CSG Actuarial has compiled information from the NAIC* and other sources and is reporting that total earned premiums in the Medicare Supplement market in 2022 totaled $36.1 billion, a 1.4% increase over 2021.

A few other notes of interest:

The total Medicare Supplement lives covered in 2022 decreased slightly to 14.3 million.  CSG Actuarial believes this decrease was due to increased competitive pressures from Medicare Advantage plans and a decrease in the overall Medicare growth rate due to Covid deaths in 2020, 2021, and 2022.

The top 12 carriers in terms of 2022 Medicare Supplement premiums were:

1United Healthcare
2Mutual of Omaha
3CVS Health
5HCSC Group
8BS of California
9CNO Financial
10BCBS of Massachusetts
12BCBS of Minnesota

The 2022 overall Medicare Supplement market loss ratio of 80.4% returned to normal historical levels due to a rebound in utilization of non-Covid medical care the past two years.


15 of the top 20 Medicare Supplement carriers reported a decrease in in-force Medicare Supplement lives in 2022, as shown below.


*Data Source: National Association of Insurance Commissioners, by permission. The NAIC does not endorse any analysis or conclusions based upon the use of its data.