The Cayman Islands remain one of the leading jurisdictions for captive insurance in the world, with total assets equalling US$123 billion.
Since 1979, the jurisdiction has become a major centre for international insurance business. The Cayman Islands is the second largest domicile for captives and holds the number one position worldwide for healthcare captives. The Cayman Islands is also a leading jurisdiction for group captives and ILS.
The international insurance industry here is primarily made up of companies insuring risks in North America, representing about 90% of the market. As of the 31st March 2026, the total number of Class B insurers (including captives) in Cayman was 694, with 18% of them in total being Medical Malpractice Liability captives. However, the largest line of business for captive insurers is now Workers’ Compensation, with 149 licensees or 21% of Class B insurers. The value of the total assets for Cayman’s Class B Insurers (which also includes group and pure captives) was approximately US$150 billion, with approximately US$43.8 billion in total premiums as of Q1 of 2026.
