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NAICS Code· 524114

NAICS 524114: Direct Health and Medical Insurance Carriers

This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) health and medical insurance policies. Group hospitalization plans and HMO establishments that provide health and medical insurance policies without providing health care services are included in this industry. Cross-References.Show more

NAICS 524114 – Direct Health and Medical Insurance Carriers encompasses entities that underwrite and administer health insurance plans directly to individuals, groups, and government-sponsored programs. These carriers provide comprehensive medical coverage, including hospitalization, outpatient services, prescription drugs, and preventive care, often operating under federal health benefit programs such as the Federal Employees Health Benefits Program (FEHBP) or military health systems.

37
Active Contracts
$30.9B
Total Obligations (12mo)
542
Awarded Contracts (12mo)
99
Contractors Awarded (12mo)
1
Median Bidders per Award
-7.4%
YoY Growth

Industry Spending Overview

Federal obligations, top contractors and agencies, and related industry codes for NAICS 524114.

AI Industry Description

NAICS 524114 – Direct Health and Medical Insurance Carriers encompasses entities that underwrite and administer health insurance plans directly to individuals, groups, and government-sponsored programs. These carriers provide comprehensive medical coverage, including hospitalization, outpatient serv...

NAICS 524114 – Direct Health and Medical Insurance Carriers encompasses entities that underwrite and administer health insurance plans directly to individuals, groups, and government-sponsored programs. These carriers provide comprehensive medical coverage, including hospitalization, outpatient services, prescription drugs, and preventive care, often operating under federal health benefit programs such as the Federal Employees Health Benefits Program (FEHBP) or military health systems. In government contracting, this NAICS code supports the delivery of managed care services to federal employees, retirees, and eligible dependents, requiring robust compliance with HIPAA, ACA, and OPM regulations. These carriers function as critical intermediaries between federal beneficiaries and healthcare providers, leveraging actuarial modeling, claims adjudication systems, and network management to ensure cost-effective, high-quality care delivery. ALTITUDE TECHNOLOGIES INC. is the leading contractor in this sector, specializing in administrative services, claims processing, and enrollment management for federal health insurance programs. The company operates as a large prime contractor with deep expertise in federal health benefits infrastructure, often partnering with subcontractors to deliver scalable, compliant solutions across multi-agency environments. The Department of State is the primary federal buyer in this NAICS code, primarily procuring health insurance services for U.S. diplomatic personnel, overseas staff, and their families under the FEHBP. Demand is driven by global workforce mobility, compliance with international health standards, and the need for continuous coverage in high-risk or remote locations. The competitive landscape is concentrated among a small number of experienced contractors with proven track records in federal health benefit administration. Opportunities exist for firms with expertise in interoperable claims systems, telehealth integration, and regulatory compliance frameworks. Procurement trends indicate a growing emphasis on value-based care models and data-driven utilization management, favoring contractors with advanced analytics capabilities and secure, cloud-based infrastructure.

Small Business Size Standard

The SBA threshold that decides who can bid NAICS 524114 work as a small business.

$47.0M
Applies to the whole industry code

The SBA cap for this NAICS (13 CFR 121.201). A business at or under it can self-certify as small for work in this code, which is what makes it eligible for a small-business set-aside. The cap is set per NAICS, so the same company can be small in one code and not in another.

13 CFR 121.201, effective January 1, 2026. The SBA revises the table roughly once a year.

Top Contractors

Companies with the highest total award value under NAICS 524114, ranked by dollars won.

Ranked by total awards
CompanyTotal AwardsContracts
OPTUM PUBLIC SECTOR SOLUTIONS, INC.$19.9B30
TRIWEST HEALTHCARE ALLIANCE CORP$8.8B11
NOVITAS SOLUTIONS, INC.$949.1M2
WISCONSIN PHYSICIANS SERVICE INSURANCE CORP.$834.3M1
UNITED CONCORDIA COMPANIES, INC.$151.6M1
HERITAGE HEALTH SOLUTIONS, INC.$115.5M1
METROPOLITAN LIFE INSURANCE CO$15.0M3
DHIPAYA INSURANCE PUBLIC COMPANY LIMITED$11.3M2
AXA SEGUROS$10.6M26
UNITED CONCORDIA COMPANIES INC.$9.3M3

Top Agencies

Federal agencies directing the most contract spending toward NAICS 524114.

Department Of Veterans Affairs42 awards$28.7B
Ofc Of Acquisition And Grants Management1 award$948.5M
Department Of Defense (dod)1 award$834.3M
Department Of Defense29 awards$157.4M
Department Of Justice14 awards$119.7M
Department Of State423 awards$94.1M
Department Of Health And Human Services (hhs)24 awards$22.6M
Securities And Exchange Commission1 award$7.7M
Commodity Futures Trading Commission2 awards$7.3M
Comptroller Of Currency Acqs1 award$4.6M

Competition

How many companies historically bid on federal awards in NAICS 524114, from bidder counts reported on USAspending.

Usually Single-Bid

Half or more of reported awards drew exactly one bidder, usually a sign of incumbent-held work rather than an open field. · 3,097 reported awards

Median Bidders

1

Per reported award, all-time

Single-Bid Awards

52%

Share of reported awards with one bidder

10+ Bidder Awards

1%

Share of reported awards with 10+ bidders

Reported Awards

3,097

56% of 5,517 total awards

Bidder Count Distribution by Fiscal Year

Share of reported awards in each bidder-count bracket per federal fiscal year.

How this code compares up the NAICS hierarchy. Parent cohorts pool every code under their prefix, so they are the steadier baseline when a 6-digit sample is thin.

Industry FamilyCompetitionMedian BiddersSingle-BidBidder MixReported Awards
524114This Code
Direct Health and Medical Insurance Carriers
Usually Single-Bid152%
3,09756% of 5,517
52411NAICS Industry
Fewer Bidders246%
4,11660% of 6,829
5241Industry Group
Insurance Carriers
Usually Single-Bid157%
6,68467% of 9,969
524Subsector
Usually Single-Bid156%
14,57070% of 20,803
52Sector
Finance and Insurance
Usually Single-Bid171%
55,86385% of 65,585

Bidder counts reported on past federal awards in this NAICS (USAspending). An open opportunity has no bidders yet, so this is the historical norm for similar work, not a fact about this solicitation. Not all awards report bidder counts, and fewer bidders often means incumbent-held work rather than an easier win. Federal reporting of bidder counts fell from ~96% of awards (FY2016) to ~30% (FY2018 onward); the chart shows shares of reported awards, and washed-out stretches mark years with fewer than 30 of them.

Related NAICS Codes

Industries similar to Direct Health and Medical Insurance Carriers, by shared sector, subsector, and industry group.

Direct Life Insurance Carriers

This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assum...
524113Same Industry GroupHigh Similarity

Direct Property and Casualty Insurance Carriers

This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assum...
524126Same Industry GroupHigh Similarity

Direct title Insurance Carriers

This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assum...
524127Same Industry GroupHigh Similarity

Other Direct Insurance (except Life, Health, and Medical) Carriers

This U.S. industry comprises establishments primarily engaged in initially underwriting (e.g., assum...
524128Same Industry GroupHigh Similarity

Reinsurance Carriers

This industry comprises establishments primarily engaged in assuming all or part of the risk associa...
524130Same Industry GroupHigh Similarity

Insurance Agencies and Brokerages

This industry comprises establishments primarily engaged in acting as agents (i.e., brokers) in sell...
524210Same SubsectorMedium Similarity

Claims Adjusting

This U.S. industry comprises establishments primarily engaged in investigating, appraising, and sett...
524291Same SubsectorMedium Similarity

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

This U.S. industry comprises establishments primarily engaged in providing pharmacy benefit manageme...
524292Same SubsectorMedium Similarity

Explore contracts across multiple NAICS codes Browse all NAICS Codes

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NAICS 524114 FAQ

Frequently Asked Questions

NAICS code 524114 covers Direct Health and Medical Insurance Carriers. This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) health and medical insurance policies. Group hospitalization plans and HMO establishments that provide health and medical insurance policies without providing health care services are included in this industry. Cross-References.

Recently Posted in Direct Health and Medical Insurance Carriers

NAICS: 524114
Awarded
Federal
GROUP LES HEALTH INSURANCE UNDER GMC
Solicitation # 19RP3827D0001
The US Embassy Manila, under the Department of State, has issued an award notice for solicitation 19RP3827D0001 regarding group life and health insurance under the Global Medical Coverage program. This contract falls under NAICS code 524114 and is managed by the office located in Washington, DC. Primary coordination for this award is handled by Kristine Grace C. Alcantara, with Christopher Reyes serving as the secondary point of contact. The procurement ensures the provision of essential insurance services to support personnel associated with the embassy's operations.
US Embassy Manila

POSTED

1 day ago

DEADLINE

N/A
View Details
NAICS: 524114
International
Extended Group Medical Benefits for International Scholars
Solicitation # 2026010398
The University of British Columbia, under the Province of British Columbia, is seeking sources for Extended Group Medical Benefits for International Scholars. This sources-sought solicitation, identified by number 2026010398, was posted on October 8, 2026, with a response deadline set for November 6, 2026. The contract focuses on providing medical benefit coverage for international scholars within the province of British Columbia. Interested parties can find further details and submission guidelines through the official BC Bid portal.
University of British Columbia

POSTED

7 days ago

DEADLINE

in 22 days
View Details
NAICS: 524114
SLED
Stop Loss Insurance ProviderThis subcontract opportunity seeks a licensed Florida insurance carrier to provide stop loss insurance coverage for prime contractors managing the City of Sarasota self-funded health plan projects. The selected provider will underwrite and issue a 24/12 contract basis policy covering both Medical and Pharmacy benefits. Key policy specifications include Individual Stop Loss deductibles set at 250,000 dollars and 275,000 dollars, along with Aggregate Coverage featuring a 125 percent corridor, a 50 percent Rate Cap, an NNL Provision, and a Spec Advance Rider. The procurement process is managed by the Florida Procurement agency under NAICS code 524114. Interested parties must submit their responses by October 21, 2026. The primary deliverable for this contract is the provision of an active stop loss insurance policy that adheres to the outlined underwriting requirements and regulatory standards.
Procurement

POSTED

7 days ago

DEADLINE

in 6 days
View Details
NAICS: 524114
SLED
Stop Loss Coverage for Self Funded Health Plan
Solicitation # 2027-008-HR
The City of Sarasota is soliciting proposals for stop loss coverage for its self-funded health plan, with an effective date of January 1, 2027. The plan currently serves approximately 747 employees and 265 retirees, though Medicare eligible retirees are specifically excluded from stop loss coverage. The scope of work requires coverage for both medical and pharmacy benefits on a 24/12 contract basis. Proposers must provide options for individual stop loss at $250,000 and $275,000, along with aggregate coverage featuring a 125 percent corridor, a 50 percent rate cap, an NNL provision, and a Spec Advance Rider. This is a closed bid requiring best and final rates quoted net of commissions. Proposals will be evaluated by the City and Brown and Brown based on proposed rates, terms and conditions, and responses to a questionnaire. The submission deadline is October 21, 2026, at 5:00pm EST via email. All inquiries and proposals are coordinated through Brown and Brown, with primary procurement contact Helen Reed and marketing analyst Morgan Johnson. The plan must also comply with Section 112.0801 of the Florida Statutes regarding retiree participation.
Procurement

POSTED

7 days ago

DEADLINE

in 6 days
View Details
NAICS: 524114
Federal
Health Insurance for Locally Employed Staff, US Embassy Tashkent, Uzbekistan
Solicitation # 19GE5026R0087
The Department of State, through the Regional Procurement Support Office in Frankfurt, is seeking a provider for health insurance coverage for locally employed staff and their dependents at the US Embassy in Tashkent, Uzbekistan. This procurement, identified by solicitation number 19GE5026R0087 and NAICS code 524114, is intended to be awarded as an Indefinite Delivery Indefinite Quantity (IDIQ) contract. The contract structure will consist of one base year and four option years, with the award anticipated to occur in the first quarter of 2027. Prospective offerors must be registered in the US System for Award Management (SAM) database to be considered for the award. The solicitation and subsequent contract are subject to the federal procurement laws and regulations of the United States, and all solicitation materials are provided exclusively in English. The response deadline for this pre-solicitation is November 4, 2026.
Acquisitions - Rpso Frankfurt

POSTED

8 days ago

DEADLINE

in 19 days
View Details
NAICS: 524114
SLED
Title Insurance & Escrow ServicesThis subcontract for the Town of Middleton involves providing title insurance and escrow services for prime contractors acquiring surplus property. The selected provider is responsible for verifying clear property titles, delivering the final title insurance policies, and managing the disbursement of escrow funds. Key financial responsibilities include holding the required 5% and 15% deposits mandated by the Town of Middleton. The work is performed in Middleton, Massachusetts, under NAICS code 524114, with a response deadline for the solicitation set for November 6, 2026.
TM100 - Town of Middleton

POSTED

9 days ago

DEADLINE

in 22 days
View Details
NAICS: 524114
International
Corporate Health Insurance ProviderThis subcontract opportunity with Northern Ireland Water seeks a qualified Corporate Health Insurance Provider to supply and manage comprehensive health insurance coverage for prime contractors working on corporate workforce projects. The selected provider will be responsible for policy underwriting, claims management, and the general administration of healthcare benefits utilizing specialized insurance policy management and claims processing software. To be eligible, the provider must hold a valid license to operate as an insurance provider within the United Kingdom and Northern Ireland. The primary objective of the contract is the delivery of active health insurance policies and consistent coverage for all eligible employees. Interested parties should note the response deadline of October 20, 2026.
Northern Ireland Water

POSTED

9 days ago

DEADLINE

in 4 days
View Details
NAICS: 524114
Federal
Medicare Administrative Contractor (MAC) Jurisdiction 8 (J8) - Final Solicitation
Solicitation # 75FCMC27R0001FinalSolicitation
The Department of Health and Human Services, through the Centers for Medicare & Medicaid Services, is soliciting proposals under solicitation number 75FCMC27R0001 for a Part A/Part B Medicare Administrative Contractor for Jurisdiction 8. This contractor will be responsible for providing health insurance benefit administration services, specifically Medicare claims processing and payment services, to support the traditional Medicare fee-for-service program within the states of Indiana and Michigan. The solicitation was posted on October 6, 2026, with a response deadline of November 2, 2026. The contract includes specific small business subcontracting requirements that offerors are expected to meet. These include a goal where at least 5 percent of the total contract value is awarded to small businesses, and a separate goal requiring that 25 percent of all subcontracting dollars go to small businesses, which includes a 3 percent component goal for HUBZone small businesses. Offerors must utilize the Health and Human Services Small Business Customer Experience portal for entering these goals. Primary points of contact for this procurement are Contracting Officer Mark Smolenski and Contract Specialist Alyssa Jones.
Ofc Of Acquisition And Grants Management

POSTED

10 days ago

DEADLINE

in 17 days
View Details
NAICS: 524114
SLED
Managed Care Administration ServicesThis subcontract opportunity involves providing managed care administration services for the Pennsylvania Department of Human Services Medical Assistance projects. The selected provider will support prime contractors in the delivery of physical health services, with a primary focus on care coordination, provider network management, utilization management, and healthcare quality improvement for MA beneficiaries. Qualified candidates must possess demonstrated experience in managed care, Medicaid compliance, and healthcare network administration. The solicitation is listed under NAICS code 524114, with a response deadline set for November 20, 2026.
Department of Human Services

POSTED

10 days ago

DEADLINE

in about 1 month
View Details
NAICS: 524114
SLED
HealthChoices for Physical Health Services
Solicitation # 26-RFI-20476
The Pennsylvania Department of Human Services, Bureau of Procurement and Contract Management, issued Request for Information 26-RFI-20476 on October 6, 2026, to gather market research and strategic input for a future Request for Applications. The objective is to reprocure Physical Health Managed Care Organizations to administer services for approximately 2.3 million Medical Assistance beneficiaries across five zones in Pennsylvania. The department aims to optimize program design to improve healthcare quality and access while stabilizing state spending, specifically focusing on evidence-based models for perinatal and child health, children with complex health needs, poorly controlled chronic conditions, and the mitigation of health-related social needs to promote equity. This RFI is for planning purposes only and does not constitute a solicitation for business or a guarantee of future procurement. Interested parties must submit their responses electronically to RA-PWRFICOMMENTS@PA.GOV by November 20, 2026, using the subject line HealthChoices Physical Health Program RFI. Submissions are limited to 20 pages, excluding cover letters and attachments, and must be formatted in 12 point Serif or Sans-Serif font. All provided information will be treated as public record, and no claims of confidentiality will be honored.
Department of Human Services

POSTED

10 days ago

DEADLINE

in about 1 month
View Details
NAICS: 524114
SLED
Voluntary Vision Insurance Carrier/AdministratorThis subcontract agreement seeks a US-based carrier or administrator to provide and manage Voluntary Vision insurance plans for prime contractors working on Tempe Union High School District 213 projects. The selected provider will be responsible for underwriting policies, maintaining a network of vision care providers, processing claims, and managing member eligibility. To ensure operational efficiency, the provider must offer secured internet portals for administration and employee claims tracking, while remaining fully compliant with the Affordable Care Act. The contractor is expected to deliver active vision coverage and regular service performance reports. Interested parties must submit their responses by November 4, 2026, in accordance with the solicitation posted on October 5, 2026. This opportunity falls under NAICS code 524114 and is managed through the Business Services agency in Arizona.
Business Services

POSTED

10 days ago

DEADLINE

in 20 days
View Details
NAICS: 524114
SLED
Voluntary Dental Insurance Carrier/AdministratorThis subcontract opportunity is for a Voluntary Dental Insurance Carrier and Administrator to provide and manage PPO and DHMO dental insurance plans for prime contractors working on Tempe Union High School District 213 projects. The selected provider will be responsible for underwriting policies, maintaining a provider network, processing claims, and managing eligibility. To ensure efficient operations, the carrier must provide secured internet portals for both employer administration and employee provider searches. The provider must be based in the United States and maintain full compliance with the Affordable Care Act. Key deliverables include the provision of active dental coverage and the delivery of regular financial performance reports. Interested parties should note that the response deadline for this solicitation is November 4, 2026.
Business Services

POSTED

10 days ago

DEADLINE

in 20 days
View Details

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