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In 2019, there were a total of *** insurance companies operating on the total market in the Benelux countries (Belgium, Luxembourg and the Netherlands). This is a slight reduction from *** companies in 2018.

Of the Benelux countries, the Netherlands had the second most insurance companies on their total market. Most insurance companies in the Netherlands are active in health insurance. Every resident or employee is obliged to take a basic health insurance to cover medical costs from, for example, visits to a general practitioner or the hospital. The Dutch government decides on the cover provided by this package and health insurance companies are obliged to accept everyone who meets the requirements, regardless of age or state of health. As not all care is covered by this standard insurance, one can opt to take out additional health insurance cover for, for example, physiotherapy and dental care. In 2020, Dutch health insurance concern Achmea had a market share of approximately **** percent.