Industry Description
This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) health and medical insurance policies. Group hospitalization plans and HMO establishments that provide health and medical insurance policies without providing health care services are included in this industry.
Cross-References.
Business Examples
Common types of business activities within NAICS 524114 - Direct Health and Medical Insurance Carriers are:
- Insurance carriers, health, direct
- Medical insurance carriers, direct
- Hospital and medical service plans, direct, without providing health care services
- Medical service plans without providing health care services
- Hospitalization insurance carriers, direct, without providing health care services
- Insurance underwriting, health and medical, direct
- Health insurance carriers, direct
- Dental insurance carriers, direct
- Group hospitalization plans without providing health care services
IBISWorld Industry Research Report
Health & Medical Insurance in the US (52411b)
Revenue 2025
$1542.2bn
Growth 2025
2.50%
Key Trends
As unemployment increased, many people lost their employer-sponsored health insurance, causing limited growth in 2020
The CARES Act expanded the federal Medicaid matching rate
More people will need medical coverage as baby boomers age
Products and Services
Similar Industries
For some business types, there may be a similar industry to 524114 - Direct Health and Medical Insurance Carriers that is a better classification match. Establishments primarily engaged in:
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NAICS Cross Reference
Establishments primarily engaged in reinsuring health insurance policies are classified in Industry 524130, Reinsurance Carriers; and
IBISWorld industry research report
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NAICS Cross Reference
Legal entities (i.e., funds, plans, and/or programs) organized to provide health- and welfare-related employee benefits exclusively for the sponsor's employees or members are classified in Industry 525120, Health and Welfare Funds.
IBISWorld industry research report
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NAICS Cross Reference
HMO establishments that provide both health care services and underwrite health and medical insurance are classified in U.S. Industry 621491, HMO Medical Centers;
IBISWorld industry research report
NAICS Hierarchy 524114 - Direct Health and Medical Insurance Carriers
NAICS Code 524114 - Direct Health and Medical Insurance Carriers sits in the 2-digit Direct Health and Medical Insurance Carriers sector. NAICS codes can be 2- to 6-digits and the further along the hierarchy, the more detailed and specific the category will be. Learn more about the structure of NAICS codes
2 Digits: 52
Sector Title: Finance and Insurance
3 Digits 4 Digits 5 Digits 6 Digits
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5211 Monetary Authorities-Central Bank
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52111 Monetary Authorities-Central Bank
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5221 Depository Credit Intermediation
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52211 Commercial Banking
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52212 Savings Institutions
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52213 Credit Unions
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52219 Other Depository Credit Intermediation
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5222 Nondepository Credit Intermediation
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52221 Credit Card Issuing
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52222 Sales Financing
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52229 Other Nondepository Credit Intermediation
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5223 Activities Related to Credit Intermediation
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52231 Mortgage and Nonmortgage Loan Brokers
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52232 Financial Transactions Processing, Reserve, and Clearinghouse Activities
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52239 Other Activities Related to Credit Intermediation
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5231 Securities and Commodity Contracts Intermediation and Brokerage
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52311 Investment Banking and Securities Dealing
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52312 Securities Brokerage
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52313 Commodity Contracts Dealing
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52314 Commodity Contracts Brokerage
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5232 Securities and Commodity Exchanges
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52321 Securities and Commodity Exchanges
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5239 Other Financial Investment Activities
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52391 Miscellaneous Intermediation
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52392 Portfolio Management
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52393 Investment Advice
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52399 All Other Financial Investment Activities
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5241 Insurance Carriers
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52411 Direct Life, Health, and Medical Insurance Carriers
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52412 Direct Insurance (except Life, Health, and Medical) Carriers
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52413 Reinsurance Carriers
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5242 Agencies, Brokerages, and Other Insurance Related Activities
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52421 Insurance Agencies and Brokerages
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52429 Other Insurance Related Activities
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5251 Insurance and Employee Benefit Funds
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52511 Pension Funds
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52512 Health and Welfare Funds
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52519 Other Insurance Funds
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5259 Other Investment Pools and Funds
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52591 Open-End Investment Funds
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52592 Trusts, Estates, and Agency Accounts
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52599 Other Financial Vehicles
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Similar Industries Niche and Emerging
IBISWorld provides research on hundreds of niche and emerging industries, including the following for 524114 - Direct Health and Medical Insurance Carriers.
- Pet Insurance in the US OD4612
- Pharmacy Benefit Management in the US OD4620
- Dental Insurance in the US OD4760
- Disability Insurance in the US OD4761
- Long Term Care Insurance in the US OD4764
- Vision Insurance in the US OD5914
- HMO Providers in the US OD6011
NAICS Resources
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