NAICS Code 524114: Direct Health and Medical Insurance Carriers
National industry
SBA small business size standard: $47 million in average annual receipts
Definition
This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) health and medical insurance policies. Group hospitalization plans and HMO establishments that provide health and medical insurance policies without providing health care services are included in this industry.
Government contracts for this service: PSC Q201 Managed Healthcare Services and PSC G007 Government Health Insurance Programs
Code facts
- Part of
-
-
52
-
524
-
5241
- 52411
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5241
-
524
-
52
- Contract awards
- 492 In the last 12 months
- Contract obligations
- $47,617,321,116 In FY2025
NAICS codes and definitions come from the U.S. Census Bureau, size standards from the SBA and contract spending from SAM.gov/FPDS.
Business activities under NAICS 524114
- Dental insurance carriers, direct
- Group hospitalization plans without providing health care services
- Health insurance carriers, direct
- Hospital and medical service plans, direct, without providing health care services
- Hospitalization insurance carriers, direct, without providing health care services
- Insurance carriers, health, direct
- Insurance underwriting, health and medical, direct
- Medical insurance carriers, direct
- Medical service plans without providing health care services
Looking for another activity? Search the NAICS code lookup or browse business activities from A to Z.
Contract obligations by fiscal year
| Fiscal year | Obligated |
|---|---|
| FY2027 To date | $264,609,439 |
| FY2026 | $45,719,648,777 |
| FY2025 | $47,617,321,116 |
| FY2024 | $43,850,444,744 |
| FY2023 | $39,254,956,086 |
Top contractors by obligations
| Rank | Contractor | Obligated, FY2026–FY2027 | Share |
|---|---|---|---|
| 1 | Optum Public Sector Solutions, Inc. | $19,907,506,706 | |
| 2 | Triwest Healthcare Alliance Corp | $15,960,476,817 | |
| 3 | Humana Government Business Inc. | $6,094,483,840 | |
| 4 | Evernorth Federal Services Inc. | $692,373,965 | |
| 5 | The Johns Hopkins Medical Services Corporation | $406,350,000 | |
| 6 | United Concordia Companies, Inc. | $371,211,219 | |
| 7 | Martins Point Health Care Inc. | $356,986,768 | |
| 8 | Noridian Healthcare Solutions, LLC | $297,093,389 | |
| 9 | Signature Choice Iii, LLC | $226,106,336 | |
| 10 | Palmetto Gba, LLC | $223,258,865 |
See the full FY2025 ranking of NAICS 524114 contractors, by parent company.
Top funding agencies by obligations
| Rank | Agency | Obligated, FY2026–FY2027 | Share |
|---|---|---|---|
| 1 | Department of Veterans Affairs | $30,835,796,804 | |
| 2 | Defense Health Agency | $13,775,541,784 | |
| 3 | Department of Health and Human Services | $1,192,689,162 | |
| 4 | Department of State | $96,356,333 | |
| 5 | Department of Justice | $65,826,723 | |
| 6 | Securities and Exchange Commission | $6,725,194 | |
| 7 | Department of the Treasury | $5,265,368 | |
| 8 | Department of the Army | $2,812,656 | |
| 9 | Department of the Navy | $2,181,935 | |
| 10 | Commodity Futures Trading Commission | $1,061,982 |
Top PSC codes by obligations
| Rank | PSC code | Obligated, FY2026–FY2027 | Share |
|---|---|---|---|
| 1 | Q201 Medical – Managed Healthcare | $33,319,677,261 | |
| 2 | G007 Government Health Insurance Programs | $11,920,572,558 | |
| 3 | Q503 Dentistry Services | $373,006,790 | |
| 4 | R499 Other Professional Services | $226,420,228 | |
| 5 | Q999 Other Medical Services | $99,817,239 | |
| 6 | G009 Non-Government Insurance Programs | $25,786,106 | |
| 7 |
R408 Program Management/ |
$7,311,146 | |
| 8 | G008 Other Government Insurance Programs | $6,722,711 | |
| 9 | Q802 Clerical Medical Support | $2,199,805 | |
| 10 | Q517 Pharmacy Services | $976,082 |
Contract obligations by state
| Rank | Place of performance | Obligated, last 12 months | Share |
|---|---|---|---|
| 1 | Virginia | $29,896,440,832 | |
| 2 | Kentucky | $5,235,772,007 | |
