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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.