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Top 10 Writers Of Accident And Health Insurance By Direct Premiums Written, 2025

($000)

Rank	Group/company	Direct premiums written	Market share (1)
1	CVS Health Corp.	$60,828,963	26.3%
2	UnitedHealth Group	60,407,271	26.1
3	MetLife Inc.	10,784,631	4.7
4	Unum Group	7,135,774	3.1
5	Mutual of Omaha	6,709,913	2.9
6	Guardian	5,464,249	2.4
7	Aflac	5,390,539	2.3
8	Sun Life Financial	4,883,851	2.1
9	Tokio Marine (US)	4,258,893	1.8
10	Hartford Life & Accident Insurance Co.	4,050,758	1.8

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

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

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.

Top 10 Writers Of Accident And Health Insurance By Direct Premiums Written, 2024

($000)

Rank	Group/company	Direct premiums written	Market share (1)
1	CVS Health Corp.	$56,099,079	22.8%
2	Unitedhealth group	54,998,474	22.4
3	Cigna	29,101,946	11.9
4	MetLife Inc.	10,554,792	4.3
5	Unum Group	7,089,794	2.9
6	Mutual of Omaha	6,174,892	2.5
7	Aflac	5,258,064	2.1
8	Guardian	5,131,653	2.1
9	Sun Life Financial	4,642,861	1.9
10	Hartford Line & Accident Insurance Co.	3,983,368	1.6

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

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