-

Best’s Special Report: Impairments in US Life/Health Insurance Industry Jump to 10 in 2023

OLDWICK, N.J.--(BUSINESS WIRE)--Ten insurance company impairments were identified in the U.S. life/health industry for 2023, following none in 2022, according to a new AM Best report.

The Best’s Special Report, titled, “2023 US Life/Health Impairments Update,” states that during the 2000-2023 study period, 193 life/health insurers became impaired. These impairments consisted of 159 insolvent liquidations, 32 rehabilitations (of which 20 were closed during the period and 12 remain open as of this report) and two conservation actions.

Six of the 10 impairments identified for 2023 were affiliated Friday Health Plans companies that became impaired due to rapid growth during their initial years of operation. The health plans were placed into receivership, and ultimately, liquidation, due to the companies’ reported insolvency and the inability to raise additional funds from outside investors.

For the entire study period, accident and health insurers and health writers accounted for 70% of the impairments, while 14% were small life insurers that focused primarily on selling lower-value industrial/burial policies or stipulated premium business in the South. Remaining impairments involved fraternal entities, annuity writers and other life or combined life/annuity/health business.

The leading cause for impairments in 2000-2023 - where a specific cause could be identified – was the significant challenges of operating as a qualified nonprofit health insurance issuer (known as Co-Ops, or Consumer Operated and Oriented Plans) under the Patient Protection and Affordable Care Act, with 19 impairments. Fraud or alleged fraud was the cause of 15 impairments, while 13 companies failed after experiencing rapid growth.

To access a copy of this report, please visit http://www3.ambest.com/bestweek/purchase.asp?record_code=350887.

AM Best is a global credit rating agency, news publisher and data analytics provider specializing in the insurance industry. Headquartered in the United States, the company does business in over 100 countries with regional offices in London, Amsterdam, Dubai, Hong Kong, Singapore and Mexico City. For more information, visit www.ambest.com.

Copyright © 2025 by A.M. Best Rating Services, Inc. and/or its affiliates. ALL RIGHTS RESERVED.

Contacts

Joseph Roethel
Director
+1 908 882 2278
joseph.roethel@ambest.com

Christopher Sharkey
Associate Director, Public Relations
+1 908 882 2310
christopher.sharkey@ambest.com

Al Slavin
Senior Public Relations Specialist
+1 908 882 2318
al.slavin@ambest.com

AM Best


Release Versions
Hashtags

Contacts

Joseph Roethel
Director
+1 908 882 2278
joseph.roethel@ambest.com

Christopher Sharkey
Associate Director, Public Relations
+1 908 882 2310
christopher.sharkey@ambest.com

Al Slavin
Senior Public Relations Specialist
+1 908 882 2318
al.slavin@ambest.com

Social Media Profiles
More News From AM Best

AM Best’s Market Briefing in Milan to Present on Analysis of Insurance and Reinsurance Markets and Current Industry Issues; Guy Carpenter’s Italy CEO to Present

LONDON--(BUSINESS WIRE)--AM Best will deliver its latest perspectives, examining trends in the global (re)insurance industry, together with an outline of Italy’s insurance market segment outlooks, in a market briefing scheduled for 17 June 2026, in Milan, Italy. Vincenzo Cacìa, CEO, Guy Carpenter Italy, will deliver a guest presentation on Italy’s reinsurance market. The market briefing this year is scheduled to take place from 9:30 a.m. to 2:00 p.m. (CEST) at The Westin Palace Milan, and will...

Best’s Special Report: Personal Auto and Homeowners Markets’ Stabilization Evident Despite a Decline in Approved Rate Changes

OLDWICK, N.J.--(BUSINESS WIRE)--Average annual rate increases for U.S. private passenger auto and homeowners’ policies shifted back to pre-pandemic levels in 2025, following years of large increases amid elevated losses in each line of business, according to a new AM Best report. The average approved rate increase for homeowners’ policies dropped off 5.2 percentage points to 8.3% in 2025, compared with a year earlier. For private passenger auto (PPA), the average approved rate increase was 3.7%...

AM Best Affirms Credit Ratings of Berkshire Hathaway Life Insurance Company of Nebraska and First Berkshire Hathaway Life Insurance Company

OLDWICK, N.J.--(BUSINESS WIRE)--AM Best has affirmed the Financial Strength Rating (FSR) of A++ (Superior) and the Long-Term Issuer Credit Rating (Long-Term ICR) of “aa+” (Superior) of Berkshire Hathaway Life Insurance Company of Nebraska (BHLN) (Omaha, NE). In addition, AM Best has affirmed the FSR of A+ (Superior) and the Long-Term ICR of “aa-” (Superior) of First Berkshire Hathaway Life Insurance Company (First Berkshire Hathaway Life) (New York, NY). The outlook of these Credit Ratings (rat...
Back to Newsroom