Miami, Florida employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
276 employers in Miami, Florida filed health plans with 100 or more participants for plan year 2024, covering 734,431 participants. They reported $582M in insurance premiums and $49M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 4.6% of premium, against 4.6% across Florida and 3.8% nationally. Against 2023, premiums were up 8.0% and broker pay rose 5.6%.
Funding: 137 fully insured · 46 self-funded · 93 mixed. 139 of 276 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Miami
Miami employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| ADP Totalsource, Inc. | $458,299,031 | $9,430,744 | 552,196 | Aon |
| Gastro Health, LLC | $18,824,242 | $777,539 | 1,867 | Gallagher |
| The Simplex Group, Inc. | $18,024,738 | $781,979 | 3,015 | Certus Insurance Advisors LLC |
| Coastal Construction Group | $8,564,971 | $444,831 | 400 | Acrisure |
| Sunrise Community, Inc. | $8,426,655 | $276,002 | 2,259 | First Florida Insurance Brokers,llc |
| Miami Heat Partnership LTD. | $6,136,733 | $291,514 | 422 | Marsh McLennan Agency |
| Banesco USA | $4,673,210 | $305,477 | 317 | Lockton |
| Community Aids Resource, Inc. d/b/a Care Resource | $4,479,129 | $335,799 | 362 | Marsh McLennan Agency |
| Costex Corporation | $3,210,737 | $309,541 | 473 | Marsh McLennan Agency |
| Health Choice Network of Florida, Inc. | $2,873,054 | $198,331 | 212 | Marsh McLennan Agency |
| Associated Energy Group, LLC | $2,851,191 | $196,209 | 244 | Mercer |
| Ransom Everglades School, Inc. | $2,439,706 | $196,088 | 286 | Hays Companies |
| Healthsnap, Inc. | $2,393,701 | $111,135 | 100 | Gallagher |
| Quantum Storage Systems, LLC | $1,811,829 | $115,987 | 440 | Brown & Brown |
| Bella Automotive Group, LTD. | $1,773,939 | $104,689 | 496 | — |
| Ambipar Holdings | $1,772,815 | $62,127 | 166 | Lockton |
| First Bank Florida Welfare Benefits | $1,758,074 | $71,845 | 220 | Olympic Agency Inc |
| Downrite Engineering Corporation | $1,734,829 | $75,438 | 180 | Cronin Gervino & Warlick Inc |
| Banyan Street Advisors LLC | $1,609,873 | $103,625 | 144 | RSC Insurance Brokerage |
| Miami Management, Inc. | $1,536,990 | $52,291 | 299 | — |
| Gm&P Consulting and Glazing Contractors, Inc | $1,480,204 | $66,781 | 138 | Employer Benefits Consulting, LLC |
| Solupay dba Versapay | $1,461,238 | $96,899 | 235 | Gallagher |
| Hamilton & Miller, P.A | $1,453,135 | $82,851 | 130 | Brown & Brown |
| Inter Miami CF, LLC | $1,445,138 | $83,235 | 130 | Gallagher |
| American Welding Society, Inc. | $1,435,148 | $41,413 | 154 | Gallagher |
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 Miami employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Aon | $4,865,341 | 21 |
| Marsh McLennan Agency | $4,589,408 | 32 |
| Lockton | $3,853,790 | 34 |
| Mercer | $3,386,992 | 22 |
| GBS Specialty Markets, LLC | $2,883,981 | 1 |
| OneDigital | $1,987,565 | 13 |
| Brown & Brown | $1,593,407 | 21 |
| Gallagher | $1,553,175 | 13 |
| True 3 LLC | $1,552,903 | 1 |
| USI Insurance Services | $1,148,103 | 18 |
Largest medical carriers
Medical premium written for these employers.
Miami against Florida 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.
| Miami | Florida | United States | |
|---|---|---|---|
| Employer plans | 276 | 3,039 | 58,547 |
| Median commission rate | 4.6% (33 plans) | 4.6% | 3.8% |
| Middle half of rates | 3.4% – 6.0% | 3.7% – 5.2% | 2.7% – 5.0% |
| Median broker pay per employer | $102,318 | $83,531 | $72,628 |
| Medical premium per covered person | $10,124 | $9,849 | $7,274 |
| Plans reporting no commission | 2 | 39 | 933 |
Year over year. In plan year 2023, 263 Miami employers reported $538M in premiums and $46M in broker pay for 711,067 participants; in 2024 it was $582M and $49M for 734,431 participants (premiums +8.0%, broker pay +5.6%).
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 Miami employers pay health insurance brokers?
276 Miami employers reported $48,511,505 in broker commissions and fees on their 2024 Form 5500 filings, 273 of them disclosing at least some compensation. Among 33 commission-paying, fully insured medical plans, the median broker rate was 4.6% of premium, 0.0 points above the Florida median of 4.6% and 0.9 points above the U.S. median of 3.8%. In dollars, the median Miami employer that disclosed broker pay reported $102,318.
Which Miami employers have the largest health plans?
By insurance premium reported for 2024, ADP Totalsource, Inc. ($458M), Gastro Health, LLC ($19M), The Simplex Group, Inc. ($18M) lead. 25 Miami employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Miami?
By compensation reported by Miami employers, the largest brokers are Aon ($4.9M, 21 plans), Marsh McLennan Agency ($4.6M, 32 plans), Lockton ($3.9M, 34 plans). By medical premium, the largest carriers are Metropolitan Life Insurance Company, Blue Cross Blue Shield of Florida, Blue Cross Blue Shield of Michigan.
Are Miami employer health plans self-funded or fully insured?
Of 276 Miami employer plans, 137 are fully insured, 46 are self-funded and 93 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 Florida
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