters: Des Moines, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1939
• Headcount: 1001-5000
• LinkedIn: wellmark

Wellmark Blue Cross and Blue Shield is a health insurance provider based in Des Moines, Iowa, with a significant presence in South Dakota. Founded in 1939, the company has built a reputation for offering a variety of insurance products tailored to the needs of individuals, families, and businesses. Wellmark provides Medicare Advantage plans, individual and family health insurance, dental, and life insurance, helping clients manage healthcare costs and access necessary medical services. The company emphasizes quality care and has been recognized for its efforts in improving healthcare outcomes. Wellmark is also involved in community initiatives through The Wellmark Foundation, which supports health-related projects. As an independent licensee of the Blue Cross and Blue Shield Association, Wellmark benefits from a national network while maintaining a strong local focus. The company has not reported any recent funding, indicating stability and self-sufficiency in its operations.

2. American Republic Insurance Company

• Website: americanrepublic.com
• Ownership type: Private
• Headquarters: Des Moines, Iowa, United States (USA)
• Founded year: 1929
• Headcount: 501-1000
• LinkedIn: american-republic-insurance-company

American Republic Insurance Company, also known as Wellabe, is a private insurance provider based in Des Moines, Iowa. Founded in 1929, the company has built a reputation for offering a variety of health and life insurance products tailored to meet the needs of individuals, particularly seniors. Their product lineup includes Medicare Supplement insurance, dental insurance, hospital indemnity insurance, and specialized plans like first diagnosis cancer insurance and short-term care insurance. Wellabe emphasizes comprehensive solutions to help customers manage their health-related financial needs. The company has also partnered with reputable providers to enhance their offerings in vision and hearing insurance, further addressing the specific needs of their clientele. In April 2024, AM Best affirmed the company's financial strength rating of A (Excellent), underscoring its stability and capacity to fulfill its insurance commitments.

3. American Enterprise Group, Inc.

• Website: americanenterprise.com
• Ownership type: Private
• Headquarters: Des Moines, Iowa, United States (USA)
• Latest funding: $2.0M, January 2000
• Founded year: 1929
• Headcount: 201-500
• LinkedIn: american-enterprise

American Enterprise Group, Inc., based in Des Moines, Iowa, has been operational since 1929. The company primarily markets its insurance products under the Wellabe brand, which focuses on life and supplemental health insurance. Wellabe's offerings are tailored to meet the needs of seniors and individuals preparing for retirement, helping them manage healthcare costs and plan for financial needs related to health and end-of-life considerations. Their product lineup includes Medicare Supplement insurance, dental insurance, hospital indemnity insurance, and various cancer and short-term care insurance options. The company has also received an 'A' (Excellent) financial strength rating from AM Best, indicating a solid financial foundation. This rating reflects the overall financial status of their insurance subsidiaries, enhancing their reputation in the health insurance market.

4. Delta Dental of Iowa

• Website: deltadentalia.com
• Ownership type: Private
• Headquarters: Johnston, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1970
• Headcount: 51-200
• LinkedIn: delta-dental-of-iowa

Delta Dental of Iowa is a private insurance provider based in Johnston, Iowa, established in 1970. The company focuses on dental and vision insurance services, offering a variety of plans tailored for individuals, families, and businesses. With a workforce of approximately 163 employees, Delta Dental of Iowa operates within a national network, ensuring access to dental coverage across all 50 states, Puerto Rico, and other U.S. territories. The company is committed to community health, actively engaging through its foundation to support various health initiatives. This involvement highlights its dedication to improving health outcomes in the communities it serves, making it a notable player in the health insurance sector.

5. KHI Solutions

• Website: khisolutions.com
• Ownership type: Private
• Headquarters: Fort Dodge, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2006
• Headcount: 11-50
• LinkedIn: khi-financial-solutions

KHI Solutions, founded in 2006 and based in Fort Dodge, Iowa, is a private insurance agency dedicated to providing health insurance solutions. With a team of approximately 85 employees, KHI Solutions serves a variety of clients, including individuals, families, and small businesses. The company offers a comprehensive range of products, such as employer group insurance, individual and family plans, and Medicare coverage. KHI Solutions prides itself on delivering personalized service, helping clients navigate their insurance options with care and expertise. The agency has been active in the community for over 59 years, reflecting a long-standing commitment to customer service and community involvement. They are members of various local organizations, demonstrating their engagement in the industry and community. KHI Solutions does not report any funding, indicating a self-sustained business model.

