| Optum Public Sector Solutions, Inc. | La Crosse | WI | $105B |
| Triwest Healthcare Alliance Corp. | Phoenix | AZ | $59.6B |
| Humana Government Business Inc. | Louisville | KY | $42.8B |
| Martins Point Health Care Inc. | Portland | ME | $2.5B |
| United Concordia Companies, Inc. | Camp Hill | PA | $2.49B |
| Noridian Healthcare Solutions, LLC | Fargo | ND | $1.59B |
| Wellpoint Federal Solutions, Inc. | Indianapolis | IN | $1.52B |
| Brighton Marine, Inc. | Brighton | MA | $937M |
| Optumrx Administrative Services, LLC | Eden Prairie | MN | $933M |
| Wisconsin Physicians Service Insurance Corp. | Madison | WI | $913M |
| CGS Administrators, LLC | Nashville | TN | $792M |
| SVCMC, Inc. | New York | NY | $725M |
| Carelon Health Federal Services, Inc. | Norfolk | VA | $422M |
| Harvard Pilgrim Health Care, Inc. | Canton | MA | $218M |
| Health Care Service Corporation, A Mutual Legal Reserve Company | Chicago | IL | $106M |
| Axa Seguros | Ciudad De Mexico | | $43.8M |
| Delta Dental Plan Of Oklahoma | Oklahoma City | OK | $39.5M |
| Al-nisr Al-arabi Insurance | Amman | | $24.8M |
| Delta Dental Insurance Company | San Francisco | CA | $24.7M |
| Dhipaya Insurance Public Company Limited | Bangkok | | $23.7M |
| Bupa Acibadem Sigorta Anonim Sirketi" | Istanbul | | $20.5M |
| American Life Insurance Co. (dubai Branch) | Dubai | | $19.1M |
| Caresource Military & Veterans Co. | Dayton | OH | $19.1M |
| Asuransi Jasa Indonesia (persero), Pt | Dki Jakarta | | $16.7M |
| American Life Insurance Company Alico Lebanon | Beirut | | $16.3M |
| Philhealthcare, Inc. | Makati City | | $14.8M |
| The Canada Life Assurance Co. | Winnipeg | MB | $13.4M |
| Delta Dental Of South Dakota | Pierre | SD | $12.4M |
| Private Joint Stock Company "insurance Company "uniqa" | Kyiv | | $12.3M |
| Seguros Universales | Guatemala City | | $10.7M |
| Sinoasia B&R Insurance Company Joint Stock Company | Almaty City | | $9.72M |
| Britam - Companhia De Seguros De Mocambique, S.a | Cidade De Maputo | | $9M |
| Dhaif Insurance Agency Co. W.L.L | Zinj | | $8.47M |
| Bao Minh Ha Noi Insurance Company | Ha Noi | | $6.9M |
| Administradora De Riesgos De Salud Dr. Yunen S A | Santo Domingo | | $6.45M |
| Ensa - Seguros De Angola, S.a. | Luanda | | $6.35M |
| Family Guardian Insurance Company Limited | Nassau | | $6.29M |
| Assemble Insurance Tanzania Limited | Kinondoni | | $6.08M |
| Seguros Caracas C.a. | Caracas | | $5.99M |
| Bajaj General Insurance Limited | Pune | | $5.54M |
| TBC Insurance JSC | Tbilisi | | $5.07M |
| Pacific Cross Insurance Company Limited | Apia | | $4.66M |
| Snic Insurance B.S.C. | Al-seef | | $4.24M |
| Bupa Compania De Seguros De Vida S.a. | Santiago | | $3.58M |
| Seguros Crefisa Sa | Tegucigalpa | | $3.51M |
| Mutuelle Generale De L'education Nationale | Paris Cedex 15 | | $3.46M |
| Meqa Sigorta Asc | Baku | | $3.31M |
| La Nigerienne D' Assurances Et De Reassurances Nia | Niamey | | $3.21M |
| Fidelity Life Medical Aid Society | Harare | | $3.17M |
| Sigal Insurance Group Sh.a. | Tirane | | $3.03M |
| Sunu Assurances Iard Congo Sa | Pointe Noire | | $2.96M |
| Malath Cooperative Insurance Co. | Riyadh | | $2.72M |
| Bisa Seguros Y Reaseguros S.a. | La Paz | | $2.63M |
| Awash Insurance Company S C | Addis Ababa | | $2.57M |
| Nn Hellenic Life Insurance Company Single Member S.a. | Athens | | $2.57M |
| Coralisle Medical Insurance Company Ltd. | Hamilton | BERMUDA | $2.44M |
| Continental Insurance Lanka Limited | Colombo | | $2.44M |
| Bupa Insurance Services Limited | Salford | | $2.29M |
| Prudential Life Assurance Zambia Limited | Lusaka | LUSAKA | $2.26M |
| Raynal Assurances Iard | Ouagadougou | | $2.19M |
| Assuria General (gy) Inc. | Georgetown | | $2.11M |
| Guardian Life Limited | Kingston | | $2.11M |
| Assurances Maghrebia Sa | Tunis | | $1.88M |
| Gulf Insurance Group | Riyadh | | $1.87M |
| Jubilee Health Insurance Company Of Uganda Limited | Kampala | | $1.8M |
| Georgia Department Of Community Health | Atlanta | GA | $1.73M |
| Asismed S.a. | Asuncion | | $1.7M |
| L'africaine Des Assurances | Cotonou | | $1.7M |
| Alternative Insurance Company, S.a. (a.i.c.s.a) | Delmas | | $1.52M |
| Generali Osiguranje Montenegro Ad | Podgorica | | $1.37M |
| RF&G Life Insurance Company Limited | Belize | | $1.37M |
| Generali Life Assurance (thailand) Public Company Limited | Bangkok Metropolis | | $1.28M |
| "liga Insurance" Insurance Close Joint-stock Company | Yerevan City | | $1.24M |
| Generali Insurance Malaysia Berhad | Kuala Lumpur | | $1.14M |
| Nsia Assurances Guinea | Conakry | | $1.02M |
| Msig Insurance (hong Kong) Limited | Hong Kong | | $1.02M |
| Britam Insurance Company Limited | Juba | CENTRAL EQUITORIA | $1.01M |
| Guardian Life Of The Caribbean Limited | St. Michael | | $880K |
| Sagicor Life Inc. | St. Michael | | $845K |
| Efes Insurance Closed Joint-stock Company | Yerevan | | $785K |
| Takaful Brunei Am SDN BHD | Negara | | $654K |
| Africaine Des Assurances De Guinea Ecuatorial, S.a | Malabo | | $640K |
| Fatum Health N.v. | Curacao | | $633K |
| Mediplus Companhia De Seguros Sa | Maputo | | $612K |
| Nv Surinaamse Assurantie Maatschappij Self Reliance | Paramaribo | | $561K |
| Seguros Atlantida Seguratlantida S.a. | Quito | | $546K |
| Assurances Generales Du Cameroune S.a | Bangui | | $520K |
| Prudential Assurance Uganda Ltd. | Kampala | | $390K |
| Eden Care Healthcare Rwanda Ltd. | Kigali | | $310K |
| Fidelidade - Companhia De Seguros Sa | Lisbon | | $288K |
| Bupilo Health Plan Limited | Lusaka | | $283K |
| Bulstrad Life Vienna Insurance Group Ead | Sofia | | $278K |
| Takecare Insurance Company, Inc. | Tamuning | GU | $106K |
| Kaiser Foundation Health Plan, Inc. | Oakland | CA | $28.1K |
| Pt Axa Insurance Indonesia | Jakarta Salatan | | $24.6K |
| Insular Health Care Inc. | Makati | | $707 |
| Anthem Health Plans Of Kentucky, Inc. | Louisville | KY | $0 |
| Blue Cross Blue Shield Healthcare Plan Of Georgia, Inc. | Atlanta | GA | $0 |
| Blue Cross & Blue Shield Of Florida Inc. | Jacksonville | FL | $0 |
| Blue Cross & Blue Shield Of South Carolina | Columbia | SC | $0 |
