UnitedHealth, Integrity and two independent pharmacy benefits have also announced deals.

"As more household budgets are focused on essentials, many people find it harder to save, plan ahead, and feel in control of their future," Bernd Heinemann, head of group strategy, marketing, and distribution for Allianz SE, said in a statement.

"Recent spending growth was most evident in the population younger than age 65, which has more variation in insurance coverage, affecting both service use and prices," the report said.

A three-judge panel ruled that ERISA blocks the state's effort to enforce geographic coverage requirements.