| 1 | Unitedhealth Group Incorporated | USA | Eden Prairie | 1 Health Dr | Hennepin | 55344 | unitedhealthgroup.***** | 1974 | $400,278,000,000 | 400,000 | N/A | N/A | 5777355 |
| 2 | Berkshire Hathaway INC. | USA | Omaha | 3555 Farnam St Ste 1440 | Douglas | 68131 | berkshirehathaway.***** | 1889 | $371,433,000,000 | 392,400 | N/A | N/A | 2908471 |
| 3 | The Cigna Group | USA | Bloomfield | 900 Cottage Grove Rd | Hartford | 06002 | cigna.***** | 1972 | $247,121,000,000 | 73,500 | N/A | N/A | 6784873 |
| 4 | Elevance Health, INC. | USA | Indianapolis | 220 Virginia Ave | Marion | 46204 | bcbs.***** | 1944 | $177,011,000,000 | 104,200 | N/A | N/A | 2001071800272 |
| 5 | Centene CORPORATION | USA | Saint Louis | 7700 Forsyth Blvd | St. Louis City | 63105 | centene.***** | 1984 | $163,071,000,000 | 60,500 | N/A | N/A | 3439838 |
| 6 | Humana INC. | USA | Louisville | 500 W Main St | Jefferson | 40202 | humana.***** | 1961 | $117,761,000,000 | 65,680 | N/A | N/A | 0613712 |
| 7 | The Progressive CORPORATION | USA | Mayfield Village | 300 N Commons Blvd | Oh | 44143 | progressive.***** | 1937 | $75,372,000,000 | 66,300 | N/A | N/A | 337395 |
| 8 | Metlife, INC. | USA | New York City | 200 Park Ave | New York | 10166 | metlife.***** | 1863 | $70,986,000,000 | 45,000 | N/A | N/A | 3081064 |
| 9 | Prudential Financial, INC. | USA | Newark | 751 Broad St | Essex | 07102 | prudential.***** | 1875 | $70,405,000,000 | 38,196 | N/A | N/A | 0100802453 |
| 10 | The Allstate CORPORATION | USA | Northbrook | 3100 Sanders Rd | Adams | 60062 | allstate.***** | 1931 | $64,106,000,000 | 55,400 | N/A | N/A | 2315117 |
| 11 | Liberty Mutual Holding Company INC. | USA | Boston | 175 Berkeley St | Suffolk | 02117 | libertymutual.***** | 2002 | $49,412,000,000 | 45,000 | N/A | N/A | 000805238 |
| 12 | The Travelers Companies INC | USA | New York City | 485 Lexington Ave Fl 7 | New York | 10017 | travelers.***** | 1853 | $46,423,000,000 | 34,000 | N/A | N/A | 12-AA |
| 13 | California State Teachers Retirement System | USA | West Sacramento | 100 Waterfront Pl | Yolo | 95605 | calstrs.***** | 1913 | $44,441,981,000 | 535 | N/A | N/A | N/A |
| 14 | United Services Automobile Association | USA | San Antonio | 9800 Fredericksburg Rd | Bexar | 78288 | usaa.***** | 1922 | $42,493,000,000 | 35,000 | N/A | N/A | N/A |
| 15 | Metropolitan Life Insurance Company | USA | New York City | 200 Park Ave | New York | 10166 | metlife.***** | 1868 | $41,915,000,000 | 46,000 | N/A | N/A | 135581829 |
| 16 | United Healthcare Services INC. | USA | Minnetonka | 9700 Health Care Ln | Hennepin | 55343 | uhc.***** | 1974 | $32,662,610,347 | 33,000 | N/A | N/A | 1996003111291 |
| 17 | New York Life Insurance Company | USA | New York City | 51 Madison Ave Bsmt 1b | New York | 10010 | newyorklife.***** | 1845 | $32,054,000,000 | 11,388 | N/A | N/A | 135582869 |
