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Data / Federal awards / NAICS 524114

NAICS 524114 Direct Health and Medical Insurance Carriers: $137.4 billion in federal contracts to 152 recipients (FY2024 to FY2027)

Updated October 6, 2026. Source: USAspending.gov.

Federal agencies obligated $137.4 billion under NAICS 524114, Direct Health and Medical Insurance Carriers, across 2,011 contract awards to 152 named recipients in fiscal years 2024 to 2027. The largest recipients are OPTUM PUBLIC SECTOR SOLUTIONS, INC. ($62.5 billion), TRIWEST HEALTHCARE ALLIANCE CORP ($37.4 billion), HUMANA GOVERNMENT BUSINESS INC ($20.2 billion). Department of Veterans Affairs is the largest buyer with $90.7 billion. 3 opportunities under this code are open on SAM.gov now.

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NAICS code
524114 Direct Health and Medical Insurance Carriers
Contract awards
2,011
Obligated
$137.4 billion
Named recipients
152
Buying agencies
11
Small business share of obligations
0%
Full and open competition share
97%
Set aside share
0%
Latest action
2026-10-01

Open opportunities in this niche

The same code on SAM.gov, read each morning: 3 opportunities you can still respond to.

Incumbents: the largest recipients

Ranked by dollars obligated in fiscal years 2024 to 2027.

RecipientBusiness sizeAwardsObligatedShare
OPTUM PUBLIC SECTOR SOLUTIONS, INC.Other Than Small Business114$62.54 billion45.5%
TRIWEST HEALTHCARE ALLIANCE CORPOther Than Small Business42$37.40 billion27.2%
HUMANA GOVERNMENT BUSINESS INCOther Than Small Business4$20.18 billion14.7%
HEALTH NET FEDERAL SERVICES, LLCOther Than Small Business2$4.96 billion3.6%
THE JOHNS HOPKINS MEDICAL SERVICES CORPORATIONOther Than Small Business2$1.47 billion1.1%
MARTINS POINT HEALTH CARE INCOther Than Small Business2$1.29 billion0.9%
UNITED CONCORDIA COMPANIES, INC.Other Than Small Business18$1.16 billion0.8%
EXPRESS SCRIPTS INCOther Than Small Business15$1.08 billion0.8%
PALMETTO GBA, LLCOther Than Small Business5$781.1 million0.6%
NORIDIAN HEALTHCARE SOLUTIONS, LLCOther Than Small Business8$729.8 million0.5%
EVERNORTH FEDERAL SERVICES INCOther Than Small Business1$686.5 million0.5%
NOVITAS SOLUTIONS, INC.Other Than Small Business5$653.9 million0.5%
PACMED CLINICSOther Than Small Business2$548 million0.4%
WELLPOINT FEDERAL SOLUTIONS, INC.Other Than Small Business5$502.1 million0.4%
INTERNATIONAL SOS GOVERNMENT SERVICES LLCOther Than Small Business8$488 million0.4%
BRIGHTON MARINE, INC.Other Than Small Business2$466.1 million0.3%
CHRISTUS HEALTHOther Than Small Business2$465.3 million0.3%
SVCMC, INC.Other Than Small Business2$378.6 million0.3%
CGS ADMINISTRATORS, LLCOther Than Small Business6$377 million0.3%
HERITAGE HEALTH SOLUTIONS, INC.Small Business7$337.1 million0.2%
WISCONSIN PHYSICIANS SERVICE INSURANCE CORP.Other Than Small Business2$329 million0.2%
FIRST COAST SERVICE OPTIONS, INC.Other Than Small Business2$208.8 million0.2%
MANAGED CARE ADVISORS, INC.Other Than Small Business1$79.3 million0.1%
AXA SEGUROSOther Than Small Business159$29.2 million0.0%
METROPOLITAN LIFE INSURANCE COOther Than Small Business7$26.7 million0.0%
DHIPAYA INSURANCE PUBLIC COMPANY LIMITEDOther Than Small Business4$23.7 million0.0%
NAPHCARE LLCOther Than Small Business102$21.4 million0.0%
CARESOURCE MILITARY & VETERANS CO.Other Than Small Business2$19.1 million0.0%
BUPA ACIBADEM SIGORTA ANONIM SIRKETI"Other Than Small Business12$16.5 million0.0%
MALATH COOPERATIVE INSURANCE AND REINSURANCE COMPANYOther Than Small Business66$14.1 million0.0%
AL-NISR AL-ARABI INSURANCEOther Than Small Business57$13.9 million0.0%
AIA LIFE INSURANCE COMPANY LIMITED BEIJING BRANCHOther Than Small Business8$13.7 million0.0%
DELTA DENTAL INSURANCE COMPANYOther Than Small Business2$12.5 million0.0%
ASURANSI JASA INDONESIA (PERSERO), PTOther Than Small Business16$9.5 million0.0%
LISUNGI SAOther Than Small Business42$9.1 million0.0%
CIGNA WORLDWIDE INSURANCE BRANCHOther Than Small Business6$8.9 million0.0%
AFMA SAOther Than Small Business5$8.3 million0.0%
PAN AMERICAN LIFE DE COLOMBIA COMPANIA DE SEGUROS S AOther Than Small Business72$8 million0.0%
PHILHEALTHCARE, INC.Other Than Small Business16$7.7 million0.0%
MISCELLANEOUS FOREIGN AWARDEESOther Than Small Business79$7.3 million0.0%
SINOASIA B&R INSURANCE COMPANY JOINT STOCK COMPANYOther Than Small Business81$6.6 million0.0%
BRITAM - COMPANHIA DE SEGUROS DE MOCAMBIQUE, S.AOther Than Small Business7$5.5 million0.0%
DELTA DENTAL OF SOUTH DAKOTAOther Than Small Business4$5.2 million0.0%
AETNA HEALTH INSURANCE (THAILAND) PUBLIC COMPANY LIMITEDOther Than Small Business4$5.2 million0.0%
ADMINISTRADORA DE RIESGOS DE SALUD DR. YUNEN S AOther Than Small Business33$5 million0.0%
NEW SUDAN INSURANCE COMPANY LTDOther Than Small Business4$4.1 million0.0%
ASCOMA TCHADOther Than Small Business52$4 million0.0%
ALMASEER INSURANCE COMPANYOther Than Small Business9$3.7 million0.0%
ENSA - SEGUROS DE ANGOLA, S.A.Other Than Small Business11$3.2 million0.0%
PRIVATE JOINT STOCK COMPANY "INSURANCE COMPANY "UNIQA"Other Than Small Business8$2.8 million0.0%

Agencies buying under this code

AgencyAwardsObligatedLargest recipient
Department of Veterans Affairs208$90.72 billionOPTUM PUBLIC SECTOR SOLUTIONS, INC.
Department of Defense168$42.39 billionHUMANA GOVERNMENT BUSINESS INC
Department of Health and Human Services49$3.66 billionPALMETTO GBA, LLC
Department of Justice111$359.1 millionHERITAGE HEALTH SOLUTIONS, INC.
Department of State1,460$278.2 millionAXA SEGUROS
Securities and Exchange Commission2$22.5 millionMETROPOLITAN LIFE INSURANCE CO
Department of the Treasury3$13.3 millionDELTA DENTAL INSURANCE COMPANY
Consumer Financial Protection Bureau3$3.8 millionUNITED CONCORDIA COMPANIES, INC.
Commodity Futures Trading Commission2$3.4 millionMETROPOLITAN LIFE INSURANCE CO
Agency for International Development1$163,568AXA MANSARD HEALTH LIMITED
Department of Agriculture4$17,713CULTURAL INSURANCE SERVICES INTERNATIONAL, INC.

Obligations by fiscal year

Fiscal yearObligated
FY2024$43.85 billion
FY2025$47.62 billion
FY2026$45.98 billion
FY2027$833,199

Products and services bought

CodeProduct or serviceAwardsObligated
Q201Medical- Managed Healthcare390$103.79 billion
G007Social- Government Health Insurance Programs983$31.93 billion
Q503Medical- Dentistry21$1.16 billion
Q999Medical- Other132$333.3 million
R499Support- Professional: Other8$119.3 million
G009Social- Non-Government Insurance Programs287$51.4 million
R408Support- Professional: Program Management/support8$24 million
G008Social- Government Insurance Programs: Other25$11.8 million
Q802Clerical Medical Support43$9.5 million
G099Social- Other8$3.5 million

