Federal Capture Intelligence

Top DoD direct health and medical insurance carriers contractors (NAICS 524114)

Contract actions: October 1, 2021 – October 23, 2026 Updated October 24, 2026 Department of Defense agency guide NAICS 524114 · Direct Health and Medical Insurance Carriers
Latest 12 months
$10.5B
Net obligations · Down $2.9B vs. $13.4B preceding
Prime contractors
17
With positive obligations in the latest 12 months

Research the DoD federal contracting market for direct health and medical insurance carriers under NAICS 524114. Compare top federal contractors and market share, reported contract obligations and spending trends, funding-office attribution, recent award activity, and contract types, competition, and procurement methods.

Contract obligation trends for Direct Health and Medical Insurance Carriers at the Department of Defense

Federal records show $68.5B in net obligations across 223 awards in Direct Health and Medical Insurance Carriers at the Department of Defense from Oct 1, 2021 through Oct 23, 2026. This market accounts for 3.0% of $2.3T in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 21.4% from $13.4B to $10.5B. 3 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY27 is year-to-date through Oct 23, 2026; earlier years show complete fiscal-year totals.

FY27 year-to-date: $0 versus $1.4B through the same date in FY26 (−100.0%).
Net obligations · complete fiscal yearNet obligations · FY27 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$14.1B386Complete
FY2023$14.1B349Complete
FY2024$14.3B486Complete
FY2025$14.1B590Complete
FY2026$11.9B281Complete

Market at a glance

All reported prime contract awards
All-period net obligations
$68.5B
223 awards · 29 prime contractors
Latest 12-month movement
−21.4%
$10.5B vs. $13.4B
Leading eight prime share
96.4%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
3.0% of $2.3T in agency-wide net obligations.
Set-aside share when reported
0.0% of 51 awards with reported set-aside status.
Set-aside reporting
0 set aside · 51 no set-aside · 172 not reported

What changed in the last 12 months?

Oct 24, 2025–Oct 23, 2026, compared with Oct 24, 2024–Oct 23, 2025.

Competitive shifts

HUMANA GOVERNMENT BUSINESS INC had the largest decline in reported obligations
$5.7B→$4.0B−$1.7B
The contractor now ranks #2 by positive obligations and accounts for 38.0% of positive obligations, based on 48 reported actions.
EVERNORTH FEDERAL SERVICES INC climbed the most in the contractor rankings
#13→#3Up 10 places
The contractor accounts for 5.7% of positive obligations across 24 reported actions.
TRIWEST HEALTHCARE ALLIANCE CORP gained the most market share
30.0%→39.1%+9.1 percentage points
The contractor now ranks #1 by positive obligations, based on 44 reported actions.
EXPRESS SCRIPTS INC had no reported activity in the latest 12 months
$446.9M→$0No latest-period activity
It previously ranked #5 by positive obligations, based on 43 reported actions.

Buyer demand

Reported obligations through DEFENSE HEALTH AGENCY decreased
$10.8B→$8.2B−$2.7B
Latest-period activity spans 4 awards across 3 prime contractors.

Award activity

View 2 additional material changes

Buyer demand

Reported obligations through DEFENSE HEALTH AGENCY increased
$540.5M→$603.3M+$62.8M
Latest-period activity spans 1 award across 1 prime contractor.

Competitive shifts

How these findings are calculated

Findings are selected from matched-period changes in obligations, share, rank, funding offices, concentration, reported set-asides, material award actions, and agency-peer outliers. Related signals are combined, and only material evidence-backed changes are shown. Review the full methodology.

Federal contract obligations by funding office

See how positive obligations were attributed across funding offices in the 12 months ending Oct 23, 2026.

77.0% of positive obligations were attributed to DEFENSE HEALTH AGENCY (HT0064). That represents $8.2B, down $2.7B from the preceding 12 months.

Latest 12-month share of positive obligations; the gray segment represents all other reported offices.

  1. DEFENSE HEALTH AGENCY (HT0064)77.0% · $8.2B · down $2.7B
  2. DEFENSE HEALTH AGENCY (HT0010)16.0% · $1.7B · down $160.4M
  3. DEFENSE HEALTH AGENCY (HT0066)5.7% · $603.3M · up $62.8M
  4. DEFENSE HEALTH AGENCY (HT0063)1.2% · $128.7M · down $41.0M
  5. W3ZL OFC PM SANG MOD PROG0.030% · $2.8M · down $1.7M
  6. All other reported offices0.020% of positive obligations
View reported office rankings, comparisons, and evidence

USAspending assigns each award to a funding office. That office may differ from the requiring activity, program office, contracting office, individual buyer, or actual customer.

