Markets/ PSC/ SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS

SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS

Federal buyers, contractors, spending trends and related classifications · All available history.

Net obligations$71.78B No prior-year comparison

Contract actions14,117 No prior-year comparison

Buying agencies36 Distinct federal buyers

Active vendors645 Distinct SAM.gov entities

All available history

Net obligations by year

1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026

Market concentration

Buying agencies

36 total

Rank	Agency	Code	Obligations	Actions	Share
1	VETERANS AFFAIRS, DEPARTMENT OF	3600	$44.81B	190	62.4%
2	CENTERS FOR MEDICARE AND MEDICAID SERVICES	7530	$18.87B	4,103	26.3%
3	OFFICE OF PERSONNEL MANAGEMENT	2400	$4.32B	1,689	6.0%
4	OFFICE OF THE CIVILIAN HEALTH AND MEDICAL PROGRAM	97F3	$2.28B	255	3.2%
5	STATE, DEPARTMENT OF	1900	$690.46M	6,856	1.0%
6	DEPT OF THE ARMY	2100	$360.29M	85	0.5%
7	RAILROAD RETIREMENT BOARD	6000	$251.77M	105	0.4%
8	OFFICE OF THE COMPTROLLER OF THE CURRENCY	2046	$81.54M	119	0.1%
9	CORPORATION FOR NATIONAL AND COMMUNITY SERVICE	9577	$45.38M	47	0.1%
10	AGENCY FOR INTERNATIONAL DEVELOPMENT	1152	$20.78M	17	0.0%
11	SECURITIES AND EXCHANGE COMMISSION	5000	$12.61M	2	0.0%
12	DEPT OF THE NAVY	1700	$9.60M	508	0.0%
13	TENNESSEE VALLEY AUTHORITY	6400	$8.17M	2	0.0%
14	ACTION	4400	$7.77M	23	0.0%
15	FEDERAL AVIATION ADMINISTRATION	6920	$1.16M	6	0.0%

Showing 1–15 of 36

Market concentration

Contractors

645 total

Rank	Vendor	UEI	CAGE	Obligations	Actions	Share
1	TRIWEST HEALTHCARE ALLIANCE CORP.	J7M9HPTGJ1S9	07TQ3	$44.70B	112	62.3%
2	NOVITAS SOLUTIONS, INC	PLHWY41UW5V3	4KGW8	$3.56B	523	5.0%
3	NORIDIAN HEALTHCARE SOLUTIONS, LLC	S9LBFM3QCED8	3EN02	$3.17B	850	4.4%
4	PALMETTO GBA, LLC	CFLDECZBMDV6	3EYS4	$3.03B	472	4.2%
5	NATIONAL GOVERNMENT SERVICES, INC.	TJNDFEALGTB5	3NKX7	$2.66B	459	3.7%
6	BLUE CROSS BLUE SHELD ASSCTON	L8ZRGKVV3136	—	$2.31B	12	3.2%
7	CGS ADMINISTRATORS, LLC	LLNXG14PXPB3	39MA3	$2.02B	579	2.8%
8	DELTA DNTL PLAN OF CALIFORNIA	TK8YHBLEM9H9	—	$1.75B	116	2.4%
9	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	HLY2E796N2L3	2R921	$1.70B	447	2.4%
10	FIRST COAST SERVICE OPTIONS, INC.	RK89KEJYQJR1	1M7H5	$1.39B	259	1.9%
11	CAHABA GOVERNMENT BENEFIT ADMINISTRATORS, LLC	TK1SRKMTQJA9	47PG1	$646.13M	137	0.9%
12	AETNA LIFE INSURANCE CO INC	T1N7KK166CM3	—	$578.12M	17	0.8%
13	FOUNDATION HEALTH CORPORATION	KL9XGK2BTJE9	—	$532.26M	27	0.7%
14	AYALA LIFE ASSURANCE INC.	L88SRK33JSR6	—	$436.23M	563	0.6%
15	TRAILBLAZER HEALTH ENTERPRISES LIMITED LIABILITY COMPANY	PG2MAMWLJ3J5	3N9R1	$418.74M	96	0.6%

