The health and protection market grew by 3% in 2017

According to data collected by the Technical Centre for Provident Institutions (CTIP), the French Insurance Federation (FFA) and the National Federation of Mutual Insurance Companies (FNMF), the health and protection insurance market grew by 3% in 2017, with premiums of €58.6 bn1. This growth was driven by group contracts (+4.6 % compared to +1.5 % for individual contracts), which accounted for half of the premiums.

Health and protection insurance premiums in 2017

The supplementary health insurance market grew by 2.3%, to €37.1 bn of premiums.

In supplementary health insurance, growth in premiums came predominantly from group contracts (up to €17.4 bn in 2017, i.e. +4.4% compared to 2016). The volume of premiums from individual contracts was slightly up (to €19.7 bn, i.e. +0.4%). Premiums grew strongly for insurance companies (+4.9%) and provident institutions (+3.0%). For mutuals, premiums rose slightly (0.4%). Market shares (individual and group) were 50% for mutuals, 32% for insurance companies and 18% for provident institutions.

The protection insurance market grew 4.4%, to €21.4 bn of premiums.

In protection insurance, premiums from individual contracts and group contracts grew strongly (+3.9% and +4.7% respectively). Group contracts continued to predominate, accounting for 55% of premiums.
The overall growth of the market was shared among the different actors. Premiums grew by 4.6% for insurance companies, 4.1% for provident institutions and 3.8% for mutuals. Market shares (individual and group) were 64% for insurance companies, 28% for provident institutions and 8% for mutuals.

En 2017, le marché de la complémentaire santé et de la prévoyance progresse de 3%

Sources : CTIP, FFA, FNMF

NB: because of rounding, the sum of premiums by actors or by contracts is not always equal to the total.


The breakdown of premium volumes is determined by entity, according to the list of approved organisations published by the French prudential supervisory authority, the ACPR. A view based on groups would be different as the breakdown would then be determined by the legal category of the company or institution at the head of the group and not that of each individual entity. In 2017, for example, including the premiums of public limited insurance companies whose shares are held by mutual insurance companies governed by the Mutual Insurance Code in the premiums of mutual insurance companies would change the market share of mutual insurance companies from 8% to 11% for protection insurance. Similarly, according to a view based on groups, the market share of provident institutions would be 30% for health and 35% for protection.


(1) Premiums exclusive of tax