Federal Capture Intelligence

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

Contract actions: October 1, 2021 – September 10, 2026 Updated September 11, 2026 Department of State agency guide NAICS 524114 · Direct Health and Medical Insurance Carriers
Latest 12 months
$97.6M
Net obligations · Down $3.4M vs. $100.9M preceding
Prime contractors
75
With positive obligations in the latest 12 months

Research the State 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 State

Federal records show $384.0M in net obligations across 1,815 awards in Direct Health and Medical Insurance Carriers at the Department of State from Oct 1, 2021 through Sep 10, 2026. This market accounts for 0.72% of $53.1B in agency-wide net prime contract obligations over the period shown. Latest 12-month net obligations decreased 3.4% from $100.9M to $97.6M. 27 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: $94.8M versus $98.3M through the same date in FY25 (−3.6%).
Net obligations · complete fiscal yearNet obligations · FY26 YTDContract actions
View fiscal-year data table
Fiscal yearNet obligationsContract actionsCoverage
FY2022$45.9M561Complete
FY2023$66.9M710Complete
FY2024$75.3M886Complete
FY2025$101.1M839Complete
FY2026$94.8M790YTD through Sep 10, 2026

Market at a glance

All reported prime contract awards
All-period net obligations
$384.0M
1,815 awards · 104 prime contractors
Latest 12-month movement
−3.4%
$97.6M vs. $100.9M
Leading eight prime share
51.7%
Share held by the eight leading prime contractors in the latest 12 months
View agency share, denominators, and set-aside reporting
Agency context
0.72% of $53.1B in agency-wide net obligations.
Set-aside share when reported
0.0% of 49 awards with reported set-aside status.
Set-aside reporting
0 set aside · 49 no set-aside · 1,766 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

NEW SUDAN INSURANCE COMPANY LTD climbed the most in the contractor rankings
#71→#13Up 58 places
The contractor accounts for 1.9% of positive obligations across 3 reported actions.
AFMA SA lost the most market share
6.93%→0.48%−6.5 percentage points
The contractor now ranks #48 by positive obligations, based on 3 reported actions.
ASSURIA GENERAL (GY) INC. fell the most in the contractor rankings
#15→#67Down 52 places
The contractor accounts for 0.17% of positive obligations across 25 reported actions.
8 contractors were first observed in this market during the latest 12 months
$4.8MLatest 12-month obligations
Contractor-level obligations and first-observed dates appear below. “First observed” applies only to this market and the period shown.
View 8 contractors
ContractorLatest 12 months
THE CANADA LIFE ASSURANCE CO. was the largest newly observed contractor
$2.4MLatest 12-month obligations
First observed in this market on Mar 17, 2026, the contractor now ranks #9 by positive obligations across 4 reported actions.

Award activity

View 4 additional material changes

Buyer demand

Reported obligations through BUREAU OF DIPLOMATIC SECURITY increased
$11.1M→$15.3M+$4.2M
Latest-period activity spans 71 awards across 31 prime contractors.
Reported obligations through BUREAU OF NEAR EASTERN AFFAIRS decreased
$20.6M→$16.6M−$4.0M
Latest-period activity spans 57 awards across 8 prime contractors.

Competitive shifts

AXA SEGUROS gained the most market share
8.7%→10.8%+2.1 percentage points
The contractor now ranks #2 by positive obligations, based on 48 reported actions.
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.

23.3% of positive obligations were attributed to BUREAU OF EAST ASIAN AND PACIFIC. That represents $23.1M, down $1.8M from the preceding 12 months.

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

  1. BUREAU OF EAST ASIAN AND PACIFIC23.3% · $23.1M · down $1.8M
  2. BUREAU OF NEAR EASTERN AFFAIRS16.8% · $16.6M · down $4.0M
  3. BUREAU OF DIPLOMATIC SECURITY15.4% · $15.3M · up $4.2M
  4. BUREAU OF WESTERN HEMISPHERE AFFAIR15.3% · $15.2M · up $2.8M
  5. BUREAU OF AFRICAN AFFAIRS10.6% · $10.5M · down $1.9M
  6. All other reported offices18.7% 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

    BUREAU OF EAST ASIAN AND PACIFIC

    #1Rank unchanged

    Latest 12 months

    $23.1M

    23.3% of positive obligations

    Versus preceding 12 months

    −$1.8M

    7 active prime contractors · 22 awards

    View office comparison and evidence

    Reported obligations decreased 7.4% from $24.9M to $23.1M. The office’s share of positive obligations moved from 24.7% to 23.3%, a change of −1.4 percentage points.

    The latest period contains 38 actions across 22 awards and 2 newly active prime contractors. The preceding period contained 7 active prime contractors and 19 awards.

  2. Reported funding office

    BUREAU OF NEAR EASTERN AFFAIRS

    #2Rank unchanged

    Latest 12 months

    $16.6M

    16.8% of positive obligations

    Versus preceding 12 months

    −$4.0M

    8 active prime contractors · 57 awards

    View office comparison and evidence

    Reported obligations decreased 19.3% from $20.6M to $16.6M. The office’s share of positive obligations moved from 20.4% to 16.8%, a change of −3.6 percentage points.

    The latest period contains 89 actions across 57 awards and 1 newly active prime contractor. The preceding period contained 9 active prime contractors and 61 awards.

    Leading award-level changes

  3. Reported funding office

    BUREAU OF DIPLOMATIC SECURITY

    #3Up 2 from #5

    Latest 12 months

    $15.3M

    15.4% of positive obligations

    Versus preceding 12 months

    +$4.2M

    31 active prime contractors · 71 awards

    View office comparison and evidence

    Reported obligations increased 37.9% from $11.1M to $15.3M. The office’s share of positive obligations moved from 11.0% to 15.4%, a change of +4.4 percentage points.

    The latest period contains 130 actions across 71 awards and 13 newly active prime contractors. The preceding period contained 21 active prime contractors and 64 awards.

    Leading award-level changes

  4. Reported funding office

    BUREAU OF WESTERN HEMISPHERE AFFAIR

    #4Rank unchanged

    Latest 12 months

    $15.2M

    15.3% of positive obligations

    Versus preceding 12 months

    +$2.8M

    15 active prime contractors · 66 awards

    View office comparison and evidence

    Reported obligations increased 22.2% from $12.4M to $15.2M. The office’s share of positive obligations moved from 12.3% to 15.3%, a change of +3.0 percentage points.

    The latest period contains 105 actions across 66 awards and 2 newly active prime contractors. The preceding period contained 14 active prime contractors and 103 awards.

  5. Reported funding office

    BUREAU OF AFRICAN AFFAIRS

    #5Down 2 from #3

    Latest 12 months

    $10.5M

    10.6% of positive obligations

    Versus preceding 12 months

    −$1.9M

    27 active prime contractors · 104 awards

    View office comparison and evidence

    Reported obligations decreased 15.3% from $12.4M to $10.5M. The office’s share of positive obligations moved from 12.3% to 10.6%, a change of −1.7 percentage points.

    The latest period contains 160 actions across 104 awards and 6 newly active prime contractors. The preceding period contained 24 active prime contractors and 82 awards.

  6. Reported funding office

    BUREAU OF EUROPEAN AND EURASIAN AFF

    #6Rank unchanged

    Latest 12 months

    $8.7M

    8.7% of positive obligations

    Versus preceding 12 months

    −$1.6M

    18 active prime contractors · 105 awards

    View office comparison and evidence

    Reported obligations decreased 15.6% from $10.3M to $8.7M. The office’s share of positive obligations moved from 10.2% to 8.7%, a change of −1.4 percentage points.

    The latest period contains 183 actions across 105 awards and 3 newly active prime contractors. The preceding period contained 19 active prime contractors and 93 awards.

  7. Reported funding office

    BUREAU OF CONSULAR AFFAIRS

    #7Up 1 from #8

    Latest 12 months

    $3.2M

    3.2% of positive obligations

    Versus preceding 12 months

    +$403K

    9 active prime contractors · 10 awards

    View office comparison and evidence

    Reported obligations increased 14.4% from $2.8M to $3.2M. The office’s share of positive obligations moved from 2.8% to 3.2%, a change of +0.5 percentage points.

    The latest period contains 13 actions across 10 awards and 5 newly active prime contractors. The preceding period contained 6 active prime contractors and 12 awards.

  8. Reported funding office

    BUREAU OF INTERNATIONAL NARCOTICS

    #8Up 2 from #10

    Latest 12 months

    $2.2M

    2.2% of positive obligations

    Versus preceding 12 months

    +$1.4M

    4 active prime contractors · 5 awards

    View office comparison and evidence

    Reported obligations increased 193.3% from $743K to $2.2M. The office’s share of positive obligations moved from 0.74% to 2.2%, a change of +1.5 percentage points.

    The latest period contains 6 actions across 5 awards and 2 newly active prime contractors. The preceding period contained 3 active prime contractors and 5 awards.

  9. Reported funding office

    U.S. EMBASSY MEXICO

    #9Rank unchanged

    Latest 12 months

    $1.4M

    1.4% of positive obligations

    Versus preceding 12 months

    +$565K

    1 active prime contractor · 21 awards

    View office comparison and evidence

    Reported obligations increased 67.6% from $836K to $1.4M. The office’s share of positive obligations moved from 0.83% to 1.4%, a change of +0.6 percentage points.

    The latest period contains 28 actions across 21 awards. The preceding period contained 1 active prime contractor and 20 awards.

  10. Reported funding office

    BUREAU OF SOUTH AND CENTRAL ASIAN

    #10Down 3 from #7

    Latest 12 months

    $1.4M

    1.4% of positive obligations

    Versus preceding 12 months

    −$1.5M

    2 active prime contractors · 28 awards

    View office comparison and evidence

    Reported obligations decreased 52.9% from $2.9M to $1.4M. The office’s share of positive obligations moved from 2.9% to 1.4%, a change of −1.5 percentage points.

    The latest period contains 44 actions across 28 awards and 1 newly active prime contractor. The preceding period contained 3 active prime contractors and 24 awards.

  11. Reported funding office

    U.S. EMBASSY BOGOTA

    #12New to the positive-obligation ranking

    Latest 12 months

    $508K

    0.51% of positive obligations

    Versus preceding 12 months

    +$508K

    1 active prime contractor · 20 awards

    View office comparison and evidence

    Reported obligations rose from $0 to $508K. The office’s share of positive obligations moved from 0% to 0.51%, a change of +0.5 percentage points.

    The latest period contains 30 actions across 20 awards and 1 newly active prime contractor. The preceding period contained 0 active prime contractors and 0 awards.

  12. Reported funding office

    IRAQ SUPPORT UNIT AMMAN

    No positive-obligation rank

    Latest 12 months

    −$1.6M

    0% of positive obligations

    Versus preceding 12 months

    −$1.6M

    1 active prime contractor · 1 award

    View office comparison and evidence

    Reported obligations moved from $0 in net obligations to $1.6M 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, 433 awards had positive obligations totaling $98.9M. Negotiated Proposal/Quote was the leading reported procedure, accounting for 38.9% of positive obligations. Awards with a reported parent IDV accounted for 97.1%.

Leading award type
97.1%
Delivery Order
Leading reported procedure
38.9%
Negotiated Proposal/Quote
Reported parent IDV
97.1%
of positive obligations had a reported parent IDV
Median reported offers
1
162 of 433 awards reported offers

Buying method changes

Compared with Sep 11, 2024–Sep 10, 2025. Based on 433 current awards and 447 preceding awards with positive net obligations.

Reported full-and-open obligation share
57.2%
Down from 68.4% in the preceding period
How to read these changes

Directional color and the Up or Down labels show historical movement only. Green does not mean favorable and red does not mean unfavorable; neither predicts a future procurement method.

View buying-method details and data coverage

Award types

Reported valueAwardsPositive obligationsShare
Delivery Order(C)417$96.1M97.1%
Purchase Order(B)13$2.0M2.0%
Definitive Contract(D)3$863K0.87%

Reported parent-award types

Reported valueAwardsPositive obligationsShare
IDC(B)417$96.1M97.1%
Not reported16$2.9M2.9%

Single- or multiple-award parent structure

Reported valueAwardsPositive obligationsShare
Single Award(S)271$71.7M72.5%
Multiple Award(M)146$24.4M24.7%
Not reported16$2.9M2.9%

Solicitation procedures

Reported valueAwardsPositive obligationsShare
Negotiated Proposal/Quote(NP)227$38.5M38.9%
Np(NEGOTIATED PROPOSAL/QUOTE)31$19.4M19.6%
Subject to Multiple Award Fair Opportunity(MAFO)123$19.0M19.3%
Only One Source(SSS)5$13.5M13.7%
Mafo(SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY)23$5.4M5.4%
Simplified Acquisition(SP1)17$1.6M1.6%
Other reported values7$1.5M1.5%

Extent competed

Reported valueAwardsPositive obligationsShare
Full and Open Competition(A)348$56.6M57.2%
A(FULL AND OPEN COMPETITION)55$24.7M25.0%
Not Competed(C)5$13.5M13.7%
Competed Under SAP(F)19$3.2M3.3%
F(COMPETED UNDER SAP)3$371K0.37%
C(NOT COMPETED)1$334K0.34%
Other reported values2$159K0.16%

Fair-opportunity and limited-source reporting

Reported valueAwardsPositive obligationsShare
Fair Opportunity Given(FAIR)65$12.7M12.8%
Follow-on Action Following Competitive Initial Action(FOO)75$11.0M11.1%
Only One Source - Other(ONE)5$585K0.59%
Urgency(URG)1$124K0.12%
Not reported287$74.5M75.3%

Other-than-full-and-open reasons

Reported valueAwardsPositive obligationsShare
Only One Source-Other (FAR 6.302-1 Other)(ONE)3$12.0M12.1%
Urgency (FAR 6.302-2)(URG)3$1.9M1.9%
SAP Non-Competition (FAR 13)(SP2)2$159K0.16%
Not reported425$84.9M85.8%

Contract pricing types

Reported valueAwardsPositive obligationsShare
Firm Fixed Price(J)225$49.5M50.1%
Fixed Price with Economic Price Adjustment(K)148$23.4M23.7%
J(FIRM FIXED PRICE)37$20.6M20.8%
K(FIXED PRICE WITH ECONOMIC PRICE ADJUSTMENT)22$4.8M4.9%
Time and Materials(Y)1$552K0.56%

Product or Service Codes

Reported valueAwardsPositive obligationsShare
Social- Government Health Insurance Programs(G007)217$56.8M57.4%
Social- Non-Government Insurance Programs(G009)106$26.2M26.4%
Medical- Managed Healthcare(Q201)70$8.3M8.4%
Clerical Medical Support(Q802)16$2.3M2.4%
Medical- Other(Q999)2$1.3M1.3%
Social- Government Insurance Programs: Other(G008)6$1.2M1.2%
Other reported values16$2.9M2.9%

Awarding subagencies

Reported valueAwardsPositive obligationsShare
Department of State(1900)433$98.9M100.0%

Awarding offices

Reported valueAwardsPositive obligationsShare
Acquisitions - Rpso Frankfurt(19GE50)46$20.5M20.7%
Us Embassy Bangkok(19TH20)1$11.3M11.4%
U.s. Embassy Mexico(19MX53)26$10.6M10.7%
U.s. Embassy Beijing(19CH50)2$5.4M5.5%
U.s. Embassy Amman(19J010)13$4.2M4.2%
U.s. Embassy Bogota(19C020)34$4.1M4.2%
Other reported values311$42.8M43.3%

Reported parent IDVs

Reported valueAwardsPositive obligationsShare
19TH2026D0002(1900)1$11.3M11.4%
19MX5326D0005(1900)23$10.6M10.7%
19GE5025D0074(1900)4$7.9M8.0%
19CH5024D2001(1900)2$5.4M5.5%
19J01023D0001(1900)13$4.2M4.2%
19C02025D0001(1900)34$4.1M4.2%
19SA7021D0012(1900)19$3.7M3.7%
191D3224D0009(1900)5$3.2M3.2%
Other reported values316$45.7M46.2%
Not reported16$2.9M2.9%

Offers, award size, and timing

Median reported offers
1 median
162 reported · 271 not reported
Positive award obligations
$61K median
$31K–$150K middle 50%
Reported performance period
30 days median
433 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
27 of 75prime contractors account for at least 80% of positive obligations in the last 12 months
Largest prime contractor
11.6%of positive obligations in the last 12 months
Leading four prime contractors
35.9%of positive obligations in the last 12 months
Leading eight prime contractors
51.7%of positive obligations in the last 12 months

Based on $97.7M 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

    $11.3M

    11.6%

    Dollar movement

    −$1.1M

    vs. prior 12 months

    Last 12mo awards

    1 award

    1 action

    Historical and award details for DHIPAYA INSURANCE PUBLIC COMPANY LIMITED
    Obligations: prior → latest
    $12.4M → $11.3M
    −8.9%
    Share: prior → latest
    12.3% → 11.6%
    −0.7 percentage points
    All-period obligations
    $23.7M
    6.1% of all-period positive obligations · 2 awards
    Recorded activity
    Since Mar 13, 2025
    through Mar 17, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported11
    Reported small business00
    All-period set-aside types

    None reported.

  2. #2

    Last 12mo obligations

    $10.6M

    10.8%

    Dollar movement

    +$1.8M

    vs. prior 12 months

    Last 12mo awards

    32 awards

    48 actions

    Historical and award details for AXA SEGUROS
    Obligations: prior → latest
    $8.8M → $10.6M
    +20.6%
    Share: prior → latest
    8.7% → 10.8%
    +2.1 percentage points
    All-period obligations
    $38.2M
    9.9% of all-period positive obligations · 178 awards
    Recorded activity
    Since Feb 16, 2022
    through Aug 27, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3246
    Reported small business00
    All-period set-aside types

    None reported.

  3. #3

    Last 12mo obligations

    $7.7M

    7.9%

    Dollar movement

    +$1.4M

    vs. prior 12 months

    Last 12mo awards

    5 awards

    6 actions

    Historical and award details for BUPA ACIBADEM SIGORTA ANONIM SIRKETI"
    Obligations: prior → latest
    $6.3M → $7.7M
    +22.0%
    Share: prior → latest
    6.3% → 7.9%
    +1.6 percentage points
    All-period obligations
    $20.5M
    5.3% of all-period positive obligations · 11 awards
    Recorded activity
    Since Jul 8, 2022
    through Aug 26, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported57
    Reported small business00
    All-period set-aside types

    None reported.

  4. #4

    Last 12mo obligations

    $5.4M

    5.5%

    Dollar movement

    +$349K

    vs. prior 12 months

    Last 12mo awards

    2 awards

    2 actions

    Historical and award details for AIA LIFE INSURANCE COMPANY LIMITED BEIJING BRANCH
    Obligations: prior → latest
    $5.1M → $5.4M
    +6.9%
    Share: prior → latest
    5.0% → 5.5%
    +0.5 percentage points
    All-period obligations
    $16.6M
    4.3% of all-period positive obligations · 10 awards
    Recorded activity
    Since Mar 14, 2022
    through Jul 20, 2026

    Award reporting

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

    None reported.

  5. #5

    Last 12mo obligations

    $4.5M

    4.6%

    Dollar movement

    −$270K

    vs. prior 12 months

    Last 12mo awards

    24 awards

    46 actions

    Historical and award details for AL-NISR AL-ARABI INSURANCE
    Obligations: prior → latest
    $4.7M → $4.5M
    −5.7%
    Share: prior → latest
    4.7% → 4.6%
    −0.1 percentage points
    All-period obligations
    $21.5M
    5.6% of all-period positive obligations · 80 awards
    Recorded activity
    Since Oct 24, 2021
    through Aug 6, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported2422
    Reported small business00
    All-period set-aside types

    None reported.

  6. #6

    Last 12mo obligations

    $4.1M

    4.2%

    Dollar movement

    +$264K

    vs. prior 12 months

    Last 12mo awards

    35 awards

    62 actions

    Historical and award details for PAN AMERICAN LIFE DE COLOMBIA COMPANIA DE SEGUROS S A
    Obligations: prior → latest
    $3.8M → $4.1M
    +6.9%
    Share: prior → latest
    3.8% → 4.2%
    +0.4 percentage points
    All-period obligations
    $8.0M
    2.1% of all-period positive obligations · 70 awards
    Recorded activity
    Since Mar 26, 2025
    through Jun 22, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3541
    Reported small business00
    All-period set-aside types

    None reported.

  7. #7

    Last 12mo obligations

    $3.7M

    3.8%

    Dollar movement

    −$1.8M

    vs. prior 12 months

    Last 12mo awards

    19 awards

    23 actions

    Historical and award details for MALATH COOPERATIVE INSURANCE AND REINSURANCE COMPANY
    Obligations: prior → latest
    $5.5M → $3.7M
    −33.2%
    Share: prior → latest
    5.5% → 3.8%
    −1.7 percentage points
    All-period obligations
    $22.2M
    5.8% of all-period positive obligations · 106 awards
    Recorded activity
    Since Oct 19, 2021
    through Jul 14, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported1929
    Reported small business00
    All-period set-aside types

    None reported.

  8. #8

    Last 12mo obligations

    $3.2M

    3.2%

    Dollar movement

    −$250K

    vs. prior 12 months

    Last 12mo awards

    5 awards

    7 actions

    Historical and award details for ASURANSI JASA INDONESIA (PERSERO), PT
    Obligations: prior → latest
    $3.4M → $3.2M
    −7.3%
    Share: prior → latest
    3.4% → 3.2%
    −0.1 percentage points
    All-period obligations
    $14.2M
    3.7% of all-period positive obligations · 20 awards
    Recorded activity
    Since Jan 28, 2022
    through Aug 23, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported55
    Reported small business00
    All-period set-aside types

    None reported.

  9. #9

    Last 12mo obligations

    $2.4M

    2.5%

    Dollar movement

    +$2.4M

    vs. prior 12 months

    Last 12mo awards

    2 awards

    4 actions

    Historical and award details for THE CANADA LIFE ASSURANCE CO.
    Obligations: prior → latest
    $0 → $2.4M
    Not comparable
    Share: prior → latest
    0% → 2.5%
    +2.5 percentage points
    All-period obligations
    $2.4M
    0.63% of all-period positive obligations · 2 awards
    Recorded activity
    Since Mar 17, 2026
    through Aug 25, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported20
    Reported small business00
    All-period set-aside types

    None reported.

  10. #10

    Last 12mo obligations

    $2.4M

    2.5%

    Dollar movement

    −$312K

    vs. prior 12 months

    Last 12mo awards

    6 awards

    14 actions

    Historical and award details for PHILHEALTHCARE, INC.
    Obligations: prior → latest
    $2.7M → $2.4M
    −11.5%
    Share: prior → latest
    2.7% → 2.5%
    −0.2 percentage points
    All-period obligations
    $11.3M
    2.9% of all-period positive obligations · 21 awards
    Recorded activity
    Since Dec 28, 2021
    through Jul 1, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside11
    Not reported56
    Reported small business00
    All-period set-aside types

    None reported.

  11. #11

    Last 12mo obligations

    $2.3M

    2.4%

    Dollar movement

    +$309K

    vs. prior 12 months

    Last 12mo awards

    16 awards

    17 actions

    Historical and award details for LISUNGI SA
    Obligations: prior → latest
    $2.0M → $2.3M
    +15.3%
    Share: prior → latest
    2.0% → 2.4%
    +0.4 percentage points
    All-period obligations
    $9.9M
    2.6% of all-period positive obligations · 37 awards
    Recorded activity
    Since Dec 29, 2021
    through Jul 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported166
    Reported small business00
    All-period set-aside types

    None reported.

  12. #12

    Last 12mo obligations

    $2.0M

    2.0%

    Dollar movement

    −$785K

    vs. prior 12 months

    Last 12mo awards

    13 awards

    18 actions

    Historical and award details for MISCELLANEOUS FOREIGN AWARDEES
    Obligations: prior → latest
    $2.8M → $2.0M
    −28.5%
    Share: prior → latest
    2.7% → 2.0%
    −0.7 percentage points
    All-period obligations
    $17.1M
    4.4% of all-period positive obligations · 122 awards
    Recorded activity
    Since Oct 22, 2021
    through Jul 20, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside25
    Not reported1126
    Reported small business00
    All-period set-aside types

    None reported.

  13. #13

    Last 12mo obligations

    $1.9M

    1.9%

    Dollar movement

    +$1.9M

    vs. prior 12 months

    Last 12mo awards

    3 awards

    3 actions

    Historical and award details for NEW SUDAN INSURANCE COMPANY LTD
    Obligations: prior → latest
    $33K → $1.9M
    +5652.3%
    Share: prior → latest
    0.030% → 1.9%
    +1.9 percentage points
    All-period obligations
    $5.9M
    1.5% of all-period positive obligations · 3 awards
    Recorded activity
    Since Aug 29, 2023
    through Aug 11, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported32
    Reported small business00
    All-period set-aside types

    None reported.

  14. #14

    Last 12mo obligations

    $1.6M

    1.7%

    Dollar movement

    −$954K

    vs. prior 12 months

    Last 12mo awards

    34 awards

    52 actions

    Historical and award details for SINOASIA B&R INSURANCE COMPANY JOINT STOCK COMPANY
    Obligations: prior → latest
    $2.6M → $1.6M
    −36.9%
    Share: prior → latest
    2.6% → 1.7%
    −0.9 percentage points
    All-period obligations
    $8.9M
    2.3% of all-period positive obligations · 96 awards
    Recorded activity
    Since Jun 10, 2022
    through Aug 4, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported3422
    Reported small business00
    All-period set-aside types

    None reported.

  15. #15

    Last 12mo obligations

    $1.6M

    1.7%

    Dollar movement

    +$388K

    vs. prior 12 months

    Last 12mo awards

    26 awards

    31 actions

    Historical and award details for ASCOMA TCHAD
    Obligations: prior → latest
    $1.2M → $1.6M
    +31.3%
    Share: prior → latest
    1.2% → 1.7%
    +0.4 percentage points
    All-period obligations
    $6.1M
    1.6% of all-period positive obligations · 65 awards
    Recorded activity
    Since May 7, 2022
    through Sep 8, 2026

    Award reporting

    Latest and prior 12-month award reporting
    Reported award evidenceLatestPrior
    Reported set-aside00
    Reported no set-aside00
    Not reported2611
    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.

Base award

This action

+$11.3M

DHIPAYA INSURANCE PUBLIC COMPANY LIMITED

BUREAU OF EAST ASIAN AND PACIFIC

TASK ORDER 2026-2027 BANGKOK GMC HEALTH INSURANCE

Why it stands out

A new award added obligations despite weaker contractor activity.

The action represented 11.6% of the market’s latest 12-month positive obligations while the contractor’s obligations fell $1.1M overall.

Award net obligations
$11.3M
Share of 12-month positive obligations
11.6%
Supporting data
Prime contractor
#1 · 11.6% share
$1.1M net decline despite this positive action
Funding office
#1 · 23.3% attributed share
$1.8M net decline despite this positive action
Related:Unusually large action
PIID 19TH2026F0301
Base award

This action

+$5.9M

BUPA ACIBADEM SIGORTA ANONIM SIRKETI"

BUREAU OF NEAR EASTERN AFFAIRS

1ST OPTION YEAR - STATE, LES HEALTH IN.

Why it stands out

One action represented 6.1% of the market’s latest 12-month positive obligations.

At $5.9M, the action was large enough to materially affect the latest 12-month market picture.

Award net obligations
$5.9M
Share of 12-month positive obligations
6.1%
Supporting data
Prime contractor
#3 · 7.9% share
up 1 rank · +1.6 percentage points · $1.4M net increase; action exceeded it by $4.5M
Funding office
#2 · 16.8% attributed share
$4.0M net decline despite this positive action
PIID 19GE5026F0449
Base award

This action

+$2.0M

NEW SUDAN INSURANCE COMPANY LTD

BUREAU OF DIPLOMATIC SECURITY

LOCALLY EMPLOYED STAFF HEALTH INSURANCE FOR US EMBASSY JUBA, SOUTH SUDAN-OPTION YEAR 3

Why it stands out

The contractor climbed 58 positions in this market.

It now ranks #13 by positive obligations over the latest 12 months.

Award net obligations
$2.0M
Share of 12-month positive obligations
2.0%
Supporting data
Prime contractor
#13 · 1.9% share
up 58 ranks · +1.9 percentage points · $1.9M net increase; action exceeded it by $98K
Funding office
#3 · 15.4% attributed share
up 2 ranks · +4.4 percentage points · $4.2M net increase; action accounted for 46.5%
Related:Largest rank gainFunding office gain
PIID 19GE5026F0431
Base award

This action

+$1.6M

SEGMENT COMPANY LIMITED

BUREAU OF DIPLOMATIC SECURITY

IRAQ LES STAFF GMC SERVICES BASE YEAR PP13 2026- PP13 2027

Why it stands out

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

The base action placed the contractor #16 in this market by positive obligations over the latest 12 months.

Award net obligations
$1.6M
Share of 12-month positive obligations
1.7%
Supporting data
Prime contractor
#16 · 1.7% share
Newly active in this market; no actions were reported in the preceding 12 months
PIID 19RC1126F0023
Modification

This action

+$2.1M

AXA SEGUROS

BUREAU OF WESTERN HEMISPHERE AFFAIR

HEALTH INSURANCE

Why it stands out

The award grew alongside stronger office-attributed spending.

The modification added $2.1M while office-attributed obligations rose $2.8M overall.

Award net obligations
$4.1M
Share of 12-month positive obligations
2.1%
Supporting data
Funding office
#4 · 15.3% attributed share
+3.0 percentage points · $2.8M net increase; action accounted for 75.5%
PIID 19MX5326F0487 · Mod P00001
Deobligation

This action

−$1.6M

ALMASEER INSURANCE COMPANY

IRAQ SUPPORT UNIT AMMAN

IRAQ LES STAFF GMC SERVICES BASE YEAR PP13 2026- PP13 2027

Why it stands out

This award recorded a material contraction.

The action removed $1.6M. A deobligation does not by itself show lower requirement demand.

Award net obligations
$0
Share of 12-month positive obligations
1.7%
Supporting data
Funding office
0% attributed share
$1.6M net decline; action accounted for 100.0%
PIID 19RC1126F0018 · Mod P00001
View recent award activity by date (10)
  1. ASSURANCES MAGHREBIA SABase award · PIID 19TS8026F0572
    Action+$216K
    Award net obligations$216K
  2. ASCOMA TCHADBase award · PIID 19CD3026F0062
    Action+$61K
    Award net obligations$61K
  3. CONCORDIADeobligation · PIID 19BE2026F1058
    Action−$2K
    Award net obligations$79K
  4. GUARDIAN LIFE OF THE CARIBBEAN LIMITEDDeobligation · PIID 19GE5024F0483
    Action−$3K
    Award net obligations$258K
  5. SIGAL INSURANCE GROUP SH.A.Deobligation · PIID 19AL6026F0114
    Action−$2K
    Award net obligations$45K
  6. INSULAR HEALTH CARE INCModification · PIID 19RP3826P1216
    Action+$661
    Award net obligations$699
  7. WIENER STADTISCHE OSIGURANJE ADO BEOGRADModification · PIID 19RB1026F0386
    Action+$94
    Award net obligations$110K
  8. MEQA SIGORTA ASCBase award · PIID 19GE5026F0451
    Action+$116K
    Award net obligations$116K
  9. NN HELLENIC LIFE INSURANCE COMPANY SINGLE MEMBER S.A.Base award · PIID 19GR1026F0703
    Action+$111K
    Award net obligations$111K
  10. ASCOMA TCHADBase award · PIID 19CD3026F0060
    Action+$61K
    Award net obligations$61K

State direct health and medical insurance carriers market FAQs

Answers based on reported federal contract data.

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

In the 12 months through September 10, 2026, DHIPAYA INSURANCE PUBLIC COMPANY LIMITED, AXA SEGUROS, and BUPA ACIBADEM SIGORTA ANONIM SIRKETI" were the leading State direct health and medical insurance carriers prime contractors by positive obligations.

  1. #1

    DHIPAYA INSURANCE PUBLIC COMPANY LIMITED

    $11,299,364 in positive obligations

  2. #2

    AXA SEGUROS

    $10,594,662 in positive obligations

  3. #3

    BUPA ACIBADEM SIGORTA ANONIM SIRKETI"

    $7,732,296 in positive obligations

Rankings use reported USAspending award data.

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

Yes. Measured by net prime contract obligations, reported State activity in the direct health and medical insurance carriers market decreased 3.4% from $100,946,517 in the preceding 12 months to $97,563,964 in the 12 months through September 10, 2026.

Latest 12 months
$97,563,964
Net prime contract obligations
Preceding 12 months
$100,946,517
Net prime contract obligations
Change
−3.4%
Between matched 12-month periods

Reported contract actions, not outlays or a forecast.

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

Recent State contract award activity reported in the direct health and medical insurance carriers market included actions for DHIPAYA INSURANCE PUBLIC COMPANY LIMITED, BUPA ACIBADEM SIGORTA ANONIM SIRKETI", and NEW SUDAN INSURANCE COMPANY LTD 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 State contracts under NAICS 524114?

From September 11, 2025 through September 10, 2026, State reported 433 positive-obligation awards for direct health and medical insurance carriers under NAICS 524114. The leading award type was delivery order. The leading reported procedure was negotiated proposal/quote.

Positive-obligation awards
433
Leading reported procedure
Negotiated Proposal/Quote
38.9% of positive obligations
Leading award type
Delivery Order
97.1% of positive obligations
Full and open
57.2%
of positive obligations
Reported parent IDV
97.1%
of positive obligations

Percentages use positive obligations as the denominator.

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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.

Review data methodology