| 18 | State Farm Mutual Automobile Insurance Company | USA | Bloomington | 1 State Farm Plz | Mclean | 61710 | statefarm.***** | 1928 | $27,882,015,207 | 68,395 | N/A | N/A | 370533100 |
| 19 | American International Group, INC. | USA | New York City | 1271 Avenue of the Americas Fl C3 | New York | 10020 | aig.***** | 1919 | $27,251,000,000 | 22,200 | N/A | N/A | 658607 |
| 20 | Highmark INC | USA | Pittsburgh | 120 5th Ave | Allegheny | 15222 | highmark.***** | 1965 | $27,100,000,000 | 44,000 | N/A | N/A | 0002727253 |
| 21 | The Hartford Insurance Group INC | USA | Hartford | 1 Hartford Plz | Hartford | 06155 | thehartford.***** | 1810 | $26,535,000,000 | 19,100 | N/A | N/A | 2077692 |
| 22 | Optum, INC. | USA | Eden Prairie | 11000 Optum Cir | Hennepin | 55344 | optum.***** | 2009 | $26,430,588,845 | 9,080 | N/A | N/A | 4732074 |
| 23 | Marsh & Mclennan Companies, INC. | USA | New York City | 1166 Avenue of the Americas | New York | 10036 | marshmclennan.***** | 1871 | $24,458,000,000 | 90,000 | N/A | N/A | 1688200 |
| 24 | Optumrx, INC. | USA | Eden Prairie | 11000 Optum Cir | Hennepin | 55344 | N/A | 1990 | $23,006,018,736 | 5,080 | N/A | N/A | N/A |
| 25 | Reinsurance Group Of America, Incorporated | USA | Chesterfield | 16600 Swingley Ridge Rd | St. Louis County | 63017 | rgare.***** | 1973 | $22,107,000,000 | 4,100 | N/A | N/A | 00375001 |
| 26 | Drive Insurance Holdings, INC. | USA | Cleveland | 6300 Wilson Mills Rd | Cuyahoga | 44143 | fitzins.***** | 2003 | $19,402,231,773 | 13,000 | N/A | N/A | 3706038 |
| 27 | Aflac Incorporated | USA | Columbus | 1932 Wynnton Rd | Muscogee | 31999 | aflac.***** | 1955 | $18,927,000,000 | 12,694 | N/A | N/A | J506758 |
| 28 | Corebridge Financial, INC. | USA | Houston | 2919 Allen Pkwy | Harris | 77019 | corebridgefinancial.***** | 1998 | $18,781,000,000 | 5,200 | N/A | N/A | 2974174 |
| 29 | Lincoln National CORPORATION | USA | Radnor Township | 150 N Radnor Chester Rd | Delaware | 19087 | lincolnfinancial.***** | 1905 | $18,442,000,000 | 9,783 | N/A | N/A | 196801-092 |
| 30 | Nationwide Mutual Insurance Company | USA | Columbus | 1 Nationwide Plz | Franklin | 43215 | nationwide.***** | 1925 | $18,346,650,000 | 34,417 | N/A | N/A | 119343 |
| 31 | Loews CORPORATION | USA | New York City | 9 W 57th St | New York | 10019 | loews.***** | 1969 | $17,510,000,000 | 13,000 | N/A | N/A | 733122 |
| 32 | Markel Group INC. | USA | Glen Allen | 4521 Highwoods Pkwy | Henrico | 23060 | markel.***** | 1930 | $16,620,763,000 | 21,600 | N/A | N/A | 05262076 |
| 33 | Hsbc North America Holdings INC. | USA | New York City | 452 5th Ave | New York | 10018 | us.***** | 1980 | $16,381,279,194 | 25,151 | N/A | N/A | 0889832 |
| 34 | Progressive Direct Holdings, INC. | USA | Cleveland | 6300 Wilson Mills Rd | Cuyahoga | 44143 | fitzins.***** | 2003 | $16,188,885,033 | 299 | N/A | N/A | 3706050 |
