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.
Obligations by fiscal year
Net prime contract obligations by federal fiscal year (October to September).
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.
| # | Contractor | Latest 12 mo | Prior 12 mo | Share | Rank change |
|---|---|---|---|---|---|
| 1 | Dhipaya Insurance Public Company Limited | $11.3M | $12.4M | 11.6% | — |
| 2 | AXA Seguros | $10.6M | $8.6M | 10.9% | — |
| 3 | Bupa Acibadem Sigorta Anonim sirketi" | $7.7M | $6.3M | 7.9% | ▲ 1 |
| 4 | AIA Life Insurance Company Limited Beijing Branch | $5.4M | $5.1M | 5.5% | ▲ 2 |
| 5 | AL-Nisr AL-Arabi Insurance | $4.4M | $4.8M | 4.5% | ▲ 2 |
| 6 | PAN American Life DE Colombia Compania DE Seguros S a | $4.2M | $3.8M | 4.3% | ▲ 2 |
| 7 | Malath Cooperative Insurance and Reinsurance Company | $3.7M | $5.5M | 3.8% | ▼ 2 |
| 8 | Asuransi Jasa Indonesia (Persero), PT | $3.2M | $3.4M | 3.2% | ▲ 1 |
| 9 | Philhealthcare, Inc. | $2.4M | $2.7M | 2.5% | ▲ 2 |
| 10 | The Canada Life Assurance Co. | $2.4M | $0 | 2.5% | New |
| 11 | Lisungi SA | $2.1M | $2.5M | 2.2% | ▲ 1 |
| 12 | New Sudan Insurance Company Ltd | $2.0M | $29K | 2.0% | ▲ 60 |
| 13 | Miscellaneous Foreign Awardees | $1.9M | $2.8M | 1.9% | ▼ 3 |
| 14 | Sinoasia B&R Insurance Company Joint Stock Company | $1.7M | $2.4M | 1.7% | ▼ 1 |
| 15 | Segment Company Limited | $1.6M | $0 | 1.7% | 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:
| Contractor | First obligation | Latest 12 mo |
|---|---|---|
| The Canada Life Assurance Co. | Mar 17, 2026 | $2.4M |
| Segment Company Limited | Aug 6, 2026 | $1.6M |
| Msig Insurance (Hong Kong) Limited | Apr 20, 2026 | $1.0M |
| Microring, LLC | Apr 15, 2026 | $850K |
| LUX MED Spolka Z Ograniczona Odpowiedzialnoscia | Oct 24, 2025 | $531K |
| Eden Care Healthcare Rwanda Ltd | Jun 11, 2026 | $310K |
| Bupilo Health Plan Limited | Aug 18, 2026 | $283K |
| STE Sunu Assurances Iard RDC S.A | Sep 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-agency | Latest 12 mo | Prior 12 mo | Change |
|---|---|---|---|
| Department of State | $97.8M | $100.7M | Down $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.
| Award | Incumbent | Obligated | Current end |
|---|---|---|---|
| 19CH5026F2599 | AIA Life Insurance Company Limited Beijing Branch LES HEALTH/LIFE INSURANCE SERVICES | $2.8M | Jan 31, 2027 |
| 191D3226F0095 | Asuransi Jasa Indonesia (Persero), PT HRO - GMC JASINDO 1ST INSTALLMENT OF SECOND OPTION YEAR | $1.5M | Jan 31, 2027 |
| 19MX5326F0487 | AXA Seguros HEALTH INSURANCE | $4.1M | Feb 28, 2027 |
| 19MX5326F0505 | AXA Seguros HEALTH INSURANCE | $2.4M | Feb 28, 2027 |
| 19CA5226F0221 | The Canada Life Assurance Co. MEDICAL, LIFE AND DISABILITY INSURANCE SERVICES | $2.4M | Mar 31, 2027 |
| 19TH2026F0301 | Dhipaya Insurance Public Company Limited TASK ORDER 2026-2027 BANGKOK GMC HEALTH INSURANCE | $11.3M | Apr 25, 2027 |
| 19RC1126F0023 | Segment Company Limited IRAQ LES STAFF GMC SERVICES BASE YEAR PP13 2026- PP13 2027 | $1.6M | Jun 30, 2027 |
| 19GE5026F0349 | Britam - Companhia DE Seguros DE Mocambique, S.A HEALTH INSURANCE | $1.6M | Jun 30, 2027 |
| 19GE5026F0449 | Bupa Acibadem Sigorta Anonim sirketi" 1ST OPTION YEAR - STATE, LES HEALTH IN. | $5.9M | Aug 31, 2027 |
| 19GE5026F0431 | New Sudan Insurance Company Ltd LOCALLY EMPLOYED STAFF HEALTH INSURANCE FOR US EMBASSY JUBA, SOUTH SUDAN-OPTION YEAR 3 | $2.0M | Aug 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
NAICS 524114 across all agencies
VA · NAICS 524114
$30.6BDoD · NAICS 524114
$13.5BHHS · NAICS 524114
$1.2BDOJ · NAICS 524114
$114.0MFigures 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.

Ready to connect your pursuit work?
GovEagle gives BD directors, capture managers, and proposal teams one AI workspace from pipeline through proposal, with CMMC/FedRAMP Certified compliance built in.