Top 100 Contractors in NAICS 524114: Direct Health and Medical Insurance Carriers, Aug 2025–Jul 2026

Name: Top 100 Contractors in NAICS 524114: Direct Health and Medical Insurance Carriers, Aug 2025–Jul 2026
Creator: GovTribe
License: https://creativecommons.org/licenses/by/4.0/

Parent companies by net contract obligations Aug 1, 2025 – Jul 31, 2026 Code page on GovTribe

The latest 12 months. See the newest fiscal year's list: Top Contractors in NAICS 524114: Direct Health and Medical Insurance Carriers, FY2025.

The top 10 won 97% of NAICS 524114 contract dollars from August 2025 through July 2026

Contract obligations: $49,044,939,556 Net of deobligations, by contracts coded NAICS 524114
Contractors: 106 Parent companies with an obligation
Largest contractor: UnitedHealth Group Incorporated $23.5 billion, 47.5% of obligations
Data as of: Nov 5, 2026

Contract actions from FPDS (SAM.gov). How the rankings work · Download all 100 rows as CSV · Free to reuse with credit to GovTribe (CC BY 4.0)

Full ranking

Rank	Contractor	Net obligations	Share	Trend
1	UnitedHealth Group Incorporated 2 awardees, including Optum Public Sector Solutions, Inc. Top agencies VA (Department of Veterans Affairs)	$23,453,628,104	47.5%	Rank history: #1 in FY2021, #23 in FY2022, #50 in FY2023, #1 in FY2024 and #1 in FY2025; unchanged since Aug 2024–Jul 2025.
2	Triwest Healthcare Alliance Corp Top agencies VA (Department of Veterans Affairs) DHA (Defense Health Agency)	$15,038,526,413	30.4%	Rank history: #3 in FY2021, #3 in FY2022, #3 in FY2023, #2 in FY2024 and #2 in FY2025; unchanged since Aug 2024–Jul 2025.
3	Humana Government Business Inc. Top agencies DHA (Defense Health Agency)	$6,644,677,289	13.4%	Rank history: #18 in FY2021, not on the FY2022–FY2023 lists, #3 in FY2024 and #3 in FY2025; unchanged since Aug 2024–Jul 2025.
4	Evernorth Federal Services Inc. Top agencies DHA (Defense Health Agency)	$692,373,965	1.4%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
5	Johns Hopkins University Through The Johns Hopkins Medical Services Corporation Top agencies DHA (Defense Health Agency)	$440,784,980	0.9%	Rank history: not on the FY2021–FY2023 lists, #10 in FY2024 and #6 in FY2025; up 1 since Aug 2024–Jul 2025.
6	Martins Point Health Care Inc. Top agencies DHA (Defense Health Agency)	$384,633,972	0.8%	Rank history: #8 in FY2021, #9 in FY2022, #8 in FY2023, #9 in FY2024 and #7 in FY2025; up 1 since Aug 2024–Jul 2025.
7	United Concordia Companies, Inc. Top agencies DHA (Defense Health Agency)	$383,855,116	0.8%	Rank history: not on the FY2021–FY2023 lists, #11 in FY2024 and #8 in FY2025; up 1 since Aug 2024–Jul 2025.
8	Palmetto Gba, LLC Top agencies HHS (Department of Health and Human Services)	$285,590,327	0.6%	Rank history: not on the FY2021 list, #36 in FY2022, not on the FY2023 list, #28 in FY2024 and #9 in FY2025; up 6 since Aug 2024–Jul 2025.
9	Noridian Healthcare Solutions, LLC Top agencies HHS (Department of Health and Human Services)	$238,946,336	0.5%	Rank history: not on the FY2021–FY2023 lists, #12 in FY2024 and #11 in FY2025; up 2 since Aug 2024–Jul 2025.
10	Elevance Health, Inc. Through Wellpoint Federal Solutions, Inc. Top agencies HHS (Department of Health and Human Services)	$159,058,397	0.3%	Rank history: #14 in FY2021, #15 in FY2022, #11 in FY2023, #22 in FY2024 and #13 in FY2025; unchanged since Aug 2024–Jul 2025.
