Personal Accident and Health Insurance in the US, Key Trends and Opportunities to 2020

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GlobalData’s 'Personal Accident and Health Insurance in the US, Key Trends and Opportunities to 2020' report provides a detailed outlook by product category for the US personal accident and health insurance segment, and a comparison of the US insurance industry with its regional counterparts.

It provides key performance indicators such as written premium, incurred loss, loss ratio, commissions and expenses, combined ratio, total assets, total investment income and retentions during the review period (2011–2015) and forecast period (2015–2020).

The report also analyzes distribution channels operating in the segment, gives a comprehensive overview of the US economy and demographics, and provides detailed information on the competitive landscape in the country.

The report brings together GlobalData’s research, modeling and analysis expertise, giving insurers access to information on segment dynamics and competitive advantages, and profiles of insurers operating in the country. The report also includes details of insurance regulations, and recent changes in the regulatory structure.

Scope

This report provides a comprehensive analysis of the personal accident and health insurance segment in the US:

• It provides historical values for the US personal accident and health insurance segment for the report’s 2011–2015 review period, and projected figures for the 2015–2020 forecast period.

• It offers a detailed analysis of the key categories in the US personal accident and health insurance segment, and market forecasts to 2020.

• It provides a comparison of the US personal accident and health insurance segment with its regional counterparts

• It provides an overview of the various distribution channels for personal accident and health insurance products in the US.

• It profiles the top personal accident and health insurance companies in the US, and outlines the key regulations affecting them.

Key Highlights

• The personal accident and health segment accounted for 36.3% of the overall insurance gross written premium in the US in 2015.

• Healthcare expenditure accounted for 17.8% of the country’s GDP in 2015.

• The proportion of US citizens without health insurance stood at 9.1% .

• The US personal accident and health insurance segment is highly competitive, and contains both domestic and foreign insurers.

Reasons to Buy

• Make strategic business decisions using in-depth historic and forecast market data related to the US personal accident and health insurance segment, and each category within it.

• Understand the demand-side dynamics, key market trends and growth opportunities in the US personal accident and health insurance segment.

• Assess the competitive dynamics in the personal accident and health insurance segment.

• Identify growth opportunities and market dynamics in key product categories.

• Gain insights into key regulations governing the US insurance industry, and their impact on companies and the industry's future.

UnitedHealth Group
Kaiser Foundation Group
Anthem Inc.
Humana Group
Aetna Group
Health Care Service Corporation (HCSC) Group
Cigna Corporation
Centene Corporation
Highmark Inc
Independence Health Group Inc.

