Baltimore, Maryland employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
167 employers in Baltimore, Maryland filed health plans with 100 or more participants for plan year 2024, covering 172,993 participants. They reported $21M in insurance premiums and $15M in broker commissions and fees. Against 2023, premiums were down 9.7% and broker pay fell 7.0%.
Funding: 29 fully insured · 79 self-funded · 59 mixed. 138 of 167 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Baltimore
Baltimore employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Euler Hermes | $5,286,364 | $545 | 513 | Rcm&D Inc |
| Connections Education, LLC | $4,863,312 | $823,646 | 4,054 | The L. Warner Companies, Inc. |
| Miles & Stockbridge P.C. | $4,739,528 | — | 237 | — |
| People Encouraging People, Inc. | $2,546,954 | $44,212 | 196 | — |
| The Children's Guild, Inc | $1,424,175 | $108,499 | 429 | Johnson Kendall and Johnson |
| Board of Trustees of Meba Medical and Benefits Plan | $806,846 | $9,298 | 3,178 | The Segal Co (eastern States), Inc |
| Baltimore Orioles LTD Partnership | $258,775 | $35,384 | 293 | USI Insurance Services |
| Capital Funding Group Inc. | $247,293 | $175,774 | 329 | The Hilb Group of Maryland LLC |
| Chase Brexton Health Services, Inc. | $153,692 | $31,404 | 515 | CBIZ |
| Delfi Diagnostics, Inc. | $124,629 | $115,864 | 175 | Mercer |
| Imre, LLC | $51,647 | $93,548 | 200 | Marsh McLennan Agency |
| Johns Hopkins University | $0 | $804,518 | 18,862 | Mercer |
| Johns Hopkins Hospital | $0 | $770,448 | 16,239 | Cornerstone Financial LLP |
| 88 Board | $0 | — | 13,320 | — |
| Under Armour, Inc | $0 | $221,804 | 12,305 | Mercer |
| Health Board | $0 | — | 11,941 | — |
| T Rowe Price Group, Inc | $0 | $37,477 | 6,545 | Mercer |
| The Whiting-Turner Contracting Company | $0 | — | 4,870 | — |
| Learn IT Systems | $0 | $100,952 | 3,663 | Gallagher |
| Dla Piper LLP | $0 | $395,938 | 3,225 | Lockton |
| BD Tees H&W Trust FD for IUOE L 99&99a | $0 | $592,549 | 3,130 | Bolton Partners |
| Brightview Senior Living | $0 | $149,881 | 2,896 | Silberstein Insurance Group, LLC. |
| The Kennedy Krieger Institute | $0 | $135,137 | 2,573 | Child Health Corp of America |
| Board of Trustees Truck Drivers No. 355 Health & Welfare Plan | $0 | $12,684 | 2,526 | Bolton Partners Inc |
| Board of Trustees of the Steamship Trade Association of Baltimore, Inc | $0 | $10,333 | 2,433 | Segal |
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 Baltimore employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Mercer | $1,743,272 | 10 |
| Kelly & Associates Insurance Group | $1,164,045 | 22 |
| Lockton | $1,094,378 | 10 |
| Silberstein Insurance Group, LLC | $989,386 | 12 |
| The Hilb Group of Maryland LLC | $927,103 | 18 |
| The L Warner Companies Inc | $895,391 | 4 |
| Corporate Synergies | $721,584 | 4 |
| Bolton Insurance Services LLC | $658,376 | 4 |
| Riggs Counselman Michaels & Downes | $599,741 | 11 |
| USI Insurance Services | $555,568 | 10 |
Largest medical carriers
Medical premium written for these employers.
Baltimore against Maryland 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.
| Baltimore | Maryland | United States | |
|---|---|---|---|
| Employer plans | 167 | 1,084 | 58,547 |
| Median commission rate | n/a | 5.5% | 3.8% |
| Middle half of rates | n/a | 3.9% – 8.1% | 2.7% – 5.0% |
| Median broker pay per employer | $51,695 | $77,915 | $72,628 |
| Medical premium per covered person | n/a | $7,401 | $7,274 |
| Plans reporting no commission | 3 | 12 | 933 |
Year over year. In plan year 2023, 176 Baltimore employers reported $23M in premiums and $16M in broker pay for 200,149 participants; in 2024 it was $21M and $15M for 172,993 participants (premiums −9.7%, broker pay −7.0%).
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 Baltimore employers pay health insurance brokers?
167 Baltimore employers reported $15,242,128 in broker commissions and fees on their 2024 Form 5500 filings, 157 of them disclosing at least some compensation. Too few fully insured medical plans in Baltimore reported premium to compute a stable commission rate; the Maryland median is 5.5% and the U.S. median is 3.8%. In dollars, the median Baltimore employer that disclosed broker pay reported $51,695.
Which Baltimore employers have the largest health plans?
By insurance premium reported for 2024, Euler Hermes ($5.3M), Connections Education, LLC ($4.9M), Miles & Stockbridge P.C. ($4.7M) lead. 25 Baltimore employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Baltimore?
By compensation reported by Baltimore employers, the largest brokers are Mercer ($1.7M, 10 plans), Kelly & Associates Insurance Group ($1.2M, 22 plans), Lockton ($1.1M, 10 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Carefirst Blue Cross Blue Shield, Carefirst of Maryland, Inc..
Are Baltimore employer health plans self-funded or fully insured?
Of 167 Baltimore employer plans, 29 are fully insured, 79 are self-funded and 59 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 Maryland
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