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Direct Health and Medical Insurance Carriers

NAICS 524114 · Federal Contracts & Awards

USAspending.gov records $6,922,146,987.55 in Direct Health And Medical Insurance Carriers (NAICS 524114) obligations for fiscal year 2026. Three percent of a two-hundred-twenty-one-billion-dollar carrier extract is an early-year slice, not a small industry. FY2026 figures can be incomplete. That pair is Direct Health And Medical Insurance Carriers (NAICS 524114) and federal fiscal year 2026 — not every federal dollar in FY2026, not Direct Health And Medical Insurance Carriers's $220,975,322,991.68 extract-wide book, and not cash already paid. The cell is 3.1% of this industry's published obligation total. 1,696 is the industry-extract award-record count, not a FY2026-only instrument tally. USAspending.gov is the source. Correlation is not causation.

Key figures

  • Health Insurers in FY2026: $6,922,146,987.55 in USAspending obligations (NAICS 524114).
  • That cell is 3.1% of the industry's $220,975,322,991.68 extract-wide total.
  • 1,696 is the industry-extract award-record count, not a FY2026 census.
  • NAICS 524114 × FY2026 is an obligation join, not an outlay and not a named-recipient list.
  • Cite USAspending.gov; quote /industries/524114/ and /fiscal-years/2026/ if live tables moved.

Reading NAICS 524114 inside FY2026

NAICS 524114 and fiscal year 2026 meet here. $6,922,146,987.55 is the USAspending.gov obligation sum on the yearlyTrend row that carries both tags. It is not Direct Health And Medical Insurance Carriers's nationwide all-year total of $220,975,322,991.68, not every federal dollar coded to FY2026, and not an outlay register. The packet does not split medical versus other health lines, or contract from assistance. 1,696 is an industry-extract action count: modifications and repeat awards add rows across years. Unique recipients are unpublished. This cell is not an enrollee census, a premium ledger, or a named-carrier roster.

Open /industries/524114/ (NAICS 524114) for the industry table without this FY2026 filter, /fiscal-years/2026/ (FY2026 federal spending) for the year table without this NAICS filter, /industries/ (All industries) for every industry, and /ties/ (All spending ties) for the rest of the join list. Quote those hubs as parents, not as addends to $6,922,146,987.55. A health-insurance NAICS tag is not premiums collected from households and not a named-carrier list. Place-of-performance splits are omitted.

This page reports direct health and medical insurance carriers activity USAspending tagged to FY2026. The headline $6,922,146,987.55 sits beside an industry-wide obligation total of $220,975,322,991.68; the 3.1% share is arithmetic on those two packet facts, not a ranking of fiscal years as winners or losers. Obligations are not outlays. Do not annualize this incomplete FY2026 row into a full-year forecast. The packet has no forecast.

Industry 524114 without inventing a product pie

USAspending labels NAICS 524114 as Direct Health And Medical Insurance Carriers. That code produced $6,922,146,987.55 when crossed with fiscal year 2026. The industry-wide 524114 hub does not require a FY2026 filter. The year hub does not require Health Insurers. Only this tie applies both filters. The packet does not split medical versus other health lines, or contract from assistance. The source note warns that current-year FY totals can still grow or be restated. Treat this 524114 × FY2026 cell as a snapshot.

Full analysis: Direct Health And Medical Insurance Carriers federal obligations in FY2026 →

Questions

How much Health Insurers spending is obligated in FY2026?
USAspending.gov lists $6,922,146,987.55 in Direct Health And Medical Insurance Carriers (NAICS 524114) obligations for FY2026. That yearlyTrend amount is 3.1% of the industry's $220,975,322,991.68 extract-wide total. It is an obligation join, not an outlay and not every federal dollar in FY2026. Unique recipients are unpublished.
Is $6,922,146,987.55 the entire Health Insurers USAspending total?
No. NAICS 524114's extract-wide total is $220,975,322,991.68. FY2026 is 3.1% of that book. Other fiscal-year rows for the same industry are separate cells. Do not add /industries/524114/ into this join. 1,696 award records stay on the industry extract, not on this yearlyTrend row.
Is $6,922,146,987.55 cash already paid in FY2026?
No. Obligations are commitments recorded on USAspending.gov awards. Outlays — money that actually left the Treasury — are a different concept and are not this packet's headline. Treating $6,922,146,987.55 as checks already cleared in FY2026 confuses those terms. Prefer the live industry and year hubs if the tables moved.
Do FEC donations fund these Health Insurers awards in FY2026?
No. FEC receipts and USAspending obligations are different datasets. Sharing a calendar year does not mean donations funded $6,922,146,987.55 in FY2026. This page reports USAspending.gov NAICS 524114 crossed with fiscal year 2026. It does not report campaign finance. USAspending.gov remains the source for NAICS 524114 in FY2026.