11	Christus Health Top agencies DHA (Defense Health Agency)	$146,678,653	0.3%	Rank history: #15 in FY2021, #17 in FY2022, #16 in FY2023, #19 in FY2024 and #16 in FY2025; up 12 since Aug 2024–Jul 2025.
12	Pacmed Clinics Top agencies DHA (Defense Health Agency)	$146,329,469	0.3%	Rank history: #12 in FY2021, #12 in FY2022, #12 in FY2023, #16 in FY2024 and #14 in FY2025; up 1 since Aug 2024–Jul 2025.
13	Brighton Marine, Inc. Top agencies DHA (Defense Health Agency)	$135,200,000	0.3%	Rank history: #13 in FY2021, #14 in FY2022, #14 in FY2023, #18 in FY2024 and #15 in FY2025; up 2 since Aug 2024–Jul 2025.
14	International Sos Government Services LLC Top agencies DHA (Defense Health Agency) Navy (Department of the Navy)	$134,598,248	0.3%	Rank history: #22 in FY2021, #18 in FY2022, #15 in FY2023, #17 in FY2024 and #12 in FY2025; down 2 since Aug 2024–Jul 2025.
15	Novitas Solutions, Inc. Top agencies HHS (Department of Health and Human Services)	$119,631,350	0.2%	Rank history: #72 in FY2021, #16 in FY2022, #22 in FY2023, #15 in FY2024 and #10 in FY2025; down 6 since Aug 2024–Jul 2025.
16	CGS Administrators, LLC Top agencies HHS (Department of Health and Human Services)	$115,832,669	0.2%	Rank history: #45 in FY2021, not on the FY2022–FY2023 lists, #26 in FY2024 and #17 in FY2025; up 2 since Aug 2024–Jul 2025.
17	Wisconsin Physicians Service Insurance Corp. Top agencies HHS (Department of Health and Human Services)	$102,590,905	0.2%	Rank history: #19 in FY2021, #20 in FY2022, #21 in FY2023, #25 in FY2024 and #20 in FY2025; up 2 since Aug 2024–Jul 2025.
18	Svcmc, Inc. Top agencies DHA (Defense Health Agency)	$95,498,315	0.2%	Rank history: #16 in FY2021, #19 in FY2022, #17 in FY2023, #20 in FY2024 and #18 in FY2025; down 1 since Aug 2024–Jul 2025.
19	First Coast Service Options Inc. Top agencies HHS (Department of Health and Human Services)	$72,077,368	0.1%	Rank history: not on the FY2021 list, #22 in FY2022, #20 in FY2023, #27 in FY2024 and #21 in FY2025; up 3 since Aug 2024–Jul 2025.
20	Heritage Health Solutions, Inc. Top agencies DOJ (Department of Justice)	$65,523,961	0.1%	Rank history: #17 in FY2021, #21 in FY2022, #18 in FY2023, #23 in FY2024 and #19 in FY2025; up 1 since Aug 2024–Jul 2025.
21	Managed Care Advisors, Inc. Top agencies HHS (Department of Health and Human Services)	$25,091,868	0.1%	Rank history: not on the FY2021 list, #43 in FY2022, not on the FY2023 list, #56 in FY2024 and #22 in FY2025; up 4 since Aug 2024–Jul 2025.
22	Health Net Federal Services, LLC Top agencies DHA (Defense Health Agency)	$21,068,787	<0.1%	Rank history: #29 in FY2021, #6 in FY2022, #10 in FY2023, #6 in FY2024 and #4 in FY2025; down 18 since Aug 2024–Jul 2025.
23	Express Scripts Inc. Top agencies DHA (Defense Health Agency)	$11,819,779	<0.1%	Rank history: #51 in FY2021, not on the FY2022 list, #5 in FY2023, #8 in FY2024 and #5 in FY2025; down 18 since Aug 2024–Jul 2025.
24	Dhipaya Insurance Public Company Limited Top agencies DOS (Department of State)	$11,299,364	<0.1%	Rank history: not on the FY2021–FY2024 lists and #23 in FY2025; up 2 since Aug 2024–Jul 2025.
25	Caresource Military & Veterans Co. Top agencies DHA (Defense Health Agency)	$11,082,758	<0.1%	Rank history: not on the FY2021–FY2024 lists and #27 in FY2025; up 3 since Aug 2024–Jul 2025.
