Springfield, Missouri employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
62 employers in Springfield, Missouri filed health plans with 100 or more participants for plan year 2024, covering 160,295 participants. They reported $25M in insurance premiums and $11M in broker commissions and fees. Against 2023, premiums were up 8.9% and broker pay rose 0.1%.
Funding: 18 fully insured · 29 self-funded · 15 mixed. 44 of 62 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Springfield
Springfield employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Great Southern Bank | $6,873,829 | $648,008 | 851 | Cox Health Systems Insurance Compan |
| Hutchens Industries, Inc | $5,372,567 | $387,635 | 687 | Cox Health Systems Insurance Co |
| Hiland Dairy Foods Company, LLC | $4,511,613 | $459,154 | 3,796 | Marsh McLennan Agency |
| Springfield Grocer Co | $2,786,057 | $215,867 | 581 | Cox Health Systems Insurance Co |
| Food Ingredients Technology Co., LLC | $1,751,236 | $187,292 | 113 | Mercer |
| Springfield Mechanical Services, Inc. | $1,317,695 | $147,147 | 168 | Cox Health System Insurance Company |
| Lester E Cox Medical Center | $627,134 | $1,792,297 | 11,120 | Lockton |
| Forvis Mazars, LLP | $608,225 | $563,882 | 7,340 | Lockton |
| Penmac Staffing Services, Inc. | $607,712 | $172,102 | 239 | Holmes Murphy |
| Hamra Enterprises | $59,008 | $166,951 | 679 | Marsh McLennan Agency |
| O'reilly Automotive, Inc. | $0 | $318,530 | 86,178 | Aon |
| Great Outdoors Group, LLC | $0 | $1,609 | 15,979 | Mercer |
| O'reilly Auto Enterprises, LLC | $0 | — | 12,727 | — |
| New Prime, Inc. | $0 | $1,121,020 | 2,082 | Marsh McLennan Agency |
| Burrell-Preferred Inc dba Brightli | $0 | $297,023 | 1,939 | Lockton |
| Missouri Association of Manufacturers Health Source Inc. | $0 | — | 1,633 | — |
| TLG Operations, LLC | $0 | $229,163 | 1,202 | Gallagher |
| SRC Holdings Corporation | $0 | $196,096 | 1,183 | Med-Pay, Inc. |
| Associated Electric Cooperative, Inc | $0 | — | 706 | — |
| Ozarks Coca-Cola/Dr Pepper Bottling Company | $0 | $195,476 | 688 | Med-Pay, Inc. |
| Advocates for a Healthy Community, Inc. | $0 | $150,709 | 589 | Lockton |
| Paul Mueller Company | $0 | $163,128 | 574 | Marsh McLennan Agency |
| Wilhoit Properties, Inc | $0 | $137,786 | 475 | OneDigital |
| Loren Cook Company | $0 | $9,541 | 463 | Med-Pay Inc |
| General Council of the Assemblies of God | $0 | $470,845 | 410 | Cox Health Systems Insurance Compan |
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 Springfield employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Lockton | $1,885,070 | 6 |
| Cox Health Systems Insurance Compan | $1,540,041 | 6 |
| Marsh McLennan Agency | $1,269,864 | 8 |
| Bcinsourcing, LLC | $769,960 | 1 |
| Barker Phillips Jackson, Inc. | $528,784 | 7 |
| Accretive Enrollment Services, LLC | $465,030 | 1 |
| Med-Pay, Inc. | $462,570 | 5 |
| Aon | $378,412 | 2 |
| OneDigital | $353,401 | 6 |
| Gallagher | $285,978 | 2 |
Largest medical carriers
Medical premium written for these employers.
Springfield against Missouri 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.
| Springfield | Missouri | United States | |
|---|---|---|---|
| Employer plans | 62 | 1,063 | 58,547 |
| Median commission rate | n/a | 4.5% | 3.8% |
| Middle half of rates | n/a | 2.8% – 5.9% | 2.7% – 5.0% |
| Median broker pay per employer | $101,007 | $64,776 | $72,628 |
| Medical premium per covered person | n/a | $7,252 | $7,274 |
| Plans reporting no commission | 1 | 8 | 933 |
Year over year. In plan year 2023, 61 Springfield employers reported $23M in premiums and $11M in broker pay for 171,219 participants; in 2024 it was $25M and $11M for 160,295 participants (premiums +8.9%, broker pay +0.1%).
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 Springfield employers pay health insurance brokers?
62 Springfield employers reported $10,806,341 in broker commissions and fees on their 2024 Form 5500 filings, 56 of them disclosing at least some compensation. Too few fully insured medical plans in Springfield reported premium to compute a stable commission rate; the Missouri median is 4.5% and the U.S. median is 3.8%. In dollars, the median Springfield employer that disclosed broker pay reported $101,007.
Which Springfield employers have the largest health plans?
By insurance premium reported for 2024, Great Southern Bank ($6.9M), Hutchens Industries, Inc ($5.4M), Hiland Dairy Foods Company, LLC ($4.5M) lead. 25 Springfield employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Springfield?
By compensation reported by Springfield employers, the largest brokers are Lockton ($1.9M, 6 plans), Cox Health Systems Insurance Compan ($1.5M, 6 plans), Marsh McLennan Agency ($1.3M, 8 plans). By medical premium, the largest carriers are Cox Health Systems Insurance Company, Blue Cross and Blue Shield of Alabama, Cigna Health and Life Insurance Company.
Are Springfield employer health plans self-funded or fully insured?
Of 62 Springfield employer plans, 18 are fully insured, 29 are self-funded and 15 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 Missouri
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