Top 87 Contractors in NAICS 524114: Direct Health and Medical Insurance Carriers, FY2022

Full ranking

Rank	Contractor	Net obligations	Share	Trend
1	Optum Public Sector Solutions Inc Top agencies VA (Department of Veterans Affairs)	$14,507,656,448	38.7%	Rank history: not on the FY2021 list, #1 in FY2023, #4 in FY2024 and not on the FY2025 list; new.
2	Tcfii Valor Buyer LLC Through Humana Government Business Inc. Top agencies DHA (Defense Health Agency)	$7,732,483,768	20.6%	Rank history: #2 in FY2021, #2 in FY2023, #5 in FY2024 and not on the FY2025 list; unchanged since FY2021.
3	Triwest Healthcare Alliance Corp Top agencies VA (Department of Veterans Affairs)	$7,029,763,740	18.7%	Rank history: #3 in FY2021, #3 in FY2023, #2 in FY2024 and #2 in FY2025; unchanged since FY2021.
4	Centene Corporation Through Health Net Federal Services, LLC Top agencies DHA (Defense Health Agency)	$2,895,843,589	7.7%	Rank history: #4 in FY2021, #4 in FY2023, #7 in FY2024 and not on the FY2025 list; unchanged since FY2021.
5	Accredo Health Group Inc. Through Express Scripts Inc. Top agencies DHA (Defense Health Agency)	$737,754,744	2.0%	Rank history: #5 in FY2021 and not on the FY2023–FY2025 lists; unchanged since FY2021.
6	Health Net Federal Services, LLC Top agencies DHA (Defense Health Agency)	$634,962,328	1.7%	Rank history: #29 in FY2021, #10 in FY2023, #6 in FY2024 and #4 in FY2025; up 23 since FY2021.
7	Highmark Inc. Through United Concordia Companies, Inc. Top agencies DHA (Defense Health Agency) CFPB (Consumer Financial Protection Bureau)	$506,707,341	1.4%	Rank history: #6 in FY2021, #9 in FY2023, #24 in FY2024 and not on the FY2025 list; down 1 since FY2021.
8	The Johns Hopkins Health System Corporation Through The Johns Hopkins Medical Services Corporation Top agencies DHA (Defense Health Agency)	$455,731,762	1.2%	Rank history: #7 in FY2021, #6 in FY2023, #14 in FY2024 and not on the FY2025 list; down 1 since FY2021.
9	Martins Point Health Care Inc. Top agencies DHA (Defense Health Agency)	$409,082,668	1.1%	Rank history: #8 in FY2021, #8 in FY2023, #9 in FY2024 and #7 in FY2025; down 1 since FY2021.
10	Blue Cross & Blue Shield of South Carolina 3 awardees, including Palmetto Gba, LLC and CGS Administrators, LLC Top agencies HHS (Department of Health and Human Services)	$338,780,744	0.9%	Rank history: #9 in FY2021, #7 in FY2023, #13 in FY2024 and not on the FY2025 list; down 1 since FY2021.
11	Noridian Mutual Insurance Company Through Noridian Healthcare Solutions, LLC Top agencies HHS (Department of Health and Human Services)	$237,792,005	0.6%	Rank history: #11 in FY2021, #19 in FY2023 and not on the FY2024–FY2025 lists; unchanged since FY2021.
12	Pacmed Clinics Top agencies DHA (Defense Health Agency)	$177,542,261	0.5%	Rank history: #12 in FY2021, #12 in FY2023, #16 in FY2024 and #14 in FY2025; unchanged since FY2021.
13	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)	$163,362,618	0.4%	Rank history: #10 in FY2021, #13 in FY2023, #21 in FY2024 and not on the FY2025 list; down 3 since FY2021.
14	Brighton Marine, Inc. Top agencies DHA (Defense Health Agency)	$159,206,770	0.4%	Rank history: #13 in FY2021, #14 in FY2023, #18 in FY2024 and #15 in FY2025; down 1 since FY2021.
15	Anthem Inc. Through Wellpoint Federal Solutions, Inc. Top agencies HHS (Department of Health and Human Services)	$154,309,395	0.4%	Rank history: #14 in FY2021, #11 in FY2023, #22 in FY2024 and #13 in FY2025; down 1 since FY2021.
16	Novitas Solutions, Inc. Top agencies HHS (Department of Health and Human Services)	$145,183,789	0.4%	Rank history: #72 in FY2021, #22 in FY2023, #15 in FY2024 and #10 in FY2025; up 56 since FY2021.
