Top 10 Insurance Companies in the US in 2021 by Written Premiums

UnitedHealth Group Inc, CVS Health Corp, MetLife Inc, Elevance Health Inc, and Equitable Holdings Inc are the top 5 insurance companies in the US in 2021 by written premiums (as of FY2021). In total, the top 10 insurers in the US had written premiums of $1,009,706 million (as of FY2021), where UnitedHealth Group Inc was the highest ($248,000 million), CVS Health Corp ($115,151 million), and MetLife Inc ($107,885 million), while Cigna Corp was the lowest ($56,618 million). As of FY2021, the top 10 companies generated revenue of $1,338,080 million with an average revenue growth increase of 11.4%. The highest revenue increase was posted by Prudential Financial Inc (24.4%), followed by Elevance Health Inc (13.8%), and the lowest revenue increase was posted by MetLife Inc (4.8%). None of the top 10 companies had a revenue decline in 2021. They employed a total of 1,136,616 people in 2021. The United States of America-based UnitedHealth Group Inc is the leading insurer in the US (by written premiums). The company reported revenues of $287,597 million for the fiscal year ended December 2021 (FY2021), an increase of 11.8% over FY2020, due to the acquisitions in care delivery, and growth in value-based arrangements, also consumers recommenced elective care. The company is a diversified health care company. It offers health care services and products through two distinct platforms, namely UnitedHealthcare and Optum. Its UnitedHealthcare platform provides health care coverage and benefits services and the Optum platform offers information and technology-enabled health services. As of December 31, 2021, it allowed navigating the health care system and health-related financial needs of 100 million unique individuals. The company employs 350,000 people. CVS Health Corp is one of the leading insurers in the US (by written premiums). The company reported revenues of $292,111 million for the fiscal year ended December 2021 (FY2021), an increase of 8.7% over FY2020. The company is a provider of health care and retail pharmacy services. It offers prescription medications, health care products, beauty products, personal care products, and cosmetics. It also offers pharmacy benefit management (PBM) services, disease management and related services, administrative services, Medicaid health care management services and prescription drug plans. It employs 300,000 people in 2021.