Top 87 Contractors in NAICS 52411: Direct Life, Health, and Medical Insurance Carriers, FY2021

Full ranking

Rank	Contractor	Net obligations	Share	Trend
1	UnitedHealth Group Incorporated 2 awardees, including Optum Public Sector Solutions, Inc. and Optumserve Health Services, Inc. Top agencies VA (Department of Veterans Affairs) HHS (Department of Health and Human Services)	$8,870,471,686	32.6%	Rank history: #23 in FY2022, #53 in FY2023, #1 in FY2024 and #1 in FY2025; up 2 since FY2020.
2	Tcfii Valor Buyer LLC Through Humana Government Business Inc. Top agencies DHA (Defense Health Agency)	$7,039,273,112	25.9%	Rank history: #2 in FY2022, #2 in FY2023, #5 in FY2024 and not on the FY2025 list; down 1 since FY2020.
3	Triwest Healthcare Alliance Corp Top agencies VA (Department of Veterans Affairs)	$3,658,730,782	13.5%	Rank history: #3 in FY2022, #3 in FY2023, #2 in FY2024 and #2 in FY2025; up 16 since FY2020.
4	Centene Corporation Through Health Net Federal Services, LLC Top agencies DHA (Defense Health Agency)	$3,214,304,715	11.8%	Rank history: #4 in FY2022, #4 in FY2023, #7 in FY2024 and not on the FY2025 list; down 2 since FY2020.
5	Accredo Health Group Inc. Through Express Scripts Inc. Top agencies DHA (Defense Health Agency)	$742,072,756	2.7%	Rank history: #5 in FY2022 and not on the FY2023–FY2025 lists; down 1 since FY2020.
6	Highmark Inc. Through United Concordia Companies, Inc. Top agencies DHA (Defense Health Agency) CFPB (Consumer Financial Protection Bureau)	$437,979,326	1.6%	Rank history: #7 in FY2022, #9 in FY2023, #24 in FY2024 and not on the FY2025 list; unchanged since FY2020.
7	The Johns Hopkins Health System Corporation Through The Johns Hopkins Medical Services Corporation Top agencies DHA (Defense Health Agency)	$392,314,944	1.4%	Rank history: #8 in FY2022, #6 in FY2023, #14 in FY2024 and not on the FY2025 list; down 2 since FY2020.
8	Martins Point Health Care Inc. Top agencies DHA (Defense Health Agency)	$392,296,666	1.4%	Rank history: #9 in FY2022, #8 in FY2023, #9 in FY2024 and #7 in FY2025; down 1 since FY2020.
9	Blue Cross & Blue Shield of South Carolina 2 awardees, including Palmetto Gba, LLC and CGS Administrators, LLC Top agencies HHS (Department of Health and Human Services)	$375,016,661	1.4%	Rank history: #10 in FY2022, #7 in FY2023, #13 in FY2024 and not on the FY2025 list; unchanged since FY2020.
10	Guidewell Mutual Holding Corporation 2 awardees, including Novitas Solutions, Inc. and First Coast Service Options, Inc. Top agencies HHS (Department of Health and Human Services)	$285,388,274	1.1%	Rank history: #13 in FY2022, #13 in FY2023, #21 in FY2024 and not on the FY2025 list; down 2 since FY2020.
11	Noridian Mutual Insurance Company Through Noridian Healthcare Solutions, LLC Top agencies HHS (Department of Health and Human Services)	$252,398,395	0.9%	Rank history: #11 in FY2022, #19 in FY2023 and not on the FY2024–FY2025 lists; up 3 since FY2020.
12	Pacmed Clinics Top agencies DHA (Defense Health Agency)	$172,063,913	0.6%	Rank history: #12 in FY2022, #12 in FY2023, #16 in FY2024 and #14 in FY2025; down 2 since FY2020.
13	Brighton Marine, Inc. Top agencies DHA (Defense Health Agency)	$156,107,654	0.6%	Rank history: #14 in FY2022, #14 in FY2023, #18 in FY2024 and #15 in FY2025; down 1 since FY2020.
