List of the Largest Insurance Companies in Missouri

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
J.W. Terrill, Inc. Acquired Marsh & McLennan Agency LLC 2015-07-01 Chesterfield, Missouri, United States website	Insurance	32	-	-	-
Corporate Claims Management, Inc. Acquired Carrier & Technology Solutions 2015-04-24 Chesterfield, Missouri, United States website	Insurance	7	-	-	-
Beimdiek Insurance Agency, Inc. Acquired AssuredPartners 2018-02-28 Carthage, Missouri, United States website	Insurance	4	-	-	-
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	-	-	-	-
WESTROPE ( dba Westrope & Associates) Acquired R-T Specialty LLC 2013-12-02 Kansas City, Missouri, United States website	Insurance	-	1	1	-
Americo Life, Inc. Acquired Financial Holding Corp. 2003-03-31 Kansas City, Missouri, United States	Insurance	-	1	1	-
National Administration Co., Inc. Acquired Gallagher 2015-08-31 Chesterfield, Missouri, United States website	Insurance	-	-	-	-
First Choice Insurance Agency Acquired Seeman Holtz Property & Casualty, Inc. 2018-05-21 Poplar Bluff, Missouri, United States website	Insurance	-	-	-	-
Assurant Employee Benefits Private Kansas City, Missouri, United States website	Insurance	-	-	-	-
Graham & Peat Insurance Agency Inc. Acquired Old National Bank 2003-07-30 Chesterfield,, Missouri, United States	Insurance	-	-	-	-
Philips Agency, Inc. Acquired AssuredPartners 2017-01-25 Lee's Summit, Missouri, United States website	Insurance	-	-	-	-
First Bosnian Insurance Acquired Inszone Insurance Services 2022-08-10 St. Louis, Missouri, United States	Insurance	-	-	-	-
Precision Insurance and Financial Services, Inc. Private Cape Girardeau, Missouri, United States website	Insurance	-	1	1	-

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