Environmental, social and corporate governance (ESG) ratings describe the impact of these three factors on a company’s financial stability. This paper discusses the main drivers of an ESG rating for European health insurers, as well as the effects of health components on the overall rating of companies in general, regardless of the industry they are operating in. We discuss the following topics: 

• Methodologies of the key rating providers
• Rating analysis of health insurers and health-related topics
• Impact of ESG factors on long-term financial stability
• How to improve an ESG rating
• Criteria to select a rating provider for health insurers