South Africa’s total insurance industry wrote ZAR 614 billion in gross premiums in 2022, up 6.8% in real terms, yet insurance penetration still sits at just 13.4% of GDP. That tension shows up again across the market, from motor vehicle premiums at ZAR 110 billion to life insurance generating ZAR 372 billion. Let’s look at the full set of 2022 figures and what they reveal about where risk is concentrated and where coverage still lags.
Key Takeaways
- The SA general insurance market wrote ZAR 264 billion in gross premiums in 2022
- Motor vehicle insurance premiums: ZAR 110 billion, 42% of general insurance in 2022
- Property insurance gross premiums: ZAR 60 billion in 2022
- SA medical schemes open market membership: 9.1 million beneficiaries in 2022
- Medical scheme contributions collected: ZAR 220 billion in 2022
- Healthcare benefits expenditure: ZAR 210 billion, 95% of contributions 2022
- Old Mutual's market share in life insurance was 18% of gross premiums in 2022
- Sanlam Group controlled 22% of SA insurance market in 2022
- Discovery Ltd health and life premiums: ZAR 120 billion in 2022
- The South African life insurance market generated ZAR 372 billion in gross written premiums in 2022, representing 60% of total industry premiums
- Individual life new business annual premium equivalent (APE) grew by 10% to ZAR 25 billion in 2022
- Group life insurance premiums totalled ZAR 120 billion in 2022
- South Africa's insurance industry gross written premiums grew by 6.8% in real terms in 2022 to ZAR 614 billion
- The total insurance market size in South Africa was valued at USD 28.5 billion in 2023, with a projected CAGR of 5.2% to 2028
- Insurance penetration rate in South Africa stood at 13.4% of GDP in 2022, up from 12.8% in 2021
In 2022, South Africa’s insurance grew 6.8% to ZAR 614 billion, led by motor and health.
Related reading
01 · Category
General Insurance24 stats
01
The SA general insurance market wrote ZAR 264 billion in gross premiums in 2022
02
Motor vehicle insurance premiums: ZAR 110 billion, 42% of general insurance in 2022
03
Property insurance gross premiums: ZAR 60 billion in 2022
04
Liability insurance premiums grew 9% to ZAR 25 billion in 2022
05
General insurance claims ratio: 68% in 2022
06
Theft claims in general insurance: ZAR 15 billion paid in 2022
07
Accident and health short-term premiums: ZAR 30 billion in 2022
08
Fire claims payouts: ZAR 12 billion in 2022 due to wildfires
09
Commercial lines premiums: ZAR 140 billion, 53% of general market 2022
10
Personal lines growth: 7.5% to ZAR 124 billion in 2022
11
General insurance policies in force: 18 million in 2022
12
Fraud losses in general insurance: ZAR 8 billion in 2022
13
Catastrophe claims from floods: ZAR 5 billion in KwaZulu-Natal 2022
14
Average motor claim size: ZAR 120,000 in 2022
15
General reinsurance ceded ratio: 30% of premiums in 2022
16
Engineering insurance premiums: ZAR 10 billion in 2022
17
Credit & surety bonds issued: ZAR 20 billion coverage in 2022
18
General insurance lapse rate: 18% in 2022
19
Transport insurance premiums: ZAR 15 billion in 2022
20
General insurers solvency margin: 150% average in 2022
21
Projected general premium growth: 5.5% to 2028
22
Cyber insurance premiums: ZAR 2 billion emerging in 2022
23
Agriculture insurance claims: ZAR 3 billion drought-related 2022
24
General insurance digital sales: 25% of new business 2022
Interpretation
General Insurance Interpretation
In South Africa’s general insurance market, gross premiums reached ZAR 264 billion in 2022 while motor vehicle cover alone accounted for ZAR 110 billion, and with a 68% claims ratio and ZAR 15 billion in theft payouts, claims pressure is clearly most visible in this core segment.
