BenefitsLedger
City · Plan year 2024 · Form 5500

Los Angeles, California employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

489 employers in Los Angeles, California filed health plans with 100 or more participants for plan year 2024, covering 481,732 participants. They reported $96M in insurance premiums and $83M in broker commissions and fees. Against 2023, premiums were up 20.9% and broker pay rose 7.8%.

Employer plans
489
481,732 participants
Premiums
$96M
+20.9% vs 2023
Broker pay
$83M
+7.8% vs 2023 · 463 disclosed
Median rate
n/a
too few insured medical plans

Funding: 160 fully insured · 46 self-funded · 283 mixed. 329 of 489 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Los Angeles

Los Angeles employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.

EmployerPremiumsBroker payParticipantsTop broker
Quinn Emanuel Urquhart & Sullivan, LLP$23,134,909$1,352,5691,371Alera Group, Inc.
Board of Trustees, Northwest Carpenters Health and Security Plan$15,918,221$20,43615,806Rael and Letson
Amity Foundation$9,009,330$749,534824Heffernan
Board of Trustees, Santa Monica UNITE Here Health$6,864,836—16,430—
Nksfb, LLC$6,491,928$544,618627Higginbotham
CTBC Bank Corp. (USA)$4,279,809$217,601497Sandra L Kawano
Altamed Health Services Corp.$3,738,649$865,4654,923Acrisure
Munger Tolles & Olson$3,064,911$483,515459Executive Financial Bene-Facts Inc
Korn Ferry(us)$2,639,091$164,3443,675Aon
Sheppard, Mullin, Richter & Hampton, LLP$2,630,070$500,0881,543EPIC Insurance Brokers
KB Home$2,309,580$623,2751,857USI Insurance Services
Rexford Industrial Realty, L.P.$2,015,746$132,125251Marsh McLennan Agency
Lido Advisors, LLC$1,636,542$163,519178Willis Towers Watson
The Capital Group Companies, Inc.$1,594,687$186,9038,846Willis Towers Watson
Local 306 Theat.Employ.Health Fund C/O Benefit Plans, Inc.$1,535,597—1,247—
Medialab.Ai Inc$1,445,728$168,400103HUB International
Oaktree Capital Management, LP$1,107,829$80,581911Lockton
Nationwide Legal, LLC$978,385$51,530120Eos Insurance Agency
Dart Entities, Inc$823,329$406,9061,062EPIC Insurance Brokers
Cim Group, L.P.$760,657$301,6081,147Mercer
The J. Paul Getty Trust$667,369—1,267—
Radnet Management, Inc.$581,160$608,2177,993USI Insurance Services
Puma Biotechnology, Inc.$484,065$271,565186The Baldwin Group
University of Southern California$344,862$2,241,87423,634Cottingham & Butler Insurance Servi
Gibson, Dunn & Crutcher LLP$272,331$480,5392,934Executive Financial Benefacts Inc

Source: DOL Form 5500 Schedule A, plan year 2024; employers are grouped by the sponsor's mailing city as filed. Self-funded employers show only stop-loss and ancillary premium.

Who gets paid

Commissions and fees reported by Los Angeles employers, with the number of employer plans naming each broker.

BrokerCommissions + feesPlans
Gallagher$7,354,36557
HUB International$5,254,06043
Marsh McLennan Agency$3,968,87537
IMA Financial$3,942,44133
USI Insurance Services$3,404,20324
Acrisure$3,344,84723
OneDigital$2,737,87218
Mercer$2,649,82018
The Baldwin Group$2,546,36929
EPIC Insurance Brokers$2,241,07020

Largest medical carriers

Medical premium written for these employers.

Los Angeles against California and the U.S.

Medians over the same definitions on every BenefitsLedger page: commission rate on commission-paying, fully insured medical plans; broker pay per employer that disclosed any; medical premium per covered person.

Los AngelesCaliforniaUnited States
Employer plans4896,83658,547
Median commission raten/a4.0%3.8%
Middle half of ratesn/a0.6% – 6.3%2.7% – 5.0%
Median broker pay per employer$126,462$104,298$72,628
Medical premium per covered person$6,927$6,689$7,274
Plans reporting no commission225933

Year over year. In plan year 2023, 483 Los Angeles employers reported $80M in premiums and $77M in broker pay for 448,046 participants; in 2024 it was $96M and $83M for 481,732 participants (premiums +20.9%, broker pay +7.8%).

Source: DOL Form 5500 and Schedule A, plan years 2024 and 2023, employer health plans with 100 or more participants; built October 24, 2026. Medians need at least 10 rated plans to be shown for a city. Methodology.

How much do Los Angeles employers pay health insurance brokers?

489 Los Angeles employers reported $82,653,603 in broker commissions and fees on their 2024 Form 5500 filings, 463 of them disclosing at least some compensation. Too few fully insured medical plans in Los Angeles reported premium to compute a stable commission rate; the California median is 4.0% and the U.S. median is 3.8%. In dollars, the median Los Angeles employer that disclosed broker pay reported $126,462.

Which Los Angeles employers have the largest health plans?

By insurance premium reported for 2024, Quinn Emanuel Urquhart & Sullivan, LLP ($23M), Board of Trustees, Northwest Carpenters Health and Security Plan ($16M), Amity Foundation ($9.0M) lead. 25 Los Angeles employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Los Angeles?

By compensation reported by Los Angeles employers, the largest brokers are Gallagher ($7.4M, 57 plans), HUB International ($5.3M, 43 plans), Marsh McLennan Agency ($4.0M, 37 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Cigna Healthcare of California, Emblemhealth.

Are Los Angeles employer health plans self-funded or fully insured?

Of 489 Los Angeles employer plans, 160 are fully insured, 46 are self-funded and 283 mix insured and self-funded coverage. Self-funded plans report only stop-loss and ancillary contracts on Schedule A, so their premium and broker pay understate total spend.

Other cities in California

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