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Insurance Groups

2023 Insurance Industry Premiums (Top 50 Groups)

US$ in millions

		P&C	Life	Managed Care	All Industries	All Industries
Rank	Industry Groups	Direct Premiums Written	Direct Premiums, Consideration & Deposits	Direct Premiums Written	Direct Premiums	% Market Share
	Total Industry	$ 906,029	$ 650,291	$ 1,061,847	$ 2,618,170
1	UnitedHealth Group Incorporated	4	47,724	200,916	248,644	9.50%
2	Elevance Health, Inc.	0	449	106,811	107,260	4.10%
3	Centene Corporation	0	1,793	100,687	102,480	3.91%
4	Humana Inc.	0	971	99,672	100,643	3.84%
5	State Farm Mutual Automobile Insurance Company	93,787	6,542	0	100,330	3.83%
6	CVS Health Corporation	0	36,565	46,829	83,395	3.19%
7	The Progressive Corporation	62,712	0	0	62,712	2.40%
8	Berkshire Hathaway Inc.	59,668	1,558	0	61,226	2.34%
9	Health Care Service Corporation, a Mutual Legal Reserve Company	0	675	55,192	55,867	2.13%
10	The Allstate Corporation	50,042	1,029	0	51,071	1.95%
11	Liberty Mutual Holding Company Inc.	45,795	0	0	45,795	1.75%
12	Nationwide Mutual Group	19,766	25,175	0	44,941	1.72%
13	American International Group, Inc.	16,077	25,648	0	41,726	1.59%
14	The Cigna Group	0	27,699	11,033	38,733	1.48%
15	The Travelers Companies, Inc.	38,597	0	0	38,597	1.47%
16	United Services Automobile Association	32,002	3,420	0	35,423	1.35%
17	New York Life Insurance Company	0	35,078	0	35,078	1.34%
18	Massachusetts Mutual Life Insurance Company	0	34,184	0	34,184	1.31%
19	Chubb Limited	31,873	889	0	32,762	1.25%
20	Prudential Financial, Inc.	0	31,170	0	31,170	1.19%
21	GuideWell Mutual Holding Corporation	0	264	28,740	29,004	1.11%
22	Independence Health Group, Inc.	0	0	28,340	28,340	1.08%
23	Molina Healthcare, Inc.	0	0	27,796	27,796	1.06%
24	Farmers Insurance Group of Companies	27,221	0	0	27,221	1.04%
25	Allianz SE	7,211	18,605	0	25,816	0.99%
26	Kaiser Foundation Health Plan, Inc.	0	0	22,181	22,181	0.85%
27	The Northwestern Mutual Life Insurance Company	0	22,004	0	22,004	0.84%
28	Blue Cross Blue Shield of Michigan Mutual Insurance Company	2,948	0	18,225	21,173	0.81%
29	Equitable Holdings, Inc.	0	20,922	0	20,922	0.80%
30	Highmark Health	0	796	18,904	19,700	0.75%
31	Manulife Financial Corporation	0	18,121	0	18,121	0.69%
32	Tokio Marine Holdings, Inc.	11,917	5,687	0	17,604	0.67%
33	Teachers Insurance and Annuity Association of America	0	17,571	0	17,571	0.67%
34	Horizon Healthcare Services, Inc.	0	0	16,947	16,947	0.65%
35	American Family Insurance Group	16,628	0	0	16,628	0.64%
36	The Hartford Financial Services Group, Inc.	15,954	0	0	15,954	0.61%
37	Zurich Insurance Group AG	18,563	-3,646	0	14,917	0.57%
38	MetLife, Inc.	0	14,883	29	14,912	0.57%
39	UPMC	238	0	14,343	14,580	0.56%
40	Voya Financial, Inc.	0	14,551	0	14,551	0.56%
41	CNA Financial Corporation	13,741	0	0	13,741	0.52%
42	Jackson Financial Inc.	0	13,348	0	13,348	0.51%
43	Aegon Ltd.	0	13,033	0	13,033	0.50%
44	Auto-Owners Insurance Company	12,825	0	0	12,825	0.49%
45	Blue Cross and Blue Shield of North Carolina	0	0	12,438	12,438	0.48%
46	CareSource	0	0	11,699	11,699	0.45%
47	Fairfax Financial Holdings Limited	11,347	0	0	11,347	0.43%
48	Mutual of Omaha Insurance Company	0	11,227	61	11,288	0.43%
49	The Guardian Life Insurance Company of America	0	10,985	126	11,111	0.42%
50	CareFirst, Inc.	0	0	10,974	10,974	0.42%

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