Showing 1–15 of 645

Classification mix

NAICS industries

81 total

Rank	NAICS	Description	Obligations	Actions	Share
1	524114	DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS	$63.71B	8,220	88.8%
2	541611	ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES	$231.81M	164	0.3%
3	923120	ADMINISTRATION OF PUBLIC HEALTH PROGRAMS	$218.92M	112	0.3%
4	524210	INSURANCE AGENCIES AND BROKERAGES	$185.74M	1,885	0.3%
5	524292	THIRD PARTY ADMINISTRATION OF INSURANCE AND PENSION FUNDS	$165.13M	118	0.2%
6	524298	ALL OTHER INSURANCE RELATED ACTIVITIES	$87.53M	270	0.1%
7	525120	HEALTH AND WELFARE FUNDS	$45.19M	248	0.1%
8	923130	ADMINISTRATION OF HUMAN RESOURCE PROGRAMS (EXCEPT EDUCATION, PUBLIC HEALTH, AND VETERANS' AFFAIRS PROGRAMS)	$42.32M	14	0.1%
9	524113	DIRECT LIFE INSURANCE CARRIERS	$31.47M	390	0.0%
10	561990	ALL OTHER SUPPORT SERVICES	$29.90M	34	0.0%
11	621999	ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES	$6.96M	26	0.0%
12	541618	OTHER MANAGEMENT CONSULTING SERVICES	$4.20M	16	0.0%
13	423450	MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS	$3.80M	37	0.0%
14	621511	MEDICAL LABORATORIES	$3.43M	2	0.0%
15	524128	OTHER DIRECT INSURANCE (EXCEPT LIFE, HEALTH, AND MEDICAL) CARRIERS	$2.39M	46	0.0%

Showing 1–15 of 81

Historical activity

Awards

6,379 total

Signed	PIID	Vendor	Agency	Obligations
Aug 10, 2026	19TC1026F0125	AMERICAN LIFE INSURANCE CO (DUBAI BRANCH)	STATE, DEPARTMENT OF	$849.1K
Aug 10, 2026	75FCMC22C0018	FIRST COAST SERVICE OPTIONS INC	CENTERS FOR MEDICARE AND MEDICAID SERVICES	$318.13M
Aug 7, 2026	19UP3026F0295	PRIVATE JOINT STOCK COMPANY "INSURANCE COMPANY "UNIQA"	STATE, DEPARTMENT OF	$193.7K
Aug 6, 2026	75FCMC20C0025	CGS ADMINISTRATORS, LLC	CENTERS FOR MEDICARE AND MEDICAID SERVICES	$263.25M
Aug 6, 2026	75FCMC24C0005	CGS ADMINISTRATORS, LLC	CENTERS FOR MEDICARE AND MEDICAID SERVICES	$206.88M
Aug 5, 2026	75FCMC25C0003	NORIDIAN HEALTHCARE SOLUTIONS, LLC	CENTERS FOR MEDICARE AND MEDICAID SERVICES	$31.00M
Aug 4, 2026	75FCMC20C0026	NATIONAL GOVERNMENT SERVICES, INC.	CENTERS FOR MEDICARE AND MEDICAID SERVICES	$482.49M
Aug 3, 2026	19MJ1926F0009	GENERALI OSIGURANJE MONTENEGRO AD	STATE, DEPARTMENT OF	$66.0K
Aug 3, 2026	19MJ1926F0022	GENERALI OSIGURANJE MONTENEGRO AD	STATE, DEPARTMENT OF	$79.0K
Aug 3, 2026	19SG2026F0375	AXA ASSURANCES SENEGAL	STATE, DEPARTMENT OF	$47.4K
Aug 3, 2026	36C10G26K0293	TRIWEST HEALTHCARE ALLIANCE CORP.	VETERANS AFFAIRS, DEPARTMENT OF	$983.90M
Jul 31, 2026	19GR1026F0588	NN HELLENIC LIFE INSURANCE COMPANY SINGLE MEMBER S.A.	STATE, DEPARTMENT OF	$114.1K
Jul 31, 2026	19GR1026F0646	NN HELLENIC LIFE INSURANCE COMPANY SINGLE MEMBER S.A.	STATE, DEPARTMENT OF	$113.4K
Jul 30, 2026	19GE5026F0285	ASSURANCES GENERALES DU CAMEROUNE S.A	STATE, DEPARTMENT OF	$74.5K
Jul 30, 2026	19GE5026F0319	FATUM HEALTH N.V.	STATE, DEPARTMENT OF	$320.9K

Showing 1–15 of 6,379