The ten companies below collected $1.71 trillion in revenue in FY2025. They booked $21 billion in net profit — a 1.23% margin by design. And they returned roughly all of that profit to their shareholders, the same year American families saw the steepest premium hike in a decade and Medicare Advantage prior-authorization denials rose to 7.7%. Below: their share prices, live. Beneath that: what consumers paid, and what they were refused.
| Ticker | Insurer | Price | Day Δ | Day % | FY25 Revenue | FY25 Net Income | Net Margin | 5-Yr Return | Returned to Shareholders |
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In the same year the ten largest US for-profit insurers returned roughly all of their net income to shareholders, American families saw the steepest premium hikes in a decade and rising prior-authorization denials on the care they tried to use.