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Top 10 General Insurers in the World in 2021 by Written Premiums

UnitedHealth Group Inc, Elevance Health Inc, Humana Inc, Centene Corp, and CVS Health Corp are the top 5 general insurers in the world in 2021 by written premiums (as of FY2021). In total, the top 10 general insurers in the world had written premiums of $833,038 million (as of FY2021), where UnitedHealth Group Inc was the highest ($194,787 million), Elevance Health Inc ($93,022 million), and Humana Inc ($81,730 million), while the company Berkshire Hathaway Inc was the lowest ($52,223 million). The United States of America-based UnitedHealth Group Inc is the leading general insurer in the world (by written premiums). The company reported revenues of $324,162 million for the fiscal year ending December 2022 (FY2022), an increase of 12.7% over FY2021. It offers healthcare services and products through two distinct platforms: UnitedHealthcare and Optum. Its UnitedHealthcare platform provides healthcare coverage and benefits services and the Optum platform offers information and technology-enabled health services. The company employs 350,000 people. Elevance Health Inc is one of the leading general insurers in the world (by written premiums). The company reported revenues of $156,595 million for the fiscal year ended December 2022 (FY2022), an increase of 13% over FY2021. The company is a health benefits company. It offers managed healthcare-related products and administrative services. The company provides various specialty and insurance products and services including life, vision, dental, disability insurance benefits, and supplemental health insurance. It employs 98,200 people.

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