In the United States, there are lots of private insurance companies selling a variety of types of insurance. There is property/casualty and life/annuity insurers, then you have Accident and Medical insurance, as reported by the Insurance Information Institute.
In 2018, the accident and health insurance market’s direct written premiums reached $1.1 trillion, up by 57.3 percent from 2009. The increase in premiums is most likely a combination of more Americans having health insurance and the prices for health insurance plans have gone up. The ten biggest insurers jointly wrote 51.8 percent of the total US market, as per the National Association of Insurance Commissioners (NAIC).
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