All State Department markets
NAICS 524114 · Direct Health and Medical Insurance Carriers

Top State Department direct health and medical insurance carriers contractors

In the 12 months ending Oct 5, 2026, the Department of State obligated $97.8M in net prime contract dollars under NAICS 524114, down 2.9% from $100.7M in the preceding 12 months. 76 prime contractors received positive obligations, and 27 of them accounted for 80% of that spend.

Prime contracts funded by the Department of State. Latest 12 months: Oct 6, 2025 to Oct 5, 2026. Source: USAspending.gov.

Net obligations, latest 12 months
$97.8M
down 2.9% vs. $100.7M
Prime contractors
76
With positive obligations
Top 8 primes’ share
51.6%
Of positive obligations
Awards with activity
510
493 in the prior 12 months

Obligations by fiscal year

Net prime contract obligations by federal fiscal year (October to September).

FY2022
$45.9M
FY2023
$66.9M
FY2024
$75.3M
FY2025
$101.3M
FY2026
$97.8M

Top State Department contractors for NAICS 524114

Ranked by positive obligations in the latest 12 months. Share is of all positive obligations in this market.

Top contractors, State Department NAICS 524114
#ContractorLatest 12 moPrior 12 moShareRank change
1Dhipaya Insurance Public Company Limited$11.3M$12.4M11.6%—
2AXA Seguros$10.6M$8.6M10.9%—
3Bupa Acibadem Sigorta Anonim sirketi"$7.7M$6.3M7.9%▲ 1
4AIA Life Insurance Company Limited Beijing Branch$5.4M$5.1M5.5%▲ 2
5AL-Nisr AL-Arabi Insurance$4.4M$4.8M4.5%▲ 2
6PAN American Life DE Colombia Compania DE Seguros S a$4.2M$3.8M4.3%▲ 2
7Malath Cooperative Insurance and Reinsurance Company$3.7M$5.5M3.8%▼ 2
8Asuransi Jasa Indonesia (Persero), PT$3.2M$3.4M3.2%▲ 1
9Philhealthcare, Inc.$2.4M$2.7M2.5%▲ 2
10The Canada Life Assurance Co.$2.4M$02.5%New
11Lisungi SA$2.1M$2.5M2.2%▲ 1
12New Sudan Insurance Company Ltd$2.0M$29K2.0%▲ 60
13Miscellaneous Foreign Awardees$1.9M$2.8M1.9%▼ 3
14Sinoasia B&R Insurance Company Joint Stock Company$1.7M$2.4M1.7%▼ 1
15Segment Company Limited$1.6M$01.7%New

What changed in the last 12 months

Contractors with the largest change in reported obligations versus the preceding 12 months.

Largest gains

  • The Canada Life Assurance Co.
    $0 → $2.4M (+$2.4M) · now #10
  • AXA Seguros
    $8.6M → $10.6M (+$2.0M) · now #2
  • New Sudan Insurance Company Ltd
    $29K → $2.0M (+$1.9M) · now #12

Largest declines

  • Afma SA
    $7.0M → $466K (−$6.5M) · now #47
  • Malath Cooperative Insurance and Reinsurance Company
    $5.5M → $3.7M (−$1.8M) · now #7
  • Assuria General (GY) Inc.
    $1.9M → $165K (−$1.8M) · now #66

New to this market

12 contractors received their first obligations in this market (since FY2022) during the latest 12 months. The largest:

New contractors
ContractorFirst obligationLatest 12 mo
The Canada Life Assurance Co.Mar 17, 2026$2.4M
Segment Company LimitedAug 6, 2026$1.6M
Msig Insurance (Hong Kong) LimitedApr 20, 2026$1.0M
Microring, LLCApr 15, 2026$850K
LUX MED Spolka Z Ograniczona OdpowiedzialnosciaOct 24, 2025$531K
Eden Care Healthcare Rwanda LtdJun 11, 2026$310K
Bupilo Health Plan LimitedAug 18, 2026$283K
STE Sunu Assurances Iard RDC S.ASep 30, 2026$244K

Where the money comes from

Funding sub-agencies within the Department of State, latest 12 months. The funding organization can differ from the office that runs the requirement.

Funding sub-agencies
Funding sub-agencyLatest 12 moPrior 12 moChange
Department of State$97.8M$100.7MDown $2.9M (2.9%)

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.

Awards ending in the next 18 months
AwardIncumbentObligatedCurrent end
19CH5026F2599
AIA Life Insurance Company Limited Beijing Branch
LES HEALTH/LIFE INSURANCE SERVICES
$2.8MJan 31, 2027
191D3226F0095
Asuransi Jasa Indonesia (Persero), PT
HRO - GMC JASINDO 1ST INSTALLMENT OF SECOND OPTION YEAR
$1.5MJan 31, 2027
19MX5326F0487
AXA Seguros
HEALTH INSURANCE
$4.1MFeb 28, 2027
19MX5326F0505
AXA Seguros
HEALTH INSURANCE
$2.4MFeb 28, 2027
19CA5226F0221
The Canada Life Assurance Co.
MEDICAL, LIFE AND DISABILITY INSURANCE SERVICES
$2.4MMar 31, 2027
19TH2026F0301
Dhipaya Insurance Public Company Limited
TASK ORDER 2026-2027 BANGKOK GMC HEALTH INSURANCE
$11.3MApr 25, 2027
19RC1126F0023
Segment Company Limited
IRAQ LES STAFF GMC SERVICES BASE YEAR PP13 2026- PP13 2027
$1.6MJun 30, 2027
19GE5026F0349
Britam - Companhia DE Seguros DE Mocambique, S.A
HEALTH INSURANCE
$1.6MJun 30, 2027
19GE5026F0449
Bupa Acibadem Sigorta Anonim sirketi"
1ST OPTION YEAR - STATE, LES HEALTH IN.
$5.9MAug 31, 2027
19GE5026F0431
New Sudan Insurance Company Ltd
LOCALLY EMPLOYED STAFF HEALTH INSURANCE FOR US EMBASSY JUBA, SOUTH SUDAN-OPTION YEAR 3
$2.0MAug 31, 2027

Common questions

Who are the top State Department contractors for NAICS 524114?

In the latest 12 months, Dhipaya Insurance Public Company Limited ($11.3M), AXA Seguros ($10.6M), Bupa Acibadem Sigorta Anonim sirketi" ($7.7M) received the most State Department obligations for direct health and medical insurance carriers.

How concentrated is this market?

The eight largest primes held 51.6% of positive obligations, and Dhipaya Insurance Public Company Limited alone held 11.6%. 12 contractors won their first obligations in this market during the latest 12 months.

Are any large State Department NAICS 524114 contracts ending soon?

10 of the largest awards in this market reach their current end date in the next 18 months. The first is 19CH5026F2599 (AIA Life Insurance Company Limited Beijing Branch, $2.8M obligated), ending Jan 31, 2027. An end date is a research lead, not a confirmed recompete: options and extensions often move it.

Related markets

Figures 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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