BenefitsLedger
City · Plan year 2024 · Form 5500

Washington, District of Columbia employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

412 employers in Washington, District of Columbia filed health plans with 100 or more participants for plan year 2024, covering 6,228,851 participants. They reported $141M in insurance premiums and $51M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 6.4% of premium, against 6.4% across District of Columbia and 3.8% nationally. Against 2023, premiums were up 0.3% and broker pay rose 11.2%.

Employer plans
412
6,228,851 participants
Premiums
$141M
+0.3% vs 2023
Broker pay
$51M
+11.2% vs 2023 · 368 disclosed
Median rate
6.4%
District of Columbia 6.4% · U.S. 3.8%

Funding: 117 fully insured · 73 self-funded · 222 mixed. 295 of 412 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Washington

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

EmployerPremiumsBroker payParticipantsTop broker
National Education Association of the United States$60,515,712$1,268,7982,672,384National Health Administrators
Communications Workers of America, Afl-Cio, CLC$12,364,466—528The Segal Company (eastern States)
Chemonics International, Inc.$11,333,761$728,3921,300Mercer
American Petroleum Institute$6,473,827$215,078340OneDigital
SEIU Health and Welfare Fund Welfare Fund$3,845,623$8264,913Weiner Ins Inc
Human Rights Campaign$3,712,574$348,654258Kelly and Associates Ins Group Inc
Association of Universities for Research in Astronomy, Inc.$3,462,215$515,283922The Hilb Group of MD LLC
Xylem, Inc.$3,289,777$1,032,9569,432Lockton
Trustees of Associated Builders & Contractors Insurance Trust$3,041,954$32,0196,536Assoc Builders & Contractors Ins.
International Republican Institute$2,378,178$157,463241Meltzer Group
Arentfox Schiff LLP$2,259,195$269,4421,236Gallagher
Board of Trustees - Afl-Cio Mutual Benefit Plan$2,246,849$268,135157,521Gallagher
Georgetown University$2,196,810$736,7567,792Pentra LLC
Center for Strategic and International Studies$1,971,681$116,009286USI Insurance Services
ST Johns Community Services$1,791,544$247,289400Lockton
American Institute of Architects$1,782,371$86,699168OneDigital
Center City Public Charter Schools, Inc.$1,768,674$131,714251OneDigital
Campaign for Tobacco-Free Kids$1,687,612$106,867148Gallagher
Danaher Corporation$1,575,233$1,792,82820,720Aon
American Institute of Architects Trust$1,298,373$260,2301,929Hagan Barron Intermediaries
National Council of Architectural Registration Boards$1,267,494$150,080133Lockton
Results for Development Institute, Inc.$1,229,739$92,340120Allegiant Global Partners Inc.
Jefferson Consulting Group, LLC$1,213,495$130,422210The Baldwin Group
National Public Radio$1,165,576$103,7491,057The Meltzer Group
B'nai B'rith Youth Organization Inc$952,564$120,459119EPIC Insurance 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 Washington employers, with the number of employer plans naming each broker.

BrokerCommissions + feesPlans
OneDigital$4,591,76551
The Meltzer Group Inc$4,246,08953
Lockton$4,208,38427
Mercer$3,115,32129
Willis Towers Watson$2,668,90521
USI Insurance Services$2,600,23831
Aon$2,596,63510
Gallagher$1,878,17117
The Baldwin Group$1,852,79916
Marsh McLennan Agency$1,703,26617

Largest medical carriers

Medical premium written for these employers.

$6.5M

Washington against District of Columbia 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.

WashingtonDistrict of ColumbiaUnited States
Employer plans41241358,547
Median commission rate6.4% (10 plans)6.4%3.8%
Middle half of rates4.9% – 8.0%4.9% – 8.0%2.7% – 5.0%
Median broker pay per employer$97,047$97,416$72,628
Medical premium per covered person$6,113n/a$7,274
Plans reporting no commission11933

Year over year. In plan year 2023, 390 Washington employers reported $140M in premiums and $46M in broker pay for 6,144,414 participants; in 2024 it was $141M and $51M for 6,228,851 participants (premiums +0.3%, broker pay +11.2%).

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 Washington employers pay health insurance brokers?

412 Washington employers reported $50,751,493 in broker commissions and fees on their 2024 Form 5500 filings, 368 of them disclosing at least some compensation. Among 10 commission-paying, fully insured medical plans, the median broker rate was 6.4% of premium, 0.0 points above the District of Columbia median of 6.4% and 2.6 points above the U.S. median of 3.8%. In dollars, the median Washington employer that disclosed broker pay reported $97,047.

Which Washington employers have the largest health plans?

By insurance premium reported for 2024, National Education Association of the United States ($61M), Communications Workers of America, Afl-Cio, CLC ($12M), Chemonics International, Inc. ($11M) lead. 25 Washington employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Washington?

By compensation reported by Washington employers, the largest brokers are OneDigital ($4.6M, 51 plans), The Meltzer Group Inc ($4.2M, 53 plans), Lockton ($4.2M, 27 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Cigna, Bluecross Blueshield of Illinois.

Are Washington employer health plans self-funded or fully insured?

Of 412 Washington employer plans, 117 are fully insured, 73 are self-funded and 222 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.

Your company's filing, read for you

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