Sioux City, Iowa employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
23 employers in Sioux City, Iowa filed health plans with 100 or more participants for plan year 2024, covering 10,672 participants. They reported $19M in insurance premiums and $947,328 in broker commissions and fees. Against 2023, premiums were down 11.4% and broker pay rose 19.7%.
Funding: 5 fully insured · 10 self-funded · 8 mixed. 18 of 23 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Sioux City
Sioux City employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Wilson Trailer Co Employee Benefit Plan Employee Health Care Fund | $6,048,759 | $24,112 | 689 | Holmes Murphy |
| State Steel Supply Co. | $3,682,164 | $61,829 | 310 | Holmes Murphy |
| Morningside University | $2,931,636 | — | 184 | — |
| Wilson Trailer Company Healthcare Plan for S Employees | $1,803,361 | $9,954 | 296 | Holmes Murphy |
| American Pop Corn Company | $1,799,603 | $181 | 158 | Gallagher |
| Briar Cliff University | $1,311,870 | $28,413 | 172 | Innovative Business Consultants |
| Transport Refrigeration of South Dakota, Inc. | $877,078 | $50,359 | 159 | Gallagher |
| Siouxland Community Health Center | $199,272 | $54,426 | 214 | Gallagher |
| Health Inc Benefit Plan | $96,889 | $58,763 | 108 | Gallagher |
| Bomgaars Supply, Inc. | $0 | $182,676 | 2,318 | Gallagher |
| Seaboard Triumph Foods | $0 | $56,007 | 2,245 | Brown & Brown |
| Chesterman Company | $0 | $78,068 | 768 | HUB International |
| Klinger Companies, LLC | $0 | $24,611 | 536 | Gallagher |
| Mid-America Agri-Industries Veba | $0 | $3,828 | 429 | Mid-America Group Services, Inc |
| Sioux City Truck Sales Inc. | $0 | $81,407 | 369 | Innovative Benefit Consultants |
| Gerkin Windows & Doors Employee Health Benefit Plan | $0 | $21,446 | 343 | Innovative Benefit Consultants Inc |
| Family Health Care of Siouxland, PLC | $0 | $54,193 | 251 | Marsh McLennan Agency |
| Sunrise Retirement Community | $0 | $20,916 | 233 | Marsh McLennan Agency |
| Palmer Candy Company | $0 | $21,348 | 227 | Gallagher |
| Thompson Solutions Group | $0 | $16,063 | 215 | Gallagher |
| Goodwill of the Great Plains | $0 | $23,802 | 211 | First Insurance Group, LLC |
| CW Suter & Son, Inc. | $0 | $18,129 | 132 | Lee Stuart |
| Itoham America, Inc. | $0 | $56,797 | 105 | USI 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 Sioux City employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Gallagher | $349,877 | 10 |
| Innovative Benefit Consultants | $95,972 | 4 |
| Holmes Murphy | $95,895 | 3 |
| HUB International | $88,096 | 2 |
| Marsh McLennan Agency | $60,834 | 2 |
| USI Insurance Services | $53,013 | 1 |
| Brown & Brown | $46,138 | 1 |
| Michael Donley | $10,802 | 2 |
| Lee Stuart | $10,608 | 1 |
| First Insurance Group LLC | $10,307 | 1 |
Largest medical carriers
Medical premium written for these employers.
Sioux City 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.
| Sioux City | Iowa | United States | |
|---|---|---|---|
| Employer plans | 23 | 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 | $26,512 | $38,968 | $72,628 |
| Medical premium per covered person | n/a | $10,958 | $7,274 |
| Plans reporting no commission | 4 | 54 | 933 |
Year over year. In plan year 2023, 23 Sioux City employers reported $21M in premiums and $791,447 in broker pay for 9,135 participants; in 2024 it was $19M and $947,328 for 10,672 participants (premiums −11.4%, broker pay +19.7%).
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 Sioux City employers pay health insurance brokers?
23 Sioux City employers reported $947,328 in broker commissions and fees on their 2024 Form 5500 filings, 22 of them disclosing at least some compensation. Too few fully insured medical plans in Sioux City 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 Sioux City employer that disclosed broker pay reported $26,512.
Which Sioux City employers have the largest health plans?
By insurance premium reported for 2024, Wilson Trailer Co Employee Benefit Plan Employee Health Care Fund ($6.0M), State Steel Supply Co. ($3.7M), Morningside University ($2.9M) lead. 23 Sioux City employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Sioux City?
By compensation reported by Sioux City employers, the largest brokers are Gallagher ($349,877, 10 plans), Innovative Benefit Consultants ($95,972, 4 plans), Holmes Murphy ($95,895, 3 plans). By medical premium, the largest carriers are Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Blue Cross and Blue Shield, Wellmark Blue Cross and Blue Shield of South Dakota.
Are Sioux City employer health plans self-funded or fully insured?
Of 23 Sioux City employer plans, 5 are fully insured, 10 are self-funded and 8 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
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