In 10 states, the number of health insurance carrier jobs increased dramatically from 2003 through 2013. Health insurer employers in these states increased the number of paid employees 27 percent to 129 percent over the period included in the data, which comes from the Census Bureau's County Business Patterns survey series.

We'll get to the list next, but keep some important warnings in mind.

One is that 2013 was a year in which many health insurers were preparing for the arrival of the Patient Protection and Affordable Care Act  public exchange system. Maybe the ups and downs in the health insurance market that have taken place since Jan. 1, 2014, have changed carrier employment in ways not reflected, even a little bit, in the 2013 survey data.

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Another is that this data does not reflect changes in employment at health insurance agencies, independent wholesalers, benefit plan administrators, technology support companies, collection agencies and other companies involved in the health insurance market.

A third warning is that the raw statewide employment count we're publishing here does not necessarily show whether the jobs added were good jobs with benefits, or dead-end jobs, or if jobs moved from one region in a state to other regions in the same state.

But, during the period in question, health insurers throughout the United States managed to increase employment 11 percent, to 503,818, as overall insurance carrier employment fell 4.4 percent, to 1.4 million.

Now let's look at the states with what would appear to be the hottest health insurance carrier employment markets. 

The mushroom like rock formations of Goblin Valley, Utah

10. Utah

2003 health carrier employment: 2,792

2013 health carrier employment: 3,536

Change, from 2003 to 2013, in percent: +27%

 Image: Goblin Valley, Utah 

 

9. Georgia

2003 health carrier employment: 10,171

2013 health carrier employment: 13,022

Change, from 2003 to 2013, in percent: +28%

 

Longhorns tied to front of car

8. Texas

2003 health carrier employment: 22,372

2013 health carrier employment: 28,836

Change, from 2003 to 2013, in percent: +29% 

 Image: A car in Texas. (GI photo/Jill Miller)

 

7. Wisconsin

2003 health carrier employment: 12,268

2013 health carrier employment: 16,942

Change, from 2003 to 2013, in percent: +38%

 

 

Missouri grain elevator

6. Missouri

2003 health carrier employment: 7,760

2013 health carrier employment: 10,934

Change, from 2003 to 2013, in percent: +41%

 Image: A grain elevator in North Kansas City, Mo. (LHP photo/Allison Bell) 

 

5. Arizona

2003 health carrier employment: 8,719

2013 health carrier employment: 12,670

Change, from 2003 to 2013, in percent: +45%

 

 

Kansas pasture

4. Kansas

2003 health carrier employment: 3,763

2013 health carrier employment: 5,499

Change, from 2003 to 2013, in percent: +46%

 Image: Horses in a pasture in Kansas. (GI photo)

 

3. Louisiana

2003 health carrier employment: 2,678

2013 health carrier employment: 4,752

Change, from 2003 to 2013, in percent: +77%

 

Hawaiian chickens

2. Hawaii

2003 health carrier employment: 1,937

2013 health carrier employment: 3,881

Change, from 2003 to 2013, in percent: +100%

 Image: The wild chickens of Kauai, in Hawaii. (GI photo/Boysen Hodgson)

 

1. Colorado

2003 health carrier employment: 3,327

2013 health carrier employment: 7,634

Change, from 2003 to 2013, in percent: +129%

 

And finally, if you're interested, see LifeHealthPro.com for a table showing supplemental all-state health insurer employment figures for 2013 and earlier. 

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.