How customers perceive a brand influences how much they spend with the brand and whether they recommend it, as well as how likely they are to forgive the brand’s missteps. However, customers’ perceptions of a good experience change over time as their expectations change. This report reveals the performance trends of the US health insurers industry across the past five years using data from the US Customer Experience Index (CX Index™). Health insurance CX professionals can use this report to evaluate current performance in the context of past trends.