Tennessee's health insurance industry is a dynamic segment providing essential coverage to individuals and families. Companies here vary widely, offering everything from traditional health plans to specialized Medicare and ACA options. A shift towards patient-centered care and innovative tech solutions is evident, enabling better access and cost management. Importantly, the industry is responding to growing demands for transparency and affordability, ensuring more residents can secure the care they need. With ongoing regulatory changes and an increase in telehealth usage, the future looks promising, indicating an evolving landscape where efficiency and member engagement are prioritized.


The listed companies range from small agencies to larger firms, founded as early as 1947. Based in key cities like Columbia and Nashville, these health insurance providers focus on individual, family, and business plans. Many emphasize Medicare services, catering to seniors while others target small businesses with tailored offerings. Collectively, they employ a diverse workforce, leveraging local knowledge to meet community needs effectively.


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


Top 20 Health Insurance Companies in Tennessee


1. Farm Bureau Health Plans

  • Website: fbhp.com
  • Ownership type: Private
  • Headquarters: Columbia, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1947
  • Headcount: 51-200
  • LinkedIn: farm-bureau-health-plans

Farm Bureau Health Plans, based in Columbia, Tennessee, has been a health insurance provider since its establishment in 1947. The company specializes in offering a range of health coverage options, including individual, family, and Medicare plans. With a focus on serving the residents of Tennessee, Farm Bureau Health Plans aims to make healthcare accessible and affordable. They provide various wellness resources and programs to help members manage their health effectively. The company operates more than 200 offices throughout Tennessee, ensuring a strong local presence and personalized service for its members. Their offerings include Medicare Advantage plans, Medicare Supplement plans, and dental and vision coverage, catering to a wide array of healthcare needs. Farm Bureau Health Plans emphasizes customer service, aiming to deliver superior support to its members, which is a critical factor in the health insurance industry.


2. Cigna-HealthSpring

  • Website: cignahealthspring.com
  • Ownership type: Private
  • Headquarters: Nashville, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2000
  • Headcount: 1001-5000
  • LinkedIn: healthspring

Cigna-HealthSpring, based in Nashville, Tennessee, is a health insurance provider that specializes in a variety of insurance plans, including medical, dental, and supplemental health insurance. Founded in 2000, the company has grown to employ approximately 3,566 individuals, all located in the United States. Cigna-HealthSpring serves a broad audience, including individuals, families, and employers, helping them manage healthcare costs and access necessary medical services. Their product offerings are particularly notable in the Medicare space, where they provide tailored plans to meet the needs of older adults. The company emphasizes customer support and accessibility, with resources like the myCigna portal for 24/7 access to plan details and virtual care options. Cigna-HealthSpring's commitment to health equity and community support further underscores its role in the health insurance industry.


3. Next Health Plan

  • Website: nhptoday.com
  • Ownership type: Private
  • Headquarters: Nashville, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 94%, United Kingdom (UK) 6%
  • Founded year: 1993
  • Headcount: 1001-5000
  • LinkedIn: nexthealthplan

Next Health Plan, based in Nashville, Tennessee, has been a player in the health insurance sector since its founding in 1993. The company specializes in providing health insurance products tailored for small businesses, self-employed individuals, and families. They offer a range of plans, including guaranteed issue small business plans and direct health insurance options for individuals. Their approach aims to simplify the complexities of health insurance, making it more accessible and affordable. Over the years, Next Health Plan has supported thousands of agencies and independent agents in navigating the health insurance market, showcasing their commitment to empowering others in the industry. Their innovative strategies and focus on customer service have positioned them as a relevant option for those seeking alternatives to traditional health insurance coverage.


4. American Exchange

  • Website: americanexchange.com
  • Ownership type: Private
  • Headquarters: Chattanooga, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2013
  • Headcount: 51-200
  • LinkedIn: american-exchange

American Exchange, founded in 2013 and based in Chattanooga, Tennessee, is a private health insurance provider dedicated to simplifying the health insurance process for individuals, families, and students. The company specializes in Affordable Care Act (ACA) insurance and Medicare plans, offering enrollment services and ongoing policy management. With a focus on advocacy, American Exchange aims to empower healthcare consumers by providing them with the necessary tools and information to make informed decisions about their health coverage. They have successfully enrolled over 60,000 individuals in low-cost insurance plans, ensuring access to essential healthcare services. Additionally, American Exchange has expanded its services to include revenue cycle management, helping healthcare providers improve efficiency and financial sustainability. Their expertise in navigating public health programs further solidifies their role in the industry, particularly in assisting vulnerable populations such as those living with HIV and other STIs.


