How Do Insurance Companies Make Money? Business Model Explained (2024)

Insurance companies base their business models around assuming and diversifying risk. The essential insurance model involves pooling risk from individual payers and redistributing it across a larger portfolio. Most insurance companies generate revenue in two ways: Charging premiums in exchange for insurance coverage, thenreinvesting those premiumsinto otherinterest-generating assets. Like all private businesses, insurance companies try to market effectively and minimize administrative costs.

Pricing and Assuming Risk

Revenue model specifics vary among health insurance companies, property insurance companies, and financial guarantors. The first task of any insurer, however, is to price risk and charge a premium for assuming it.

Suppose the insurance company is offering a policy with a $100,000 conditional payout. It needs to assess how likely a prospective buyer is to trigger the conditional payment and extend that risk based on the length of the policy.

This is where insurance underwriting is critical. Without good underwriting, the insurance company would charge some customers too much and others too little for assuming risk. This couldpriceout the least risky customers, eventually causing rates to increaseeven further. If a company prices its risk effectively, it should bring in more revenue in premiums than it spends on conditional payouts.

In a sense, an insurer's real product is insurance claims. When a customer files a claim, the company must process it, check it for accuracy, and submit payment. This adjusting process is necessary to filter out fraudulent claims and minimize the risk of loss to the company.

Interest Earnings and Revenue

Suppose the insurance company receives $1 million in premiums for its policies. It could hold onto the money in cash or place it into a savings account, but that is not very efficient: At the very least, those savings are going to be exposed to inflation risk. Instead, the company can find safe, short-term assets to invest its funds. This generates additional interest revenue for the company while it waits for possible payouts. Common instruments of this type include Treasury bonds, high-grade corporate bonds, and interest-bearing cash equivalents.

Reinsurance

Some companies engage in reinsurance to reduce risk. Reinsurance is insurance that insurance companies buy to protect themselves from excessive losses due to high exposure. Reinsurance is an integral component of insurance companies' efforts to keep themselves solvent and to avoid default due to payouts, and regulators mandate it for companies of a certain size and type.

For example, an insurance company may write too much hurricane insurance, based on models that show low chances of a hurricane inflicting a geographic area. If the inconceivable did happen with a hurricane hitting that region, considerable losses for the insurance company could ensue. Without reinsurance taking some of the risks off the table, insurance companies could go out of business whenever a natural disaster hits.

Regulators mandate that an insurance company must only issue a policy with a cap of 10% of its value unless it is reinsured. Thus, reinsurance allows insurance companies to be more aggressive in winning market share, as they can transfer risks. Additionally, reinsurance smooths out the natural fluctuations of insurance companies, which can see significant deviations in profits and losses.

For many insurance companies, it is like arbitrage. They charge a higher rate for insurance to individual consumers, and then they get cheaper rates reinsuring these policies on a bulk scale.

How Do Insurance Companies Make Money? Business Model Explained (1)

Evaluating Insurers

By smoothing out the fluctuations of the business, reinsurance makes the entire insurance sector more appropriate for investors.

Insurance sector companies, like any other non-financial service, are evaluated based on their profitability, expected growth, payout, and risk. But there are also issues specific to the sector. Since insurance companies do not make investments in fixed assets, little depreciation and very small capital expenditures are recorded. Also, calculating the insurer's working capital is a challenging exercise since there are no typical working capital accounts. Analysts do not use metrics involving firm and enterprise values; instead, they focus on equity metrics, such as price-to-earnings (P/E) and price-to-book (P/B) ratios. Analysts perform ratio analysis by calculating insurance-specific ratios to evaluate the companies.

The P/E ratio tends to be higher for insurance companies that exhibit high expected growth, high payout, and low risk. Similarly, P/B is higher for insurance companies with high expected earnings growth, low-risk profile, high payout, and high return on equity. Holding everything constant, return on equity has the largest effect on the P/B ratio.

When comparing P/E and P/B ratios across the insurance sector, analysts have to deal with additional complicating factors. Insurance companies make estimated provisions for their future claims expenses. If the insurer is too conservative or too aggressive in estimating such provisions, the P/E and P/B ratios may be too high or too low.