02 · Category
Health & Medical Aid24 stats
01
SA medical schemes open market membership: 9.1 million beneficiaries in 2022
02
Medical scheme contributions collected: ZAR 220 billion in 2022
03
Healthcare benefits expenditure: ZAR 210 billion, 95% of contributions 2022
04
Hospital benefits paid: ZAR 120 billion to 1,200 facilities in 2022
05
Specialist benefits: ZAR 45 billion for 15 million consultations 2022
06
Medicine benefits: ZAR 35 billion chronic and acute in 2022
07
Medical scheme non-healthcare expenditure: ZAR 10 billion administration 2022
08
PMB utilization rate: 12% of beneficiaries in 2022
09
Average monthly contribution per beneficiary: ZAR 2,400 in 2022
10
Discovery Health Medical Scheme largest with 2.7 million lives 2022
11
Medical aid coverage rate: 16% of SA population in 2022
12
Gap cover policies: 1.5 million covering R15 billion risks 2022
13
Health insurance (short-term) premiums: ZAR 30 billion in 2022
14
Elective procedures claims: ZAR 25 billion in medical schemes 2022
15
Maternity benefits: 180,000 claims ZAR 8 billion 2022
16
Oncology benefits expenditure: ZAR 12 billion in 2022
17
Dental benefits: ZAR 10 billion for 8 million procedures 2022
18
Optometry claims: ZAR 4 billion spectacles and exams 2022
19
Medical scheme reserves: ZAR 50 billion accumulated 2022
20
Principal member age 0-24: 25% of membership 2022
21
Chronic medicine PMB claims: ZAR 20 billion 2022
22
HIV/AIDS benefits: ZAR 5 billion for 200,000 beneficiaries 2022
23
Projected medical scheme growth: 4% annually to 2028
24
Telemedicine claims: ZAR 1 billion first time in 2022
Interpretation
Health & Medical Aid Interpretation
In South Africa’s Health and Medical Aid market, 9.1 million beneficiaries in 2022 generated ZAR 220 billion in contributions, with 95% flowing into healthcare benefits as spending concentrated across hospitals, specialist visits, and medicine at a combined ZAR 210 billion.
03 · Category
Key Players & Regulation23 stats
01
Old Mutual's market share in life insurance was 18% of gross premiums in 2022
02
Sanlam Group controlled 22% of SA insurance market in 2022
03
Discovery Ltd health and life premiums: ZAR 120 billion in 2022
04
Momentum Metropolitan market cap: ZAR 50 billion end-2022
05
FSCA regulated 180 long-term insurers in 2022
06
SAIA represents 45 short-term insurers members
07
ASISA membership covers 85% of SA insurance premiums
08
Insurance brokers handled 70% of premiums intermediated 2022
09
Top 10 insurers hold 75% market share in 2022
10
Liberty Group life new business APE: ZAR 15 billion 2022
11
FSCA approved 20 new insurance licenses in 2022
12
Solvency Assessment and Management (SAM) compliance: 95% of insurers 2022
13
Treating Customers Fairly (TCF) complaints: 15,000 resolved 2022
14
FAIS compliance fines: ZAR 100 million levied 2022
15
Insurance levy collected ZAR 1.2 billion for Ombud 2022
16
Cell captive insurers number: 250 registered 2022
17
Reinsurers licensed: 15 foreign and 5 local in 2022
18
Alexander Forbes broker revenue: ZAR 10 billion 2022
19
PSDA approved 50 new products in 2022
20
Black ownership in insurance: 35% average B-BBEE level 2022
21
Cyber risk regulation rollout phase 1: 10 insurers compliant 2022
22
Insurtech startups funded: ZAR 500 million VC 2022
23
FSCA market conduct supervision visits: 300 insurers 2022
Interpretation
Key Players & Regulation Interpretation
In the South African insurance sector, market power is concentrated among major groups like Sanlam at 22 percent and Old Mutual at 18 percent while regulation remains broad and active with the FSCA overseeing 180 long term insurers in 2022 and SAIA representing 45 short term insurers.
More related reading
04 · Category
Life Insurance25 stats
01
The South African life insurance market generated ZAR 372 billion in gross written premiums in 2022, representing 60% of total industry premiums
02
Individual life new business annual premium equivalent (APE) grew by 10% to ZAR 25 billion in 2022
03
Group life insurance premiums totalled ZAR 120 billion in 2022
04
Disability risk premiums in SA life sector reached ZAR 40 billion in 2022
05
Critical illness cover sales increased 15% to 500,000 policies in 2022
06
Funeral insurance policies in force: 12 million covering 40 million lives in 2022
07
Annuity payouts by life insurers totalled ZAR 60 billion in 2022
08
Surrender values paid out ZAR 35 billion in life insurance 2022
09
Maturity benefits from life policies: ZAR 50 billion in 2022
10
Life insurance claims ratio was 92% in 2022 for risk business
11
Pure risk life premiums grew 8% to ZAR 80 billion in 2022
12
Investment-linked life policies assets: ZAR 1.2 trillion in 2022
13
Single premium life sales: ZAR 150 billion in 2022
14
Recurring life premiums: ZAR 222 billion in 2022
15
Life insurance penetration among affluent South Africans: 75% in 2022
16
Average life cover sum assured: ZAR 800,000 per policy in 2022
17
Death claims paid: 250,000 claims worth ZAR 28 billion in 2022
18
Lapse rate in life insurance averaged 12% in 2022
19
Universal life products market share: 20% of life premiums 2022
20
Term life new business volume: 1.2 million policies in 2022
21
Endowment policies payouts: ZAR 40 billion in 2022
22
Life reinsurance ceded: 25% of gross premiums in 2022
23
Gender-based life pricing differential abolished impact: 5% premium reduction 2022
24
Life insurers' expense ratio: 15% of premiums in 2022
25
Projected life premium growth: 6% CAGR to 2027
Interpretation
Life Insurance Interpretation
In South Africa’s life insurance sector, gross written premiums hit ZAR 372 billion in 2022 and individual life APE rose 10% to ZAR 25 billion, showing solid momentum alongside large-scale protection products like 12 million funeral policies covering 40 million lives.