Largest contract awards

Award IDRecipientAgencyTypeNAICSWhat it buysObligated in windowAward valueStartsEndsPlace of performanceSource
HT940216C0001HUMANA GOVERNMENT BUSINESS INCDepartment of DefenseDefinitive Contract524114IGF::OT::IGF$10,812,811,089$52,641,654,181August 1, 2016December 31, 2025Louisville, KYusaspending.gov
HT940223C0001HUMANA GOVERNMENT BUSINESS INCDepartment of DefenseDefinitive Contract524114TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, 5TH GENERATION EAST REGION$9,368,940,454$14,450,315,469February 1, 2023December 31, 2029Louisville, KYusaspending.gov
HT940223C0002TRIWEST HEALTHCARE ALLIANCE CORPDepartment of DefenseDefinitive Contract524114TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, 5TH GENERATION WEST REGION$9,223,154,862$13,569,766,174January 1, 2024December 31, 2026Phoenix, AZusaspending.gov
HT940216C0002HEALTH NET FEDERAL SERVICES, LLCDepartment of DefenseDefinitive Contract524114IGF::OT::IGF MANAGED CARE SUPPORT SERVICES IN SUPPORT OF THE TRICARE PROGRAM$4,993,983,407$23,501,854,248August 1, 2016May 1, 2026Rancho Cordova, CAusaspending.gov
HT940223C0006THE JOHNS HOPKINS MEDICAL SERVICES CORPORATIONDepartment of DefenseDefinitive Contract524114MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER$1,482,100,000$1,552,986,936October 1, 2023September 30, 2026Baltimore, MDusaspending.gov
36C10G24K0111OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: R3 FY 24 3RD QTR APRIL$1,365,317,619$1,365,317,619April 1, 2024April 30, 2024Rockville, MDusaspending.gov
HT940223C0007MARTINS POINT HEALTH CARE INCDepartment of DefenseDefinitive Contract524114MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER$1,297,486,774$1,346,889,207October 1, 2023September 30, 2026Portland, MEusaspending.gov
HT940221C0007EXPRESS SCRIPTS INCDepartment of DefenseDefinitive Contract524114TRICARE PHARMACY SERVICES$1,242,297,052$2,670,517,214September 23, 2021December 31, 2025Saint Louis, MOusaspending.gov
36C10G26K0300TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT: AUGUST 2026$1,200,153,023$1,200,153,023August 1, 2026August 31, 2026Fredericksburg, VAusaspending.gov
36C10G26K0209OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT:R3 FY26 1ST QTR OCT$1,102,850,655$1,102,850,655October 1, 2025October 31, 2025Fredericksburg, VAusaspending.gov
36C10G24K0110OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: R2 FY 24 3RD QTR APRIL$1,073,795,459$1,073,795,459April 1, 2024April 30, 2024La Crosse, WIusaspending.gov
36C10G26K0213TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT: DECEMBER 2025$1,062,977,661$1,062,977,661December 1, 2025December 31, 2025Fredericksburg, VAusaspending.gov
36C10G26K0278OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: 2ND QTR FY2026 MARCH$988,198,980$988,198,980March 1, 2026March 31, 2026Fredericksburg, VAusaspending.gov
36C10G26K0293TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT: JUNE 2026$983,897,124$983,897,124June 1, 2026June 30, 2026Fredericksburg, VAusaspending.gov
36C10G26K0291OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114R3 EXPRESS REPORT: 3RD QTR FY 2026 JUNE$962,190,592$962,190,592June 1, 2026June 30, 2026Fredericksburg, VAusaspending.gov
36C10G24K0109OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: R1 FY 24 3RD QTR APRIL$941,727,421$941,727,421April 1, 2024April 30, 2024La Crosse, WIusaspending.gov
36C10G26K0268TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT: MARCH 2026$928,900,086$928,900,086March 1, 2026March 31, 2026Fredericksburg, VAusaspending.gov
36C10G26K0135TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT: OCTOBER 2025$928,047,790$928,047,790October 1, 2025October 31, 2025Fredericksburg, VAusaspending.gov
36C10G26K0289OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: 3RD QTR FY 2026 APRIL$918,976,354$918,976,354April 1, 2026April 30, 2026Fredericksburg, VAusaspending.gov
36C10G26K0290OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: 3RD QTR FY 2026 MAY$918,465,586$918,465,586May 1, 2026May 31, 2026Fredericksburg, VAusaspending.gov
36C10G26K0282TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT: MAY 2026$902,853,623$902,853,623May 1, 2026May 31, 2026Fredericksburg, VAusaspending.gov
36C10G26K0211OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: R3 FY26 1ST QTR DEC$894,515,798$894,515,798December 1, 2025December 31, 2025Fredericksburg, VAusaspending.gov
36C10G26K0281TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT APRIL 2026$873,917,490$873,917,490April 1, 2026April 30, 2026Fredericksburg, VAusaspending.gov
36C10G25K0023TRIWEST HEALTHCARE ALLIANCE CORPDepartment of Veterans AffairsDelivery Order524114EXPRESS REPORT: (OCT. 2024)$870,766,369$870,766,369October 1, 2024October 31, 2024Fredericksburg, VAusaspending.gov
36C10G26K0276OPTUM PUBLIC SECTOR SOLUTIONS, INC.Department of Veterans AffairsDelivery Order524114EXPRESS REPORT: 2ND QTR FY 2026 JAN$858,305,518$858,305,518January 1, 2026January 31, 2026Fredericksburg, VAusaspending.gov

Public U.S. federal spending data (U.S. Department of the Treasury). Obligations are the contract actions dated in fiscal years 2024 to 2027 of the USAspending.gov award archive of 2026-10-06; a contract's total value is its current value as USAspending reports it, including earlier years. Recipients are matched on their SAM.gov UEI, never on the name, and are shown as the government prints them. Sole proprietorships and opted-out entities count in the totals and are not named. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.