Small Business Employee Benefits and HR Blog

Top 25 Health Insurance Companies in the U.S.

August 12, 2014

The largest 125 U.S. health insurers collected approximately $713 billion in premiums, with the top 25 accounting for nearly two-thirds of the total. Top 25 Health Insurance Companies in US

While being a large insurers does not necessarily mean they provide the best health insurance, it is an interesting look at total market share in the health insurance industry

PeopleKeep is personalized benefits automation software for small businesses. If you're looking for a health insurance policy, we recommend visiting our partner, Stride Health, to find one.

If you're a small business looking for an alternative to expensive group policies, the Small Business HRA enables your employees to choose a policy that best fits their needs.

However, if you do choose to go with group, below are the top 25 health insurance companies, according to the most recent annual data (2012) available by the National Association of Insurance Commissioners (NAIC).

Interested in providing affordable health insurance to your employees? Learn how in The Small Business's Guide to Health Benefits in 2019..

The Small Business's Guide to Health Benefits in 2020. Get Your Free Copy.

Top 25 U.S. Health Insurance Companies, By Market Share

  1. Unitedhealth Group

  2. Wellpoint Inc. Group

  3. Kaiser Foundation Group

  4. Humana Group

  5. Aetna Group

  6. HCSC Group

  7. Cigna Health Group

  8. Highmark Group

  9. Coventry Corp. Group

  10. HIP Insurance Group

  11. Independence Blue Cross Group

  12. Blue Cross Blue Shield of New Jersey Group

  13. Blue Cross Blue Shield of Michigan Group

  14. California Physicians' Service

  15. Blue Cross Blue Shield of Florida Group

  16. Health Net of California, Inc.

  17. Centene Corp. Group

  18. Carefirst Inc. Group

  19. Wellcare Group

  20. Blue Cross Blue Shield of Massachusetts Group

  21. UHC of California

  22. Lifetime Healthcare Group

  23. Cambia Health Solutions Inc.

  24. Metropolitan Group

  25. Molina Healthcare Inc. Group

Source: NAIC

Do any on this list surprise you? 

The qualified small employer health reimbursement arrangement (QSEHRA):
Reimburse employees for policies from insurance companies they choose themselves.