17	Christus Health Top agencies DHA (Defense Health Agency)	$139,019,795	0.4%	Rank history: #15 in FY2021, #16 in FY2023, #19 in FY2024 and #16 in FY2025; down 2 since FY2021.
18	International SOS Government Services Inc. Top agencies DHA (Defense Health Agency)	$133,002,693	0.4%	Rank history: #22 in FY2021, #15 in FY2023, #17 in FY2024 and #12 in FY2025; up 4 since FY2021.
19	Svcmc, Inc. Top agencies DHA (Defense Health Agency)	$117,941,639	0.3%	Rank history: #16 in FY2021, #17 in FY2023, #20 in FY2024 and #18 in FY2025; down 3 since FY2021.
20	Wisconsin Physicians Service Insurance Corp. Top agencies HHS (Department of Health and Human Services)	$111,216,265	0.3%	Rank history: #19 in FY2021, #21 in FY2023, #25 in FY2024 and #20 in FY2025; down 1 since FY2021.
21	Heritage Health Solutions, Inc. Top agencies DOJ (Department of Justice) VA (Department of Veterans Affairs)	$103,731,068	0.3%	Rank history: #17 in FY2021, #18 in FY2023, not on the FY2024 list and #19 in FY2025; down 4 since FY2021.
22	First Coast Service Options, Inc. 2 awardees Top agencies HHS (Department of Health and Human Services)	$46,027,506	0.1%	Rank history: not on the FY2021 list, #20 in FY2023, #27 in FY2024 and #21 in FY2025; new.
23	UnitedHealth Group Incorporated 2 awardees, including Optumserve Health Services, Inc. Top agencies HHS (Department of Health and Human Services)	$26,246,624	0.1%	Rank history: #1 in FY2021, #50 in FY2023, #1 in FY2024 and #1 in FY2025; down 22 since FY2021.
24	Wellpoint Federal Solutions, Inc. Top agencies HHS (Department of Health and Human Services)	$18,105,068	<0.1%	Rank history: #21 in FY2021 and not on the FY2023–FY2025 lists; down 3 since FY2021.
25	Sedgwick Public Sector LLC Through Managed Care Advisors, Inc. Top agencies HHS (Department of Health and Human Services)	$12,659,724	<0.1%	Rank history: not on the FY2021 list, #23 in FY2023, #29 in FY2024 and not on the FY2025 list; new.
26	Metlife, Inc. 2 awardees, including Metropolitan Life Insurance Co and American Life Insurance Company Top agencies SEC (Securities and Exchange Commission) DOS (Department of State) CFTC (Commodity Futures Trading Commission)	$10,904,287	<0.1%	Rank history: #24 in FY2021, #25 in FY2023, #58 in FY2024 and not on the FY2025 list; down 2 since FY2021.
27	Naphcare LLC Top agencies DOJ (Department of Justice)	$9,675,059	<0.1%	Rank history: not on the FY2021 list, #24 in FY2023, #32 in FY2024 and #26 in FY2025; new.
28	Accolade Inc. Top agencies DHA (Defense Health Agency)	$7,209,000	<0.1%	Rank history: #23 in FY2021 and not on the FY2023–FY2025 lists; down 5 since FY2021.
29	ABU Dhabi National Insurance Company Top agencies DOS (Department of State)	$5,146,714	<0.1%	Rank history: #27 in FY2021 and not on the FY2023–FY2025 lists; down 2 since FY2021.
30	AXA Seguros S.a. DE C.V. 2 awardees, including AXA Seguros and AXA Cooperative Insurance Co. Top agencies DOS (Department of State) USDA (Department of Agriculture) Army (Department of the Army)	$4,566,658	<0.1%	Rank history: #26 in FY2021, #26 in FY2023, #31 in FY2024 and not on the FY2025 list; down 4 since FY2021.
31	Delta Dental of California 2 awardees, including Delta Dental Insurance Company Top agencies Treasury (Department of the Treasury)	$4,085,364	<0.1%	Rank history: #56 in FY2021, #29 in FY2023, #36 in FY2024 and not on the FY2025 list; up 25 since FY2021.
32	Malath Cooperative Insurance and Reinsurance Company Top agencies DOS (Department of State)	$3,665,741	<0.1%	Rank history: #28 in FY2021, #28 in FY2023, #34 in FY2024 and #30 in FY2025; down 4 since FY2021.
