Top 100 Contractors in NAICS 524114: Direct Health and Medical Insurance Carriers, FY2024

Parent companies by net contract obligations Oct 1, 2023 – Sep 30, 2024 Code page on GovTribe

The top 10 won 93% of FY2024 NAICS 524114 contract dollars

Ranking facts

Contract obligations
$43,850,444,744 Net of deobligations, by contracts coded NAICS 524114
Contractors
118 Parent companies with an obligation
Largest contractor
UnitedHealth Group Incorporated $16.8 billion, 37.9% of obligations
Data as of

Contract actions from FPDS (SAM.gov). How the rankings work · Download all 100 rows as CSV

Full ranking

Rank Contractor Net obligations Share Trend
1 $16,831,685,464
Rank history: #1 in FY2021, #23 in FY2022, #50 in FY2023 and #1 in FY2025; up 49 since FY2023.
2 $8,111,248,225
Rank history: #3 in FY2021, #3 in FY2022, #3 in FY2023 and #2 in FY2025; up 1 since FY2023.
3 $4,963,545,132
Rank history: #18 in FY2021, not on the FY2022–FY2023 lists and #3 in FY2025; returned.
4
Optum Public Sector Solutions Inc
$3,313,591,136
Rank history: not on the FY2021 list, #1 in FY2022, #1 in FY2023 and not on the FY2025 list; down 3 since FY2023.
5
Tcfii Valor Buyer LLC Through Humana Government Business Inc.
$3,065,661,739
Rank history: #2 in FY2021, #2 in FY2022, #2 in FY2023 and not on the FY2025 list; down 3 since FY2023.
6 $2,506,187,607
Rank history: #29 in FY2021, #6 in FY2022, #10 in FY2023 and #4 in FY2025; up 4 since FY2023.
7 $1,039,804,162
Rank history: #4 in FY2021, #4 in FY2022, #4 in FY2023 and not on the FY2025 list; down 3 since FY2023.
8
Express Scripts Inc. 2 awardees
$524,854,132
Rank history: #51 in FY2021, not on the FY2022 list, #5 in FY2023 and #5 in FY2025; down 3 since FY2023.
9 $424,200,000
Rank history: #8 in FY2021, #9 in FY2022, #8 in FY2023 and #7 in FY2025; down 1 since FY2023.
10
Johns Hopkins University Through The Johns Hopkins Medical Services Corporation
$285,750,000
Rank history: not on the FY2021–FY2023 lists and #6 in FY2025; new.
11 $273,391,376
Rank history: not on the FY2021–FY2023 lists and #8 in FY2025; new.
12 $258,822,001
Rank history: not on the FY2021–FY2023 lists and #11 in FY2025; new.
13 $211,087,303
Rank history: #9 in FY2021, #10 in FY2022, #7 in FY2023 and not on the FY2025 list; down 6 since FY2023.
14 $204,300,000
Rank history: #7 in FY2021, #8 in FY2022, #6 in FY2023 and not on the FY2025 list; down 8 since FY2023.
15 $183,406,118
Rank history: #72 in FY2021, #16 in FY2022, #22 in FY2023 and #10 in FY2025; up 7 since FY2023.
16 $178,900,000
Rank history: #12 in FY2021, #12 in FY2022, #12 in FY2023 and #14 in FY2025; down 4 since FY2023.
17 $162,441,163
Rank history: #22 in FY2021, #18 in FY2022, #15 in FY2023 and #12 in FY2025; down 2 since FY2023.
18 $158,050,000
Rank history: #13 in FY2021, #14 in FY2022, #14 in FY2023 and #15 in FY2025; down 4 since FY2023.
19 $146,689,344
Rank history: #15 in FY2021, #17 in FY2022, #16 in FY2023 and #16 in FY2025; down 3 since FY2023.
20 $127,622,100
Rank history: #16 in FY2021, #19 in FY2022, #17 in FY2023 and #18 in FY2025; down 3 since FY2023.
21 $119,573,808
Rank history: #10 in FY2021, #13 in FY2022, #13 in FY2023 and not on the FY2025 list; down 8 since FY2023.
22 $116,439,708
Rank history: #14 in FY2021, #15 in FY2022, #11 in FY2023 and #13 in FY2025; down 11 since FY2023.
23
Heritage Health Solutions Inc.
$114,800,941
Rank history: not on the FY2021–FY2023 lists and #19 in FY2025; new.
24 $113,179,969
Rank history: #6 in FY2021, #7 in FY2022, #9 in FY2023 and not on the FY2025 list; down 15 since FY2023.
25 $111,091,074
Rank history: #19 in FY2021, #20 in FY2022, #21 in FY2023 and #20 in FY2025; down 4 since FY2023.
26 $106,646,748
Rank history: #45 in FY2021, not on the FY2022–FY2023 lists and #17 in FY2025; returned.
27
First Coast Service Options Inc.
$76,583,002
Rank history: not on the FY2021 list, #22 in FY2022, #20 in FY2023 and #21 in FY2025; down 7 since FY2023.
28 $25,113,351
Rank history: not on the FY2021 list, #36 in FY2022, not on the FY2023 list and #9 in FY2025; returned.
29 $21,187,001
Rank history: not on the FY2021 list, #25 in FY2022, #23 in FY2023 and not on the FY2025 list; down 6 since FY2023.
30 $9,054,666
Rank history: not on the FY2021–FY2023 lists and #25 in FY2025; new.
31
AXA Seguros S.a. DE C.V. Through AXA Seguros
$8,905,574
Rank history: #26 in FY2021, #30 in FY2022, #26 in FY2023 and not on the FY2025 list; down 5 since FY2023.
32 $8,637,135
Rank history: not on the FY2021 list, #27 in FY2022, #24 in FY2023 and #26 in FY2025; down 8 since FY2023.
33 $5,194,233
Rank history: not on the FY2021 list, #33 in FY2022, #30 in FY2023 and not on the FY2025 list; down 3 since FY2023.
34 $4,947,111
Rank history: #28 in FY2021, #32 in FY2022, #28 in FY2023 and #30 in FY2025; down 6 since FY2023.
35 $4,664,311
Rank history: #31 in FY2021, #34 in FY2022, #27 in FY2023 and #32 in FY2025; down 8 since FY2023.
36 $3,831,692
Rank history: #56 in FY2021, #31 in FY2022, #29 in FY2023 and not on the FY2025 list; down 7 since FY2023.
37 $3,343,988
Rank history: #40 in FY2021, #39 in FY2022, #36 in FY2023 and #37 in FY2025; down 1 since FY2023.
38 $2,914,499
Rank history: #33 in FY2021, #40 in FY2022, #31 in FY2023 and #36 in FY2025; down 7 since FY2023.
39 $2,584,861
Rank history: not on the FY2021 list, #50 in FY2022, #37 in FY2023 and #40 in FY2025; down 2 since FY2023.
40 $2,515,675
Rank history: not on the FY2021–FY2023 lists and #31 in FY2025; new.
41
British United Provident Association Limited(the) Through Bupa Acibadem Sigorta Anonim Sirketi"
$2,437,208
Rank history: not on the FY2021–FY2022 lists, #32 in FY2023 and #29 in FY2025; down 9 since FY2023.
42 $2,303,735
Rank history: not on the FY2021 list, #42 in FY2022, #38 in FY2023 and #44 in FY2025; down 4 since FY2023.
43 $2,270,117
Rank history: #34 in FY2021, #35 in FY2022, #33 in FY2023 and not on the FY2025 list; down 10 since FY2023.
44 $2,169,527
Rank history: not on the FY2021–FY2022 lists, #39 in FY2023 and not on the FY2025 list; down 5 since FY2023.
45 $2,086,408
Rank history: not on the FY2021–FY2023 lists and #33 in FY2025; new.
46 $2,068,548
Rank history: not on the FY2021–FY2022 lists, #42 in FY2023 and #78 in FY2025; down 4 since FY2023.
47 $1,949,247
Rank history: #38 in FY2021, #62 in FY2022, #47 in FY2023 and #43 in FY2025; unchanged since FY2023.
48 $1,831,118
Rank history: #37 in FY2021, #37 in FY2022, #35 in FY2023 and #39 in FY2025; down 13 since FY2023.
49 $1,705,879
Rank history: not on the FY2021 list, #78 in FY2022, #43 in FY2023 and #41 in FY2025; down 6 since FY2023.
50 $1,421,288