The degree of diversification also hampers comparability across the insurance sector. It is common for insurers to be involved in one or more distinct insurance businesses, such as life, property, and casualty insurance. Depending on the degree of diversification, insurance companies face different risks and returns, making their P/E and P/B ratios different across the sector.

How Do Insurance Companies Make Money? Business Model Explained (2024)

FAQs

How do insurance companies make a profit? ›

The main way that an insurance company makes a profit is by ensuring the premiums received are greater than any claims made against the policy. This is known as the underwriting profit. Insurance companies also generate additional investment income by investing in the premiums received.

Who generates revenue for an insurance company? ›

Insurers generate revenue by charging customers premiums on a regular basis. Claims Expenses: Claims expenses refer to the money insurers pay out when customers make claims on their policies. Insurers must factor in the cost of claims when calculating their total revenue.

How profitable is owning an insurance company? ›

Overall, it depends on the types of insurance coverage that you offer. As of 2021 in the second quarter, life insurance companies had a profit margin around 4.1%. Insurance brokers had a profit margin around 8.7%. Accident and health insurance companies had a profit of around 5.5%.

How do insurance companies make money on life insurance? ›

Life insurance companies make money by charging you premiums and investing some of the money they collect. They also profit from canceled or expired policies.

What percent profit do insurance companies make? ›

Taking these factors into consideration, most insurance agency owners operate with an average profit margin between 2 percent and 10 percent.

What is the richest insurance company? ›

Who are the largest property and casualty insurance companies? State Farm is the largest property and casualty insurance in the United States, with more than $70 billion in premiums in 2021.

How much do insurance companies profit a year? ›

The health insurance industry continued its tremendous growth trend, but it experienced a significant (41%) decrease in net earnings to $19 billion and a decrease in the profit margin to 2.1% in 2021 compared to net earnings of $31 billion and a profit margin of 3.8% in 2020.

How much profit does the insurance industry make? ›

The average Insurance industry profit margin is only 3-5%.

How do insurance companies pay out claims? ›

Once the insurance company sends an adjuster and evaluates the damage to your home, they'll pay a settlement amount in either replacement cost or actual cash value. Replacement cost gives you funds to cover the costs to rebuild your home or repair damages using similar materials.

What is the P&L of an insurance company? ›

Profit And Loss Account (Form A‐PL)

The P&L A/c is prepared to calculate the overall profit of the life insurance business. The incomes or expenses that are not related to any particular fund are recorded in the P&L A/c.

Where do insurance companies invest their money? ›

Common investments held by insurance entities include:
  • Debt securities: bonds, notes, and redeemable preferred stock.
  • Equity securities: common stock, mutual fund shares, and non-redeemable preferred stock.
  • Short-term investments: commercial paper, certificates of deposit, mutual funds, and money market funds.
Feb 8, 2022

What is insurance company expense ratio? ›

The expense ratio in the insurance industry is a measure of profitability calculated by dividing the expenses associated with acquiring, underwriting, and servicing premiums by the net premiums earned by the insurance company.

Do people who sell life insurance make a lot of money? ›

Annual income for a life insurance agent can vary from as little as $28,000 per year to as much as $125,000 per year. How much money you can make selling life insurance will depend on a variety of factors, including your own ability to convert leads to customers, as well as the area in which you live.

How does insurance companies work? ›

The basic concept of insurance is that one party, the insurer, will guarantee payment for an uncertain future event. Meanwhile, another party, the insured or the policyholder, pays a smaller premium to the insurer in exchange for that protection on that uncertain future occurrence.

Do life insurance companies make a lot of money? ›

The life insurance industry is one of the most profitable industries in the world. Every year, insurers report billions in profits on their corporate tax returns.

How much cash do insurance companies have on hand? ›

Despite holding more than 5 trillion in assets, cash holdings are typically around $100 billion, or only about 2 percent of life insurers' general account assets. By comparison, commercial banks' cash holdings are typically about 15 percent of their total assets.

What percentage of insurance agents succeed? ›

An insurance agent can find success when they set reasonable expectations, develop a robust support system, and focus on putting their customers' needs above their own. It is estimated that new insurance agents experience a 30% to 50% success rate, with this figure gradually dropping over time.