33	Aetna Health Insurance (Thailand) Public Company Limited Top agencies DOS (Department of State)	$3,320,296	<0.1%	Rank history: not on the FY2021 list, #30 in FY2023, #33 in FY2024 and not on the FY2025 list; new.
34	Al-Nisr Al-Arabi Insurance Top agencies DOS (Department of State)	$3,018,999	<0.1%	Rank history: #31 in FY2021, #27 in FY2023, #35 in FY2024 and #32 in FY2025; down 3 since FY2021.
35	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)	$2,525,314	<0.1%	Rank history: #34 in FY2021, #33 in FY2023, #43 in FY2024 and not on the FY2025 list; down 1 since FY2021.
36	Palmetto Gba, LLC Top agencies HHS (Department of Health and Human Services)	$2,490,442	<0.1%	Rank history: not on the FY2021 list, not on the FY2023 list, #28 in FY2024 and #9 in FY2025; new.
37	Delta Dental of South Dakota Top agencies HHS (Department of Health and Human Services)	$2,322,578	<0.1%	Rank history: #37 in FY2021, #35 in FY2023, #48 in FY2024 and #39 in FY2025; unchanged since FY2021.
38	STI Investments Inc. Through Philhealthcare, Inc. Top agencies DOS (Department of State) DSCA (Defense Security Cooperation Agency)	$2,081,871	<0.1%	Rank history: #32 in FY2021, #34 in FY2023, #72 in FY2024 and not on the FY2025 list; down 6 since FY2021.
39	Lisungi SA Top agencies DOS (Department of State) USAID (US Agency for International Development) HHS (Department of Health and Human Services)	$1,794,534	<0.1%	Rank history: #40 in FY2021, #36 in FY2023, #37 in FY2024 and #37 in FY2025; up 1 since FY2021.
40	Asuransi Jasa Indonesia (Persero), PT Top agencies DOS (Department of State)	$1,777,035	<0.1%	Rank history: #33 in FY2021, #31 in FY2023, #38 in FY2024 and #36 in FY2025; down 7 since FY2021.
41	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) DCMA (Defense Contract Management Agency)	$1,743,344	<0.1%	Rank history: #39 in FY2021, #40 in FY2023, #55 in FY2024 and #77 in FY2025; down 2 since FY2021.
42	Britam - Companhia De Seguros De Mocambique, S.A Top agencies DOS (Department of State)	$1,667,619	<0.1%	Rank history: not on the FY2021 list, #38 in FY2023, #42 in FY2024 and #44 in FY2025; new.
43	Managed Care Advisors, Inc. Top agencies HHS (Department of Health and Human Services)	$1,519,003	<0.1%	Rank history: not on the FY2021 list, not on the FY2023 list, #56 in FY2024 and #22 in FY2025; new.
44	Almaseer Insurance Company Top agencies DOS (Department of State)	$1,077,542	<0.1%	Rank history: #41 in FY2021, #44 in FY2023, #51 in FY2024 and #45 in FY2025; down 3 since FY2021.
45	Ensa - Seguros De Angola, S.A. Top agencies DOS (Department of State)	$1,072,937	<0.1%	Rank history: #42 in FY2021, #45 in FY2023, #50 in FY2024 and #53 in FY2025; down 3 since FY2021.
46	UEI M5D4G8Y32F83 Top agencies DOS (Department of State)	$954,209	<0.1%	Rank history: #43 in FY2021, #46 in FY2023, #53 in FY2024 and #73 in FY2025; down 3 since FY2021.
47	Bupa Acibadem Sigorta Anonim Sirketi" Top agencies DOS (Department of State)	$692,175	<0.1%	Rank history: not on the FY2021 list, #49 in FY2023 and not on the FY2024–FY2025 lists; new.
48	Raynal Assurances Iard Top agencies DOS (Department of State)	$688,010	<0.1%	Rank history: not on the FY2021 list, #68 in FY2023, #73 in FY2024 and not on the FY2025 list; new.
49	CONCORDIA Top agencies DOS (Department of State)	$630,354	<0.1%	Rank history: #47 in FY2021, #54 in FY2023, #67 in FY2024 and #66 in FY2025; down 2 since FY2021.
50	Sinoasia B&R Insurance Company Joint Stock Company Top agencies DOS (Department of State)	$622,866	<0.1%	Rank history: not on the FY2021 list, #37 in FY2023, #39 in FY2024 and #40 in FY2025; new.
