List of 88 Missouri-based Insurance Companies

Name	Sector	Revenue $mlns	M&A Activity			Last 5 Years
Name	Sector	Revenue $mlns	Total	Buy	Sell	Last 5 Years
Centene NYSE : CNC St. Louis, Missouri, United States website	Insurance	153,999	27	21	6
Reinsurance Group of America NYSE : RGA Chesterfield, Missouri, United States website	Insurance	18,338	6	5	1
Lockton, Inc. Private Kansas City, Missouri, United States website	Insurance	-	4	4	-
BancorpSouth Insurance Services, Inc. Private Gulfport,, Missouri, United States website	Insurance	-	3	3	-
Americo Life, Inc. Acquired Financial Holding Corp. 2003-03-31 Kansas City, Missouri, United States	Insurance	-	1	1	-
WESTROPE ( dba Westrope & Associates) Acquired R-T Specialty LLC 2013-12-02 Kansas City, Missouri, United States website	Insurance	-	1	1	-
Precision Insurance and Financial Services, Inc. Private Cape Girardeau, Missouri, United States website	Insurance	-	1	1	-
Rockhill Holding Co. Private Kansas City, Missouri, United States website	Insurance	-	1	1	-
Safety National Casualty Corp. Private St. Louis, Missouri, United States website	Insurance	-	1	1	-
Shelter Insurance Company Private Columbia, Missouri, United States website	Insurance	-	1	1	-
Missouri Employers Mutual Insurance Co. Private Columbia,, Missouri, United States website	Insurance	-	1	1	-
Financial Holding Corp. Private Kansas City, Missouri, United States	Insurance	-	1	1	-
Essence Healthcare, Inc. Private Maryland Heights, Missouri, United States website	Insurance	-	1	1	-
RGAx LLC Private Chesterfield, Missouri, United States website	Insurance	-	1	1	-
3D Star Insurance Services, Inc. Acquired Worldwide Facilities LLC 2012-04-02 St. Louis, Missouri, United States website	Insurance	-	-	-	-
Mid America Health Plan, Inc. Acquired Coventry Health Care, Inc. 2002-12-01 Kansas City, Missouri, United States	Insurance	-	-	-	-

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