countrywide premiums show 46% growth over the past 5 years

Accident and Health Insurance Industry Shows Continued Growth Nationally

Countrywide the amount of premiums has grown 46% over the last 5 years

WASHINGTON (July 22, 2019) — The National Association of Insurance Commissioners (NAIC) announces the release of its accident and health insurers Market Share Report. Updated annually, the 2018 Market Share Report includes data from annual statement filings to provide information on premiums and market share.
Highlights from the report include:

  • The compound annual growth rate of U.S. accident and health premiums was 7.9% for the 5-year period ending in 2018
  • California followed by Texas then Florida have the most written premium and together account for 33% of the total Accident and Health Insurance nationwide.
  • The top ten insurer groups in 2018 made up nearly 52%  of the market share compared to 49% in 2013

The 2018 Market Share Report for Life, Property/Casualty and Accident and Health are available on the NAIC publications page.

About the NAIC

As part of our state-based system of insurance regulation in the United States, the National Association of Insurance Commissioners (NAIC) provides expertise, data, and analysis for insurance commissioners to effectively regulate the industry and protect consumers. The U.S. standard-setting organization is governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer reviews, and coordinate regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally. For more information, visit

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