5. Employee Benefit Specialists

  • Website: ebstn.com
  • Ownership type: Corporate
  • Headquarters: Morristown, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: December 2005
  • Founded year: 1980
  • Headcount: 11-50
  • LinkedIn: employee-benefit-specialists

Employee Benefit Specialists (EBS), founded in 1980 and based in Morristown, Tennessee, is an insurance agency dedicated to providing a wide array of insurance products and employee benefits services. With a team of experienced agents, EBS focuses on creating and maximizing employee benefit packages for businesses and offering tailored insurance solutions for individuals. Their offerings include health insurance, life insurance, dental, vision, and various supplemental policies. EBS is particularly noted for its commitment to helping clients understand and navigate the complexities of insurance, ensuring they find the best coverage options available. The agency has received recognition for its service quality, including awards such as the Million Dollar Round Table and the National Quality Award. EBS operates without reported funding, indicating a stable, self-sustaining business model.


6. Health Cost Solutions

  • Website: hcsbenefits.com
  • Ownership type: Private
  • Headquarters: Hendersonville, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1983
  • Headcount: 51-200
  • LinkedIn: health-cost-solutions

Health Cost Solutions (HCS), founded in 1983 and based in Hendersonville, Tennessee, operates as a private health benefits management company. With a workforce of approximately 51-200 employees, HCS focuses on delivering a range of services tailored to members, employers, and brokers. Their offerings include account management, eligibility management, and pharmacy benefit management, which are crucial for navigating the complexities of health insurance. HCS is recognized for its expertise in self-funded group medical plans, providing clients with innovative plan designs and strategic partnerships. The company prides itself on exceptional customer service, ensuring that clients receive timely support and solutions. HCS has built a reputation for effectively managing healthcare costs and enhancing the member experience through technology-driven solutions. They do not report any recent funding, indicating a stable operational model without reliance on external investment.


7. Prime Health Services, Inc.

  • Website: primehealthservices.com
  • Ownership type: Private
  • Headquarters: Franklin, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: Other (Debt), $8.0M, March 2014
  • Founded year: 1996
  • Headcount: 51-200
  • LinkedIn: prime-health

Prime Health Services, Inc., founded in 1996 and based in Franklin, Tennessee, is a healthcare services company that specializes in creating preferred provider organization (PPO) networks. With a robust network of over 800,000 providers, the company caters to various sectors, including workers' compensation, group health, and Medicare Advantage. They assist insurance carriers, third-party administrators, and self-insured employers in managing healthcare costs while improving access to quality medical services. Prime Health is recognized for its customized solutions and exceptional service, which are tailored to meet the specific needs of its clients. The company has evolved from a regional network to a national presence, serving clients across all 50 states. Their focus on technology and client-centric solutions positions them as a significant player in the healthcare services industry.


8. The Benefits Group

  • Website: thebenefits.group
  • Ownership type: Private
  • Headquarters: Franklin, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2016
  • Headcount: 1-10
  • LinkedIn: the-benefits-group

The Benefits Group, founded in 2016 and based in Franklin, Tennessee, is a private employee benefits provider. With a small team of around 23 employees, the company focuses on delivering comprehensive health, dental, vision, life, disability, and supplemental insurance options. They cater to businesses of all sizes, aiming to enhance employee satisfaction while effectively managing liabilities through customized benefit packages. The Benefits Group prides itself on its innovative approach to the complex healthcare market, partnering with organizations like Mitigate Partners to stay at the forefront of industry trends. Their commitment to treating clients with a personal touch sets them apart in a crowded field, making them a noteworthy option for companies looking to provide quality employee benefits.