14	Anthem Inc. Through Wellpoint Federal Solutions, Inc. Top agencies HHS (Department of Health and Human Services)	$155,457,465	0.6%	Rank history: #15 in FY2022, #11 in FY2023, #22 in FY2024 and #13 in FY2025; up 7 since FY2020.
15	Christus Health Top agencies DHA (Defense Health Agency)	$135,751,554	0.5%	Rank history: #17 in FY2022, #16 in FY2023, #19 in FY2024 and #16 in FY2025; down 2 since FY2020.
16	Svcmc, Inc. Top agencies DHA (Defense Health Agency)	$114,092,639	0.4%	Rank history: #19 in FY2022, #17 in FY2023, #20 in FY2024 and #18 in FY2025; unchanged since FY2020.
17	Heritage Health Solutions, Inc. Top agencies DOJ (Department of Justice) VA (Department of Veterans Affairs)	$102,402,891	0.4%	Rank history: #21 in FY2022, #18 in FY2023, not on the FY2024 list and #19 in FY2025; up 1 since FY2020.
18	Humana Government Business Inc. Top agencies DHA (Defense Health Agency)	$100,328,573	0.4%	Rank history: not on the FY2022–FY2023 lists, #3 in FY2024 and #3 in FY2025; new, not ranked in FY2020.
19	Wisconsin Physicians Service Insurance Corp. Top agencies HHS (Department of Health and Human Services)	$94,990,629	0.3%	Rank history: #20 in FY2022, #21 in FY2023, #25 in FY2024 and #20 in FY2025; down 4 since FY2020.
20	The Johns Hopkins Medical Services Corporation Top agencies DHA (Defense Health Agency)	$55,643,234	0.2%	Rank history: not on the FY2022–FY2025 lists; new, not ranked in FY2020.
21	Wellpoint Federal Solutions, Inc. 2 awardees Top agencies HHS (Department of Health and Human Services)	$30,181,211	0.1%	Rank history: #24 in FY2022 and not on the FY2023–FY2025 lists; down 4 since FY2020.
22	Metlife, Inc. 3 awardees, including Metropolitan Life Insurance Co, American Life Insurance Company and Metlife Emeklilik VE Hayat Anonim Sirketi Top agencies SEC (Securities and Exchange Commission) Treasury (Department of the Treasury) CFPB (Consumer Financial Protection Bureau)	$14,718,798	0.1%	Rank history: #25 in FY2022, #24 in FY2023, #33 in FY2024 and not on the FY2025 list; new, not ranked in FY2020.
23	International SOS Government Services Inc. 2 awardees Top agencies DHA (Defense Health Agency)	$13,710,801	0.1%	Rank history: #18 in FY2022, #15 in FY2023, #17 in FY2024 and #12 in FY2025; up 1 since FY2020.
24	Accolade Inc. Top agencies DHA (Defense Health Agency)	$13,080,000	<0.1%	Rank history: #28 in FY2022 and not on the FY2023–FY2025 lists; new, not ranked in FY2020.
25	Harvard Pilgrim Health Care Inc Top agencies HHS (Department of Health and Human Services)	$6,336,616	<0.1%	Rank history: not on the FY2022 list, #96 in FY2023 and not on the FY2024–FY2025 lists; new, not ranked in FY2020.
26	AXA Seguros S.a. DE C.V. 2 awardees, including AXA Seguros and AXA Cooperative Insurance Co. Top agencies DOS (Department of State) Army (Department of the Army) USDA (Department of Agriculture)	$4,918,742	<0.1%	Rank history: #30 in FY2022, #26 in FY2023, #31 in FY2024 and not on the FY2025 list; up 11 since FY2020.
27	ABU Dhabi National Insurance Company Top agencies DOS (Department of State)	$4,358,355	<0.1%	Rank history: #29 in FY2022 and not on the FY2023–FY2025 lists; new, not ranked in FY2020.
28	Malath Cooperative Insurance and Reinsurance Company Top agencies DOS (Department of State)	$3,511,262	<0.1%	Rank history: #32 in FY2022, #28 in FY2023, #35 in FY2024 and #30 in FY2025; up 12 since FY2020.
