Market share life insurance companies in Belgium 2015-2023, by gross written premium

In 2023, AG Insurance held the highest market share of the life insurance industry in Belgium with a share of approximately 17 percent. AXA followed with a share of approximately 16.6 percent. In total, the top 15 companies had a combined market share of around 92 percent at this time.

In Belgium, all employees and self-employed must register and make contributions to one of five free health insurance funds or mutualities (in Dutch: mutualiteit or ziekenfonds, in French: mutuelle): Christelijke Mutualiteiten; Socialistische Mutualiteiten; Liberale Mutualiteiten; Onafhankelijke Ziekenfondsen and Neutrale Ziekenfondsen. Within these mandatory health insurance, which is paid by social benefits and government subsidies, patients are free to choose their own medical professionals and places of treatment. To increase the cover for medical costs, however, Belgian residents are allowed to add private supplementary health insurance to their mutuality.