6. Wellabe

• Website: wellabe.com
• Ownership type: Private
• Headquarters: Des Moines, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1929
• Headcount: 201-500
• LinkedIn: american-enterprise

Wellabe, founded in 1929 and based in Des Moines, Iowa, is a private insurance company that provides a range of health and life insurance products. The company primarily focuses on Medicare Supplement insurance, dental insurance, and other supplemental health plans designed to fill gaps in coverage for individuals, especially seniors. Wellabe aims to empower its customers by offering products that help them prepare for health-related expenses. The company has established partnerships with providers for vision and hearing insurance, enhancing its service offerings. With a workforce of approximately 397 employees, Wellabe has been recognized for its workplace culture, earning accolades as one of Iowa's top workplaces. In April 2024, AM Best affirmed the financial strength ratings of A (Excellent) for Wellabe's subsidiaries, underscoring its stability and reliability in the insurance market.

7. IBC Insurance

• Website: ibcins.biz
• Ownership type: Private
• Headquarters: Sioux City, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2006
• Headcount: 11-50
• LinkedIn: ibc-insurance

IBC Insurance, founded in 2006 and based in Sioux City, Iowa, is a private insurance agency that provides a wide array of services tailored to meet the needs of businesses and individuals. With a team of 28 employees, IBC has grown significantly since its inception, now serving clients in over 30 states. The agency specializes in employee benefits, commercial and personal insurance, and preventive health services. Their offerings include individual policies and Medicare supplement plans, which are crucial for health insurance coverage. IBC also emphasizes wellness initiatives through their Perfect Health Program, aiming to enhance employee health and reduce healthcare costs for businesses. Their risk management services further support organizations in navigating potential hazards and improving workplace safety. IBC's mission is to inspire and demonstrate integrity while building strong relationships with their clients, reflecting their commitment to service and client satisfaction.

8. Platinum Supplemental Insurance, Inc.

• Website: pltnm.com
• Ownership type: Private
• Headquarters: Dubuque, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1995
• Headcount: 51-200
• LinkedIn: platinum-supplemental-insurance-inc-

Platinum Supplemental Insurance, Inc., founded in 1995 and based in Dubuque, Iowa, specializes in supplemental health insurance products. The company aims to fill the financial gaps that traditional health insurance often leaves, particularly for families facing critical illnesses or injuries. Their product offerings include policies for cancer, heart attack, stroke, and home health care, designed to provide cash benefits that help cover out-of-pocket expenses. With a workforce of approximately 51-200 employees, Platinum has established a strong presence in the Midwest, serving over 70,000 customers. The company prides itself on its customer service, ensuring that clients can reach knowledgeable representatives for assistance with claims and inquiries. By focusing on the unique needs of rural families, Platinum positions itself as a crucial resource for financial security in healthcare.

9. Sisco

• Website: siscobenefits.com
• Ownership type: Private
• Headquarters: Dubuque, Iowa, United States (USA)
• Employee distribution: United States (USA) 87%, Iran 6%, United Arab Emirates 6%
• Founded year: 1980
• Headcount: 501-1000
• LinkedIn: siscobenefits

Sisco, founded in 1980 and based in Dubuque, Iowa, operates as a health plan administrator specializing in comprehensive benefits management services. The company serves a variety of stakeholders, including brokers, employers, providers, and employees, facilitating the complexities of health benefits. Sisco's offerings include claims administration, cost management, and medical management, all aimed at improving health outcomes and enhancing the customer experience. They leverage technology and maintain a licensed call center to provide support and streamline processes for their clients. Sisco's commitment to cost management is evident in their strategic bill review services, which help clients save significantly on healthcare expenses. Their integrated approach to medical management further underscores their role in the health insurance industry, making them a notable entity in the field.

10. ClaimDOC

• Website: claim-doc.com
• Ownership type: Private
• Headquarters: West Des Moines, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2013
• Headcount: 51-200
• LinkedIn: claimdoc

ClaimDOC, LLC, founded in 2013 and based in West Des Moines, Iowa, is a health insurance provider that specializes in self-funded health plans and reference-based pricing. The company aims to assist employers in managing healthcare costs while improving the benefits offered to their employees. ClaimDOC provides services such as medical claim auditing and member advocacy, which are designed to create a more transparent and cost-effective healthcare experience. Their approach includes a unique model that emphasizes partnerships with clients, members, and healthcare providers. By leveraging technology and a dedicated team of healthcare professionals, ClaimDOC helps clients achieve substantial savings—averaging 25% to 35% compared to traditional plans. Their commitment to member advocacy and education further enhances the user experience, making them a notable player in the health insurance industry.

