Health insurance in Washington plays a vital role in the overall well-being of its residents. Companies in this sector range from established agencies to newer entrants, offering services like individual, family, and specialized coverage plans. A noticeable trend is the emphasis on personalized care and innovative technology to improve accessibility. With an increasing focus on mental health and preventive care, providers are responding to a healthcare environment that demands flexibility and responsiveness. Collaborations between insurance agencies and healthcare providers are on the rise, aiming to ensure better health outcomes for policyholders while managing costs effectively.


This list features a mix of 24 health insurance companies headquartered across Washington, varying from small teams of 11 to large firms with hundreds of employees. Founded between 1932 and 2020, the companies specialize in various offerings, including individual, family, and Medicare plans. Many focus on guided care and educational resources aimed at empowering clients. Several companies, like Connexion Insurance Solutions and First Choice Health, hold significant positions in this competitive market, reflecting a commitment to service and customization.


Read on to discover the top health insurance companies in Washington.


Top 24 Health Insurance Companies in Washington


1. Connexion Insurance Solutions


Connexion Insurance Solutions, based in Mountlake Terrace, Washington, is an insurance agency that has been serving the Pacific Northwest for over 35 years. The company specializes in connecting individuals, families, and businesses with suitable insurance plans tailored to their needs and budgets. They offer a variety of products, including medical, dental, and vision coverage, as well as Medicare options. Connexion is recognized as one of the largest general agencies in Washington State, providing health plan services to more than 2 million members. Their focus on customer education and leveraging technology to enhance service delivery reflects their commitment to meeting the evolving needs of their clients in the health insurance sector.


2. First Choice Health

  • Website: fchn.com
  • Ownership type: Private
  • Headquarters: Seattle, Washington, United States (USA)
  • Employee distribution: United States (USA) 97%, Other 3%
  • Founded year: 1985
  • Headcount: 201-500
  • LinkedIn: first-choice-health

First Choice Health, based in Seattle, Washington, is a private healthcare organization founded in 1985. The company specializes in health plan administration, employee assistance programs, and operates a PPO provider network. With a workforce of approximately 593 employees, First Choice Health has established itself as a significant player in the healthcare market, particularly in the Northwestern United States, including states like Washington, Oregon, and Alaska. They focus on providing comprehensive support for mental health and wellness, which is increasingly important in today's healthcare landscape. Their services are designed to help employers and individuals navigate healthcare options effectively. First Choice Health has also integrated innovative solutions such as virtual care to enhance accessibility for their members. They are committed to delivering personalized service while managing costs, making them a relevant option for those seeking health insurance solutions.


3. Coordinated Care

  • Website: coordinatedcarehealth.com
  • Ownership type: Corporate
  • Headquarters: Tacoma, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: July 2022
  • Founded year: 2012
  • Headcount: 201-500
  • LinkedIn: coordinatedcare

Coordinated Care, founded in 2012 and based in Tacoma, Washington, is a health insurance provider that specializes in managed care services. The company offers Medicaid and Medicare plans, primarily targeting individuals and families who require access to essential healthcare services. Notably, Coordinated Care has a strong focus on supporting children and youth in foster care, as well as those eligible for government health programs. Their Apple Health Core Connections program is designed specifically for these populations, ensuring they receive the necessary medical and mental health services. Coordinated Care operates under the umbrella of Centene Corporation, which enhances its capabilities and resources in the healthcare market. The company has not reported any recent funding, indicating a stable operational model without reliance on external investment.


4. American Senior Resources


American Senior Resources (ASR), based in Seattle, Washington, has been a significant player in the insurance industry since its founding in 1984. With a dedicated team of 11 to 50 employees, ASR specializes in health and life insurance products tailored for individuals and families, particularly seniors. The company offers a comprehensive suite of services, including Medicare insurance, individual and family health plans, and financial security products. ASR prides itself on its educational approach, helping clients make informed decisions about their insurance options. They represent multiple carriers, providing access to a variety of Medicare products and individual health plans. ASR's commitment to customer service and its focus on the Pacific Northwest market have allowed it to build a strong reputation among its clientele, serving over 2 million members through its family of companies.


5. TPSC Benefits


TPSC Benefits, based in Tacoma, Washington, has been a player in the health insurance industry since its founding in 1963. The company specializes in employee benefits solutions, offering a range of services that include self-funded health plans, flexible spending accounts, and wellness tools. TPSC Benefits aims to help businesses manage healthcare costs while ensuring quality coverage for their employees. Their approach emphasizes personalized service, with a dedicated team that provides support to employers and members alike. TPSC also offers resources for brokers and providers, showcasing their commitment to a comprehensive service model. With a focus on self-funding, TPSC Benefits caters to the needs of small to midsize companies, helping them navigate the complexities of health insurance and employee benefits.


6. MedicareCompareUSA

  • Website: medicarecompareusa.com
  • Ownership type: Private
  • Headquarters: Bellingham, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2011
  • Headcount: 11-50
  • LinkedIn: medicarecompareusa

MedicareCompareUSA, founded in 2011 and based in Bellingham, Washington, is a licensed insurance agency that specializes in Medicare insurance services. The company operates as a helpline for Medicare beneficiaries, assisting them in comparing and enrolling in Medicare plans that are accepted by their healthcare providers. With a team of 26 employees, MedicareCompareUSA emphasizes education and support, ensuring clients understand their Medicare options. They are recognized for their commitment to maintaining the vital relationship between patients and healthcare providers by facilitating clear communication regarding Medicare information. Their services are provided at no cost to clients, as they are compensated directly by the Medicare plans chosen by beneficiaries. This model allows them to focus on the needs of their clients without financial barriers. MedicareCompareUSA also engages with healthcare providers to host educational seminars, further solidifying their role as a trusted resource in the Medicare insurance space.


7. Btg Benefits

  • Website: btgbenefits.com
  • Ownership type: Private
  • Headquarters: Bellevue, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2020
  • Headcount: 11-50
  • LinkedIn: btg-benefits

Btg Benefits, based in Bellevue, Washington, is a private employee benefits broker that specializes in health insurance and consulting services. Founded in 2020, the company has quickly made a mark in the industry by assisting businesses in navigating the complexities of employee benefits. With a team that boasts over 75 years of combined industry experience, Btg Benefits offers a range of services including medical insurance, HR support, compliance guidance, and various employee benefit options such as disability, dental, and life insurance. Their client base primarily consists of businesses looking to provide competitive benefits to their employees. Btg Benefits prides itself on a personalized approach, ensuring that each client receives tailored solutions that meet their specific needs. The firm has not reported any funding, indicating a self-sustained growth model since its inception.


8. Fortiphi

  • Website: fortiphi.com
  • Ownership type: Private
  • Headquarters: Seattle, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2009
  • Headcount: 11-50
  • LinkedIn: fortiphi

Fortiphi Insurance, established in 2009 and located in Seattle, Washington, operates as a private insurance agency. With a team of 11 to 50 employees, Fortiphi offers a wide array of insurance services, including medical, personal, Medicare, and assisted living insurance. The company prides itself on providing tailored insurance solutions that meet the unique needs of individuals, families, and businesses. Their approach emphasizes personalized service, ensuring clients receive expert guidance to navigate their insurance options effectively. Fortiphi is also a member of the Western Pacific Partners Group, which enhances their ability to serve clients by collaborating with other independent agencies in the Pacific Northwest. This network allows Fortiphi to offer a broader range of options while maintaining a strong local presence. Their commitment to customer satisfaction is reflected in positive client testimonials, highlighting their thoroughness and dedication to finding the best coverage for their clients.


9. Healthcare Management Administrators


Healthcare Management Administrators (HMA), founded in 1986 and based in Bellevue, Washington, is a healthcare management company that provides tailored health plans and benefits administration services primarily to self-funded employers. With a workforce of approximately 275 employees, HMA emphasizes cost-effective healthcare solutions while ensuring access to a broad provider network, particularly in the Pacific Northwest. The company prides itself on its ability to customize plans to meet the specific needs of businesses, leveraging data analysis to identify cost-saving opportunities. HMA's commitment to quality care and proactive service has established it as a trusted partner for employers aiming to optimize their healthcare expenditures and improve employee health outcomes.