USAspending.gov NAICS yearlyTrend by fiscal year. Obligations are not outlays. FY figures can be incomplete for the current year.

Industry ties

All data ties →

Companies in the Direct Health and Medical Insurance Carriers industry (NAICS code 524114) have received $220.98B in federal contracts, grants, and other awards since FY2024, across 2K individual awards tracked through FY2026. The largest funding agency is Department of Defense ($139.40B). Spending is concentrated in Kentucky, Virginia, California and 25 other states. All figures below come from USAspending.gov award records.

Total Obligations

$220.98B

Total Awards

2K

States

28

Last Updated

Apr 23, 2026

Yearly Spending Trend

Top 50 Awards in Direct Health and Medical Insurance Carriers

Largest individual obligations in NAICS 524114.

Download CSV
Top 50 Awards in Direct Health and Medical Insurance Carriers
AwardRecipientAwarding AgencyProgramPlaceFYObligation
CONT_AWD_HT940216C0001_9700_-NONE-_-NONE-
MANAGED CARE SUPPORT SERVICES - EAST REGION
HUMANA GOVERNMENT BUSINESS INC
Kentucky
Department of Defense
Defense Health Agency
—LOUISVILLE, KY-032024$50,670,719,315
CONT_AWD_HT940216C0002_9700_-NONE-_-NONE-
MANAGED CARE SUPPORT SERVICES IN SUPPORT OF THE TRICARE PROGRAM, WEST REGION.
HEALTH NET FEDERAL SERVICES, LLC
California
Department of Defense
Defense Health Agency
—RANCHO CORDOVA, CA-032024$23,038,532,429
CONT_AWD_HT940211C0003_9700_-NONE-_-NONE-
PROVIDES HEALTHCARE TO THE SOUTH REGION DESIGNATED MANAGED CARE SUPPORT SERVICES FOR THE DEPARTMENT OF DEFENSE'S TRICARE PROGRAM.
HUMANA GOVERNMENT BUSINESS INC
Kentucky
Department of Defense
Defense Health Agency
—LOUISVILLE, KY-032025$20,451,127,097
CONT_AWD_HT940210C0002_9700_-NONE-_-NONE-
PROVIDES HEALTHCARE REGION DESIGNATED MANAGED CARE SUPPORT SERVICES FOR THE DEPARTMENT OF DEFENSE'S TRICARE PROGRAM.
HEALTH NET FEDERAL SERVICES, LLC
California
Department of Defense
Defense Health Agency
—RANCHO CORDOVA, CA-032025$19,414,789,943
CONT_AWD_HT940213C0009_9700_-NONE-_-NONE-
MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER
THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION
Maryland
Department of Defense
Defense Health Agency
—BALTIMORE, MD-072025$4,185,409,478
CONT_AWD_HT940213C0012_9700_-NONE-_-NONE-
MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER
MARTINS POINT HEALTH CARE INC
Maine
Department of Defense
Defense Health Agency
—PORTLAND, ME-012025$3,594,271,206
CONT_AWD_HT940213C0008_9700_-NONE-_-NONE-
MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER
PACMED CLINICS
Washington
Department of Defense
Defense Health Agency
—SEATTLE, WA-092025$1,568,845,234
CONT_AWD_HT940213C0007_9700_-NONE-_-NONE-
MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER
BRIGHTON MARINE, INC.
Massachusetts
Department of Defense
Defense Health Agency
—BRIGHTON, MA-072025$1,467,822,927
CONT_AWD_HT940213C0011_9700_-NONE-_-NONE-
MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER
CHRISTUS HEALTH
Texas
Department of Defense
Defense Health Agency
—HOUSTON, TX-072025$1,372,880,062
CONT_AWD_36C10G24K0111_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY 24 3RD QTR APRIL
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—ROCKVILLE, MD-082024$1,365,317,619
CONT_AWD_HT940221C0007_9700_-NONE-_-NONE-
TRICARE PHARMACY SERVICES
EXPRESS SCRIPTS INC
Missouri
Department of Defense
Defense Health Agency
—SAINT LOUIS, MO-012024$1,281,981,773
CONT_AWD_36C10G24K0110_3600_36C79119D0005_3600
EXPRESS REPORT: R2 FY 24 3RD QTR APRIL
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—LA CROSSE, WI-032024$1,073,795,459
