Direct Health and Medical Insurance Carriers — Business Survival Rate
An estimated 48% of direct health and medical insurance carriers businesses survive their first 5 years, based on U.S. Census Bureau Business Dynamics Statistics. The annual business closure rate is 13.7%.
Is Direct Health and Medical Insurance Carriers a Good Business to Start?
With a 48% five-year survival rate, direct health and medical insurance carriers is near the national average (~50%). This means roughly half of new entrants will still be operating after 5 years — typical business risk that rewards solid planning and execution.
The annual exit rate of 13.7% indicates moderate turnover. Success depends on differentiation, location, and operational efficiency rather than inherent industry advantages.
Entry vs. Exit Rates
Annual rate of new businesses opening versus existing businesses closing.
Net negative: more businesses closing than opening (-7.0 pp spread).
Job Creation & Destruction
The industry is adding jobs faster than losing them — a positive sign for both workers and new business owners looking to hire. Total employment: 1,608,271 workers across 5,698 firms.
Want to know how much direct health and medical insurance carriers businesses actually make?
See full revenue benchmarks for Direct Health and Medical Insurance Carriers →Frequently Asked Questions
- What percentage of direct health and medical insurance carriers businesses fail?
- Approximately 52% of direct health and medical insurance carriers businesses fail within their first 5 years. The annual closure rate is 13.7%, with 424 firms closing permanently in 2023.
- Is the direct health and medical insurance carriers industry growing or shrinking?
- The direct health and medical insurance carriers industry is currently growing with a net job creation rate of +4.2% per year. New businesses are entering at 6.7% while 13.7% close annually.
Source: U.S. Census Bureau, Business Dynamics Statistics (2023). Survival rate estimated from annual exit rates.