Net premiums earned
Elevance Health Net premiums earned increased by 0.8% to $41.02B in Q1 2026 compared to the prior quarter. Year-over-year, this metric grew by 0.3%, from $40.89B to $41.02B. Over 4 years (FY 2021 to FY 2025), Net premiums earned shows an upward trend with a 8.8% CAGR. This is a positive signal — higher values indicate stronger performance for this metric.
Analysis
How to read this metric
An increase indicates growth in the insurance book of business, while a decrease may signal shrinking market share or increased reinsurance activity.
Detailed definition
This represents the portion of insurance premiums that the company has recognized as revenue during the reporting period...
Peer comparison
Standard across all insurance carriers; peers typically report this as the primary top-line revenue driver.
net_premiums_earnedHistorical Data
| Q2 '21 | Q3 '21 | Q4 '21 | Q1 '22 | Q2 '22 | Q3 '22 | Q4 '22 | Q1 '23 | Q2 '23 | Q3 '23 | Q4 '23 | Q1 '24 | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Value | $28.53B | $30.40B | $30.77B | $32.79B | $33.08B | $33.72B | $33.65B | $35.87B | $36.59B | $35.26B | $35.14B | $35.70B | $35.42B | $36.81B | $36.25B | $40.89B | $41.27B | $41.79B | $40.69B | $41.02B |
| QoQ Change | — | +6.5% | +1.2% | +6.6% | +0.9% | +2.0% | -0.2% | +6.6% | +2.0% | -3.6% | -0.3% | +1.6% | -0.8% | +3.9% | -1.5% | +12.8% | +0.9% | +1.3% | -2.6% | +0.8% |
| YoY Change | — | — | — | — | +15.9% | +10.9% | +9.4% | +9.4% | +10.6% | +4.6% | +4.4% | -0.5% | -3.2% | +4.4% | +3.2% | +14.5% | +16.5% | +13.5% | +12.3% | +0.3% |
Business Segments
| Segment | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 |
|---|---|---|---|---|---|---|---|---|
| Health Benefits Segment | $35.10B | $36.45B | $35.74B | $39.59B | $39.71B | $40.30B | $39.86B | $40.45B |
| Carelon Services Segment | $794.00M | $680.00M | $748.00M | $1.50B | $1.86B | $1.76B | $1.19B | $779.00M |
| Carelon Total | $794.00M | $680.00M | — | — | — | — | — | — |
| CarelonRx Segment | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Corporate & Other | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total | $35.42B | $36.81B | $36.25B | $40.89B | $41.27B | $41.79B | $40.69B | $41.02B |
Carelon Total, Corporate & Other Segment, Segment Eliminations were previously reported and have since been discontinued or reclassified. Only currently active segments are shown in the chart.
Net premiums earned at Other Companies
Frequently Asked Questions
- What is Elevance Health's net premiums earned?
- Elevance Health (ELV) reported net premiums earned of $41.02B in Q1 2026.
- How has Elevance Health's net premiums earned changed year-over-year?
- Elevance Health's net premiums earned increased by 0.3% year-over-year, from $40.89B to $41.02B.
- What is the long-term trend for Elevance Health's net premiums earned?
- Over 4 years (2021 to 2025), Elevance Health's net premiums earned has grown at a 8.8% compound annual growth rate (CAGR), from $117.37B to $164.64B.
- What does net premiums earned mean?
- The revenue recognized from insurance premiums after accounting for reinsurance.