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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	$ 904,284	$ 650,306	$ 937,409	$ 2,492,002
1	UnitedHealth Group Incorporated	4	47,724	200,916	248,644	9.98%
2	Centene Corporation	0	1,793	100,687	102,480	4.11%
3	Humana Inc.	0	971	99,672	100,643	4.04%
4	State Farm Mutual Automobile Insurance Company	93,787	6,542	0	100,330	4.03%
5	CVS Health Corporation	0	36,565	46,829	83,395	3.35%
6	The Progressive Corporation	62,712	0	0	62,712	2.52%
7	Berkshire Hathaway Inc.	59,668	1,558	0	61,226	2.46%
8	Health Care Service Corporation, a Mutual Legal Reserve Company	0	675	55,192	55,867	2.24%
9	The Allstate Corporation	50,042	1,029	0	51,071	2.05%
10	Liberty Mutual Holding Company Inc.	45,795	0	0	45,795	1.84%
11	Nationwide Mutual Group	19,766	25,175	0	44,941	1.80%
12	American International Group, Inc.	16,077	25,648	0	41,726	1.67%
13	The Cigna Group	0	27,789	11,033	38,822	1.56%
14	The Travelers Companies, Inc.	38,597	0	0	38,597	1.55%
15	United Services Automobile Association	32,002	3,420	0	35,423	1.42%
16	New York Life Insurance Company	0	35,078	0	35,078	1.41%
17	Massachusetts Mutual Life Insurance Company	0	34,184	0	34,184	1.37%
18	Chubb Limited	31,873	889	0	32,762	1.31%
19	Prudential Financial, Inc.	0	31,170	0	31,170	1.25%
20	GuideWell Mutual Holding Corporation	0	264	28,740	29,004	1.16%
21	Independence Health Group, Inc.	0	0	28,340	28,340	1.14%
22	Molina Healthcare, Inc.	0	0	27,796	27,796	1.12%
23	Farmers Insurance Group of Companies	27,221	0	0	27,221	1.09%
24	Allianz SE	7,211	18,605	0	25,816	1.04%
25	Kaiser Foundation Health Plan, Inc.	0	0	22,181	22,181	0.89%
26	The Northwestern Mutual Life Insurance Company	0	22,004	0	22,004	0.88%
27	Blue Cross Blue Shield of Michigan Mutual Insurance Company	2,948	0	18,225	21,173	0.85%
28	Equitable Holdings, Inc.	0	20,922	0	20,922	0.84%
29	Highmark Health	0	796	18,904	19,700	0.79%
30	Manulife Financial Corporation	0	18,121	0	18,121	0.73%
31	Tokio Marine Holdings, Inc.	11,917	5,687	0	17,604	0.71%
32	Teachers Insurance and Annuity Association of America	0	17,571	0	17,571	0.71%
33	Horizon Healthcare Services, Inc.	0	0	16,947	16,947	0.68%
34	American Family Insurance Group	16,628	0	0	16,628	0.67%
35	The Hartford Financial Services Group, Inc.	15,954	0	0	15,954	0.64%
36	Zurich Insurance Group AG	18,563	-3,646	0	14,917	0.60%
37	MetLife, Inc.	0	14,883	29	14,912	0.60%
38	UPMC	238	0	14,343	14,580	0.59%
39	Voya Financial, Inc.	0	14,551	0	14,551	0.58%
40	CNA Financial Corporation	13,741	0	0	13,741	0.55%
41	Jackson Financial Inc.	0	13,348	0	13,348	0.54%
42	Aegon Ltd.	0	13,033	0	13,033	0.52%
43	Auto-Owners Insurance Company	12,825	0	0	12,825	0.51%
44	Blue Cross and Blue Shield of North Carolina	0	0	12,438	12,438	0.50%
45	CareSource	0	0	11,699	11,699	0.47%
46	Fairfax Financial Holdings Limited	11,347	0	0	11,347	0.46%
47	Mutual of Omaha Insurance Company	0	11,227	61	11,288	0.45%
48	The Guardian Life Insurance Company of America	0	10,985	126	11,111	0.45%
49	CareFirst, Inc.	0	0	10,974	10,974	0.44%
50	Western & Southern Financial Group, Inc.	0	10,661	0	10,661	0.43%

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