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Insurance companies in Ecuador · ISIC K65

55 registered companies · 41 active (75%)

Activity is classified with the ISIC code (CIIU in Spanish), the international classification the registry uses to order what every company does; this page groups the companies under code K65.

The sector in figures

Financial statements filed with the Superintendencia de Compañías · year 2025

Declared revenue
$865 M
Share of the country
0.5%
Companies that filed statements
40
Median margin
2%

Of the 40 companies that filed statements for 2025, 38 recorded sales and 34 closed with a profit; half of those with sales billed less than $2.4 M.

In this sector, according to the INEC (Instituto Nacional de Estadística y Censos, the national statistics institute, 2025), the average job pays $ 1,347 a month. Women hold 55% of the jobs, companies provide 82% of the employment, and the sector accounts for 2.3% of registered employment. Averages from an INEC sample, not totals.

Revenue by year 2000 → 2025 · ×55.5
$16 M
$865 M
2000 2005 2010 2015 2020 2025
See the full series
2000
$16 M
2001
$31 M
2002
$51 M
2003
$68 M
2004
$86 M
2005
$114 M
2006
$139 M
2007
$157 M
2008
$189 M
2009
$224 M
2010
$249 M
2011
$277 M
2012
$319 M
2013
$357 M
2014
$397 M
2015
$438 M
2016
$449 M
2017
$488 M
2018
$542 M
2019
$589 M
2020
$609 M
2021
$648 M
2022
$719 M
2023
$771 M
2024
$826 M
2025
$865 M

The sector map · 2025

Azuay: $812 k declared · 2 companies Bolívar: no data Carchi: no data Cañar: no data Chimborazo: $0 declared · 2 companies Cotopaxi: no data El Oro: no data Esmeraldas: no data Galápagos: no data Guayas: $82 M declared · 12 companies Imbabura: no data Loja: $3.2 M declared · 1 companies Los Ríos: no data Manabí: $492 k declared · 2 companies Morona Santiago: no data Napo: no data Orellana: no data Pastaza: no data Pichincha: $778 M declared · 21 companies Santa Elena: no data Santo Domingo de los Tsáchilas: no data Sucumbíos: no data Tungurahua: no data Zamora Chinchipe: no data Galápagos

Azuay: $812 k declared · 2 companiesBolívar: no dataCarchi: no dataCañar: no dataChimborazo: $0 declared · 2 companiesCotopaxi: no dataEl Oro: no dataEsmeraldas: no dataGalápagos: no dataGuayas: $82 M declared · 12 companiesImbabura: no dataLoja: $3.2 M declared · 1 companiesLos Ríos: no dataManabí: $492 k declared · 2 companiesMorona Santiago: no dataNapo: no dataOrellana: no dataPastaza: no dataPichincha: $778 M declared · 21 companiesSanta Elena: no dataSanto Domingo de los Tsáchilas: no dataSucumbíos: no dataTungurahua: no dataZamora Chinchipe: no data Point at or tap a province to see its figure

$492 k $778 M

2025 revenue by province of domicile. Boundaries: Natural Earth.

The sector’s provinces

The largest by revenue

  1. Saludsa Sistema de Medicina Pre-pagada del Ecuador S.A. $262 M
  2. Bmi Igualas Medicas del Ecuador S.A. $187 M
  3. Medicina para el Ecuador Mediecuador-humana S.A. $105 M
  4. Confiamed S.A. $67 M
  5. Ecuasanitas Sa $65 M

Segment concentration

the 5 largest: 79.4% the other 33: 20.6%

Concentration index (HHI): 1,701, moderately concentrated; the largest takes 30.3% of revenue. The HHI measures how the market is shared out, from 0 to 10,000: the higher it is, the more it is concentrated in few hands.

Among the segment’s companies with recorded sales in 2025, each assigned in full to its declared main activity.

