Federal Capture Intelligence

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

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of Defense agency guide NAICS 524114 · Direct Health and Medical Insurance Carriers
Latest 12 months
$12.1B
Net obligations · Down $2.0B vs. $14.1B preceding
Prime contractors
19
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, contract types, competition, and procurement methods, and potential recompete research leads.

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 Sep 10, 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 14.4% from $14.1B to $12.1B. 3 prime contractors accounted for at least 80% of positive obligations in that latest period.

Fiscal-year activity

FY26 is year-to-date through Sep 10, 2026; earlier years show complete fiscal-year totals.

FY26 year-to-date: $11.9B versus $14.0B through the same date in FY25 (−14.7%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$14.1B386Complete
FY2023$14.1B349Complete
FY2024$14.3B486Complete
FY2025$14.1B590Complete
FY2026$11.9B281YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$68.5B
223 awards · 29 prime contractors
Latest 12-month movement
−14.4%
$12.1B vs. $14.1B
Leading eight prime share
96.0%
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?

Sep 11, 2025–Sep 10, 2026, compared with Sep 11, 2024–Sep 10, 2025.

Competitive shifts

HUMANA GOVERNMENT BUSINESS INC had the largest decline in reported obligations
$6.6B→$4.6B−$2.0B
The contractor now ranks #2 by positive obligations and accounts for 37.6% of positive obligations, based on 59 reported actions.
TRIWEST HEALTHCARE ALLIANCE CORP gained the most market share
24.6%→39.2%+14.6 percentage points
The contractor now ranks #1 by positive obligations, based on 53 reported actions.
HEALTH NET FEDERAL SERVICES, LLC lost the most market share
9.9%→0.4%−9.5 percentage points
The contractor now ranks #12 by positive obligations, based on 7 reported actions.
EVERNORTH FEDERAL SERVICES INC was the largest newly observed contractor
$696.9MLatest 12-month obligations
First observed in this market on Sep 19, 2025, the contractor now ranks #3 by positive obligations across 28 reported actions.

Buyer demand

Reported obligations through DEFENSE HEALTH AGENCY decreased
$11.5B→$9.4B−$2.1B
Latest-period activity spans 4 awards across 3 prime contractors.

Award activity

View 3 additional material changes

Competitive shifts

EXPRESS SCRIPTS INC fell the most in the contractor rankings
#4→#14Down 10 places
The contractor accounts for 0.030% of positive obligations across 2 reported actions.

Buyer demand

Reported obligations through DEFENSE HEALTH AGENCY increased
$546.9M→$700.0M+$153.1M
Latest-period activity spans 1 award across 2 prime contractors.
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 Sep 10, 2026.

77.2% of positive obligations were attributed to DEFENSE HEALTH AGENCY (HT0064). That represents $9.4B, down $2.1B 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)77.2% · $9.4B · down $2.1B
  2. DEFENSE HEALTH AGENCY (HT0010)15.8% · $1.9B · up $5.8M
  3. DEFENSE HEALTH AGENCY (HT0066)5.8% · $700.0M · up $153.1M
  4. DEFENSE HEALTH AGENCY (HT0063)1.2% · $144.2M · down $37.2M
  5. W3ZL OFC PM SANG MOD PROG0.030% · $3.2M · down $976K
  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

    $9.4B

    77.2% of positive obligations

    Versus preceding 12 months

    −$2.1B

    3 active prime contractors · 4 awards

    View office comparison and evidence

    Reported obligations decreased 18.3% from $11.5B to $9.4B. The office’s share of positive obligations moved from 81.2% to 77.2%, a change of −4.0 percentage points.

    The latest period contains 119 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

    $1.9B

    15.8% of positive obligations

    Versus preceding 12 months

    +$5.8M

    8 active prime contractors · 17 awards

    View office comparison and evidence

    Reported obligations increased 0.3% from $1.9B to $1.9B. The office’s share of positive obligations moved from 13.6% to 15.8%, a change of +2.3 percentage points.

    The latest period contains 101 actions across 17 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

    $700.0M

    5.8% of positive obligations

    Versus preceding 12 months

    +$153.1M

    2 active prime contractors · 1 award

    View office comparison and evidence

    Reported obligations increased 28.0% from $546.9M to $700.0M. The office’s share of positive obligations moved from 3.9% to 5.8%, a change of +1.9 percentage points.

