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2026 Best’s Rankings: US Other Health Premium Contracts for A&H Drop 8.7%

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OLDWICK, N.J. //BestWire// - U.S. life/health other health premiums for accident and health contracts in 2025 decreased 8.7% to $40.24 billion, according to a new Best's Rankings report.



The top 25 carriers fared slightly better, seeing premium contracts decline 7.2% to $35.99 billion, according to the ranking.

The ranking saw a shakeup among the top 10 carriers with the majority seeing some movement. The outlier was UnitedHealth Life Cos., which retained its No. 1 position with premium contracts increasing 24% to $14.09 billion.

Aflac U.S. Group moved into the No. 2 spot from No. 3 the year prior despite premium contracts declining 1.5% to $3.82 billion. Tokio Marine US Life Group moved up one spot to No. 3 in the most recent ranking with $2.27 billion in premium contracts, MetLife Insurance Cos. moved up two spots to No. 4 with $1.8 billion, and Unum Insurance Group rose to No. 5 from No. 7 with $1.6 billion.

Aetna Life Group fell one spot to No. 6 with $1.33 billion.

The report includes data on total other health premium contacts and the year-over-year percent 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 Steve Hallo, senior associate editor, BestWire: Steve.Hallo@ambest.com)


Accident Insurance Premiums Life Insurers Best's Rankings


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