| | GUARDIAN LIFE LIMITED | LOCALLY EMPLOYED STAFF LIFE AND HEALTH INSURANCE SERVICES FOR U.S. EMBASSY KINGSTON, JAMAICA | IDC | $970,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | May 15, 2026 | Jun 1, 2026 | Aug 31, 2026 |
| | METLIFE CHILE SEGUROS DE VIDA SA | HEALTH INSURANCE | IDC | $4,167,786 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Apr 29, 2026 | May 1, 2026 | Apr 30, 2031 |
| | FIDELITY LIFE MEDICAL AID SOCIETY | LOCALLY EMPLOYED STAFF HEALTH INSURANCE SERVICES | IDC | $6,145,850 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Apr 14, 2026 | Aug 1, 2026 | Jul 31, 2027 |
| | TAKAFUL BRUNEI AM SDN BHD | HEALTH INSURANCE FOR LOCALLY EMPLOYED STAFF AT THE U.S. EMBASSY BRUNEI | IDC | $568,989 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Mar 13, 2026 | Mar 27, 2026 | — |
| | AMREF HEALTH AFRICA | — | BPA | $15,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 525120Health and Welfare Funds | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Mar 6, 2026 | Mar 3, 2026 | Mar 2, 2027 |
| | WALLACH & COMPANY INC | — | BPA | $10,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524210Insurance Agencies and Brokerages | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Mar 3, 2026 | Mar 4, 2026 | — |
| | DHIPAYA INSURANCE PUBLIC COMPANY LIMITED | — | IDC | $11,592,854 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Feb 26, 2026 | Apr 26, 2026 | — |
| | METHEALTH NAMIBIA ADMINISTRATORS (PROPRIETARY) LIMITED | — | IDC | $2,901,095 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524210Insurance Agencies and Brokerages | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Feb 23, 2026 | Apr 1, 2026 | — |
| | SEGURCAIXA ADESLAS, S.A. DE SEGUROS Y REASEGUROS. | HEALTH INSURANCE FOR LES AND FAMILY MEMBERS | IDC | $2,126,595 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 813920Professional Organizations | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 30, 2026 | Mar 1, 2026 | Feb 28, 2027 |
| | JUBILEE HEALTH INSURANCE COMPANY OF UGANDA LIMITED | HEALTH INSURANCE SERVICES | IDC | $5,470,123 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Dec 8, 2025 | Dec 26, 2025 | Dec 25, 2031 |
| | MISCELLANEOUS FOREIGN AWARDEES | — | IDC | $3,821,800 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 525120Health and Welfare Funds | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Nov 21, 2025 | Dec 1, 2025 | — |
| | METHEALTH NAMIBIA ADMINISTRATORS (PROPRIETARY) LIMITED | MEDICAL INSURANCE | IDC | $343,421 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 525120Health and Welfare Funds | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Sep 25, 2025 | Oct 1, 2025 | Mar 31, 2026 |
| | LUX MED SPÓŁKA Z OGRANICZONĄ ODPOWIEDZIALNOŚCIĄ | POLAND HEALTH INSURANCE | IDC | $3,715,504 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Sep 2, 2025 | Sep 30, 2025 | Sep 30, 2030 |
| | BUPA ACIBADEM SIGORTA ANONIM SIRKETI" | HEALTH INSURANCE LES | IDC | $59,000,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Aug 25, 2025 | Aug 31, 2025 | Aug 30, 2026 |
| | FIDELITY LIFE MEDICAL AID SOCIETY | — | IDC | $1,160,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jul 31, 2025 | Aug 1, 2025 | Jul 31, 2026 |
| | AAR INSURANCE KENYA LIMITED | CONTRACT - LE STAFF GROUP HEALTH INSURANCE SERVICES EFFECTIVE AUG 24, 2025 | IDC | $7,379,980 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jul 15, 2025 | Aug 24, 2025 | Aug 23, 2026 |
| | POLICLINICA DE SANTIAGO, LDA | — | IDC | $1,004,258 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jul 2, 2025 | Sep 1, 2025 | — |
| | CONCORDIA | HEALTH INSURANCE FOR U.S. EMBASSY LOCALLY EMPLOYED STAFF | IDC | $1,325,822 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jun 23, 2025 | Jul 1, 2025 | Jun 30, 2026 |
| | SICOM GENERAL INSURANCE LTD | LES HEALTH INSURANCE SERVICES | IDC | $6,326,386 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jun 18, 2025 | Jul 1, 2025 | Jun 30, 2030 |
| | AFRICAINE DES ASSURANCES DE GUINEA ECUATORIAL, S.A | MEDICAL INSURANCE SERVICES | IDC | $2,540,332 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | May 28, 2025 | Jun 3, 2025 | Jun 3, 2030 |
| | LIFE INSURANCE CORPORATION PNG LIMITED | HEALTH AND LIFE INSURANCE FOR LOCALLY ENGAGED STAFF (LES), U.S. EMBASSY PORT MORESBY, PAPUA NEW GUINEA. | IDC | $1,287,097 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | May 23, 2025 | Jun 1, 2025 | May 31, 2027 |
| | FATUM HEALTH N.V. | — | IDC | $5,500,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | May 15, 2025 | Jul 1, 2025 | — |
| | BOTSOGO HEALTH PLAN PROPRIETARY LIMITED | HEALTH INSURANCE FOR LOCALLY EMPLOYED STAFF FOR THE U.S. EMBASSY GABORONE, BOTSWANA | IDC | $3,241,806 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Apr 25, 2025 | May 1, 2025 | Apr 30, 2027 |
| | PAN AMERICAN LIFE DE COLOMBIA COMPANIA DE SEGUROS S A | — | IDC | $25,000,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Mar 21, 2025 | Mar 29, 2025 | Mar 29, 2030 |
| | DHIPAYA INSURANCE PUBLIC COMPANY LIMITED | GMC HEALTH INSURANCE APPROVED BY OPE ON MARCH 10, 2025 | IDC | $12,478,837 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Mar 12, 2025 | Apr 26, 2025 | Apr 25, 2026 |