2022 NAICS national industry in sector 52 Finance and Insurance
524114 Direct Health and Medical Insurance Carriers
NAICS 524114 is the US industry code for direct health and medical insurance carriers. This U.S.
- Code
- 524114 (2022 NAICS)
- Title
- Direct Health and Medical Insurance Carriers
- Part of
- Direct Life, Health, and Medical Insurance Carriers
- SBA small business limit
- Average annual receipts up to $47 million
- Closest UK SIC
- 65120 (details)
Changes coming. The NAICS 2027 revision applies to data from 1 January 2027, and SBA proposed new size standards on 20 August 2026. The values on this page are the ones in force today; we update this page when the official files change.
Official definition
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.
When to use a different code
Census classifies these close-sounding activities somewhere else. Businesses mainly engaged in:
- 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.
- 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.
Activities listed under 524114
The Census index assigns these 9 activities to this code. If your business matches one, this is your code.
- Dental insurance carriers, direct
- Group hospitalization plans without providing health care services
- Health insurance carriers, direct
- Hospital and medical service plans, direct, without providing health care services
- Hospitalization insurance carriers, direct, without providing health care services
- Insurance carriers, health, direct
- Insurance underwriting, health and medical, direct
- Medical insurance carriers, direct
- Medical service plans without providing health care services
SBA size standard for 524114
To count as a small business for SBA loans and federal contracts under NAICS 524114, your business (including affiliates) must not exceed $47 million in average annual receipts. Check your business.
Source: SBA table of size standards, effective March 17, 2023.
Closest UK SIC 2007 codes
There is no official one-to-one link between NAICS and UK SIC. These codes share the same international class (ISIC Rev. 4: 6512), so treat them as a starting point and check the definition.
Built from Census concordances 2022→2017 NAICS and 2017 NAICS→ISIC Rev. 4.
Similar codes to compare
Data last changed November 14, 2026. How this page is built.