The Top 10 Insurance Companies by Revenue

Insurance is a crucial component of financial planning, and there are numerous companies in the market offering a range of insurance products and services. These companies vary in specialization, with some focusing on specific types of insurance while others provide a wide array of options. The largest insurance companies typically offer coverage across different sectors including life, property and casualty, health, and business insurance. Some have even diversified into healthcare and financial services to cater to evolving consumer needs.

The 10 Biggest Insurance Companies by 12-Month Trailing Revenue

Listed below are the top 10 insurance companies ranked by their 12-month trailing revenue, based on data sourced from Google Finance as of Feb. 18, 2024.

1. United Health Group (UNH)

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

United Health Group stands out as a leading player in the insurance sector, comprising United Health Care and Optum. It serves a massive customer base of 152 million individuals and collaborates with over 6,400 healthcare facilities.

2. Berkshire Hathaway Inc. (BRK.B)

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

Berkshire Hathaway, under the stewardship of Warren Buffet, is a giant in the insurance realm, with subsidiaries like Geico and General Re contributing significantly to its success.

3. CVS Health Corp Group (CVS)

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

CVS Health Corp Group, known for its pharmacy services, also offers insurance through its acquisition of Aetna, catering to varied healthcare needs.

4. The Cigna Group (CI)

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

Cigna Group is a prominent healthcare benefit provider, offering insurance solutions and pharmaceutical services through its operational segments Evernorth and Cigna Healthcare.


Axa Sa, a global insurance and financial services company, delivers a wide range of insurance products and asset management solutions while managing substantial assets for its extensive customer base.

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