| 35 | The Northwestern Mutual Life Insurance Company | USA | Milwaukee | 720 E Wisconsin Ave | Milwaukee | 53202 | northwesternmutual.***** | 1857 | $16,132,755,793 | 6,400 | N/A | N/A | N/A |
| 36 | Principal Financial Group, INC. | USA | Des Moines | 711 High St | Polk | 50392 | principal.***** | 1879 | $16,127,700,000 | 19,700 | N/A | N/A | 119209 |
| 37 | Cigna Holding Company | USA | Bloomfield | 900 Cottage Grove Rd | Hartford | 06002 | my.***** | 2018 | $15,187,084,600 | 74,000 | N/A | N/A | 925609 |
| 38 | Cigna Holdings, INC. | USA | Claymont | 590 Naamans Rd | New Castle | 19703 | cigna.***** | 1982 | $14,712,924,312 | 24,642 | N/A | N/A | N/A |
| 39 | Cna Financial CORPORATION | USA | Chicago | 151 N Franklin St | Cook | 60606 | cna.***** | 1967 | $14,270,000,000 | 6,500 | N/A | N/A | 662910 |
| 40 | Connecticut General CORPORATION | USA | Bloomfield | 900 Cottage Grove Rd | Hartford | 06002 | cigna.***** | 1982 | $13,914,426,769 | 24,260 | N/A | N/A | 0269827 |
| 41 | Fidelity National Financial, INC. | USA | Jacksonville | 601 Riverside Ave | Duval | 32204 | fnf.***** | 1847 | $13,681,000,000 | 23,533 | N/A | N/A | 3975358 |
| 42 | W. R. Berkley CORPORATION | USA | Greenwich | 475 Steamboat Rd Fl 1 | Fairfield | 06830 | berkley.***** | 1967 | $13,638,752,000 | 8,606 | N/A | N/A | 0740623 |
| 43 | Unum Group | USA | Chattanooga | 1 Fountain Sq | Hamilton | 37402 | unum.***** | 1848 | $12,887,300,000 | 11,063 | N/A | N/A | 2491659 |
| 44 | Pacific Mutual Holding Company | USA | Newport Beach | 700 Newport Center Dr | Orange | 92660 | pacificlife.***** | 1997 | $12,837,875,490 | 4,000 | N/A | N/A | 2033556 |
| 45 | Pacific Lifecorp | USA | Newport Beach | 700 Newport Center Dr | Orange | 92660 | pacificlife.***** | 1997 | $12,837,875,490 | 3,782 | N/A | N/A | 2786736 |
| 46 | Pacific Life Insurance Company | USA | Newport Beach | 700 Newport Center Dr | Orange | 92660 | pacificlife.***** | 1936 | $12,817,978,741 | 3,760 | N/A | N/A | 10075147 |
| 47 | Equitable Holdings, INC. | USA | New York City | 1345 Avenue of the Americas | New York | 10105 | equitableholdings.***** | 1859 | $12,437,000,000 | 8,000 | N/A | N/A | 3660236 |
| 48 | The Lincoln National Life Insurance Company | USA | Fort Wayne | 1301 S Harrison St | Allen | 46802 | lfg.***** | 1905 | $12,288,000,000 | 10,968 | N/A | N/A | 191105-166 |
| 49 | Alleghany CORPORATION | USA | New York City | 1 Rockefeller Plz Rm 2120 | New York | 10020 | alleghany.***** | 2022 | $12,004,105,000 | 13,313 | N/A | N/A | 2048563 |
| 50 | Progressive Direct Insurance Company | USA | Cleveland | 6300 Wilson Mills Rd | Cuyahoga | 44143 | progressive.***** | 2003 | $11,926,059,723 | 10 | N/A | N/A | 687726 |
| 51 | Assurant, INC. | USA | Atlanta | 260 Interstate North Cir Se | Fulton | 30339 | assurant.***** | 1969 | $11,877,500,000 | 14,200 | N/A | N/A | 3695600 |
| 52 | Arthur J. Gallagher & CO. | USA | Rolling Meadows | 2850 Golf Rd Ste 600 | Cook | 60008 | ajg.***** | 1927 | $11,554,900,000 | 56,000 | N/A | N/A | 780509 |
| 53 | The Prudential Insurance Company Of America | USA | Newark | 751 Broad St Fl 21 | Essex | 07102 | prudential.***** | 1875 | $11,429,950,338 | 30,000 | N/A | N/A | N/A |
| 54 | Prudential Holdings LLC | USA | Newark | 751 Broad St | Essex | 07102 | prudential.***** | 2001 | $11,429,950,338 | 30,000 | N/A | N/A | 0600107559 |
| 55 | Cincinnati Financial CORPORATION | USA | Fairfield | 6200 S Gilmore Rd | Butler | 45014 | cinfin.***** | 1968 | $11,337,000,000 | 5,624 | N/A | N/A | 814051 |
| 56 | Healthfirst Phsp, INC. | USA | New York City | 100 Church St Fl 17 | New York | 10007 | healthfirst.***** | 1994 | $11,273,526,910 | 11 | N/A | N/A | 1847193 |
| 57 | Pruco Life Insurance Company | USA | Newark | 213 Washington St | Essex | 07102 | prudential.***** | 1971 | $11,198,722,000 | 209 | N/A | N/A | N/A |
| 58 | American Family Mutual Insurance Company, S.I. | USA | Madison | 6000 American Pkwy | Dane | 53783 | amfam.***** | 1927 | $11,040,696,900 | 8,100 | N/A | N/A | N/A |
| 59 | Everest Reinsurance Holdings, INC. | USA | Warren | 100 Everest Way | Somerset | 07059 | everestre.***** | 1993 | $10,481,000,000 | 2,089 | N/A | N/A | 2359412 |
| 60 | Massachusetts Mutual Life Insurance Company | USA | Springfield | 1295 State St | Hampden | 01111 | massmutual.***** | 1851 | $10,363,972,967 | 27,691 | N/A | N/A | 041590850 |
| 61 | Progressive Casualty Insurance Company | USA | Mayfield Village | 6300 Wilson Mills Rd | Oh | 44143 | progressive.***** | 1956 | $10,203,117,860 | 11,724 | N/A | N/A | 259356 |
| 62 | Lmhc Massachusetts Holdings INC. | USA | Boston | 175 Berkeley St | Suffolk | 02117 | libertymutual.***** | 2001 | $9,705,084,722 | 50,000 | N/A | N/A | 000804944 |
| 63 | Liberty Mutual Group INC. | USA | Boston | 175 Berkeley St | Suffolk | 02116 | libertymutual.***** | 2001 | $9,697,603,500 | 50,000 | N/A | N/A | 000804945 |
| 64 | Department Of Employee Trust Funds | USA | Madison | 801 W Badger Rd | Dane | 53713 | N/A | 1867 | $9,536,632,000 | 200 | N/A | N/A | 1 W11455 |
| 65 | American National Group INC. | USA | Galveston | 1 Moody Plz | Galveston | 77550 | N/A | 2024 | $9,503,000,000 | 995 | N/A | N/A | 3585542 |
| 66 | Point32health, INC. | USA | Canton | 1 Wellness Way | Norfolk | 02021 | point32health.***** | 2016 | $9,291,017,643 | 2,700 | N/A | N/A | N/A |
| 67 | Oscar Health, INC. | USA | New York City | 75 Varick St Ste 500 | New York | 10013 | hioscar.***** | 2012 | $9,177,564,000 | 2,400 | N/A | N/A | 5230394 |
