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Tribal First is a specialized insurance program focusing exclusively on meeting the health insurance and risk management needs of tribal governments and enterprises since 1993. As the largest provider of insurance solutions to Native America, Tribal First is a leader in the specialty areas of tribal business enterprises, including gaming, alternative energy, construction, real estate, agriculture, and housing authorities. We also provide best-in-class insurance and consulting solutions to Canada’s First Nations. Tribal First also offers a full range of employee benefits solutions through Tribal Care, a robust suite of services and solutions that includes health administration, pharmacy, medical stop-loss, wellness, and MLR & PRC administration. Tribal First’s mission is twofold: to help preserve sovereignty and heritage and to protect Native America’s future. As we focus exclusively on serving Native America, we have developed a deep understanding of the many diverse cultures and individual needs of those employed by tribally owned and operated organizations. Our insurance programs are structured to safeguard those operations and to provide enhanced value and savings to tribes and their employees. As Tribal nations continue to embark on a new era of success through diversification and sophistication, Tribal First is positioned to ensure they are protected along the journey.

Tribal First Questions

The Tribal First annual revenue was $19.9 million in 2026.

Eric Ramos is the Senior Vice President of Tribal First.

14 people are employed at Tribal First.

Tribal First is based in San Diego, California.

The NAICS codes for Tribal First are [52, 524, 52421, 524210, 5242].

The SIC codes for Tribal First are [64, 641].

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