26	AXA Seguros Top agencies DOS (Department of State) USDA (Department of Agriculture) DOJ (Department of Justice)	$10,828,819	<0.1%	Rank history: not on the FY2021 list, #64 in FY2022, not on the FY2023–FY2024 lists and #24 in FY2025; up 3 since Aug 2024–Jul 2025.
27	Metlife, Inc. 2 awardees, including Metropolitan Life Insurance Co and Metlife Chile Seguros De Vida SA Top agencies SEC (Securities and Exchange Commission) CFTC (Commodity Futures Trading Commission) DOS (Department of State)	$7,165,989	<0.1%	Rank history: #24 in FY2021, #26 in FY2022, #25 in FY2023, #58 in FY2024 and #25 in FY2025; new, not ranked in Aug 2024–Jul 2025.
28	AIA Life Insurance Company Limited Beijing Branch Top agencies DOS (Department of State)	$5,424,829	<0.1%	Rank history: not on the FY2021–FY2023 lists, #40 in FY2024 and #31 in FY2025; up 6 since Aug 2024–Jul 2025.
29	British United Provident Association Limited(the) Through Bupa Acibadem Sigorta Anonim Sirketi" Top agencies DOS (Department of State) DOJ (Department of Justice)	$5,174,636	<0.1%	Rank history: not on the FY2021–FY2022 lists, #32 in FY2023, #41 in FY2024 and #29 in FY2025; up 10 since Aug 2024–Jul 2025.
30	Asuransi Jasa Indonesia (Persero), PT Top agencies DOS (Department of State)	$4,821,559	<0.1%	Rank history: #33 in FY2021, #40 in FY2022, #31 in FY2023, #38 in FY2024 and #36 in FY2025; up 16 since Aug 2024–Jul 2025.
31	Naphcare LLC Top agencies DOJ (Department of Justice)	$4,504,178	<0.1%	Rank history: not on the FY2021 list, #27 in FY2022, #24 in FY2023, #32 in FY2024 and #26 in FY2025; unchanged since Aug 2024–Jul 2025.
32	Delta Dental of California 2 awardees, including Delta Dental Insurance Company Top agencies Treasury (Department of the Treasury)	$4,432,169	<0.1%	Rank history: #56 in FY2021, #31 in FY2022, #29 in FY2023, #36 in FY2024 and #34 in FY2025; new, not ranked in Aug 2024–Jul 2025.
33	Pan American Life De Colombia Compania De Seguros S A Top agencies DOS (Department of State)	$4,190,102	<0.1%	Rank history: not on the FY2021–FY2024 lists and #35 in FY2025; up 4 since Aug 2024–Jul 2025.
34	Malath Cooperative Insurance and Reinsurance Company Top agencies DOS (Department of State)	$3,675,327	<0.1%	Rank history: #28 in FY2021, #32 in FY2022, #28 in FY2023, #34 in FY2024 and #30 in FY2025; down 2 since Aug 2024–Jul 2025.
35	Al-Nisr Al-Arabi Insurance Top agencies DOS (Department of State)	$3,005,063	<0.1%	Rank history: #31 in FY2021, #34 in FY2022, #27 in FY2023, #35 in FY2024 and #32 in FY2025; down 2 since Aug 2024–Jul 2025.
36	Cigna Worldwide Insurance Branch Top agencies Army (Department of the Army)	$2,884,959	<0.1%	Rank history: not on the FY2021–FY2023 lists, #45 in FY2024 and #33 in FY2025; unchanged since Aug 2024–Jul 2025.
37	Delta Dental of South Dakota Top agencies HHS (Department of Health and Human Services)	$2,836,409	<0.1%	Rank history: #37 in FY2021, #37 in FY2022, #35 in FY2023, #48 in FY2024 and #39 in FY2025; up 12 since Aug 2024–Jul 2025.
38	Lisungi SA Top agencies DOS (Department of State) HHS (Department of Health and Human Services)	$2,783,736	<0.1%	Rank history: #40 in FY2021, #39 in FY2022, #36 in FY2023, #37 in FY2024 and #37 in FY2025; unchanged since Aug 2024–Jul 2025.