CONT_AWD_HT940213C0010_9700_-NONE-_-NONE-
MANAGED HEALTHCARE PLAN SERVICES FROM A DESIGNATED PROVIDER
SVCMC, INC.
New York
Department of Defense
Defense Health Agency
—NEW YORK, NY-122024$1,067,430,480
CONT_AWD_36C10G26K0213_3600_36C10G19D0038_3600
EXPRESS REPORT: DECEMBER 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072026$1,062,977,661
CONT_AWD_HHSM5002015M0028Z_7530_-NONE-_-NONE-
JM
PALMETTO GBA, LLC
South Carolina
Department of Health and Human Services
Centers for Medicare and Medicaid Services
—COLUMBIA, SC-062024$1,061,571,680
CONT_AWD_HHSM5002013M0015Z_7530_-NONE-_-NONE-
MEDICARE ADMINISTRATIVE CONTRACTOR JURISDICTION K
NATIONAL GOVERNMENT SERVICES, INC.
Indiana
Department of Health and Human Services
Centers for Medicare and Medicaid Services
—EAST SYRACUSE, NY-222024$991,959,782
CONT_AWD_36C10G24K0109_3600_36C79119D0004_3600
EXPRESS REPORT: R1 FY 24 3RD QTR APRIL
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—LA CROSSE, WI-032024$941,727,421
CONT_AWD_36C10G26K0135_3600_36C10G19D0038_3600
EXPRESS REPORT: OCTOBER 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072026$928,047,790
CONT_AWD_75FCMC19C0018_7530_-NONE-_-NONE-
JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). JH INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICAO, OKLAHOMA, AND TE…
NOVITAS SOLUTIONS, INC.
Pennsylvania
Department of Health and Human Services
Centers for Medicare and Medicaid Services
—MECHANICSBURG, PA-102024$889,970,439
CONT_AWD_HHSM5002012M0001Z_7530_-NONE-_-NONE-
JH A/B MAC
NOVITAS SOLUTIONS, INC.
Pennsylvania
Department of Health and Human Services
Centers for Medicare and Medicaid Services
—CAMP HILL, PA-102024$876,684,330
CONT_AWD_36C10G25K0023_3600_36C10G19D0038_3600
EXPRESS REPORT: (OCT. 2024)
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$870,766,369
CONT_AWD_36C10G25K0685_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 4TH QTR JULY
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$857,498,202
CONT_AWD_36C10G24K0114_3600_36C10G19D0038_3600
EXPRESS REPORT: APRIL FY24 EXPRESS REPORT Q3
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072024$857,175,400
CONT_AWD_36C10G25K0373_3600_36C10G19D0038_3600
EXPRESS REPORT: MAY 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$843,331,825
CONT_AWD_36C10G25K0372_3600_36C10G19D0038_3600
EXPRESS REPORT: APRIL 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$839,685,688
CONT_AWD_36C10G26K0254_3600_36C10G19D0038_3600
EXPRESS REPORT: JANUARY 2026
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072026$837,271,971
CONT_AWD_36C10G25K0600_3600_36C10G19D0038_3600
EXPRESS REPORT: JULY 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$836,212,764
CONT_AWD_36C10G24K0119_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY24 Q3 MAY
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072024$833,805,970
CONT_AWD_36C10G25K0447_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 3RD QTR APRIL
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$830,362,703
CONT_AWD_36C10G26K0266_3600_36C10G19D0038_3600
EXPRESS REPORT: FEBRUARY 2026
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072026$819,701,547
CONT_AWD_36C10G25K0446_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 3RD QTR MAY
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$819,320,445
CONT_AWD_36C10G24K0115_3600_36C10G19D0038_3600
EXPRESS REPORT: MAY FY24 R4 EXPRESS REPORT Q3
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—STAFFORD, VA-072024$809,354,930
CONT_AWD_36C10G25K0481_3600_36C10G19D0038_3600
JUNE EXPRESS REPORT 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$795,723,889
