Industry Information about Auto InsuranceOver 1,000 companies provided automobile and healthcare insurance in the United States in the early 2000s, which resulted in writing almost $96 billion in premiums. The developing growth of managed care companies throughout the 1980s and 1990s forced many carriers to suppress necessary rate increases in the face of powerful price competition. Nevertheless, managed care companies themselves began to face cost containment issues during the early 2000s, finding themselves forced to increase premiums. Recent Trends in Car InsuranceLife insurance companies, which endorse car and health plans numbered 1,549 in 2001 and took in a total of $472 billion in premiums. The continuous move to managed care plans is responsible for the recession in premiums; health and accident insurance was responsible for almost 21.3 percent of premiums for life insurance companies in 1997. Car insurance in Jacksonville and Tampa, Florida has remained substantial, because Florida-based Metropolitan Life Insurance Co., which is the largest individual life, accident, and health insurance company in the United States. Following MetLife is Prudential Insurance Company of America. New York City car insurance, as well as healthcare remains profitable with Teachers Insurance and Annuity Association of America located in New York, New York, as one of the top insurers following MetLife and Prudential also in 2002.Businesses in This CategoryThis category oversees establishments primarily engaged in underwriting accident and health insurance. These establishments solely focus on the practice of providing medical, hospital, and other health services on a service basis. Learn more the auto insurance industry in your state, visit the Department of Motor Vehicles online.