Why are insurance agents so rich? ›

The primary way that an insurance broker makes money is from commissions and fees earned on sold policies. These commissions are typically a percentage of the policy's total annual premium. An insurance premium is the amount of money that an individual or business pays for an insurance policy.

Does insurance make millionaires? ›

Is It Possible To Become A Millionaire Selling Insurance? A big yes. But like any other job, it takes time to be good at what you do and attain such income levels. Top agents earn anywhere between $100,000 to one million dollars.

Who is the highest paid insurance CEO? ›

  • Karen Lynch, CVS Health. 2022 total compensation: $21,317,055. ...
  • David Cordani, Cigna Group. 2022 total compensation: $20,965,504. ...
  • Gail Boudreaux, Elevance Health. 2022 total compensation: $20,931,081. ...
  • Andrew Witty, UnitedHealth Group. 2022 total compensation: $20,865,106. ...
  • Bruce Broussard, Humana. ...
  • Sarah London, Centene.
May 1, 2023

What is the structure of the insurance industry? ›

Insurance companies are generally organized in five broad departments: claims, finance, legal, marketing and underwriting. Marketing and underwriting are the “yes” departments, while claims and finance are the “no” departments. The legal department is often the referee between these competing interests.

Why are they pushing Medicare Advantage plans? ›

Many Medicare Advantage plans offer additional benefits , such as money toward dental or vision care, which isn't covered by original Medicare. About 1 in 4 people say extra benefits pushed them to choose Medicare Advantage, according to a survey by the Commonwealth Fund, a health care think tank.

What is insurance margin? ›

Insurance profit margin

The ratio of insurance profit to net earned premium.

How much do top producing insurance agents make? ›

The median annual wage for insurance sales agents was $49,840 as of May 2021. The lowest 10% of earners in the industry made less than $29,970, and the highest 10% earned more than $126,510.

Which insurance company denies the most claims? ›

WHICH INSURANCE COMPANIES ARE CONSIDERED THE WORST?
  1. ALLSTATE. Allstate CEO Thomas Wilson admits that his priority is the shareholders—not the insured parties who have claims. ...
  2. PROGRESSIVE. ...
  3. UNITEDHEALTH. ...
  4. STATE FARM. ...
  5. ANTHEM. ...
  6. UNUM. ...
  7. FEDERAL EMPLOYEE BENEFITS. ...
  8. FARMERS.

Do insurance companies pay out cash? ›

If your insurance company offers a cash settlement, it means they will pay you the agreed sum in monetary compensation. A cash settlement is a straightforward financial transaction where one party (i.e. the insurance company) pays money to another (i.e. the homeowner).

How do insurance companies send money? ›

Car insurance companies pay out claims by sending you a check, transferring the payment to your bank account, or paying the mechanic directly. Once your claim has been approved, you'll receive payment for the amount determined by your insurer.

What are 3 things a profit and loss statement may include? ›

Key Components of a Profit and Loss Report
  • Revenues. This entry represents the net sales or receipts during the accounting period. ...
  • Cost of Goods Sold. ...
  • Gross Profit. ...
  • Operating Expenses. ...
  • Operating Income. ...
  • Other Income and Expenses. ...
  • Net Profit.
Apr 13, 2023

Does insurance cover lost profits? ›

Business interruption insurance helps replace lost income and pay for extra expenses when a business is affected by a covered peril. Business interruption coverage (sometimes called business income coverage) is typically part of a business owners insurance policy.

What does Ebita mean? ›

What Is EBITA? Earnings before interest, taxes, and amortization (EBITA) is a measure of company profitability used by investors. It is helpful for comparing one company to another in the same line of business. In some cases, it can also provide a more accurate view of a business's value.

Who makes the most money selling insurance? ›

While there are many kinds of insurance (ranging from auto insurance to health insurance), the most lucrative career in the insurance field is for those selling life insurance.

What is the largest insurance company in the world? ›

UnitedHealth Group is the largest insurance company in the world by market cap in 2023, according to Insurance Business. Among the 10 largest insurers, five are based in the U.S. 10 largest insurance companies in the world by market cap: UnitedHealth Group: $459 billion.

