| | FPDS-NG IS REQUIRED | ASCOMA TCHAD | $55,402 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | May 8, 2026 | May 8, 2026 | Aug 31, 2026 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA APR 19 - MAY 2, 2026 | ASCOMA TCHAD | $55,377 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Apr 16, 2026 | Apr 16, 2026 | May 15, 2026 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA APR 5 - APR 18, 2026 | ASCOMA TCHAD | $54,122 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Apr 3, 2026 | Apr 3, 2026 | Apr 18, 2026 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA MAR 22 - APR 4, 2026 | ASCOMA TCHAD | $54,000 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Apr 1, 2026 | Apr 1, 2026 | Apr 30, 2026 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA MAR 8 - MAR 21, 2026 | ASCOMA TCHAD | $54,451 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Mar 13, 2026 | Mar 13, 2026 | Apr 30, 2026 |
| | LE MEDICAL INSURANCE COVERAGE | ASCOMA TCHAD | $56,292 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 30, 2026 | Jan 30, 2026 | May 31, 2026 |
| | LES MEDICAL | ASCOMA TCHAD | $56,532 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 29, 2026 | Jan 29, 2026 | Feb 27, 2026 |
| | LES MEDICAL | ASCOMA TCHAD | $56,415 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 29, 2026 | Jan 29, 2026 | Apr 30, 2026 |
| | LES | ASCOMA TCHAD | $56,344 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 29, 2026 | Jan 29, 2026 | Mar 25, 2026 |
| | LES MEDICAL | ASCOMA TCHAD | $55,509 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 22, 2026 | Jan 22, 2026 | Feb 28, 2026 |
| | LES MEDICAL | ASCOMA TCHAD | $55,494 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 21, 2026 | Jan 21, 2026 | Feb 28, 2026 |
| | LES HEALTH INSURANCE | ASCOMA TCHAD | $56,576 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 13, 2026 | Jan 13, 2026 | Dec 31, 2026 |
| | LES MEDICAL INSURANCE | ASCOMA TCHAD | $55,274 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jan 13, 2026 | Jan 13, 2026 | Jun 30, 2026 |
| | MEDICAL INSURANCE SERVICES | ASCOMA TCHAD | $54,455 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Nov 26, 2025 | Nov 26, 2025 | Jan 31, 2026 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA OCT 19 - NOV 01, 2025 | ASCOMA TCHAD | $54,487 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Nov 24, 2025 | Nov 24, 2025 | Nov 30, 2025 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA -SEPT 30, OCT 13 2025 | ASCOMA TCHAD | $74,118 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Nov 24, 2025 | Nov 24, 2025 | Nov 30, 2025 |
| | MEDICAL HEALTH INSURANCE | ASCOMA TCHAD | $120,853 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Sep 26, 2025 | Sep 26, 2025 | Dec 31, 2025 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA SEPT 16-SEPT 30, 2025 | ASCOMA TCHAD | $60,367 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Sep 23, 2025 | Sep 23, 2025 | Sep 30, 2025 |
| | MEDICAL | ASCOMA TCHAD | $120,251 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Sep 15, 2025 | Sep 15, 2025 | Oct 30, 2025 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA JUL16 2025- AUG15, 2025 | ASCOMA TCHAD | $118,691 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jul 21, 2025 | Jul 21, 2025 | Aug 15, 2025 |
| | NDJAM-HRO-LE MEDICAL LIST FOR ASCOMA JUN16 2025- JUL15, 2025 | ASCOMA TCHAD | $117,665 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Jun 25, 2025 | Jun 25, 2025 | Jul 15, 2025 |
| | MEDICAL INSURANCE SERVICES | ASCOMA TCHAD | $116,377 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | May 19, 2025 | May 19, 2025 | Aug 31, 2025 |
| | MEDICAL INSURANCE SERVICE CONTRACT | ASCOMA TCHAD | $116,841 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Apr 18, 2025 | Apr 18, 2025 | Jun 30, 2027 |
| | LES MEDICAL SERVICES | ASCOMA TCHAD | $112,067 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Mar 15, 2025 | Mar 15, 2025 | Apr 15, 2025 |
| | NO | ASCOMA TCHAD | $107,879 | STATE, DEPARTMENT OF | STATE, DEPARTMENT OF | — | 524114Direct Health and Medical Insurance Carriers | G007SOCIAL- GOVERNMENT HEALTH INSURANCE PROGRAMS | Feb 20, 2025 | Feb 20, 2025 | Mar 14, 2025 |