In 2022, 64% of firms in California offered health benefits to at least some of their employees. Premium costs are typically shared between employers and workers. This report presents data compiled from the 2022 KKF Employer Health Benefits Survey.

This California Health Care Almanac quick reference guide shows enrollment by regulator, market, and insurer. A companion data file contains California enrollment for 2012 to 2023.

This Almanac provides a snapshot of the insurance market in California at the end of 2022. 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.

More than half of Californians get their health insurance through private carriers. This infographic shows how the largest plans stack up in terms of enrollment and revenue.

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, as well as documents that describe the MLR and how to use the database.