NAICS category
Direct Health and Medical Insurance Carriers
NAICS 524114
FY2026 ended Sep 30 · data still posting · data as of 2026-11-01†
† DoD contract data posts to USAspending about 90 days after award.
Part of Finance and Insurance →
$48.6B
Federal awards
FY2026 · data still posting
20
Recipients
NAICS 524114
Code
NAICS code 524114 (Direct Health and Medical Insurance Carriers) accounted for $48.6B in federal contracts in FY2026, led by the Department of Veterans Affairs, across 20 recipients. Its largest recipient on record was UnitedHealth Group, with 46%. FY2026 ended Sep 30 and its data is still posting. Computed
Obligations by year
Computed$15.8B
FY20
$26.9B
FY21
$37.1B
FY22
$39.3B
FY23
$43.9B
FY24
$47.6B
FY25
$48.6B
FY26 partial
▲ 201%
FY20 to FY25
Key takeaways
Computed- Direct Health and Medical Insurance Carriers (NAICS 524114) accounted for $48.6B in federal obligations in FY2026, compared with $47.6B in FY2025.
- It ranked #3 among industries by federal contract dollars in FY2026 (data still posting).
- The Department of Veterans Affairs provided 68% of it.
- Its largest recipient was UnitedHealth Group, with 46%.
Top recipients
ComputedThe five largest recipients on record received 93% of this category's FY2026 obligations, and the ten largest 96%.
UnitedHealth Group$22.5B
Palmetto Gba, LLC$223.3M
Top funding agencies
ComputedAwards
SourceLargest FY2026 awards in this category
Awards coded NAICS 524114 that started in FY2026, by the amount obligated on each so far.
| Award | ID | Recipient | Obligated | Start | End | Place |
|---|---|---|---|---|---|---|
| Express Report: August 2026 | 36C10G26K0300 | Triwest Healthcare Alliance Corp | $1.2B | 2026-08-01 | 2026-08-31 | Virginia |
| Express REPORT:R3 FY26 1ST QTR Oct | 36C10G26K0209 | Optum Public Sector Solutions, Inc. | $1.1B | 2025-10-01 | 2025-10-31 | Virginia |
| Express Report: R3 FY26 4TH QTR July | 36C10G26K0298 | Optum Public Sector Solutions, Inc. | $1.1B | 2026-07-01 | 2026-07-31 | Virginia |
| Express Report: December 2025 | 36C10G26K0213 | Triwest Healthcare Alliance Corp | $1.1B | 2025-12-01 | 2025-12-31 | Virginia |
| Express Report: 2ND QTR FY2026 March | 36C10G26K0278 | Optum Public Sector Solutions, Inc. | $988.2M | 2026-03-01 | 2026-03-31 | Virginia |
| Express Report: June 2026 | 36C10G26K0293 | Triwest Healthcare Alliance Corp | $983.9M | 2026-06-01 | 2026-06-30 | Virginia |
| R3 Express Report: 3RD QTR Fy 2026 June | 36C10G26K0291 | Optum Public Sector Solutions, Inc. | $962.2M | 2026-06-01 | 2026-06-30 | Virginia |
| Express Report: March 2026 | 36C10G26K0268 | Triwest Healthcare Alliance Corp | $928.9M | 2026-03-01 | 2026-03-31 | Virginia |
Largest awards in this category
awarded 2016$51.3B
awarded 2016$23.5B
awarded 2011$20.5B
awarded 2012$13.1B
awarded 2021$5.2B
Total value over each award’s life, largest first.
Related
- Top industries by federal contract dollars Every NAICS industry, ranked
- Finance and Insurance Its industry sector
- Department of Veterans Affairs Its largest funding agency
- UnitedHealth Group Its largest recipient
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds A related code
Why the labels? The graph is only worth anything if the links are trusted. Facts taken straight from a federal filing are Source; figures we calculate are Computed; links we infer (corporate parents, districts, similar contractors, connections between records) are Inferred, worded carefully, never asserted as fact and never a claim that one thing caused another. Spot an error? Tell us.