TOP TEN HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2008 (1)
| 1 |
United Health Group |
$71.7 |
11.76% |
| 2 |
WellPoint Inc. Group |
54.5 |
8.94 |
| 3 |
Kaiser Foundation Group |
46.3 |
7.60 |
| 4 |
Aetna Group |
25.5 |
4.18 |
| 5 |
Humana Group |
25.0 |
4.10 |
| 6 |
HCSC Group |
16.8 |
2.77 |
| 7 |
American Family Corp. Group |
13.4 |
2.19 |
| 8 |
Highmark Group |
12.3 |
2.02 |
| 9 |
Coventry Corp. Group |
11.1 |
1.82 |
| 10 |
Independence Blue Cross Group |
10.0 |
1.64 |
|
(1) Includes data from the property/casualty, life/health, fraternal and health annual statements.
Source: National Association of Insurance Commissioners (NAIC). Reprinted with permission. Further reprint or redistribution strictly prohibited without written permission of NAIC.
TOP TEN HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2009 (1)
| 1 |
UnitedHealth Group |
$80.1 |
12.36% |
| 2 |
Wellpoint Inc. Group |
56.3 |
8.69 |
| 3 |
Kaiser Foundation Group |
48.4 |
7.46 |
| 4 |
Aetna Group |
28.1 |
4.33 |
| 5 |
Humana Group |
26.6 |
4.11 |
| 6 |
HCSC Group |
18.3 |
2.82 |
| 7 |
American Family Corp. Group |
14.8 |
2.29 |
| 8 |
Coventry Corp. Group |
13.1 |
2.02 |
| 9 |
Highmark Group |
12.9 |
1.98 |
| 10 |
Independence Blue Cross Group |
10.2 |
1.57 |
|
(1) Includes data from the property/casualty, life/health, fraternal and health annual statements.
Source: National Association of Insurance Commissioners (NAIC). Reprinted with permission. Further reprint or redistribution strictly prohibited without written permission of NAIC.
TOP TEN HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2010 (1)
| 1 |
WellPoint Inc. |
$42.2 |
10.7% |
| 2 |
UnitedHealth Group Inc. |
41.1 |
10.4 |
| 3 |
Health Care Services Corporation |
20.2 |
5.1 |
| 4 |
Humana Inc. |
13.2 |
3.3 |
| 5 |
Highmark Inc. |
11.6 |
2.9 |
| 6 |
Aetna Inc. |
10.0 |
2.5 |
| 7 |
Coventry Health Care Inc. |
9.8 |
2.5 |
| 8 |
EmblemHealth Inc. |
9.7 |
2.4 |
| 9 |
Kaiser Foundation Health Plan Inc. |
9.5 |
2.4 |
| 10 |
Independence Blue Cross |
9.3 |
2.4 |
|
(1) Based on health insurer annual statement data. Does not include health insurance data from the property/casualty and life/health annual statements.
Source: SNL Financial LC.
TOP TEN HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2011 (1)
| 1 |
UnitedHealth Group Inc. |
$47.0 |
11.2% |
| 2 |
WellPoint Inc. |
44.7 |
10.7 |
| 3 |
Health Care Service Corporation |
20.7 |
4.9 |
| 4 |
Humana Inc. |
14.9 |
3.6 |
| 5 |
Highmark Inc. |
12.2 |
2.9 |
| 6 |
Coventry Health Care Inc. |
10.3 |
2.5 |
| 7 |
Kaiser Foundation Health Plan Inc. |
10.3 |
2.5 |
| 8 |
Aetna Inc. |
9.8 |
2.4 |
| 9 |
EmblemHealth Inc. |
9.5 |
2.3 |
| 10 |
Independence Blue Cross |
9.4 |
2.2 |
|
(1) Based on health insurer annual statement data. Does not include health insurance data from the property/casualty and life/health annual statements.
Source: SNL Financial LC.
