Pennsylvania Insurance Department
- Company typePrivate
- Founded1873
- HeadquartersHarrisburg, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
Pennsylvania Insurance Department firmographics
Firmographics- Name
- Pennsylvania Insurance Department
- Legal name
- Pennsylvania Insurance Department
- Website
- https://insurance.pa.gov
- Company type
- Private
- Founded year
- 1873
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Ownership category
- akta.pro rank
Where Pennsylvania Insurance Department is headquartered
LocationHeadquarters
- HQ city
- Harrisburg
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Pennsylvania Insurance Department business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Others
Revenue model
- Government Contract Awards: The Pennsylvania Insurance Department does not generate revenue but manages special funds and awards contracts to vendors for technology modernization. ICF was awarded a $64 million five-year base contract (with five-year option) for environmental claims management system modernization.
Go-to-market motion1 record
Distribution channels3 records
Marketing channels4 records
Pennsylvania Insurance Department product offering
Product offeringCore offering
The Pennsylvania Insurance Department is a state regulatory agency that licenses insurance professionals and companies, regulates the insurance marketplace, and protects Pennsylvania consumers through complaint resolution, fraud reporting, and statutory enforcement. It operates Pennie, the state's official health insurance marketplace, and administers special insurance funds including MCare, WCSF, CAT Fund, and USTIF.
Product overview
The Pennsylvania Insurance Department operates as a state regulatory agency rather than a product company. Its primary service offerings include Pennie (the state health insurance marketplace), consumer protection and licensing services for insurance professionals and companies, regulatory oversight of the insurance marketplace, and management of special funds (MCare, WCSF, CAT Fund, USTIF). The department provides filing and reporting requirements for insurance companies, handles complaints and appeals, and administers various insurance laws and regulations including mental health parity, No Surprises Act, and pharmacy benefit reform.
Differentiator
Problem solved
Functional benefit
Products and services
- Pennie Health Insurance Marketplace Pennie is Pennsylvania's official health insurance marketplace where residents can shop for, compare, and enroll in individual health insurance plans. The marketplace saw significant rate increases averaging 102% for 2026 due to expiration of enhanced tax credits for Obamacare plans.
- Consumer Help Center The Consumer Help Center provides Pennsylvania residents with assistance for insurance complaints, questions, and help with issues including health plan denials, surprise medical bills, mental health parity, and insurance fraud. Services are delivered via phone (1-877-881-6388), online Consumer Services Portal, and in-person sessions.
- Insurance Producer and Agent Licensing Service Licensing service for insurance producers and agents operating in Pennsylvania, including initial licensing, license renewal, license information updates, and continuing education requirements.
- Insurance Company Licensing Service Licensing service for insurance companies operating in Pennsylvania, including applying for or renewing company licenses, certificate of authority, appointment changes, and plans of withdrawal and transition.
- Underground Storage Tank Indemnification Fund (USTIF) Management Administration of the Pennsylvania Underground Storage Tank Indemnification Fund, including a cloud-based Fund Management System being modernized by ICF for environmental claims processing, real-time analytics, and improved state workflows.
- Insurance Fraud Reporting Service Service for Pennsylvania residents to report suspected insurance fraud, enabling the department to investigate and take enforcement actions against fraudulent insurance practices.
Quantifiable outcome
- Over 5,400 Medicare Advantage members provided special enrollment opportunity following contract dispute
- +1 more outcomes
Companies that use Pennsylvania Insurance Department
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles4 records
Pennsylvania Insurance Department technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
Pennsylvania Insurance Department partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- Centers for Medicare & Medicaid Services (CMS)coreThe Shapiro Administration, working with the Pennsylvania Insurance Department and Department of Aging, collaborated with CMS to secure a special enrollment period for Medicare Advantage members affected by a contract dispute between Lehigh Valley Health Network and UnitedHealthcare. The special enrollment period allows affected beneficiaries to switch plans or move to Original Medicare with Medigap coverage without medical underwriting.
- Pennsylvania Department of AgingcoreThe Shapiro Administration's Pennsylvania Insurance Department and Department of Aging collaborated to advocate with CMS for a special enrollment period for Medicare Advantage members affected by the LVHN/UHG contract dispute.
