ConnectiCare
ConnectiCare is a Connecticut-based health insurance carrier and Molina Healthcare subsidiary offering individual, family, Medicare Advantage, and employer group plans to roughly 250,000 Connecticut residents, distributed via direct channels, brokers, and the Access Health CT marketplace.
- Company typePrivate
- Founded1981
- HeadquartersFarmington, United States
- Headcount501–1,000
- GTM typeB2B and B2C
- OfferingServices
What ConnectiCare does
ConnectiCare is a Connecticut-based health insurance carrier founded in 1981, operating as a wholly-owned subsidiary of Molina Healthcare following the February 2025 closing of the acquisition announced in July 2024. The company underwrites and administers health benefit products for Connecticut residents across three core segments: individuals and families (sold through Access Health CT marketplace, off-exchange SOLO plans, and the state-subsidized Covered Connecticut Program), Medicare beneficiaries aged 65 and older (HMO-POS Medicare Advantage plans including Choice, Passage, Flex, and Dual Special Needs variants), and employer groups (small group 50 or fewer employees and large group 51+, with both fully-insured and ASO arrangements). A dental line is distributed through Access Health CT. Approximately 200,000 residents are covered in individual and small-group plans, with an additional ~48,000 Medicare members.
The product architecture combines core insurance administration with a digital member platform (myConnectiCare portal for claims, premium payment, and cost estimation) and partner-integrated service layers, including Teladoc for telemedicine, Silver&Fit (American Specialty Health) for fitness benefits, CVS Caremark (replacing Express Scripts) and Amazon Pharmacy for mail-order prescriptions, and the proprietary WellSpark/MySpark Central wellness platform for digital coaching. Provider-facing infrastructure includes the ConnectiCare Provider Portal integrated with Availity, and the Sapphire threesixtyfive network search tool. Distribution operates through a hybrid model: direct-to-consumer via website (shop.connecticare.com, enroll.molinamarketplace.com) and dedicated phone lines, two physical ConnectiCare Centers in Farmington and Manchester offering in-person enrollment and bilingual support, licensed insurance brokers via a dedicated broker portal, the Access Health CT state marketplace, and an employer portal for large groups.
ConnectiCare's revenue model is subscription-based premium income from insured members across commercial, Medicare Advantage, and ASO/fee-based employer segments, supplemented by CMS Medicare payments. The company recently filed 2027 premium rate increases averaging over 16% in the individual market and nearly 18% in small-group plans, and announced an exit from Medicare Advantage Part D prescription drug plans for 2027, signaling margin pressure and product rationalization under Molina's ownership. ConnectiCare of Massachusetts ceased operations in November 2025, further concentrating the geographic footprint on Connecticut. The company's strategic posture is one of in-state consolidation, state-program administration (Covered Connecticut), and integration into Molina's national platform rather than organic expansion.
ConnectiCare firmographics
Firmographics- Name
- ConnectiCare
- Legal name
- ConnectiCare
- Website
- https://connecticare.com
- Company type
- Private
- Founded year
- 1981
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- ConnectiCare is a Connecticut-based health insurance carrier and Molina Healthcare subsidiary offering individual, family, Medicare Advantage, and employer group plans to roughly 250,000 Connecticut residents, distributed via direct channels, brokers, and the Access Health CT marketplace.
- Ownership category
- akta.pro rank
ConnectiCare industry classification
Industry- Product category
- Health Insurance
- NAICS
- Health Care and Social Assistance (62), Services for the Elderly and Persons with Disabilities (62412)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro primary industry
- Medicare Provider Networks & Delegated Medical Groups (MA-focused) (FSAIAGAK)
- akta.pro secondary industries
- Medicare Part D Prescription Drug Plans (PDP) (FSAIAGAC), Chronic Condition Virtual Care & Disease Management (Payer-Sponsored) (HLALACAE), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN)
Keywords
Where ConnectiCare is headquartered
LocationHeadquarters
- HQ city
- Farmington
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
ConnectiCare business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Others
Revenue model
- Individual and Family Health Insurance Premiums: Monthly premium payments from individuals and families purchasing health coverage through Access Health CT marketplace or off-exchange SOLO plans. Plans include various metal tiers with different cost-sharing structures.
