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Size of the US Direct Health and Medical Insurance Carriers industry

NAICS 524114, Direct Health and Medical Insurance Carriers. Every figure on this page was published by a federal statistical agency and carries its source and period. Palanor does not estimate: a period the agency didn’t publish shows as missing, and a figure it withheld shows as withheld.

Key figures

Receipts (sales, shipments or revenue)
$1.30 trillion
2022 · Economic Census
All establishments, current dollars
Employment
432,137
2026-Q1 · Quarterly Census of Employment and Wages
Private-sector jobs in the third month of each quarter
Establishments
8,461
2026-Q1 · Quarterly Census of Employment and Wages
Private ownership
Firms
747
2022 · Economic Census
Annual payroll
$61.3 billion
2023 · County Business Patterns

Over time

Employment · Quarterly Census of Employment and WagesLatest 432,137 · 2026-Q1
2019-Q1: 385,3652019-Q2: 388,2322019-Q3: 390,5042019-Q4: 396,6562020-Q1: 398,5202020-Q2: 395,9342020-Q3: 394,0752020-Q4: 395,6972021-Q1: 399,3122021-Q2: 395,9962021-Q3: 394,2192021-Q4: 401,8892022-Q1: 402,5692022-Q2: 404,0282022-Q3: 407,9282022-Q4: 414,8152023-Q1: 424,4032023-Q2: 428,4052023-Q3: 430,1602023-Q4: 429,8952024-Q1: 455,9512024-Q2: 454,6002024-Q3: 452,6942024-Q4: 444,8592025-Q1: 438,4122025-Q2: 434,1542025-Q3: 429,1672025-Q4: 430,2742026-Q1: 432,137NAICS 2022 from 2022-Q1
Show the numbers
PeriodValueNAICS
2026-Q1432,1372022
2025-Q4430,2742022
2025-Q3429,1672022
2025-Q2434,1542022
2025-Q1438,4122022
2024-Q4444,8592022
2024-Q3452,6942022
2024-Q2454,6002022
2024-Q1455,9512022
2023-Q4429,8952022
2023-Q3430,1602022
2023-Q2428,4052022
2023-Q1424,4032022
2022-Q4414,8152022
2022-Q3407,9282022
2022-Q2404,0282022
2022-Q1402,5692022
2021-Q4401,8892017
2021-Q3394,2192017
2021-Q2395,9962017
2021-Q1399,3122017
2020-Q4395,6972017
2020-Q3394,0752017
2020-Q2395,9342017
2020-Q1398,5202017
2019-Q4396,6562017
2019-Q3390,5042017
2019-Q2388,2322017
2019-Q1385,3652017

Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages · Private-sector jobs in the third month of each quarter

Employment · County Business PatternsLatest 636,006 · 2023
2017: 537,7172018: 548,2872019: 561,0862020: 540,1972021: 538,6842022: 545,2272023: 636,006
Show the numbers
PeriodValue
2023636,006
2022545,227
2021538,684
2020540,197
2019561,086
2018548,287
2017537,717

Source: U.S. Census Bureau, County Business Patterns · Paid employees in the pay period including March 12

Establishments · Quarterly Census of Employment and WagesLatest 8,461 · 2026-Q1
2019-Q1: 4,5452019-Q2: 4,6452019-Q3: 4,6972019-Q4: 4,7892020-Q1: 4,8692020-Q2: 4,9312020-Q3: 5,0742020-Q4: 5,2542021-Q1: 5,5192021-Q2: 5,5932021-Q3: 5,7902021-Q4: 6,2172022-Q1: 6,3742022-Q2: 6,5882022-Q3: 6,7462022-Q4: 6,9262023-Q1: 7,1072023-Q2: 7,2482023-Q3: 8,3022023-Q4: 8,3992024-Q1: 8,5582024-Q2: 8,6452024-Q3: 8,5862024-Q4: 8,5522025-Q1: 8,4242025-Q2: 8,3772025-Q3: 8,3862025-Q4: 8,4632026-Q1: 8,461NAICS 2022 from 2022-Q1
Show the numbers
PeriodValueNAICS
2026-Q18,4612022
2025-Q48,4632022
2025-Q38,3862022
2025-Q28,3772022
2025-Q18,4242022
2024-Q48,5522022
2024-Q38,5862022
2024-Q28,6452022
2024-Q18,5582022
2023-Q48,3992022
2023-Q38,3022022
2023-Q27,2482022
2023-Q17,1072022
2022-Q46,9262022
2022-Q36,7462022
2022-Q26,5882022
2022-Q16,3742022
2021-Q46,2172017
2021-Q35,7902017
2021-Q25,5932017
2021-Q15,5192017
2020-Q45,2542017
2020-Q35,0742017
2020-Q24,9312017
2020-Q14,8692017
2019-Q44,7892017
2019-Q34,6972017
2019-Q24,6452017
2019-Q14,5452017

Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages · Private ownership

Establishments · County Business PatternsLatest 6,147 · 2023
2017: 5,4092018: 7,0012019: 6,4552020: 6,0032021: 5,5522022: 6,2202023: 6,147
Show the numbers
PeriodValue
20236,147
20226,220
20215,552
20206,003
20196,455
20187,001
20175,409

