The List: Top health insurers in Washington state - Washington life tips

With the U.S. Supreme Court recently upholding a majority of the Affordable Care Act and election season debates revving up, health care is a hot topic for businesses.

The Puget Sound Business Journal takes a look at some of the issues in employee health care benefits in a special focus section in the Sept. 7 print edition (subscription required).

Topics include a trend of more employers adding high-deductible plans to employee benefits, what some of the "carrots and sticks" for employers are in complying with health reform, and a look at some of the changes that companies must deal with right away.

All the changes affect health insurers as well. The Puget Sound Business Journal ranks health insurers regulated by the Washington state insurance commissioner's office by 2011 premiums written. Click on the image above right for a slide show of the top insurers on the list.

The full list of the top 40 firms, compiled by Researcher Bonnie Graves and Research Intern Mario Buty, is available in the Sept. 7 print edition.