Question · Q4 2025
Mark Hughes inquired about additional factors influencing the wide 23%-27% profitability range for the health business, beyond those already discussed.
Answer
Tom Kalmbach, CFO, and Frank Svoboda, Co-CEO, explained that the variability in the health underwriting margin percentage is largely due to the mix of business. Medicare Supplement (MedSup) has a lower underwriting margin (8-10% expected in 2026) compared to other limited benefit products (43-44%). As MedSup grows faster and constitutes a larger portion of total health premium (53% anticipated in 2026 vs. 49% in 2025), it exerts downward pressure on the overall health margin percentage, despite being a good business with lower capital requirements.
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