39	Almaseer Insurance Company Top agencies DOS (Department of State)	$2,448,011	<0.1%	Rank history: #41 in FY2021, #44 in FY2022, #44 in FY2023, #51 in FY2024 and #45 in FY2025; up 8 since Aug 2024–Jul 2025.
40	Philhealthcare, Inc. Top agencies DOS (Department of State)	$2,396,021	<0.1%	Rank history: not on the FY2021–FY2023 lists, #52 in FY2024 and #38 in FY2025; up 1 since Aug 2024–Jul 2025.
41	Assuria General (Gy) Inc. Top agencies DOS (Department of State)	$2,015,545	<0.1%	Rank history: not on the FY2021–FY2024 lists and #42 in FY2025; up 64 since Aug 2024–Jul 2025.
42	Sinoasia B&R Insurance Company Joint Stock Company Top agencies DOS (Department of State)	$1,946,553	<0.1%	Rank history: not on the FY2021 list, #50 in FY2022, #37 in FY2023, #39 in FY2024 and #40 in FY2025; unchanged since Aug 2024–Jul 2025.
43	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)	$1,774,110	<0.1%	Rank history: #38 in FY2021, #62 in FY2022, #47 in FY2023, #47 in FY2024 and #43 in FY2025; up 2 since Aug 2024–Jul 2025.
44	Britam - Companhia De Seguros De Mocambique, S.A Top agencies DOS (Department of State)	$1,511,698	<0.1%	Rank history: not on the FY2021 list, #42 in FY2022, #38 in FY2023, #42 in FY2024 and #44 in FY2025; down 4 since Aug 2024–Jul 2025.
45	Fidelity Life Medical Aid Society Top agencies DOS (Department of State)	$1,430,091	<0.1%	Rank history: not on the FY2021–FY2023 lists, #87 in FY2024 and #48 in FY2025; up 7 since Aug 2024–Jul 2025.
46	Ascoma Tchad Top agencies DOS (Department of State)	$1,390,617	<0.1%	Rank history: not on the FY2021 list, #52 in FY2022, #41 in FY2023, #54 in FY2024 and #46 in FY2025; up 2 since Aug 2024–Jul 2025.
47	Administradora De Riesgos De Salud DR. Yunen S A Top agencies DOS (Department of State)	$1,370,884	<0.1%	Rank history: not on the FY2021 list, #78 in FY2022, #43 in FY2023, #49 in FY2024 and #41 in FY2025; down 4 since Aug 2024–Jul 2025.
48	Bupa Insurance Services Limited Top agencies DOS (Department of State)	$1,341,183	<0.1%	Rank history: #80 in FY2021, not on the FY2022–FY2023 lists, #57 in FY2024 and #60 in FY2025; up 15 since Aug 2024–Jul 2025.
49	The Canada Life Assurance Co. Top agencies DOS (Department of State)	$1,213,744	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
50	If P & C Insurance AS Latvijas Filiale Top agencies DOS (Department of State)	$1,056,316	<0.1%	Rank history: not on the FY2021–FY2023 lists, #97 in FY2024 and #56 in FY2025; up 23 since Aug 2024–Jul 2025.
51	Aseguradora Ancon, S.A. Top agencies DOS (Department of State)	$1,051,779	<0.1%	Rank history: not on the FY2021–FY2023 lists, #59 in FY2024 and #50 in FY2025; up 2 since Aug 2024–Jul 2025.
52	Mutuelle Generale De L'education Nationale Top agencies DOS (Department of State)	$1,022,550	<0.1%	Rank history: not on the FY2021–FY2024 lists and #75 in FY2025; up 41 since Aug 2024–Jul 2025.
53	Bisa Seguros Y Reaseguros S.A. Top agencies DOS (Department of State)	$1,016,996	<0.1%	Rank history: not on the FY2021–FY2023 lists, #75 in FY2024 and #51 in FY2025; up 1 since Aug 2024–Jul 2025.
54	Msig Insurance (Hong Kong) Limited Top agencies DOS (Department of State)	$1,016,088	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
55	Gulf Insurance Group Top agencies OSD (Office of the Secretary of Defense) Army (Department of the Army)	$1,006,398	<0.1%	Rank history: not on the FY2021–FY2024 lists and #55 in FY2025; up 5 since Aug 2024–Jul 2025.
