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WTW Claim Cost Index

Insurance inflation maintains its lead over CPI

November 6, 2026

Analysis of the annual changes in the WTW Claim Cost Index, as illustrated in Figure 1, shows that the composite insurance inflation rate outpaces the general inflation rate since 2023. The 2026 cost increases are preliminary, as many of the cost indices contributing to the WTW Claim Cost Index have not been finalized, but early indications show that the composite insurance inflation rate continues to exceed the general inflation rate. We expect continued increases in the cost of claims as persistent inflation in product prices continues to be manifested into insurance costs.

The Tradition Continues

WTW Publishes Trusted Index

The Index has a long history of excellence. Norton E. “Doc” Masterson created the claim cost index in his seminal work, “Economic Factors in Liability and Property Insurance Claims Costs 1935 – 1967.”

Originally developed in the 1960s by Masterson, a consulting actuary, the index was first published by A.M. Best and Co. in 1968.

Masterson’s index work was taken over by William Van Ark in 1996. Jeremy Pecora and Emily Dobring have been updating it since 2010.

A P&C insurer’s claim settlements are directly affected by economic factors such as trends in the cost to replace damaged property, the cost of repair parts, the cost of medical services and drugs, salaries and wages. In economic terms, claim costs for loss and loss adjustment expenses are the cost of production for the insurer. An insurer’s major claim costs include physician services and other medical expenses; hospital care and rehabilitation; lost time and wages; automobiles, including repairs and parts; building materials and construction labor; and personal effects. The components for loss adjustment expenses are those incurred by insurance companies in settling claims (e.g., legal fees, and other legal and court costs).

The WTW Claim Cost Index is calculated from a variety of sources (e.g., the Consumer Price Index [CPI] and the Producer Price Index [PPI]) that reflect insurance costs). The Index can be used as an indicator of the rate of change in claim severity. For example, insurance companies purchase auto mechanic services for auto physical damage coverage. As the hourly wage of auto mechanics increases, the cost for auto physical damage insurance coverage increases.

On Figure 1, we note the elevated index for Boiler & Machinery in 2024 and 2025 and observe a portion of the increase is driven by the underlying wage indices for boiler and machinery type workers. The preliminary 2026 indication is closer to the general inflation rate.

Figure 1. U.S. Claim Cost Indices

This table's data shows the U.S. Claim Cost Indices from 2017 to 2026
Coverage 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026
Auto, bodily injury 3.19% 3.75% 2.35% 4.09% 3.06% 4.77% 5.26% 5.06% 4.32% 4.34%
Auto, property damage 2.08% 3.05% 2.82% 3.40% 4.06% 6.24% 6.11% 4.80% 4.59% 3.86%
Auto, physical damage 1.10% 2.29% 3.28% 2.76% 4.83% 6.95% 7.02% 4.77% 5.30% 4.33%
Auto, subtotal 2.01% 3.13% 2.66% 3.54% 3.63% 4.30% 5.87% 5.11% 5.69% 5.20%
                     
Workers compensation 3.44% 2.49% 2.11% 4.48% 3.72% 5.60% 4.92% 4.27% 4.67% 5.11%
Other, bodily injury 4.50% 1.08% 4.55% 3.34% 4.22% 4.32% 5.07% 5.84% 4.42% 4.17%
Other, property damage 1.46% 5.31% 1.07% 3.36% 7.15% 6.31% 3.86% 2.00% 4.25% 4.81%
Burglary and theft 7.19% 4.94% -3.14% 3.01% 5.80% 5.75% 5.56% 3.28% 3.77% 3.29%
Boiler and machinery 5.48% 3.80% 9.25% 3.97% -0.20% 4.22% 4.88% 8.80% 6.30% 2.24%
Fire 1.70% -0.54% 0.40% 4.29% 10.06% 6.77% 3.06% 6.12% 1.53% 2.90%
Allied lines 0.33% -0.90% 1.88% 4.70% 10.53% 7.43% 2.18% 4.41% 2.49% 6.75%
Homeowners 3.00% 2.29% 3.17% 2.08% 2.68% 8.89% 9.56% 5.78% 4.94% 3.19%
Commercial multiple peril 1.41% 1.76% -0.10% 3.87% 7.82% 5.93% 2.75% 2.40% 4.11% 4.13%
Inland marine 1.72% 1.97% 5.30% 3.57% 5.62% 5.92% 5.76% 3.32% 5.12% 3.61%
Composite 2.21% 1.97% 2.38% 3.86% 3.18% 5.92% 6.03% 4.42% 4.99% 4.86%
CPI, all items 2.13% 2.44% 1.81% 1.23% 4.70% 8.00% 4.12% 2.95% 2.63% 2.68%

