Cedar Rapids, Iowa employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
60 employers in Cedar Rapids, Iowa filed health plans with 100 or more participants for plan year 2024, covering 38,715 participants. They reported $45M in insurance premiums and $4.2M in broker commissions and fees. Against 2023, premiums were up 12.4% and broker pay rose 30.1%.
Funding: 10 fully insured · 24 self-funded · 26 mixed. 50 of 60 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Cedar Rapids
Cedar Rapids employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Mercy Medical Center | $15,197,976 | — | 3,230 | — |
| Board of Trustees of the Cedar Rapids Sheet Metal Workers Local 263 He | $5,409,180 | $45,754 | 444 | Commercial Group Intermediaries |
| Five Rivers Carpenters District Council | $4,888,168 | — | 525 | — |
| Four Oaks Family and Children's Services | $3,881,333 | — | 404 | — |
| Trustees of Painters&Allied Trades | $3,259,969 | $12,207 | 350 | Commercial Group Intermediaries |
| Coe College | $2,527,589 | $60,715 | 299 | Acumen Advisors Inc |
| Hupp Electric Motors, Inc. | $2,470,025 | $22,792 | 190 | Holmes Murphy |
| McGrath Automotive Group, Inc. | $2,348,255 | $47,048 | 652 | North Risk Partners LLC |
| Raining Rose, Inc. | $1,943,573 | $50,037 | 292 | Acumen Advisors, Inc. Chicago |
| Igd Industries Inc | $1,679,794 | $499,277 | 225 | — |
| SLB of Iowa | $880,931 | $42,385 | 165 | Mutual Medical Insurance SVCS LLC |
| Physicians Clinic of Iowa, P.C. | $225,130 | $35,852 | 431 | George N. Justice |
| Altorfer Inc | $103,016 | $96,832 | 1,059 | Cottingham & Butler |
| Worley Warehousing Inc. | $92,261 | $22,874 | 150 | Gallagher |
| Ob-Gyn Associates PC | $38,562 | $21,352 | 106 | Pedersen, Dowie, Clabby, McCausland |
| Grask Truck Group, Inc. | $28,064 | $27,581 | 237 | Truenorth Companies, L.C. |
| Transamerica Corporation | $0 | $774,018 | 11,801 | House Accttest |
| CRST, the Transportation Solution, Inc. | $0 | $462,515 | 4,578 | Cottingham & Butler Insurance |
| Board of Trustees U.A. Local Union No. 125 Health and Welfare Fund | $0 | — | 986 | — |
| Hibu Inc. | $0 | $192,198 | 938 | Cottingham and Butler Insurance |
| Board of Trustees, Cedar Rapids Electrical Workers | $0 | — | 904 | — |
| Van Meter, Inc. | $0 | $29,357 | 842 | Brown & Brown |
| United Fire & Casualty Co | $0 | $163,203 | 817 | Marsh McLennan Agency |
| Greatamerica Financial Services Corporation | $0 | $155,874 | 733 | Holmes Murphy |
| Green Companies, Inc. | $0 | $66,093 | 625 | Brown & Brown |
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 Cedar Rapids employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Cottingham & Butler | $685,604 | 7 |
| Truenorth Companies, L.C. | $540,569 | 17 |
| House Accttest | $511,838 | 1 |
| Mercer | $251,535 | 1 |
| Holmes Murphy | $242,614 | 6 |
| Acumen Advisors Inc | $152,504 | 6 |
| Brown & Brown | $139,478 | 4 |
| North Risk Partners LLC | $113,393 | 7 |
| Marsh McLennan Agency | $112,952 | 2 |
| True North Companies, L.C. | $87,035 | 3 |
Largest medical carriers
Medical premium written for these employers.
Cedar Rapids against Iowa 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.
| Cedar Rapids | Iowa | United States | |
|---|---|---|---|
| Employer plans | 60 | 619 | 58,547 |
| Median commission rate | n/a | 1.6% | 3.8% |
| Middle half of rates | n/a | 1.1% – 2.4% | 2.7% – 5.0% |
| Median broker pay per employer | $41,516 | $38,968 | $72,628 |
| Medical premium per covered person | $8,257 | $10,958 | $7,274 |
| Plans reporting no commission | 6 | 54 | 933 |
Year over year. In plan year 2023, 58 Cedar Rapids employers reported $40M in premiums and $3.2M in broker pay for 40,905 participants; in 2024 it was $45M and $4.2M for 38,715 participants (premiums +12.4%, broker pay +30.1%).
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 Cedar Rapids employers pay health insurance brokers?
60 Cedar Rapids employers reported $4,150,848 in broker commissions and fees on their 2024 Form 5500 filings, 53 of them disclosing at least some compensation. Too few fully insured medical plans in Cedar Rapids reported premium to compute a stable commission rate; the Iowa median is 1.6% and the U.S. median is 3.8%. In dollars, the median Cedar Rapids employer that disclosed broker pay reported $41,516.
Which Cedar Rapids employers have the largest health plans?
By insurance premium reported for 2024, Mercy Medical Center ($15M), Board of Trustees of the Cedar Rapids Sheet Metal Workers Local 263 He ($5.4M), Five Rivers Carpenters District Council ($4.9M) lead. 25 Cedar Rapids employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Cedar Rapids?
By compensation reported by Cedar Rapids employers, the largest brokers are Cottingham & Butler ($685,604, 7 plans), Truenorth Companies, L.C. ($540,569, 17 plans), House Accttest ($511,838, 1 plans). By medical premium, the largest carriers are Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Bluecross Blueshield of Illinois.
Are Cedar Rapids employer health plans self-funded or fully insured?
Of 60 Cedar Rapids employer plans, 10 are fully insured, 24 are self-funded and 26 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 Iowa
Is your company on this page? Get its Form 5500 read next to the Cedar Rapids, Iowa medians.
Tell us the company and a specialist writes up what the public Form 5500 record shows for it, if it files one: broker pay against the medians above, fee disclosure and filing timeliness, in a form you can forward to your CFO or counsel. Tick the box if you also want a 15-minute walkthrough call.
We don't sell your email. By submitting, you agree that BenefitsLedger and its benefits advisory partner, WellthCare, may email or call you about these findings. Opt out anytime by replying. See our privacy policy.