Table of Contents

1 Key Facts and Highlights

2 Executive Summary

3 Economy and Demographics

4 Segment Outlook

4.1 Regional Comparison

4.2 Segment Indicators

4.2.1 Gross written premium and penetration

4.2.2 Claims

4.2.3 Profitability

4.2.4 Assets and investments

5 Outlook by Category

5.1 Health Insurance

5.1.1 Claims

5.1.2 Profitability

6 Distribution Channel Outlook

6.1 Analysis by Distribution Channel

6.1.1 Brokers

6.1.2 Agencies

6.1.3 Direct marketing

6.1.4 Bancassurance

6.1.5 E-commerce

7 Competitive Landscape

7.1 Company Profiles

7.1.1 United Health Group – company overview

7.1.2 Kaiser Foundation Group – company overview

7.1.3 Anthem Inc. – company overview

7.1.4 Humana Group – company overview

7.1.5 Aetna Group – company overview

8 Governance, Risk and Compliance

8.1 Legislation Overview and Historical Evolution

8.2 Latest Changes in Regulation

8.3 Legislation and Market Practice by Type of Insurance

8.3.1 Life insurance

8.3.2 Property insurance

8.3.3 Motor insurance

8.3.4 Liability insurance

8.3.5 Marine, aviation and transit insurance

8.3.6 Personal accident and health insurance

8.4 Compulsory Insurance

8.4.1 Motor third-party liability insurance

8.4.2 Health insurance

8.4.3 Social insurance system

8.4.4 Aviation third-party liability insurance

8.5 Supervision and Control

8.5.1 International Association of Insurance Supervisors

8.5.2 National Association of Insurance Commissioners

8.5.3 Federal Insurance Office

8.5.4 American Insurance Association

8.5.5 National Association of Mutual Insurance Companies

8.5.6 Property Casualty Insurers of America

8.5.7 Reinsurance Association of America

8.5.8 American Council of Life Insurers

8.6 Non-Admitted Insurance Regulation

8.6.1 Overview

8.6.2 Intermediaries

8.6.3 Market practices

8.6.4 Fines and Penalties

8.7 Company Registration and Operations

8.7.1 Type of insurance organization

8.7.2 Establishing a local company

8.7.3 Foreign ownership

8.7.4 Types of license

8.7.5 Capital requirements

8.7.6 Solvency margin

8.7.7 Reserve requirements

8.7.8 Investment regulations

8.7.9 Statutory return requirements

8.7.10 Fee structure 157

8.8 Taxation

8.8.1 Insurance premium or policy taxation

8.8.2 Withholding taxes on premium paid overseas

8.8.3 Corporate tax

8.8.4 VAT

8.8.5 Captives

8.9 Legal System

8.9.1 Introduction

8.9.2 Access to court

8.9.3 Alternative dispute resolution (ADR)

9 Databook

9.1 Policies and Premium

9.1.1 Claims and expenses

9.1.2 Assets and investments

9.1.3 Health insurance

10 Definitions and Methodology

10.1 Definitions

10.2 Methodology

11 About GlobalData

11.1 Contact GlobalData

11.2 About GlobalData

11.3 GlobalData’s Services

11.4 Disclaimer

Table

Table 1: US Personal Accident and Health Insurance – Key Facts, 2015

Table 2: US Personal Accident and Health Insurance – Segment Shares of the Top Insurers, 2015

Table 3: US Government Credit Ratings

Table 4: US Personal Accident and Health Insurance – Gross Written Premium (US$ Billion), 2011–2015

Table 5: US Personal Accident and Health Insurance – Penetration (%), 2011–2015

Table 6: US Personal Accident and Health Insurance – Gross Written Premium (US$ Billion), 2015–2020

Table 7: US Personal Accident and Health Insurance – Penetration (%), 2015–2020

Table 8: US Personal Accident and Health Insurance – Premium per Capita (US$ and US$), 2011–2015

Table 9: US Personal Accident and Health Insurance – Premium per Capita (US$ and US$), 2015–2020

Table 10: US Personal Accident and Health Insurance – Paid Claims (US$ Billion), 2011–2015

Table 11: US Personal Accident and Health Insurance – Paid Claims (US$ Billion), 2015–2020

Table 12: US Personal Accident and Health Insurance – Profitability Ratio (%), 2011–2015

Table 13: US Personal Accident and Health Insurance – Profitability Ratio (%), 2015–2020

Table 14: US Personal Accident and Health Insurance – Total Assets (US$ Trillion), 2011–2015

Table 15: US Personal Accident and Health Insurance – Total Assets (US$ Trillion), 2015–2020

Table 16: US Personal Accident and Health Insurance – Total Investment Income (US$ Billion), 2011–2015

Table 17: US Personal Accident and Health Insurance – Total Investment Income (US$ Billion), 2015–2020

Table 18: US Personal Accident and Health Insurance – Investment Portfolio (US$ Billion), 2011–2015

Table 19: US Personal Accident and Health Insurance – Investment Portfolio (US$ Billion), 2015–2020

Table 20: US Health Insurance – Paid Claims (US$ Billion), 2011–2015

Table 21: US Health Insurance – Paid Claims (US$ Billion and US$ Billion), 2015–2020

Table 22: US Health Insurance – Loss Ratio (%), 2011–2015

Table 23: US Health Insurance – Loss Ratio (%), 2015–2020

Table 24: US Personal Accident and Health Insurance – Market Shares of Leading Insurers (%), 2015

