“…Although some studies have explored the African insurance market, the underlying drivers of underwriting performance have not been explored fully. The available evidence mainly focuses on efficiency determinants (Ansah-Adu et al, 2011), competition and market power (Alhassan et al, 2015;Alhassan andBiekpe, 2016, 2019), determinants of profitability Kiptoo et al, 2021), insurance regulations (Kusi et al, 2020), risk management practices (Akotey and Abor, 2013;Atsakpo, 2019), insurance fraud (Akomea-Frimpong et al, 2016), the association between intellectual capital and insurers' performance (Asare et al, 2017;Oppong et al, 2019), insurance brokers' profitability (Kotey et al, 2021) and PESTEL analysis of insurers (Kampanje, 2014). The findings on the Ghanaian market suggest that the industry is very concentrated (Alhassan et al, 2015), leverage and market shares drive its efficiency (Ansah-Adu et al, 2011), and that investment income sets off its underwriting losses .…”