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Harvard Pilgrim Health Care is a leading provider of health benefits in Massachusetts, the not-for-profit organization also offers plans to residents of New Hampshire and Maine. It has more than 1 million members enrolled in its HMO, PPO, point-of-service, and government plans. Those members have access to regional and nationwide networks of hospitals and doctors. Harvard Pilgrim Health Care also targets multi-state employers with its Choice Plus and Options PPO plans, offered through a partnership with UnitedHealth. The Harvard Pilgrim Foundation provides community health and wellness programs.

Hawaii Dental Service company provides dental benefits to more than half a million members throughout the islands and is a not-for-profit affiliate of Delta Dental Plans Association. Hawaii Dental Service provides dental plans to individuals, families, companies, associations, not-for-profit organizations, and unions in a variety of industries. Its network includes nearly all practicing dentists in Hawaii, as well as many in Guam and Saipan. Hawaii Dental Service's membership in Delta Dental provides members with access to tens of thousands of dentists across the US. Hawaii Dental Service company was founded in 1962 by a group of community dentists.

Hawaii Medical Service Association (HMSA) is Hawaii's largest health insurance company. The not-for-profit company serves more than 700,000 members and is an independent licensee of the Blue Cross and Blue Shield Association. Hawaii Medical Service Association's insurance plans include preferred provider plans (PPOs), Health Plan Hawaii (HMO), and traditional indemnity. Hawaii Medical Service Association company serves both employer groups and individual members. In addition to medical coverage, the company covers dental and vision services and prescription drugs. It also provides Medicare supplemental coverage and Part D prescription coverage. Through its Care Connection program, HMSA provides disease management and health education services.

Health Alliance Plan of Michigan (HAP) provides health insurance products and related services to around 500,000 members. A subsidiary of the Henry Ford Health System, the not-for-profit corporation offers managed care plans (including HMO, PPO, and consumer-directed plans) to individuals and companies throughout its service area, which covers all of Michigan and portions of Indiana and Ohio. It also offers Medicare Advantage plans and Medicare prescription drug coverage to retirees. In addition, the company offers disease management, behavioral health, and wellness programs.

Health Care Service Corporation (HCSC) has the Blues in Chicago and the Southwest. A licensee of the Blue Cross and Blue Shield Association, HCSC consists of four regional Blue health plans: Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Texas, Blue Cross and Blue Shield of New Mexico, and Blue Cross and Blue Shield of Oklahoma. The mutually owned company provides group and individual health plans -- including traditional indemnity plans, managed care programs, and Medicare supplemental coverage -- to more than 12 million members, a majority of them in Illinois and Texas. Through some non-Blue subsidiaries, HCSC sells dental, life, disability, and property/casualty insurance.

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