Top 10 Health Insurance Groups By Direct Premiums Written, 2020 (1)

($000)

Rank Group/company Direct premiums written Market share
1 UnitedHealth Group Inc. $119,278,889 14.4%
2 Anthem Inc. 75,361,349                       9.1
3 Humana Inc. 74,231,223                       8.9
4 Centene Corp. 72,862,820                       8.8
5 HealthCare Service Corp.  44,520,575                       5.4
6 CVS Health Corp. 29,377,533                       3.5
7 Kaiser Permanente 20,955,411                       2.5
8 Independence Health Group Inc. 20,105,855                       2.4
9 GuideWell Mutual Holding Corp. 19,314,053                       2.3
10 Molina Healthcare Inc. 19,106,224                       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.