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Best's Rankings 2026: US Accident/Health Premiums Contracts Fell 12.3% in 2025

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OLDWICK, N.J. //BestWire// - Premiums for U.S. life/health accident & health insurers ranked by 2025 premiums contracts fell 12.3% to $191.69 billion in 2025.



For the top 100 insurers, premiums contracts fell 11.6% to $194.16 billion. The top 25 writers saw premiums contracts fall 12.2% to $175.20 billion. 

UnitedHeath Life Companies maintained its top spot, although premiums contracts fell 4.0% from the previous year to $54.48 billion.

Aetna Life Group retained its second-place rank as its premiums contracts rose 10.5% to $46.66 billion. MetLife Life Insurance Cos. rose to No. 3 from No. 4 as its premiums contracts rose 4.6% to $9.77 billion.

Unum Insurance Group saw the biggest drop in premiums contracts among the top 10, down 20.8% to $4.97 billion, as it slid to No. 7 from No. 6.

Lincoln Financial Group rose in rank to No. 13 from No. 469 as its premiums contracts rose 287.3%.

Subscribers can access the report and data here.

AM Best data sourced from Best’s Financial Suite, US.

Learn more about Best's News and Research Service.

(By David Pilla, news editor, BestWire: David.Pilla@ambest.com)


Accident Insurance Health Insurers Best's Rankings Life And Annuity Insurers


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