51	Nationwide Pharmaceutical LLC Top agencies VA (Department of Veterans Affairs)	$617,929	<0.1%	Rank history: #44 in FY2021 and not on the FY2023–FY2025 lists; down 7 since FY2021.
52	Ascoma Tchad Top agencies DOS (Department of State)	$566,718	<0.1%	Rank history: not on the FY2021 list, #41 in FY2023, #54 in FY2024 and #46 in FY2025; new.
53	Prudential Life Assurance Zambia Limited Top agencies DOS (Department of State)	$550,442	<0.1%	Rank history: #60 in FY2021, #66 in FY2023, #80 in FY2024 and #79 in FY2025; up 7 since FY2021.
54	Bupa Compania DE Seguros DE Vida S.a. 2 awardees, including Bupa Acibadem Sigorta Anonim Sirketi" Top agencies DOS (Department of State)	$543,782	<0.1%	Rank history: #52 in FY2021, #51 in FY2023, #63 in FY2024 and #59 in FY2025; down 2 since FY2021.
55	Meqa Sigorta ASC Top agencies DOS (Department of State)	$494,878	<0.1%	Rank history: #46 in FY2021, #53 in FY2023, #70 in FY2024 and #75 in FY2025; down 9 since FY2021.
56	Coralisle Medical Insurance Company Ltd. Top agencies DOS (Department of State)	$482,580	<0.1%	Rank history: #71 in FY2021, #59 in FY2023, #76 in FY2024 and #91 in FY2025; up 15 since FY2021.
57	AAR Insurance Tanzania Limited Top agencies DOS (Department of State)	$480,909	<0.1%	Rank history: #35 in FY2021, #69 in FY2023 and not on the FY2024–FY2025 lists; down 22 since FY2021.
58	Palisade-Heritage JV LLC Top agencies VA (Department of Veterans Affairs)	$474,984	<0.1%	Rank history: not on the FY2021 list and not on the FY2023–FY2025 lists; new.
59	Ascoma Congo Top agencies DOS (Department of State)	$454,503	<0.1%	Rank history: #49 in FY2021, #85 in FY2023 and not on the FY2024–FY2025 lists; down 10 since FY2021.
60	Eurolink a.D. Top agencies DOS (Department of State)	$419,275	<0.1%	Rank history: #53 in FY2021, #61 in FY2023, #71 in FY2024 and #64 in FY2025; down 7 since FY2021.
61	Wiener Stadtische Osiguranje ADO Beograd Top agencies DOS (Department of State) USAID (US Agency for International Development)	$371,016	<0.1%	Rank history: #54 in FY2021, #62 in FY2023, #77 in FY2024 and #68 in FY2025; down 7 since FY2021.
62	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)	$360,259	<0.1%	Rank history: #38 in FY2021, #47 in FY2023, #47 in FY2024 and #43 in FY2025; down 24 since FY2021.
63	Laferla Insurance Agency Limited Top agencies DOS (Department of State)	$331,772	<0.1%	Rank history: #57 in FY2021, #63 in FY2023, #81 in FY2024 and #72 in FY2025; down 6 since FY2021.
64	AXA Seguros Top agencies DOS (Department of State)	$326,567	<0.1%	Rank history: not on the FY2021 list, not on the FY2023–FY2024 lists and #24 in FY2025; new.
65	Alternative Insurance Company, S.A. (A.i.c.s.a) Top agencies DOS (Department of State)	$313,689	<0.1%	Rank history: #65 in FY2021, #64 in FY2023, #90 in FY2024 and #94 in FY2025; unchanged since FY2021.
66	Nsia Assurances Top agencies DOS (Department of State)	$307,042	<0.1%	Rank history: #59 in FY2021 and not on the FY2023–FY2025 lists; down 7 since FY2021.
67	Aureol Insurance Co Ltd Top agencies DOS (Department of State)	$280,414	<0.1%	Rank history: not on the FY2021 list, #79 in FY2023, #94 in FY2024 and #84 in FY2025; new.
68	Prabhu Insurance Limited Top agencies DOS (Department of State)	$274,740	<0.1%	Rank history: #61 in FY2021, #71 in FY2023, #88 in FY2024 and #83 in FY2025; down 7 since FY2021.
