Health carriers continue to dominate list of world’s top insurers by 2024 NPW: AM Best

Core Insights - US health insurance companies continue to dominate the global insurance market, with UnitedHealth Group Inc. leading in net premiums written (NPW) for 2024 at $308.81 billion, reflecting a year-over-year increase of 6.2% [1][5] Group 1: Top Insurers by Net Premiums Written - Four of the top five insurers and five of the top ten are US health insurers, with Centene Corporation in second place at $159.87 billion, up 6.9% from 2023 [2] - Elevance Health, Inc. and Kaiser Foundation Health Plan Group hold the third and fourth positions, reporting premiums of $144.17 billion and $128.81 billion, respectively [2] - State Farm Group moved up to fifth place from seventh, with a significant NPW increase of 16.4% to $114.47 billion, the highest percentage increase among the top ten [3] - China Life Insurance (Group) Co. fell to seventh from fifth, reporting $110.02 billion in NPW [3] Group 2: Notable Changes in Rankings - Progressive Corp., ranked 12th, recorded the highest percentage increase among the top 25 insurers, with premiums rising 20.9% to $74.42 billion [4] - Nippon Life Insurance Co., ranked 24th, experienced the largest percentage decline, down 10.9% to $44.95 billion in NPW [4] Group 3: Top Insurers by Non-Banking Assets - Berkshire Hathaway Inc. leads the ranking of the world's top 25 insurers by non-banking assets, reporting $1.15 trillion, an increase of 7.8% year over year [6] - Allianz SE fell to second place with $1.09 trillion in assets, up 6.2% [6] - The top five non-banking asset rankings remained unchanged, with China Life Insurance (Group) Co., Ping An Insurance (Group) Co. of China Ltd., and Prudential Financial, Inc. in third, fourth, and fifth places, respectively [7] Group 4: Changes in Non-Banking Assets - Athene Holding Ltd. recorded the largest percentage increase in non-banking assets, rising 20.9% to $363.34 billion [7] - Japan's National Mutual Insurance Federation of Agricultural Cooperatives, ranked 21st, saw the largest decline, with assets falling 2.6% to $384.02 billion [8]