29	Health Net Federal Services, LLC Top agencies DHA (Defense Health Agency)	$3,450,435	<0.1%	Rank history: #6 in FY2022, #10 in FY2023, #6 in FY2024 and #4 in FY2025; new, not ranked in FY2020.
30	Delta Dental Insurance Company Top agencies Treasury (Department of the Treasury)	$3,422,140	<0.1%	Rank history: not on the FY2022–FY2024 lists and #34 in FY2025; down 1 since FY2020.
31	Al-Nisr Al-Arabi Insurance Top agencies DOS (Department of State)	$3,207,280	<0.1%	Rank history: #34 in FY2022, #27 in FY2023, #36 in FY2024 and #32 in FY2025; up 13 since FY2020.
32	STI Investments Inc. Through Philhealthcare, Inc. Top agencies DOS (Department of State) DCSA (Defense Counterintelligence and Security Agency)	$2,806,295	<0.1%	Rank history: #38 in FY2022, #34 in FY2023, #75 in FY2024 and not on the FY2025 list; up 3 since FY2020.
33	Asuransi Jasa Indonesia (Persero), PT Top agencies DOS (Department of State)	$2,469,160	<0.1%	Rank history: #40 in FY2022, #31 in FY2023, #39 in FY2024 and #36 in FY2025; down 3 since FY2020.
34	Uniqa Insurance Group AG 2 awardees, including Private Joint Stock Company "Insurance Company "Uniqa" and Sigal Insurance Group Sh.a. Top agencies DOS (Department of State)	$2,102,172	<0.1%	Rank history: #35 in FY2022, #33 in FY2023, #44 in FY2024 and not on the FY2025 list; up 7 since FY2020.
35	AAR Insurance Tanzania Limited Top agencies DOS (Department of State)	$2,022,500	<0.1%	Rank history: #60 in FY2022, #72 in FY2023 and not on the FY2024–FY2025 lists; up 1 since FY2020.
36	Saudi Arabian Coop Insurance Co Top agencies Army (Department of the Army)	$1,817,815	<0.1%	Rank history: not on the FY2022 list, #83 in FY2023 and not on the FY2024–FY2025 lists; down 4 since FY2020.
37	Delta Dental of South Dakota Top agencies HHS (Department of Health and Human Services)	$1,603,178	<0.1%	Rank history: #37 in FY2022, #35 in FY2023, #49 in FY2024 and #39 in FY2025; up 1 since FY2020.
38	Dhaif Insurance Agency Co. W.l.l Top agencies Navy (Department of the Navy) Army (Department of the Army) DODEA (Department of Defense Education Activity)	$1,516,198	<0.1%	Rank history: #65 in FY2022, #49 in FY2023, #48 in FY2024 and #44 in FY2025; up 24 since FY2020.
39	AIA Singapore Private Limited 2 awardees, including AIA Life Insurance Company Limited Beijing Branch Top agencies DOS (Department of State) Navy (Department of the Navy)	$1,380,647	<0.1%	Rank history: #41 in FY2022, #40 in FY2023, #57 in FY2024 and #81 in FY2025; up 26 since FY2020.
40	Lisungi SA Top agencies DOS (Department of State) USAID (US Agency for International Development) HHS (Department of Health and Human Services)	$1,326,756	<0.1%	Rank history: #39 in FY2022, #36 in FY2023, #38 in FY2024 and #37 in FY2025; down 7 since FY2020.
41	Almaseer Insurance Company Top agencies DOS (Department of State)	$1,130,738	<0.1%	Rank history: #44 in FY2022, #44 in FY2023, #53 in FY2024 and #46 in FY2025; new, not ranked in FY2020.
42	Ensa - Seguros De Angola, S.A. Top agencies DOS (Department of State)	$1,030,538	<0.1%	Rank history: #45 in FY2022, #45 in FY2023, #52 in FY2024 and #56 in FY2025; down 3 since FY2020.
43	Sisa Vida Seguros DE Personas SA Through Sisa Vida SA Seguro De Personas Top agencies DOS (Department of State)	$976,102	<0.1%	Rank history: #48 in FY2022, #48 in FY2023, #51 in FY2024 and #50 in FY2025; up 7 since FY2020.
