Using 2018 data from the NAIC, Insurance Business America listed the 10 biggest health insurance and accident groups in the U.S. They are:
1. UnitedHealth Group
Direct written premiums: $156.9 billion
Market share: 14.2 percent
2. Kaiser Foundation
Direct written premiums: $93.2 billion
Market share: 8.5 percent
3. Anthem
Direct written premiums: $67.2 billion
Market share: 6.1 percent
4. Humana
Direct written premiums: $56 billion
Market share: 5.1 percent
5. CVS Health
Direct written premiums: $55.4 billion
Market share: 5.0 percent
6. Health Care Service Corp.
Direct written premiums: $36.9 billion
Market share: 3.4 percent
7. Centene Corp.
Direct written premiums: $36.3 billion
Market share: 3.3 percent
8. Cigna
Direct written premiums: $29.3 billion
Market share: 2.7 percent
9. WellCare Health Plans (Centene)
Direct written premiums: $20.5 billion
Market Share: 1.9 percent
10. Molina Healthcare
Direct written premiums: $18.5 billion
Market share: 1.7 percent
View the full ranking here.
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