| 3 | Arizona | $4,793,767,793 | |
| 4 | Pennsylvania | $601,383,818 | |
| 5 | Missouri | $585,640,385 | |
| 6 | Maryland | $376,799,525 | |
| 7 | Maine | $295,286,768 | |
| 8 | North Dakota | $280,464,007 | |
| 9 | Oklahoma | $226,106,336 | |
| 10 | South Carolina | $221,118,221 | |
| 11 | Texas | $183,770,569 | |
| 12 | Indiana | $155,425,603 | |
| 13 | Washington | $136,364,464 | |
| 14 | Wisconsin | $134,976,398 | |
| 15 | Tennessee | $119,547,680 | |
| 16 | Massachusetts | $101,232,044 | |
| 17 | New York | $85,000,000 | |
| 18 | Florida | $66,241,837 | |
| 19 | Ohio | $11,915,958 | |
| 20 | New Jersey | $6,725,194 | |
| 21 | District of Columbia | $4,770,765 | |
| 22 | Alabama | $3,886,969 | |
| 23 | South Dakota | $326,671 | |
| 24 | Connecticut | $190,535 | |
| 25 | Vermont | $50,000 | |
| 26 | Rhode Island | $46,213 | |
| 27 | New Hampshire | $4,045 |
Show all 27
Contract opportunities
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Latest 49 of 1,374 listed here. See the rest on GovTribe.
Size standard history
Federal Register rules that named this code
From the NAICS codes each rule's amendments to 13 CFR 121.201 name. Rules that print their size standard tables as images aren't listed.
Quick answers
What is NAICS 524114?
NAICS 524114 is Direct Health and Medical Insurance Carriers, a national industry in NAICS 52, Finance and Insurance.
What is the NAICS code for medical service plans without providing health care services?
The NAICS code for medical service plans without providing health care services is 524114, Direct Health and Medical Insurance Carriers.
What is the NAICS code for group hospitalization plans without providing health care services?
The NAICS code for group hospitalization plans without providing health care services is 524114, Direct Health and Medical Insurance Carriers.
What is the NAICS code for dental insurance carriers, direct?
The NAICS code for dental insurance carriers, direct is 524114, Direct Health and Medical Insurance Carriers.
When did the size standard for NAICS 524114 last change?
The most recent Federal Register rule on record that names NAICS 524114 in the SBA's size standards is "Small Business Size Standards: Adjustment of Monetary-Based Size Standards, Disadvantage Thresholds, and 8(a) Eligibility Thresholds for Inflation" (87 FR 69118), published Nov 17, 2022 and effective Dec 19, 2022.
How much do federal agencies spend under NAICS 524114?
Federal contracts under NAICS 524114 obligated $47,617,321,116 in fiscal year 2025 and $176,706,980,161 in fiscal years 2023 through 2027.
Who are the largest contractors under NAICS 524114?
The contractors with the most obligated under NAICS 524114 in fiscal years 2026 and 2027 are Optum Public Sector Solutions, Inc. ($19,907,506,706); Triwest Healthcare Alliance Corp ($15,960,476,817); and Humana Government Business Inc. ($6,094,483,840).
Which agencies buy the most under NAICS 524114?
The agencies that obligated the most under NAICS 524114 in fiscal years 2026 and 2027 are Department of Veterans Affairs ($30,835,796,804), Defense Health Agency ($13,775,541,784) and Department of Health and Human Services ($1,192,689,162).
Which PSC codes are used with NAICS 524114?
The PSC codes with the most obligated under NAICS 524114 in fiscal years 2026 and 2027 are Q201 Medical – Managed Healthcare, G007 Government Health Insurance Programs and Q503 Dentistry Services.
Where is the work under NAICS 524114 performed?
By place of performance, the states with the most contract obligations under NAICS 524114 over the last 12 months are Virginia ($29,896,440,832), Kentucky ($5,235,772,007) and Arizona ($4,793,767,793).
What is the latest contract opportunity under NAICS 524114?
The latest contract opportunity under NAICS 524114 is Locally-Employed Staff Health Insurance Plan Pre-Solicitation, pre-solicitation from Department of State, posted November 3, 2026.
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See everything under NAICS 524114
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