Lexington, Kentucky employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
98 employers in Lexington, Kentucky filed health plans with 100 or more participants for plan year 2024, covering 100,154 participants. They reported $39M in insurance premiums and $12M in broker commissions and fees. Against 2023, premiums were up 31.2% and broker pay rose 28.9%.
Funding: 28 fully insured · 36 self-funded · 34 mixed. 70 of 98 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Lexington
Lexington employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| New Vista of the Bluegrass, Inc. | $15,666,355 | $595,759 | 1,186 | Aspirant Inc. |
| Construction Industry Health and Welfare Trust | $5,677,575 | $8,738 | 1,984 | Cottingham & Butler Ins SVCS |
| Davis H Elliot Company, Incorporated | $3,004,824 | $343,552 | 2,867 | Marsh McLennan Agency |
| Lexmark International, Inc. | $2,050,420 | $54,851 | 3,528 | Mercer |
| Appalachian Regional Healthcare Inc. | $1,886,360 | $611,698 | 3,815 | Marsh McLennan Agency |
| Blackhawk Mining, LLC | $1,081,526 | $214,259 | 6,137 | Marsh McLennan Agency |
| Gray, Inc. | $921,873 | $178,973 | 1,689 | Benefit Insurance Marketing, Inc. |
| Tempur-Pedic Management, LLC | $759,774 | $329,358 | 6,513 | EPIC Insurance Brokers |
| Kentucky Construction Industry Trust | $729,734 | $33,978 | 6,920 | Administrative Services Group |
| Ramaco Resources, Inc. | $554,438 | $469,471 | 1,342 | Marsh McLennan Agency |
| Industrial Manufacturing and Professional Commercial Trust | $540,922 | $957,781 | 4,044 | Shepherd Insurance LLC |
| Hexatronic US Holding, Inc. | $537,475 | $132,026 | 441 | Marsh McLennan Agency |
| New Lexington Clinic, P.S.C. | $483,854 | $296,785 | 1,038 | Benefit Insurance Marketing, Inc. |
| Stoll Keenon Odgen PLLC | $470,018 | $79,130 | 353 | Marsh McLennan Agency |
| Ball Homes, LLC | $295,655 | $84,774 | 212 | Marsh McLennan Agency |
| Kentucky Primary Care Association Health and Benefits Trust | $287,517 | $279,700 | 1,091 | Houchens Insurance Group |
| Forcht Group of Kentucky, Inc. | $281,131 | $52,715 | 1,336 | Pamela Rowsey Larson |
| Denham Blythe Company, Inc. | $280,971 | $38,926 | 191 | AssuredPartners |
| Panariagroup USA, Inc. | $269,431 | $59,072 | 429 | Marsh McLennan Agency |
| SRC of Lexington Inc Health and Welfare Trust | $251,853 | $64,062 | 147 | Benefit Insurance MKT Inc |
| Baptist-Physicians Surgery Center | $219,189 | $64,169 | 211 | Marsh McLennan Agency |
| Dean Dorton Allen Ford, PLLC | $215,584 | $178,425 | 298 | Benefit Insurance Marketing |
| Central Bancshares, Inc. | $169,986 | $225,806 | 503 | Central Bank Insurance Agency |
| Davis & Plomin Mechanical, Inc. | $163,430 | $50,645 | 156 | AssuredPartners |
| Impact Energy Trust | $142,731 | $186,156 | 1,126 | Trucordia Insurance Services 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 Lexington employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Marsh McLennan Agency | $2,833,712 | 34 |
| Benefit Insurance Marketing, Inc. | $1,161,862 | 19 |
| Mercer | $836,434 | 6 |
| AssuredPartners | $745,970 | 16 |
| HUB International | $631,426 | 4 |
| Aspirant Inc. | $433,287 | 1 |
| Shepherd Insurance LLC | $344,962 | 2 |
| Houchens Insurance Group, Inc. | $309,010 | 7 |
| USI Insurance Services | $289,314 | 6 |
| EPIC Insurance Brokers | $272,325 | 1 |
Largest medical carriers
Medical premium written for these employers.
Lexington against Kentucky 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.
| Lexington | Kentucky | United States | |
|---|---|---|---|
| Employer plans | 98 | 700 | 58,547 |
| Median commission rate | n/a | 3.7% | 3.8% |
| Middle half of rates | n/a | 3.4% – 5.0% | 2.7% – 5.0% |
| Median broker pay per employer | $62,587 | $61,155 | $72,628 |
| Medical premium per covered person | n/a | n/a | $7,274 |
| Plans reporting no commission | 0 | 2 | 933 |
Year over year. In plan year 2023, 93 Lexington employers reported $30M in premiums and $9.1M in broker pay for 96,893 participants; in 2024 it was $39M and $12M for 100,154 participants (premiums +31.2%, broker pay +28.9%).
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 Lexington employers pay health insurance brokers?
98 Lexington employers reported $11,689,804 in broker commissions and fees on their 2024 Form 5500 filings, 91 of them disclosing at least some compensation. Too few fully insured medical plans in Lexington reported premium to compute a stable commission rate; the Kentucky median is 3.7% and the U.S. median is 3.8%. In dollars, the median Lexington employer that disclosed broker pay reported $62,587.
Which Lexington employers have the largest health plans?
By insurance premium reported for 2024, New Vista of the Bluegrass, Inc. ($16M), Construction Industry Health and Welfare Trust ($5.7M), Davis H Elliot Company, Incorporated ($3.0M) lead. 25 Lexington employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Lexington?
By compensation reported by Lexington employers, the largest brokers are Marsh McLennan Agency ($2.8M, 34 plans), Benefit Insurance Marketing, Inc. ($1.2M, 19 plans), Mercer ($836,434, 6 plans). By medical premium, the largest carriers are Triple S Salud, Inc., Delta Dental of Kentucky, Anthem Health Plans of Kentucky, Inc..
Are Lexington employer health plans self-funded or fully insured?
Of 98 Lexington employer plans, 28 are fully insured, 36 are self-funded and 34 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 Kentucky
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