Table 25: United Health Group – Key Facts

Table 26: United Health Group – Key Financials (US$ Million), 2011–2015

Table 27: Kaiser Foundation Group – Key Facts

Table 28: Anthem, Inc. – Key Facts

Table 29: Anthem, Inc. – Key Financials (US$ Million), 2011–2015

Table 30: Humana Group – Key Facts

Table 31: Humana Group – Key Financials (US$ Million), 2011–2015

Table 32: Aetna Group – Key Facts

Table 33: Aetna Group – Key Financials (US$ Million), 2011–2015

Table 34: The US – Insurance Regulatory Framework Key Features

Table 35: The US – Life Insurance Regulatory Framework

Table 36: The US – Property Insurance Regulatory Framework

Table 37: The US – The US TRIP Highlights

Table 38: The US – Motor Insurance Regulatory Framework

Table 39: The US – Liability Insurance Regulatory Framework

Table 40: The US – Maximum Cover for Motor Third-Party Liability Per Accident by State

Table 41: The US – California – Statutory Membership in Insurance Associations

Table 42: The US – California – Minimum Paid-up Share Capital Requirements for Non-life Insurers

Table 43: The US – California – Minimum Paid-up Share Capital Requirements for life Insurers

Table 44: The US – New York – Minimum Capital and Surplus Requirement

Table 45: The US – New York – Minimum Capital and Surplus Requirement

Table 46: The US – California – Authorization Fee for Insurers

Table 47: The US – California – License Fee for insurance intermediaries

Table 48: The US – Corporate Tax Rates for the Financial Year 2017

Table 49: US Personal Accident and Health Insurance Industry – Policies and Premium, 2011–2015

Table 50: US Personal Accident and Health Insurance Industry – Policies and Premium, 2015–2020

Table 51: US Personal Accident and Health Insurance – Claims and Expenses, 2011–2015

Table 52: US Personal Accident and Health Insurance – Claims and Expenses, 2015–2020

Table 53: US Personal Accident and Health Insurance – Assets and Investments, 2011–2015

Table 54: US Personal Accident and Health Insurance – Assets and Investments, 2015–2020

Table 55: US Personal Accident and Health Insurance – Health Insurance, 2011–2015

Table 56: US Personal Accident and Health Insurance – Health Insurance, 2015–2020

Table 57: Insurance Industry Definitions

Figures

Figure 1: US Real GDP (US$ Trillion), 2011–2020

Figure 2: US – Current Account Balance, 2011–2015

Figure 3: US – Consumer Price Inflation, 2011–2020

Figure 4: US Unemployment Rate, 2011–2020

Figure 5: US Population by Age Group, 1990–2025

Figure 6: US Personal Accident and Health Insurance Penetration – Regional Comparison (%), 2015

Figure 7: US Insurance Segment Direct Written Premium Shares – Regional Comparison (%), 2015

Figure 8: US Personal Accident and Health Insurance – Gross Written Premium (US$ Billion), 2011–2020

Figure 9: US Personal Accident and Health Insurance – Penetration (%), 2011–2020

Figure 10: US Personal Accident and Health Insurance – Premium per Capita (US$), 2011–2020

Figure 11: US Personal Accident and Health Insurance – Paid Claims (US$ Billion), 2011–2020

Figure 12: US Personal Accident and Health Insurance – Profitability Ratio (%), 2011–2020

Figure 13: US Personal Accident and Health Insurance – Total Assets (US$ Trillion), 2011–2020

Figure 14: US Personal Accident and Health Insurance – Total Investment Income (US$ Billion), 2011–2020

Figure 15: US Personal Accident and Health Insurance – Investment Portfolio (US$ Billion), 2011–2020

Figure 16: US Personal Accident and Health Insurance – Investment Portfolio Dynamics by Category, 2011–2020

Figure 17: US Health Insurance – Paid Claims (US$ Billion), 2011–2020

Figure 18: US Health Insurance – Earned Premium, Incurred Loss and Loss Ratio (US$ Billion and %), 2011–2020

Figure 19: US Personal Accident and Health Insurance – Market Shares of Leading Insurers (%), 2015

Figure 20: The US – Insurance Supervision and Control at Various Levels

Figure 21: The US – Insurance Regulatory Frameworks for Company Registration and Operation

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