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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	$ 903,356	$ 650,306	$ 808,888	$ 2,362,553
1	UnitedHealth Group Incorporated	4	47,724	200,916	248,644	10.52%
2	Humana Inc.	0	971	99,672	100,643	4.26%
3	State Farm Mutual Automobile Insurance Company	93,787	6,542	0	100,330	4.25%
4	CVS Health Corporation	0	36,565	46,829	83,395	3.53%
5	The Progressive Corporation	62,712	0	0	62,712	2.65%
6	Berkshire Hathaway Inc.	59,668	1,558	0	61,226	2.59%
7	Health Care Service Corporation, a Mutual Legal Reserve Company	0	675	55,192	55,867	2.36%
8	The Allstate Corporation	50,042	1,029	0	51,071	2.16%
9	Liberty Mutual Holding Company Inc.	45,795	0	0	45,795	1.94%
10	Nationwide Mutual Group	19,766	25,175	0	44,941	1.90%
11	American International Group, Inc.	16,077	25,648	0	41,726	1.77%
12	The Cigna Group	0	27,789	11,033	38,822	1.64%
13	The Travelers Companies, Inc.	38,597	0	0	38,597	1.63%
14	United Services Automobile Association	32,002	3,420	0	35,423	1.50%
15	New York Life Insurance Company	0	35,078	0	35,078	1.48%
16	Massachusetts Mutual Life Insurance Company	0	34,184	0	34,184	1.45%
17	Chubb Limited	31,873	889	0	32,762	1.39%
18	Prudential Financial, Inc.	0	31,170	0	31,170	1.32%
19	GuideWell Mutual Holding Corporation	0	264	28,740	29,004	1.23%
20	Independence Health Group, Inc.	0	0	28,340	28,340	1.20%
21	Molina Healthcare, Inc.	0	0	27,796	27,796	1.18%
22	Farmers Insurance Group of Companies	27,221	0	0	27,221	1.15%
23	Allianz SE	7,211	18,605	0	25,816	1.09%
24	The Northwestern Mutual Life Insurance Company	0	22,004	0	22,004	0.93%
25	Blue Cross Blue Shield of Michigan Mutual Insurance Company	2,948	0	18,225	21,173	0.90%
26	Equitable Holdings, Inc.	0	20,922	0	20,922	0.89%
27	Highmark Health	0	796	18,904	19,700	0.83%
28	Manulife Financial Corporation	0	18,121	0	18,121	0.77%
29	Tokio Marine Holdings, Inc.	11,917	5,687	0	17,604	0.75%
30	Teachers Insurance and Annuity Association of America	0	17,571	0	17,571	0.74%
31	Horizon Healthcare Services, Inc.	0	0	16,947	16,947	0.72%
32	American Family Insurance Group	16,628	0	0	16,628	0.70%
33	The Hartford Financial Services Group, Inc.	15,954	0	0	15,954	0.68%
34	Zurich Insurance Group AG	18,563	-3,646	0	14,917	0.63%
35	MetLife, Inc.	0	14,883	29	14,912	0.63%
36	UPMC	238	0	14,343	14,580	0.62%
37	Voya Financial, Inc.	0	14,551	0	14,551	0.62%
38	CNA Financial Corporation	13,741	0	0	13,741	0.58%
39	Jackson Financial Inc.	0	13,348	0	13,348	0.56%
40	Aegon Ltd.	0	13,033	0	13,033	0.55%
41	Auto-Owners Insurance Company	12,825	0	0	12,825	0.54%
42	Blue Cross and Blue Shield of North Carolina	0	0	12,438	12,438	0.53%
43	CareSource	0	0	11,699	11,699	0.50%
44	Fairfax Financial Holdings Limited	11,347	0	0	11,347	0.48%
45	Mutual of Omaha Insurance Company	0	11,227	61	11,288	0.48%
46	The Guardian Life Insurance Company of America	0	10,985	126	11,111	0.47%
47	CareFirst, Inc.	0	0	10,974	10,974	0.46%
48	Western & Southern Financial Group, Inc.	0	10,661	0	10,661	0.45%
49	Erie Indemnity Company	10,056	0	0	10,056	0.43%
50	W. R. Berkley Corporation	10,049	0	0	10,049	0.43%

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