World's Largest Insurers
World’s Largest Insurance Companies (npw) - 2021 Edition
Based on 2019 net premiums written. Special Section sponsored by Finys.
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2019
Premium
Rank |
2018
Premium
Rank |
AMB# |
Company Name |
Country of Domicile |
2019 Net
Premiums Written
US$ (000) |
% Change* |
1 |
1 |
058106 |
UnitedHealth Group Incorporated1 |
United States |
|
189,699,000 |
6.52 |
2 |
3 |
086446 |
Ping An Ins (Group) Co of China Ltd |
China |
|
110,746,845 |
10.51 |
3 |
2 |
085085 |
AXA S.A. |
France |
|
101,144,960 |
0.34 |
4 |
4 |
052446 |
China Life Insurance (Group) Company |
China |
|
97,744,867 |
7.52 |
5 |
5 |
070936 |
Kaiser Foundation Group of Health Plans |
United States |
|
97,247,349 |
5.64 |
6 |
6 |
058180 |
Anthem, Inc. |
United States |
|
94,730,000 |
11.38 |
7 |
7 |
085014 |
Allianz SE |
Germany |
|
86,656,640 |
6.45 |
8 |
10 |
085320 |
People's Ins Co (Group) of China Ltd |
China |
|
74,419,774 |
10.86 |
9 |
8 |
085124 |
Assicurazioni Generali S.p.A. |
Italy |
|
74,238,080 |
4.49 |
10 |
12 |
051149 |
Centene Corporation1 |
United States |
|
71,714,000 |
25.13 |
11 |
9 |
020013 |
State Farm Group2 |
United States |
|
70,640,883 |
-0.56 |
12 |
13 |
058052 |
Humana Inc1 |
United States |
|
62,948,000 |
14.57 |
13 |
11 |
058334 |
Berkshire Hathaway Inc. |
United States |
|
62,811,000 |
6.07 |
14 |
15 |
086577 |
Munich Reinsurance Company |
Germany |
|
54,663,840 |
4.49 |
15 |
14 |
090826 |
Nippon Life Insurance Company |
Japan |
|
52,112,815 |
-6.75 |
16 |
19 |
070080 |
CVS Health Corp Group2 |
United States |
|
52,026,207 |
13.57 |
17 |
17 |
085485 |
Life Insurance Corporation of India |
India |
|
50,491,133 |
12.42 |
18 |
21 |
090598 |
China Pacific Insurance (Group) Co Ltd |
China |
|
46,543,259 |
6.84 |
19 |
18 |
046417 |
Dai-ichi Life Holdings, Inc. |
Japan |
|
45,314,104 |
-8.58 |
20 |
20 |
085925 |
Prudential plc |
United Kingdom |
|
43,481,000 |
-2.14 |
21 |
16 |
090906 |
National Mut Ins Fed Agricultural Coop |
Japan |
|
42,580,588 |
-17.62 |
22 |
22 |
058175 |
MetLife, Inc. |
United States |
|
42,235,000 |
-3.66 |
23 |
23 |
086976 |
Zurich Insurance Group Ltd |
Switzerland |
|
41,251,000 |
0.05 |
24 |
26 |
093310 |
Credit Agricole Assurances |
France |
|
40,580,960 |
10.23 |
25 |
25 |
069154 |
Health Care Service Corporation Group2 |
United States |
|
40,052,991 |
5.27 |
* Percent change is based upon local currency.
1Premiums shown are earned premiums.
2AM Best consolidation; U.S. companies only.
Source: