Oakland, California employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
96 employers in Oakland, California filed health plans with 100 or more participants for plan year 2024, covering 360,935 participants. They reported $334M in insurance premiums and $24M in broker commissions and fees. Against 2023, premiums were down 4.2% and broker pay fell 0.9%.
Funding: 18 fully insured · 3 self-funded · 75 mixed. 78 of 96 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Oakland
Oakland employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
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 Oakland employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Mercer | $4,097,522 | 9 |
| Sequoia | $1,103,254 | 8 |
| Acrisure | $953,524 | 11 |
| Marsh McLennan Agency | $870,268 | 6 |
| Willis Towers Watson | $807,446 | 3 |
| Altc Funding LLC | $788,274 | 3 |
| Alliant Insurance Services | $773,168 | 6 |
| HUB International | $706,652 | 3 |
| Abd Ins. and Financial SVCS., Inc. | $580,049 | 5 |
| EPIC Insurance Brokers | $532,900 | 5 |
Largest medical carriers
Medical premium written for these employers.
Oakland 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.
| Oakland | California | United States | |
|---|---|---|---|
| Employer plans | 96 | 6,836 | 58,547 |
| Median commission rate | n/a | 4.0% | 3.8% |
| Middle half of rates | n/a | 0.6% – 6.3% | 2.7% – 5.0% |
| Median broker pay per employer | $123,777 | $104,298 | $72,628 |
| Medical premium per covered person | n/a | $6,689 | $7,274 |
| Plans reporting no commission | 1 | 25 | 933 |
Year over year. In plan year 2023, 104 Oakland employers reported $349M in premiums and $25M in broker pay for 347,145 participants; in 2024 it was $334M and $24M for 360,935 participants (premiums −4.2%, broker pay −0.9%).
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 Oakland employers pay health insurance brokers?
96 Oakland employers reported $24,370,625 in broker commissions and fees on their 2024 Form 5500 filings, 91 of them disclosing at least some compensation. Too few fully insured medical plans in Oakland 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 Oakland employer that disclosed broker pay reported $123,777.
Which Oakland employers have the largest health plans?
By insurance premium reported for 2024, The Permanente Medical Group, Inc. ($125M), Kaiser Foundation Health Plan, Inc. ($122M), Southern California Permanente Medical Group ($78M) lead. 25 Oakland employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Oakland?
By compensation reported by Oakland employers, the largest brokers are Mercer ($4.1M, 9 plans), Sequoia ($1.1M, 8 plans), Acrisure ($953,524, 11 plans). By medical premium, the largest carriers are Cigna, Cigna Health and Life Insurance Company, The North River Insurance Company.
Are Oakland employer health plans self-funded or fully insured?
Of 96 Oakland employer plans, 18 are fully insured, 3 are self-funded and 75 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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