Every licensed health insurer in the country files a detailed financial statement with regulators four times a year. Balance sheet, income statement, cash flow, reserves, capital, the whole picture. These are the NAIC statutory statements, and they are the closest thing we have to a report card on whether a carrier is actually healthy or quietly bleeding out. When I mapped the ACA market exits and HCA's exchange losses, the financial pressure driving those stories is exactly what these filings measure, quarter by quarter, in numbers the carriers themselves certify.
So I wanted to pull them systematically and track carrier solvency across the ACA and Medicare Advantage markets. There is one catch. The NAIC, which collects all of it, sells access. And the states, which also hold the filings as public records, are wildly inconsistent about whether you can just download them.
I ran a full scan of all 50 states plus DC to answer one question: where can you get quarterly health insurer financial statements, for free, straight from the regulator, without paying the NAIC? Here is what came back.
Source: Elephruit 51-jurisdiction scan (50 states + DC), July 2026
Eight states get it right
Only eight jurisdictions post current, quarterly, health-entity financial statements for free with no login: Arkansas, California, Iowa, Maine, Michigan, Ohio, Rhode Island, and Washington. Most publish the raw NAIC statement itself. California is the interesting one, because its health plans are regulated by the Department of Managed Health Care rather than the insurance department, and DMHC runs a genuinely good public search going back to 2002.
| State | Access | Quarterly | What you get | Regulator |
|---|---|---|---|---|
| Arkansas | Best | Yes | NAIC blank | AR Insurance Dept |
| California | Best | Yes | State form | Dept of Managed Health Care |
| Iowa | Best | Yes | NAIC blank | Iowa Insurance Division |
| Maine | Best | Yes | NAIC blank | Maine Bureau of Insurance |
| Michigan | Best | Yes | NAIC blank | Michigan DIFS |
| Ohio | Best | Yes | NAIC blank | Ohio Dept of Insurance |
| Rhode Island | Best | Yes | NAIC blank | RI Dept of Business Regulation |
| Washington | Best | Yes | NAIC blank | WA Insurance Commissioner |
| Texas | Partial | Yes | State HMO form | Texas Dept of Insurance |
| New Mexico | Partial | Frozen at 2023 | NAIC blank | NM Superintendent of Insurance |
| Washington DC | Partial | Frozen at 2019 | NAIC blank | DC DISB |
| Colorado | Annual only | No (2020 data) | NAIC blank | Colorado DOI (DORA) |
| Idaho | Annual only | No | NAIC blank | Idaho Dept of Insurance |
| Minnesota | Annual only | No | NAIC blank | MN Dept of Commerce |
| New Jersey | Annual only | No | NAIC blank | NJ Banking & Insurance |
| Wyoming | Annual only | No | Summary sheet | Wyoming Dept of Insurance |
A few states earn partial credit. Texas posts a useful per-company quarterly report, but on its own Texas form rather than the national blank. New Mexico and DC actually publish the real NAIC filings for free, but both archives are frozen (New Mexico stops in mid-2023, DC around 2019), so they are museums, not live feeds.
Then it falls off a cliff
Thirty-five states offer no free self-serve access at all. Some tell you outright to go buy the filings from the NAIC. Others have a "company search" that returns only a license record, or a filing portal built for insurers submitting, not for the public reading. To cover those carriers you either pay the NAIC per document or file a public records request one company at a time.
The limits of a scan like this
I want to be honest about what an automated scan can and cannot establish, because a "free" list is only useful if you trust its edges:
- Domestic only. Nearly every free state portal holds only the insurers domiciled in that state. A national carrier shows up in its home state and nowhere else, so eight friendly states is not eight states' worth of the market.
- SERFF is a decoy. Almost every state has a free SERFF "filing access" portal, and it is easy to mistake it for the financials. It is not. SERFF carries rate and form filings only. I had to rule it out state by state.
- Fidelity varies. Some states hand you the actual NAIC blank, some hand you their own summary form, and one (Wyoming) posts a spreadsheet someone compiled. Those are not interchangeable if you want line-item comparability across carriers.
- Staleness hides in plain sight. A portal can look live and be years out of date. Colorado's newest posted statement is from 2020. You only catch this by opening the files.
- The scan has false negatives. Some regulator sites block automated tools outright, and a handful of my "no free access" calls are medium confidence, meaning a portal may exist that the scan did not surface. I flagged those states as recheck candidates rather than claiming certainty. The full state-by-state results, with confidence levels and source links, are saved in our data reference.
The ask
Here is where I land. The analysis I want to do, grading carrier financial health across every ACA and Medicare Advantage parent company and watching who is strengthening and who is deteriorating quarter over quarter, needs the complete national dataset. That means the NAIC's paid data feed, and right now I am not carrying that expense.
So, an open ask: if you or your organization would sponsor an NAIC API or InsData subscription, I would put it to work in the open and publish the analysis here for everyone. If that is you, I would love to talk. You can reach me through the about page.
The filings already exist. Every insurer already writes them and certifies them. The only thing standing between the public and a clear, current read on insurer solvency is a paywall, and 35 states that have not gotten around to posting a PDF.