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NAICS 524114

Direct Health and Medical Insurance Carriers: federal contracts

Who buys direct health and medical insurance carriers from the federal government, who wins the work, and where. Contract obligations in fiscal year 2026 (Oct 1, 2025 to Sep 30, 2026), from USAspending.gov. Contract award types A to D (BPA calls, purchase orders, delivery orders and definitive contracts). Obligations can be negative when an agency takes money back. Data saved from USAspending.gov on Oct 23, 2026.

$48.56 billion$48,561,809,465 in contract obligations
728contract awards with money in the year
9agencies buying (top 10 shown)
15states with work

Agencies buying

  1. 1. Department of Veterans Affairs$33.20 billion · 68.4%
  2. 2. Department of Defense$13.93 billion · 28.7%
  3. 3. Department of Health and Human Services$1.21 billion · 2.5%
  4. 4. Department of Justice$113.9 million · 0.2%
  5. 5. Department of State$98.4 million · 0.2%
  6. 6. Securities and Exchange Commission$6.7 million · 0.0%
  7. 7. Department of the Treasury$4.4 million · 0.0%
  8. 8. Commodity Futures Trading Commission$1.1 million · 0.0%
  9. 9. Consumer Financial Protection Bureau-$733,590 · -0.0%

Top companies (recipients)

  1. 1. OPTUM PUBLIC SECTOR SOLUTIONS, INC.$22.49 billion · 46.3%
  2. 2. TRIWEST HEALTHCARE ALLIANCE CORP$16.26 billion · 33.5%
  3. 3. HUMANA GOVERNMENT BUSINESS INC$5.63 billion · 11.6%
  4. 4. EVERNORTH FEDERAL SERVICES INC$686.5 million · 1.4%
  5. 5. THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION$496.4 million · 1.0%
  6. 6. MARTINS POINT HEALTH CARE INC$438.0 million · 0.9%
  7. 7. UNITED CONCORDIA COMPANIES, INC.$371.2 million · 0.8%
  8. 8. NORIDIAN HEALTHCARE SOLUTIONS, LLC$297.7 million · 0.6%
  9. 9. PALMETTO GBA, LLC$223.3 million · 0.5%
  10. 10. WELLPOINT FEDERAL SOLUTIONS, INC.$207.7 million · 0.4%

Where the work is (states)

  1. 1. Virginia$33.19 billion · 68.4%
  2. 2. Kentucky$5.63 billion · 11.6%
  3. 3. Arizona$5.55 billion · 11.4%
  4. 4. Missouri$686.5 million · 1.4%
  5. 5. Pennsylvania$666.7 million · 1.4%
  6. 6. Maryland$529.0 million · 1.1%
  7. 7. Maine$437.9 million · 0.9%
  8. 8. North Dakota$297.7 million · 0.6%
  9. 9. Texas$280.2 million · 0.6%
  10. 10. South Carolina$223.3 million · 0.5%

Largest awards in NAICS 524114

RecipientAmountAgencyWhatDatesAward
HUMANA GOVERNMENT BUSINESS INC
KY
$51.27 billion
$51,269,205,263
Department of Defense
Defense Health Agency
IGF::OT::IGF
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Aug 1, 2016 to Dec 31, 2025HT940216C0001 ↗
HEALTH NET FEDERAL SERVICES, LLC
CA
$23.48 billion
$23,484,451,360
Department of Defense
Defense Health Agency
IGF::OT::IGF MANAGED CARE SUPPORT SERVICES IN SUPPORT OF THE TRICARE PROGRAM
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Aug 1, 2016 to May 1, 2026HT940216C0002 ↗
UNITEDHEALTH MILITARY & VETERANS SERVICES, LLC
MN
$13.15 billion
$13,145,560,374
Department of Defense
Defense Health Agency
T3 MANAGED CARE SUPPORT CONTRACT FOR WEST REGION
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Mar 20, 2012 to Feb 15, 2019HT940212C0001 ↗
HUMANA GOVERNMENT BUSINESS INC
KY
$9.37 billion
$9,372,151,291
Department of Defense
Defense Health Agency
TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, 5TH GENERATION EAST REGION
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Feb 1, 2023 to Dec 31, 2029HT940223C0001 ↗
TRIWEST HEALTHCARE ALLIANCE CORP
AZ
$9.23 billion
$9,229,784,862
Department of Defense
Defense Health Agency
TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, 5TH GENERATION WEST REGION
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Jan 1, 2024 to Dec 31, 2026HT940223C0002 ↗
EVERNORTH FEDERAL SERVICES INC
MO
$2.37 billion
$2,373,610,202
Department of Defense
Defense Health Agency
TRICARE PHARMACY SERVICES
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Sep 23, 2021 to Dec 31, 2026HT940221C0007 ↗
THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION
MD
$1.48 billion
$1,482,100,000
Department of Defense
Defense Health Agency
MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Oct 1, 2023 to Sep 30, 2026HT940223C0006 ↗
MARTINS POINT HEALTH CARE INC
ME
$1.30 billion
$1,297,486,774
Department of Defense
Defense Health Agency
MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Oct 1, 2023 to Sep 30, 2026HT940223C0007 ↗
TRIWEST HEALTHCARE ALLIANCE CORP
VA
$1.20 billion
$1,200,153,023
Department of Veterans AffairsEXPRESS REPORT: AUGUST 2026
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Aug 1, 2026 to Aug 31, 202636C10G26K0300 ↗
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
VA
$1.10 billion
$1,102,850,655
Department of Veterans AffairsEXPRESS REPORT:R3 FY26 1ST QTR OCT
NAICS 524114 DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS
Oct 1, 2025 to Oct 31, 202536C10G26K0209 ↗