9. Lucent Health

  • Website: lucenthealth.com
  • Ownership type: Private Equity
  • Headquarters: Nashville, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 99%, Other 1%
  • Latest funding: April 2024
  • Founded year: 2014
  • Headcount: 201-500
  • LinkedIn: lucent-health

Lucent Health, based in Nashville, Tennessee, is a health insurance provider that specializes in health plan administration and care management services. Established in 2014, the company focuses on delivering customized health plans that help employers manage healthcare costs while enhancing employee health outcomes. Their service offerings include concierge care, utilization management, and reference-based pricing plans, which allow for more flexible and cost-effective healthcare solutions. Lucent Health prides itself on a human-focused and data-driven approach, utilizing intelligent insights to tailor health plans to the specific needs of their clients. The company has also made strides in care management through its acquisition of Narus Health in 2019, which has strengthened their ability to provide exceptional support to members. With a workforce of approximately 265 employees, Lucent Health operates primarily within the United States, serving a growing client base that values innovative and effective health benefit solutions.


10. Narus Health

  • Website: narushealth.com
  • Ownership type: Venture Capital
  • Headquarters: Nashville, Tennessee, United States (USA)
  • Latest funding: Seed, January 2018
  • Founded year: 2014
  • Headcount: 11-50
  • LinkedIn: narus-health

Narus Health, founded in 2014 and based in Nashville, Tennessee, specializes in health plan administration and care management services. The company focuses on providing customized health plans that cater to the specific needs of employers and their employees. Their approach combines data-driven insights with compassionate support, aiming to reduce healthcare costs while enhancing care outcomes. In 2019, Narus Health was acquired by Lucent Health, which expanded its capabilities in care management and concierge solutions. This acquisition has allowed Narus Health to further enhance its service offerings, supporting employees and their families through various healthcare challenges. The company is recognized for its innovative strategies, including reference-based pricing plans, which help clients save significantly on health benefit costs.


11. Shared Health

  • Website: sharedhealth.com
  • Ownership type: Private
  • Headquarters: Chattanooga, Tennessee, United States (USA)
  • Employee distribution: Canada 55%, United States (USA) 45%
  • Founded year: 2014
  • Headcount: 51-200
  • LinkedIn: sharedhealth

Shared Health, founded in 2014 and based in Chattanooga, Tennessee, is a private healthcare provider that offers Medicare Advantage plans and related services. The company primarily serves individuals who qualify for both Medicare and Medicaid, focusing on helping them navigate healthcare costs and access necessary medical services. Shared Health provides a unique offering known as the Dual Eligible Special Needs Plan (D-SNP), which is a $0-premium plan designed specifically for those eligible for both programs. This plan includes additional benefits such as allowances for over-the-counter items, groceries, and dental care. The company also offers the Medicare Prescription Payment Plan, which assists clients in managing their out-of-pocket prescription drug costs. With a workforce that is split between the United States and Canada, Shared Health is positioned to address the needs of its members effectively, although it has not reported any recent funding activities.


12. Medicare Insurance Advisors, A Guided Solutions Member


Medicare Insurance Advisors, a member of Guided Solutions, is an insurance agency based in Knoxville, Tennessee, established in 2012. The company specializes in Medicare and other insurance services, providing essential support to individuals seeking to understand and enroll in Medicare plans. With a team of licensed brokers, they guide clients through the often complex landscape of Medicare options, ensuring that customers can make informed choices tailored to their healthcare needs. In addition to Medicare, they offer a range of insurance products, including health, life, and property insurance. Their approach emphasizes personalized service, aiming to simplify the enrollment process for clients. Operating through local offices, they maintain a commitment to customer education and support, which is crucial in the Medicare space where many individuals face challenges in understanding their options.


13. Senior Market Advisors (844-452-5020)

  • Website: seniormarketadvisors.com
  • Ownership type: Corporate
  • Headquarters: Nashville, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: January 2021
  • Founded year: 2007
  • Headcount: 51-200
  • LinkedIn: senior-marketing-advisors

Senior Market Advisors (SMA), founded in 2007 and based in Nashville, Tennessee, operates as a field marketing organization (FMO) dedicated to Medicare-related insurance products. The company serves independent agents by providing them with vital resources, training, and access to a wide array of insurance carriers. Their product offerings include Medicare Advantage plans, Medicare Supplements, prescription drug plans, and various life insurance products. SMA has established itself as a significant player in the Medicare insurance market, supporting over 9,100 independent agents nationwide. The company has invested substantially in its community of insurance brokers, demonstrating a commitment to growth and development within the industry. SMA's focus on agent education and compliance support further solidifies its role as a key partner for those navigating the complexities of health insurance for seniors.


