524114 — Direct Health and Medical Insurance Carriers
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.
Exclusions & Cross-References
- HMO establishments that provide both health care services and underwrite health and medical insurance
- are classified in U.S. Industry 621491, HMO Medical Centers;
- Establishments primarily engaged in reinsuring health insurance policies are classified in Industry 524130,
- Reinsurance Carriers; and
- 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.
Overview Facts
| NAICS Code | 524114 |
|---|---|
| Industry Title | Direct Health and Medical Insurance Carriers |
| SBA Size Standard | $47,000,000 |
| U.S. Establishments | 6,147 (Census CBP, 2023) |
| IRS PBA Code | 524110 (rolled-up match) |
| Sectors Hierarchy | Sector 52 → 524 → 5241 |
| Source / Verified | US Census 2022 NAICS Manual, Census CBP / 2026-06-28 |
Legacy SIC Concordance
Trace the historical mapping chain from the 1987 Standard Industrial Classification (SIC) to the modern 2022 NAICS code format.
- SIC 6321 - Accident and Health Insurance (via SIC1987:6321→NAICS1997:524114→2002:524114→2007:524114→2012:524114→2017:524114→2022:524114)
- SIC 6324 - Hospital and Medical Service Plans (via SIC1987:6324→NAICS1997:524114→2002:524114→2007:524114→2012:524114→2017:524114→2022:524114)
Suggested Product Service Codes (Advisory)
The following Product Service Codes (PSCs) are advisory suggestions aligned with this NAICS code. Note: NAICS and PSC codes map to different dimensions of procurement (industry vs. product/service). There is no official binding 1:1 crosswalk.
- PSC G009 — Non-Government Insurance Programs
- PSC Q101 — Dependent Medicare Services
- PSC Q201 — MEDICAL- MANAGED HEALTHCARE
- PSC R401 — Personal Care Services (includes such services as barber and beauty shop, shoe repairs, tailoring, etc.)
- PSC R710 — Financial Services (includes credit card services and any other financial services. See revision to description for code R703 above)
Source: DoD DPCAP PSC Selection Tool (Ingested: 2026-06-29)
Related Resources & Compliance Guides
Further regulatory reference links for NAICS code 524114:
- Sector 52 Directory Hub — List of related industries in the Finance and Insurance sector.
- SIC ↔ NAICS Crosswalk Tool — Look up mappings between legacy SIC codes and modern classifications.
- SBA Size Standards Guide — Complete rules and averaging periods for small business classifications.
- Calculating Annual Receipts Guide — Detailed worked example of revenue calculation rules.
- IRS Principal Business Activity Guide — How NAICS codes map to corporate and entity tax filings.
Related Industries in 5241
Frequently Asked Questions (FAQ)
Is 524114 a valid 2022 NAICS code?
NAICS 524114 is 'Direct Health and Medical Insurance Carriers', a 2022 U.S. national industry under Sector 52 (Finance and Insurance); the SBA small-business size standard is $47,000,000.
What is the SBA size standard for NAICS 524114?
The SBA small business size standard for NAICS 524114 is $47,000,000 (based on receipts).
What is the legacy SIC code mapping for 524114?
NAICS code 524114 maps to the legacy 1987 SIC codes: 6321 - Accident and Health Insurance, 6324 - Hospital and Medical Service Plans.