The Italian Institute for Insurance Supervision (IVASS) published a statistical bulletin on supervised insurers’ activity in the health segment, covering the accident and sickness lines over 2019–2024. It reports that Italy’s total health expenditure in 2024 was EUR 185.1bn (8.5% of GDP), with 74.3% funded by the public sector and 22.3% paid out of pocket, while spending intermediated by health funds and insurance undertakings remained marginal at 3.4%. Premiums in the health segment totalled EUR 8bn in 2024 (EUR 3.6bn accident and EUR 4.4bn sickness), up 7.8% from 2023, driven mainly by sickness (+12.1% versus +2.9% for accident); in the first three quarters of 2025, growth continued, with sickness up 12.7% versus the third quarter of 2024 and accident up 3.1%. The market remained concentrated, with the top five firms collecting 68% of sickness premiums and over 61% of accident premiums. For 2024, sickness business was characterised by widespread group policies covering more than one in five Italians, an average premium per unit of risk (net of taxes) of EUR 203.8 (+6.7%), a loss ratio of 70.9% and a combined ratio of 94.3%, and a positive technical result net of reinsurance of EUR 203m; in accident, the average premium was EUR 62.7, the loss ratio and combined ratio were 40.8% and 76.7%, and the technical result net of reinsurance was EUR 782m.

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