  1. Reported funding office

    DEFENSE HEALTH AGENCY (HT0064)

    #1Rank unchanged

    Latest 12 months

    $8.2B

    77.0% of positive obligations

    Versus preceding 12 months

    −$2.7B

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 24.8% from $10.8B to $8.2B. The office’s share of positive obligations moved from 80.8% to 77.0%, a change of −3.8 percentage points.

    The latest period contains 97 actions across 4 awards. The preceding period contained 3 active prime contractors and 6 awards.

    Leading award-level changes

  2. Reported funding office

    DEFENSE HEALTH AGENCY (HT0010)

    #2Rank unchanged

    Latest 12 months

    $1.7B

    16.0% of positive obligations

    Versus preceding 12 months

    −$160.4M

    8 active prime contractors · 14 awards

    View office comparison and evidence

    Reported obligations decreased 8.7% from $1.9B to $1.7B. The office’s share of positive obligations moved from 13.8% to 16.0%, a change of +2.2 percentage points.

    The latest period contains 76 actions across 14 awards. The preceding period contained 8 active prime contractors and 25 awards.

  3. Reported funding office

    DEFENSE HEALTH AGENCY (HT0066)

    #3Rank unchanged

    Latest 12 months

    $603.3M

    5.7% of positive obligations

    Versus preceding 12 months

    +$62.8M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations increased 11.6% from $540.5M to $603.3M. The office’s share of positive obligations moved from 4.0% to 5.7%, a change of +1.7 percentage points.

    The latest period contains 24 actions across 1 award. The preceding period contained 2 active prime contractors and 7 awards.

    Leading award-level changes

  4. Reported funding office

    DEFENSE HEALTH AGENCY (HT0063)

    #4Rank unchanged

    Latest 12 months

    $128.7M

    1.2% of positive obligations

    Versus preceding 12 months

    −$41.0M

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 24.1% from $169.7M to $128.7M. The office’s share of positive obligations moved from 1.3% to 1.2%, a change of −0.1 percentage points.

    The latest period contains 6 actions across 2 awards. The preceding period contained 1 active prime contractor and 5 awards.

  5. Reported funding office

    W3ZL OFC PM SANG MOD PROG

    #5Rank unchanged

    Latest 12 months

    $2.8M

    0.030% of positive obligations

    Versus preceding 12 months

    −$1.7M

    3 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations decreased 38.4% from $4.5M to $2.8M. The office’s share of positive obligations moved from 0.030% to 0.030%, a change of 0.0 percentage points.

    The latest period contains 9 actions across 5 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 4 awards.

  6. Reported funding office

    NAVAL SUPPORT ACTIVITY, BAHRAIN

    #6Rank unchanged

    Latest 12 months

    $1.1M

    0.010% of positive obligations

    Versus preceding 12 months

    +$10K

    1 active prime contractor · 7 awards

    View office comparison and evidence

    Reported obligations increased 1.0% from $1.0M to $1.1M. The office’s share of positive obligations moved from 0.010% to 0.010%, a change of 0.0 percentage points.

    The latest period contains 11 actions across 7 awards. The preceding period contained 1 active prime contractor and 11 awards.

  7. Reported funding office

    HQ, US MTM SAS FAO

    #7Rank unchanged

    Latest 12 months

    $720K

    0.010% of positive obligations

    Versus preceding 12 months

    +$104K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 16.9% from $616K to $720K. The office’s share of positive obligations moved from 0% to 0.010%, a change of 0.0 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 1 active prime contractor and 2 awards.

  8. Reported funding office

    SINGAPORE AREA COORDINATOR

    #8Rank unchanged

    Latest 12 months

    $283K

    0% of positive obligations

    Versus preceding 12 months

    −$85K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations decreased 23.1% from $368K to $283K. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 1 action across 1 award. The preceding period contained 1 active prime contractor and 1 award.

  9. Reported funding office

    NAVFACSYSCOM EUROPE AFRICA CENTRAL

    #9Rank unchanged

    Latest 12 months

    $203K

    0% of positive obligations

    Versus preceding 12 months

    +$542

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations increased 0.3% from $203K to $203K. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 2 actions across 2 awards. The preceding period contained 1 active prime contractor and 2 awards.

