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Cigna continued to realize higher revenues and profits in the fourth quarter of fiscal year 2019, thanks to its subsidiary Express Scripts.

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Humana saw total revenue and net income grow in the fourth quarter of fiscal year 2019, according to financial documents filed with the Securities and Exchange Commission.

In 2018, the 10 largest health and accident insurers collectively wrote 51.8 percent of premiums in the total U.S. market, according to data from the National Association of Insurance Commissioners cited by Insurance Business America.

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