Who wins federal Direct Health and Medical Insurance Carriers contracts
Federal agencies obligated $47.6 billion on contracts under NAICS 524114 (Direct Health and Medical Insurance Carriers) in fiscal year 2025. The largest contractor listed was Optum Public Sector Solutions, Inc. ($22.5 billion).
Who wins
| Contractor | FY2025 obligations | Share |
|---|---|---|
| Optum Public Sector Solutions, Inc. | $22.5 billion | 47.2% |
| Triwest Healthcare Alliance Corp | $13.0 billion | 27.4% |
| Humana Government Business INC | $6.5 billion | 13.7% |
| Health Net Federal Services, LLC | $1.4 billion | 3.0% |
| Express Scripts INC | $554.9 million | 1.2% |
| The Johns Hopkins Medical Services Corporation | $485.5 million | 1.0% |
| Martins Point Health Care INC | $426.6 million | 0.9% |
| United Concordia Companies, Inc. | $403.3 million | 0.8% |
| Palmetto Gba, LLC | $326.2 million | 0.7% |
| Novitas Solutions, Inc. | $199.8 million | 0.4% |
| Noridian Healthcare Solutions, LLC | $196.5 million | 0.4% |
| International Sos Government Services LLC | $182.0 million | 0.4% |
| Wellpoint Federal Solutions, Inc. | $178.0 million | 0.4% |
| Pacmed Clinics | $173.2 million | 0.4% |
| Brighton Marine, Inc. | $154.2 million | 0.3% |
| Christus Health | $148.5 million | 0.3% |
| Cgs Administrators, LLC | $140.8 million | 0.3% |
| Svcmc, Inc. | $126.0 million | 0.3% |
| Heritage Health Solutions, Inc. | $112.6 million | 0.2% |
| Wisconsin Physicians Service Insurance Corp. | $112.0 million | 0.2% |
| First Coast Service Options, Inc. | $66.1 million | 0.1% |
| Managed Care Advisors, Inc. | $25.3 million | 0.1% |
| Dhipaya Insurance Public Company Limited | $12.4 million | 0.0% |
| Axa Seguros | $9.6 million | 0.0% |
| Metropolitan Life Insurance Co | $8.9 million | 0.0% |
Who buys
| Agency | FY2025 obligations | Share |
|---|---|---|
| Department of Veterans Affairs | $32.0 billion | 67.2% |
| Department of Defense | $14.1 billion | 29.7% |
| Department of Health and Human Services | $1.2 billion | 2.6% |
| Department of Justice | $121.4 million | 0.3% |
| Department of State | $103.3 million | 0.2% |
| Securities and Exchange Commission | $7.4 million | 0.0% |
| Department of the Treasury | $4.2 million | 0.0% |
| Consumer Financial Protection Bureau | $2.4 million | 0.0% |
| Commodity Futures Trading Commission | $1.2 million | 0.0% |
| Agency for International Development | $163,568 | 0.0% |
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Source and coverage
Source: USAspending.gov, the U.S. Treasury's public record of federal spending, retrieved 2026-11-01. Figures are contract obligations (award types A, B, C and D) for federal fiscal year 2025, October 2024 to September 2025. Covers the 100 largest NAICS codes by federal spending. This is federal money only. State, city and town contracts are not included. Obligations can be negative when earlier amounts are withdrawn, some classified work is not reported, and contractors that may be individuals are left out of the name lists, so a list is not a complete ranking of everyone paid. Pushbuild is not affiliated with any agency or company listed.