Indianapolis, Indiana employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
301 employers in Indianapolis, Indiana filed health plans with 100 or more participants for plan year 2024, covering 333,544 participants. They reported $142M in insurance premiums and $26M in broker commissions and fees. Against 2023, premiums were up 29.1% and broker pay fell 1.3%.
Funding: 65 fully insured · 170 self-funded · 66 mixed. 236 of 301 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Indianapolis
Indianapolis employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Ath Holding Company LLC | $74,439,098 | — | 75,337 | — |
| New Hope of Indiana, Inc. | $14,140,471 | $26,515 | 299 | Gregory & Appel, Inc. |
| The Elevance Health Companies of Puerto Rico | $10,482,325 | — | 3,359 | — |
| Community Health Network, Inc. | $9,462,789 | $1,155,628 | 17,123 | Mercer |
| Credit Union Consortium | $2,780,396 | $316,608 | 3,615 | Icul Services Corporation |
| KRG Management, LLC | $2,643,703 | $242,501 | 227 | Gallagher |
| The National Bank of Indianapolis | $2,541,173 | $158,366 | 321 | Nefouse & Associates, Inc. |
| Trimedx Holdings, LLC | $2,335,726 | $192 | 3,000 | Willis Towers Watson |
| Macallister Machinery Co., Inc. | $1,930,910 | $283,649 | 1,887 | Hylant |
| American United Life Insurance Company | $1,806,333 | $76,256 | 2,843 | United Benefit Advisors LLC |
| Countrymark Cooperative Holding Corporation | $1,577,266 | $43,871 | 508 | Alterity Broker Solutions, Inc |
| American Senior Communities, L.L.C. | $1,312,465 | $446,688 | 6,908 | Conner Health and Benefits Inc |
| Iba Group Insurance Trust | $1,253,881 | $85,082 | 2,663 | Ertel & Company |
| Jewish Federation of Greater Indianapolis, Inc | $1,238,293 | $37,378 | 198 | First Person, Inc |
| Gaylor Electric, Inc. | $966,230 | $388,462 | 1,523 | Apex Benefits Group Inc. |
| Venture Transportation Partners, LLC | $873,980 | $72,662 | 1,437 | David C Norris |
| United Farm Family Life Insurance Company | $833,318 | $191,000 | 1,274 | Locascio, Hadden & Dennis |
| Choices Coordinated Care Solutions, Inc. | $575,438 | $78,271 | 305 | Marsh McLennan Agency |
| Adult and Child Mental Health CTR. | $566,639 | $60,076 | 539 | Brown & Brown |
| Ici Benefits Consortium | $507,039 | $108,177 | 738 | Gallagher |
| Brickyard Healthcare | $467,307 | $206,761 | 1,476 | Gallagher |
| Koorsen Fire and Security, Inc. | $461,221 | $24,372 | 1,052 | ADP |
| National Association of Mutual Insurance Companies | $422,860 | $148,120 | 2,070 | Gibson Insurance Agency Inc. |
| The Board of Trustees of the Icso Group Health & Welfare Plan | $379,937 | $318,510 | 1,107 | Gibson Insurance Agency, Inc. |
| Materials Processing, Inc. | $362,389 | $54,651 | 317 | Locascio Hadden and Dennis, LLC |
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 Indianapolis employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Gregory & Appel, Inc. | $2,322,826 | 18 |
| Apex Benefits Group, Inc. | $2,278,138 | 31 |
| Mercer | $1,874,664 | 8 |
| Locascio Hadden & Dennis LLC | $1,695,662 | 30 |
| Lockton | $1,517,400 | 14 |
| First Person, Inc | $1,123,875 | 28 |
| Hylant | $1,000,453 | 19 |
| Gallagher | $948,508 | 17 |
| Gibson Insurance Agency, Inc. | $737,936 | 11 |
| American Healthcare Group, Inc. | $598,630 | 14 |
Largest medical carriers
Medical premium written for these employers.
Indianapolis against Indiana 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.
| Indianapolis | Indiana | United States | |
|---|---|---|---|
| Employer plans | 301 | 1,155 | 58,547 |
| Median commission rate | n/a | 4.9% | 3.8% |
| Middle half of rates | n/a | 3.0% – 8.6% | 2.7% – 5.0% |
| Median broker pay per employer | $60,371 | $48,384 | $72,628 |
| Medical premium per covered person | n/a | n/a | $7,274 |
| Plans reporting no commission | 2 | 6 | 933 |
Year over year. In plan year 2023, 304 Indianapolis employers reported $110M in premiums and $26M in broker pay for 335,862 participants; in 2024 it was $142M and $26M for 333,544 participants (premiums +29.1%, broker pay −1.3%).
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 Indianapolis employers pay health insurance brokers?
301 Indianapolis employers reported $25,945,274 in broker commissions and fees on their 2024 Form 5500 filings, 279 of them disclosing at least some compensation. Too few fully insured medical plans in Indianapolis reported premium to compute a stable commission rate; the Indiana median is 4.9% and the U.S. median is 3.8%. In dollars, the median Indianapolis employer that disclosed broker pay reported $60,371.
Which Indianapolis employers have the largest health plans?
By insurance premium reported for 2024, Ath Holding Company LLC ($74M), New Hope of Indiana, Inc. ($14M), The Elevance Health Companies of Puerto Rico ($10M) lead. 25 Indianapolis employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Indianapolis?
By compensation reported by Indianapolis employers, the largest brokers are Gregory & Appel, Inc. ($2.3M, 18 plans), Apex Benefits Group, Inc. ($2.3M, 31 plans), Mercer ($1.9M, 8 plans). By medical premium, the largest carriers are Mapfre Life Insurance Company of Puerto Rico, Cigna Health and Life Insurance Company, Blue Cross Blue Shield of Michigan.
Are Indianapolis employer health plans self-funded or fully insured?
Of 301 Indianapolis employer plans, 65 are fully insured, 170 are self-funded and 66 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 Indiana
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