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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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.