System Atlas

Direct Health and Medical Insurance Carriers

This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) health and medical insurance policies. It has no schema of its own: companies here are mapped on the Financial services schema, and what it does not cover is recorded as gaps.

Baseline
Financial services v1
Inherited from
Financial services
Mapped on the schema
0 of 7 placed here
Primitives
57 in 8 parts
Last updated
Nov 2, 2026

The numbers for this industry

United States · 2023 · NAICS 524114
Establishments
6,147
Employees
636,006
Annual payroll
$61.3B
Payroll per employee
$96.4K
Establishments by number of employees
  • 1-43,028
  • 5-9695
  • 10-19579
  • 1000+150
  • 20-49584
  • 50-99371
  • 100-249378
  • 250-499197
  • 500-999165

Source: US Census Bureau, County Business Patterns 2023 (national file), employees as of mid-March 2023, payroll for the year; published 2025-06-26. Coded on NAICS 2017. Withheld cells read as not published.

What the registry holds here

Direct Health and Medical Insurance Carriers and below · public parts only
With public findings
7
Public parts
12
Distinct sources
12
Last change
Nov 2, 2026

Counts of what public research has found and sourced, each part with its source on the organization’s profile. They say what is known, not how much of the industry exists.

Deepen this industry

Focused research on the organizations with the fewest mapped parts in direct health and medical insurance carriers; what it finds is public for everyone.

  • Medibank Private1 part
  • Blue Shield of California1 part
  • Assura1 part
  • Europ Assistance1 part
  • HCF Health Insurance2 parts