More specific activities

Companies

Sorted by highest revenue · name · most recent

Companies in this list: name, RUC, location, revenue and legal status
Company RUC Location Revenue 2025 · USD Status
4Ever Ecuador Medicina Prepagada S.A. Prepaid medicine insurance services 0993399158001 Samborondón, Guayas 71 k Active
Agencia Asesora Productora de Seguros Fidemsa S.A. Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 0195122245001 Cuenca, Azuay 121 k Active
Underwriting Agencia Asesora Productora de Seguros Cia.ltda. Prepaid medicine insurance services 1792938635001 Quito, Pichincha 114 k Active
Proassislife S.A. Prepaid medicine insurance services 1792935415001 Quito, Pichincha 10.5 M Active
Nancy Santillan Compañia Limitada Compañia de Comercio Lukava Cia.ltda. Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 0691763293001 Riobamba, Chimborazo 0 Active
Invesmentinsurance Agencia Asesora Productora de Seguros Cia.ltda. Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 1792899966001 Quito, Pichincha 85 k Active
Gonzalez&asociados Agencia Asesora Productora de Seguros S.A. Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 0993126217001 Guayaquil, Guayas 12 k Active
Alphaplus Medicina Prepagada Integral S.A. Prepaid medicine insurance services 1792891833001 Quito, Pichincha 12 k In dissolution
Ecuamedicare S.A. - en Liquidación Prepaid medicine insurance services 0190454045001 Cuenca, Azuay — In dissolution
Agencia Asesora Productora de Seguros Cordero & Asociados Cordseguros Cia.ltda. Activities of assuming all or part of the risk associated with existing insurance policies originally underwritten by other insurance carriers 1792911869001 Quito, Pichincha 147 k Active
Tu Ecografía Tuecogrfia S.A. Prepaid medicine insurance services 1391870272001 Manta, Manabi — Active
Medical&care S.A. Prepaid medicine insurance services 1792863244001 Quito, Pichincha — Active
Navas&asociados Asesores de Seguros Insurance-broker S.A. Activities of assuming all or part of the risk associated with existing insurance policies originally underwritten by other insurance carriers 1792848741001 Quito, Pichincha 75 k Active
Centro Internacional de Especialidades Medicas Cemesaga Cia.ltda. Prepaid medicine insurance services 0691759148001 Riobamba, Chimborazo 0 In dissolution
Smartseg S.A. Agencia Asesora Productora de Seguros Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 1391830122001 Portoviejo, Manabi 117 k Active
Vumilatina Medicina Prepagada S.A. Prepaid medicine insurance services 0992883677001 Quito, Pichincha 17.8 M Active
Starke, Agencia Asesora Productora de Seguros S.a Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 1391820836001 Manta, Manabi 375 k Active
Escudero & Escobar S.A. Ajustadores de Siniestros Activities of assuming all or part of the risk associated with existing insurance policies originally underwritten by other insurance carriers 1792319447001 Quito, Pichincha — In dissolution
M&mp Legal S.A. Actividades de entidades jurídicas (es decir, de fondos, planes y/o programas) organizadas para proporcionar prestaciones de jubilación exclusivamente para los empleados o miembros de la entidad patrocinadora. Abarca planes de pensiones con prestaciones definidas y planes individuales en los que las prestaciones dependen de las contribuciones del afiliado. Se incluyen las siguientes actividades: Planes de prestaciones sociales para los empleados, fondos y planes de pensiones, planes de jubilación. 0992802081001 Guayaquil, Guayas 315 k Active
Compañia de Unidad Renal Nefroloja Cia. Ltda. Prepaid medicine insurance services 1191739864001 Loja, Loja 3.2 M Active
Tecnologias de Business S. A. Tecbusiness Actividades de entidades jurídicas (es decir, de fondos, planes y/o programas) organizadas para proporcionar prestaciones de jubilación exclusivamente para los empleados o miembros de la entidad patrocinadora. Abarca planes de pensiones con prestaciones definidas y planes individuales en los que las prestaciones dependen de las contribuciones del afiliado. Se incluyen las siguientes actividades: Planes de prestaciones sociales para los empleados, fondos y planes de pensiones, planes de jubilación. 0992714727001 Samborondón, Guayas — Active