05 · Category
Market Size & Growth30 stats
01
South Africa's insurance industry gross written premiums grew by 6.8% in real terms in 2022 to ZAR 614 billion
02
The total insurance market size in South Africa was valued at USD 28.5 billion in 2023, with a projected CAGR of 5.2% to 2028
03
Insurance penetration rate in South Africa stood at 13.4% of GDP in 2022, up from 12.8% in 2021
04
Insurance density in South Africa reached ZAR 10,200 per capita in 2022, compared to a global average of USD 682
05
The South African insurance industry's total assets under management grew to ZAR 2.8 trillion by end-2022
06
Real growth in direct premiums written for the SA insurance market was 4.1% in 2021
07
South Africa's life insurance premiums accounted for 58% of total industry premiums in 2022
08
Non-life insurance premiums in SA increased by 7.2% to ZAR 250 billion in 2022
09
The insurance industry's contribution to SA GDP was 4.5% in 2022
10
Total claims paid by SA insurers amounted to ZAR 400 billion in 2022, representing 65% of premiums collected
11
SA insurance market nominal growth was 9.5% in 2022 driven by inflation
12
The reinsurance market ceded premiums in SA totalled ZAR 80 billion in 2022
13
SA insurance industry's return on equity averaged 12.3% in 2022
14
Total number of insurance policies in force in SA exceeded 50 million in 2022
15
Digital premiums in SA insurance grew by 25% year-on-year to ZAR 50 billion in 2022
16
SA insurance market share in African continent was 25% of total premiums in 2022
17
Inflation-adjusted premium growth in SA was 2.5% in 2023 Q1
18
SA long-term insurance gross premiums written hit ZAR 350 billion in 2022
19
Short-term insurance premiums grew 8.1% to ZAR 264 billion in 2022
20
SA insurance solvency ratio averaged 1.8 times required capital in 2022
21
Total investment income for SA insurers was ZAR 120 billion in 2022
22
SA insurance market projected to reach ZAR 800 billion by 2027
23
Premium collection via digital channels reached 30% of total in SA 2023
24
SA insurance exports (reinsurance accepted) totalled ZAR 10 billion in 2022
25
Industry expenses ratio was 28% of premiums in SA 2022
26
SA insurance market CAGR 2018-2022 was 4.8%
27
Total policyholders in SA insurance: 25 million individuals in 2022
28
Microinsurance premiums contributed ZAR 5 billion in 2022
29
SA insurance industry's profit after tax was ZAR 45 billion in 2022
30
Gross premiums per employee in SA insurance averaged ZAR 15 million in 2022
Interpretation
Market Size & Growth Interpretation
South Africa’s insurance market is expanding steadily, with gross written premiums rising 6.8% in real terms to ZAR 614 billion in 2022 and penetration climbing to 13.4% of GDP, pointing to durable market size and growth momentum.
report visual · Key figures
South Africa insurance: growth and market size snapshot (2022–2027)
Industry growth continued in 2022, with projections pointing to substantial market expansion by 2027.
6.8%
South Africa's insurance industry gross written premiums grew by 6.8% in real terms in 2022 to ZAR 614 billion
5.2%
The total insurance market size in South Africa was valued at USD 28.5 billion in 2023, with a projected CAGR of 5.2% to
800
SA insurance market projected to reach ZAR 800 billion by 2027
13.4%
Insurance penetration rate in South Africa stood at 13.4% of GDP in 2022, up from 12.8% in 2021
Reference
Cite This Report
This report is designed to be cited. We maintain stable URLs and versioned verification dates. Copy the format appropriate for your publication below.
APA
Marcus Afolabi. (2026, February 13). South Africa Insurance Industry Statistics. Gitnux. https://gitnux.org/south-africa-insurance-industry-statistics
MLA
Marcus Afolabi. "South Africa Insurance Industry Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/south-africa-insurance-industry-statistics.
Chicago
Marcus Afolabi. 2026. "South Africa Insurance Industry Statistics." Gitnux. https://gitnux.org/south-africa-insurance-industry-statistics.
Sources & references
33 datasets cited across this report · attribution is report-level