56	NN Hellenic Life Insurance Company Single Member S.a. Top agencies DOS (Department of State)	$902,267	<0.1%	Rank history: not on the FY2021–FY2024 lists and #49 in FY2025; down 6 since Aug 2024–Jul 2025.
57	Kompania E Sigurimeve "Elsig" Sh.a. Top agencies DOS (Department of State)	$901,894	<0.1%	Rank history: not on the FY2021–FY2022 lists, #57 in FY2023, #60 in FY2024 and #52 in FY2025; up 2 since Aug 2024–Jul 2025.
58	Awash Insurance Company S C Top agencies DOS (Department of State)	$887,380	<0.1%	Rank history: not on the FY2021–FY2023 lists, #64 in FY2024 and #61 in FY2025; up 6 since Aug 2024–Jul 2025.
59	Microring, LLC Top agencies DOS (Department of State)	$850,431	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
60	Ensa - Seguros De Angola, S.A. Top agencies DOS (Department of State)	$819,723	<0.1%	Rank history: #42 in FY2021, #45 in FY2022, #45 in FY2023, #50 in FY2024 and #54 in FY2025; down 2 since Aug 2024–Jul 2025.
61	Sunu Assurances Iard Congo SA Top agencies DOS (Department of State)	$819,116	<0.1%	Rank history: not on the FY2021–FY2022 lists, #52 in FY2023, #69 in FY2024 and #58 in FY2025; down 5 since Aug 2024–Jul 2025.
62	Jubilee Health Insurance Company of Uganda Limited Top agencies DOS (Department of State)	$795,645	<0.1%	Rank history: not on the FY2021–FY2024 lists and #53 in FY2025; down 5 since Aug 2024–Jul 2025.
63	Assurances Maghrebia SA Top agencies DOS (Department of State)	$750,605	<0.1%	Rank history: not on the FY2021–FY2022 lists, #76 in FY2023, #78 in FY2024 and #68 in FY2025; up 15 since Aug 2024–Jul 2025.
64	Bulstrad Life Vienna Insurance Group EAD 3 awardees, including Wiener Stadtische Osiguranje Ado Beograd Top agencies DOS (Department of State)	$701,257	<0.1%	Rank history: #70 in FY2021, #82 in FY2022, #87 in FY2023, #98 in FY2024 and #64 in FY2025; up 35 since Aug 2024–Jul 2025.
65	Afma SA Top agencies DOS (Department of State)	$700,799	<0.1%	Rank history: not on the FY2021 list, #85 in FY2022, #48 in FY2023, #61 in FY2024 and #28 in FY2025; down 35 since Aug 2024–Jul 2025.
66	Raynal Assurances Iard Top agencies DOS (Department of State)	$696,326	<0.1%	Rank history: not on the FY2021 list, #48 in FY2022, #68 in FY2023, #73 in FY2024 and not on the FY2025 list; up 45 since Aug 2024–Jul 2025.
67	Continental Insurance Lanka Limited Top agencies DOS (Department of State)	$637,987	<0.1%	Rank history: not on the FY2021–FY2022 lists, #60 in FY2023, #68 in FY2024 and #62 in FY2025; down 2 since Aug 2024–Jul 2025.
68	"Liga Insurance" Insurance Close Joint-Stock Company Top agencies DOS (Department of State)	$623,934	<0.1%	Rank history: not on the FY2021–FY2024 lists and #66 in FY2025; up 9 since Aug 2024–Jul 2025.
69	Coralisle Medical Insurance Company Ltd. Top agencies DOS (Department of State)	$590,457	<0.1%	Rank history: #71 in FY2021, #56 in FY2022, #59 in FY2023, #76 in FY2024 and #90 in FY2025; up 28 since Aug 2024–Jul 2025.
70	Bupa Compania DE Seguros DE Vida S.a. Top agencies DOS (Department of State)	$585,106	<0.1%	Rank history: #52 in FY2021, #54 in FY2022, #51 in FY2023, #63 in FY2024 and #59 in FY2025; down 4 since Aug 2024–Jul 2025.
71	Companhia De Seguros Allianz Portugal, S.A. Top agencies DOS (Department of State)	$566,029	<0.1%	Rank history: not on the FY2021–FY2024 lists and #73 in FY2025; new, not ranked in Aug 2024–Jul 2025.