| 68 | Bluecross Blueshield Of Tennessee, INC. | USA | Chattanooga | 1 Cameron Hill Cir | Hamilton | 37402 | bcbs.***** | 1945 | $9,125,800,000 | 5,373 | N/A | N/A | 000067445 |
| 69 | Carefirst, INC. | USA | Washington | 1280 Maryland Ave Sw | District of Columbia | 20024 | carefirst.***** | 1934 | $8,748,055,958 | 6,000 | N/A | N/A | D04849782 |
| 70 | Risant Health INC. | USA | Oakland | 1 Kaiser Plz | Alameda | 94612 | kpihp.***** | 2023 | $8,532,674,392 | 12,000 | N/A | N/A | 7366620 |
| 71 | Ameriprise Financial Services, LLC | USA | Minneapolis | 707 2nd Ave S | Hennepin | 55402 | ameriprise.***** | 1971 | $8,392,721,000 | 11,100 | N/A | N/A | 772870 |
| 72 | American Financial Group, INC. | USA | Cincinnati | 301 E 4th St | Hamilton | 45202 | afginc.***** | 1872 | $8,324,000,000 | 8,700 | N/A | N/A | 983690 |
| 73 | Old Republic International CORPORATION | USA | Chicago | 307 N Michigan Ave | Cook | 60601 | oldrepublic.***** | 1923 | $8,231,500,000 | 9,400 | N/A | N/A | 0704919 |
| 74 | Voya Financial, INC. | USA | New York City | 200 Park Ave | New York | 10166 | voya.***** | 1975 | $8,050,000,000 | 10,000 | N/A | N/A | 3026651 |
| 75 | Independence Health Group, INC. | USA | Philadelphia | 1901 Market St | Philadelphia | 19103 | amerihealth.***** | 2014 | $7,469,236,021 | 9,500 | N/A | N/A | 0004277759 |
| 76 | Genworth Financial, INC. | USA | Glen Allen | 11011 W Broad St | Henrico | 23060 | genworth.***** | 1871 | $7,295,000,000 | 2,960 | N/A | N/A | 5242840 |
| 77 | Federal Deposit Insurance CORPORATION | USA | Washington | 550 17th St Nw | District of Columbia | 20429 | fdic.***** | 1933 | $7,212,452,478 | 7,300 | N/A | N/A | N/A |
| 78 | ST. Paul Fire And Marine Insurance Company | USA | Saint Paul | 385 Washington St | Ramsey | 55102 | schmidtartistlofts.***** | 1925 | $6,711,914,969 | 10,000 | N/A | N/A | 410406690 |
| 79 | Protective Life CORPORATION | USA | Birmingham | 2801 Highway 280 S | Jefferson | 35223 | protective.***** | 2015 | $6,511,680,130 | 3,585 | N/A | N/A | 0907518 |
| 80 | Protective Life Insurance Company | USA | Birmingham | 2801 Highway 280 S | Jefferson | 35223 | protective.***** | 1907 | $6,413,000,000 | 3,585 | N/A | N/A | 000040872 |
| 81 | Equitable Financial Services, LLC | USA | New York City | 1290 Avenue of the Americas | New York | 10104 | equitable.***** | 2018 | $6,286,901,775 | 4,200 | N/A | N/A | 0600144800 |
| 82 | The Hanover Insurance Group INC | USA | Worcester | 440 Lincoln St | Worcester | 01653 | hanover.***** | 1852 | $6,237,400,000 | 4,900 | N/A | N/A | 2470516 |
| 83 | Ucare Minnesota | USA | Minneapolis | 500 Stinson Blvd | Hennepin | 55413 | ucare.***** | 1987 | $6,156,191,357 | 550 | N/A | N/A | 1B-36 |
| 84 | Liberty Mutual Insurance Company | USA | Boston | 175 Berkeley St | Suffolk | 02116 | libertymutual.***** | 1912 | $6,147,968,339 | 50,000 | N/A | N/A | 041543470 |
