Purpose: The purpose of this paper is to assess the efficiency of existing companies in Iran's insurance industry and its relationship with important profitability ratios. Therefore, with the help of input-axis and output-axis approaches, the performance of the companies was investigated and then the relationship between profitability and efficiency was investigated using Tobit's regression model. Methodology: To achieve the answer to the above question, 14 insurance companies in the capital market of Tehran were selected as statistical samples. The data collected in a 10-year period between 2012 and 2018 have been considered and the hypothesis test has been performed by considering the dependent variable of dividend in different forms through tobit and logit regression analysis. Findings: The results confirm that during the six-year period (2011 to 2016), the return on assets with a calculated efficiency is positively correlated with the input-oriented approach and has a negative relationship with the output-oriented approach. The results also show that the return on equity does not have any significant relationship with any of the two performance approaches. Originality/Value: In this study, considering the ratio of total liabilities, equity and assets as input variables and income and sales, premium, net profit as output variables, the ability to aggregate these items and translate them into one It has a single criterion called "efficiency" with two approaches.