Health insurance underwriting involves assessing risk and determining policy terms for insurance coverage. Companies in this industry provide a range of products such as individual health plans, employer-sponsored coverage, and government insurance programs like Medicare and Medicaid. Technological advancements and a growing emphasis on preventive care are reshaping the sector, pushing companies to innovate their services and adopt digital solutions. As awareness of health-related expenses rises, the demand for tailored insurance options is increasing, indicating a trend toward personalized coverage and regulations that favor transparency and consumer choice.

The 23 health insurance underwriting companies listed vary significantly in size and scope. With roots ranging from 1909 to 2006, many are headquartered in the United States, such as UnitedHealthcare and Mutual of Omaha. Operating models differ as some focus on individual plans while others cater to businesses. Together, they provide comprehensive insurance coverage options suited for modern healthcare challenges.

Continue reading to discover the top health insurance underwriting companies.

Top 23 Health Insurance Underwriting Companies

1. UnitedHealthcare

• Website: uhc.com
• Ownership type: Private
• Headquarters: Minnetonka, Minnesota, United States (USA)
• Employee distribution: United States (USA) 97%, Other 3%
• Founded year: 1977
• Headcount: 10001+
• LinkedIn: unitedhealthcare

UnitedHealthcare, founded in 1977 and based in Minnetonka, Minnesota, is a prominent health insurance provider in the United States. The company offers a variety of health plans, including Medicare, Medicaid, and individual family plans, catering to consumers, businesses, and organizations. UnitedHealthcare is dedicated to helping its members manage healthcare costs while ensuring access to necessary medical services. With over 14,000 employees, the company emphasizes personalized support and comprehensive coverage options designed to meet the unique needs of its members. Their services extend beyond traditional health insurance, incorporating wellness programs and preventive care initiatives to enhance overall health outcomes.

2. Mutual of Omaha

• Website: mutualofomaha.com
• Ownership type: Corporate
• Headquarters: Omaha, Nebraska, United States (USA)
• Employee distribution: United States (USA) 99%
• Latest funding: March 2024
• Founded year: 1909
• Headcount: 1001-5000
• LinkedIn: mutual-of-omaha

Mutual of Omaha Insurance Company, founded in 1909 and based in Omaha, Nebraska, is a prominent insurance and financial services provider. The company specializes in a wide array of products, including life insurance, Medicare solutions, long-term care coverage, and disability income insurance. With a workforce of over 8,700 employees, Mutual of Omaha serves a broad clientele, including individuals, families, and businesses, helping them navigate health-related expenses and financial risks. Their commitment to providing comprehensive insurance solutions is evident in their extensive offerings, which also include critical illness insurance and various financial services such as annuities and investments. The company has maintained a strong focus on customer service and education, providing resources to help clients understand their options and make informed decisions about their health and financial futures.

3. Health Net

• Website: healthnet.com
• Ownership type: Corporate
• Headquarters: Los Angeles, California, United States (USA)
• Employee distribution: United States (USA) 98%, Other 2%
• Latest funding: March 2016
• Founded year: 1979
• Headcount: 1001-5000
• LinkedIn: health-net

Health Net, LLC, based in Los Angeles, California, is a health insurance provider that has been serving individuals, families, and businesses since its founding in 1979. The company specializes in a variety of health plans, including Medicare Advantage and Medi-Cal plans, which cater to a broad demographic. Health Net is dedicated to making healthcare accessible and offers wellness programs designed to help customers manage their health effectively. With a workforce of over 5,000 employees, the company plays a vital role in the health insurance market, particularly in California. Health Net is also contracted with Medicare for various plans and collaborates with state Medicaid programs, further solidifying its position in the industry. The company has not reported any recent funding, indicating stability in its operations and a focus on organic growth.

4. Health Care Service Corporation

• Website: hcsc.com
• Ownership type: Private
• Headquarters: Chicago, Illinois, United States (USA)
• Employee distribution: United States (USA) 99%, Other 1%
• Founded year: 1936
• Headcount: 10001+
• LinkedIn: blue-cross-and-blue-shield-of-illinois-new-mexico-oklahoma-%26-texas

Health Care Service Corporation (HCSC), founded in 1936 and headquartered in Chicago, Illinois, is a prominent health insurance provider in the United States. The company offers a comprehensive range of health benefit solutions, including life, disability, and dental insurance, catering to individuals, families, and businesses. HCSC operates in Illinois, Montana, New Mexico, Oklahoma, and Texas, and is recognized for its commitment to enhancing access to quality healthcare and improving health outcomes. With a workforce exceeding 28,000 employees, HCSC serves over 23 million members nationwide. The company is dedicated to addressing health disparities and investing in community health initiatives, which underscores its role in the health insurance industry. HCSC's financial strength, with an annual revenue of $54 billion in 2022, allows for sustained investment in innovative health solutions and community programs.

5. Colonial Life

• Website: coloniallife.com
• Ownership type: Private
• Headquarters: Columbia, South Carolina, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1939
• Headcount: 1001-5000
• LinkedIn: colonial-life

Colonial Life & Accident Insurance Company, based in Columbia, South Carolina, has been a significant player in the insurance industry since its founding in 1939. The company offers a range of voluntary benefits, including disability, life, accident, and critical illness insurance. Colonial Life primarily serves businesses and individual consumers, helping them manage financial risks associated with unexpected health events. Their approach focuses on employer-sponsored plans, which not only enhance employee benefits offerings but also support businesses in retaining skilled workers. With a workforce of over 7,800 employees, Colonial Life has established itself as a trusted provider, particularly in the public sector, where it serves more than 500,000 public sector employees across various states. The company has also developed innovative HR technology solutions, such as the Gathr platform, to streamline benefits administration and improve the employee experience. Colonial Life's commitment to educating employees about their benefits further solidifies its role in the health insurance underwriting space.

6. Vitality

• Website: vitality.co.uk
• Ownership type: Private
• Headquarters: London, England, United Kingdom (UK)
• Employee distribution: United Kingdom (UK) 92%, South Africa 7%
• Latest funding: Other (Grant), $31,000, February 2017
• Founded year: 2004
• Headcount: 1001-5000
• LinkedIn: vitalityuk

Vitality is a health and life insurance provider based in London, UK, founded in 2004. The company offers a range of insurance products, including health insurance, life insurance, and wellness programs. Vitality is known for its innovative approach to insurance, operating under a Shared Value Insurance model that aims to create mutual benefits for both the company and its customers. This model encourages members to engage in healthier lifestyles by providing rewards and incentives for healthy living. Vitality has garnered recognition for its health insurance products, receiving a 5 Star Defaqto rating. The company also emphasizes wellness through partnerships with various fitness and health brands, offering members discounts and rewards for maintaining active lifestyles. With a workforce of approximately 2,400 employees, Vitality has established itself as a significant player in the UK insurance market, focusing on improving health outcomes for its members.

7. SegurCaixa Adeslas

• Website: segurcaixaadeslas.es
• Ownership type: Private
• Headquarters: Madrid, Madrid, Spain
• Employee distribution: Spain 100%
• Founded year: 1942
• Headcount: 1001-5000
• LinkedIn: segurcaixa-adeslas

SegurCaixa Adeslas, founded in 1942 and based in Madrid, Spain, is a private insurance company that specializes in health insurance, among other products. With a workforce of over 2,000 employees, the company primarily serves the Spanish market, offering tailored insurance solutions for individuals, small and medium-sized enterprises, and larger corporations. Their health insurance offerings include comprehensive coverage options, access to a vast network of over 51,000 healthcare professionals, and more than 200 private hospitals. SegurCaixa Adeslas also provides digital health services, enhancing customer experience through teleconsultations and online management of health-related services. This commitment to health insurance and customer service solidifies their role in the industry.

8. Medical Mutual

• Website: medmutual.com
• Ownership type: Private
• Headquarters: Cleveland, Ohio, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1934
• Headcount: 1001-5000
• LinkedIn: medical-mutual

Medical Mutual of Ohio is a private health insurance provider based in Cleveland, Ohio. Founded in 1934, the company has built a strong presence in the health insurance market, offering a variety of plans tailored to meet the needs of individuals, families, and employers. Their product lineup includes medical, dental, vision, and Medicare insurance options, demonstrating a comprehensive approach to health coverage. Medical Mutual is dedicated to enhancing community health and well-being, operating primarily within Ohio. The company emphasizes wellness programs and chronic condition management, reflecting a commitment to proactive health management. With a workforce of over 3,000 employees, Medical Mutual plays a significant role in the local economy and healthcare landscape, focusing on providing accessible healthcare services and managing health-related expenses for its members.

9. Daman - National Health Insurance Company

• Website: damanhealth.ae
• Ownership type: Private
• Headquarters: Abu Dhabi, Abu Dhabi, United Arab Emirates (UAE)
• Employee distribution: United Arab Emirates 100%
• Founded year: 2006
• Headcount: 1001-5000
• LinkedIn: daman-national-health-insurance

Daman - National Health Insurance Company, established in 2006 and based in Abu Dhabi, UAE, specializes in health insurance solutions. The company provides a variety of health insurance plans designed for individuals, families, and businesses, including comprehensive health coverage, emergency travel insurance, and tailored plans for retirees and Golden Visa holders. Daman's commitment to ensuring access to quality healthcare is reflected in its extensive network, which includes partnerships with around 3,000 hospitals and clinics across the UAE. The company serves approximately 3 million members, showcasing its significant presence in the health insurance market. Daman's focus on health insurance products, along with its operational scale and employee strength, positions it as a relevant entity in the health insurance underwriting sector.

