| 2022-09-30 | Department of Veterans Affairs | | $5.24B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2022-09-30 | Department of Veterans Affairs | | $5.06B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2022-09-30 | Department of Veterans Affairs | | $4.21B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2021-09-30 | Department of Veterans Affairs | | $3.09B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2021-09-30 | Department of Veterans Affairs | | $2.91B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2021-09-30 | Department of Veterans Affairs | | $2.75B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2023-07-28 | Department of Veterans Affairs | | $1.79B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2023-01-01 | Department of Veterans Affairs | | $1.53B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2023-07-28 | Department of Veterans Affairs | | $1.48B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2024-06-07 | Department of Veterans Affairs | | $1.37B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2023-01-01 | Department of Veterans Affairs | | $1.35B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2022-10-02 | Department of Veterans Affairs | | $1.27B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2023-07-28 | Department of Veterans Affairs | | $1.25B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2023-01-01 | Department of Veterans Affairs | | $1.13B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2026-04-15 | Department of Veterans Affairs | | $1.10B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2024-06-07 | Department of Veterans Affairs | | $1.07B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2022-10-02 | Department of Veterans Affairs | | $1.03B | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2024-06-07 | Department of Veterans Affairs | | $941.7M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2022-10-02 | Department of Veterans Affairs | | $936.6M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2020-09-30 | Department of Veterans Affairs | | $915.6M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2026-04-15 | Department of Veterans Affairs | | $894.5M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2025-07-31 | Department of Veterans Affairs | | $857.5M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2024-06-28 | Department of Veterans Affairs | | $833.8M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2025-07-31 | Department of Veterans Affairs | | $830.4M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |
| 2025-07-31 | Department of Veterans Affairs | | $819.3M | DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS |