524114/Direct Health and Medical Insurance Carriers
US businesses, employees and payroll, 2017 to 2023
636K
employees, 2023
636K
employees, 2023
In 2023, 6,147 US Direct Health and Medical Insurance Carriers business locations employed 636,006 people and paid $61.3 billion in annual payroll, $96,365 per employee on average. Employment was up 16.6% from 2022. California had the most employees.
Updated Oct 9, 2026 · data year 2023
Business locations
6,147
-1.2% vs 2022
Employees
636,006
+16.6% vs 2022
Annual payroll
$61.3B
+16.5% vs 2022
Average pay
$96,365
-0.2% vs 2022
Over the years
United States, 2017 to 2023
Employees
Paid employees in mid-March
Business locations
Places with paid employees
By state
Employees of Direct Health and Medical Insurance Carriers in each state, 2023
Employees by state
States with the most employees
Employees and the share of all the state's jobs
| State | Business locations | Employees | Average pay | Share of state jobs |
|---|---|---|---|---|
| California | 530 | 58,218 | $117,666 | 0.35% |
| Pennsylvania | 347 | 50,768 | $93,868 | 0.89% |
| Florida | 746 | 46,753 | $81,410 | 0.47% |
| Texas | 356 | 38,362 | $81,376 | 0.32% |
| New York | 248 | 30,967 | $97,118 | 0.35% |
| Illinois | 175 | 27,130 | $104,546 | 0.48% |
| Massachusetts | 101 | 25,599 | $93,521 | 0.73% |
| Tennessee | 141 | 21,637 | $88,373 | 0.73% |
| Minnesota | 105 | 21,551 | $126,078 | 0.77% |
| Ohio | 174 | 19,375 | $90,130 | 0.38% |
| Virginia | 129 | 19,190 | $97,297 | 0.54% |
| Connecticut | 68 | 18,695 | $105,899 | 1.22% |
| Missouri | 176 | 18,411 | $95,907 | 0.70% |
| Arizona | 204 | 17,788 | $94,533 | 0.62% |
| Michigan | 133 | 17,566 | $100,280 | 0.43% |
The 15 states with the most employees. Download the CSV for all 51.
Top metro areas
Metro and micro areas with the most Direct Health and Medical Insurance Carriers employees, 2023
Metro areas with the most employees
| Metro area | Locations | Employees | Average pay |
|---|---|---|---|
| Boston-Cambridge-Newton, MA-NH | 71 | 22,425 | $90,889 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 106 | 18,279 | $104,329 |
| New York-Newark-Jersey City, NY-NJ | 224 | 15,984 | $122,654 |
| Pittsburgh, PA | 78 | 15,639 | $96,307 |
| Minneapolis-St. Paul-Bloomington, MN-WI | 66 | 15,506 | $135,731 |
| Los Angeles-Long Beach-Anaheim, CA | 207 | 13,902 | $122,690 |
| Chicago-Naperville-Elgin, IL-IN | 111 | 13,790 | $128,991 |
| Hartford-West Hartford-East Hartford, CT | 34 | 12,159 | $95,498 |
| Louisville/Jefferson County, KY-IN | 142 | 11,333* | $109,507 |
| Phoenix-Mesa-Chandler, AZ | 141 | 11,314 | $103,775 |
| Detroit-Warren-Dearborn, MI | 69 | 11,023* | $110,692 |
| Tampa-St. Petersburg-Clearwater, FL | 166 | 10,991* | $61,700 |
| Sacramento-Roseville-Folsom, CA | 74 | 9,455 | $114,509 |
| Indianapolis-Carmel-Greenwood, IN | 39 | 8,928 | $97,816 |
| Dallas-Fort Worth-Arlington, TX | 85 | 8,732 | $97,245 |
Business size
US Direct Health and Medical Insurance Carriers business locations by number of employees, 2023
Locations by size
| Employees | Locations | Share |
|---|---|---|
| Under 5 | 3,028 | 49.3% |
| 5 to 9 | 695 | 11.3% |
| 10 to 19 | 579 | 9.4% |
| 20 to 49 | 584 | 9.5% |
| 50 to 99 | 371 | 6.0% |
| 100 to 249 | 378 | 6.1% |
| 250 to 499 | 197 | 3.2% |
| 500 to 999 | 165 | 2.7% |
| 1,000 or more | 150 | 2.4% |
Related industries
The industries this code belongs to
Part of Finance and Insurance 52Insurance Carriers and Related Activities 524Insurance Carriers 5241Direct Life, Health, and Medical Insurance Carriers 52411
Questions and answers
How many people work in Direct Health and Medical Insurance Carriers in the US?
636,006 people worked at 6,147 US Direct Health and Medical Insurance Carriers business locations in 2023, up 16.6% from 2022. That is 0.45% of all US private-sector employees.
What is the average pay in Direct Health and Medical Insurance Carriers?
$96,365 a year per employee in 2023, from $61.3 billion in annual payroll (down 0.2% from 2022). The average across all US industries was $68,342.
Which state has the most Direct Health and Medical Insurance Carriers jobs?
California had the most, with 58,218 employees in 2023, followed by Pennsylvania (50,768) and Florida (46,753).
Which metro areas have the most Direct Health and Medical Insurance Carriers jobs?
Boston-Cambridge-Newton, MA-NH (22,425), Philadelphia-Camden-Wilmington, PA-NJ-DE-MD (18,279), New York-Newark-Jersey City, NY-NJ (15,984) had the most Direct Health and Medical Insurance Carriers employees in 2023.
Are most Direct Health and Medical Insurance Carriers businesses small?
70.0% of the 6,147 Direct Health and Medical Insurance Carriers business locations had fewer than 20 employees in 2023, and 315 had 500 or more.
Official US government statistics, published once a year. Business locations are places with paid employees; employees are counted in mid-March; payroll covers the whole year. Covers most private employers, not the self-employed, most government workers or farm workers on farms. * Less accurate: changed by 5% or more to protect privacy. Changes from the year before are shown only when both years use the same edition of the industry codes.