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Aflac AFL Health insurance — Earned premiums, direct

Other product segments

Life insurance
$1.9B+7.0%

Similar metrics at other companies

Assurant logo
AIZAccident and health insurance — Direct earned premiums
$85.25M-0.5%
Reinsurance Group of America logo
RGAInsurance, Other — Direct Premiums Earned
$68.75M-90.5%
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AIZProperty and liability insurance — Direct earned premiums
$4.71B+3.1%
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UHALAccident And Health Insurance — Direct Premiums Earned
$5.83M-27.7%
U-Haul Holding logo
UHALLife Insurance — Direct Premiums Earned
$10.6M-7.9%
Kemper logo
KMPRDirect premiums earned
$1.1B+4.2%

Other financials

Income statement

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Revenue$4.3B+27.9%
Net income$1.0B+3,414%
EPS (diluted)$1.98+3,860%

Balance sheet

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Cash & equivalents$5.7B+8.1%
Total debt$8.0B+1.8%
Total equity$30.0B+13.8%
Total assets$116.28B-3.3%

Cash flow

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Operating cash flow$968.0M+64.3%

Valuation

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Market cap$60.18B+7.8%
Enterprise value$62.52B+6.9%
P/E13×-2.6×
P/S3.3×0.0×

Profitability

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Net margin25.6%+4.3pp

Returns & leverage

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Return on equity16.5%+2.1pp
Debt / equity0.3×0.0×

Where this comes from

Reported directly by Aflac in its filing.

Tagged under the XBRL concept us-gaap:DirectPremiumsEarned.

The official record: Aflac’s 10-K, filed February 25, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is Aflac's health insurance — earned premiums, direct?
Aflac (AFL) reported health insurance — earned premiums, direct of $2.96B in Q4 2025.
How has Aflac's health insurance — earned premiums, direct changed year-over-year?
Aflac's health insurance — earned premiums, direct increased by 0.6% year-over-year, from $2.95B to $2.96B.
What is the long-term trend for Aflac's health insurance — earned premiums, direct?
Over 4 years (2021 to 2025), Aflac's health insurance — earned premiums, direct has grown at a -5.2% compound annual growth rate (CAGR), from $14.69B to $11.86B.
What does health insurance — earned premiums, direct mean?
Represents the total gross premiums written by the health insurance segment before accounting for reinsurance transactions. This metric reflects the raw top-line revenue generation capacity of the health insurance product line. It serves as a primary indicator of market demand and the effectiveness of the company's distribution channels.