72	Guardian Life Limited Top agencies DOS (Department of State)	$565,807	<0.1%	Rank history: not on the FY2021 list, #87 in FY2022 and not on the FY2023–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
73	AXA Assurances Senegal Top agencies DOS (Department of State)	$540,172	<0.1%	Rank history: not on the FY2021–FY2022 lists, #56 in FY2023, #62 in FY2024 and #57 in FY2025; down 11 since Aug 2024–Jul 2025.
74	Sigal Insurance Group Sh.a. 2 awardees Top agencies DOS (Department of State)	$523,443	<0.1%	Rank history: not on the FY2021–FY2023 lists, #89 in FY2024 and #47 in FY2025; down 3 since Aug 2024–Jul 2025.
75	L'africaine DES Assurances Top agencies DOS (Department of State)	$496,044	<0.1%	Rank history: not on the FY2021–FY2022 lists, #65 in FY2023, #83 in FY2024 and #70 in FY2025; down 8 since Aug 2024–Jul 2025.
76	Concordia Top agencies DOS (Department of State)	$429,465	<0.1%	Rank history: #47 in FY2021, #49 in FY2022, #54 in FY2023, #67 in FY2024 and #67 in FY2025; down 7 since Aug 2024–Jul 2025.
77	Laferla Insurance Agency Limited Top agencies DOS (Department of State)	$427,273	<0.1%	Rank history: #57 in FY2021, #63 in FY2022, #63 in FY2023, #81 in FY2024 and #71 in FY2025; up 3 since Aug 2024–Jul 2025.
78	Palisade-Heritage Joint Venture II, LLC Top agencies VA (Department of Veterans Affairs)	$426,082	<0.1%	Rank history: not on the FY2021–FY2022 lists, #75 in FY2023, #65 in FY2024 and #79 in FY2025; down 8 since Aug 2024–Jul 2025.
79	Prudential Life Assurance Zambia Limited Top agencies DOS (Department of State)	$385,282	<0.1%	Rank history: #60 in FY2021, #53 in FY2022, #66 in FY2023, #80 in FY2024 and #78 in FY2025; up 3 since Aug 2024–Jul 2025.
80	Meqa Sigorta ASC Top agencies DOS (Department of State) OSD (Office of the Secretary of Defense)	$360,027	<0.1%	Rank history: #46 in FY2021, #55 in FY2022, #53 in FY2023, #70 in FY2024 and #74 in FY2025; down 8 since Aug 2024–Jul 2025.
81	Fatum Health N.V. Top agencies DOS (Department of State)	$333,072	<0.1%	Rank history: not on the FY2021–FY2024 lists and #81 in FY2025; up 5 since Aug 2024–Jul 2025.
82	Eden Care Healthcare Rwanda Ltd Top agencies DOS (Department of State)	$310,240	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
83	Lux Med Spółka Z Ograniczoną Odpowiedzialnością Top agencies DOS (Department of State)	$307,902	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
84	Assurances Generales DU Cameroune S.A Top agencies DOS (Department of State)	$298,011	<0.1%	Rank history: not on the FY2021–FY2024 lists and #84 in FY2025; up 17 since Aug 2024–Jul 2025.
85	AIA Singapore Private Limited Top agencies Navy (Department of the Navy)	$282,566	<0.1%	Rank history: #39 in FY2021, #41 in FY2022, #40 in FY2023, #55 in FY2024 and #76 in FY2025; down 4 since Aug 2024–Jul 2025.
86	Guardian Life of the Caribbean Limited Top agencies DOS (Department of State)	$276,078	<0.1%	Rank history: not on the FY2021–FY2023 lists, #86 in FY2024 and #80 in FY2025; down 1 since Aug 2024–Jul 2025.
87	Alternative Insurance Company, S.A. (A.i.c.s.a) Top agencies DOS (Department of State)	$268,623	<0.1%	Rank history: #65 in FY2021, #65 in FY2022, #64 in FY2023, #90 in FY2024 and #92 in FY2025; up 3 since Aug 2024–Jul 2025.
