Life & Health
Longevity $3.4T, Health $1.2T+, Medical Malpractice $15B+
Why the world's largest financial market still has no exchange and what we are building to change it.
Imagine you own a house. One night a storm rolls in and rips the roof off. The repair costs $40,000. Without insurance, that bill could wipe out years of savings. With insurance, you file a claim, and someone else covers most of the cost.
Now multiply that by every person, every business, every hospital, every cargo ship, every factory, and every government on Earth. Every one of them faces risk — the possibility that something expensive and unexpected will happen. And most of them pay someone else to absorb that risk.
That is insurance. And globally, it is a $7 trillion annual market.
To put that in perspective:
That $7 trillion does not sit in one place. It flows like water through a series of connected pools, each one smaller and deeper than the last.
When you buy car insurance, your insurer bundles your risk with thousands of others. Then it passes a portion of that bundle to a reinsurer an insurance company for insurance companies. The reinsurer may pass some of it to another reinsurer. Eventually, slices of your risk reach pension funds and hedge funds on the other side of the world, packaged into bonds and securities.
Each layer takes a fee, absorbs some risk, and passes the rest along. Here is what that cascade looks like:
Everything that happens in the real world — storms, car accidents, fires, illness. This is where all risk begins.
Everything that happens in the real world — storms, car accidents, fires, illness. This is where all risk begins.
The insurance companies you know. They sell you a policy and promise to pay when something goes wrong.
The insurance companies you know. They sell you a policy and promise to pay when something goes wrong.
Licensed carriers that issue policies on behalf of others, acting as a regulatory bridge between risk and capital.
Licensed carriers that issue policies on behalf of others, acting as a regulatory bridge between risk and capital.
Insurance for insurance companies. Reinsurers absorb large chunks of risk so primary insurers do not collapse from a single catastrophe.
Insurance for insurance companies. Reinsurers absorb large chunks of risk so primary insurers do not collapse from a single catastrophe.
A market where reinsurers split risk proportionally — sharing both premiums and losses at agreed percentages.
A market where reinsurers split risk proportionally — sharing both premiums and losses at agreed percentages.
Reinsurance for reinsurers. The risk keeps moving outward, each layer absorbing what the previous one cannot hold.
Reinsurance for reinsurers. The risk keeps moving outward, each layer absorbing what the previous one cannot hold.
Insurance-Linked Securities — where catastrophe risk finally reaches the capital markets, packaged into tradeable bonds.
Insurance-Linked Securities — where catastrophe risk finally reaches the capital markets, packaged into tradeable bonds.
Onchain infrastructure that connects capital markets to insurance risk — transparent, real-time, verifiable.
Onchain infrastructure that connects capital markets to insurance risk — transparent, real-time, verifiable.
Pension funds, sovereign wealth funds, and asset managers seeking uncorrelated yield from insurance risk.
Pension funds, sovereign wealth funds, and asset managers seeking uncorrelated yield from insurance risk.
When people think of insurance, they picture car accidents or house fires. But the world of insurable risk is vast and strange. There are markets for hurricane damage in Florida, cyber attacks on banks, earthquakes in Tokyo, crop failure in Iowa, and pandemics that shut down entire economies.
Each category of risk is called a peril - and each peril is its own market, with its own pricing, its own models, and its own capital base. The universe of insurable risk is vast:
Every one of these is a distinct market - with its own data, its own models, its own capital requirements. And every one of them needs infrastructure.
Longevity $3.4T, Health $1.2T+, Medical Malpractice $15B+
Product Liability $30B+, D&O / E&O $22B+, Litigation Finance $16B+, Environmental $6B+
Hurricane $80B+, Earthquake $40B+, Flood $30B+, Wildfire $25B+, Winter Storm $20B+, Severe Convective $35B+
Cyber Attack $16B-$80B+, AI Liability nascent, Supply Chain $20B+
Auto $400B+, Commercial Property $180B+, Homeowners $130B+, Construction $25B+
Climate Transition vast, Drought / Crop $60B+, Energy Transition growing
Marine / Cargo $35B+, Aviation $8B+, Space $1B-$10B+, Political Risk $12B+
Pandemic $300B+ gap, Terrorism $8B+, Nuclear sovereign backstop, Unknown Emerging infinite
Longevity $3.4T, Health $1.2T+, Medical Malpractice $15B+
Product Liability $30B+, D&O / E&O $22B+, Litigation Finance $16B+, Environmental $6B+
Hurricane $80B+, Earthquake $40B+, Flood $30B+, Wildfire $25B+, Winter Storm $20B+, Severe Convective $35B+
Cyber Attack $16B-$80B+, AI Liability nascent, Supply Chain $20B+
Auto $400B+, Commercial Property $180B+, Homeowners $130B+, Construction $25B+
Climate Transition vast, Drought / Crop $60B+, Energy Transition growing
Marine / Cargo $35B+, Aviation $8B+, Space $1B-$10B+, Political Risk $12B+
Pandemic $300B+ gap, Terrorism $8B+, Nuclear sovereign backstop, Unknown Emerging infinite
Every one of these is a distinct market - with its own data, its own models, its own capital requirements. And every one of them needs infrastructure.
Risk flows from originators to capital providers through a chain of manufacturers, distributors, and warehouses. Each layer transforms risk packaging, pricing, and redistributing it until it reaches the balance sheets that can hold it.
But a functioning capital market also requires rails for pricing, clearing, settlement, reporting, and liquidity. In insurance risk, this infrastructure layer is the most underdeveloped in the entire system, and the single largest source of inefficiency. Building these rails is the work of the next five years.
Now you understand the market and the risks. But here is the part most people miss: this enormous, essential, $7-trillion-a-year market runs on terrible plumbing.
Settlements take months. Data flows through spreadsheets and emails. There is no exchange, no standard contract format, no real-time pricing. The stock market moved to electronic trading decades ago. Insurance still runs on phone calls and quarterly reports.
The result is a $1.8 trillion protection gap losses over the past decade that should have been insured but were not. Not because capital was unavailable, but because the infrastructure could not connect capital to risk efficiently.
Fixing this requires building four layers of infrastructure:
Data & Modeling
- Understanding what is at risk
Underwriting Data, Exposure Models, Catastrophe Models
Data & Modeling
- Understanding what is at risk
Underwriting Data, Exposure Models, Catastrophe Models
Pricing & Execution
- Turning risk into contract
Pricing Engines, Legal Wrappers, Settlement Rails
Pricing & Execution
- Turning risk into contract
Pricing Engines, Legal Wrappers, Settlement Rails
Risk Management
- Tracking obligation in flight
Claims System, Collateral Management, Bordereaux
Risk Management
- Tracking obligation in flight
Claims System, Collateral Management, Bordereaux
Trust & Transparency
- Making it all verifiable
Regulatory Rails, Secondary Liquidity, Transparency
Trust & Transparency
- Making it all verifiable
Regulatory Rails, Secondary Liquidity, Transparency
Insurance risk is the largest financial market most people have never heard of. It generates real, uncorrelated yield returns that come from actual insurance premiums, not from financial engineering or token emissions. When a hurricane does not hit, the premiums paid by homeowners flow through to the capital providers who took that risk. That is real yield.
Yet this market has no exchange. No real-time settlement. No transparent pricing. The last structural innovation was the catastrophe bond, invented in 1997. Meanwhile, every other financial market equities, fixed income, commodities, foreign exchange has been rebuilt from the ground up with technology.
We are building the internet's capital market for insurance risk. Not a new insurance company. Not a new product. The infrastructure the rails that let capital flow into risk and premiums flow back out, transparently and in real time.
Insurance risk is the foundation of modern civilization. It is the quiet mechanism that lets people take risks, build businesses, raise families, and recover from disaster. Without it, nothing that requires courage would be economically rational.
We believe this market deserves infrastructure as sophisticated as the risks it covers. That is what Re is building verifiable solvency, transparent underwriting, real-time settlement, and open access to the world's oldest and largest risk transfer market.
This letter is an introduction. The white paper goes deeper.
Karn Saroya
CEO & Co-Founder, Re
March 2026
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reUSD generates yield from actual insurance premiums not from leverage, emissions, or financial engineering. Here is how it compares to traditional benchmarks over the past year: