Top 10 Health Insurance Groups By Direct Premiums Written, 2021 (1)

($000)

Rank Group/company Direct premiums written Market share
1 UnitedHealth Group Inc. $137,895,947 15.3%
2 Anthem Inc. 92,253,208 10.3
3 Centene Corp. 81,429,580 9.1
4 Humana Inc. 79,042,258 8.8
5 HealthCare Service Corp.  46,267,933 5.1
6 CVS Health Corp. 31,937,687 3.6
7 GuideWell Mutual Holding Corp. 24,606,232 2.7
8 Molina Healthcare Inc. 24,098,384 2.7
9 Independence Health Group Inc. 22,969,351 2.6
10 Kaiser Permanente 20,821,188 2.3
(1) Based on health insurer annual statement data. Excludes health insurance data from the property/casualty and life/annuity annual statements. Excludes territories. Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.