PrimeRFP SCOUT · NAICS Intelligence
NAICS 5241 — Insurance Carriers
NAICS 524114 — Direct Health & Medical Insurance Carriers
NAICS 524114 covers federal awards to direct health and medical insurance carriers — TRICARE, VA community-care / managed-care contracts, and related health-plan administration.
$49.3B
Total Obligated
699
Total Awards
$70.5M
Avg Award Value
Aug 2025 – Aug 2026
Data Period
90 days · $90 · no annual contract · cancel anytime
Year-Over-Year Award Trend
| Year | Awards | Total Obligated |
|---|---|---|
| 2023 | 660 | $41.8B |
| 2024 | 704 | $44.3B |
| 2025 | 740 | $44.0B |
2026 data through March 2026 only. Source: PrimeRFP SCOUT · ≥$100K floor
Top Agencies by Obligation — NAICS 524114
| Agency | Awards | Total Obligated |
|---|
Top Awardees — NAICS 524114
Trailing 12 months · ≥$100K floor · Source: PrimeRFP SCOUT
| Rank | Awardee | Awards | Total Obligated |
|---|---|---|---|
| #1 | Optum Public Sector Solutions, Inc. | 9 | $23.5B |
| #2 | TriWest Healthcare Alliance Corp. | 12 | $15.5B |
| #3 | Humana Government Business, Inc. | 9 | $6.1B |
| #4 | Evernorth Federal Services Inc. | 8 | $687M |
| #5 | The Johns Hopkins Medical Services Corporation | 7 | $529M |
| #6 | Martins Point Health Care Inc. | 7 | $461M |
| #7 | United Concordia Companies, Inc. | 10 | $393M |
| #8 | Noridian Healthcare Solutions, LLC | 12 | $239M |
See all awardees and filter by agency, set-aside, and date in SCOUT.
Score your position in 524114 — $90 Pilot →SCOUT Market Insights
→NAICS 524114 shows $49.3B obligated across 699 awards — average award $70.5M (~2 ≥$100K awards per day in scope).
→Optum Public Sector Solutions, Inc. ($23.5B), TriWest Healthcare Alliance Corp. ($15.5B), Humana Government Business, Inc. ($6.1B) headline the awardee table in the trailing window.
→Calendar trend (full CYs): $41.8B (CY2023) → $44.3B (CY2024) → $44.0B (CY2025).
Frequently Asked Questions — NAICS 524114
What is NAICS code 524114?
NAICS 524114 (Direct Health and Medical Insurance Carriers) covers establishments that provide health/medical insurance. Federal use is dominated by TRICARE and VA community-care / managed-care primes — not hospital clinical services (see medical PSC / Category pages).
How much federal spend is under NAICS 524114?
Federal agencies obligated approximately $49.3B under NAICS 524114 across 699 awards in the trailing 12 months (Aug 2025–Aug 2026). Source: PrimeRFP SCOUT, obligations_only, ≥$100K floor.
Who are the top NAICS 524114 contractors?
Optum Public Sector Solutions, Inc. ($23.5B), TriWest Healthcare Alliance Corp. ($15.5B), Humana Government Business, Inc. ($6.1B), Evernorth Federal Services Inc. ($687M), The Johns Hopkins Medical Services Corporation ($529M) lead obligated dollars in the trailing window.
How does this relate to VA healthcare awards?
VA community-care and related managed-care vehicles often land under 524114 at the carrier NAICS, while clinical providers and staff augmentation use other codes. Capture teams should pair this page with the VA agency intel page and medical Category views.
SCOUT Intelligence
See the full NAICS 524114 pipeline
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