Who Are the Players

A side-by-side look at the regulator, the carriers, and the marketplace that shape Rhode Island's health insurance landscape.

State Regulator

OHIC — Office of the Health Insurance Commissioner

Rhode Island's state regulator for commercial health insurance. OHIC reviews and rules on the rates insurers request each year for individual, small group, and large group commercial coverage, and publishes its decisions publicly.

Source: ohic.ri.gov

Dominant Carrier

Blue Cross & Blue Shield of Rhode Island (BCBSRI)

Rhode Island's largest, most broadly recognized fully insured carrier. BCBSRI filed rates in both the individual and large group markets for 2027.

Source: OHIC, June 2026 requested-rates press release

Individual Market Carrier

Neighborhood Health Plan of Rhode Island (NHPRI)

One of two insurers that filed 2027 individual-market rates in Rhode Island, alongside BCBSRI.

Source: OHIC, June 2026 requested-rates press release

Large Group Carrier

UnitedHealthcare

A national carrier that filed 2027 large-group rates in Rhode Island. See our UnitedHealthcare page for how it compares as an option.

Source: OHIC, June 2026 requested-rates press release

Large Group Carrier

Harvard Pilgrim Health Care of New England / HPHC Insurance Company

Filed 2027 large-group rates in Rhode Island as part of the five insurers participating in that market.

Source: OHIC, June 2026 requested-rates press release

Large Group Carrier

Aetna & Cigna

Both filed 2027 large-group rates in Rhode Island, rounding out the five large-group carriers alongside BCBSRI, UnitedHealthcare, and Harvard Pilgrim/HPIC.

Source: OHIC, June 2026 requested-rates press release

State Marketplace

HealthSource RI

Rhode Island's state-based ACA health insurance marketplace, where individuals and small businesses can shop and enroll in coverage, often with income-based federal subsidies.

Source: healthsourceri.com

Want the full rate picture?

See Rate Trends & Market Reality for exactly what each of these carriers filed for 2027, and how it compares to what OHIC approved for 2026.

Rate Trends & Market Reality →