Carrier giant UnitedHealth stuck its toe in the health insurance exchange system last year. Now, it's diving in.

In 2014, UnitedHealth offered health plans in the Patient Protection and Affordable Care Act's exchanges in four states. This year, it said, it will be competing for exchange business in 23 states: Arizona, Alabama, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Louisiana, Massachusetts, Maryland, Michigan, Mississippi, Missouri, New Jersey, Nevada, North Carolina, New York, Ohio, Pennsylvania, Rhode Island, Texas and Wisconsin.

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The new markets aren't really new to UnitedHealth. The company's had a presence in all of the states in the past, noted Heather Kane, vice president of exchange strategy at the company's UnitedHealthcare division.

"The markets that we're entering are where we already had a presence, often in the individual [market] space and certainly in the group [market] space," she told the Minneapolis Star Tribune. "So, we are typically operating within the footprint that we already operated in from a commercial group perspective."

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.