  10. Reported funding office

    NAVSUP FLC BAHRAIN

    #10Rank unchanged

    Latest 12 months

    $186K

    0% of positive obligations

    Versus preceding 12 months

    −$13K

    1 active prime contractor · 2 awards

    View office comparison and evidence

    Reported obligations decreased 6.5% from $199K to $186K. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 3 actions across 2 awards. The preceding period contained 1 active prime contractor and 4 awards.

  11. Reported funding office

    NAVY INSTALLATIONS COMMAND

    #12New to the positive-obligation ranking

    Latest 12 months

    $91K

    0% of positive obligations

    Versus preceding 12 months

    +$91K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations rose from $0 to $91K. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 1 action across 1 award and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

  12. Reported funding office

    NAVSUP FLC YOKOSUKA ERP NWCF

    #13New to the positive-obligation ranking

    Latest 12 months

    $73K

    0% of positive obligations

    Versus preceding 12 months

    +$73K

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations rose from $0 to $73K. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 1 action across 1 award and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

  13. Reported funding office

    F4L115 426 ABS HC

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    +$83K

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations moved from $83K in net deobligations to $0 in net obligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 0 actions across 0 awards. The preceding period contained 1 active prime contractor and 8 awards.

  14. Reported funding office

    DEFENSE HEALTH AGENCY (HT9402)

    No positive-obligation rank

    Latest 12 months

    −$43.8M

    0% of positive obligations

    Versus preceding 12 months

    −$43.8M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $0 in net obligations to $43.8M in net deobligations. The office’s share of positive obligations moved from 0% to 0%, a change of 0.0 percentage points.

    The latest period contains 1 action across 1 award and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

Contract types, competition, and procurement methods

From Oct 24, 2025 through Oct 23, 2026, 46 awards had positive obligations totaling $10.6B. Negotiated Proposal/Quote was the leading reported procedure, accounting for 87.4% of positive obligations. Awards with a reported parent IDV accounted for 3.6%.

Leading award type
96.4%
Definitive Contract
Leading reported procedure
87.4%
Negotiated Proposal/Quote
Reported parent IDV
3.6%
of positive obligations had a reported parent IDV
Median reported offers
1
14 of 46 awards reported offers
View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Definitive Contract(D)13$10.2B96.4%
Delivery Order(C)32$379.9M3.6%
Purchase Order(B)1$355K0%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)32$379.9M3.6%
Not reported14$10.2B96.4%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)32$379.9M3.6%
Not reported14$10.2B96.4%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)36$9.3B87.4%
Only One Source(SSS)6$1.3B12.6%
Np(NEGOTIATED PROPOSAL/QUOTE)3$2.8M0.030%
Simplified Acquisition(SP1)1$355K0%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)36$9.3B87.4%
Not Available for Competition(B)6$1.3B12.6%
A(FULL AND OPEN COMPETITION)3$2.8M0.030%
Competed Under SAP(F)1$355K0%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Not reported46$10.6B100.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)6$1.3B12.6%
Not reported40$9.3B87.4%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Cost Plus Award Fee(R)2$8.1B76.7%
Firm Fixed Price(J)37$2.4B22.9%
Cost Plus Fixed Fee(U)1$26.5M0.25%
Fixed Price Redetermination(A)2$12.7M0.12%
J(FIRM FIXED PRICE)3$2.8M0.030%
Fixed Price with Economic Price Adjustment(K)1$1K0%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)15$10.2B96.6%
Medical- Dentistry(Q503)3$358.3M3.4%
Medical- Other(Q999)1$2.5M0.020%
Social- Government Health Insurance Programs(G007)22$1.8M0.020%
Social- Non-Government Insurance Programs(G009)3$1.0M0.010%
Social- Government Insurance Programs: Other(G008)1$355K0%
Other reported values1$17K0.0002%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Defense Health Agency(97DH)18$10.6B100.0%
Department of the Army(2100)3$2.8M0.030%
Department of the Navy(1700)23$2.2M0.020%
Department of the Air Force(5700)1$720K0.010%
Department of State(1900)1$1K0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Defense Health Agency(HT9402)18$10.6B100.0%
W6qk Acc-Ri(W519TC)3$2.8M0.030%
Navsup Flc Bahrain(N40339)22$1.9M0.020%
Fa4885 Hq Usmtm Lgc(FA4885)1$720K0.010%
Navsup Flt Log Ctr Yokosuka(N62649)1$355K0%
Acquisitions - Rpso Frankfurt(19GE50)1$1K0%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
HT940224D0001(9700)2$245.7M2.3%
HT940220D0002(9700)3$128.8M1.2%
W519TC26DA003(9700)1$2.5M0.020%
N4033924DS002(9700)22$1.9M0.020%
FA488526D0002(9700)3$1.0M0.010%
19GE5024D0018(1900)1$1K0%
Not reported14$10.2B96.4%