| 85 | Delta Dental Of California | USA | San Francisco | 560 Mission St Ste 1300 | San Francisco | 94105 | deltadental.***** | 1955 | $6,137,780,226 | 2,925 | N/A | N/A | 0303833 |
| 86 | First American Financial CORPORATION | USA | Santa Ana | 1 First American Way | Orange | 92707 | firstam.***** | 1889 | $6,128,100,000 | 19,038 | N/A | N/A | 4452866 |
| 87 | Kaiser Foundation Health Plan Of The Mid-Atlantic States, INC. | USA | Rockville | 2101 E Jefferson St | Montgomery | 20852 | urgentcare-midatlantic.***** | 1995 | $5,884,071,284 | 9,873 | N/A | N/A | D04119749 |
| 88 | Blue Cross And Blue Shield Of Massachusetts Hmo Blue, INC. | USA | Boston | 101 Huntington Ave Ste 1300 | Suffolk | 02199 | bluecrossma.***** | 1997 | $5,851,428,643 | 76 | N/A | N/A | N/A |
| 89 | Globe Life INC. | USA | Mckinney | 3700 S Stonebridge Dr | Collin | 75070 | globelifeinsurance.***** | 1979 | $5,778,069,000 | 3,732 | N/A | N/A | 882974 |
| 90 | F&G Annuities & Life, INC. | USA | Des Moines | 601 Locust St | Polk | 50309 | fglife.***** | 2020 | $5,744,000,000 | 1,338 | N/A | N/A | N/A |
| 91 | Government Employees Health Association, INC. | USA | Lee'S Summit | 310 Ne Mulberry St | Jackson | 64086 | geha.***** | 1939 | $5,736,021,264 | 1,318 | N/A | N/A | N00049964 |
| 92 | Onemain Holdings, INC. | USA | Evansville | 601 Nw 2nd St | Vanderburgh | 47708 | onemainfinancial.***** | 1920 | $5,688,000,000 | 9,000 | N/A | N/A | 5360256 |
| 93 | Mutual Of Omaha Insurance Company | USA | Omaha | 3300 Mutual of Omaha Plz | Douglas | 68175 | mutualofomaha.***** | 1909 | $5,663,773,700 | 6,314 | N/A | N/A | 10016803 |
| 94 | National General Holdings CORP. | USA | New York City | 59 Maiden Ln Fl 38 | New York | 10038 | nationalgeneral.***** | 2020 | $5,552,285,000 | 9,200 | N/A | N/A | 4729406 |
| 95 | Mercury General CORPORATION | USA | Los Angeles | 4484 Wilshire Blvd | Los Angeles | 90010 | mercuryinsurance.***** | 1961 | $5,475,633,000 | 4,200 | N/A | N/A | 0408367 |
| 96 | Sentara Health Plans | USA | Virginia Beach | 4417 Corporation Ln Ste 150 | Virginia Beach | 23462 | optimahealth.***** | 1984 | $5,248,218,502 | 50 | N/A | N/A | 02559904 |
| 97 | Metroplus Health Plan, INC. | USA | New York City | 50 Water St Fl 7 | New York | 10004 | N/A | 2000 | $5,218,349,628 | 540 | N/A | N/A | 2498776 |
| 98 | Chubb Group Holdings INC. | USA | New York City | 1133 Avenue of the Americas | New York | 10036 | chubb.***** | 1999 | $5,208,146,291 | 23,462 | N/A | N/A | 3027754 |
| 99 | Equitable Financial Life Insurance Company | USA | New York City | 1345 Avenue of the Americas | New York | 10105 | equitable.***** | 1859 | $5,129,000,000 | 4,100 | N/A | N/A | 135570651 |
| 100 | Boston Medical Center Health Plan, INC. | USA | Charlestown | 529 Main St Ste 500 | Suffolk | 02129 | wellsense.***** | 1997 | $5,124,054,000 | 300 | N/A | N/A | 043373331 |