01 / NAICS Market Profile
NAICS 524114 Direct Health And Medical Insurance Carriers Federal Contracts
North American Industry Classification System code 524114
Federal contract activity classified under Direct Health And Medical Insurance Carriers across FY 2020–FY 2026. Net obligations include both new obligations and subsequent deobligations.
02 / Market Size
How large is the NAICS 524114 federal market?
03 / Spending Trend
NAICS 524114 contract spending by fiscal year
Annual obligations, activity, and participation across the same FY 2020–FY 2026 profile window.
Latest closed fiscal year$48.56B
FY 2026| Fiscal year | Obligations | Actions | Vendors | Customers | Change |
|---|---|---|---|---|---|
| FY 2020 | $15.82B | 974 | 71 | 22 | — |
| FY 2021 | $26.88B | 1,394 | 85 | 23 | +69.9% |
| FY 2022 | $37.08B | 1,449 | 96 | 19 | +37.9% |
| FY 2023 | $39.25B | 1,591 | 102 | 16 | +5.9% |
| FY 2024 | $43.85B | 1,949 | 105 | 18 | +11.7% |
| FY 2025 | $47.62B | 1,957 | 115 | 17 | +8.6% |
| FY 2026 | $48.56B | 1,667 | 125 | 16 | +2.0% |
04 / Top Federal Customers
Which federal agencies buy most in this industry?
Ranked by net obligations during FY 2020–FY 2026.
| Federal customer | Code | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|
| VETERANS AFFAIRS, DEPARTMENT OF | 3600 | $153.19B | 693 | 8 | 59.1% |
| DEFENSE HEALTH AGENCY (DHA) | 97DH | $96.08B | 2,268 | 17 | 37.1% |
| CENTERS FOR MEDICARE AND MEDICAID SERVICES | 7530 | $8.20B | 1,696 | 10 | 3.2% |
| U.S. MARSHALS SERVICE | 1544 | $737.26M | 55 | 1 | 0.3% |
| STATE, DEPARTMENT OF | 1900 | $465.08M | 4,894 | 111 | 0.2% |
| CENTERS FOR DISEASE CONTROL AND PREVENTION | 7523 | $185.21M | 62 | 5 | 0.1% |
| SECURITIES AND EXCHANGE COMMISSION | 5000 | $54.44M | 16 | 1 | 0.0% |
| FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | 1540 | $47.23M | 495 | 3 | 0.0% |
| OFFICE OF THE COMPTROLLER OF THE CURRENCY | 2046 | $28.95M | 16 | 2 | 0.0% |
| DEPT OF THE ARMY | 2100 | $14.95M | 34 | 5 | 0.0% |
05 / Contracting Offices
Which contracting offices buy in NAICS 524114?
Ranked by net obligations during FY 2020–FY 2026.
| Office | Code | Agency | Obligations | Actions | Vendors | Market share |
|---|---|---|---|---|---|---|
| STRATEGIC ACQUISITION CENTER FREDERICKSBURG (36C10G) | 36C10G | VETERANS AFFAIRS, DEPARTMENT OF | $153.19B | 506 | 3 | 59.1% |
| DEFENSE HEALTH AGENCY | HT9402 | DEFENSE HEALTH AGENCY (DHA) | $96.08B | 2,268 | 17 | 37.1% |
| OFC OF ACQUISITION AND GRANTS MGMT | 75FCMC | CENTERS FOR MEDICARE AND MEDICAID SERVICES | $8.20B | 1,696 | 10 | 3.2% |
| U.S. DEPT OF JUSTICE, USMS | 15M400 | U.S. MARSHALS SERVICE | $737.26M | 55 | 1 | 0.3% |
| CDC OFFICE OF ACQUISITION SERVICES | 75D301 | CENTERS FOR DISEASE CONTROL AND PREVENTION | $185.21M | 62 | 5 | 0.1% |
| ACQUISITIONS - RPSO FRANKFURT | 19GE50 | STATE, DEPARTMENT OF | $89.88M | 713 | 36 | 0.0% |
| SECURITIES AND EXCHANGE COMMISSION | 503102 | SECURITIES AND EXCHANGE COMMISSION | $54.44M | 16 | 1 | 0.0% |
| U.S. EMBASSY MEXICO | 19MX53 | STATE, DEPARTMENT OF | $46.78M | 578 | 1 | 0.0% |
| MDC BROOKLYN | 15BBR0 | FEDERAL PRISON SYSTEM / BUREAU OF PRISONS | $45.29M | 441 | 1 | 0.0% |
| US EMBASSY BANGKOK | 19TH20 | STATE, DEPARTMENT OF | $35.64M | 8 | 2 | 0.0% |
06 / Top Vendors
Which contractors lead the NAICS 524114 market?
| Vendor | Obligations | Actions | Customers | Market share | Latest activity |
|---|---|---|---|---|---|
| OPTUM PUBLIC SECTOR SOLUTIONS, INC. | $106.53B | 366 | 1 | 41.1% | Sep 30, 2026 |
| TRIWEST HEALTHCARE ALLIANCE CORP. | $55.89B | 351 | 2 | 21.6% | Sep 23, 2026 |
| HUMANA GOVERNMENT BUSINESS, INC. | $49.74B | 686 | 1 | 19.2% | Jul 10, 2026 |
| HEALTH NET FEDERAL SERVICES, LLC | $18.42B | 481 | 1 | 7.1% | Jun 18, 2026 |
| EXPRESS SCRIPTS, INC. | $3.91B | 219 | 1 | 1.5% | Sep 17, 2025 |
| JOHNS HOPKINS MEDICAL SERVICES CORP | $3.30B | 51 | 1 | 1.3% | Jun 29, 2026 |
| UNITED CONCORDIA COMPANIES, INC. | $2.92B | 189 | 2 | 1.1% | Jun 8, 2026 |
| MARTIN'S POINT HEALTH CARE, INC. | $2.88B | 52 | 1 | 1.1% | Jun 29, 2026 |
| PALMETTO GBA, LLC | $1.83B | 208 | 1 | 0.7% | Sep 29, 2026 |
| NOVITAS SOLUTIONS, INC | $1.56B | 241 | 1 | 0.6% | Sep 17, 2026 |
07 / Product and Service Mix
What products and services are purchased under NAICS 524114?
| PSC | Description | Obligations | Actions | Vendors | Share |
|---|---|---|---|---|---|
| Q201 | MEDICAL- GENERAL HEALTH CARE | $199.77B | 3,205 | 40 | 77.1% |
| G007 | SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | $55.22B | 5,155 | 96 | 21.3% |
| Q503 | MEDICAL- DENTISTRY | $2.90B | 204 | 3 | 1.1% |
| Q999 | MEDICAL- OTHER | $759.65M | 582 | 15 | 0.3% |
| R499 | SUPPORT- PROFESSIONAL: OTHER | $237.83M | 87 | 4 | 0.1% |
| G009 | SOCIAL- NON-GOVERNMENT INSURANCE PROGRAMS | $82.10M | 955 | 47 | 0.0% |
| R408 | SUPPORT- PROFESSIONAL: PROGRAM MANAGEMENT/SUPPORT | $56.03M | 26 | 3 | 0.0% |
| Q802 | CLERICAL MEDICAL SUPPORT | $14.43M | 75 | 2 | 0.0% |
| 6640 | LABORATORY EQUIPMENT AND SUPPLIES | $7.99M | 5 | 1 | 0.0% |
| G006 | SOCIAL- GOVERNMENT LIFE INSURANCE PROGRAMS | $7.52M | 68 | 9 | 0.0% |
08 / Buying Pattern
How does the government buy in NAICS 524114?
| Common action type | Obligations | Actions |
|---|---|---|
| DELIVERY ORDER | $159.79B | 6,234 |
| DEFINITIVE CONTRACT | $99.20B | 3,940 |
| PURCHASE ORDER | $62.97M | 725 |
| BPA CALL | $2.54M | 82 |
09 / Recent Contract Awards
What was awarded most recently in NAICS 524114?
10 / Market Interpretation
How should contractors evaluate this market?
Start with the spending direction
Compare annual obligations with actions and vendor participation. Growth driven by only a few large actions represents a different opportunity from broad, recurring demand.
Follow the actual buyers
Move from federal customers to contracting offices. Offices reveal where acquisition responsibility and recurring purchasing activity are concentrated.
Measure accessible demand
Use competition, small-business participation, incumbent vendors, and PSC mix before treating the full $259.06B market as addressable.