- Medicare Advantage Plan Premiums: Monthly premium revenue from Medicare Advantage plans for beneficiaries 65+ and those with disabilities. Plans include HMO-POS options with optional dental, eyewear, and OTC allowances. Premiums range from $0 to $162 per month depending on plan selection.
- Employer Group Health Insurance Premiums: Premium revenue from small group (50 or fewer workers) and large group (51+ employees) employer health plans. Employers can choose fully-insured or ASO (Administrative Services Only) arrangements.
- Medicare Part D Prescription Drug Plans: Prescription drug coverage integrated into Medicare Advantage plans or offered as standalone Part D coverage, generating premium revenue from CMS and members.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | 2026 ConnectiCare Choice Plan 3 (HMO-POS) - $0 premium Medicare Advantage plan with broad coverage |
| Subscription | Monthly | 2026 ConnectiCare Flex Plan 3 (HMO-POS) - Mid-tier plan with in/out-of-network options |
| Subscription | Monthly | 2026 ConnectiCare Choice Plan 1 (HMO-POS) - Premium Medicare plan with comprehensive benefits |
| Subscription | Monthly | 2026 ConnectiCare Choice Dual (HMO-POS D-SNP) - Special needs plan for dual eligibles |
| Subscription | Monthly | Covered Connecticut Program - State-subsidized coverage for eligible residents |
Go-to-market motion3 records
Distribution channels6 records
Marketing channels6 records
ConnectiCare product offering
Product offeringCore offering
ConnectiCare is a Connecticut-based health insurance company that sells Individual and Family Plans (marketplace and off-exchange), Medicare Advantage HMO-POS plans, Employer Group health plans (small and large group, fully-insured and ASO), Dental Plans, and Pharmacy Benefits, supported by the myConnectiCare member portal, in-person ConnectiCare Centers, Teladoc telemedicine, Silver&Fit fitness, WellSpark wellness, and a network covering 100% of Connecticut hospitals and over 60,000 pharmacies.
Product overview
ConnectiCare is a Connecticut-based health insurance company now owned by Molina Healthcare, offering a comprehensive portfolio of health insurance products and wellness services. The core offerings include Individual and Family Plans (comprising Access Health CT marketplace plans, SOLO plans, and the Covered Connecticut Program), Medicare Advantage Plans (including HMO-POS Choice, Passage, Flex, and Dual D-SNP variants), Employer Group Plans for businesses, and Dental Plans. Supporting services include Pharmacy Benefits with mail order options through CVS Caremark and Amazon Pharmacy, the myConnectiCare member portal for online account management, Provider Portal for healthcare provider transactions, ConnectiCare Centers for in-person support in Farmington and Manchester, and WellSpark wellness programs. The product architecture combines core insurance products with digital platforms and wellness services to serve individuals, families, Medicare beneficiaries, and employers across Connecticut.
Differentiator
Problem solved
Functional benefit
Brands
- MyConnectiCare: Member portal for managing health insurance accounts, viewing claims, and paying premiums.
- ConnectiCare Centers
- WellSpark
- ConnectiCare Choice
- ConnectiCare Passage
- ConnectiCare Flex
- Covered Connecticut Program
Products and services
- Individual and Family Plans Health insurance plans for Connecticut individuals and families not covered by employer-sponsored insurance, including Access Health CT marketplace plans, SOLO off-exchange plans with CT and NY provider networks, and the Covered Connecticut Program offering $0 monthly premiums for eligible residents aged 19-64.
- Medicare Advantage Plans Medicare Advantage HMO-POS plans for Connecticut seniors aged 65+ and those with disabilities, including Choice, Passage, and Flex plan variants plus Dual Special Needs Plans (D-SNP) for dual-eligible beneficiaries. Plans include medical and prescription drug coverage with optional dental, eyewear, OTC, and Silver&Fit fitness benefits.