10. Maddock & Associates

  • Website: maddockinsurance.com
  • Ownership type: Private
  • Headquarters: Tacoma, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1970
  • Headcount: 11-50
  • LinkedIn: maddock-%26-associates

Maddock & Associates, based in Tacoma, Washington, has been a prominent insurance brokerage since its founding in 1970. The company specializes in employee benefits, offering a range of services that include medical, dental, and vision insurance, as well as assistance with Medicare enrollment. With a dedicated team of professionals, Maddock & Associates focuses on helping businesses in Washington State manage their insurance costs while enhancing employee satisfaction and well-being. Over the years, they have built strong partnerships with leading insurance carriers and association health plans, allowing them to provide comprehensive and affordable coverage options. Their expertise in navigating the complexities of employee benefits has made them a trusted partner for over 500 businesses in the region, demonstrating their significant involvement in the health insurance industry.


11. Physicians Insurance A Mutual Company

  • Website: phyins.com
  • Ownership type: Private
  • Headquarters: Seattle, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1982
  • Headcount: 51-200
  • LinkedIn: physicians-insurance

Physicians Insurance A Mutual Company, founded in 1982 and based in Seattle, Washington, is a private insurance provider that focuses on liability coverage and risk management for healthcare professionals and organizations. With a workforce of approximately 135 employees, the company has built a robust portfolio that includes medical professional liability, hospital professional liability, and specialized coverage for community health centers. Their services extend to management liability and breach response coverage, addressing the unique risks faced by healthcare entities. Physicians Insurance prides itself on its empathetic approach, emphasizing strong member support and guidance throughout the claims process. The company boasts a high win rate in claims and a retention rate of 95%, reflecting its commitment to member satisfaction. Rated A- (Excellent) by AM Best, Physicians Insurance maintains a policyholder surplus of $270 million, ensuring financial stability and the capacity to support its members effectively.


12. Coastal Administrative Services (CAS)


Coastal Administrative Services (CAS), founded in 1999 and based in Bellingham, Washington, operates as a private third-party administrator specializing in healthcare benefits management. The company provides a range of services aimed at self-funded employers, including self-funded medical plan administration, compliance support, and various account management services such as Health Reimbursement Arrangements (HRA) and Health Savings Accounts (HSA). CAS has established itself in the Pacific Northwest, assisting numerous employers in controlling healthcare costs while delivering comprehensive benefits to their employees. Their emphasis on customer service, efficient claims processing, and advanced technology solutions, such as real-time claims tracking, highlights their commitment to enhancing the client experience in the healthcare benefits space.


13. Vault Insurance & Investments

  • Website: choosevault.com
  • Ownership type: Private
  • Headquarters: Tukwila, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2007
  • Headcount: 1-10
  • LinkedIn: choosevault

Vault Insurance & Investments, based in Tukwila, Washington, has been operational since 2007. The company specializes in providing a range of insurance and investment services tailored to individuals, families, and small businesses. Their product lineup includes health, dental, vision, and life insurance, alongside investment advisory services. Vault Insurance & Investments positions itself as a broker, offering clients access to various insurance carriers, which allows them to present tailored solutions that meet specific needs. Their knowledgeable agents have been assisting clients for over 15 years, emphasizing a personalized approach to insurance and financial planning. The firm aims to simplify the often complex insurance landscape for its clients, ensuring they have the necessary coverage to protect their health and financial future.


14. Seattle Insurance Group

  • Website: seattleinsgroup.com
  • Ownership type: Family Owned
  • Headquarters: Tukwila, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2013
  • Headcount: 201-500
  • LinkedIn: seattle-insurance-group

Seattle Insurance Group, founded in 2013 and based in Tukwila, Washington, is a family-owned insurance brokerage. The firm specializes in a range of insurance solutions, particularly Medicare, life insurance, final expense plans, and retirement planning. With a team of experienced professionals, Seattle Insurance Group focuses on helping individuals and families navigate the complexities of insurance options to secure their financial futures. They represent a select group of reputable insurance carriers, allowing them to tailor solutions to meet the unique needs of their clients. Their services extend nationally through their division, SIG Insurance Brokerage, which enhances their reach beyond Washington. The company emphasizes personalized service and aims to provide clients with a comprehensive understanding of their insurance choices, particularly in the Medicare space, where they offer educational resources and consultations.


15. Healthy Paws Pet Insurance & Foundation


Healthy Paws Pet Insurance & Foundation, based in Bellevue, Washington, is a pet insurance provider that specializes in offering comprehensive insurance plans for dogs and cats. Established in 2009, the company aims to alleviate the financial burden of unexpected veterinary expenses for pet owners. Their insurance plans cover a wide array of situations, including accidents, illnesses, cancer treatments, and hereditary conditions. Healthy Paws stands out in the industry for its straightforward policy structure, which features no maximum annual or lifetime payouts, allowing pet owners to seek necessary care without worrying about financial caps. The company has garnered a strong customer base, with over 620,000 pet parents relying on their services. Healthy Paws is also recognized for its efficient claims process, with most claims being processed within two days. Additionally, the company is committed to animal welfare, as evidenced by the establishment of the Healthy Paws Pet Foundation, which supports charitable initiatives aimed at improving the lives of pets in need. This combination of robust insurance offerings and community involvement positions Healthy Paws as a notable entity in the pet insurance industry.


16. LTC Solutions, Inc

  • Website: ltc-solutions.com
  • Ownership type: Corporate
  • Headquarters: Redmond, Washington, United States (USA)
  • Employee distribution: United States (USA) 90%, Canada 10%
  • Latest funding: March 2023
  • Founded year: 1996
  • Headcount: 51-200
  • LinkedIn: ltc-solutions-inc

LTC Solutions, Inc., established in 1996 and based in Redmond, Washington, is an insurance brokerage that specializes in long-term care insurance and related products. The company serves a variety of clients, including employers, brokers, associations, and individuals, providing comprehensive solutions for the enrollment and administration of long-term care benefits. With a team boasting over 100 years of combined experience, LTC Solutions aims to simplify the process of securing long-term care insurance. They collaborate with multiple insurance companies to offer a range of product options, ensuring clients have access to competitive solutions. The firm also emphasizes education and support, providing resources and tools to facilitate informed decision-making for their clients. Their commitment to customer service is evident in the positive feedback from clients, highlighting their effective communication and professional approach.


17. The VIP Insurance Agency

  • Website: vipagencyinc.com
  • Ownership type: Private
  • Headquarters: Brewster, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1972
  • Headcount: 11-50
  • LinkedIn: vipinsuranceagency

The VIP Insurance Agency, established in 1972, is a private insurance agency based in Brewster, Washington. With a workforce of 11 to 50 employees, the agency has built a reputation for providing a wide array of insurance products tailored to both individual consumers and businesses. Their offerings include personal lines such as home and auto insurance, commercial lines, farm and crop insurance, and notably, health insurance products including group and individual health plans. The agency prides itself on its personalized service and community involvement, operating multiple offices across North Central Washington. Their independent status allows them to represent numerous insurance carriers, enabling them to find competitive rates and suitable coverage for their clients' unique needs. The agency's commitment to customer service is evident in their mission to guide clients in making informed insurance decisions, ensuring they receive the best possible protection for their assets.


