California Health Insurers: Staying the Course provides a snapshot of the insurance market in California at the end of 2020. Data from the state’s two insurance regulators — the California Department of Managed Health Care and the California Department of Insurance — and other sources were used to examine market share, enrollment, financial performance, and consumer satisfaction.

The state's county-based health plans are public entities organized through one or more counties to ensure that Medi-Cal enrollees, and in some cases county employees and Covered California enrollees, receive comprehensive care. Where are these plans and who do they cover? How have they changed between 2012 and 2020?

Workers in California are shouldering more of the costs for their health benefits, paying both a larger share of premiums and higher deductibles and copays. California Employer Health Benefits: Are Workers Covered? presents data from the 2020 California Health Benefits Survey.

Medi-Cal, California’s Medicaid program, is the state’s health insurance program for Californians with low incomes, including children, people with disabilities, and seniors. Get the latest data on this program, which covers one in three Californians.

In 2020, California health insurers covered 33.8 million enrollees. This quick reference guide shows enrollment by regulator, market, and insurer. Data files are also available to download.

The medical loss ratio (MLR) is the percentage of premium that health insurers spend on medical care and quality improvement activities. These resources include the most recent MLR database with data from 2012 to 2019, as well as documents that describe the MLR and how to use the database.

Since the implementation of the ACA in 2014, the uninsured rate in California dropped to an all-time low of 9% in 2016. However, 2.9 million Californians remained uninsured. This Almanac report takes a look at who was uninsured in 2016.