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Leading insurance companies in the Netherlands by revenue 2019

Zilveren Kruis Achmea's health division was the largest Dutch insurance company in 2019, with just over ten billion euros worth of gross written premiums. The first four entries in this ranking were all health insurance companies, with only the fifth ranking (Achmea Schade) being a company that focuses on casualty and property damage. Health insurance companies tend to be the biggest insurance companies of the country, sometimes having more than one million policy holders.

Why are the numbers provided per branch, and not for the company as a whole?

Insurance companies in the Netherlands each have multiple branches that operate separately from one another. This, among other reasons, has to do with how health insurance is set up in the country. Simply put, the Dutch government decides the content of the national health insurance (which every Dutch resident must get). It is the private market, however, which rolls this out and sets the prices. The Dutch health authority, then, checks the financial status of the companies. Statista offers a ranking which solely looks at the revenue of health insurance companies in the Netherlands and describes in more detail how this system works.

Financial results of the Dutch insurance market

The technical results of Dutch insurance branches, as a percentage of the gross earned premiums, were under pressure in 2018. Due to the artificially low interest rates of the European Central Bank's (ECB) monetary policy, Dutch insurance companies struggle to make profits, as their investments become less valuable. Also, they have to compensate more money to their insured, for example because of damage due to extreme weather conditions or the ageing of the population.

Leading insurance companies in the Netherlands from 2011 to 2019, by revenue in gross written premium

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Release date

September 2020



Survey time period

2011 to 2019

Supplementary notes

* Healthcare (Zorg) is part of Zilveren Kruis Achmea Zorg since 2015.
** The figures have been taken from several publications. 2016, therefore, marks a break in the series, as the reporting changed.
*** Values prior to 2016 not available.

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Statistics on "Insurance in the Netherlands"

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