Industries › NAICS 524114
Industry · NAICS 524114 · sector 52 Finance and insurance
Direct Health and Medical Insurance Carriers
Federal contract obligations classified under NAICS 524114, the organisations that win them and the agencies that award them.
USAspending caveat. Figures are obligations reported by federal agencies to USAspending.gov, not payments. In USAspending's words: "An outlay occurs when federal money is actually paid out, not just promised to be paid ('obligated')." "Every agency has a Senior Accountable Official who must officially certify that the quarterly financial data submitted by their agency is accurate and complete." "If there are any discrepancies in procurement data, FPDS is the authoritative source." Contract data for the Department of Defense and the U.S. Army Corps of Engineers is published with a 90-day delay. Data loaded 30 Sep 2026.
Federal agencies obligated $48B in contracts classified under NAICS 524114, Direct Health and Medical Insurance Carriers, in FY2025, and $214B over the five fiscal years since FY2022; the industry ranks 4 of 547 on this site.
Obligations were about level on FY2024 ($44B), with $46B so far in FY2026.
The largest recipient organisations over FY2022–FY2025 were Optum Public Sector Solutions, Inc. ($73B), Triwest Healthcare Alliance Corp ($36B) and Humana Government Business Inc ($30B).
By place of performance, the most money went to VA, KY and MD.
Contract obligations by fiscal year
Compared with the largest industry FY2025
| Measure | This industry | Aircraft Manufacturing | All contracts |
|---|---|---|---|
| Contract obligations, FY2025 | $48B | $61B | $779B |
| Five-year total | $214B | $248B | $3.7T |
| Share of all contract obligations, five years | 5.9% | 6.8% | 100% |
Top contractors obligations, FY2022–FY2025
| # | Organisation | Obligations |
|---|---|---|
| 1 | Optum Public Sector Solutions, Inc. | $73B |
| 2 | Triwest Healthcare Alliance Corp | $36B |
| 3 | Humana Government Business Inc | $30B |
| 4 | Health Net Federal Services, LLC | $12B |
| 5 | Express Scripts Inc | $2.5B |
| 6 | The Johns Hopkins Medical Services Corporation | $1.9B |
| 7 | United Concordia Companies, Inc. | $1.7B |
| 8 | Martins Point Health Care Inc | $1.7B |
| 9 | Palmetto Gba, LLC | $1.1B |
| 10 | Novitas Solutions, Inc. | $963M |
| 11 | Noridian Healthcare Solutions, LLC | $774M |
| 12 | Pacmed Clinics | $706M |
| 13 | National Government Services, Inc. | $660M |
| 14 | Brighton Marine, Inc. | $628M |
| 15 | International Sos Government Services LLC | $618M |
| 16 | Christus Health | $574M |
| 17 | CGS Administrators, LLC | $535M |
| 18 | Svcmc, Inc. | $489M |
| 19 | Heritage Health Solutions, Inc. | $440M |
| 20 | Wisconsin Physicians Service Insurance Corp. | $383M |
| 21 | First Coast Service Options, Inc. | $283M |
| 22 | Managed Care Advisors, Inc. | $82M |
| 23 | Al-Nisr Al-Arabi Insurance | $47M |
| 24 | Naphcare LLC | $42M |
| 25 | Metropolitan Life Insurance Co | $39M |
$18M among the top 40 went to recipients not shown.
Buying agencies $1.0M+ awards
Where the work is performed
Largest awards since FY2022
Other industries in sector 52: Finance and insurance
- 522390 Other Activities Related to Credit Intermediation $6.2B
- 524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds $3.8B
- 523150 Investment Banking and Securities Intermediation $1.2B
- 522110 Commercial Banking $935M
- 522320 Financial Transactions Processing, Reserve, and Clearinghouse Activities $548M
- 523920 Portfolio Management $342M
- 524298 All Other Insurance Related Activities $300M
- 524210 Insurance Agencies and Brokerages $262M
- 522310 Mortgage and Nonmortgage Loan Brokers $207M
- 523930 Investment Advice $120M
- 523910 Miscellaneous Intermediation $86M
- 523940 Portfolio Management and Investment Advice $54M
Questions and answers
How much does the federal government spend on NAICS 524114?
$48B in contract obligations classified under Direct Health and Medical Insurance Carriers in FY2025, $214B over the five fiscal years since FY2022. Obligations are commitments, not payments.
Who are the top contractors in Direct Health and Medical Insurance Carriers?
Optum Public Sector Solutions, Inc. ($73B), Triwest Healthcare Alliance Corp ($36B), Humana Government Business Inc ($30B), Health Net Federal Services, LLC ($12B), Express Scripts Inc ($2.5B), by contract obligations over FY2022–FY2025.
Which agencies buy in this industry?
By the value of $1.0M-plus contracts since FY2022: Department of Veterans Affairs ($136B), Department of Defense ($25B), Department of Health and Human Services ($2.5B), Department of Justice ($567M), Department of State ($168M).
What is a NAICS code?
In USAspending's words: "NAICS stands for the North American Industrial Classification System. This 6-digit code tells you what industry the work falls into. Each contract record has a NAICS code." Assistance awards (grants, loans, direct payments) carry no NAICS code and are not counted here.
Provenance
Source: USAspending.gov API v2, spending by category (NAICS) by fiscal year, recipient cross-tabulation for FY2022–FY2025 and award search, loaded 30 Sep 2026. State figures come from each state's top-100 NAICS list, so small amounts in a state may be missing. See methodology.