What do insurance companies do with the premiums they collect? ›

Insurers use the premiums paid to them by their customers and policyholders to cover liabilities associated with the policies they underwrite. They may also invest in the premium to generate higher returns. This can offset some costs of providing insurance coverage and help an insurer keep its prices competitive.

What are KPI's in insurance? ›

Insurance KPIs (Key Performance Indicators) are metrics insurance companies use to measure their performance and success. These indicators help companies track their progress toward achieving their goals and objectives.

What is the formula for insurance expense? ›

Insurance expense = Value of the asset * Percentage of insurance premium. For manufacturing concerns, 2.89% of the value of their asset is paid as the cost of insurance. Similarly, based on the type of insurance policy and the item insured, the insurance expense can be computed.

What is the formula for underwriting profit? ›

It is calculated by taking the net collected premiums (net of reinsurance premiums) less losses, loss adjustment expenses, and underwriting expenses paid.

How stressful is selling life insurance? ›

Life insurance agents enjoy a lucrative career, but it does involve a constant hustle, networking, and sales in evenings and on weekends and general hard work. And there can be a lot of rejection before each sale. Rejection is standard in every sales career, but insurance sales set you up for significant rejection.

What is the commission of an insurance agent? ›

A typical life insurance agent receives commission ranging from 30 percent to 90 percent of the policy year premiums paid the first year. In later years, the agent may receive from 3 percent to 10 percent of each year's renewals.

How do I succeed in insurance sales? ›

How to Be a Successful Insurance Agent
  1. People Skills. People skills are the number one characteristic of a successful insurance agent. ...
  2. Good Salesmanship. Insurance agents are salespeople by nature. ...
  3. Customer Service Skills. ...
  4. High Energy Level. ...
  5. Honesty. ...
  6. Knowledge on a Variety of Products. ...
  7. Choose the Right Carrier.

How does insurance work for dummies? ›

When you buy insurance, you make payments to the insurance company. These payments are called "premiums." In exchange for paying your premiums, you are covered from certain risks. The insurance company agrees to pay you for losses if they occur.

How often do insurance companies deny claims? ›

Fortunately for the majority of Americans, most insurance claims get approved. According to the American Academy of Family Physicians, the health insurance industry averages a 5% to 10% denial rate. So 90 to 95% of claims get approved every year.

Why do insurance companies exist? ›

Purpose of insurance

Its aim is to reduce financial uncertainty and make accidental loss manageable. It does this substituting payment of a small, known fee—an insurance premium—to a professional insurer in exchange for the assumption of the risk a large loss, and a promise to pay in the event of such a loss.

Why is selling life insurance so profitable? ›

Selling life insurance is part of the financial services industry, which has a track record of generating more millionaires than any other industry. One of the reasons that selling life insurance is so lucrative is your ability to make ongoing, residual income.

What is the biggest life insurance pay out? ›

The largest payout in 2021 was $362.7 billion, for surrender benefits and withdrawals from life insurance contracts made to policyholders who terminated their policies early or withdrew cash from their policies.

How do life insurance sellers make money? ›

Many life insurance agents receive sales commissions for the products or services they sell. Agents will receive a large upfront commission based on the cost of the first year's policy premium. The upfront commission can be a substantial percentage of the first year's policy cost.

Do you actually make money selling insurance? ›

The commission you earn on a life insurance policy sale is not limited to the first year. Rather, you keep getting paid as long as the policy is in force. Your commission percentage on a policy drops after the first year, but you keep earning 5% to 10% as long as the policyholder pays their monthly premium.

Do auto insurance companies make huge profits? ›

A separate analysis conducted by the non-profit consumer group Consumer Watchdog found that insurers earned excess profits of about $5.5 billion in California alone.

What is the most lucrative insurance to sell? ›

If I was limited to selling only one single type of insurance product, it would be commercial insurance. That is, anything business-related: personal, auto, fire, etc. Commercial insurance is one of the most long-term, viable products for generating income because it's one of the few verticals that can't be automated.

Do people become millionaire selling insurance? ›

Is It Possible To Become A Millionaire Selling Insurance? A big yes. But like any other job, it takes time to be good at what you do and attain such income levels. Top agents earn anywhere between $100,000 to one million dollars.

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