Subcontracting opportunities: NAICS 524114, Direct Health and Medical Insurance Carriers
15 prime contractors held small business subcontracting plans on 126 federal direct health and medical insurance carriers contracts (NAICS 524114) in FY2022–FY2024, worth $162B including options. Only primes that aren't small businesses need these plans, and each one sets goals for work the prime gives to small businesses, so these are the companies looking for small subcontractors in this industry.
- Primes with plans
- 15
- Plan contracts
- 126
- Agencies
- 4
- Total value
- $162B
A free account shows the primes that subcontract 524114 work in your state and the small businesses they hire.
Primes with subcontracting plans in 524114
Most plan contracts first. “Recent subcontracts” counts the subcontracts each prime reported among the 188 most recent reports in this code.
| Prime contractor | Plan contracts | Value | Main agencies | Recent subcontracts |
|---|---|---|---|---|
| Optum Public Sector Solutions, Inc.Rockville, WI · part of Unitedhealth Group Incorporated | 66 | $97.8B | Department of Veterans Affairs | — |
| Triwest Healthcare Alliance Corp.Phoenix, AZ | 24 | $44.3B | Department of Veterans Affairs, Defense Health Agency | — |
| United Concordia Companies, Inc.Harrisburg, PA | 6 | $915M | Defense Health Agency | — |
| CGS Administrators, LLCNashville, TN · part of Blue Cross and Blue Shield of South Carolina | 5 | $740M | Centers for Medicare and Medicaid Services | 15$38.8M |
| Noridian Healthcare Solutions, LLCFargo, ND · part of Noridian Mutual Insurance Company | 5 | $239M | Centers for Medicare and Medicaid Services | — |
| Palmetto Gba, LLCColumbia, SC · part of Blue Cross and Blue Shield of South Carolina | 4 | $625M | Centers for Medicare and Medicaid Services | — |
| International Sos Government Services, Inc.Trevose, PA | 4 | $262M | Defense Health Agency | — |
| Humana Government Business, Inc.Louisville, KY · part of Humana Inc. | 2 | $16.3B | Defense Health Agency | 47$2.5B |
| National Government Services, Inc.Indianapolis, IN | 2 | $51.2M | Centers for Medicare and Medicaid Services | — |
| Novitas Solutions, IncMechanicsburg, PA | 2 | $37.4M | Centers for Medicare and Medicaid Services | 83$62.2M |
| Wisconsin Physicians Service Insurance CorporationMadison, WI | 2 | $16M | Centers for Medicare and Medicaid Services | — |
| Express Scripts, Inc.Saint Louis, MO | 1 | $707M | Defense Health Agency | — |
| Health Net Federal Services, LLCSacramento, CA | 1 | $65.9M | Defense Health Agency | — |
| First Coast Service Options IncJacksonville, FL | 1 | $7.3M | Centers for Medicare and Medicaid Services | 43$21.5M |
| Managed Care Advisors, Inc.Bethesda, MD | 1 | $1M | Centers for Disease Control and Prevention | — |
Recent subcontracts to small businesses
Of the 188 most recent subcontracts primes reported under NAICS 524114 since Oct 12, 2023, 61 went to small businesses, worth $397M.
| Date | Small business | Prime | Amount |
|---|---|---|---|
| Jul 15, 2026 | Tdy Medical Staffing IncPA | First Coast Service Options IncCenters for Medicare and Medicaid Services | $2.1M |
| Jul 15, 2026 | Tdy Medical Staffing IncPA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $5M |
| Jul 15, 2026 | Tdy Medical Staffing IncPA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $2.5M |
| May 1, 2026 | Avosys Technology, Inc.TX | First Coast Service Options IncCenters for Medicare and Medicaid Services | $131K |
| Jan 1, 2026 | Heffler, Radetich & Saitta L.L.P.PA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $230K |
| Jan 1, 2026 | Figliozzi & Company, C.P.a.'S P.C.NY | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $540K |
| Jan 1, 2026 | Heffler, Radetich & Saitta L.L.P.PA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $575K |
| Jan 1, 2026 | Figliozzi & Company, C.P.a.'S P.C.NY | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $1.4M |
| Dec 23, 2025 | Avosys Technology, Inc.TX | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $1.1M |
| Dec 5, 2025 | Interapt LLCKY | Humana Government Business, Inc.Defense Health Agency | $25.4M |
| Nov 2, 2025 | Avosys Technology, Inc.TX | First Coast Service Options IncCenters for Medicare and Medicaid Services | $360K |
| Nov 2, 2025 | Avosys Technology, Inc.TX | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $478K |
| Nov 2, 2025 | Avosys Technology, Inc.TX | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $1.1M |
| Sep 11, 2025 | Heffler, Radetich & Saitta L.L.P.PA | First Coast Service Options IncCenters for Medicare and Medicaid Services | $79.3K |
| Sep 11, 2025 | Heffler, Radetich & Saitta L.L.P.PA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $95.2K |
| Sep 5, 2025 | Tdy Medical Staffing IncPA | First Coast Service Options IncCenters for Medicare and Medicaid Services | $3.1K |
| Sep 5, 2025 | Tdy Medical Staffing IncPA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $6.8K |
