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Current Table

Top 10 Health ̽»¨¾«Ñ¡ Groups By Direct Premiums Written, 2021 (1)

($000)

Rank Group/company Direct premiums written Market share
1 UnitedHealth Group Inc. $137,895,947 15.3%
2 Anthem Inc. 92,253,208 10.3
3 Centene Corp. 81,429,580 9.1
4 Humana Inc. 79,042,258 8.8
5 HealthCare Service Corp.Ìý 46,267,933 5.1
6 CVS Health Corp. 31,937,687 3.6
7 GuideWell Mutual Holding Corp. 24,606,232 2.7
8 Molina Healthcare Inc. 24,098,384 2.7
9 Independence Health Group Inc. 22,969,351 2.6
10 Kaiser Permanente 20,821,188 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, ̽»¨¾«Ñ¡ Information Institute.

 
TOP TEN HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2008 (1)

($ billions)

Rank Group Direct premiums written Market share
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.ÌýÌýÌýÌý
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Source: National Association of ̽»¨¾«Ñ¡ Commissioners (NAIC). Reprinted with permission. Further reprint or redistribution strictly prohibited without written permission of NAIC.ÌýÌýÌý

 
TOP TEN HEALTH INSURANCE GROUPS BY DIRECT PREMIUMS WRITTEN, 2009 (1)

($ billions)

Rank Group Direct premiums written Market share
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 ̽»¨¾«Ñ¡ 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)

($ billions)

Rank Group Direct premiums written Market share
1 WellPoint Inc.Ìý $42.2 10.7%
2 UnitedHealth Group Inc.Ìý 41.1 10.4
3 Health Care Services CorporationÌý 20.2 5.1
4 Humana Inc.Ìý 13.2 3.3
5 Highmark Inc.Ìý 11.6 2.9
6 Aetna Inc.Ìý 10.0 2.5
7 Coventry Health Care Inc.Ìý 9.8 2.5
8 EmblemHealth Inc.Ìý 9.7 2.4
9 Kaiser Foundation Health Plan Inc.Ìý 9.5 2.4
10 Independence Blue CrossÌý 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)

($ billions)

Rank Group Direct premiums written Market share
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)

($000)

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 ̽»¨¾«Ñ¡ 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

($000)

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 ̽»¨¾«Ñ¡ 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 ̽»¨¾«Ñ¡ Groups By Direct Premiums Written, 2015

($000)

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, ̽»¨¾«Ñ¡ Information Institute.

 
Top 10 Health ̽»¨¾«Ñ¡ Groups By Direct Premiums Written, 2016

($000)

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, ̽»¨¾«Ñ¡ Information Institute.

 
Top 10 Health ̽»¨¾«Ñ¡ Groups By Direct Premiums Written, 2017

($000)

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.Ìý 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, ̽»¨¾«Ñ¡ Information Institute.

 
Top 10 Health ̽»¨¾«Ñ¡ Groups By Direct Premiums Written, 2018 (1)

($000)

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, ̽»¨¾«Ñ¡ Information Institute.

 
Top 10 Health ̽»¨¾«Ñ¡ Groups By Direct Premiums Written, 2019 (1)

($000)

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.Ìý 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, ̽»¨¾«Ñ¡ Information Institute.

 
Top 10 Health ̽»¨¾«Ñ¡ Groups By Direct Premiums Written, 2020 (1)

($000)

Rank Group/company Direct premiums written Market share
1 UnitedHealth Group Inc. $119,278,889 14.4%
2 Anthem Inc. 75,361,349 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 9.1
3 Humana Inc. 74,231,223 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 8.9
4 Centene Corp. 72,862,820 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 8.8
5 HealthCare Service Corp.Ìý 44,520,575 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 5.4
6 CVS Health Corp. 29,377,533 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 3.5
7 Kaiser Permanente 20,955,411 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 2.5
8 Independence Health Group Inc. 20,105,855 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 2.4
9 GuideWell Mutual Holding Corp. 19,314,053 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 2.3
10 Molina Healthcare Inc. 19,106,224 ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý 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, ̽»¨¾«Ñ¡ Information Institute.