44	UEI M5D4G8Y32F83 Top agencies DOS (Department of State)	$872,430	<0.1%	Rank history: #47 in FY2022, #47 in FY2023, #55 in FY2024 and #77 in FY2025; up 1 since FY2020.
45	CONCORDIA 2 awardees Top agencies DOS (Department of State)	$850,874	<0.1%	Rank history: #49 in FY2022, #50 in FY2023, #61 in FY2024 and #59 in FY2025; up 12 since FY2020.
46	Nationwide Pharmaceutical LLC Top agencies VA (Department of Veterans Affairs)	$710,169	<0.1%	Rank history: #54 in FY2022 and not on the FY2023–FY2025 lists; up 2 since FY2020.
47	CGS Administrators, LLC Top agencies HHS (Department of Health and Human Services)	$685,006	<0.1%	Rank history: not on the FY2022–FY2023 lists, #26 in FY2024 and #17 in FY2025; down 24 since FY2020.
48	Meqa Sigorta ASC Top agencies DOS (Department of State)	$659,287	<0.1%	Rank history: #58 in FY2022, #56 in FY2023, #73 in FY2024 and #79 in FY2025; up 1 since FY2020.
49	Saham Assurance Vie CI Top agencies DOS (Department of State)	$593,832	<0.1%	Rank history: #50 in FY2022, #51 in FY2023, #62 in FY2024 and #55 in FY2025; new, not ranked in FY2020.
50	GBG Holdings Inc. Top agencies DOS (Department of State)	$539,453	<0.1%	Rank history: #78 in FY2022 and not on the FY2023–FY2025 lists; down 8 since FY2020.
51	Ascoma Congo Top agencies DOS (Department of State)	$516,139	<0.1%	Rank history: #62 in FY2022, #93 in FY2023 and not on the FY2024–FY2025 lists; up 3 since FY2020.
52	NCB Financial Group Limited Through Guardian Life Limited Top agencies DOS (Department of State)	$444,246	<0.1%	Rank history: not on the FY2022 list, #99 in FY2023, not on the FY2024 list and #67 in FY2025; new, not ranked in FY2020.
53	Express Scripts Inc. Top agencies DHA (Defense Health Agency)	$437,581	<0.1%	Rank history: not on the FY2022 list, #5 in FY2023, #8 in FY2024 and #5 in FY2025; new, not ranked in FY2020.
54	Bupa Compania DE Seguros DE Vida S.a. Top agencies DOS (Department of State)	$433,499	<0.1%	Rank history: #57 in FY2022, #54 in FY2023, #66 in FY2024 and #62 in FY2025; new, not ranked in FY2020.
55	Eurolink a.D. Top agencies DOS (Department of State)	$378,881	<0.1%	Rank history: #63 in FY2022, #63 in FY2023, #74 in FY2024 and #68 in FY2025; new, not ranked in FY2020.
56	Wiener Stadtische Osiguranje ADO Beograd 2 awardees Top agencies DOS (Department of State) USAID (US Agency for International Development)	$362,550	<0.1%	Rank history: #64 in FY2022, #64 in FY2023, #85 in FY2024 and #72 in FY2025; up 10 since FY2020.
57	Rosgosstrakh PAO 2 awardees Top agencies DOS (Department of State)	$360,950	<0.1%	Rank history: not on the FY2022–FY2025 lists; up 4 since FY2020.
58	Delta Dental of California 2 awardees, including Delta Dental Insurance Company Top agencies HHS (Department of Health and Human Services)	$357,760	<0.1%	Rank history: #31 in FY2022, #29 in FY2023, #37 in FY2024 and not on the FY2025 list; down 3 since FY2020.
59	Laferla Insurance Agency Limited Top agencies DOS (Department of State)	$331,059	<0.1%	Rank history: #66 in FY2022, #65 in FY2023, #83 in FY2024 and #76 in FY2025; new, not ranked in FY2020.
60	Compagnie Mediterraneenne D'assurance Et De Reassurance Comar Top agencies DOS (Department of State)	$323,384	<0.1%	Rank history: #74 in FY2022, #88 in FY2023 and not on the FY2024–FY2025 lists; down 1 since FY2020.