Asisken Asistencia Medica S.A. Prepaid medicine insurance services 0992703008001 Samborondón, Guayas 13.6 M Active
Primepre S.a Prepaid medicine insurance services 1792232155001 Quito, Pichincha 7.7 M Other
Sehiacaecuador S.A. Prepaid medicine insurance services 1792229952001 Quito, Pichincha — In dissolution
Confiamed S.A. Prepaid medicine insurance services 1792206979001 Quito, Pichincha 66.7 M Active
Boston International S.A. Bintsa Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 0992621141001 Guayaquil, Guayas 517 k Active
Medicompanies C.A. Prepaid medicine insurance services 0992621915001 Guayaquil, Guayas — Active
Best Doctors S.A. Empresa de Medicina Prepagada Prepaid medicine insurance services 0992581441001 Guayaquil, Guayas 45.6 M Active
Horizontes Business Company S.A. Prepaid medicine insurance services 1391749635001 Quito, Pichincha — In dissolution
Agencia Asesora Productora de Seguros Consolti S.A. Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 0992548185001 Guayaquil, Guayas 141 k Active
Compañia de Medicina Prepagada Inmedical Medicina Internacional S.A. Prepaid medicine insurance services 1792092051001 Quito, Pichincha 10.7 M Active
Latina Salud Compañia de Medicina Prepagada S.A. Latinasalud Prepaid medicine insurance services 0992444649001 Guayaquil, Guayas 2.8 M Active
Esmarfel Agencia Asesora Productora de Seguros S.A. Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 1792020522001 Quito, Pichincha 190 k Active
Optilic S.A. Prepaid medicine insurance services 0992401664001 Guayaquil, Guayas — In dissolution
Healmed S.A. Empresa de Medicina Prepagada Prepaid medicine insurance services 1791965329001 Quito, Pichincha — In dissolution
Servicio Medico Internacional Semeinsa S.A. Prepaid medicine insurance services 1792042259001 Quito, Pichincha 22 k Active
Salud Total S.A. Entidad Promotora de Salud - Administradora de Regimen Subsidiado S.A. Prepaid medicine insurance services 0992371447001 Guayaquil, Guayas — Cancelled
Saludvida S.A. Empresa Promotora de Salud Eps Prepaid medicine insurance services 0992351861001 Guayaquil, Guayas — Cancelled
Bmi Igualas Medicas del Ecuador S.A. Prepaid medicine insurance services 1791927559001 Quito, Pichincha 187.3 M Active
Plus Medical Services S.A. Ecuatoriana de Medicina Prepagada Prepaid medicine insurance services 1791903927001 Quito, Pichincha 3.6 M Active
Equifax Ecuador C.A. Buro de Informacion Crediticia Provision of insurance services other than life insurance: accident and fire insurance, health insurance, travel insurance, property insurance, road, marine and air transport insurance, pecuniary loss and liability insurance 1791901215001 Quito, Pichincha 24.1 M Active
Bluecard Ecuador S.a Prepaid medicine insurance services 1391722907001 Quito, Pichincha 2.0 M Active
Medicina Prepagada Cruzblanca S.A. Prepaid medicine insurance services 1791816757001 Quito, Pichincha 9.6 M Active
Unidad de Diagnostico Invasivo C.A. Medica Prepaid medicine insurance services 0190169707001 Cuenca, Azuay 691 k Active
Oncomedica S.A. Prepaid medicine insurance services 0992113499001 Guayaquil, Guayas — In dissolution
Med-ec S.a Prepaid medicine insurance services 0991389504001 Guayaquil, Guayas 6.0 M Active
Sistema de Medicina Prepagada del Ecuador Vidasana S.A. Prepaid medicine insurance services 1791334493001 Quito, Pichincha 5.0 M Active
Medicina para el Ecuador Mediecuador-humana S.A. Prepaid medicine insurance services 1791279352001 Quito, Pichincha 105.0 M Active
Saludsa Sistema de Medicina Pre-pagada del Ecuador S.A. Prepaid medicine insurance services 1791257049001 Quito, Pichincha 261.8 M Active
Plan Vital Vitalplan S.A. Prepaid medicine insurance services 0991189270001 Guayaquil, Guayas 110 k Active

Corporate information from official public records of Ecuador · where this data comes from