- ICF (NASDAQ:ICFI)coreICF, a global solutions and technology provider, was awarded a $64 million contract by the Pennsylvania Insurance Department to modernize and operate its environmental claims management system. The five-year base contract (with a five-year option) involves building a scalable cloud-based Fund Management System to support the Pennsylvania Underground Storage Tank Indemnification Fund. ICF will leverage data and automation to streamline state workflows, improve performance and deliver real-time analytics.
Scale indicators3 records
Recent moves5 records
Expansion highlights5 records
Pennsylvania Insurance Department competitors and assessment
Company assessmentOthers
- National Association of Insurance Commissioners (NAIC): U.S. standard-setting and regulatory support organization created and governed by state insurance regulators. The Pennsylvania Insurance Department is a member; NAIC provides model regulations and facilitates coordination across state insurance departments.
Direct peers
- Ohio Department of Insurance: State insurance regulator for Ohio, overseeing insurance company licensing, rate filings, and consumer assistance. Performs the same regulatory functions as the Pennsylvania Insurance Department, with similar organizational structure.
- California Department of Insurance: State insurance regulatory agency for the largest U.S. insurance market. Performs the same core functions as the Pennsylvania Insurance Department: licensing producers and companies, reviewing rates, handling consumer complaints, and administering market conduct oversight.
- New York State Department of Financial Services: Combined state insurance and banking regulator that licenses insurers, reviews rates, and enforces consumer protection laws in New York. Directly comparable in scope to the Pennsylvania Insurance Department, with additional banking oversight.
- Texas Department of Insurance: State insurance regulator for Texas, regulating insurance rates, forms, and market conduct, and administering workers' compensation insurance. Performs substantially the same regulatory functions as the Pennsylvania Insurance Department.
- Illinois Department of Insurance: State insurance regulatory agency in Illinois responsible for licensing insurance producers and companies, regulating rates, and protecting consumers. Directly comparable to the Pennsylvania Insurance Department in regulatory mandate and structure.
- New Jersey Department of Banking and Insurance: Combined state insurance and banking regulator in New Jersey. Comparable to the Pennsylvania Insurance Department in regulatory scope, with similar consumer protection and licensing mandates.
- Florida Office of Insurance Regulation: State insurance regulator overseeing property, casualty, life, and health insurance in Florida. Performs the same licensing, rate review, and market oversight functions as the Pennsylvania Insurance Department.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat3 records
Key risks5 records
Key highlights6 records
Customer concentration
Pennsylvania Insurance Department social profiles
Digital presencePennsylvania Insurance Department financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pennsylvania Insurance Department leadership team
Management profileNumber of profiles
Pennsylvania Insurance Department funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pennsylvania Insurance Department 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 Pennsylvania Insurance Department
What does Pennsylvania Insurance Department do?
The Pennsylvania Insurance Department is a state regulatory agency that licenses insurance professionals and companies, regulates the insurance marketplace, and protects Pennsylvania consumers through complaint resolution, fraud reporting, and statutory enforcement. It operates Pennie, the state's official health insurance marketplace, and administers special insurance funds including MCare, WCSF, CAT Fund, and USTIF.
Is Pennsylvania Insurance Department a public or private company?
Pennsylvania Insurance Department is a private company. It is classified as state government owned and is currently operating.
When was Pennsylvania Insurance Department founded?
Pennsylvania Insurance Department was founded in 1873. It employs 251 to 500 people.
Where is Pennsylvania Insurance Department based?
Pennsylvania Insurance Department is headquartered in Harrisburg, United States, in the North America region.
How does Pennsylvania Insurance Department make money?
One revenue line is on record: government Contract Awards.
Who are Pennsylvania Insurance Department's main competitors?
National Association of Insurance Commissioners (NAIC) is listed as an others. Direct peers are Ohio Department of Insurance, California Department of Insurance, New York State Department of Financial Services, Texas Department of Insurance, Illinois Department of Insurance, New Jersey Department of Banking and Insurance and Florida Office of Insurance Regulation.
Does Pennsylvania Insurance Department have an API?
No public API is recorded for Pennsylvania Insurance Department.