88	Policlinica De Santiago, LDA Top agencies DOS (Department of State)	$230,453	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
89	Africaine DES Assurances De Guinea Ecuatorial, S.A Top agencies DOS (Department of State)	$200,911	<0.1%	Rank history: not on the FY2021–FY2024 lists and #69 in FY2025; down 13 since Aug 2024–Jul 2025.
90	NV Surinaamse Assurantie Maatschappij Self Reliance Top agencies DOS (Department of State)	$195,896	<0.1%	Rank history: not on the FY2021–FY2023 lists, #93 in FY2024 and #89 in FY2025; up 6 since Aug 2024–Jul 2025.
91	BSP Health Care (Fiji) Ltd Top agencies DOS (Department of State)	$191,262	<0.1%	Rank history: not on the FY2021–FY2023 lists, #95 in FY2024 and #86 in FY2025; up 1 since Aug 2024–Jul 2025.
92	Old Mutual General Insurance Kenya Limited Top agencies DOS (Department of State)	$189,544	<0.1%	Rank history: not on the FY2021–FY2024 lists and #97 in FY2025; new, not ranked in Aug 2024–Jul 2025.
93	Saar Insurance Liberia Inc. Top agencies DOS (Department of State)	$183,517	<0.1%	Rank history: not on the FY2021–FY2024 lists and #95 in FY2025; up 11 since Aug 2024–Jul 2025.
94	Life Insurance Corporation PNG Limited Top agencies DOS (Department of State)	$181,858	<0.1%	Rank history: not on the FY2021–FY2024 lists and #88 in FY2025; unchanged since Aug 2024–Jul 2025.
95	Segurcaixa Adeslas, S.A. De Seguros Y Reaseguros. Top agencies DOS (Department of State) Commerce (Department of Commerce)	$137,285	<0.1%	Rank history: not on the FY2021 list, #86 in FY2022, not on the FY2023 list, #85 in FY2024 and #94 in FY2025; down 12 since Aug 2024–Jul 2025.
96	Eurolink a.D. Top agencies DOS (Department of State)	$115,679	<0.1%	Rank history: #53 in FY2021, #60 in FY2022, #61 in FY2023, #71 in FY2024 and #65 in FY2025; down 28 since Aug 2024–Jul 2025.
97	Takaful Brunei Am SDN BHD Top agencies DOS (Department of State)	$102,588	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
98	Nsia Assurances Guinea Top agencies DOS (Department of State)	$85,147	<0.1%	Rank history: not on the FY2021–FY2022 lists, #73 in FY2023, #82 in FY2024 and #87 in FY2025; down 10 since Aug 2024–Jul 2025.
99	Mirion Technologies (Canberra), Inc. Top agencies Navy (Department of the Navy)	$65,535	<0.1%	Rank history: not on the FY2021–FY2025 lists; new, not ranked in Aug 2024–Jul 2025.
100	Aureol Insurance Co Ltd Top agencies DOS (Department of State)	$62,689	<0.1%	Rank history: not on the FY2021 list, #67 in FY2022, #79 in FY2023, #94 in FY2024 and #83 in FY2025; down 11 since Aug 2024–Jul 2025.

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100 of 106 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 $49.4 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. An awardee whose own actions mostly name no parent, and that no other company's actions name as their parent, rolls up its SAM.gov registration's chain of parent companies: it counts under the first company there that other companies' actions name as their parent, or under the parent most of a company's own actions name, whichever comes first; with neither, under the highest company in the chain with federal contracts of its own. Joint ventures stay companies of their own. 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.
Period: the trailing 12 months end with the last month that ended at least 90 days ago, because the Department of Defense reports its contract actions to FPDS about 90 days late. The list is rebuilt each night.
Rank changes compare with Aug 2024–Jul 2025. "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.
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 Aug 2025–Jul 2026?

1. UnitedHealth Group Incorporated ($23.5B), 2. Triwest Healthcare Alliance Corp ($15B), 3. Humana Government Business Inc. ($6.64B), 4. Evernorth Federal Services Inc. ($692M), 5. Johns Hopkins University ($441M), 6. Martins Point Health Care Inc. ($385M), 7. United Concordia Companies, Inc. ($384M), 8. Palmetto Gba, LLC ($286M), 9. Noridian Healthcare Solutions, LLC ($239M), 10. Elevance Health, Inc. ($159M).

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