CONT_AWD_36C10G25K0444_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 2ND QTR MARCH
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$791,841,212
CONT_AWD_36C10G25K0244_3600_36C10G19D0038_3600
EXPRESS REPORT: MARCH 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$789,752,406
CONT_AWD_HHSM5002012M0010Z_7530_-NONE-_-NONE-
CMS-MAC, TRANSFER RECORDS/RESPONSIBILITY TO THE CLOSEOUT TEAM
NOVITAS SOLUTIONS, INC.
Pennsylvania
Department of Health and Human Services
Centers for Medicare and Medicaid Services
—CAMP HILL, PA-102024$788,083,750
CONT_AWD_36C10G25K0684_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 3RD QTR JUNE
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$787,910,969
CONT_AWD_36C10G24K0058_3600_36C10G19D0038_3600
EXPRESS REPORT FOR OCTOBER FY24 REGION 4
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072024$785,953,061
CONT_AWD_36C10G25K0670_3600_36C10G19D0038_3600
EXPRESS REPORT: AUGUST 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$780,242,159
CONT_AWD_36C10G24K0134_3600_36C10G19D0038_3600
EXPRESS REPORT AUGUST 2024
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072024$776,889,606
CONT_AWD_36C10G25K0010_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 1ST QTR OCTOBER
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$771,731,035
CONT_AWD_36C10G25K0371_3600_36C10G19D0038_3600
EXPRESS REPORT: MARCH 2025
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$770,738,874
CONT_AWD_36C10G24K0126_3600_36C10G19D0038_3600
EXPRESS REPORT: JULY FY24 R4 EXPRESS REPORT Q3
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072024$766,370,811
CONT_AWD_36C10G25K0002_3600_36C10G19D0038_3600
EXPRESS REPORT: EXPRESS REPORT (SEPT. 2024) Q4
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$763,871,689
CONT_AWD_36C10G24K0130_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY24 Q4 JULY
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072024$761,807,265
CONT_AWD_36C10G25K0042_3600_36C10G19D0038_3600
EXPRESS REPORT: DECEMBER FY2025 Q1
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$758,047,779
CONT_AWD_36C10G25K0018_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 1ST QTR NOVEMBER
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—ROCKVILLE, MD-082025$749,361,474
CONT_AWD_36C10G25K0028_3600_36C10G19D0038_3600
EXPRESS REPORT: NOV. 2024 Q3
TRIWEST HEALTHCARE ALLIANCE CORP
Arizona
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$744,762,072
CONT_AWD_36C10G24K0141_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY24 Q4 SEPTEMBER
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072024$737,967,761
CONT_AWD_36C10G25K0686_3600_36C79119D0006_3600
EXPRESS REPORT: R3 FY25 4TH QTR AUG
OPTUM PUBLIC SECTOR SOLUTIONS, INC.
Wisconsin
Department of Veterans Affairs
Department of Veterans Affairs
—FREDERICKSBURG, VA-072025$735,489,823

Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.

Spending by State

Federal spending in the Direct Health and Medical Insurance Carriers industry (NAICS 524114) broken down by state, with obligated amounts and award counts.
StateFundingAwards
Kentucky$71.47B3
Virginia$57.73B90
California$42.50B4
Maryland$12.18B27
Missouri$6.50B14
Pennsylvania$6.26B24
Maine$4.16B6
Wisconsin$2.75B7
South Carolina$2.31B5
New York$2.23B4
North Dakota$2.20B8
Texas$1.96B9
Massachusetts$1.88B25
Washington$1.81B2
Tennessee$1.57B6
Indiana$1.50B3
Florida$904.1M2
Arizona$419.5M5
Alabama$229.2M99
New Jersey$48.1M3
Georgia$34.8M1
District of Columbia$23.3M9
South Dakota$12.7M4
Ohio$8.0M2
Rhode Island$336K5
Connecticut$159K7
Vermont$68K3
New Hampshire$28K6