- Employer Group Plans Health insurance plans for Connecticut employers, including small group plans (50 or fewer employees) and large group plans (51+ employees), with fully-insured and ASO (Administrative Services Only) options. Includes a dedicated employer portal for enrollment, billing, and employee eligibility management.
- SOLO Plans Off-exchange individual health insurance plans providing a large network of doctors and hospitals in Connecticut and New York, with HSA-compatible options for tax-advantaged health savings accounts and Teladoc telemedicine integration.
- Covered Connecticut Program State-administered program offering eligible Connecticut residents aged 19-64 with household incomes up to 175% of Federal Poverty Level health and dental benefits plus Non-Emergency Medical Transportation for $0 monthly premium, with the state paying plan premiums and cost-sharing amounts.
- Dental Plans Dental insurance plans available through Access Health CT providing coverage for adults and children, including basic services (exams, cleanings, x-rays, fillings) and major services (root canals, crowns, dentures), purchasable independently of health coverage.
- Pharmacy Benefits Prescription drug coverage through a network of over 60,000 pharmacies including national chain pharmacies, with mail order delivery via CVS Caremark and Amazon Pharmacy, and drug lists (formularies) organized in cost-based tiers.
- WellSpark Wellness Programs Digital wellness platform offering virtual and on-demand wellness sessions including Move More fitness programs, Feel Your Best mental wellness, and Eat Well nutrition support, accessed through MySpark Central with group coaching, health library, and wellness tracking.
- ConnectiCare Centers Physical retail locations in Farmington and Manchester, Connecticut offering in-person health insurance support, plan enrollment assistance, claims help, and free wellness classes with bilingual staff.
- Silver&Fit Fitness Program Fitness program included with Medicare Advantage plans providing members access to participating fitness centers and Home Fitness Kits, online fitness classes, a fitness center locator, and fitness tracker options, provided by American Specialty Health Fitness, Inc.
Quantifiable outcome
- 45 years of continuous operation serving Connecticut communities
- +2 more outcomes
Companies that use ConnectiCare
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles1 record
ConnectiCare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
Feature5 records
ConnectiCare partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered minor, major and core.
- Connecticut FoodshareminorConnectiCare donated $25,000 to Connecticut Foodshare and participated in volunteer events packing meals for food-insecure residents. Part of corporate community investment initiative.
- UCONN HealthmajorConnectiCare and UCONN Health reached a contract agreement ensuring continued access to UCONN Health's academic medical center and specialty providers within ConnectiCare's network.
- CVS CaremarkcoreCVS Caremark provides pharmacy benefit management services including mail order prescription delivery for ConnectiCare members. Starting 2026, CVS Caremark Mail Service replaces Express Scripts for Medicare plan pharmacy needs.
- American Specialty Health (Silver&Fit)coreSilver&Fit fitness program provides Medicare Advantage members access to participating fitness centers and home fitness kits. Program includes online fitness classes, fitness center locator, and fitness tracker options.
- Teladoc HealthcoreTeladoc provides telemedicine services across ConnectiCare plans, offering general medical and behavioral health care visits by phone, video, or mobile app messaging.
- Yoga In Our CityminorCommunity partnership providing free bilingual yoga classes at Connecticut parks during summer months. ConnectiCare sponsors the program as part of community wellness outreach. Program enters 13th season in 2025.
- Mental Health ConnecticutminorConnectiCare supported Mental Health Connecticut's #LetsFaceIt campaign for Mental Health Awareness Month, demonstrating commitment to behavioral health parity and community mental health resources.
Scale indicators7 records
Recent moves7 records
Expansion highlights5 records
ConnectiCare competitors and assessment
Company assessmentDirect peers
- Anthem Blue Cross Blue Shield of Connecticut: Anthem is the largest commercial health insurer in Connecticut and directly competes with ConnectiCare across individual, employer group, and Medicare Advantage segments via its Elevance Health platform and broad PPO/HMO network.
- Aetna (CVS Health): Aetna is a major Connecticut health insurer offering individual, Medicare Advantage, and employer plans; its CVS Health parent also provides pharmacy infrastructure that overlaps with ConnectiCare's CVS Caremark and pharmacy strategy.