TOP TEN HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2013 (1)
| Rank |
Group/company |
Direct premiums written |
Market share |
| 1 |
WellPoint Inc. |
$51,356,097 |
11.2% |
| 2 |
UnitedHealth Group Inc. |
51,269,926 |
11.2 |
| 3 |
Health Care Service Corporation |
23,682,045 |
5.2 |
| 4 |
Aetna Inc. |
20,628,578 |
4.5 |
| 5 |
Humana Inc. |
17,836,173 |
3.9 |
| 6 |
Highmark Insurance Group |
11,600,299 |
2.5 |
| 7 |
Kaiser Foundation Health Plan Inc. |
10,597,597 |
2.3 |
| 8 |
Independence Blue Cross |
10,370,198 |
2.3 |
| 9 |
EmblemHealth Inc. |
9,953,798 |
2.2 |
| 10 |
Centene Corp. |
9,928,499 |
2.2 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/health Annual Statements. Excludes territories.
Source: SNL Financial LC.
TOP 10 HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2014
| Rank |
Group/company |
Direct premiums written (1) |
Market share (2) |
| 1 |
UnitedHealth Group Inc. |
$54,968,422 |
10.3% |
| 2 |
Anthem Inc. (3) |
52,217,860 |
9.8 |
| 3 |
Humana Inc. |
45,598,914 |
8.6 |
| 4 |
HealthCare Service Corp. |
28,740,192 |
5.4 |
| 5 |
Aetna Inc. |
23,099,513 |
4.3 |
| 6 |
Centene Corp. |
13,530,755 |
2.5 |
| 7 |
Independence Health Group Inc. |
12,249,432 |
2.3 |
| 8 |
Highmark Insurance Group |
11,765,600 |
2.2 |
| 9 |
Kaiser Foundation Health Plan Inc. |
11,173,259 |
2.1 |
| 10 |
WellCare Health Plans Inc. |
11,161,715 |
2.1 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/health annual statements. Excludes territories.
(2) Based on U.S. total, includes territories.
(3) WellPoint Inc., which was ranked first in 2013, was renamed Anthem Inc. in December 2014.
Source: SNL Financial LC.
Top 10 Health Insurance Groups By Direct Premiums Written, 2015
| Rank |
Group/company |
Direct premiums written (1) |
Market share |
| 1 |
UnitedHealth Group Inc. |
$67,486,464 |
11.4% |
| 2 |
Anthem Inc. |
54,715,501 |
9.2 |
| 3 |
Humana Inc. |
51,405,175 |
8.7 |
| 4 |
HealthCare Service Corp. |
32,644,621 |
5.5 |
| 5 |
Aetna Inc. |
24,417,307 |
4.1 |
| 6 |
Centene Corp. |
20,261,187 |
3.4 |
| 7 |
Independence Health Group Inc. |
14,291,608 |
2.4 |
| 8 |
WellCare Health Plans Inc. |
12,229,584 |
2.1 |
| 9 |
Kaiser Foundation Health Plan Inc. |
11,934,022 |
2.0 |
| 10 |
Molina Healthcare Inc. |
11,918,163 |
2.0 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/health annual statements. Excludes territories.
Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.
Top 10 Health Insurance Groups By Direct Premiums Written, 2016
| Rank |
Group/company |
Direct premiums written (1) |
Market share |
| 1 |
UnitedHealth Group Inc. |
$79,472,441 |
12.5% |
| 2 |
Anthem Inc. |
58,748,993 |
9.2 |
| 3 |
Humana Inc. |
53,601,025 |
8.4 |
| 4 |
HealthCare Service Corp. |
32,157,585 |
5.0 |
| 5 |
Aetna Inc. |
24,414,237 |
3.8 |
| 6 |
Centene Corp. |
24,070,523 |
3.8 |
| 7 |
Independence Health Group Inc. |
17,013,754 |
2.7 |
| 8 |
Kaiser Foundation Health Plan Inc. |
16,166,834 |
2.5 |
| 9 |
Molina Healthcare Inc. |
15,317,439 |
2.4 |
| 10 |
WellCare Health Plans Inc. |
13,451,891 |
2.1 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/health annual statements. Excludes territories.
Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.