69	Pacific Investment Management Company LLC Through Companhia De Seguros Allianz Portugal, S.A. Top agencies DOS (Department of State)	$260,727	<0.1%	Rank history: #69 in FY2021, #70 in FY2023 and not on the FY2024–FY2025 lists; unchanged since FY2021.
70	Compagnie Mediterraneenne D'assurance Et De Reassurance Comar Top agencies DOS (Department of State)	$229,033	<0.1%	Rank history: #58 in FY2021, #82 in FY2023 and not on the FY2024–FY2025 lists; down 12 since FY2021.
71	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)	$210,119	<0.1%	Rank history: #62 in FY2021, #72 in FY2023 and not on the FY2024–FY2025 lists; down 9 since FY2021.
72	Ennia Caribe Schade N.V. Top agencies DOS (Department of State)	$191,015	<0.1%	Rank history: #63 in FY2021 and not on the FY2023–FY2025 lists; down 9 since FY2021.
73	Rimpex Equipement Medical Et Scientifique Top agencies DFAS (Defense Finance and Accounting Service)	$187,592	<0.1%	Rank history: not on the FY2021 list and not on the FY2023–FY2025 lists; new.
74	GBG Holdings Inc. Top agencies DOS (Department of State)	$185,531	<0.1%	Rank history: #48 in FY2021 and not on the FY2023–FY2025 lists; down 26 since FY2021.
75	Storebrand ASA Through Storebrand Livsforsikring AS Top agencies USAF (Department of the Air Force)	$148,169	<0.1%	Rank history: #64 in FY2021, #74 in FY2023, #91 in FY2024 and not on the FY2025 list; down 11 since FY2021.
76	Sunu Assurances Iard Centrafrique Top agencies DOS (Department of State)	$147,983	<0.1%	Rank history: not on the FY2021 list, #78 in FY2023 and not on the FY2024–FY2025 lists; new.
77	Euroclinica, LDA Top agencies DOS (Department of State)	$141,209	<0.1%	Rank history: #67 in FY2021, #80 in FY2023, #96 in FY2024 and #93 in FY2025; down 10 since FY2021.
78	Administradora De Riesgos De Salud DR. Yunen S A Top agencies DOS (Department of State)	$135,568	<0.1%	Rank history: not on the FY2021 list, #43 in FY2023, #49 in FY2024 and #41 in FY2025; new.
79	UEI PD9PLM2RV9N6 Top agencies DOS (Department of State)	$131,419	<0.1%	Rank history: #66 in FY2021, #81 in FY2023 and not on the FY2024–FY2025 lists; down 13 since FY2021.
80	Saham Assurance Vie CI Top agencies DOS (Department of State)	$87,398	<0.1%	Rank history: #75 in FY2021, #86 in FY2023, #100 in FY2024 and #98 in FY2025; down 5 since FY2021.
81	GBG Insurance Ltd Top agencies DOS (Department of State)	$52,171	<0.1%	Rank history: #68 in FY2021 and not on the FY2023–FY2025 lists; down 13 since FY2021.
82	Sigma Vienna Insurance Group SH.a.- Dega Kosove Through Bulstrad Life Vienna Insurance Group EAD Top agencies DOS (Department of State)	$51,424	<0.1%	Rank history: #70 in FY2021, #87 in FY2023, #98 in FY2024 and #92 in FY2025; down 12 since FY2021.
83	AXA Cooperative Insurance Company Top agencies Army (Department of the Army)	$15,675	<0.1%	Rank history: not on the FY2021 list and not on the FY2023–FY2025 lists; new.
84	Insig Jete Sh.a Top agencies DOS (Department of State)	$10,112	<0.1%	Rank history: #77 in FY2021, #89 in FY2023 and not on the FY2024–FY2025 lists; down 7 since FY2021.
85	Afma SA Top agencies DOS (Department of State)	$5,205	<0.1%	Rank history: not on the FY2021 list, #48 in FY2023, #61 in FY2024 and #28 in FY2025; new.
86	Segurcaixa Adeslas, S.A. De Seguros Y Reaseguros. Top agencies DOS (Department of State)	$2,758	<0.1%	Rank history: not on the FY2021 list, not on the FY2023 list, #85 in FY2024 and #96 in FY2025; new.
87	Guardian Life Limited Top agencies DOS (Department of State)	$43	<0.1%	Rank history: not on the FY2021 list and not on the FY2023–FY2025 lists; new.

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 $37.5 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 2022 ran Oct 1, 2021 – Sep 30, 2022. 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 FY2021. "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 FY2021 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