61	Nsia Assurances Top agencies DOS (Department of State)	$300,489	<0.1%	Rank history: #69 in FY2022 and not on the FY2023–FY2025 lists; down 5 since FY2020.
62	Prudential Life Assurance Zambia Limited Top agencies DOS (Department of State)	$278,062	<0.1%	Rank history: #56 in FY2022, #68 in FY2023, #82 in FY2024 and #83 in FY2025; new, not ranked in FY2020.
63	Prabhu Insurance Limited Top agencies DOS (Department of State)	$257,357	<0.1%	Rank history: #71 in FY2022, #74 in FY2023, #91 in FY2024 and #88 in FY2025; new, not ranked in FY2020.
64	Generali Osiguranje Montenegro Ad 2 awardees, including Generali Life Assurance Philippines Inc. Top agencies DOS (Department of State)	$253,312	<0.1%	Rank history: #81 in FY2022, #95 in FY2023 and not on the FY2024–FY2025 lists; down 1 since FY2020.
65	Segurcaixa Adeslas Sociedad Anonima DE Seguros Y Reaseguros. Through Segurcaixa Adeslas, S.A. De Seguros Y Reaseguros. Top agencies DOS (Department of State) Commerce (Department of Commerce)	$216,197	<0.1%	Rank history: #75 in FY2022, #75 in FY2023 and not on the FY2024–FY2025 lists; up 20 since FY2020.
66	The United Insurance Company SC Top agencies DOS (Department of State)	$214,938	<0.1%	Rank history: #79 in FY2022, #82 in FY2023, #96 in FY2024 and #87 in FY2025; up 11 since FY2020.
67	Ennia Caribe Schade N.V. Top agencies DOS (Department of State)	$200,611	<0.1%	Rank history: #76 in FY2022 and not on the FY2023–FY2025 lists; new, not ranked in FY2020.
68	Generali Life Assurance (Thailand) Public Company Limited Top agencies DOS (Department of State)	$190,988	<0.1%	Rank history: #73 in FY2022, #79 in FY2023, #97 in FY2024 and #92 in FY2025; new, not ranked in FY2020.
69	Storebrand ASA Through Storebrand Livsforsikring AS Top agencies USAF (Department of the Air Force)	$186,474	<0.1%	Rank history: #83 in FY2022, #77 in FY2023, #94 in FY2024 and not on the FY2025 list; up 4 since FY2020.
70	Alternative Insurance Company, S.A. (A.i.c.s.a) Top agencies DOS (Department of State)	$172,800	<0.1%	Rank history: #68 in FY2022, #66 in FY2023, #93 in FY2024 and not on the FY2025 list; new, not ranked in FY2020.
71	UEI PD9PLM2RV9N6 Top agencies DOS (Department of State)	$172,433	<0.1%	Rank history: #87 in FY2022, #87 in FY2023 and not on the FY2024–FY2025 lists; down 3 since FY2020.
72	Euroclinica, LDA Top agencies DOS (Department of State)	$163,764	<0.1%	Rank history: #85 in FY2022, #86 in FY2023 and not on the FY2024–FY2025 lists; up 4 since FY2020.
73	GBG Insurance Ltd Top agencies DOS (Department of State)	$135,403	<0.1%	Rank history: #89 in FY2022 and not on the FY2023–FY2025 lists; new, not ranked in FY2020.
74	Pacific Investment Management Company LLC Through Companhia De Seguros Allianz Portugal, S.A. Top agencies DOS (Department of State)	$135,287	<0.1%	Rank history: #72 in FY2022, #73 in FY2023 and not on the FY2024–FY2025 lists; up 14 since FY2020.
75	Seguros Atlas Top agencies DOS (Department of State)	$133,855	<0.1%	Rank history: #80 in FY2022, #81 in FY2023, #95 in FY2024 and #91 in FY2025; new, not ranked in FY2020.
