Charlotte, North Carolina employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
317 employers in Charlotte, North Carolina filed health plans with 100 or more participants for plan year 2024, covering 717,749 participants. They reported $113M in insurance premiums and $44M in broker commissions and fees. Against 2023, premiums were up 4.9% and broker pay rose 24.7%.
Funding: 50 fully insured · 163 self-funded · 104 mixed. 267 of 317 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Charlotte
Charlotte employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| HR Outsourcing Associates, LLC | $48,817,275 | $395,383 | 3,467 | Compass Consulting Group, Inc. |
| Honeywell International Inc. | $10,350,562 | $212,286 | 41,286 | Entertainment Benefits Group, LLC |
| Champion Residential Services LLC Fna Morris-Jenkins | $3,863,882 | $213,411 | 588 | Marsh McLennan Agency |
| Connect Holding Ii LLC, dba Brightspeed | $3,599,245 | $311,928 | 4,401 | ADP |
| Hyosung Holdings USA, Inc. | $3,344,584 | $28,244 | 281 | Benefit Resources of the Carolinas |
| Flagship Specialty Partners | $2,937,712 | $64,392 | 189 | Marsh McLennan Agency |
| Belk Stores Services, LLC | $2,906,802 | $293,131 | 16,284 | Mercer |
| Yokohama Off-Highway Tires America | $2,300,192 | $73,321 | 134 | Marsh McLennan Agency |
| NG Operations, LLC | $2,291,201 | $208,139 | 3,708 | Willis Towers Watson |
| Charlotte Radiology, PA | $2,223,695 | $601,378 | 485 | Lockton |
| Barrday Corp. | $2,029,251 | $95,084 | 152 | NFP |
| Elior, Inc. | $1,904,170 | $639,997 | 10,911 | Mercer |
| Hendrick Automotive Group, LLC | $1,866,144 | $113,075 | 9,746 | Coresource |
| Spar Marketing Force dba Spar Group, Inc. | $1,824,812 | $78,274 | 354 | Travis Porta |
| Driven Brands Inc. | $1,724,186 | $189,189 | 8,372 | Mercer |
| Octapharma Plasma, Inc. | $1,564,872 | $56,230 | 5,084 | Mercer |
| Cedar Fair, L.P. | $1,434,844 | $460,306 | 3,043 | Mercer |
| Isolved, Inc. | $1,316,152 | $274,897 | 2,119 | Filice Insurance Agency |
| Grubb Management, LLC | $1,300,125 | $96,763 | 230 | Lockton |
| New England Life Insurance Company | $1,236,274 | — | 789 | — |
| Orthocarolina P.A. | $1,164,515 | $66,650 | 1,619 | Phillip Porter Goodrum |
| Ffi Holdings, Iii Corp. | $1,077,676 | $58,343 | 2,919 | USI Insurance Services |
| Compass Group USA, Inc. | $1,029,538 | $1,436,098 | 154,481 | Mercer |
| Richard O Ellenburg | $958,298 | $183,515 | 730 | Aon |
| G & W Equipment, Inc | $718,523 | $68,141 | 343 | Mountcastle Insurance |
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 Charlotte employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Mercer | $4,036,562 | 23 |
| Marsh McLennan Agency | $4,017,071 | 37 |
| USI Insurance Services | $3,720,152 | 60 |
| Lockton | $3,561,349 | 31 |
| NFP | $3,175,832 | 46 |
| Aon | $2,738,929 | 11 |
| Willis Towers Watson | $2,443,772 | 18 |
| Custom Benefit Programs Inc | $2,298,185 | 5 |
| Gallagher | $1,612,611 | 24 |
| Ibenefit Communication, LLC | $1,107,210 | 8 |
Largest medical carriers
Medical premium written for these employers.
Charlotte against North Carolina 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.
| Charlotte | North Carolina | United States | |
|---|---|---|---|
| Employer plans | 317 | 1,587 | 58,547 |
| Median commission rate | n/a | 4.5% | 3.8% |
| Middle half of rates | n/a | 2.8% – 7.0% | 2.7% – 5.0% |
| Median broker pay per employer | $69,649 | $64,516 | $72,628 |
| Medical premium per covered person | $6,703 | $5,949 | $7,274 |
| Plans reporting no commission | 2 | 12 | 933 |
Year over year. In plan year 2023, 300 Charlotte employers reported $108M in premiums and $35M in broker pay for 670,089 participants; in 2024 it was $113M and $44M for 717,749 participants (premiums +4.9%, broker pay +24.7%).
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 Charlotte employers pay health insurance brokers?
317 Charlotte employers reported $43,608,402 in broker commissions and fees on their 2024 Form 5500 filings, 305 of them disclosing at least some compensation. Too few fully insured medical plans in Charlotte reported premium to compute a stable commission rate; the North Carolina median is 4.5% and the U.S. median is 3.8%. In dollars, the median Charlotte employer that disclosed broker pay reported $69,649.
Which Charlotte employers have the largest health plans?
By insurance premium reported for 2024, HR Outsourcing Associates, LLC ($49M), Honeywell International Inc. ($10M), Champion Residential Services LLC Fna Morris-Jenkins ($3.9M) lead. 25 Charlotte employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Charlotte?
By compensation reported by Charlotte employers, the largest brokers are Mercer ($4.0M, 23 plans), Marsh McLennan Agency ($4.0M, 37 plans), USI Insurance Services ($3.7M, 60 plans). By medical premium, the largest carriers are Blue Cross Blue Shield of Florida, Health Options, Cigna Health and Life Insurance Company.
Are Charlotte employer health plans self-funded or fully insured?
Of 317 Charlotte employer plans, 50 are fully insured, 163 are self-funded and 104 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 North Carolina
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