Insurance companies of usa: There are thousands of insurance companies furnishing products and services in the insurance sector. Most of them specialize in specific types of insurance, while others offer multiple types. The biggest ones generally offer all types of insurance, such as life, property and casualty, health, and business insurance. Some have expanded into health care services and financial services.

This list is limited to companies that are publicly traded in the U.S. or Canada, either directly or through ADRs. Some foreign companies may report semiannually and so may have longer pause times. All numbers were current as of Feb. 18, 2024, and were sourced from Google Finance.

These are the 10 Biggest Insurance Companies by 12-Month Trailing Profit (TTM).
Some of the stocks below are only traded over-the-counter (OTC) in the U.S., not on exchanges. Trading OTC stocks frequently carries higher trading costs than trading stocks on exchanges. This can lower or even outweigh potential returns.

1. Leading Insurance Companies of USA You Need to Know

• Profit (TTM): $94.4 billion
• Net Income (TTM): $5.5 billion
• Market Cap: $482.4 billion
• 1-Year Total Return: 4.5%
• Exchange: New York Stock Exchange

UnitedHealth Group is a combination of UnitedHealthcare, its insurance business, and Optum, its health services business. United employs roughly 400,000 people and provides insurance and services for about 152 million customers and 6,400 hospitals and other facilities.

2. How These USA Insurance Giants Are Reshaping the Industry

• Profit (TTM): $93.2 billion
• Net Income (TTM): -$12.8 billion
• Market Cap: $879.4 billion
• 1-Year Total Return: 31.7%
• Exchange: New York Stock Exchange

Berkshire Hathaway is a holding company that owns numerous subsidiaries, a significant portion of which are insurance companies. It’s one of the largest companies in the world by market capitalization and is owned by renowned investor Warren Buffet. Some of its insurance subsidiaries include Geico, General Re, MLMIC Insurance, United States Liability Insurance, and National Indemnity.

3. Why These Insurance Companies Dominate the Global Market

• Profit (TTM): $89.4 billion
• Net Income (TTM): $2.3 billion
• Market Cap: $97.03 billion
• 1-Year Total Return: -12.9%
• Exchange: New York Stock Exchange

While CVS is well-known for its medical supplies and pharmacies, it owns Aetna, an insurance provider. It acquired Aetna in 2018 as part of its efforts to “transform the consumer health experience and build healthier communities.” Over the years, CVS has built itself into a comprehensive healthcare solutions provider, offering insurance, pharmaceuticals, and health and wellness products and services. The company employs over 300,000 people in 8,300 locations and served over 5.5 million people in its MinuteClinics and HealthHubs in 2022.

4. The Cigna Group (CI)

• Profit (TTM): $49.0 billion
• Net Income (TTM): $1.4 billion
• Market Cap: $99.8 billion
• 1-Year Total Return: 13.3%
• Exchange: New York Stock Exchange

The Cigna Group refers to itself as a global healthcare benefit provider. It is composed of two functional parts: Evernorth Health Services and Cigna Healthcare. Evernorth is the parent organization for several medical and pharmacy solutions like Express Scripts, Inside Rx, and ScreenRx. Cigna Healthcare is the Group’s insurance division, which provides health insurance for businesses, the U.S. Government, and individual consumers.

5. Elevance Health Inc. (ELV)

• Profit (TTM): $42.9 billion
• Net Income (TTM): $1.3 billion
• Market Cap: $120.5 billion
• 1-Year Total Return: 3.6%
• Exchange: New York Stock Exchange

Elevance Health is a health insurance provider that serves about 47 million members. The company provides plans for individuals and groups, Medicaid, and Medicare. It is also the U.S. federal government’s health benefits administrator and runs the Federal Employees Health Benefits Program. Elevance has three operational parts — its Commercial & Specialty Business division, the Government Business division, and CarelonRx, which manages pharmacy benefits.

6. Centene (CNC)

• Profit (TTM): $35.2 billion
• Net Income (TTM): $469 million
• Market Cap: $42.1 billion
• 1-Year Total Return: 7.3%
• Exchange: New York Stock Exchange

Centene is a leading insurance provider for the federal government and is the largest Medicaid insurer in the U.S. Through specialty providers, Centene offers behavioral health services, clinical healthcare, data analytics, pharmacy solutions, vision and dental services, and Medicaid in various states and regions.

7. Ping An Insurance (PNGAY)

• Profit (TTM): $28.8 billion
• Net Income (TTM): $2.3 billion
• Market Cap: $99.8 billion
• 1-Year Total Return: -97.1%
• Exchange: OTC

Ping An Insurance is a China-based insurance and financial services company offering life and non-life insurance products. Its non-life insurance products include health, auto, casualty, property insurance, and banking. It also provides investment management services and invests heavily in technology development.

8. Allianz (ALIZY)

• Profit (TTM): $26.5 billion
• Net Income (TTM): $2.2 billion
• Market Cap: $103.9 billion
• 1-Year Total Return: 14.4%
• Exchange: OTC

Allianz is an international insurance and asset management provider headquartered in Germany. It serves more than 122 million people in over 70 countries. It provides property, life, and health insurance, and manages about €1.7 trillion ($1.8 trillion) in assets for its clients.

9. Humana Inc. (HUM)

• Profit (TTM): $26.4 billion
• Net Income (TTM): $832 million
• Market Cap: $44.9 billion
• 1-Year Total Return: -28.1%
• Exchange: New York Stock Exchange

Humana is a U.S.-based health insurance provider. It offers plans for Medicare, Medicaid, military personnel, and individual consumers. Humana has two operating divisions: Insurance and CenterWell. The Insurance division offers medical, dental, and vision insurance and administrative services. The CenterWell division offers pharmacy, home care, and primary care solutions.

10. Axa SA (AXAHY)

• Profit (TTM): $22.5 billion
• Net Income (TTM): $2.1 billion
• Market Cap: $70.0 billion
• 1-Year Total Return: 9.8%
• Exchange: OTC

Axa SA is an international insurance and financial services company that provides property, casualty, health, and life insurance products and manages about €932 billion in assets. It is headquartered in France and operates across Europe and Asia.

UnitedHealth Group
UnitedHealth Group is a leading insurer with extensive operations in health services and insurance. Learn more about their impact on the industry here.

Berkshire Hathaway Inc.
Berkshire Hathaway, led by Warren Buffett, owns several major insurance companies. Discover more about their diverse portfolio here.

CVS Health Corp
CVS Health, which owns Aetna, has expanded into comprehensive healthcare solutions. Read more about their transformation here.

The Cigna Group
Cigna offers a wide range of health insurance services and solutions. Find out more about their global healthcare benefits here.

Elevance Health Inc.
Elevance Health provides a variety of health insurance plans and benefits. Explore their offerings here.

Centene
Centene is a major player in Medicaid and government health insurance. Learn more about their services here.

Ping An Insurance
Ping An is a leading insurance and financial services provider in China. Discover more about their global reach here.

Allianz
Allianz provides comprehensive insurance and asset management services worldwide. Read more about their services here.

Humana Inc.
Humana offers health insurance plans and services across various sectors. Explore their offerings here.

Axa SA
Axa provides a range of insurance and financial services globally. Find out more about their international presence here.