6 American companies ranked among world's largest insurers

UnitedHealth Group is the world's largest insurance company by net premiums for the ninth year in a row, according to AM Best's annual ranking of global insurers published in January. 

UnitedHealth Group grew its net premiums by 14 percent in 2022, reaching $257.2 billion, according to AM Best. 

Top 10 global insurers ranked by 2022 net premiums:

1. UnitedHealth Group
2. Centene
3. Elevance Health
4. Kaiser Permanente
5. Ping An Insurance Company (China)
6. China Life Insurance Company (China)
7. AXA S.A. (France)
8. Allianz SE (Germany)
9. Humana
10. State Farm