14. International Assurance of Tennessee


International Assurance of Tennessee (IAT) is a private insurance provider based in Franklin, Tennessee, established in 1984. The company operates as a managing general underwriter (MGU) with a focus on stop-loss insurance solutions tailored for employers and inmate medical programs. With a dedicated team of underwriters, IAT has built a reputation for delivering customized insurance solutions that help businesses and correctional facilities manage the financial risks associated with high medical claims. Their services include policy administration and claims handling, emphasizing exceptional customer service. IAT has positioned itself as a specialist in the stop-loss insurance market, particularly for the adult correctional sector, where they have developed significant expertise over the years. They are affiliated with various industry associations, which further underscores their commitment to the field.


15. The James Group, LLC

  • Website: jamesgroupllc.com
  • Ownership type: Private
  • Headquarters: Memphis, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2003
  • Headcount: 11-50
  • LinkedIn: the-james-group-llc-mem

The James Group, LLC, founded in 2003 and based in Memphis, Tennessee, is a private insurance agency that specializes in employee benefits. With a team of 15 employees, the company has built a reputation for providing customized health, life, and disability insurance solutions tailored to the needs of businesses. They work closely with clients to craft and manage comprehensive employee benefit plans, ensuring compliance with regulations and enhancing the overall employee experience. The James Group has established relationships with over 50 health and life insurance carriers across the United States, allowing them to offer a wide range of options to their clients. Their expertise extends to consumer-driven strategies, wellness programs, and telemedicine, reflecting their commitment to adapting to the evolving needs of the healthcare market. The company operates in 45 states and serves over 300 employer groups, showcasing their extensive reach and industry knowledge.


16. Enrollment First, Inc.

  • Website: enrollfirst.com
  • Ownership type: Private
  • Headquarters: Knoxville, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2002
  • Headcount: 11-50
  • LinkedIn: enrollment-first-inc-

Enrollment First, Inc., founded in 2002 and based in Knoxville, Tennessee, operates as a private benefits administration and insurance provider. With a workforce of 31 employees, the company has carved out a niche in the health insurance market by offering a range of products, including medical care, life insurance, and retirement plans. They primarily serve businesses and independent contractors, helping them navigate the complexities of benefits administration. Their proprietary eConnect technology allows for 24/7 access to benefits information, streamlining the enrollment process for both employers and employees. Enrollment First has a strong emphasis on affordability and customization, providing clients with tailored solutions to meet their specific needs. They have established partnerships with national A-rated insurance carriers, ensuring that their offerings are competitive and compliant with regulations. The company has not reported any funding, indicating a self-sustaining business model that relies on its operational capabilities and client relationships.


17. Landmark Insurance & Brokerage Corp.


Landmark Insurance & Brokerage Corp., based in Cleveland, Tennessee, is a family-owned insurance agency founded in 2009. The company offers a wide range of insurance products, including personal, business, life, and health insurance, catering to both individual consumers and businesses. Landmark Insurance emphasizes quality service and strong client relationships, aiming to provide essential coverage to manage risks and protect assets. Their team is dedicated to helping clients navigate their insurance needs, ensuring they find the right coverage at reasonable prices. The agency has built a reputation for its commitment to ethical standards and client satisfaction, although it operates on a smaller scale with a workforce of 1-10 employees. The company has not reported any funding, indicating it may rely on its operational revenue for growth and sustainability.


