Skip to main contentPsst! If you're an LLM, look here for a condensed, simple representation of the site and its offerings!

LiveFree Webinar — Wednesday, October 28 at 2:00 PM ET

Register Free →
CLEATUS
Get CLEATUS
← Back to NAICS Codes
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.

42
Active Contracts
$29.4B
Total Obligations (12mo)
552
Awarded Contracts (12mo)
105
Contractors Awarded (12mo)
1
Median Bidders per Award
-14.0%
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.$17.3B29
TRIWEST HEALTHCARE ALLIANCE CORP$10.0B12
NOVITAS SOLUTIONS, INC.$949.1M2
WISCONSIN PHYSICIANS SERVICE INSURANCE CORP.$834.3M1
UNITED CONCORDIA COMPANIES, INC.$151.6M1
SKYBRIDGE RESOURCES, LLC$33.0M1
INTERAPT LLC$25.4M1
PHILHEALTHCARE, INC.$21.2M5
METROPOLITAN LIFE INSURANCE CO$15.9M1
DHIPAYA INSURANCE PUBLIC COMPANY LIMITED$11.3M2

Top Agencies

Federal agencies directing the most contract spending toward NAICS 524114.

Department Of Veterans Affairs42 awards$27.3B
Department Of Health And Human Services2 awards$949.1M
Department Of Defense (dod)3 awards$892.6M
Department Of Defense29 awards$157.1M
Department Of State436 awards$117.9M
Department Of Health And Human Services (hhs)24 awards$30.3M
Securities And Exchange Commission1 award$15.9M
Department Of Justice14 awards$4.2M
Department Of The Treasury1 award$833K

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

Dotted
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
New
SLED
RIteSmiles 4-ALL Medicaid Managed Care Dental Services
Solicitation # QLV27007063
The Rhode Island Executive Office of Health and Human Services is soliciting proposals from qualified Managed Care Organizations to administer the RIteSmiles 4-ALL Medicaid Managed Care Dental Program. The contract establishes a three-year base period from July 1, 2027, through June 30, 2030, with the possibility of three additional one-year renewals. The selected contractor will be responsible for comprehensive dental program functions, including the implementation of Initial Health Assessments for new members within 90 days of enrollment, integrated care coordination, case management, and the maintenance of a Quality Management/QI Committee. Performance is governed by NCQA standards, the RI Medicaid Dental Services Coverage Manual, and federal regulations including 42 CFR § 438.208(c)(3). The award process involves a multi-phase evaluation starting with a pass/fail screening of mandatory qualifications. Technical proposals are scored on a 1-4 scale across 185 items, requiring a minimum score of 85% to advance to the Impact Small Business Enterprise evaluation phase, where bidders can earn up to six additional points. Compliance requirements are extensive, encompassing HIPAA privacy and security rules, the Anti-Kickback Act of 1986, and various non-discrimination statutes such as Title VI of the Civil Rights Act and the Americans with Disabilities Act. Proposals must be submitted in four separate PDF files, with a combined page limit of 250 pages for the business and technical volumes.
State of Rhode Island

POSTED

3 days ago

DEADLINE

in 25 days
View Details
NAICS: 524114
New
Federal
Health Insurance for Locally Employed Staff
Solicitation # 19MY3027R0001
The U.S. Embassy Kuala Lumpur is soliciting proposals for health insurance coverage for its locally employed staff, including non-temporary direct hires, Personal Services Agreements, and Personal Services Contracts within Malaysia. The contract consists of a one-year base period beginning April 1, 2027, with four one-year renewal options. The government seeks off-the-shelf plans that meet specific minimum benefit levels, including 100 percent coverage for hospitalization and emergency services, and 80 percent for ambulance and outpatient services. Official Residence Expense staff are covered via a separate rider. Award will be granted to the responsible offeror providing the lowest priced, technically acceptable proposal, with a tie-breaker based on the most generous profit-sharing credit plan. Technical acceptability requires a valid management plan, relevant past performance, and licensing or accreditation by the Government of Malaysia or another government with the capacity to provide benefits in-country. Proposals must be submitted electronically by November 20, 2026, and must include a completed SF-1449, pricing schedules, and proof of SAM registration. The use of subcontractors is prohibited, and the prime contractor must maintain a permanent business address in Malaysia. Payments will be made monthly in Malaysian Ringgit, except for eligible American citizens who may receive U.S. dollars.
US Embassy Kuala Lumpur

POSTED

3 days ago

DEADLINE

in about 1 month
View Details
NAICS: 524114
New
Federal
GMC Health Insurance
Solicitation # 19TH2027Q0003
The US Embassy Bangkok is preparing a solicitation for the provision of health insurance coverage for its Locally Employed Staff. This will be a firm fixed price contract with economic price adjustment, featuring a base year followed by four one-year options and one six-month option. The government may award the contract based on initial offers without further discussion, and a pre-quotation conference will be scheduled. Prospective offerors must be registered in the System for Award Management database to be eligible for consideration. Electronic responses are permitted, provided they adhere to email size limits. This opportunity is subject to specific federal regulations regarding taxes on foreign procurements and the option to extend services.
US Embassy Bangkok