For the 10-year period ending in 2025, the individual indices for hospital services, legal costs, and auto body work have exceeded the CPI for all items, as shown in Figure 2. For this same 10-year period, the physicians' services and medicinal drugs indices trail the CPI for all items. Legal costs are a significant portion of casualty coverages. Please note that hospital services are almost double the overall inflation rate in the last year (2024/2025).

Figure 2: Decennial Increases

This table shows specific indices for physician services, hospital services, legal costs, medicinal drugs and auto body work.
Cost for: 2015 2024 2025 Change 2024 / 2025 Change 2015 / 2025
CPI, All Items 237.0 313.7 321.9 2.63% 35.83%
CPI, Physicians Services 366.1 417.9 428.5 2.54% 17.06%
CPI, Hospital Services 768.6 1,098.8 1,148.8 4.55% 49.47%
CPI, Medicinal Drugs 242.6 282.5 285.4 1.02% 17.66%
Legal Costs 351.7 469.5 484.1 3.11% 37.64%
CPI, Auto Body Work 280.8 417.2 429.1 2.86% 52.82%

The average annual trends for several major coverages (from the five-year periods of 2015 to 2020 and 2020 to 2025, as well as the three-year period of 2022 to 2025) are shown in Figure 3. As the figure illustrates, almost all periods show insurance coverage increases above the CPI. From 2015 to 2020 and 2020 to 2025, all eight coverages are above the CPI. Seven of eight coverages are above the CPI in the 2022 to 2025 period. The average CPI for the 2020 to 2025 period is elevated due to the 2022 general inflation rate of 8.00%. In the latest three-year period, the largest increase was for homeowners, averaging 6.74%, while the lowest growth rate was for commercial multiperil, at 3.08%.

Figure 3: Average Increase

This table shows average annual trends for several major coverages.
Coverage 5-Year Increase 2015 - 2020 5-Year Increase 2020 - 2025 3-Year Increase 2022 - 2025 1-Year Increase 2024 - 2025
CPI, All Items 1.77% 4.46% 3.23% 2.63%
Auto Bodily Injury 3.49% 4.49% 4.88% 4.32%
Auto Property Damage 2.82% 5.16% 5.16% 4.59%
Auto Physical Damage 2.26% 5.77% 5.69% 5.30%
Workers Comp. 3.26% 4.63% 4.62% 4.67%
Other Bodily Injury 3.27% 4.77% 5.11% 4.42%
Other Property Damage 2.79% 4.70% 3.36% 4.25%
Homeowners 2.83% 6.34% 6.74% 4.94%
Comm. Multiperil 2.02% 4.58% 3.08% 4.11%

The WTW Claim Cost Index does not measure changes in the frequency of claims or “social” inflation, which reflects changes in attitudes toward litigation, changes in jury attitudes, new theories of liability or the push toward larger settlements driven by large punitive damage awards. Figure 4.1 compares composite inflation indices since 2015 to the Consumer Price Index. Property, multi-peril and liability composite inflation is higher than the CPI over the last ten years, with property closely following the fitted CPI line until 2021. In Figure 4.2, we compare the same composite indices, but with 2021 as the base level. Liability composite inflation is closely following the fitted CPI trend line, although slightly above. Property and multi-peril composite inflation outpaces general inflation at higher rates.

Disclaimer

WTW hopes you found the general information provided here informative and helpful. The information contained herein is not intended to constitute legal or other professional advice and should not be relied upon in lieu of consultation with your own legal advisors. In the event you would like more information regarding your insurance coverage, please do not hesitate to reach out to us. In North America, WTW offers insurance products through licensed entities, including Willis Towers Watson Northeast, Inc. (in the United States) and Willis Canada Inc. (in Canada).

Contacts

Jeremy P. Pecora, FCAS, MAAA, Managing director

Jeremy P. Pecora, FCAS, MAAA

Managing director

Emily M. Dobring, Director

Emily M. Dobring

Director