Rank history: #42 in FY2021, #45 in FY2022, #45 in FY2023 and #53 in FY2025; down 5 since FY2023.
51 $1,353,618
Rank history: #41 in FY2021, #44 in FY2022, #44 in FY2023 and #45 in FY2025; down 7 since FY2023.
52 $1,327,874
Rank history: not on the FY2021–FY2023 lists and #38 in FY2025; new.
53
UEI M5D4G8Y32F83
$1,232,467
Rank history: #43 in FY2021, #46 in FY2022, #46 in FY2023 and #73 in FY2025; down 7 since FY2023.
54 $1,072,535
Rank history: not on the FY2021 list, #52 in FY2022, #41 in FY2023 and #46 in FY2025; down 13 since FY2023.
55 $1,023,092
Rank history: #39 in FY2021, #41 in FY2022, #40 in FY2023 and #77 in FY2025; down 15 since FY2023.
56 $1,022,747
Rank history: not on the FY2021 list, #43 in FY2022, not on the FY2023 list and #22 in FY2025; returned.
57 $953,424
Rank history: #80 in FY2021, not on the FY2022–FY2023 lists and #60 in FY2025; returned.
58 $949,000
Rank history: #24 in FY2021, #26 in FY2022, #25 in FY2023 and not on the FY2025 list; down 33 since FY2023.
59 $900,974
Rank history: not on the FY2021–FY2023 lists and #49 in FY2025; new.
60 $813,873
Rank history: not on the FY2021–FY2022 lists, #57 in FY2023 and #51 in FY2025; down 3 since FY2023.
61 $804,257
Rank history: not on the FY2021 list, #85 in FY2022, #48 in FY2023 and #28 in FY2025; down 13 since FY2023.
62 $782,144
Rank history: not on the FY2021–FY2022 lists, #56 in FY2023 and #57 in FY2025; down 6 since FY2023.
63
Bupa Compania DE Seguros DE Vida S.a.
$740,278
Rank history: #52 in FY2021, #54 in FY2022, #51 in FY2023 and #59 in FY2025; down 12 since FY2023.
64 $682,700
Rank history: not on the FY2021–FY2023 lists and #61 in FY2025; new.
65 $670,506
Rank history: not on the FY2021–FY2022 lists, #75 in FY2023 and #80 in FY2025; up 10 since FY2023.
66 $670,463
Rank history: not on the FY2021–FY2023 lists and not on the FY2025 list; new.
67
Concordia 2 awardees
$631,404
Rank history: #47 in FY2021, #49 in FY2022, #54 in FY2023 and #66 in FY2025; down 13 since FY2023.
68
Continental Insurance Lanka Limited
$629,062
Rank history: not on the FY2021–FY2022 lists, #60 in FY2023 and #62 in FY2025; down 8 since FY2023.
69 $623,550
Rank history: not on the FY2021–FY2022 lists, #52 in FY2023 and #58 in FY2025; down 17 since FY2023.
70 $581,132
Rank history: #46 in FY2021, #55 in FY2022, #53 in FY2023 and #75 in FY2025; down 17 since FY2023.
71
Eurolink a.D.
$576,513
Rank history: #53 in FY2021, #60 in FY2022, #61 in FY2023 and #64 in FY2025; down 10 since FY2023.
72 $569,754
Rank history: #32 in FY2021, #38 in FY2022, #34 in FY2023 and not on the FY2025 list; down 38 since FY2023.
73 $567,320
Rank history: not on the FY2021 list, #48 in FY2022, #68 in FY2023 and not on the FY2025 list; down 5 since FY2023.
74
Nacional Seguros Vida Y Salud SA
$555,027
Rank history: not on the FY2021–FY2022 lists, #58 in FY2023 and not on the FY2025 list; down 16 since FY2023.
75 $539,495
Rank history: not on the FY2021–FY2023 lists and #50 in FY2025; new.
76 $529,462
Rank history: #71 in FY2021, #56 in FY2022, #59 in FY2023 and #91 in FY2025; down 17 since FY2023.
77 $470,270
Rank history: #54 in FY2021, #61 in FY2022, #62 in FY2023 and #68 in FY2025; down 15 since FY2023.
78 $453,593
Rank history: not on the FY2021–FY2022 lists, #76 in FY2023 and #69 in FY2025; down 2 since FY2023.
79 $447,366