Top 10 Health Insurance Groups By Direct Premiums Written, 2017
| Rank |
Group/company |
Direct premiums written (1) |
Market share |
| 1 |
UnitedHealth Group Inc. |
$86,431,430 |
12.9% |
| 2 |
Anthem Inc. |
65,696,295 |
9.8 |
| 3 |
Humana Inc. |
53,224,860 |
7.9 |
| 4 |
HealthCare Service Corp. |
34,304,533 |
5.1 |
| 5 |
Centene Corp. |
28,260,282 |
4.2 |
| 6 |
Aetna Inc. |
20,525,502 |
3.1 |
| 7 |
Kaiser Foundation Health Plan Inc. |
17,406,943 |
2.6 |
| 8 |
Independence Health Group Inc. |
17,014,038 |
2.5 |
| 9 |
Molina Healthcare Inc. |
16,665,219 |
2.5 |
| 10 |
GuideWell Mutual Holding Corp. |
15,253,562 |
2.3 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/health annual statements. Excludes U.S. territories.
Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.
Top 10 Health Insurance Groups By Direct Premiums Written, 2018 (1)
| Rank |
Group/company |
Direct premiums written |
Market share |
| 1 |
UnitedHealth Group Inc. |
$100,589,323 |
14.1% |
| 2 |
Anthem Inc. |
66,121,463 |
9.2 |
| 3 |
Humana Inc. |
55,903,897 |
7.8 |
| 4 |
HealthCare Service Corp. |
37,655,147 |
5.3 |
| 5 |
Centene Corp. |
35,334,497 |
4.9 |
| 6 |
CVS Health Corp. (2) |
21,645,211 |
3.0 |
| 7 |
WellCare Health Plans Inc. |
19,907,554 |
2.8 |
| 8 |
Kaiser Permanente |
19,279,172 |
2.7 |
| 9 |
GuideWell Mutual Holding Corp. |
17,954,524 |
2.5 |
| 10 |
Molina Healthcare Inc. |
16,216,140 |
2.3 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/annuity annual statements. Excludes territories.
(2) CVS Health Corp. and Aetna Inc. completed a merger in 2019.
Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.
Top 10 Health Insurance Groups By Direct Premiums Written, 2019 (1)
| Rank |
Group/company |
Direct premiums written |
Market share |
| 1 |
UnitedHealth Group Inc. |
$107,481,328 |
14.1% |
| 2 |
Anthem Inc. |
73,336,651 |
9.6 |
| 3 |
Humana Inc. |
64,000,392 |
8.4 |
| 4 |
Centene Corp. |
63,557,977 |
8.3 |
| 5 |
HealthCare Service Corp. |
39,629,317 |
5.2 |
| 6 |
CVS Health Corp. |
26,079,700 |
3.4 |
| 7 |
Kaiser Permanente |
20,035,052 |
2.6 |
| 8 |
GuideWell Mutual Holding Corp. |
18,661,884 |
2.5 |
| 9 |
Independence Health Group Inc. |
17,863,377 |
2.3 |
| 10 |
Blue Cross Blue Shield of Michigan |
14,465,141 |
1.9 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/annuity annual statements. Excludes territories.
Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.
Top 10 Health Insurance Groups By Direct Premiums Written, 2020 (1)
| Rank |
Group/company |
Direct premiums written |
Market share |
| 1 |
UnitedHealth Group Inc. |
$119,278,889 |
14.4% |
| 2 |
Anthem Inc. |
75,361,349 |
9.1 |
| 3 |
Humana Inc. |
74,231,223 |
8.9 |
| 4 |
Centene Corp. |
72,862,820 |
8.8 |
| 5 |
HealthCare Service Corp. |
44,520,575 |
5.4 |
| 6 |
CVS Health Corp. |
29,377,533 |
3.5 |
| 7 |
Kaiser Permanente |
20,955,411 |
2.5 |
| 8 |
Independence Health Group Inc. |
20,105,855 |
2.4 |
| 9 |
GuideWell Mutual Holding Corp. |
19,314,053 |
2.3 |
| 10 |
Molina Healthcare Inc. |
19,106,224 |
2.3 |
|
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/annuity annual statements. Excludes territories.
Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.