Revenue
Net premiums earned
UnitedHealth Group Net premiums earned decreased by 1.4% to $87.56B in Q1 2026 compared to the prior quarter. Year-over-year, this metric grew by 1.2%, from $86.53B to $87.56B. Over 4 years (FY 2021 to FY 2025), Net premiums earned shows an upward trend with a 11.7% CAGR. This decline may warrant attention — for this metric, higher values are generally preferred.
Analysis
StatementIncome Statement
SectionRevenue
CategoryGrowth
SignalHigher is better
VolatilityStable
First reportedQ1 2013
Last reportedQ1 2026May 5, 2026
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.
Metric ID:
net_premiums_earnedHistorical Data
20 periods
| 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 | $56.23B | $56.97B | $57.55B | $64.07B | $63.90B | $64.49B | $64.70B | $72.79B | $72.47B | $72.34B | $73.23B | $77.99B | $76.90B | $77.44B | $76.48B | $86.53B | $87.91B | $88.98B | $88.81B | $87.56B |
| QoQ Change | — | +1.3% | +1.0% | +11.3% | -0.3% | +0.9% | +0.3% | +12.5% | -0.4% | -0.2% | +1.2% | +6.5% | -1.4% | +0.7% | -1.2% | +13.1% | +1.6% | +1.2% | -0.2% | -1.4% |
| YoY Change | — | — | — | — | +13.6% | +13.2% | +12.4% | +13.6% | +13.4% | +12.2% | +13.2% | +7.1% | +6.1% | +7.1% | +4.4% | +11.0% | +14.3% | +14.9% | +16.1% | +1.2% |
Range$56.23B – $88.98B
CAGR+9.8%
Avg YoY Growth+10.9%
Median YoY Growth+12.8%
Current Streak2 quarters decline
Business Segments
| Segment | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 |
|---|---|---|---|---|---|---|---|---|
| UnitedHealthcare | $70.95B | $71.62B | $71.14B | $81.51B | $83.02B | $83.92B | $83.93B | $82.99B |
| Optum Health | $5.95B | $5.82B | $5.35B | $5.02B | $4.89B | $5.06B | $4.88B | $4.58B |
| Optum Insight | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Optum Rx | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Total | $76.90B | $77.44B | $76.48B | $86.53B | $87.91B | $88.98B | $88.81B | $87.56B |
Net premiums earned at Other Companies
Frequently Asked Questions
- What is UnitedHealth Group's net premiums earned?
- UnitedHealth Group (UNH) reported net premiums earned of $87.56B in Q1 2026.
- How has UnitedHealth Group's net premiums earned changed year-over-year?
- UnitedHealth Group's net premiums earned increased by 1.2% year-over-year, from $86.53B to $87.56B.
- What is the long-term trend for UnitedHealth Group's net premiums earned?
- Over 4 years (2021 to 2025), UnitedHealth Group's net premiums earned has grown at a 11.7% compound annual growth rate (CAGR), from $226.23B to $352.23B.
- What does net premiums earned mean?
- The revenue recognized from insurance premiums after accounting for reinsurance.