Hallesche Private Health Insurance: Profile and Key Figures for Expats
Hallesche private health insurance explained for expats: legal form, solvency ratio, premiums, ageing provisions and RfB, with reported 2025 figures and sources.
This page looks at Hallesche private health insurance from the financial side. It lists figures that Hallesche itself has reported for 2025, explains in plain English what each one means, and shows where it comes from. It is not a rating, a ranking or a recommendation. It does not list tariff prices, because those depend on your age, health and plan.
Hallesche company profile
The legal entity is Hallesche Krankenversicherung auf Gegenseitigkeit. It sells full private health insurance (Vollversicherung) as well as supplementary cover. According to its annual report 2025, it insured 226,341 persons with full cover in 2025 (2024: 225,190) and reported gross premiums of 1,814.9 million euros (2024: 1,660.7 million euros, +9.3%).
Mutual association (a.G.) and what it means for policyholders
Hallesche's legal form is a Versicherungsverein auf Gegenseitigkeit (a.G.), a mutual insurance association. An insurer can also be a stock company (Aktiengesellschaft, AG), such as ottonova. The difference in plain terms:
| Point | Mutual (a.G.) | Stock company (AG) |
|---|---|---|
| Owners | The policyholders are the members. No outside shareholders. | Shareholders own the company. |
| Surplus | Stays in the company and is used for policyholders, mainly through the premium refund reserve (RfB). | Shareholders can receive a share of profit, within legal limits. |
| Raising capital | Mainly from retained surplus. | Can also raise capital from investors. |
For you as a policyholder, the legal form does not change your contract or your tariff benefits. It is background, not a quality mark either way.
Key financial figures
All insurer figures are as reported by Hallesche for 2025, with 2024 where available. The market column shows the private health insurance market figure for 2025 as printed in Debeka's annual report 2025 (ratios follow the industry association's ratio catalogue) or published by the German private health insurers' association. A comparison with the market is context, not a verdict.
| Figure (2025) | Hallesche | 2024 | Market 2025 |
|---|---|---|---|
| Solvency ratio (SCR ratio) | 493% | 599% | not covered |
| MCR ratio | 1,086% | not disclosed in the documents we reviewed | not covered |
| Own funds vs SCR | 740,996 TEUR vs 150,250 TEUR | not disclosed in the documents we reviewed | not covered |
| Gross premiums | 1,814.9 million euros (+9.3%) | 1,660.7 million euros | 54.9 billion euros (whole market, including long-term care) |
| Persons with full cover | 226,341 | 225,190 | 8.79 million |
| Ageing provisions (Deckungsrückstellung, gross) | 11,949.3 million euros | 11,365.2 million euros | approx. 357 billion euros |
| RfB ratio | 21.0% | 22.9% (2023: 26.2%) | 27.5% |
| Administration cost ratio | 2.6% | 2.6% | 2.2% |
| Acquisition cost ratio | 10.4% | 11.2% | 7.1% |
| Claims ratio (Schadenquote) | 79.6% | 76.1% | 82.9% |
| Net investment return | 3.02% | 2.75% | 2.8% |
| Surplus usage ratio | 93.9% | 93.3% | 87.9% |
Sources: Hallesche annual report 2025 (pp. 3, 20, 192) and SFCR 2025 (pp. 8, 55); market figures from Debeka's annual report 2025 (p. 16) and the private health insurers' association press release of 10 June 2026. Links are in the Sources section. TEUR means thousand euros. Market totals for premiums, insured persons and ageing provisions are industry-wide sums and are shown for scale only.
The 2025 solvency ratio of 493% is reported without the volatility adjustment and without the technical-provisions transitional. Only a minor equity transitional with negligible effect is used. With the volatility adjustment, the SFCR reports 500%.
What the figures mean
Solvency ratio
The SCR ratio compares an insurer's eligible own funds with the capital that European rules (Solvency II) require it to hold. A ratio of 100% would mean exactly the requirement. Hallesche reports 493%, so its own funds were about 4.9 times the required amount (740,996 TEUR against 150,250 TEUR). The ratio was 599% in 2024. A change from one year to the next can come from changes in own funds, in the requirement or in the calculation inputs, so one year-on-year move is not a trend on its own. Solvency II also has a second, lower threshold, the MCR; Hallesche reports an MCR ratio of 1,086%.
Ageing provisions (Alterungsrückstellungen)
Private premiums are calculated so that part of what you pay in younger years is set aside. This reserve funds the higher expected claims at older ages, so premiums do not have to rise only because you get older. Hallesche reports gross ageing provisions (Deckungsrückstellung) of 11,949.3 million euros for 2025, up from 11,365.2 million euros in 2024. The number alone does not tell you whether it is sufficient for any individual tariff.
RfB and the RfB ratio
The premium refund reserve (Rückstellung für Beitragsrückerstattung, RfB) holds surplus that belongs to policyholders. It can be paid back as refunds or used to soften premium increases, for example as a one-off premium. The RfB ratio sets this reserve in relation to premiums. Hallesche reports 21.0% for 2025, against 22.9% in 2024 and 26.2% in 2023. The market figure in Debeka's report is 27.5% for 2025. Hallesche reports using 90.6 million euros of RfB funds for one-off premiums in 2025 (2024: 106.2 million euros), which is one way this buffer is used. The ratio is a snapshot of buffer size, not a promise about future premiums.
Cost ratios
The administration cost ratio (2.6%) and the acquisition cost ratio (10.4%, mainly commissions and sales costs) show what share of premiums goes to running the company and winning new customers. They are one input among many and say nothing about service quality.
Claims ratio, investment return and surplus usage
The claims ratio (79.6%) is the share of premiums spent on claims; it was 76.1% in 2024. The net investment return (3.02%) is what the investments earned after costs, and it matters because investment income also funds the ageing provisions. The surplus usage ratio (93.9%) shows how much of the surplus is allocated to policyholders.
Premium adjustments: what Hallesche reports
Private premiums can be adjusted when actuarial calculations require it, at every insurer. Our premium increases explainer covers how and why this happens and what you can do about it. For Hallesche, its annual report 2025 states:
- One-off premiums from the RfB: 90.6 million euros (2024: 106.2 million euros) of RfB funds were used as one-off premiums to permanently limit premium adjustments in full and supplementary insurance.
- Long-term care: no premium adjustment in the private compulsory long-term care insurance (Pflegepflichtversicherung) in 2025.
- Outlook: the company expects around 9.3% growth in gross premiums for 2026, attributed to premium adjustments and portfolio growth. This is a growth forecast, not an adjustment rate for any tariff.
- Size of increases: the percentage size of its premium increases is not disclosed in the documents we reviewed.
Your own premium path depends on your tariff, not on the insurer's average. Ask for the tariff's increase history over 10 to 15 years.
Who Hallesche may suit as an expat
Hallesche sells full private health insurance. That is relevant if you are legally able to choose private cover: employees above the 2027 income threshold of €84,150 per year (€7,012.50 per month; €77,400 in 2026), freelancers and the self-employed at any income, and civil servants. The 2027 figure was approved by the federal cabinet and still needs Bundesrat approval, expected in November 2026. See who qualifies for private health insurance.
Whether the service works in English is something we did not verify in the financial documents behind this page. Confirm English-language contract documents and claims support directly before you apply. Also check that the plan is a full private plan (Vollversicherung), not a visa-only plan.
Financial strength is one factor, and tariff choice matters more. Two tariffs at the same insurer can differ a lot in cover, deductible and premium path. Use the figures above as one input next to the tariff's benefits, its increase history and claims handling. Our insurer shortlist explains how to weigh these.
FAQ: Hallesche private health insurance
Is Hallesche a mutual insurer or a stock company?
What was Hallesche's solvency ratio in 2025?
How many people have full private health insurance with Hallesche?
Will my Hallesche premium go up?
Does Hallesche offer English-language service?
Does a high solvency ratio make an insurer the right choice?
Sources
Figures checked on 16 October 2026. Page numbers are PDF page indices. Figures are as reported by the insurer for the stated year and may be revised in later reports.
- Hallesche annual report 2025 (pp. 3, 20, 189, 192): Geschäftsbericht Hallesche Krankenversicherung 2025
- Hallesche solvency report 2025 (pp. 8, 55): SFCR 2025 Hallesche Krankenversicherung auf Gegenseitigkeit
- Market ratios 2025 (p. 16): Debeka Krankenversicherung annual report 2025, column "Branche"
- Market totals: Private health insurers' association (Verband der Privaten Krankenversicherung) press release, 10 June 2026
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