76	Sigma Vienna Insurance Group SH.a.- Dega Kosove 2 awardees, including Wiener Stadtische Osiguranje Ado Beograd Top agencies DOS (Department of State) USAID (US Agency for International Development)	$124,209	<0.1%	Rank history: #90 in FY2022, #94 in FY2023, not on the FY2024 list and #100 in FY2025; down 12 since FY2020.
77	Coralisle Medical Insurance Company Ltd. Top agencies DOS (Department of State)	$121,013	<0.1%	Rank history: #59 in FY2022, #61 in FY2023, #79 in FY2024 and #99 in FY2025; new, not ranked in FY2020.
78	Dubai Islamic Insurance &RE Insurance Comany Aman Pjsc Top agencies DOS (Department of State)	$96,788	<0.1%	Rank history: #88 in FY2022 and not on the FY2023–FY2025 lists; down 4 since FY2020.
79	Novitas Solutions, Inc. Top agencies HHS (Department of Health and Human Services)	$83,911	<0.1%	Rank history: #16 in FY2022, #22 in FY2023, #15 in FY2024 and #10 in FY2025; down 57 since FY2020.
80	Private Joint Stock Company "Insurance Company "Uniqa" Top agencies DOS (Department of State)	$72,083	<0.1%	Rank history: not on the FY2022–FY2024 lists and #41 in FY2025; down 34 since FY2020.
81	Aviva Towarzystwo Ubezpieczen NA Zycie S a Top agencies DOS (Department of State)	$46,602	<0.1%	Rank history: #91 in FY2022, #98 in FY2023 and not on the FY2024–FY2025 lists; new, not ranked in FY2020.
82	Lifetime Healthcare Inc. Through Excellus Health Plan Inc. Top agencies DOT (Department of Transportation)	$43,402	<0.1%	Rank history: not on the FY2022–FY2025 lists; new, not ranked in FY2020.
83	Seguros Atlantida SA Top agencies DHS (Department of Homeland Security) DOS (Department of State)	$40,502	<0.1%	Rank history: #92 in FY2022 and not on the FY2023–FY2025 lists; down 2 since FY2020.
84	Insig Jete Sh.a Top agencies DOS (Department of State)	$10,482	<0.1%	Rank history: #95 in FY2022, #97 in FY2023 and not on the FY2024–FY2025 lists; new, not ranked in FY2020.
85	Ennia Caribe Holding N.V. Top agencies DOS (Department of State)	$5,002	<0.1%	Rank history: not on the FY2022–FY2025 lists; down 15 since FY2020.
86	Serviloo S.A. Top agencies Smithsonian (Smithsonian Institution)	$3,840	<0.1%	Rank history: not on the FY2022–FY2025 lists; new, not ranked in FY2020.
87	Bupa Insurance Services Limited Top agencies DOS (Department of State)	$2,361	<0.1%	Rank history: not on the FY2022–FY2023 lists, #59 in FY2024 and #64 in FY2025; down 29 since FY2020.

Rankings for the codes under NAICS 52411

How this ranking works

• Source: every contract action FPDS records (as published on SAM.gov) in the period, as GovTribe received it.
• Amounts are net obligations: what was obligated, less what was deobligated. Shares are of $27.2 billion obligated before deobligations, so they never pass 100%.
• Parent companies: each action counts under the ultimate parent its award record names, or under the awardee when it names none, so no dollar counts twice. Parents of the same name (Inc., LLC and the like aside) count as one company, since FPDS records a company's parent under more than one UEI over time. GovTribe corrects a few parents and names by hand; see the corrections.
• Fiscal year 2021 ran Oct 1, 2020 – Sep 30, 2021. The Department of Defense reports its contract actions to FPDS about 90 days late, so a fiscal year is ranked once they're in, in February, and the list doesn't change after.
• Rank changes compare with FY2020. "New" marks a company outside that period's top 500, and "Returned" one of those that was on an earlier fiscal year's list.
• Rank lines show each company's rank on every fiscal year's list since FY2021, #1 at the top, on a scale that gives the top of the list more room. A dashed stretch spans years it wasn't on the list. The step from FY2020 takes the color of the rank change beside it.
• Placeholder recipients FPDS uses when it names no company ("Miscellaneous Foreign Contractors" and the like) aren't ranked.

Quick answers