Revenue
Premium tax
Centene Premium tax increased by 5.8% to $5.29B in Q1 2026 compared to the prior quarter. Year-over-year, this metric grew by 28.0%, from $4.13B to $5.29B. Over 4 years (FY 2021 to FY 2025), Premium tax shows an upward trend with a 26.1% CAGR.
Analysis
StatementIncome Statement
SectionRevenue
CategoryGrowth
SignalContext dependent
VolatilityStable
First reportedQ1 2013
Last reportedQ1 2026Apr 28, 2026
How to read this metric
An increase indicates higher premium volume subject to tax or changes in tax pass-through structures, while a decrease may signal lower enrollment or shifts in regulatory tax requirements.
Detailed definition
This represents the revenue generated specifically from premium taxes collected or passed through in managed care contra...
Peer comparison
Common in managed care organizations operating across multiple states with varying tax regimes.
Metric ID:
revenue_premium_tax_revenueHistorical 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 | $2.16B | $1.89B | $2.08B | $2.95B | $1.97B | $2.14B | $2.01B | $3.94B | $2.77B | $3.08B | $4.12B | $4.07B | $3.86B | $5.12B | $4.51B | $4.13B | $6.28B | $4.79B | $5B | $5.29B |
| QoQ Change | — | -12.5% | +9.7% | +42.3% | -33.4% | +8.7% | -6.1% | +96.1% | -29.6% | +11.0% | +34.0% | -1.3% | -5.1% | +32.6% | -12.0% | -8.4% | +51.9% | -23.6% | +4.3% | +5.8% |
| YoY Change | — | — | — | — | -9.0% | +13.1% | -3.2% | +33.3% | +40.8% | +43.8% | +105.3% | +3.4% | +39.5% | +66.6% | +9.4% | +1.5% | +62.4% | -6.5% | +10.8% | +28.0% |
Range$1.89B – $6.28B
CAGR+20.7%
Avg YoY Growth+27.4%
Median YoY Growth+20.5%
Current Streak2 quarters growth
Business Segments
| Segment | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 |
|---|---|---|---|---|---|---|---|---|
| Medicaid | $3.86B | $5.12B | $4.51B | $4.13B | $6.28B | $4.79B | $5B | $5.29B |
| Commercial | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Medicare | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Other | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Total | $3.86B | $5.12B | $4.51B | $4.13B | $6.28B | $4.79B | $5B | $5.29B |
Premium tax at Other Companies
Frequently Asked Questions
- What is Centene's premium tax?
- Centene (CNC) reported premium tax of $5.29B in Q1 2026.
- How has Centene's premium tax changed year-over-year?
- Centene's premium tax increased by 28.0% year-over-year, from $4.13B to $5.29B.
- What is the long-term trend for Centene's premium tax?
- Over 4 years (2021 to 2025), Centene's premium tax has grown at a 26.1% compound annual growth rate (CAGR), from $8B to $20.2B.
- What does premium tax mean?
- Revenue derived from premium tax assessments on insurance contracts.