The nation’s insurers have filed their fourth-quarter earnings reports, showing which recorded the largest net income in 2025.
- UnitedHealth Group: $12.1 billion
Total net earnings in 2025 were under $12.1 billion, down 16% year over year. UnitedHealthcare’s total earnings from operations in 2025 were $9.4 billion, down about 40% year over year. - Cigna Group: $6 billion
Total net income in 2025 was nearly $6 billion, up 73% year over year, though the increase was largely driven by the absence of a one-time investment loss that weighed on 2024 results. Cigna Healthcare reported an operating income of $4.4 billion in 2025. - Elevance Health: $5.7 billion
Total net income in 2025 was nearly $5.7 billion, down about 5% year over year. The insurance division reported a total operating gain of $4.2 billion in 2025, down from $6.2 billion in 2024. - CVS Health: $1.8 billion
Total net income in 2025 was less than $1.8 billion, down 61.8% year over year. Aetna reported a $2.9 billion adjusted operating income in 2025. - Humana: $1.2 billion
Total net income totaled nearly $1.2 billion, down 1.6% year over year. The company’s insurance segment reported an income from operations of $1.7 billion in 2025, up from $1.3 billion the year prior. - Molina Healthcare: $472 million
Total net income totaled $472 million, down 60% year over year. - Centene: -$6.7 billion
Centene posted a $6.7 billion net loss in 2025, compared to $3.3 billion in net income the year prior. The loss was driven primarily by a $6.7 billion non-cash goodwill impairment charge.
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