Louisville, Kentucky employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
204 employers in Louisville, Kentucky filed health plans with 100 or more participants for plan year 2024, covering 338,981 participants. They reported $81M in insurance premiums and $29M in broker commissions and fees. Against 2023, premiums were down 3.0% and broker pay fell 12.4%.
Funding: 58 fully insured · 97 self-funded · 49 mixed. 146 of 204 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Louisville
Louisville employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| ST Matthews Area Chamber of Commerce Inc | $31,737,053 | $1,854,106 | 4,646 | Fsab LLC |
| Norton Healthcare, Inc. Department | $8,915,911 | $2,420,469 | 17,879 | Lockton |
| Rescare, Inc. d/b/a Brightspring Health Services | $7,925,313 | $1,676,326 | 39,480 | Aon |
| Uofl Health, Inc. | $3,336,152 | $185,980 | 6,771 | AssuredPartners |
| Frost Brown Todd LLP | $2,442,395 | $178,926 | 1,058 | Marsh McLennan Agency |
| Sazerac Company | $2,021,322 | $548,065 | 4,718 | Mercer |
| Turnpoint Services | $1,859,991 | $990,200 | 4,298 | Marsh McLennan Agency |
| Confluent Health, LLC | $1,644,604 | $500,851 | 3,955 | AssuredPartners |
| Churchill Downs | $1,643,283 | $881,972 | 4,877 | Marsh McLennan Agency |
| Prestige Administrative Services, LLC | $1,500,428 | $335,181 | 5,168 | Bek Resources, LLC |
| Abel Construction Company, Inc. | $1,430,878 | $88,084 | 179 | Marsh McLennan Agency |
| Kindred Healthcare Operating, LLC | $1,418,020 | $592,152 | 19,903 | Mercer |
| Boyd Company | $1,395,355 | $54,153 | 1,334 | Lockton |
| Stakeholder Payroll Services, LLC | $1,076,319 | $677,878 | 4,818 | USI Insurance Services |
| SSW Advanced Technologies | $997,737 | $118,402 | 758 | Willis Towers Watson |
| Association Healthcare Consortium Inc. dba Kba Benefits Trust | $976,167 | — | 2,842 | — |
| Kentucky Farm Bureau Mutual Insurance Company | $776,918 | $76,876 | 1,029 | Benefit Insurance Marketing, Inc. |
| Haier US Appliance Solutions, Inc | $698,473 | $390,746 | 16,266 | Willis Towers Watson |
| Steel Technologies, LLC. | $630,282 | $190,366 | 1,433 | Marsh McLennan Agency |
| Glowtouch | $440,965 | $95,013 | 463 | AssuredPartners |
| Bramco, Inc. | $401,708 | $104,875 | 543 | USI Insurance Services |
| Verisys Corporation | $347,592 | $77,671 | 612 | Alliant Insurance Services |
| Hosparus, Inc. | $340,371 | $215,817 | 634 | USI Insurance Services |
| Isco Industries, Inc. | $331,682 | $137,578 | 640 | Marsh McLennan Agency |
| Hays Automotive Group | $316,942 | $89,118 | 325 | AssuredPartners |
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 Louisville employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Marsh McLennan Agency | $4,037,932 | 41 |
| Mercer | $2,475,071 | 10 |
| AssuredPartners | $2,434,832 | 41 |
| Aon | $1,905,931 | 7 |
| Lockton | $1,724,358 | 5 |
| USI Insurance Services | $1,368,150 | 15 |
| Fsab LLC | $1,277,657 | 1 |
| Foundation Risk Partners Corp | $1,256,893 | 21 |
| Willis Towers Watson | $1,207,335 | 4 |
| Cbi Holdings, LLC | $761,085 | 2 |
Largest medical carriers
Medical premium written for these employers.
Louisville 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.
| Louisville | Kentucky | United States | |
|---|---|---|---|
| Employer plans | 204 | 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 | $68,605 | $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, 209 Louisville employers reported $84M in premiums and $33M in broker pay for 364,199 participants; in 2024 it was $81M and $29M for 338,981 participants (premiums −3.0%, broker pay −12.4%).
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 Louisville employers pay health insurance brokers?
204 Louisville employers reported $29,300,801 in broker commissions and fees on their 2024 Form 5500 filings, 194 of them disclosing at least some compensation. Too few fully insured medical plans in Louisville 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 Louisville employer that disclosed broker pay reported $68,605.
Which Louisville employers have the largest health plans?
By insurance premium reported for 2024, ST Matthews Area Chamber of Commerce Inc ($32M), Norton Healthcare, Inc. Department ($8.9M), Rescare, Inc. d/b/a Brightspring Health Services ($7.9M) lead. 25 Louisville employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Louisville?
By compensation reported by Louisville employers, the largest brokers are Marsh McLennan Agency ($4.0M, 41 plans), Mercer ($2.5M, 10 plans), AssuredPartners ($2.4M, 41 plans). By medical premium, the largest carriers are Anthem Blue Cross and Blue Shield, Cigna Health and Life Insurance Company, Blue Cross Blue Shield of Michigan.
Are Louisville employer health plans self-funded or fully insured?
Of 204 Louisville employer plans, 58 are fully insured, 97 are self-funded and 49 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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