Large federal prime contractors must adopt a small-business subcontracting plan on contracts above $900,000 ($2 million for construction) under FAR 19.702, with goals for small, women-owned, HUBZone, veteran-owned and service-disabled veteran-owned businesses. SBA's directory lists 15 primes with such plans on 113 contracts in NAICS 524114 (FY2023 and FY2024), 5 of them still active, with $104,006,711,006 in total contract value. These are the companies to approach about subcontracting work in this industry.
| Prime contractor | Location | Contracts (active) | Contract value | Main agencies | Latest end |
|---|---|---|---|---|---|
| Triwest Healthcare Alliance Corp. | Phoenix, Arizona | 20 (4) | $30,927,992,115 | Department of Veterans Affairs; Defense Health Agency (DHA) | Mar 31, 2027 |
| United Concordia Companies, Inc | Camp Hill, Pennsylvania | 5 (1) | $736,279,794 | Defense Health Agency (DHA) | Nov 30, 2031 |
| Optum Public Sector Solutions, Inc. | Rockville, Maryland | 60 (0) | $69,950,579,501 | Department of Veterans Affairs | Sep 30, 2024 |
| Express Scripts, Inc. | Saint Louis, Missouri | 1 (0) | $707,355,581 | Defense Health Agency (DHA) | Dec 31, 2023 |
| Palmetto Gba, LLC | Columbia, South Carolina | 4 (0) | $577,838,896 | Centers for Medicare and Medicaid Services | Feb 28, 2025 |
| CGS Administrators, LLC | Nashville, Tennessee | 4 (0) | $491,687,126 | Centers for Medicare and Medicaid Services | May 31, 2024 |
| Noridian Healthcare Solutions, LLC | Fargo, North Dakota | 5 (0) | $239,115,811 | Centers for Medicare and Medicaid Services | May 31, 2025 |
| International Sos Government Services, Inc. | Trevose, Pennsylvania | 3 (0) | $141,743,237 | Defense Health Agency (DHA) | Sep 30, 2025 |
| Humana Government Business, Inc. | Louisville, Kentucky | 2 (0) | $80,539,798 | Defense Health Agency (DHA) | Dec 31, 2024 |
| Health Net Federal Services, LLC | Sacramento, California | 1 (0) | $65,893,594 | Defense Health Agency (DHA) | Dec 31, 2024 |
| National Government Services, Inc. | Indianapolis, Indiana | 2 (0) | $38,029,339 | Centers for Medicare and Medicaid Services | Dec 31, 2024 |
| Novitas Solutions, Inc | Mechanicsburg, Pennsylvania | 2 (0) | $37,416,914 | Centers for Medicare and Medicaid Services | Jul 31, 2024 |
| First Coast Service Options Inc | Jacksonville, Florida | 1 (0) | $7,345,708 | Centers for Medicare and Medicaid Services | May 12, 2024 |
| Wisconsin Physicians Service Insurance Corporation | Madison, Wisconsin | 2 (0) | $3,870,845 | Centers for Medicare and Medicaid Services | Oct 31, 2024 |
| Managed Care Advisors, Inc. | Bethesda, Maryland | 1 (0) | $1,022,747 | Centers for Disease Control and Prevention | Nov 28, 2024 |
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