Offers, award size, and timing

Median reported offers
1 median
14 reported · 32 not reported
Positive award obligations
$203K median
$19K–$105.5M middle 50%
Reported performance period
378 days (~12 months) median
46 reported · 0 not reported

Calculations group latest-period actions by award, retain awards with positive net obligations for share denominators, and use each award's latest reported USAspending procurement fields as of Oct 23, 2026. Blank competition, pricing, PSC, or parent-IDV values remain not reported; they are not inferred. Offer counts must be positive and below the FPDS 999 placeholder. Awarding organizations can differ from the funding agency that defines this page.

Top federal contractors

Latest 12-month market share, concentration, and complete prime contractor rankings across the period shown.

Prime contractor concentration
3 of 17prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
39.1%of positive obligations in the last 12 months
Leading four prime contractors
86.9%of positive obligations in the last 12 months
Leading eight prime contractors
96.4%of positive obligations in the last 12 months

Based on $10.6B in positive obligations during the 12 months ending Oct 23, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Oct 24, 2024–Oct 23, 2025.

Last 12mo obligation volume: Highest positive obligations first; net deobligations follow by magnitude; contractors with no activity in the last 12 months follow by all-period obligations. Ranks use the complete contractor list and remain fixed when search narrows the results.

15 leading contractors
  1. #1

    Last 12mo obligations

    $4.1B

    39.1%

    Dollar movement

    +$118.3M

    vs. prior 12 months

    Last 12mo awards

    1 award

    44 actions

    Historical and award details for TRIWEST HEALTHCARE ALLIANCE CORP
    Obligations: prior → latest
    $4.0B → $4.1B
    +2.9%
    Share: prior → latest
    30.0% → 39.1%
    +9.1 percentage points
    All-period obligations
    $8.3B
    12.1% of all-period positive obligations · 1 award
    Recorded activity
    Since Dec 22, 2022
    through Apr 1, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $4.0B

    38.0%

    Dollar movement

    −$1.7B

    vs. prior 12 months

    Last 12mo awards

    2 awards

    48 actions

    Historical and award details for HUMANA GOVERNMENT BUSINESS INC
    Obligations: prior → latest
    $5.7B → $4.0B
    −29.5%
    Share: prior → latest
    42.5% → 38.0%
    −4.6 percentage points
    All-period obligations
    $34.6B
    50.5% of all-period positive obligations · 3 awards
    Recorded activity
    Since Oct 1, 2021
    through Apr 9, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside23
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $603.3M

    5.7%

    Dollar movement

    +$509.7M

    vs. prior 12 months

    Last 12mo awards

    1 award

    24 actions

    Historical and award details for EVERNORTH FEDERAL SERVICES INC
    Obligations: prior → latest
    $93.6M → $603.3M
    +544.8%
    Share: prior → latest
    0.70% → 5.7%
    +5.0 percentage points
    All-period obligations
    $696.9M
    1.0% of all-period positive obligations · 1 award
    Recorded activity
    Since Sep 19, 2025
    through Apr 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $434.8M

    4.1%

    Dollar movement

    −$25.2M

    vs. prior 12 months

    Last 12mo awards

    1 award

    6 actions

    Historical and award details for THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION
    Obligations: prior → latest
    $460.0M → $434.8M
    −5.5%
    Share: prior → latest
    3.4% → 4.1%
    +0.7 percentage points
    All-period obligations
    $2.4B
    3.5% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  5. #5

    Last 12mo obligations

    $372.3M

    3.5%

    Dollar movement

    −$42.0M

    vs. prior 12 months

    Last 12mo awards

    1 award

    6 actions

    Historical and award details for MARTINS POINT HEALTH CARE INC
    Obligations: prior → latest
    $414.3M → $372.3M
    −10.1%
    Share: prior → latest
    3.1% → 3.5%
    +0.4 percentage points
    All-period obligations
    $2.1B
    3.1% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $344.0M

