Abstract: The insurance industry provides an important economic growth base for any country as it safeguards investors‘ assets, creates employment and generally facilitates deepening of credit financing within the economy. Most financial institutions in most economies, require that all assets provided as security be comprehensively insured. In the recent past, nine insurance firms have gone through financial distress to the extent that they have either collapsed or have been placed under statutory management thus threatening the immense contribution of the sector to the economy. This study sought to establish determinants of financial distress in the insurance companies in Kenya, specifically the study examined profitability, liquidity, efficiency, leverage and firm size.The study adopted descriptive research design, which required in depth analyses of data collected from the insurance companies. Stratified random sampling was applied due to the heterogeneity of the population. The target population consisted of 45 insurance companies registered with the Insurance Regulatory Authority as of 2013. Purposive sampling was used to select a sample of 15 companies from the strata. Reliability and validity tests were conducted to determine the strength of the instrument used. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 21. Frequency tables were used to present the findings of the study. Analysis of Variance (ANOVA), Multiple Regression and Correlation Analyses were carried out to test the hypotheses. Various financial ratios as shown in the conceptual frame work were computed, with the aim to determine most significant and reliable ratios for determining financial distress. Cross sectional analysis was used to compare similar financial ratios for the companies studied with the aim to explain the association between the financial ratios and financial distress. Altman‘s Z‘‘ Score model, Solvency Margin and Net Debt were used to measure financial distress exposure of the
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companies studied. The study established that there exists a significant positive relationship between the independent variables; profitability, liquidity, efficiency, leverage and the dependent variable, financial distress of insurance companies in Kenya. Based on the coefficient of determination findings from this study, one may conclude that the biggest determinant of financial distress amongst the insurance companies in Kenya is the lack of efficiency and low liquidity. It was further established that firm size had a significant moderating effect on the independent variables which, thus, led to financial distress in insurance firms. The study concluded that insurance companies in Kenya face financial distress as indicated by Z‘‘ score value obtained which puts the insurance industry at the distressed state. The study recommends that insurance regulators should develop policies on the appropriate levels of profitability, liquidity, efficiency and leverage to be maintained by insurance companies. This will ensure improved operations of the firms as well as make returns to cover loss payments and other obligations when they fall due.