I’ve worked in insurance since ‘68, always in information and statistics, never in sales. True that BCBS, Anthem, UHC, Humana, Aetna, etal have business plans designed for the current government involvement.
But there is no reason why a State Farm which is small in insurance, or a new start up, can’t have a different business plan... a plan more like auto and homeowners insurance.
Somehow, the P&C companies are quite capable of spreading the risk without employer involvement. They could do the same for health insurance.
Somehow the medical sharing (non-insurance) groups that have sprung up under the ACA are quite capable of spreading the risk without employer involvement.
The current health insurance business model of BCBS types is built on government favoritism toward them. It is not an efficient business model.
After Army service I sold Insurance. I went to work with Mutual of Omaha as they had a great health insurance field underwriting guide plus they had a training school in Miami. I worked for EF Hutton later. Mutual of Omaha offers both Individual health plus group. They are better at tailoring individual plans from heath, disability income,cancer, medicare supplements etc. Take their old million dollar major medical plan. It was $100 deductible, then 80% to 5K after that 100% to 1 million. Aetna, Humana, and a number of others were big in Group Insurance. I went on my own after EF Hutton.