    3.3%

    Dollar movement

    −$45.3M

    vs. prior 12 months

    Last 12mo awards

    6 awards

    16 actions

    Historical and award details for UNITED CONCORDIA COMPANIES, INC.
    Obligations: prior → latest
    $389.2M → $344.0M
    −11.6%
    Share: prior → latest
    2.9% → 3.3%
    +0.3 percentage points
    All-period obligations
    $2.1B
    3.0% of all-period positive obligations · 16 awards
    Recorded activity
    Since Oct 5, 2021
    through Apr 15, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported510
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $155.7M

    1.5%

    Dollar movement

    −$10.4M

    vs. prior 12 months

    Last 12mo awards

    1 award

    6 actions

    Historical and award details for PACMED CLINICS
    Obligations: prior → latest
    $166.0M → $155.7M
    −6.2%
    Share: prior → latest
    1.2% → 1.5%
    +0.2 percentage points
    All-period obligations
    $885.6M
    1.3% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $136.3M

    1.3%

    Dollar movement

    −$9.8M

    vs. prior 12 months

    Last 12mo awards

    1 award

    6 actions

    Historical and award details for CHRISTUS HEALTH
    Obligations: prior → latest
    $146.1M → $136.3M
    −6.7%
    Share: prior → latest
    1.1% → 1.3%
    +0.2 percentage points
    All-period obligations
    $734.1M
    1.1% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $130.6M

    1.2%

    Dollar movement

    −$18.6M

    vs. prior 12 months

    Last 12mo awards

    1 award

    6 actions

    Historical and award details for BRIGHTON MARINE, INC.
    Obligations: prior → latest
    $149.2M → $130.6M
    −12.5%
    Share: prior → latest
    1.1% → 1.2%
    +0.1 percentage points
    All-period obligations
    $780.7M
    1.1% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $128.8M

    1.2%

    Dollar movement

    −$40.9M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    7 actions

    Historical and award details for INTERNATIONAL SOS GOVERNMENT SERVICES LLC
    Obligations: prior → latest
    $169.7M → $128.8M
    −24.1%
    Share: prior → latest
    1.3% → 1.2%
    −0.1 percentage points
    All-period obligations
    $761.3M
    1.1% of all-period positive obligations · 8 awards
    Recorded activity
    Since Oct 4, 2021
    through Mar 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported34
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $105.5M

    1.0%

    Dollar movement

    −$13.9M

    vs. prior 12 months

    Last 12mo awards

    1 award

    6 actions

    Historical and award details for SVCMC, INC.
    Obligations: prior → latest
    $119.4M → $105.5M
    −11.6%
    Share: prior → latest
    0.89% → 1.0%
    +0.1 percentage points
    All-period obligations
    $610.5M
    0.89% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Mar 30, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside12
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $12.7M

    0.12%

    Dollar movement

    +$4.7M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    24 actions

    Historical and award details for CARESOURCE MILITARY & VETERANS CO.
    Obligations: prior → latest
    $8.0M → $12.7M
    +58.3%
    Share: prior → latest
    0.060% → 0.12%
    +0.1 percentage points
    All-period obligations
    $20.7M
    0.030% of all-period positive obligations · 2 awards
    Recorded activity
    Since Nov 18, 2024
    through Apr 24, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside22
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $2.5M

    0.020%

    Dollar movement

    −$1.8M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    6 actions

    Historical and award details for CIGNA WORLDWIDE INSURANCE BRANCH
    Obligations: prior → latest
    $4.3M → $2.5M
    −41.6%
    Share: prior → latest
    0.030% → 0.020%
    0.0 percentage points
    All-period obligations
    $8.9M
    0.010% of all-period positive obligations · 4 awards
    Recorded activity
    Since Dec 12, 2023
    through Apr 2, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside01
    Not reported22
    Reported small business00
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $1.9M

    0.020%

    Dollar movement

    +$2K

    vs. prior 12 months

    Last 12mo awards

    28 awards

    35 actions

    Historical and award details for DHAIF INSURANCE AGENCY CO. W.L.L
    Obligations: prior → latest
    $1.8M → $1.9M
    +0.1%
    Share: prior → latest
    0.010% → 0.020%
    0.0 percentage points
    All-period obligations
    $7.0M
    0.010% of all-period positive obligations · 114 awards
    Recorded activity
    Since Nov 15, 2021
    through Mar 31, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported2829
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $1.0M