18. Narrows Insurance

  • Website: narrowsinsurance.com
  • Ownership type: Private
  • Headquarters: Gig Harbor, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2004
  • Headcount: 11-50
  • LinkedIn: narrowsinsurance

Narrows Insurance, established in 2004 and based in Gig Harbor, Washington, operates as a private insurance agency. With a team of 21 employees, the company specializes in a variety of insurance products, including health, business, personal, and farm insurance. Narrows Insurance serves both individual consumers and businesses, emphasizing risk management through customized insurance solutions. Their health insurance offerings include group health and dental insurance for businesses, as well as individual health insurance, life insurance, and Medicare options. The agency prides itself on its customer service, aiming to provide personalized coverage that meets the unique needs of its clients. Operating primarily in the Pacific Northwest, Narrows Insurance has built a reputation for reliability and responsiveness, making it a trusted partner for many in the region.


19. Long Term Care Associates, Inc.

  • Website: ltc-associates.com
  • Ownership type: Family Owned
  • Headquarters: Bellevue, Washington, United States (USA)
  • Employee distribution: United States (USA) 76%, Canada 24%
  • Founded year: 1972
  • Headcount: 11-50
  • LinkedIn: long-term-care-associates-inc-

Long Term Care Associates, Inc. (LTCA), founded in 1972 and based in Bellevue, Washington, is a family-owned insurance agency that specializes in long-term care insurance solutions. The company offers a range of products, including traditional long-term care insurance, asset-based long-term care insurance, and short-term care insurance. LTCA primarily serves individuals across the United States who are looking to secure their financial future against the high costs associated with long-term care services. With nearly five decades of experience in the industry, LTCA has established itself as a trusted resource for consumers seeking information and guidance on long-term care insurance. They provide educational resources and tools to help clients understand their options and make informed decisions. The company collaborates with several prominent insurance carriers, ensuring a variety of choices for their clients. LTCA has also been recognized for its consumer education initiatives, which aim to empower clients with knowledge about long-term care planning.


20. McDonald Zaring Insurance

  • Website: mcdonaldzaring.com
  • Ownership type: Corporate
  • Headquarters: Walla Walla, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: December 2022
  • Founded year: 1932
  • Headcount: 11-50
  • LinkedIn: mcdonald-zaring-insurance

McDonald Zaring Insurance, established in 1932, is an insurance agency based in Walla Walla, Washington. The company provides a variety of insurance products, including personal, health, commercial, and crop insurance. With a focus on serving individuals, families, and businesses, McDonald Zaring Insurance aims to manage risks and protect assets through tailored coverage options. Their health insurance offerings include individual and family plans, group employee benefits, and long-term care insurance, showcasing their commitment to the health and well-being of their clients. As part of the Marsh McLennan Agency, they benefit from a broader network while maintaining a strong local presence. The agency prides itself on its customer service, boasting a 90% customer retention rate, which reflects their dedication to understanding and meeting the needs of their clients.


21. Basin Pacific Insurance

  • Website: basinpacific.com
  • Ownership type: Private
  • Headquarters: Moses Lake, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1997
  • Headcount: 11-50
  • LinkedIn: basin-pacific-ins

Basin Pacific Insurance, founded in 1997 and based in Moses Lake, Washington, operates as a private insurance agency with a workforce of approximately 30 employees. The company provides a wide array of insurance products, including personal, life, health, and business insurance. They cater to both individual consumers and businesses, focusing on understanding client needs to deliver customized insurance solutions. Their health insurance offerings include family and individual health plans, disability insurance, and group health insurance for businesses. Basin Pacific Insurance prides itself on its customer-oriented approach, emphasizing personal interactions and tailored advice rather than impersonal online transactions. They also engage in risk management training for businesses, showcasing their commitment to proactive service in the insurance industry.


22. American Independent Marketing

  • Website: whyaim.com
  • Ownership type: Private
  • Headquarters: Yakima, Washington, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1979
  • Headcount: 11-50
  • LinkedIn: american-independent-marketing

American Independent Marketing (AIM), based in Yakima, Washington, has been a player in the insurance industry since its founding in 1979. As a private insurance brokerage, AIM specializes in Medicare Supplement and Long-Term Care insurance. The company is dedicated to empowering insurance agents by offering a range of products, training sessions, and resources designed to enhance their sales effectiveness. AIM provides various tools, including quoting portals and compliance resources, to help agents navigate the complexities of the insurance market. Their focus on agent success stories and ongoing training through webinars illustrates their commitment to fostering a knowledgeable sales force. AIM operates entirely within the United States, ensuring that their services are tailored to the needs of American consumers. Their long history and specialized focus make them a relevant entity in the health insurance sector.