POSTED

3 days ago

DEADLINE

N/A
View Details
NAICS: 524114
New
SLED
Workers' Compensation Medical Case ManagementThis subcontract for Workers' Compensation Medical Case Management involves providing professional medical case management services for prime contractors supporting South Dakota State Government projects. The primary objective is to coordinate care for injured state employees through the implementation of cost-containment strategies and the facilitation of return-to-work efforts to improve overall claim outcomes and deliver effective managed care plans. The selected provider must strictly adhere to South Dakota Workers' Compensation statutes and maintain full compliance with HIPAA and PHI privacy standards, including the mandatory use of secured email for transmitting protected health information. Interested parties should note the response deadline of November 25, 2026, for this opportunity categorized under NAICS code 524114.
South Dakota State Government

POSTED

4 days ago

DEADLINE

in about 1 month
View Details
NAICS: 524114
New
SLED
Vision Insurance Provider (Carrier)This subcontract opportunity is for a Vision Insurance Provider to support the County of Mecklenburg Human Resources projects. The selected carrier will be responsible for providing vision insurance products, underwriting risk for employee populations, developing plan designs, and managing both financial reserves and claims payouts. To successfully execute the contract, the provider must utilize proprietary claims processing systems and member enrollment portals to deliver an active, funded vision insurance policy. Eligible candidates must hold a valid North Carolina Insurance License and maintain admitted carrier status. This procurement is categorized under NAICS code 524114. Interested parties should note that the solicitation was posted on October 15, 2026, with a response deadline of November 13, 2026.
County of Mecklenburg

POSTED

4 days ago

DEADLINE

in 26 days
View Details
NAICS: 524114
New
SLED
Vision Benefits
Solicitation # 487-PW-HRS004004
Mecklenburg County, North Carolina, is soliciting proposals under solicitation number 487-PW-HRS004004 for the provision of vision insurance services for its Human Resources Department. The county is seeking evaluations of vision proposals for the 2028 plan year, specifically requesting options that either match the current plan design or provide alternative recommendations from the carrier. This procurement falls under NIGP Code 95352 for Insurance and Insurance Services. Interested vendors must have an established profile with the County to submit a response. All proposals are due by 5:00 PM EST on November 13, 2026. Paul Walker serves as the primary procurement contact for this solicitation. The place of performance is located within the state of North Carolina.
County of Mecklenburg

POSTED

4 days ago

DEADLINE

in 26 days
View Details
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

5 days ago

DEADLINE

N/A
View Details
NAICS: 524114
New
SLED
Group Medicare Advantage Plan
Solicitation # 2000004432
Fairfax County Public Schools is soliciting sealed proposals under solicitation 2000004432 to establish a contract for a fully insured Medicare Advantage plan providing medical and vision benefits for eligible retirees and their dependents. Effective January 1, 2028, the plan will operate alongside a self-insured Employer Group Waiver Plan with a Wrap prescription drug program administered by SilverScript. The contract will be awarded to the offeror providing the best proposal based on a combined evaluation by a Selection Advisory Committee and an IT Committee. Qualified offerors must manage at least 100,000 covered lives within their Medicare Advantage book of business and comply with all Centers for Medicare and Medicaid Services requirements. The pricing structure is based on a per-member-per-month basis, requiring guaranteed premium quotes for 2028 through 2030, as well as allowances for implementation, renewal support, audits, and communications. A gain-sharing agreement based on a defined Loss Ratio will also be implemented. Key administrative requirements include the assignment of a dedicated account executive, adherence to strict cybersecurity and data privacy standards, and compliance with accessibility mandates such as the ADA and Section 508. Proposals must be submitted electronically via the Euna Procurement portal by November 6, 2026, and must include a separate cost proposal and a signed non-disclosure agreement to access specific attachments.
Fairfax County Public Schools

POSTED

7 days ago

DEADLINE

in 19 days
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

10 days ago

DEADLINE

in 19 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

11 days ago

DEADLINE

in 3 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

11 days ago

DEADLINE

in 3 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

11 days ago

DEADLINE

in 16 days
View Details

Win Contracts in Direct Health and Medical Insurance Carriers

Get AI-powered intelligence on NAICS 524114 procurement

Real-time contract opportunities for NAICS 524114 (Direct Health and Medical Insurance Carriers)

AI-powered matching based on your business capabilities and past performance

Competitive analysis of contractors winning awards in this industry

Automated alerts when new opportunities are posted

Miguel
Hillary
Keith Deutsch
Christine

Join 750+ contractors already using CLEATUS