2020 was a record-setting 12 months for IPOs, and among the many new shares had been a number of high-flying tech-enhanced insurance coverage firms. Lemonade is probably the best-known, and it was one in all final 12 months’s hottest new shares. However quite a few different insurance coverage outfits making their public debuts are additionally price exploring. Three to place in your watchlist are Clover Well being Investments (NASDAQ:CLOV), GoHealth (NASDAQ:GOCO), and Root (NASDAQ:ROOT).
Clover Well being: A SPAC goes the best way of Medicare
Clover payments itself as a “next-gen Medicare Benefit” firm — a personal medical health insurance choice for these on Medicare. Clover simply grew to become a public concern by way of its latest merger with a SPAC (particular function acquisition firm) created by former Fb government turned enterprise capitalist Chamath Palihapitiya. The insurer remains to be small, debuting with an enterprise worth of $3.7 billion, so there’s huge alternative — Medicare Benefit spending was $270 billion in 2019, and it is anticipated to increase to $590 billion by 2025.
It is a completely different kind of Medicare insurer, although. Reasonably than discover and have interaction with its members by way of third-party agent, Clover works instantly with each its insured events and their chosen main care physicians. It does so by way of its personal software program, together with video conferencing instruments and a data-collection platform, to drive higher affected person outcomes and value reductions. This platform is delivered by way of the “Clover Assistant,” a portal the place member physicians can work with sufferers and the Clover staff. Because of this, the corporate boasts higher care at a decrease value than the standard Medicare Benefit plan, and it thinks the Clover Assistant could be utilized in different healthcare purposes down the highway.
Whereas Clover checks off some necessary packing containers for a possible long-term winner, like large market alternative and disruptive service, there is a catch: The corporate solely operates in 34 counties and has solely 57,315 members signed up. This equated to income of simply $507 million by way of the primary 9 months of 2020 (a 46% year-over-year enhance), and a web lack of $10 million. Nevertheless, this insurance coverage outfit raised over $1.2 billion in money from its IPO, giving it an enormous battle chest to increase protection to the remainder of the U.S. Given how rapidly Clover has been capable of purchase enrollees within the restricted markets it at present operates in, suffice it to say it is a promising firm.
Quite a bit is driving on Clover’s capability to disrupt the present Medicare insurance coverage established order, and a enterprise mannequin based mostly on growing well being outcomes coming from the insurer facet of the equation is not notably simple to grasp. I am ready to see 1 / 4 or two of monetary outcomes earlier than I resolve to purchase. However the inventory is price preserving an in depth eye on, as Clover might characterize an early alternative to put money into the disruption of a really massive business.

Picture supply: Getty Photos.
GoHealth: A web based market for purchasing well being plans
Talking of Medicare, GoHealth is one other option to make investments on this fast-growing section of the medical health insurance business. Nevertheless, the place Clover is itself a well being insurer, GoHealth is among the very third-party distributors serving to distribute Medicare plans that Clover is attempting to avoid.
Given the scale of the private-pay Medicare market, although, I believe there’s room for multiple participant. GoHealth can be a small up-and-coming enterprise, debuting as a public firm final summer time and elevating practically $1 billion within the course of. Flush with money and working an internet market to attach individuals with medical plans — all throughout a 12 months by which e-commerce acquired an enormous increase from the pandemic — GoHealth has made nice strides rising its operation.
Particularly, income grew 72% 12 months over 12 months to $431 million by way of the primary 9 months of 2020. The tempo is slowing, however the growth in enterprise throughout the pandemic has helped this digital insurance coverage market flip a nook on profitability. Adjusted EBITDA (earnings earlier than curiosity, tax, depreciation, and amortization, which backs out one-time bills associated to the IPO) by way of three quarters of 2020 was $101 million, versus simply $40.7 million a 12 months in the past.
I broke one in all my investing guidelines and acquired GoHealth too quickly final summer time after it made its public debut, and since then shares are down some 25%. However the inventory is making a comeback, one that might proceed if the double-digit income and profitability progress fee could be maintained. And with a market cap of simply $4.8 billion, that is nonetheless a small firm. It is not as high-tech as Clover, however this market for Medicare insurance coverage stays on my watchlist as households search for assist and comfort when deciding on well being protection.
Root: Auto insurance coverage will get a cellular improve
For my last insurance coverage tech watchlist add, I am shifting gears from medical health insurance to auto protection. Root was designed to be a totally cellular insurance coverage purchasing expertise, utilizing information on an individual’s driving capability to assist present higher charges. It has additionally expanded into renters insurance coverage with an identical purpose of utilizing digital information to optimize insurance coverage premiums.
This growth is an enormous deal. It may construct on its early success in a single space, and now has a number of present prospects to supply insurance coverage bundles. It is one of many causes Lemonade — which began out providing renters and householders insurance coverage — has gone viral because it went public. Like Lemonade, Root additionally makes use of information science to optimize premiums for its prospects, and as auto insurance coverage is mostly a requirement by legislation and value about $270 billion a 12 months within the U.S., Root might be a promising title within the business long-term.
However whereas Lemonade inventory has skyrocketed, Root has executed the alternative. At Thursday’s costs, shares had been down about 20% from the place they made their public debut in October, giving the insurance coverage upstart a market cap of roughly $5 billion. Root’s fortunes might change, although. Income was up 61% to $296 million by way of the primary 9 months of 2020 as collected insurance coverage premiums grew at a double-digit tempo. And far of the pessimism could be chalked as much as Root’s loss-generating operation. Free money move (income minus money working bills and capital expenditures) was adverse $98.7 million over the identical interval. However Root had $442 million in money, equivalents, and short-term investments as of the top of September, and raised one other $724 million in money throughout its IPO. Put one other method, this firm has ample liquidity because it makes an attempt to steal drivers from the auto insurer incumbents.
I am not a purchaser right here, at the least not but, however Root is actually on my radar. Moreover choosing up extra insurance policies, it is going to additionally must show that its information analytics engine may help it cut back losses and ultimately begin turning a revenue on collected premiums. However to this point this younger firm has proved itself as a profitable disruptor of the present auto insurance coverage established order. That is sufficient for me so as to add it to my checklist of promising companies to look at.