Rank history: not on the FY2021–FY2022 lists, #92 in FY2023 and not on the FY2025 list; up 13 since FY2023.
80 $414,151
Rank history: #60 in FY2021, #53 in FY2022, #66 in FY2023 and #79 in FY2025; down 14 since FY2023.
81 $409,871
Rank history: #57 in FY2021, #63 in FY2022, #63 in FY2023 and #72 in FY2025; down 18 since FY2023.
82 $363,628
Rank history: not on the FY2021–FY2022 lists, #73 in FY2023 and #88 in FY2025; down 9 since FY2023.
83 $351,574
Rank history: not on the FY2021–FY2022 lists, #65 in FY2023 and #71 in FY2025; down 18 since FY2023.
84 $318,889
Rank history: not on the FY2021–FY2023 lists and #74 in FY2025; new.
85 $313,427
Rank history: not on the FY2021 list, #86 in FY2022, not on the FY2023 list and #96 in FY2025; returned.
86 $302,033
Rank history: not on the FY2021–FY2023 lists and #81 in FY2025; new.
87 $301,459
Rank history: not on the FY2021–FY2023 lists and #47 in FY2025; new.
88 $300,780
Rank history: #61 in FY2021, #68 in FY2022, #71 in FY2023 and #83 in FY2025; down 17 since FY2023.
89 $261,222
Rank history: not on the FY2021–FY2023 lists and #67 in FY2025; new.
90 $256,662
Rank history: #65 in FY2021, #65 in FY2022, #64 in FY2023 and #94 in FY2025; down 26 since FY2023.
91 $241,834
Rank history: #64 in FY2021, #75 in FY2022, #74 in FY2023 and not on the FY2025 list; down 17 since FY2023.
92 $179,300
Rank history: not on the FY2021–FY2023 lists and #86 in FY2025; new.
93 $176,733
Rank history: not on the FY2021–FY2023 lists and #90 in FY2025; new.
94 $174,241
Rank history: not on the FY2021 list, #67 in FY2022, #79 in FY2023 and #84 in FY2025; down 15 since FY2023.
95 $140,617
Rank history: not on the FY2021–FY2023 lists and #87 in FY2025; new.
96 $140,114
Rank history: #67 in FY2021, #77 in FY2022, #80 in FY2023 and #93 in FY2025; down 16 since FY2023.
97 $131,194
Rank history: not on the FY2021–FY2023 lists and #55 in FY2025; new.
98
Sigma Vienna Insurance Group SH.a.- Dega Kosove Through Bulstrad Life Vienna Insurance Group EAD
$125,776
Rank history: #70 in FY2021, #82 in FY2022, #87 in FY2023 and #92 in FY2025; down 11 since FY2023.
99
NCB Financial Group Limited Through Guardian Life Limited
$94,315
Rank history: #50 in FY2021, not on the FY2022 list, #90 in FY2023 and #63 in FY2025; down 9 since FY2023.
100 $90,463
Rank history: #75 in FY2021, #80 in FY2022, #86 in FY2023 and #98 in FY2025; down 14 since FY2023.
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100 of 118 contractors listed here. See the rest on GovTribe.

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 $44.4 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 2024 ran Oct 1, 2023 – Sep 30, 2024. 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 FY2023. "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 FY2023 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

Who were the top 10 NAICS 524114 contractors in FY2024?

1. UnitedHealth Group Incorporated ($16.8B), 2. Triwest Healthcare Alliance Corp ($8.11B), 3. Humana Government Business Inc. ($4.96B), 4. Optum Public Sector Solutions Inc ($3.31B), 5. Tcfii Valor Buyer LLC ($3.07B), 6. Health Net Federal Services, LLC ($2.51B), 7. Centene Corporation ($1.04B), 8. Express Scripts Inc. ($525M), 9. Martins Point Health Care Inc. ($424M), 10. Johns Hopkins University ($286M).

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