10. Wellmark Blue Cross and Blue Shield

• Website: wellmark.com
• Ownership type: Private
• Headquarters: Des Moines, Iowa, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1939
• Headcount: 1001-5000
• LinkedIn: wellmark

Wellmark Blue Cross and Blue Shield, founded in 1939, operates as a private health insurance provider based in Des Moines, Iowa. With a workforce of over 2,000 employees, Wellmark serves individuals, families, and businesses primarily in Iowa and South Dakota. The company offers a comprehensive suite of insurance products, including Medicare Advantage plans, individual and family health insurance, dental, and life insurance. Wellmark is dedicated to helping its members navigate healthcare costs and access necessary medical services. They are also involved in initiatives aimed at improving healthcare quality and efficiency, such as recognizing facilities for high-quality maternity care. Wellmark is an independent licensee of the Blue Cross and Blue Shield Association, which allows them to leverage a national network while focusing on local needs.

11. ERGO Group AG

• Website: ergo.com
• Ownership type: Corporate
• Headquarters: Bergisch Gladbach, North Rhine-Westphalia, Germany
• Employee distribution: Germany 92%, Other 8%
• Latest funding: October 2018
• Founded year: 1997
• Headcount: 10001+
• LinkedIn: ergo-group-ag

ERGO Group AG, based in Bergisch Gladbach, North Rhine-Westphalia, Germany, is a prominent insurance company founded in 1997. With over 10,000 employees, ERGO offers a wide array of insurance products, including health and legal expenses insurance. The company operates in more than 20 countries, focusing primarily on Europe and Asia. ERGO Group AG aims to assist both individual consumers and businesses in managing financial risks related to health issues and legal matters. Their commitment to innovation and sustainability is evident in their various initiatives and partnerships, which enhance their service offerings in the health insurance sector. ERGO is part of the Munich Re Group, which adds to its credibility and operational strength in the insurance market.

12. Blue Cross and Blue Shield of Kansas

• Website: bcbsks.com
• Ownership type: Private
• Headquarters: Topeka, Kansas, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1942
• Headcount: 1001-5000
• LinkedIn: bcbsks

Blue Cross and Blue Shield of Kansas, founded in 1942, is a private health insurance provider based in Topeka, Kansas. The company serves a significant role in the local healthcare market by offering a variety of insurance plans tailored to individuals, families, and businesses. Their product lineup includes individual and family health plans, Medicare coverage, and employer health insurance options. They also provide specialized plans such as dental, life, and disability insurance, as well as hospital indemnity and cancer coverage. With a workforce of over 1,000 employees, the company is dedicated to helping Kansans manage healthcare costs and access necessary medical services. As an independent licensee of the Blue Cross Blue Shield Association, they benefit from a well-established brand while focusing on the specific needs of their local market. Their commitment to customer service and community engagement further solidifies their position in the health insurance industry.

13. Zilveren Kruis

• Website: zilverenkruis.nl
• Ownership type: Private
• Headquarters: Leiden, South Holland, Netherlands
• Employee distribution: Netherlands 100%
• Founded year: 1949
• Headcount: 1001-5000
• LinkedIn: zilveren-kruis-achmea

Zilveren Kruis, founded in 1949 and based in Leiden, South Holland, is a prominent health insurance provider in the Netherlands. With a workforce of approximately 1,545 employees, the company specializes in offering a range of insurance products, including basic health insurance, supplementary insurance, and dental coverage. Zilveren Kruis aims to assist individuals and families in managing their healthcare expenses while ensuring access to essential medical services. The company is part of the Achmea Group, which enhances its stability and operational capacity in the health insurance market. Zilveren Kruis actively engages with its customers through initiatives that encourage feedback and collaboration, demonstrating a commitment to continuous improvement in its services and offerings.