11. Iowa Total Care

• Website: iowatotalcare.com
• Ownership type: Private
• Headquarters: West Des Moines, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2019
• Headcount: 501-1000
• LinkedIn: iowa-total-care

Iowa Total Care, based in West Des Moines, Iowa, is a private health insurance provider that specializes in Medicaid plans and care management services. Established in 2019, the company aims to support individuals and families in accessing healthcare, particularly those dealing with chronic conditions. Iowa Total Care offers a range of resources designed to enhance member care, including telehealth services, a 24/7 nurse advice line, and transportation assistance. The company is part of Centene Corporation, which provides a broader network and resources to support its operations. Iowa Total Care is actively involved in initiatives that promote health equity and improve access to care, particularly for underserved populations in Iowa. Their programs, such as the Chronic Condition Health Home and Integrated Health Home, focus on coordinated care and support for members with complex health needs.

12. Auxiant

• Website: auxiant.com
• Ownership type: Private
• Headquarters: Cedar Rapids, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1982
• Headcount: 201-500
• LinkedIn: auxiant

Auxiant, founded in 1982 and based in Cedar Rapids, Iowa, operates as a private health insurance administrator. The company specializes in self-funded health plans, providing tailored solutions that focus on cost control and health management for self-insured employers and plan sponsors. Auxiant's approach integrates advanced technological tools to enhance client support and operational efficiency. They serve a variety of sectors, including public and private industries, and have established partnerships with regional and national Preferred Provider Organizations (PPOs) and Pharmacy Benefit Managers (PBMs). This enables them to negotiate favorable rates with healthcare providers, ensuring that their clients receive competitive pricing and comprehensive service. With a workforce of over 150 employees and multiple office locations, Auxiant is positioned as a significant player in the health insurance administration space, dedicated to delivering customized and effective health plan solutions.

13. VGM Insurance Services

• Website: vgminsurance.com
• Ownership type: Private
• Headquarters: Waterloo, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1990
• Headcount: 51-200
• LinkedIn: vgm-insurance

VGM Insurance Services, founded in 1990 and based in Waterloo, Iowa, is a private insurance company that focuses on providing specialized insurance solutions for niche markets within the healthcare industry. With a workforce of approximately 71 employees, the company has built a reputation for its expertise in areas such as home medical equipment, home health and hospice, and physical therapy. VGM Insurance prides itself on fostering long-term relationships with its clients, offering tailored coverage options and risk management resources to help businesses navigate the complexities of the healthcare sector. Their programs are designed to meet the unique needs of various healthcare providers, ensuring that they have the necessary protection to operate effectively. VGM Insurance has been recognized for its commitment to service and community involvement, further solidifying its role in the healthcare insurance market.

14. Stille Pierce & Pertzborn

• Website: sppinsurance.com
• Ownership type: Family Owned
• Headquarters: Storm Lake, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1948
• Headcount: 11-50
• LinkedIn: stille-pierce-%26-pertzborn

Stille Pierce & Pertzborn, based in Storm Lake, Iowa, is a family-owned insurance agency that has been serving clients since 1948. With a team of 15 dedicated employees, the agency offers a variety of insurance services, including property and casualty, individual health, agricultural, and group benefits. Their individual health insurance offerings cater to both under-65 and over-65 clients, providing options for those navigating the complexities of health coverage. The agency prides itself on its client-oriented approach, emphasizing tailored solutions and strong customer relationships. Over the years, Stille Pierce & Pertzborn has built a reputation in the local community, focusing on the unique needs of individuals and businesses alike. Their commitment to service and community involvement reflects a long-standing tradition of trust and reliability in the insurance industry.

15. Skogman Insurance

• Website: skogmanins.com
• Ownership type: Family Owned
• Headquarters: Hiawatha, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1965
• Headcount: 11-50
• LinkedIn: skogman-carlson-insurance

Skogman Insurance, established in 1965, is a family-owned insurance agency based in Hiawatha, Iowa. With a team of 29 employees, the agency specializes in a wide array of insurance products, including home, auto, life, health, and business insurance. They cater to both individual consumers and businesses, ensuring that clients receive personalized service through dedicated agents. Skogman Insurance emphasizes building lasting relationships with clients and has a strong commitment to community engagement, supporting local initiatives such as Camp Courageous. Their health insurance offerings include individual and family plans, group health insurance, dental and vision coverage, and various supplemental options, showcasing their active role in the health insurance industry.

