25 Largest Insurance Companies in the World by Net Premiums Written (2024 Data)
| Rank | Company | Country | Net Premiums Written (USD Billion) |
|---|---|---|---|
| 1 | UnitedHealth Group | United States | 308.8 |
| 2 | Centene | United States | 159.9 |
| 3 | Elevance Health | United States | 144.2 |
| 4 | Kaiser Foundation Health Plan Group | United States | 128.8 |
| 5 | State Farm Group | United States | 114.5 |
| 6 | Humana | United States | 112.1 |
| 7 | China Life Insurance Group | China | 110.0 |
| 8 | Allianz | Germany | 90.2 |
| 9 | Berkshire Hathaway | United States | 88.7 |
| 10 | AXA | France | 77.2 |
| 11 | Ping An Insurance Group | China | 75.5 |
| 12 | Progressive | United States | 74.4 |
| 13 | Health Care Service Corp Group | United States | 73.8 |
| 14 | People's Insurance Company Group of China | China | 73.3 |
| 15 | Munich Re | Germany | 72.7 |
| 16 | Allstate | United States | 61.6 |
| 17 | Life Insurance Corporation of India | India | 60.6 |
| 18 | Assicurazioni Generali | Italy | 57.1 |
| 19 | Chubb | Switzerland | 52.2 |
| 20 | Zurich Insurance Group | Switzerland | 51.5 |
| 21 | Dai-ichi Life Holdings | Japan | 49.3 |
| 22 | Liberty Mutual | United States | 45.4 |
| 23 | MetLife | United States | 45.0 |
| 24 | Nippon Life Insurance | Japan | 44.9 |
| 25 | The Travelers Companies | United States | 44.2 |
Key points:
Health insurance dominance: UnitedHealth Group has maintained the top position for 11 consecutive years with 6.2% growth. Four of the top five companies are U.S. health insurers.
State Farm's leap: State Farm Group recorded the highest premium growth among the top 10 (16.4%), surging to fifth place.
Chinese presence: China Life (ranked 7th), Ping An (ranked 11th), and PICC (ranked 14th) made the top 25. China Life and Ping An also hold third and fourth positions in the global non-banking assets ranking.