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This report is a collaborative effort by Pierre-Ignace Bernard, Stephan Binder, Alexander D’Amico, Henri de Combles de Nayves, Kweilin Ellingrud, Bernhard Kotanko, Philipp Klais, and Kurt Strovink, representing views from McKinsey’s Insurance Practice.

The impact on the insurance industry was noticeable: in 2020, premium growth slowed to approximately 1.2 percent (compared with more than 4 percent per year between 2010 and 2020) (Exhibit 1). Profits fell by about 15 percent from 2019. The decline was sharpest in Asia–Pacific (down 36 percent) and was particularly driven by falling profits in life.

Preliminary data suggest that premium growth and profits rebounded in 2021, especially in regions where strong vaccine rollouts have made many activities possible again, at least periodically.

State of the industry

Even before 2020, the insurance industry faced challenges. Now, those issues have taken on even greater urgency:

As a result of these longstanding challenges, economic profit—that is, profit after cost of capital—in the insurance industry is practically at a standstill (Exhibit 6).

Restarting value creation

The challenges run deep. And insurance leaders must also contend with a raft of trends unleashed by COVID-19. It’s a unique moment; insurers now face several fundamental strategic questions. How can they create more value for shareholders? Can they unlock latent demand and improve the customer experience? How can they regain momentum on the long-running quest to improve productivity? Also, what about talent? How can they reimagine the employee proposition to attract and retain the brightest and best after the pandemic? Finally, how can insurers, individually and collectively, reframe the role and purpose of insurance in society?

Welcome to the first edition of McKinsey’s Global Insurance Report, which seeks to answer these questions. In our view, leadership teams need to capitalize on nine value levers:

Addressing these nine imperatives will help carriers answer strategic questions about “how to play.” But the challenges and recent trends facing the industry will force some insurers to also think about “where to play” and rebalance their portfolios of businesses and review their capital allocation accordingly. In this report, we zoom in on this pressing question: Where should insurers be active (in terms of geography, lines of business, and position in the value chain) to renew value creation and themselves? Our conclusion? Most carriers would benefit by focusing their portfolio more tightly on the businesses of which they are the best natural owners. To download the full report, click here.

Pierre-Ignace Bernard is a senior partner in McKinsey’s Paris office, where Henri de Combles de Nayves is a partner; Stephan Binder is a senior partner in the Zurich office; Alexander D’Amico and Kurt Strovink are senior partners in the New York office; Kweilin Ellingrud is a senior partner in the Minneapolis office; Bernhard Kotanko is a senior partner in the Hong Kong office; and Philipp Klais is an associate partner in the Munich office.

The authors wish to thank Tanguy Catlin, Nataliya Fedorenko, Jonathan Godsall, Shitij Gupta, Kia Javanmardian, Johannes-Tobias Lorenz, Brad Mendelson, Rahul Mondal, Sirus Ramezani, and Sandra Sancier-Sultan for their contributions to this report.

This report was edited by Mark Staples, an executive editor in the New York office.