14. HBF Health

• Website: hbf.com.au
• Ownership type: Private
• Headquarters: Perth, Western Australia, Australia
• Employee distribution: Australia 100%
• Founded year: 1941
• Headcount: 1001-5000
• LinkedIn: hbf

HBF Health Limited, founded in 1941, is a prominent health insurance provider located in Perth, Western Australia. The company specializes in offering a range of health insurance products, including hospital cover and extras cover, aimed at helping individuals and families manage their medical expenses effectively. HBF Health is dedicated to making healthcare accessible and affordable, which is reflected in their various insurance plans and member benefits. They also provide specialized coverage options for different life stages, including singles, couples, families, and overseas visitors. HBF Health actively engages in the health insurance market, focusing on member support through health programs and services that address chronic conditions and promote overall well-being. With a workforce of over 900 employees, HBF Health remains a significant entity in the Australian health insurance sector, serving a substantial member base without any reported external funding.

15. Vhi

• Website: vhi.ie
• Ownership type: Private
• Headquarters: Kilkenny, Kilkenny, Ireland
• Employee distribution: Ireland 100%
• Founded year: 1957
• Headcount: 1001-5000
• LinkedIn: vhi-healthcare

Vhi Healthcare, based in Kilkenny, Ireland, is a prominent health insurance provider that has been serving the Irish market since 1957. The company offers a comprehensive range of health insurance products, including hospital treatment, day-to-day medical expenses, dental and travel insurance, and life insurance. Vhi is dedicated to providing essential coverage and access to healthcare services for individuals, families, and businesses. With a workforce of over 1,500 employees, Vhi operates entirely within Ireland, ensuring that its services are tailored to the needs of the local population. The company also emphasizes the importance of mental health care and wellness, offering various support services to its members. Vhi is regulated by the Central Bank of Ireland, ensuring compliance with industry standards and practices. The company has built a reputation for reliability and customer service, making it a key player in the health insurance sector.

16. Health Alliance Plan

• Website: hap.org
• Ownership type: Private
• Headquarters: Detroit, Michigan, United States (USA)
• Employee distribution: United States (USA) 100%
• Latest funding: June 2016
• Founded year: 1960
• Headcount: 501-1000
• LinkedIn: health-alliance-plan

Health Alliance Plan (HAP) is a private health insurance provider based in Detroit, Michigan, founded in 1960. The company specializes in offering a range of health insurance products, including Medicare Advantage plans, individual and family plans, and employer-sponsored insurance. HAP is dedicated to providing essential health coverage and resources aimed at helping members manage their healthcare costs effectively. With a workforce of over 1,000 employees, HAP serves a significant number of consumers and businesses in Michigan. The company emphasizes its commitment to health and wellness through various programs and member resources, ensuring that its clients have access to the necessary support for their healthcare needs.

17. Blue Cross NC

• Website: bluecrossnc.com
• Ownership type: Private
• Headquarters: Durham, North Carolina, United States (USA)
• Employee distribution: United States (USA) 99%
• Founded year: 1933
• Headcount: 5001-10000
• LinkedIn: bluecrossnc

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is a prominent health insurance provider based in Durham, North Carolina. Founded in 1933, the company has built a reputation for offering a wide range of health coverage options, including individual and family plans, Medicare, dental, and vision insurance. Blue Cross NC serves both consumers and businesses, helping them navigate the complexities of health care and insurance. The company emphasizes accessibility and affordability, ensuring that members have the resources they need to manage their health care effectively. With a workforce of over 6,000 employees, Blue Cross NC is committed to community engagement, having donated over $200 million to address issues like hunger and homelessness in North Carolina. Their operations extend beyond state lines, providing coverage options that reach all 50 states and nearly 200 countries, showcasing their capability in the health insurance market.

18. Triple-S

• Website: triplesmanagement.com
• Ownership type: Corporate
• Headquarters: San Juan, San Juan, Puerto Rico
• Employee distribution: Puerto Rico 98%, Other 2%
• Latest funding: August 2021
• Founded year: 1959
• Headcount: 1001-5000
• LinkedIn: grupo-triple-s

Triple-S Management, founded in 1959 and based in San Juan, Puerto Rico, operates as a corporate entity with a workforce of approximately 1,579 employees. The company offers a comprehensive suite of insurance products, including health, life, and property insurance, alongside Medicare Advantage plans. With over 60 years of experience, Triple-S has established a strong presence in the Puerto Rican market, where it serves around 1 million insured individuals across various segments, including individual, commercial, and Medicaid insurance. As an independent licensee of the Blue Cross Blue Shield Association, Triple-S Salud, a subsidiary of Triple-S, plays a crucial role in providing health insurance services. The company is also committed to community engagement and social responsibility, reflecting its dedication to improving the quality of life for the populations it serves.