    The latest period contains 30 actions across 1 award and 1 newly active prime contractor. The preceding period contained 1 active prime contractor and 7 awards.

    Leading award-level changes

  4. Reported funding office

    DEFENSE HEALTH AGENCY (HT0063)

    #4Rank unchanged

    Latest 12 months

    $144.2M

    1.2% of positive obligations

    Versus preceding 12 months

    −$37.2M

    1 active prime contractor · 3 awards

    View office comparison and evidence

    Reported obligations decreased 20.5% from $181.4M to $144.2M. 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 10 actions across 3 awards. The preceding period contained 1 active prime contractor and 5 awards.

  5. Reported funding office

    W3ZL OFC PM SANG MOD PROG

    #5Up 1 from #6

    Latest 12 months

    $3.2M

    0.030% of positive obligations

    Versus preceding 12 months

    −$976K

    3 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations decreased 23.5% from $4.1M to $3.2M. 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 10 actions across 5 awards and 1 newly active prime contractor. The preceding period contained 2 active prime contractors and 3 awards.

  6. Reported funding office

    NAVAL SUPPORT ACTIVITY, BAHRAIN

    #6Up 1 from #7

    Latest 12 months

    $1.1M

    0.010% of positive obligations

    Versus preceding 12 months

    +$13K

    1 active prime contractor · 7 awards

    View office comparison and evidence

    Reported obligations increased 1.3% 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 13 actions across 7 awards. The preceding period contained 1 active prime contractor and 11 awards.

  7. Reported funding office

    HQ, US MTM SAS FAO

    #7Up 1 from #8

    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

    #8Up 1 from #9

    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

    #9Up 1 from #10

    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

    #10Up 1 from #11

    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 6.6% 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

    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.

  13. Reported funding office

    BUSINESS SUPPORT OFFICE (J1/J8/SS)

    No positive-obligation rank

    Latest 12 months

    $0

    0% of positive obligations

    Versus preceding 12 months

    −$4.2M

    0 active prime contractors · 0 awards

    View office comparison and evidence

    Reported obligations decreased 100.0% from $4.2M to $0. The office’s share of positive obligations moved from 0.030% 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 1 award.

  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 Sep 11, 2025 through Sep 10, 2026, 50 awards had positive obligations totaling $12.2B. Negotiated Proposal/Quote was the leading reported procedure, accounting for 87.3% of positive obligations. Awards with a reported parent IDV accounted for 3.5%.

Leading award type
96.5%
Definitive Contract
Leading reported procedure
87.3%
Negotiated Proposal/Quote
Reported parent IDV
3.5%
of positive obligations had a reported parent IDV
Median reported offers
1
15 of 50 awards reported offers
View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Definitive Contract(D)14$11.7B96.5%
Delivery Order(C)35$419.6M3.5%
Purchase Order(B)1$355K0%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)35$419.6M3.5%
Not reported15$11.7B96.6%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)35$419.6M3.5%
Not reported15$11.7B96.6%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)39$10.6B87.3%
Only One Source(SSS)6$1.5B12.7%
Np(NEGOTIATED PROPOSAL/QUOTE)3$2.8M0.020%
Simplified Acquisition(SP1)2$737K0.010%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)39$10.6B87.3%
Not Available for Competition(B)6$1.5B12.7%
A(FULL AND OPEN COMPETITION)3$2.8M0.020%
Competed Under SAP(F)2$737K0.010%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Not reported50$12.2B100.0%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Authorized by Statute (FAR 6.302-5(A)(2)(I))(OTH)6$1.5B12.7%
Not reported44$10.6B87.3%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Cost Plus Award Fee(R)2$9.3B76.4%
Firm Fixed Price(J)40$2.8B22.9%
Cost Plus Fixed Fee(U)2$75.3M0.62%
Fixed Price Redetermination(A)2$12.7M0.10%
J(FIRM FIXED PRICE)3$2.8M0.020%
Fixed Price with Economic Price Adjustment(K)1$1K0%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Medical- Managed Healthcare(Q201)17$11.8B96.7%
Medical- Dentistry(Q503)3$393.6M3.2%
Medical- Other(Q999)2$2.9M0.020%
Social- Government Health Insurance Programs(G007)23$1.8M0.020%
Social- Non-Government Insurance Programs(G009)3$1.0M0.010%
Social- Government Insurance Programs: Other(G008)1$355K0%
Other reported values1$17K0.0001%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Defense Health Agency(97DH)20$12.2B100.0%
Department of the Army(2100)4$3.2M0.030%
Department of the Navy(1700)24$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)20$12.2B100.0%
W6qk Acc-Ri(W519TC)4$3.2M0.030%
Navsup Flc Bahrain(N40339)23$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$269.6M2.2%
HT940220D0002(9700)4$144.2M1.2%
W519TC26DA003(9700)1$2.5M0.020%
N4033924DS002(9700)23$1.9M0.020%
FA488526D0002(9700)3$1.0M0.010%
W519TC25D2008(9700)1$382K0%
19GE5024D0018(1900)1$1K0%
Not reported15$11.7B96.6%

Offers, award size, and timing

Median reported offers
1 median
15 reported · 35 not reported
Positive award obligations
$254K median
$19K–$118.0M middle 50%
Reported performance period
378 days (~12 months) median
50 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 Sep 10, 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 19prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
39.2%of positive obligations in the last 12 months
Leading four prime contractors
86.6%of positive obligations in the last 12 months
Leading eight prime contractors
96.0%of positive obligations in the last 12 months

Based on $12.1B in positive obligations during the 12 months ending Sep 10, 2026. Individual shares and movement appear in the searchable rankings below. Movement compares with Sep 11, 2024–Sep 10, 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

    $4.8B

    39.2%

    Dollar movement

    +$1.3B

    vs. prior 12 months

    Last 12mo awards

    1 award

    53 actions

    Historical and award details for TRIWEST HEALTHCARE ALLIANCE CORP
    Obligations: prior → latest
    $3.5B → $4.8B
    +36.7%
    Share: prior → latest
    24.6% → 39.2%
    +14.6 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

    $4.6B

    37.6%

    Dollar movement

    −$2.0B

    vs. prior 12 months

    Last 12mo awards

    2 awards

    59 actions

    Historical and award details for HUMANA GOVERNMENT BUSINESS INC
    Obligations: prior → latest
    $6.6B → $4.6B
    −30.8%
    Share: prior → latest
    46.7% → 37.6%
    −9.1 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

    $696.9M

    5.7%

    Dollar movement

    +$696.9M

    vs. prior 12 months

    Last 12mo awards

    1 award

    28 actions

    Historical and award details for EVERNORTH FEDERAL SERVICES INC
    Obligations: prior → latest
    $0 → $696.9M
    Not comparable
    Share: prior → latest
    0% → 5.7%
    +5.7 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-aside10
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $495.1M

    4.1%

    Dollar movement

    +$9.6M

    vs. prior 12 months

    Last 12mo awards

    1 award

    9 actions

    Historical and award details for THE JOHNS HOPKINS MEDICAL SERVICES CORPORATION
    Obligations: prior → latest
    $485.5M → $495.1M
    +2.0%
    Share: prior → latest
    3.4% → 4.1%
    +0.6 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

    $433.5M

    3.6%

    Dollar movement

    +$6.9M

    vs. prior 12 months

    Last 12mo awards

    1 award

    9 actions

    Historical and award details for MARTINS POINT HEALTH CARE INC
    Obligations: prior → latest
    $426.6M → $433.5M
    +1.6%
    Share: prior → latest
    3.0% → 3.6%
    +0.6 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

    $371.7M

    3.1%

    Dollar movement

    −$20.2M

    vs. prior 12 months

    Last 12mo awards

    8 awards

    20 actions

    Historical and award details for UNITED CONCORDIA COMPANIES, INC.
    Obligations: prior → latest
    $391.9M → $371.7M
    −5.1%
    Share: prior → latest
    2.8% → 3.1%
    +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 reported710
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $175.8M

    1.4%

    Dollar movement

    −$1.4M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    10 actions

    Historical and award details for PACMED CLINICS
    Obligations: prior → latest
    $177.3M → $175.8M
    −0.8%
    Share: prior → latest
    1.3% → 1.4%
    +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-aside22
    Not reported00
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $160.1M

    1.3%

    Dollar movement

    +$11.6M

    vs. prior 12 months

    Last 12mo awards

    1 award

    9 actions

    Historical and award details for CHRISTUS HEALTH
    Obligations: prior → latest
    $148.5M → $160.1M
    +7.8%
    Share: prior → latest
    1.1% → 1.3%
    +0.3 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

    $152.9M

    1.3%

    Dollar movement

    −$1.3M

    vs. prior 12 months

    Last 12mo awards

    1 award

    9 actions

    Historical and award details for BRIGHTON MARINE, INC.
    Obligations: prior → latest
    $154.2M → $152.9M
    −0.9%
    Share: prior → latest
    1.1% → 1.3%
    +0.2 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

    $144.2M

    1.2%

    Dollar movement

    −$41.3M

    vs. prior 12 months

    Last 12mo awards

    4 awards

    11 actions

    Historical and award details for INTERNATIONAL SOS GOVERNMENT SERVICES LLC
    Obligations: prior → latest
    $185.6M → $144.2M
    −22.3%
    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 reported44
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $121.9M

    1.0%

    Dollar movement

    −$4.1M

    vs. prior 12 months

    Last 12mo awards

    1 award

    9 actions

    Historical and award details for SVCMC, INC.
    Obligations: prior → latest
    $126.0M → $121.9M
    −3.2%
    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

    $49.0M

    0.40%

    Dollar movement

    −$1.3B

    vs. prior 12 months

    Last 12mo awards

    1 award

    7 actions

    Historical and award details for HEALTH NET FEDERAL SERVICES, LLC
    Obligations: prior → latest
    $1.4B → $49.0M
    −96.5%
    Share: prior → latest
    9.9% → 0.40%
    −9.5 percentage points
    All-period obligations
    $12.1B
    17.6% of all-period positive obligations · 2 awards
    Recorded activity
    Since Oct 1, 2021
    through Apr 15, 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.

  13. #13

    Last 12mo obligations

    $12.7M

    0.10%

    Dollar movement

    +$4.7M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    26 actions

    Historical and award details for CARESOURCE MILITARY & VETERANS CO.
    Obligations: prior → latest
    $8.0M → $12.7M
    +58.3%
    Share: prior → latest
    0.060% → 0.10%
    0.0 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.

  14. #14

    Last 12mo obligations

    $3.2M

    0.030%

    Dollar movement

    −$543.8M

    vs. prior 12 months

    Last 12mo awards

    1 award

    2 actions

    Historical and award details for EXPRESS SCRIPTS INC
    Obligations: prior → latest
    $546.9M → $3.2M
    −99.4%
    Share: prior → latest
    3.9% → 0.030%
    −3.8 percentage points
    All-period obligations
    $2.5B
    3.6% of all-period positive obligations · 15 awards
    Recorded activity
    Since Oct 1, 2021
    through Sep 17, 2025

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported06
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $2.9M

    0.020%

    Dollar movement

    −$1.0M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    7 actions

    Historical and award details for CIGNA WORLDWIDE INSURANCE BRANCH
    Obligations: prior → latest
    $3.9M → $2.9M
    −26.1%
    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 reported21
    Reported small business00
    All-period set-aside types

    None reported.

Potential federal contract recompetes

Investigate potential recompetes surfaced by near-term end dates, award value, and recent contract changes.

INTERNATIONAL SOS GOVERNMENT SERVICES LLC

TRICARE OVERSEAS PROGRAM PROVIDES COMPREHENSIVE HEALTH CARE SUPPORT SERVICES TO ACTIVE DUTY SERVICE MEMBERS AND CERTAIN ACTIVE DUTY FAMILY MEMBERS IN DESIGNATED OVERSEAS LOCATIONS.

$158.7M is obligated on an award with a reported potential end date of October 1, 2026.

Performance period

95.1%

As of Sep 10, 2026Potential end Oct 1, 2026

Current award value as a share of potential value

100.0%

$158.7M current$158.7M potential
Supporting data

Reported performance starts Jul 31, 2025.

Current performance is reported through Aug 31, 2026.

$158.7M is obligated against $158.7M in current reported award value (100.0%).

Reported potential end dates: Aug 31, 2026 → Oct 1, 2026.

Obligations are compared with current reported award value, not treated as a contract ceiling.

PIID HT940225F0014

These are research leads, not confirmed recompetes. USAspending records through Sep 10, 2026; reported dates and values can change through later modifications.

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 $2.1B overall.

Award net obligations
$9.2B
Share of 12-month positive obligations
9.7%
Supporting data
Prime contractor
#1 · 39.2% share
up 1 rank · +14.6 percentage points · $1.3B net increase; action accounted for 92.0%
Funding office
#1 · 77.2% attributed share
$2.1B net decline despite this positive action
Related:Largest share gainUnusually large action
PIID HT940223C0002 · Mod P00188
Modification

This action

+$281.6M

EVERNORTH FEDERAL SERVICES INC

DEFENSE HEALTH AGENCY

TRICARE PHARMACY SERVICES

Why it stands out

No activity for this contractor was reported in this market during the preceding 12 months.

The modification placed the contractor #3 in this market by positive obligations over the latest 12 months.

Award net obligations
$2.4B
Share of 12-month positive obligations
2.3%
Supporting data
Prime contractor
#3 · 5.7% share
Newly active in this market; no actions were reported in the preceding 12 months
Funding office
#3 · 5.8% attributed share
+1.9 percentage points · $153.1M net increase; action exceeded it by $128.4M
Related:Largest newly observed contractorFunding 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 $2.1B overall.

Award net obligations
$9.3B
Share of 12-month positive obligations
7.1%
Supporting data
Prime contractor
#2 · 37.6% share
$2.0B net decline despite this positive action
Funding office
#1 · 77.2% attributed share
$2.1B 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
0.36%
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

+$77.2M

PACMED CLINICS

DEFENSE HEALTH AGENCY

MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER

Why it stands out

The contractor climbed 2 positions in this market.

It now ranks #7 by positive obligations over the latest 12 months.

Award net obligations
$555.3M
Share of 12-month positive obligations
0.64%
Supporting data
Prime contractor
#7 · 1.4% share
$1.4M net decline despite this positive action
PIID HT940223C0008 · Mod P00023
Modification

This action

+$68.4M

CHRISTUS HEALTH

DEFENSE HEALTH AGENCY

MANAGED HEALTH CARE PLAN SERVICES FROM A DESIGNATED PROVIDER

Why it stands out

The contractor climbed 3 positions in this market.

It now ranks #8 by positive obligations over the latest 12 months.

Award net obligations
$477.9M
Share of 12-month positive obligations
0.56%
PIID HT940223C0005 · Mod P00024
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 September 10, 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

    $4,753,948,855 in positive obligations

  2. #2

    HUMANA GOVERNMENT BUSINESS INC

    $4,564,205,357 in positive obligations

  3. #3

    EVERNORTH FEDERAL SERVICES INC

    $696,892,586 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 14.4% from $14,127,809,379 in the preceding 12 months to $12,097,332,969 in the 12 months through September 10, 2026.

Latest 12 months
$12,097,332,969
Net prime contract obligations
Preceding 12 months
$14,127,809,379
Net prime contract obligations
Change
−14.4%
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 September 10, 2026.

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

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

From September 11, 2025 through September 10, 2026, DoD reported 50 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
50
Leading reported procedure
Negotiated Proposal/Quote
87.3% of positive obligations
Leading award type
Definitive Contract
96.6% of positive obligations
Full and open
87.3%
of positive obligations
Reported parent IDV
3.5%
of positive obligations

Percentages use positive obligations as the denominator.

Which DoD direct health and medical insurance carriers awards may warrant recompete research?

Based on its reported potential-end date, the DoD direct health and medical insurance carriers award held by INTERNATIONAL SOS GOVERNMENT SERVICES LLC may warrant recompete research.

Research leads, not confirmed recompetes. Dates may change through later modifications.

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Same NAICS at other agencies:

Reported obligations include contract actions from October 1, 2021 through September 10, 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