In the United States, the world’s biggest insurance market, the property and casualty (P&C) sector is building upon a strong 2018 in which the industry saw net income soar 66 percent to US$60 billion, thanks to a 10.8 percent boost in net premiums written and nearly breaking even on underwriting (after losing US$23.3 billion the year before). 2019 Insurance Industry Outlook Download the PDF Look again In today’s rapidly evolving marketplace environment, key business issues are converging with impacts felt across multiple industry sectors. Call it what you will: a firming market, a challenging market, a seller's market, a disciplined market, an unconventional hard market — North American businesses are paying more for insurance.