BenefitsLedger
City · Plan year 2024 · Form 5500

Framingham, Massachusetts employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

28 employers in Framingham, Massachusetts filed health plans with 100 or more participants for plan year 2024, covering 331,072 participants. They reported $46M in insurance premiums and $5.6M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 2.5% of premium, against 2.5% across Massachusetts and 3.8% nationally. Against 2023, premiums were up 46.2% and broker pay rose 10.0%.

Employer plans
28
331,072 participants
Premiums
$46M
+46.2% vs 2023
Broker pay
$5.6M
+10.0% vs 2023 · 27 disclosed
Median rate
2.5%
Massachusetts 2.5% · U.S. 3.8%

Funding: 6 fully insured · 5 self-funded · 17 mixed. 22 of 28 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Framingham

Framingham employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.

EmployerPremiumsBroker payParticipantsTop broker
Re Build Manufacturing, LLC$10,021,750$298,767848USI Insurance Services
Globoforce, Inc.$6,844,197$184,464510OneDigital
Wayside Youth and Family Support Network$6,041,126$135,314398USI Insurance Services
Applause App Quality, Inc.$4,139,075$115,870304Patriot Growth
Healthdrive Corp$3,990,680$159,060420GCG Financial, LLC
Douglas a Thom Clinic, Inc. dba Thom Child and Family Services$3,692,341$120,936576Brown & Brown
LFB USA, Inc.$3,294,942$124,224211OneDigital
Carney Management Company, Inc$2,532,545$86,481178Marsh McLennan Agency
Variantyx, Inc.$1,994,304$68,240131Gallagher
Alira Health Boston, LLC$1,586,499$62,409134Sentinel Insurance Agency
CCL Industries Corporation$742,283$443,2084,589Hilb Group of New England
Advocates, Inc.$578,672$394,8321,612Gallagher
Definitive Healthcare, LLC$349,655$24,778670The Hilb Group of New England LLC
South Middlesex Opportunity Council$259,990$139,539639Hilb Group of New England
The TJX Companies, Inc.$201,237$1,571,063284,993Strategic Non-Medical Solutions LLC
Mary Ann Morse Healthcare Corp.$91,328$93,897174NFP
PR Management Corporation$25,389$28,847259Lockton
The Portland Group, Inc.$14,953$80,004230USI Insurance Services
Usr Parent Inc.$0$288,81216,744Willis Towers Watson
Staples Inc$0$423,16911,997Willis Towers Watson
Ameresco, Inc.$0$121,6811,480Gallagher
Bose Corporation$0$197,2931,470Willis Towers Watson
DPS Group, Inc.$0$49,8191,199Cross Insurance
Charles River Medical Associates, P.C.$0$150,342367Jennifer A. Borislow Ins Agcy
Tribute Home Care$0$43,246309IMA Financial

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 Framingham employers, with the number of employer plans naming each broker.

Largest medical carriers

Medical premium written for these employers.

Framingham against Massachusetts 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.

FraminghamMassachusettsUnited States
Employer plans281,86458,547
Median commission rate2.5% (10 plans)2.5%3.8%
Middle half of rates2.1% – 2.7%2.0% – 3.2%2.7% – 5.0%
Median broker pay per employer$124,224$75,078$72,628
Medical premium per covered person$6,853$8,072$7,274
Plans reporting no commission018933

Year over year. In plan year 2023, 29 Framingham employers reported $32M in premiums and $5.1M in broker pay for 310,541 participants; in 2024 it was $46M and $5.6M for 331,072 participants (premiums +46.2%, broker pay +10.0%).

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 Framingham employers pay health insurance brokers?

28 Framingham employers reported $5,586,163 in broker commissions and fees on their 2024 Form 5500 filings, 27 of them disclosing at least some compensation. Among 10 commission-paying, fully insured medical plans, the median broker rate was 2.5% of premium, 0.0 points above the Massachusetts median of 2.5% and 1.2 points below the U.S. median of 3.8%. In dollars, the median Framingham employer that disclosed broker pay reported $124,224.

Which Framingham employers have the largest health plans?

By insurance premium reported for 2024, Re Build Manufacturing, LLC ($10M), Globoforce, Inc. ($6.8M), Wayside Youth and Family Support Network ($6.0M) lead. 25 Framingham employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Framingham?

By compensation reported by Framingham employers, the largest brokers are Strategic Non-Medical Solution ($983,694, 2 plans), Willis Towers Watson ($638,488, 4 plans), Gallagher ($540,654, 3 plans). By medical premium, the largest carriers are Blue Cross Blue Shield of Massachusetts, Inc., MCS Life Insurance Company, Kaiser Foundation Health Plan, Inc..

Are Framingham employer health plans self-funded or fully insured?

Of 28 Framingham employer plans, 6 are fully insured, 5 are self-funded and 17 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 Massachusetts

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