    0.010%

    Dollar movement

    +$145K

    vs. prior 12 months

    Last 12mo awards

    4 awards

    4 actions

    Historical and award details for GULF INSURANCE GROUP
    Obligations: prior → latest
    $861K → $1.0M
    +16.8%
    Share: prior → latest
    0.010% → 0.010%
    0.0 percentage points
    All-period obligations
    $1.9M
    0% of all-period positive obligations · 7 awards
    Recorded activity
    Since Mar 27, 2025
    through Apr 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported43
    Reported small business00
    All-period set-aside types

    None reported.

Recent federal contract award activity

Recent contract actions with unusually large obligation changes or meaningful shifts in contractor and funding-office activity.

Modification

This action

+$1.2B

TRIWEST HEALTHCARE ALLIANCE CORP

DEFENSE HEALTH AGENCY

T-5 TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, WEST REGION

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $1.2B while office-attributed obligations fell $2.7B overall.

Award net obligations
$9.2B
Share of 12-month positive obligations
11.1%
Supporting data
Prime contractor
#1 · 39.1% share
up 1 rank · +9.1 percentage points · $118.3M net increase; action exceeded it by $1.1B
Funding office
#1 · 77.0% attributed share
$2.7B net decline despite this positive action
Related:Unusually large actionLargest share gain
PIID HT940223C0002 · Mod P00188
Modification

This action

+$281.6M

EVERNORTH FEDERAL SERVICES INC

DEFENSE HEALTH AGENCY

TRICARE PHARMACY SERVICES

Why it stands out

The contractor climbed 10 positions in this market.

It now ranks #3 by positive obligations over the latest 12 months.

Award net obligations
$2.4B
Share of 12-month positive obligations
2.7%
Supporting data
Prime contractor
#3 · 5.7% share
up 10 ranks · +5.0 percentage points · $509.7M net increase; action accounted for 55.2%
Funding office
#3 · 5.7% attributed share
+1.7 percentage points · $62.8M net increase; action exceeded it by $218.7M
Related:Largest rank gainFunding office gain
PIID HT940221C0007 · Mod P00109
Modification

This action

+$866.5M

HUMANA GOVERNMENT BUSINESS INC

DEFENSE HEALTH AGENCY

TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, 5TH GENERATION EAST REGION

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $866.5M while office-attributed obligations fell $2.7B overall.

Award net obligations
$9.3B
Share of 12-month positive obligations
8.2%
Supporting data
Prime contractor
#2 · 38.0% share
$1.7B net decline despite this positive action
Funding office
#1 · 77.0% attributed share
$2.7B net decline despite this positive action
PIID HT940223C0001 · Mod P00186
Deobligation

This action

−$43.8M

UNITEDHEALTH MILITARY & VETERANS SERVICES, LLC

DEFENSE HEALTH AGENCY

PROVIDES HEALTHCARE REGION DESIGNATED MANAGED CARE SUPPORT SERVICES FOR THE DEPARTMENT OF DEFENSE'S TRICARE PROGRAM.

Why it stands out

This award recorded a material contraction.

The action removed $43.8M. A deobligation does not by itself show lower requirement demand.

Award net obligations
$13.1B
Share of 12-month positive obligations
0.41%
Supporting data
Prime contractor
0% share
$43.8M net decline; action accounted for 100.0%
Funding office
0% attributed share
$43.8M net decline; action accounted for 100.0%
Related:Largest net deobligation
PIID HT940212C0001 · Mod P00848
Modification

This action

+$225.3M

THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION

DEFENSE HEALTH AGENCY

MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $225.3M while office-attributed obligations fell $160.4M overall.

Award net obligations
$1.5B
Share of 12-month positive obligations
2.1%
Supporting data
Prime contractor
#4 · 4.1% share
$25.2M net decline despite this positive action
Funding office
#2 · 16.0% attributed share
$160.4M net decline despite this positive action
PIID HT940223C0006 · Mod P00022
Modification

This action

+$196.1M

MARTINS POINT HEALTH CARE INC

DEFENSE HEALTH AGENCY

MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER

Why it stands out

This award grew while spending attributed to its office declined.

The modification added $196.1M while office-attributed obligations fell $160.4M overall.

