See how our Members come first in everything we do. Check out our 2025 Annual Report! Learn more here


See how our Members come first in everything we do. Check out our 2025 Annual Report! Learn more here


2025 Annual Report

Neighbors Helping Neighbors

A year of change, a commitment to Maine:
A message from our
CEO and President

Amid the ongoing healthcare affordability crisis, we at Community Health Options remain committed to bringing solutions that lower costs while improving health. That means helping our Members access the preventive care and cost-effective treatment options they need and deserve.

2025 at a Glance

Year In Review

In 2025, we received 87,860 calls, spending more than 12,750 hours supporting 32,068 Members.

Answering the call

98% of surveyed callers got the answers they needed, quickly and clearly.

Treating Members with respect

98% of surveyed callers said they were treated with courtesy and respect.

Quick and efficient claims processing

Paid 470,149 claims totaling $235.6 million with an average turnaround time of 3.7 days.

Trusted by employers

Proudly provided health plans or administered health benefits for almost 11,000 employees working at small and large businesses across Maine.

Member Services

Maine-based service, Member-focused answers

Real people in Maine, answering every call

That matters because they understand the unique needs Mainers face when accessing medical services, especially in rural areas. In 2025, we upgraded our phone platform, making it easier for Members to connect and share feedback. Member survey participation increased by nearly 50%, and our Net Promoter Score—a measure of loyalty and satisfaction—came in at an industry-leading 63.

Finding answers,
while lending an ear

Dani joined the Member Services team during the 2025 Open Enrollment season, bringing hands-on experience as a certified nurse's aide and medical assistant in the Bangor region. Her team, all Maine-based, is the first stop for Members with benefits questions, claims issues, or referrals to care managers.

Dani's priority: "I focus on listening and allow callers to explain, for as long as it takes, then provide clear, concise answers. If I don't have the answer, I find it."

Outside work, she's in the garden, on a trail, running mud runs, boating, or traveling with her husband, family, friends, and furry family members in tow.

Care Management

Our Care Teams: Your Neighbors and Advocates

The right care, at the right place

Our Care Management and Utilization Management teams work across the company — collaborating with the Pharmacy team and providers — to simplify care for Members, from navigating complex cases to helping someone find a ride to an appointment. They offer education, remove barriers, and ensure Members get the care they need.

Keeping Members healthy at home:

Only 7% of Members were readmitted to the hospital within 30 days of discharge, beating the national benchmark of about 14.7%.

Support for diabetes care:

Reached out to 100% of Members with diabetes to offer support in removing barriers to or gaps in care.

Reducing delays in care:

Proactively addressed levels of care, Prior Approvals and ensured the medical necessity of treatments to prevent delays in treatment for our Members and discharges from hospital stays.

Where care meets community

In a year where healthcare costs affected all carriers, Members and businesses stayed with Community Health Options, citing our care teams. These clinicians, nurses, pharmacists and claims experts do more than coordinate care — they are personal advocates helping Members navigate some of the most stressful moments of their lives. From helping a rural Member discover that diabetes supplies may be available at no cost, to closing network gaps for Members who couldn't find in-network providers, to connecting cancer patients with lodging and transportation resources for out-of-state treatment, these teams collaborate to remove barriers and find solutions.

Care support,
delivered with compassion

A care manager worked across departments to help a Member find an in vitro fertilization provider and then kept a keen eye out to ensure authorization requests for the services she needed were approved quickly, because with IVF, timing is everything. The Member had already spent thousands out of pocket, unaware of her benefits. The care team, contracting and claims worked together to guide her through her benefits and the process she needed to follow to get reimbursed and use her health plan. The good news: The family welcomed a baby girl in April 2025.

Making prescriptions more accessible—and more affordable

The Pharmacy team is saving millions in costs while making it easier for our Members to get the medications they need.

$210,945
Prescription out-of-pocket costs saved by Members in the ScriptSaver program.
$3 million+
Saved by switching to biosimilars from brand names including Humira and Stelara.
$170,000
Saved by Members using the Infusion Site of Care program for specialty medications.

The extra mile is our everyday.

For many Members, the Pharmacy Team becomes the difference between getting—and affording— medication or going without, all while working to constrain rising prescription costs. In 2025, the team expanded its Infusion Site of Care program by increasing Member incentive payments and adding medications. Separately, the team also moved Members from expensive specialty brand-name drugs to biosimilars. These biosimilars offer the same treatments and health outcomes as brand names, but at much lower prices, reducing costs for Members and groups across our health plans. 

Day-to-day support defines the team—tracking down out-of-stock medications for a transplant patient, redirecting time-sensitive fertility prescriptions to pharmacies that can fill them, clearing system barriers, and reaching out to let Members with chronic conditions know about the Chronic Illness Support Program, all so they can access their benefits when they need them most.

A last minute call provides alife-changing solution

On the last night of Open Enrollment, after hours, a small business account rep called the pharmacy team. A Member with diabetes couldn't afford both his premiums and the Dexcom monitor he needed for his insulin pump — so he planned to cancel coverage. The team found him a plan with a Chronic Illness Support Program that offered a compatible monitor at no out-of-pocket cost. The pharmacist called, explained the program, and he enrolled just before the deadline.

Operations

Expanding access to care

Expanding Access with Northern Light Health

Community Health Options and Northern Light Health teamed up to make access a little easier—and out-of-pocket costs much lower—for any Community Health Options Member using Northern Light Health’s nine hospitals, 125 facilities and 1,000 providers. Together, the two Maine-based nonprofits hope to ensure that high-quality care is available to anyone in Maine, from Kittery to Fort Kent.

Virtual care, real results with Firefly

Facing increasingly limited access to local primary care providers, Community Health Options partnered with Firefly Health to offer virtual primary care to Members aged 18 and over. Each participant gets a virtual team—including a doctor, nurse practitioner, behavioral health specialist and health guide—who work together to manage care virtually and provide referrals for in-person care when necessary. For people struggling to find a provider or fitting appointments into a busy schedule, an option like Firefly Health provides convenient and efficient access to primary care anytime, anywhere.

The ongoing impact of
better access

Members cite convenience and responsiveness from Firefly Health providers, as the program continued to grow in 2025, providing important access to primary care.

94%
Member satisfaction, citing access and convenience
154%
Membership growth in 2025
3days
Timeframe to schedule a primary care appointment
A fresh start,and a simpler path to care

When a 54-year-old woman moved to Maine, she needed a new PCP for asthma, cholesterol, menopause, and anxiety. Through Firefly Health, prescription refills happen in the app, a rash was resolved over chat, and specialist referrals were coordinated with ease. She came to Firefly first — saving time, reducing care coordination headaches, and potentially saving $80,000 annually on medications by using generics.

PHILANTHROPY

Supporting Maine nonprofits, helping Mainers thrive

Reducing the risk of diabetes 

Health happens in communities — and so does change. Our Wellness Grants support Maine nonprofits tackling diabetes prevention through nutrition, fitness and medication access programs that meet people where they are.

Fighting diabetes before it starts

In 2025, five Maine nonprofit organizations have received $50,000 from the Community Health Options’ 2025 Wellness Grants program to help fund projects that work to reduce the risk of developing Type 2 diabetes and associated complications like heart disease, stroke, vision problems and kidney disease.

Financials

Balance Sheet
as of December 31, 2025

Assets
Bonds $49,603,856
Cash, cash equivalents, and short-term investments $5,843,334
Subtotals, cash and invested assets $55,447,190
Investment income due and accrued $304,774
Premiums receivable $1,347,309
Accrued retrospective premiums and contracts subject to redetermination $2,510,000
Amounts recoverable from reinsurers $8,656,061
Amounts receivable relating to uninsured plans $620,754
Healthcare and other amounts receivable $5,134,112
Total Assets $74,020,198
Liabilities
Unpaid claims and claims adjustment expenses $34,985,425
Accrued medical incentive pool & bonus amounts $862,960
Aggregate health policy reserves $6,734,418
Premiums received in advance $3,981,819
General expenses due or accrued $4,520,232
Ceded reinsurance premiums payable $694,954
Amounts withheld or retained for the account of others $3,967
Liability for amounts held in uninsured plans $136,596
Other Liabilities $66,895
Total Liabilities $51,987,266
Capital and Surplus
Surplus notes $132,316,124
Unassigned deficit ($110,283,192)
Total Capital and Surplus $22,032,932
Total Liabilities, Capital and Surplus $74,020,198

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