The Cayman Islands Monetary Authority has released insurance data for the first half of 2017. As of the end of June 2017, there were 701 captive insurers in the Cayman Islands, a decrease of 11 from the end of 2016. Of these, 327 were pure captives, 117 were group captives, and 145 were segregated portfolio companies (SPCs), with a total of 603 segregated portfolios established.

        In the first half of 2017, the Cayman Islands also had 29 commercial insurers, with 9 new captive insurers added during the year.

        As of the end of June 2017, total premium income of the Cayman Islands insurance industry was USD 12.4 billion, with total assets of USD 62 billion.  

        90% of Cayman Islands captive insurers originate from the United States. Nearly half of captive insurers are in the healthcare industry, making Cayman an internationally leading domicile for medical captives. Medical malpractice liability insurance is the main source of premium income, written by 32% of captives; workers' compensation business is the second-largest product line, written by more than 21% of captives.

       The number of captive insurers in the Cayman Islands peaked at 780 in 2009. Although there were increases in individual years such as 2013–2014, the long-term trend shows a continued decline.

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