18. White & Associates Insurance Agency

  • Website: whiteandassociates.net
  • Ownership type: Private
  • Headquarters: Dyersburg, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1976
  • Headcount: 51-200
  • LinkedIn: white-and-associtates

White & Associates Insurance Agency, founded in 1976 by Larry White, operates primarily in West Tennessee, Missouri, and Arkansas. With a workforce of approximately 77 employees, the agency has grown from humble beginnings to become a significant player in the local insurance market. They provide a range of insurance products, including health, auto, home, and life insurance, catering to both individual consumers and businesses. The agency prides itself on a customer-centric approach, emphasizing the importance of understanding client needs and delivering tailored insurance solutions. White & Associates has established itself as the largest independent Allstate agency in Tennessee and has received recognition for its workplace culture, being named one of the best places to work in the insurance industry. Their commitment to community involvement is evident through initiatives like "Referrals for a Cause," which has raised substantial funds for local non-profits. This agency's extensive experience and local focus make it a notable entity in the insurance sector, particularly in the regions it serves.


19. Atlas Insurance Agency LLC


Atlas Insurance Agency LLC, based in Chattanooga, Tennessee, is a privately owned insurance agency founded in 2013. With a team of 11 to 50 employees, the agency specializes in a wide array of insurance products, including health insurance, auto, home, business, and life insurance. Atlas Insurance Agency is dedicated to serving both individual consumers and businesses, helping them navigate their insurance needs with tailored coverage options. The agency prides itself on its customer service and community involvement, striving to simplify the insurance process for its clients. Their expertise in health insurance is particularly notable, as they assist small and medium-sized businesses in understanding and selecting group health insurance plans. This focus on health insurance, combined with their local engagement, underscores their commitment to the industry and their clients.


20. Clay & Land Insurance, Inc.

  • Website: clayandland.com
  • Ownership type: Private
  • Headquarters: Memphis, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1968
  • Headcount: 51-200
  • LinkedIn: clay-land-insurance-inc

Clay & Land Insurance, Inc. is a private insurance agency based in Memphis, Tennessee, established in 1968. With a workforce of approximately 103 employees, the agency specializes in a broad spectrum of insurance products, including personal, business, life, health, and Medicare insurance. They cater to both individual consumers and businesses, providing tailored insurance solutions to help manage risks and protect financial interests. As an independent agency, Clay & Land collaborates with a variety of reputable insurance carriers, allowing them to offer competitive coverage options. Their involvement in the health insurance sector includes individual and family health plans, disability insurance, and long-term care insurance, demonstrating their commitment to addressing the healthcare needs of their clients. The agency also engages with professional associations, enhancing their credibility and industry presence.



Health Insurance Insights: Key Companies in Tennessee


CompanyHeadquarterSizeFoundedOwnership
Farm Bureau Health PlansColumbia, Tennessee, United States (USA)51-2001947Private
Cigna-HealthSpringNashville, Tennessee, United States (USA)1001-50002000Private
Next Health PlanNashville, Tennessee, United States (USA)1001-50001993Private
American ExchangeChattanooga, Tennessee, United States (USA)51-2002013Private
Employee Benefit SpecialistsMorristown, Tennessee, United States (USA)11-501980Corporate
Health Cost SolutionsHendersonville, Tennessee, United States (USA)51-2001983Private
Prime Health Services, Inc.Franklin, Tennessee, United States (USA)51-2001996Private
The Benefits GroupFranklin, Tennessee, United States (USA)1-102016Private
Lucent HealthNashville, Tennessee, United States (USA)201-5002014Private Equity
Narus HealthNashville, Tennessee, United States (USA)11-502014Venture Capital
Shared HealthChattanooga, Tennessee, United States (USA)51-2002014Private
Medicare Insurance Advisors, A Guided Solutions MemberKnoxville, Tennessee, United States (USA)11-502012Private
Senior Market Advisors (844-452-5020)Nashville, Tennessee, United States (USA)51-2002007Corporate
International Assurance of TennesseeFranklin, Tennessee, United States (USA)11-501984Private
The James Group, LLCMemphis, Tennessee, United States (USA)11-502003Private
Enrollment First, Inc.Knoxville, Tennessee, United States (USA)11-502002Private
Landmark Insurance & Brokerage Corp.Cleveland, Tennessee, United States (USA)1-102009Family Owned
White & Associates Insurance AgencyDyersburg, Tennessee, United States (USA)51-2001976Private
Atlas Insurance Agency LLCChattanooga, Tennessee, United States (USA)11-502013Private
Clay & Land Insurance, Inc.Memphis, Tennessee, United States (USA)51-2001968Private


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