As of the last reported data from 2015, there are 365,740 workers employed at 4,309 Direct Health and Medical Insurance Carriers establishements in the United States. The industry is slowly growing, adding 2,770 jobs in the 12 months between 2014 and 2015. On average, each business employs 85 workers. On average over the last five years, the Direct Health and Medical Insurance Carriers industry has a slightly higher OSHA reported accident rate (46% more) than the broader Direct Life Health and Medical Insurance Carriers Industry