Source: U.S. Census Bureau, County Business Patterns

Total wages in the quarter · Quarterly Census of Employment and WagesLatest $14.8 billion · 2026-Q1
2019-Q1: $11.0 billion2019-Q2: $8.1 billion2019-Q3: $7.7 billion2019-Q4: $8.3 billion2020-Q1: $12.0 billion2020-Q2: $8.7 billion2020-Q3: $8.0 billion2020-Q4: $9.2 billion2021-Q1: $12.1 billion2021-Q2: $9.0 billion2021-Q3: $8.5 billion2021-Q4: $9.4 billion2022-Q1: $12.6 billion2022-Q2: $9.4 billion2022-Q3: $9.6 billion2022-Q4: $9.3 billion2023-Q1: $14.1 billion2023-Q2: $10.0 billion2023-Q3: $9.9 billion2023-Q4: $10.3 billion2024-Q1: $15.3 billion2024-Q2: $11.2 billion2024-Q3: $11.1 billion2024-Q4: $10.5 billion2025-Q1: $14.5 billion2025-Q2: $10.7 billion2025-Q3: $10.3 billion2025-Q4: $10.5 billion2026-Q1: $14.8 billionNAICS 2022 from 2022-Q1
Show the numbers
PeriodValueNAICS
2026-Q1$14.8 billion2022
2025-Q4$10.5 billion2022
2025-Q3$10.3 billion2022
2025-Q2$10.7 billion2022
2025-Q1$14.5 billion2022
2024-Q4$10.5 billion2022
2024-Q3$11.1 billion2022
2024-Q2$11.2 billion2022
2024-Q1$15.3 billion2022
2023-Q4$10.3 billion2022
2023-Q3$9.9 billion2022
2023-Q2$10.0 billion2022
2023-Q1$14.1 billion2022
2022-Q4$9.3 billion2022
2022-Q3$9.6 billion2022
2022-Q2$9.4 billion2022
2022-Q1$12.6 billion2022
2021-Q4$9.4 billion2017
2021-Q3$8.5 billion2017
2021-Q2$9.0 billion2017
2021-Q1$12.1 billion2017
2020-Q4$9.2 billion2017
2020-Q3$8.0 billion2017
2020-Q2$8.7 billion2017
2020-Q1$12.0 billion2017
2019-Q4$8.3 billion2017
2019-Q3$7.7 billion2017
2019-Q2$8.1 billion2017
2019-Q1$11.0 billion2017

Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages · Private ownership

Annual payroll · County Business PatternsLatest $61.3 billion · 2023
2017: $44.5 billion2018: $48.4 billion2019: $49.9 billion2020: $50.5 billion2021: $51.4 billion2022: $52.6 billion2023: $61.3 billion
Show the numbers
PeriodValue
2023$61.3 billion
2022$52.6 billion
2021$51.4 billion
2020$50.5 billion
2019$49.9 billion
2018$48.4 billion
2017$44.5 billion

Source: U.S. Census Bureau, County Business Patterns

The ledger

Every published measure

MeasureSourceLatestPeriodHistory
EmploymentPrivate-sector jobs in the third month of each quarterQuarterly Census of Employment and Wages432,1372026-Q12019-Q1–2026-Q1 · 29 published
EstablishmentsPrivate ownershipQuarterly Census of Employment and Wages8,4612026-Q12019-Q1–2026-Q1 · 29 published
Total wages in the quarterPrivate ownershipQuarterly Census of Employment and Wages$14.8 billion2026-Q12019-Q1–2026-Q1 · 29 published
Annual payrollCounty Business Patterns$61.3 billion20232017–2023 · 7 published
EmploymentPaid employees in the pay period including March 12County Business Patterns636,00620232017–2023 · 7 published
EstablishmentsCounty Business Patterns6,14720232017–2023 · 7 published
Annual payrollEconomic Census$56.0 billion20222017–2022 · 2 published
EmploymentPaid employees in the pay period including March 12Economic Census586,63720222017–2022 · 2 published
EstablishmentsEconomic Census6,75520222017–2022 · 2 published
FirmsEconomic Census74720222017–2022 · 2 published
Receipts (sales, shipments or revenue)All establishments, current dollarsEconomic Census$1.30 trillion20222017–2022 · 2 published

Companies

Public companies in this industry

Companies Palanor tracks whose GICS classification maps to NAICS 524114. The mapping is Palanor’s, one GICS sub-industry to one NAICS code; a company’s own mix of business can span several.

  • CNC Centene Corporation
  • ELV Elevance Health
  • HUM Humana
  • MOH Molina Healthcare
  • UNH UnitedHealth Group

Sources

Where every number comes from

Figures are in current dollars and are the agencies’ own, revised when they revise. Each program defines its universe differently (employer firms, private ownership, all establishments), so figures from different sources are not meant to add up. This page is not endorsed by the Census Bureau, BEA or BLS. The same data is in the Palanor API (/v1/industries) and the MCP (palanor_get_industry). All industries.