- UnitedHealthcare (Oxford Health): UnitedHealthcare is the nation's largest Medicare Advantage carrier and a direct competitor in CT/NY via its Oxford Health Plans subsidiary, with overlapping Medicare Advantage HMO/POS products and individual marketplace plans.
- Cigna Healthcare: Cigna operates in Connecticut offering individual marketplace plans and employer-sponsored coverage; its Evernorth health services arm parallels ConnectiCare's pharmacy and wellness integrations.
Broad incumbents
- EmblemHealth: EmblemHealth was ConnectiCare's former parent and remains a regional NY/CT carrier with similar mixed-model commercial, Medicare, and Medicaid positioning — providing direct comparability on product mix and regional operating economics.
- Humana: Humana is one of the largest Medicare Advantage insurers nationally and competes with ConnectiCare's MA HMO-POS products in Connecticut, with overlapping D-SNP and Part D capabilities.
- Molina Healthcare: Molina is ConnectiCare's parent company and operates government-sponsored managed care plans nationally (Medicaid, Medicare, marketplace) — directly comparable in product structure and target segments, with Connecticut as its newest market.
Regional players
- Blue Cross Blue Shield of Massachusetts: BCBS of Massachusetts is a non-profit regional carrier serving a single New England state with a mixed individual, employer, and Medicare portfolio — closely mirroring ConnectiCare's regional, multi-product operating model.
- Highmark Blue Cross Blue Shield: Highmark is a regional Blue plan operating across PA, WV, DE, and NY with individual, Medicare, and employer group products — comparable to ConnectiCare in regional single-state/multi-state focus and product breadth.
- Independence Blue Cross: Independence Blue Cross is a Philadelphia-area Blue plan with individual marketplace, Medicare, and employer coverage — similar to ConnectiCare in being a regional carrier competing against national insurers in its home market.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
ConnectiCare social profiles
Digital presenceConnectiCare compliance and trust
Trust signalCompliance3 records
ConnectiCare financial estimates
Financial estimateRevenue estimate
Valuation estimate
ConnectiCare leadership team
Management profileNumber of profiles
Profiles2 records
ConnectiCare funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ConnectiCare M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about ConnectiCare
What does ConnectiCare do?
ConnectiCare is a Connecticut-based health insurance company that sells Individual and Family Plans (marketplace and off-exchange), Medicare Advantage HMO-POS plans, Employer Group health plans (small and large group, fully-insured and ASO), Dental Plans, and Pharmacy Benefits, supported by the myConnectiCare member portal, in-person ConnectiCare Centers, Teladoc telemedicine, Silver&Fit fitness, WellSpark wellness, and a network covering 100% of Connecticut hospitals and over 60,000 pharmacies.
Is ConnectiCare a public or private company?
ConnectiCare is a private company. It is classified as corporate owned and is currently operating.
When was ConnectiCare founded?
ConnectiCare was founded in 1981. It employs 501 to 1,000 people.
Where is ConnectiCare based?
ConnectiCare is headquartered in Farmington, United States, in the North America region.
How does ConnectiCare make money?
Four revenue lines are on record. Individual and Family Health Insurance Premiums are the primary driver. The others are medicare Advantage Plan Premiums, employer Group Health Insurance Premiums and medicare Part D Prescription Drug Plans.
Who are ConnectiCare's main competitors?
Direct peers on record are Anthem Blue Cross Blue Shield of Connecticut, Aetna (CVS Health), UnitedHealthcare (Oxford Health) and Cigna Healthcare. Broad incumbents are EmblemHealth, Humana and Molina Healthcare. Regional players are Blue Cross Blue Shield of Massachusetts, Highmark Blue Cross Blue Shield and Independence Blue Cross.
Does ConnectiCare have an API?
No public API is recorded for ConnectiCare.
What industry is ConnectiCare in?
ConnectiCare's product category is Health Insurance. Its primary akta.pro industry code is FSAIAGAK, Medicare Provider Networks & Delegated Medical Groups (MA-focused), with a secondary code of FSAIAGAC, Medicare Part D Prescription Drug Plans (PDP). Its NAICS code is 62 and its SIC code is 6324.