23. Alliance West Insurance, Inc.


Alliance West Insurance, Inc. is a private insurance agency based in Tacoma, Washington, founded in 2009. With a team of 11 to 50 employees, the agency specializes in a wide array of insurance products, including auto, home, business, health, and life insurance. They cater to individuals, families, and businesses, providing tailored insurance solutions that prioritize customer service. The agency is committed to helping clients navigate their insurance needs, offering personalized support and a variety of options from multiple insurance carriers. Their health insurance offerings include individual and family plans, employee benefits, and Medicare options, reflecting their engagement in the health insurance sector. Alliance West Insurance emphasizes community involvement and aims to deliver a concierge client experience, ensuring clients receive the right coverage for their unique situations.


24. Brown & Brown Insurance-Health & Benefits Division


Brown & Brown Insurance-Health & Benefits Division, based in Seattle, Washington, is a private insurance and risk management firm founded in 1939. The company specializes in a broad spectrum of services, including property and casualty insurance, employee benefits, and personal insurance. With a dedicated team of professionals, Brown & Brown focuses on providing customized solutions to businesses, individuals, and organizations, helping them navigate the complexities of insurance and manage risks effectively. Their employee benefits division plays a crucial role in the health insurance market, offering services such as benefit design and delivery, regulatory strategy, and pharmacy benefits management. This involvement highlights their commitment to addressing the health care needs of their clients, making them a relevant player in the health insurance industry.



Health Insurance Insights: Key Companies in Washington


CompanyHeadquarterSizeFoundedOwnership
Connexion Insurance SolutionsMountlake Terrace, Washington, United States (USA)11-501984Private
First Choice HealthSeattle, Washington, United States (USA)201-5001985Private
Coordinated CareTacoma, Washington, United States (USA)201-5002012Corporate
American Senior ResourcesSeattle, Washington, United States (USA)11-501984Private
TPSC BenefitsTacoma, Washington, United States (USA)51-2001963Private
MedicareCompareUSABellingham, Washington, United States (USA)11-502011Private
Btg BenefitsBellevue, Washington, United States (USA)11-502020Private
FortiphiSeattle, Washington, United States (USA)11-502009Private
Healthcare Management AdministratorsBellevue, Washington, United States (USA)201-5001986Private
Maddock & AssociatesTacoma, Washington, United States (USA)11-501970Private
Physicians Insurance A Mutual CompanySeattle, Washington, United States (USA)51-2001982Private
Coastal Administrative Services (CAS)Bellingham, Washington, United States (USA)11-501999Private
Vault Insurance & InvestmentsTukwila, Washington, United States (USA)1-102007Private
Seattle Insurance GroupTukwila, Washington, United States (USA)201-5002013Family Owned
Healthy Paws Pet Insurance & FoundationBellevue, Washington, United States (USA)51-2002009Corporate
LTC Solutions, IncRedmond, Washington, United States (USA)51-2001996Corporate
The VIP Insurance AgencyBrewster, Washington, United States (USA)11-501972Private
Narrows InsuranceGig Harbor, Washington, United States (USA)11-502004Private
Long Term Care Associates, Inc.Bellevue, Washington, United States (USA)11-501972Family Owned
McDonald Zaring InsuranceWalla Walla, Washington, United States (USA)11-501932Corporate
Basin Pacific InsuranceMoses Lake, Washington, United States (USA)11-501997Private
American Independent MarketingYakima, Washington, United States (USA)11-501979Private
Alliance West Insurance, Inc.Tacoma, Washington, United States (USA)11-502009Private
Brown & Brown Insurance-Health & Benefits DivisionSeattle, Washington, United States (USA)5001-100001939Private


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