16. Heartland Retirement Group

• Website: yourhrg.com
• Ownership type: Private
• Headquarters: Johnston, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2012
• Headcount: 51-200
• LinkedIn: heartland-retirement-group

Heartland Retirement Group, founded in 2012 and based in Johnston, Iowa, is a private insurance agency that specializes in retirement planning and insurance services. With a workforce of approximately 182 employees, the company has established itself as a resource for individuals navigating the complexities of retirement-related insurance options. Heartland offers a range of products, including Medicare Supplemental plans, Medicare Advantage, life insurance, and cancer plans, among others. Their consultative services aim to simplify the decision-making process for clients, ensuring they receive personalized guidance tailored to their unique needs. Since its inception, Heartland has assisted over 28,000 customers, demonstrating its active involvement in the health insurance sector, particularly for seniors. The company operates multiple branch offices across the United States, enhancing its accessibility and reach within the market.

17. Group Benefits, Ltd.

• Website: thegblstory.com
• Ownership type: Private
• Headquarters: Urbandale, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1995
• Headcount: 51-200
• LinkedIn: group-benefits-ltd

Group Benefits, Ltd. is an insurance agency based in Urbandale, Iowa, founded in 1995. The company specializes in providing health insurance and related products to independent insurance agents, offering them essential marketing support, training, and a variety of insurance products. With a workforce of approximately 76 employees, GBL has established itself as a significant player in the Midwest, serving agents across Iowa and beyond. They represent over 3,000 employer groups and 60,000 individual clients through their affiliated agents. GBL emphasizes agent education, particularly in relation to the Affordable Care Act, and provides tools and resources to help agents succeed in a complex market. Their partnership with Acrisure has further enhanced their offerings, allowing them to provide better tools and services to their agents. GBL's commitment to supporting independent agents is evident in their operational philosophy and the resources they provide.

18. Fortress Insurance Services

• Website: thefortress.net
• Ownership type: Private
• Headquarters: Urbandale, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 2008
• Headcount: 11-50
• LinkedIn: fortress-wealth-management

Fortress Insurance Services, founded in 2008 and based in Urbandale, Iowa, operates as an independent insurance agency and financial services provider. With a team of 11 to 50 employees, the company specializes in offering a variety of insurance products, including health insurance, life insurance, and commercial insurance. Fortress Insurance Services aims to assist individuals and small businesses in managing their financial risks through customized insurance solutions. They emphasize a one-on-one approach, ensuring that each client receives personalized attention and tailored recommendations that align with their specific needs and financial goals. The agency also provides wealth management services, further enhancing their role in helping clients secure their financial futures. Fortress Insurance Services has established multiple branches across Iowa, allowing them to serve a broader clientele while maintaining a strong local presence.

19. Sheets Forrest Draper Insurance

• Website: sheetsforrestdraper.com
• Ownership type: Private
• Headquarters: Marion, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1902
• Headcount: 11-50
• LinkedIn: sheets-forrest-draper-insurance

Sheets Forrest Draper Insurance, established in 1902, is a private insurance agency located in Marion, Iowa. With a team of 22 employees, the agency prides itself on delivering personalized service to individuals, families, and businesses. They offer a range of insurance products, including auto, home, business, life, and health insurance. Their health insurance offerings include both group and individual plans, catering to the needs of small to mid-sized businesses and their employees. As an independent agency, Sheets Forrest Draper is not tied to any single insurance provider, allowing them to tailor policies to meet the unique needs of their clients. The agency has a strong local presence and is actively involved in the Marion community, contributing to local non-profits and participating in various local organizations. Their commitment to customer service is reflected in positive client testimonials, highlighting their responsiveness and personalized approach to insurance.

20. Central Insure

• Website: centralinsure.com
• Ownership type: Private
• Headquarters: Storm Lake, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1933
• Headcount: 11-50
• LinkedIn: central-insurance

Central Insure, founded in 1933 and based in Storm Lake, Iowa, is a private insurance agency that provides a wide array of insurance products. With a workforce of 23 employees, the company serves both individual consumers and businesses, helping them manage risks and protect their assets through tailored insurance solutions. Central Insure offers various types of insurance, including business, personal, life, and health insurance. Specifically, in the health insurance sector, they provide individual health insurance, Medicare options, and employee benefits. The agency emphasizes customer service and clarity, aiming to simplify the often complex insurance landscape for its clients. Central Insure operates multiple locations across Iowa and South Dakota, enhancing its accessibility to clients in these regions.

Health Insurance Insights: Key Companies in Iowa

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