Top DoD direct health and medical insurance carriers contractors
In the 12 months ending Oct 5, 2026, the Department of Defense obligated $13.5B in net prime contract dollars under NAICS 524114, up 3.6% from $13.1B in the preceding 12 months. 18 prime contractors received positive obligations, and 2 of them accounted for 80% of that spend.
Prime contracts funded by the Department of Defense. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.
DoD publishes contract data to USAspending with a 90-day delay, so the most recent months understate DoD activity.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
Top DoD contractors for NAICS 524114
Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Triwest Healthcare Alliance Corp | $5.6B | $3.5B | 40.9% | ▲ 1 |
| 2 | Humana Government Business Inc | $5.3B | $6.1B | 39.3% | ▼ 1 |
| 3 | Evernorth Federal Services Inc | $600.0M | $86.5M | 4.4% | ▲ 10 |
| 4 | The Johns Hopkins Medical Services Corporation | $496.4M | $399.7M | 3.6% | ▲ 1 |
| 5 | Martins Point Health Care Inc | $438.0M | $353.1M | 3.2% | ▲ 2 |
| 6 | United Concordia Companies, Inc. | $348.0M | $377.8M | 2.6% | — |
| 7 | Pacmed Clinics | $195.9M | $141.8M | 1.4% | ▲ 2 |
| 8 | Christus Health | $170.1M | $122.3M | 1.3% | ▲ 3 |
| 9 | Brighton Marine, Inc. | $153.8M | $126.9M | 1.1% | ▲ 1 |
| 10 | International SOS Government Services LLC | $143.6M | $155.0M | 1.1% | ▼ 2 |
| 11 | Svcmc, Inc. | $125.0M | $103.0M | 0.9% | ▲ 1 |
| 12 | Caresource Military & Veterans Co. | $11.1M | $8.0M | 0.1% | ▲ 2 |
| 13 | Cigna Worldwide Insurance Branch | $2.5M | $4.3M | 0.0% | ▲ 2 |
| 14 | Dhaif Insurance Agency Co. W.L.L | $1.8M | $1.8M | 0.0% | ▲ 2 |
| 15 | Gulf Insurance Group | $1.0M | $861K | 0.0% | ▲ 2 |
What changed in the last 12 months
Contractors with the largest change in reported obligations versus the preceding 12 months.
Largest gains
- Triwest Healthcare Alliance Corp$3.5B → $5.6B (+$2.0B) · now #1
- Evernorth Federal Services Inc$86.5M → $600.0M (+$513.5M) · now #3
- The Johns Hopkins Medical Services Corporation$399.7M → $496.4M (+$96.7M) · now #4
Largest declines
- Health NET Federal Services, LLC$1.1B → −$8.9M (−$1.1B) · no latest-period obligations
- Humana Government Business Inc$6.1B → $5.3B (−$732.7M) · now #2
- Express Scripts Inc$447.9M → $0 (−$447.9M) · no latest-period obligations
New to this market
2 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| Mirion Technologies (Canberra), Inc. | Apr 7, 2026 | $66K |
| Meqa Sigorta ASC | Nov 26, 2025 | $1K |
Where the money comes from
Funding sub-agencies within the Department of Defense, latest 12 months. The funding organization can differ from the office that runs the requirement.
| Funding sub-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Defense Health Agency | $13.5B | $13.1B | Up $476.3M (3.6%) |
| Department of the Army | $2.8M | $4.6M | Down $1.7M (38.0%) |
| Department of the Navy | $2.3M | $2.2M | Up $112K (5.1%) |
| Immediate Office of the Secretary of Defense | $721K | $616K | Up $105K (17.0%) |
| Department of Defense Education Activity | $11K | $0 | New |
| Defense Information Systems Agency | $2K | $2K | Up $0 (0.0%) |
Potential recompetes
Large awards in this market whose current period of performance ends in the next 18 months. Treat these as research leads: options, extensions, and follow-on vehicles often change the timing.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| W519TC26FA056 | Cigna Worldwide Insurance Branch MEDICAL, DENTAL, AND VISION INSURANCE FOR THE MNG STUDENTS AND DEPENDENTS IN CONUS SCHOOLS/TRAINING. | $2.5M | Dec 6, 2026 |
| HT940223C0002 | Triwest Healthcare Alliance Corp TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, 5TH GENERATION WEST REGION | $9.2B | Dec 31, 2026 |
| HT940221C0007 | Evernorth Federal Services Inc TRICARE PHARMACY SERVICES | $2.4B | Dec 31, 2026 |
| HT940225C0001 | Caresource Military & Veterans Co. THE SCOPE OF THE CPD IS TO DEVELOP REQUIREMENTS AND AWARD CONTRACTS WITH ONE OR MORE LOCAL, REGIONAL, OR NATIONAL HEALTH PLANS IN DESIGNATED GEOGRAPHIC AREAS OF THE COUNTRY THAT… | $9.1M | Dec 31, 2026 |
| HT940226F0004 | United Concordia Companies, Inc. THE TRICARE DENTAL PROGRAM OFFERS COVERAGE FOR DENTAL SERVICES TO ALL ELIGIBLE FAMILY MEMBERS OF UNIFORMED SERVICE ACTIVE DUTY, MEMBERS OF THE SELECTED RESERVE AND INDIVIDUAL… | $151.6M | Feb 28, 2027 |
| N4034522P0040 | AIA Singapore Private Limited GROUP INSURANCE | $1.8M | Mar 31, 2027 |
| HT940221C0006 | United Concordia Companies, Inc. ACTIVE DUTY DENTAL PROGRAM 3 (ADDP3) | $527.8M | Apr 30, 2027 |
Common questions
Who are the top DoD contractors for NAICS 524114?
In the latest 12 months, Triwest Healthcare Alliance Corp ($5.6B), Humana Government Business Inc ($5.3B), Evernorth Federal Services Inc ($600.0M) received the most DoD obligations for direct health and medical insurance carriers.
How concentrated is this market?
The eight largest primes held 96.8% of positive obligations, and Triwest Healthcare Alliance Corp alone held 40.9%. 2 contractors won their first obligations in this market during the latest 12 months.
Are any large DoD NAICS 524114 contracts ending soon?
7 of the largest awards in this market reach their current end date in the next 18 months. The first is W519TC26FA056 (Cigna Worldwide Insurance Branch, $2.5M obligated), ending Dec 6, 2026. An end date is a research lead, not a confirmed recompete: options and extensions often move it.
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$97.8MFigures are net obligations on prime contracts (award types A–D) from USAspending.gov, grouped by funding agency and the NAICS code on each award. Net obligations include deobligations and corrections, so they can differ from positive-obligation totals. See methodology.
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