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2026 Best's Rankings: US Group Comprehensive Premiums Fall 48.0%

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OLDWICK, N.J. //BestWire// - Total United States group comprehensive life/health premiums fell 48.0% to $23.47 billion, according to a new AM Best rankings report for U.S. life/health insurers ranked by 2025 group comprehensive hospital and medical premiums for accident and health contracts.



Top-ranked UnitedHealth Life Cos. recorded a 31.9% decline in premiums, while Cigna Life Group's premiums surged 98.2% as it rose to No. 6 from No. 7.

UnitedHealth Life Cos. retained its top spot in the ranking even as its premiums fell to $13.10 billion.

Aetna Life Group rose to No. 2 from No. 3 as its premiums fell 3.2% to $7.89 billion. Third-ranked BCBS of Kansas Cos. moved up from No. 4 with premiums rising 1.0% to $1.24 billion.

Fifth-ranked MetLife Life Insurance Cos. saw its premiums increase 41.6%

The ranking provides 2025 and 2024 rankings for each carrier, premiums for A&H contracts and percentage change.

Subscribers can access the report and data here.

Learn more about Best’s News and Research Service.

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

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


Group Health Insurance Health Insurers Market Share Premiums United States Best's Rankings


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