Award net obligations
$1.3B
Share of 12-month positive obligations
1.9%
Supporting data
Prime contractor
#5 · 3.5% share
$42.0M net decline despite this positive action
Funding office
#2 · 16.0% attributed share
$160.4M net decline despite this positive action
PIID HT940223C0007 · Mod P00023
View recent award activity by date (10)
  1. EVERNORTH FEDERAL SERVICES INCModification · PIID HT940221C0007
    Action+$54.4M
    Award net obligations$2.4B
  2. UNITED CONCORDIA COMPANIES, INC.Modification · PIID HT940221C0006
    Action+$43.4M
    Award net obligations$529.0M
  3. HEALTH NET FEDERAL SERVICES, LLCDeobligation · PIID HT940216C0002
    Action−$9.7M
    Award net obligations$23.5B
  4. UNITED CONCORDIA COMPANIES, INC.Deobligation · PIID HT940224F0012
    Action−$3.5M
    Award net obligations$149.6M
  5. UNITED CONCORDIA COMPANIES, INC.Modification · PIID HT940225F0011
    Action+$100K
    Award net obligations$287.2M
  6. GULF INSURANCE GROUPBase award · PIID FA488526F0041
    Action+$720K
    Award net obligations$720K
  7. HUMANA GOVERNMENT BUSINESS INCModification · PIID HT940223C0001
    Action+$1.2M
    Award net obligations$9.3B
  8. EVERNORTH FEDERAL SERVICES INCDeobligation · PIID HT940221C0007
    Action−$2K
    Award net obligations$2.4B
  9. HEALTH NET FEDERAL SERVICES, LLCDeobligation · PIID HT940216C0002
    Action−$786K
    Award net obligations$23.5B
  10. UNITED CONCORDIA COMPANIES, INC.Deobligation · PIID HT940223F0007
    Action−$7.4M
    Award net obligations$303.6M

DoD direct health and medical insurance carriers market FAQs

Answers based on reported federal contract data.

Who are the top DoD direct health and medical insurance carriers contractors?

In the 12 months through October 23, 2026, TRIWEST HEALTHCARE ALLIANCE CORP, HUMANA GOVERNMENT BUSINESS INC, and EVERNORTH FEDERAL SERVICES INC were the leading DoD direct health and medical insurance carriers prime contractors by positive obligations.

  1. #1

    TRIWEST HEALTHCARE ALLIANCE CORP

    $4,144,092,768 in positive obligations

  2. #2

    HUMANA GOVERNMENT BUSINESS INC

    $4,022,067,987 in positive obligations

  3. #3

    EVERNORTH FEDERAL SERVICES INC

    $603,320,989 in positive obligations

Rankings use reported USAspending award data.

Did DoD contract obligations decrease in the direct health and medical insurance carriers market?

Yes. Measured by net prime contract obligations, reported DoD activity in the direct health and medical insurance carriers market decreased 21.4% from $13,413,576,250 in the preceding 12 months to $10,541,443,416 in the 12 months through October 23, 2026.

Latest 12 months
$10,541,443,416
Net prime contract obligations
Preceding 12 months
$13,413,576,250
Net prime contract obligations
Change
−21.4%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

What recent DoD contract award activity was reported in the direct health and medical insurance carriers market?

Recent DoD contract award activity reported in the direct health and medical insurance carriers market included actions for TRIWEST HEALTHCARE ALLIANCE CORP, EVERNORTH FEDERAL SERVICES INC, and HUMANA GOVERNMENT BUSINESS INC during the 12 months through October 23, 2026.

Action obligations are transaction-level amounts, not current award-level obligations.

Which procurement methods were reported for DoD contracts under NAICS 524114?

From October 24, 2025 through October 23, 2026, DoD reported 46 positive-obligation awards for direct health and medical insurance carriers under NAICS 524114. The leading award type was definitive contract. The leading reported procedure was negotiated proposal/quote.

Positive-obligation awards
46
Leading reported procedure
Negotiated Proposal/Quote
87.4% of positive obligations
Leading award type
Definitive Contract
96.4% of positive obligations
Full and open
87.4%
of positive obligations
Reported parent IDV
3.6%
of positive obligations

Percentages use positive obligations as the denominator.

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Same NAICS at other agencies:

Reported obligations include contract actions from October 1, 2021 through October 23, 2026. Set-aside and business-size fields reflect award records, not a contractor's current eligibility. Public Department of Defense award records are generally delayed by 90 days.

Review data methodology