NU Online News Service, Dec. 29, 12:12 p.m. EST

The health insurance industry reported a decline of 12.4 percent in net income, to $8.2 billion, as of Sept. 30, compared to the same period in 2008, according to a new analysis by Highline Data.

The Cambridge, Mass.-based data provider of financial and marketing information on insurance companies said while the ten largest companies' ranked by year-end 2008 total assets accounted for 35 percent ($2.8 billion) of the total industry net income during the quarter, considerably outperforming smaller players, 38 percent (335) of the companies reported underwriting losses in the third quarter.

Underwriting deductions, which primarily include health benefit payments, increased by 4.5 percent year-over-year and totaled $332 billion as of Sept. 30.

Underwriting deductions showed a five-year compound annual growth rate (CAGR) of 9.5 percent, outpacing total revenue, which showed a five-year CAGR of 9.2 percent.

Overall, the industry saw gains in total assets, capital and surplus, and member months, which was an improvement over 2008 results, which all reported declines. Return on average equity continued to decline, however, reaching a six-year low of 11.1 percent.

"While the public perception is that health companies are recording record profits, the reality they face is clearly a reduction in profit margins, reaching a four-year low of 2.4 percent (Net Underwriting Gain to Revenues)," Laurie Dallaire, vice president of Highline Data, said in a statement. "Even before the anticipated impact of pending healthcare reform legislation, the industry will continue to see depressed margins as companies strive to control premiums and benefits costs."

Highline Data is a subsidiary of Summit Business Media which also owns National Underwriter.

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