Current Table

Top 10 Writers of Accident and Health Insurance by Direct Premiums Written, 2023

($000)

Rank Group/company Direct premiums written Market share (1)
1 CVS Health Corp. $48,625,381 21.9%
2 Unitedhealth group 45,006,609 20.3
3 Cigna 27,530,119 12.4
4 MetLife Inc. 9,924,846 4.5
5 Unum Group 6,826,651 3.1
6 Mutual of Omaha 5,753,849 2.6
7 Aflac 5,104,440 2.3
8 Guardian 4,886,023 2.2
9 Sun Life Financial 4,112,005 1.9
10 Hartford Line & Accident Insurance Co. 3,873,526 1.7

(1) Based on U.S. total, excluding territories.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.