Who buys NAICS 524114 (Direct Health and Medical Insurance Carriers) work, who wins it, and what's open right now — from FY2026 USAspending awards and live SAM.gov solicitations.
Contract data as of Oct 18, 2026 (USAspending) · recent coverage verified weekly
| Quarter | Awards | Obligated | Change |
|---|---|---|---|
| Q1 FY2026 | 104 | $9.4B | — |
| Q2 FY2026 | 168 | $9.3B | -2% |
| Q3 FY2026 | 112 | $9.6B | +3% |
| Q4 FY2026 | 109 | $5.5B | -42% |
Federal fiscal quarters (Q1 = Oct–Dec). Awards are counted in the quarter they start; obligations are the award's obligated amount.
| # | Contractor | Obligated | Share |
|---|---|---|---|
| 1 | OPTUM PUBLIC SECTOR SOLUTIONS, INC. | $22.5B | 66.6% |
| 2 | TRIWEST HEALTHCARE ALLIANCE CORP | $10.9B | 32.3% |
| 3 | UNITED CONCORDIA COMPANIES, INC. | $151.6M | 0.4% |
| 4 | HERITAGE HEALTH SOLUTIONS, INC. | $111.9M | 0.3% |
| 5 | METROPOLITAN LIFE INSURANCE CO | $15.9M | 0.0% |
| 6 | DHIPAYA INSURANCE PUBLIC COMPANY LIMITED | $11.3M | 0.0% |
| 7 | AXA SEGUROS | $10.6M | 0.0% |
| 8 | BRITISH UNITED PROVIDENT ASSOCIATION LIMITED(THE) | $6.2M | 0.0% |
| 9 | AIA LIFE INSURANCE COMPANY LIMITED BEIJING BRANCH | $5.4M | 0.0% |
| 10 | AL-NISR AL-ARABI INSURANCE | $4.6M | 0.0% |
Registrations are rolled up to their corporate parent (USAspending parent UEI), so a company with several SAM registrations ranks once.
| Agency | Obligated | Share |
|---|---|---|
| Department of Veterans Affairs | $33.4B | 98.9% |
| Department of Defense | $154.6M | 0.5% |
| Department of Justice | $116.0M | 0.3% |
| Department of State | $92.7M | 0.3% |
| Securities and Exchange Commission | $15.9M | 0.0% |
| Department of Health and Human Services | $568K | 0.0% |
| Department of the Treasury | $0 | 0.0% |
| Set-aside type | Obligated | Share |
|---|---|---|
| Small business set-aside | $0 | 0.0% |
| 8(a) | $0 | 0.0% |
| SDVOSB | $646K | 2.9% |
| WOSB / EDWOSB | $0 | 0.0% |
| HUBZone | $0 | 0.0% |
| No set-aside (full & open) | $21.9M | 97.1% |
Share of obligations on awards whose set-aside type is recorded — 0% of this market's dollars. Most USAspending bulk-archive records leave the field blank, so blank awards are excluded rather than counted as full & open.
Showing the 10 most recently posted of 18. Links open the notice on SAM.gov.
Source: USAspending.gov contract awards (prime awards with a start date from Oct 1, 2025 through Sep 30, 2026), SAM.gov contract opportunities, and SBA size standards. Recompetes are contracts whose final end date — options included — falls in the next 12 months. Figures are recomputed when a new USAspending load lands. See our data sources.