San Mateo, California employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
69 employers in San Mateo, California filed health plans with 100 or more participants for plan year 2024, covering 45,743 participants. They reported $22M in insurance premiums and $9.1M in broker commissions and fees. Against 2023, premiums were up 53.5% and broker pay fell 18.0%.
Funding: 7 fully insured · 3 self-funded · 59 mixed. 62 of 69 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in San Mateo
San Mateo employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Essex Property Trust, Inc. | $7,940,359 | $380,858 | 1,782 | Alliant Insurance Services |
| Sequoia Benefits and Insurance Services, LLC | $7,499,025 | $27,313 | 833 | Sequoia |
| California Casualty Management Company | $3,550,686 | $47,076 | 407 | OneDigital |
| Franklin Resources, Inc. | $1,085,323 | $120,825 | 3,853 | Aon |
| Abd Insurance and Financial Services, Inc. | $699,703 | $127,344 | 751 | Abd Ins. and Financial SVCS., Inc. |
| Grace Management, Inc. | $447,104 | $35,361 | 175 | Fce Benefit Administrators, Inc. |
| Adams and Associates Inc | $258,437 | $28,206 | 947 | Bene Re LLC |
| Brightline, Inc. | $251,815 | $88,125 | 185 | Centerstone Insurance and Fin. SVCS |
| Peninsula Family Service | $228,224 | $70,907 | 147 | Heffernan |
| Verkada, Inc. | $127,974 | $176,327 | 1,586 | Sequoia |
| Sony Interactive Entertainment LLC | $0 | $458,405 | 5,663 | Willis Towers Watson |
| Freedom Financial Network, LLC | $0 | $153,244 | 2,650 | Alliant Insurance Services |
| Roblox Corporation | $0 | $24,354 | 2,330 | Sequoia |
| Rakuten USA, Inc. - Rakuten Americas Regional Headquarters, Inc. | $0 | $203,417 | 1,719 | Alliant Insurance Services |
| Evo Transportation and Energy Services Inc | $0 | $508,318 | 1,686 | USI Insurance Services |
| Guidewire Software, Inc. | $0 | $110,510 | 1,509 | Mercer |
| Honor Technology | $0 | $27,214 | 1,493 | Seth Kalkstein |
| Upstart Network, Inc. | $0 | $61,428 | 1,440 | Sequoia |
| CW Resources, Inc. | $0 | $266,728 | 1,401 | Fce Benefit Administrators Inc |
| Sodexo Management, Inc. | $0 | $107,416 | 1,234 | Fce Benefit Administrators, Inc. |
| Ixl Learning, Inc | $0 | $137,450 | 1,085 | Marsh McLennan Agency |
| Surveymonkey, Inc. | $0 | $73,016 | 626 | OneDigital |
| Challenge Unlimited, Inc. | $0 | $112,150 | 608 | Fce Benefit Administrators, Inc. |
| Farmer's Business Network, Inc. | $0 | $135,595 | 605 | Marsh McLennan Agency |
| Skydio, Inc. | $0 | $161,491 | 598 | Alliant Insurance Services |
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 Mateo employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Sequoia | $1,871,603 | 18 |
| Alliant Insurance Services | $1,099,464 | 6 |
| Fce Benefit Administrators, Inc. | $1,058,305 | 16 |
| Abd Ins. and Financial SVCS., Inc. | $895,817 | 10 |
| OneDigital | $723,934 | 5 |
| Willis Towers Watson | $627,877 | 3 |
| USI Insurance Services | $508,318 | 1 |
| Acrisure | $400,109 | 6 |
| Marsh McLennan Agency | $351,362 | 4 |
| Newfront Insurance Services | $156,254 | 4 |
Largest medical carriers
Medical premium written for these employers.
San Mateo 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 Mateo | California | United States | |
|---|---|---|---|
| Employer plans | 69 | 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 | $88,125 | $104,298 | $72,628 |
| Medical premium per covered person | n/a | $6,689 | $7,274 |
| Plans reporting no commission | 2 | 25 | 933 |
Year over year. In plan year 2023, 80 San Mateo employers reported $14M in premiums and $11M in broker pay for 48,398 participants; in 2024 it was $22M and $9.1M for 45,743 participants (premiums +53.5%, broker pay −18.0%).
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 Mateo employers pay health insurance brokers?
69 San Mateo employers reported $9,082,540 in broker commissions and fees on their 2024 Form 5500 filings, 69 of them disclosing at least some compensation. Too few fully insured medical plans in San Mateo 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 Mateo employer that disclosed broker pay reported $88,125.
Which San Mateo employers have the largest health plans?
By insurance premium reported for 2024, Essex Property Trust, Inc. ($7.9M), Sequoia Benefits and Insurance Services, LLC ($7.5M), California Casualty Management Company ($3.6M) lead. 25 San Mateo 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 Mateo?
By compensation reported by San Mateo employers, the largest brokers are Sequoia ($1.9M, 18 plans), Alliant Insurance Services ($1.1M, 6 plans), Fce Benefit Administrators, Inc. ($1.1M, 16 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Blue Cross Blue Shield of South Carolina, Kaiser Foundation Health Plan, Inc..
Are San Mateo employer health plans self-funded or fully insured?
Of 69 San Mateo employer plans, 7 are fully insured, 3 are self-funded and 59 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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