19. Combined, a Chubb Company

• Website: combinedinsurance.com
• Ownership type: Corporate
• Headquarters: Chicago, Illinois, United States (USA)
• Employee distribution: United States (USA) 66%, Canada 32%, Other 2%
• Latest funding: January 2021
• Founded year: 1922
• Headcount: 5001-10000
• LinkedIn: combined-insurance

Combined Insurance Company of America, a Chubb company, is an insurance provider based in Chicago, Illinois, with a history dating back to 1922. The company specializes in supplemental health, accident, disability, and life insurance products, catering to individuals, families, and businesses. With a workforce of over 5,000 employees, Combined Insurance focuses on addressing coverage gaps and financial insecurities related to health issues. They offer a range of products, including critical illness and cancer insurance, which are vital in today's healthcare environment. Operating under the Chubb brand, Combined is committed to making supplemental insurance easy to understand and accessible. Their strong financial ratings, including an A+ from AM Best, reflect their stability and reliability in the insurance market. Combined Insurance has also been recognized as a top military-friendly employer, showcasing their commitment to community and employee support.

20. Bcbs Nc

• Website: bcbsnc.com
• Ownership type: Private
• Headquarters: Durham, North Carolina, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1933
• Headcount: 1001-5000
• LinkedIn: bcbs-nc

Blue Cross and Blue Shield of North Carolina (Bcbs Nc) is a health insurance provider based in Durham, North Carolina. Founded in 1933, the company has built a reputation for offering a wide range of health insurance plans tailored to meet the needs of individuals, families, and businesses. Their offerings include individual and family health plans, Medicare coverage, as well as dental and vision insurance. Bcbs Nc is dedicated to making healthcare more accessible and affordable, helping members navigate their medical expenses effectively. The company also emphasizes community involvement, having contributed over $200 million to address issues like hunger and homelessness in North Carolina. With a workforce of 1001-5000 employees, Bcbs Nc operates entirely within the United States, ensuring a focused approach to the local market.

21. Moda Health

• Website: modahealth.com
• Ownership type: Private
• Headquarters: Portland, Oregon, United States (USA)
• Employee distribution: United States (USA) 99%
• Latest funding: $155.0M, August 2018
• Founded year: 1955
• Headcount: 1001-5000
• LinkedIn: moda-health

Moda Health is a private health insurance provider headquartered in Portland, Oregon. Established in 1955, the company has built a reputation for offering a range of medical and dental insurance plans tailored to individuals, families, and employers. Operating primarily in Oregon, Alaska, and Texas, Moda Health emphasizes accessible healthcare solutions, aiming to meet the needs of its members through various plan options. The company has a workforce of over 1,000 employees, reflecting its operational scale. In 2018, Moda Health secured $155 million in funding, which underscores its financial stability and capacity for growth. This funding supports its ongoing efforts to enhance service delivery and expand its offerings in the competitive health insurance market.

22. Vida Cámara

• Website: vidacamara.cl
• Ownership type: Private
• Headquarters: Las Condes, Santiago, Chile
• Employee distribution: Chile 100%
• Founded year: 2009
• Headcount: 201-500
• LinkedIn: vida-camara

Vida Cámara is a private insurance company located in Las Condes, Santiago, Chile, founded in 2009. The company specializes in health and life insurance products, offering a comprehensive range of services tailored to meet the needs of both individuals and businesses. Their offerings include health insurance, accident insurance, and complementary health coverage, which are designed to provide financial protection against medical expenses and unforeseen accidents. Vida Cámara has built a solid reputation in the industry, serving over 580,000 insured individuals and more than 3,000 companies. The company emphasizes digital solutions, allowing clients to quote and manage their insurance policies online. Additionally, Vida Cámara is committed to sustainability, having achieved carbon neutrality and engaging in various community initiatives. This focus on health insurance and their active role in the market positions them as a relevant player in the health insurance underwriting sector.

23. PacificSource Health Plans

• Website: pacificsource.com
• Ownership type: Private
• Headquarters: Springfield, Oregon, United States (USA)
• Employee distribution: United States (USA) 100%
• Founded year: 1933
• Headcount: 1001-5000
• LinkedIn: pacificsource-health-plans

PacificSource Health Plans, based in Springfield, Oregon, is a private health insurance provider founded in 1933. The company offers a range of health plans tailored for individuals, families, and employers, including specialized services for Medicare and Medicaid recipients. PacificSource emphasizes accessible healthcare solutions, ensuring that members receive the necessary support for their health needs. Their offerings include wellness programs, behavioral health services, and prescription drug information, showcasing their commitment to comprehensive care. The company operates entirely within the United States, with a workforce of approximately 1,199 employees. PacificSource is dedicated to enhancing community health and well-being, actively engaging in initiatives that promote healthier lifestyles and preventive care.

Health Insurance Underwriting Insights: Key Companies

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