Magazine date:
Jun 2022 Figures in million USD
| Rank | Companies | Countries | Net written premiums 2020 | 2019/2020 evolution (1) | |
|---|---|---|---|---|---|
| 2020 | 2019 | ||||
| 1 | 1 | UnitedHealth Group Incorporated (2) | United States | 201 478 | 6.21% |
| 2 | 2 | Ping An Ins (Group) Co of China | China | 118 754 | 0.14% |
| 3 | 4 | China Life Insurance (Group) Company | China | 111 156 | 6.20% |
| 4 | 10 | Centene Corporation (2) | United States | 107 370 | 49.72% |
| 5 | 6 | Anthem | United States | 105 726 | 11.61% |
| 6 | 5 | Kaiser Foundation Group of Health Plans | United States | 102 933 | 5.85% |
| 7 | 3 | AXA | France | 101 309 | -8.68% |
| 8 | 7 | Allianz | Germany | 93 646 | -1.47% |
| 9 | 8 | People's Ins Co (Group) of China | China | 79 573 | -0.14% |
| 10 | 9 | Assicurazioni Generali | Italy | 79 194 | -2.74% |
| 11 | 12 | Humana (2) | United States | 74 186 | 17.85% |
| 12 | 11 | State Farm Group | United States | 71 116 | 0.19% |
| 13 | 13 | Berkshire Hathaway | United States | 64 901 | 3.33% |
| 14 | 14 | Munich Reinsurance | Germany | 64 294 | 7.24% |
| 15 | 16 | CVS Health Corp Group | United States | 56 701 | 8.99% |
| 16 | 17 | Life Insurance Corporation of India | India | 55 008 | 6.27% |
| 17 | 18 | China Pacific Insurance (Group) Co | China | 51 701 | 3.74% |
| 18 | 15 | Nippon Life Insurance Company | Japan | 46 283 | -9.22% |
| 19 | 25 | Health Care Service Corporation Group | United States | 449 115 | 12.13% |
| 20 | 21 | National Mut Ins Fed Agricultural Coop | Japan | 44 141 | 5.95% |
| 21 | 29 | HDI V.a.G. | Germany | 43 482 | 3.87% |
| 22 | 19 | Dai-ichi Life Holdings | Japan | 42 927 | -3.17% |
| 23 | 22 | MetLife | United States | 42 034 | -0.48% |
| 24 | 26 | Liberty Mutual Holding Company | United States | 40 624 | 2.03% |
| 25 | 30 | Progressive Corporation | United States | 40 569 | 7.96% |
* Ranking according to 2020 net written premiums
(1) Evolution in local currency
(2) Earned premiums
Sources : A.M. Best
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