San Jose, California employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
203 employers in San Jose, California filed health plans with 100 or more participants for plan year 2024, covering 222,733 participants. They reported $92M in insurance premiums and $31M in broker commissions and fees. Against 2023, premiums were up 20.9% and broker pay rose 4.7%.
Funding: 38 fully insured · 11 self-funded · 154 mixed. 165 of 203 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in San Jose
San Jose employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Rosendin Electric, Inc. | $26,739,911 | $586,857 | 2,006 | Willis Towers Watson |
| Bill Operations, LLC | $24,282,532 | $98,904 | 2,354 | Alliant Insurance Services |
| Cohesity, Inc. | $16,519,011 | $546,445 | 1,200 | Willis Towers Watson |
| Rocketship Education | $6,270,440 | $274,303 | 1,244 | Abd Ins. & Financial Services, Inc. |
| Couchbase, Inc. | $4,593,350 | $414,641 | 368 | League Corp |
| Astreya Partners, LLC | $4,463,679 | $347,315 | 991 | USI Insurance Services |
| Sanmina Corporation | $3,479,452 | $346,292 | 4,414 | USI Insurance Services |
| Vital Connect, Inc. | $1,313,876 | $116,094 | 218 | OneDigital |
| TSMC North America | $1,271,572 | $261,957 | 635 | Integrity Associates |
| Advantest America, Inc. | $864,834 | $342,607 | 1,099 | Lockton |
| Board of Trustees, IBEW Local 332 Health and Welfare | $406,640 | — | 3,331 | — |
| Quantum Corporation | $357,456 | $34,816 | 458 | Abd Ins. and Financial SVCS., Inc. |
| Vectra Ai, Inc | $319,457 | $379,387 | 293 | Abd Ins. and Financial SVCS., Inc. |
| Structural Integrity Associates, Inc. | $220,063 | $70,061 | 187 | Heffernan |
| Board of Trustees, Cal Neca | $205,265 | $166,714 | 281 | Patriot Growth |
| Board of Trustees, U.A. Local 467 Health and Welfare | $204,869 | — | 1,216 | — |
| Board of Trustees, Bay Area Roofers Health and Welfare | $141,099 | $202,964 | 2,127 | Stealth Partner Group |
| Board of Trustees, Ibew/Neca Sound and Communications | $119,689 | — | 3,086 | — |
| Resonac America Inc | $117,991 | $191,903 | 735 | Aon |
| Cupertino Electric, Inc. | $80,180 | $109,067 | 804 | Abd Insurance and Financial Se |
| Automation Anywhere Inc. | $53,657 | $174,677 | 359 | Sequoia |
| Board of Trustees, IBEW Local 234 Health and Welfare | $37,734 | $30,093 | 386 | Stealth Partner Group |
| Signifyd | $33,963 | $54,893 | 307 | Abd Ins. and Financial SVCS., Inc. |
| Cisco Systems, Inc. | $0 | $1,618,280 | 41,342 | Willis Towers Watson |
| Adobe Incorporated | $0 | $742,067 | 15,065 | Mercer |
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 San Jose employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Willis Towers Watson | $3,842,350 | 12 |
| Mercer | $2,807,092 | 13 |
| Acrisure | $1,541,897 | 25 |
| Filice Insurance Services LLC | $1,507,030 | 17 |
| Abd Ins. and Financial SVCS., Inc. | $1,410,842 | 16 |
| Sequoia | $1,279,892 | 11 |
| Alliant Insurance Services | $1,178,261 | 10 |
| HUB International | $1,144,886 | 5 |
| USI Insurance Services | $1,075,323 | 8 |
| Lockton | $1,065,812 | 4 |
Largest medical carriers
Medical premium written for these employers.
San Jose 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.
| San Jose | California | United States | |
|---|---|---|---|
| Employer plans | 203 | 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 | $106,181 | $104,298 | $72,628 |
| Medical premium per covered person | n/a | $6,689 | $7,274 |
| Plans reporting no commission | 0 | 25 | 933 |
Year over year. In plan year 2023, 195 San Jose employers reported $76M in premiums and $29M in broker pay for 219,529 participants; in 2024 it was $92M and $31M for 222,733 participants (premiums +20.9%, broker pay +4.7%).
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 San Jose employers pay health insurance brokers?
203 San Jose employers reported $30,614,591 in broker commissions and fees on their 2024 Form 5500 filings, 191 of them disclosing at least some compensation. Too few fully insured medical plans in San Jose 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 San Jose employer that disclosed broker pay reported $106,181.
Which San Jose employers have the largest health plans?
By insurance premium reported for 2024, Rosendin Electric, Inc. ($27M), Bill Operations, LLC ($24M), Cohesity, Inc. ($17M) lead. 25 San Jose employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in San Jose?
By compensation reported by San Jose employers, the largest brokers are Willis Towers Watson ($3.8M, 12 plans), Mercer ($2.8M, 13 plans), Acrisure ($1.5M, 25 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Kaiser Foundation Health Plan, Inc., Sutter Health Plan.
Are San Jose employer health plans self-funded or fully insured?
Of 203 San Jose employer plans, 38 are fully insured, 11 are self-funded and 154 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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