Health insurance enables the insured to deal with the financial consequences of an alteration or deterioration in his or her health. It is therefore undeniable that health insurance is of great importance to the population. While it is agreed that the need for health insurance is nowadays evident in all socio-professional strata, it must be recognized that health is not a risk like any other; this can be explained by the difficulties that insurers such as Africaine des Assurances Benin generally encounter in managing health insurance. It should be noted that the "health" product ranks second after the "motor" product at the company level. The main problems affecting the management of health insurance at AFB include: information asymmetries related to the management of contracts, under-pricing, fraud, etc. As health insurance is a high expenditure category, it is important for the insurer to ensure that the health portfolio is balanced.