| Sep 5, 2025 | Tdy Medical Staffing IncPA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $3.8K |
| Aug 4, 2025 | Figliozzi & Company, C.P.a.'S P.C.NY | First Coast Service Options IncCenters for Medicare and Medicaid Services | $92.4K |
| Aug 4, 2025 | Figliozzi & Company, C.P.a.'S P.C.NY | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $335K |
| Aug 4, 2025 | Figliozzi & Company, C.P.a.'S P.C.NY | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $433K |
| Jul 1, 2025 | Tdy Medical Staffing IncPA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $22.1K |
| Jul 1, 2025 | Tdy Medical Staffing IncPA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $12.5K |
| Jun 1, 2025 | Tdy Medical Staffing IncPA | First Coast Service Options IncCenters for Medicare and Medicaid Services | $975K |
| Jun 1, 2025 | Tdy Medical Staffing IncPA | Novitas Solutions, IncCenters for Medicare and Medicaid Services | $2.1M |
Small businesses winning these subcontracts
- Tdy Medical Staffing Inc, PA: 19 subcontracts, $15.9M
- Figliozzi & Company, C.P.a.'S P.C., NY: 12 subcontracts, $11.2M
- Heffler, Radetich & Saitta L.L.P., PA: 10 subcontracts, $3.1M
- Avosys Technology, Inc., TX: 7 subcontracts, $6.3M
- Digital Blue Solutions LLC, NY: 5 subcontracts, $1M
- Vortex Solutions, LLC, GA: 2 subcontracts, $157M
- Broadway Ventures, LLC, LA: 2 subcontracts, $4.5M
- Cicx LLC, KY: 1 subcontract, $134M
- Professional Management Enterprises, Inc, IN: 1 subcontract, $37.7M
- Interapt LLC, KY: 1 subcontract, $25.4M
- Aunt Bertha, a Public Benefit Corporation, TX: 1 subcontract, $1.8M
Which agencies
| Agency | Plan contracts | Value |
|---|---|---|
| Department of Veterans Affairs | 89 | $142B |
| Centers for Medicare and Medicaid Services | 21 | $1.7B |
| Defense Health Agency | 15 | $18.7B |
| Centers for Disease Control and Prevention | 1 | $1M |
Where the work is
Virginia (61), Maryland (23), Pennsylvania (12), North Dakota (5), Arizona (5), Tennessee (5), Wisconsin (4), South Carolina (4), Kentucky (2), Indiana (2), and 3 more.
How to win subcontracts with these primes
- Register in the prime's supplier portal. Most large primes have one, usually under “supplier diversity” or “small business programs” on their website. Buyers search it when they need a subcontractor, so list your NAICS codes, certifications and past work.
- Contact the small business liaison officer. Every prime with a plan names someone to run it. Find them through the supplier portal, or for defense primes in DoD's prime contractor directory. Send a one-page capability statement that names the contracts and agencies you can support.
- Watch SBA's SubNet. Primes post subcontracting solicitations and sources sought notices on SubNet.
- Be easy to vet. Keep your SAM.gov registration active and check that you count as small under 524114's size standard. Certifications such as 8(a), HUBZone, WOSB and SDVOSB count toward the prime's goals, which makes you more valuable to them.
- Get free help. APEX Accelerators introduce small businesses to primes and run matchmaking events. Our guide to becoming a government subcontractor covers the rest.
More on 524114: open contracts and top small-business winners. Primes also post subcontracting opportunities on SBA's SubNet.
Frequently asked questions
What is a small business subcontracting plan?
Under FAR 19.702, a large business that wins a federal contract over $900,000 ($2 million for construction) with subcontracting possibilities must agree to a plan with goals for subcontracting to small businesses, including small disadvantaged, women-owned, HUBZone and service-disabled veteran-owned firms. The prime reports its progress twice a year in eSRS. Contracts awarded before October 2025 used the older $750,000 and $1.5 million thresholds.
How do I become a subcontractor to these 524114 primes?
Register in the prime's supplier portal (most large primes have one, often called supplier diversity or small business programs), keep your SAM.gov registration active, and send the prime's small business liaison officer a capability statement that names the contracts and agencies you can support. Primes need small subcontractors to meet their plan goals, so being easy to find and easy to vet matters.
Where does this data come from?
Primes and their plan contracts come from SBA's Directory of Federal Government Prime Contractors with Subcontracting Plans for FY2022–FY2024, which is drawn from FPDS. Recent subcontracts come from the subaward reports primes file on USAspending.gov (most subcontracts over $30,000 on prime contracts over $750,000 must be reported). A subcontractor is shown as a small business when it has an active SAM.gov registration as small under at least one NAICS code, or an SBA certification.
Source: SBA's directory of prime contractors with subcontracting plans (FY2022–FY2024, from FPDS) and USAspending.gov subaward reports. Contact names are never shown. Values are base plus all options, not what has been paid.