Raleigh, North Carolina employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
178 employers in Raleigh, North Carolina filed health plans with 100 or more participants for plan year 2024, covering 236,574 participants. They reported $64M in insurance premiums and $23M in broker commissions and fees. Against 2023, premiums were up 42.2% and broker pay rose 13.7%.
Funding: 29 fully insured · 82 self-funded · 67 mixed. 149 of 178 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Raleigh
Raleigh employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Propharma Group, LLC | $14,905,784 | $434,700 | 1,254 | Lockton |
| Advance Stores Company, Inc. | $12,328,506 | $272,057 | 65,685 | Marsh McLennan Agency |
| Guerbet America LLC | $6,239,008 | $363,421 | 646 | Mercer |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | $5,729,756 | $200,454 | 592 | HUB International |
| Kimley-Horn and Associates, Inc. | $4,487,069 | $104,068 | 7,394 | Lockton |
| Veranex, Inc | $4,249,690 | $296,860 | 432 | Marsh McLennan Agency |
| Asai Inc | $2,278,579 | $202,895 | 470 | The Cason Group Inc |
| US Radiology Specialists, Inc. | $2,223,769 | $601,378 | 3,150 | Lockton |
| Iem International, Inc. | $1,493,117 | $268,556 | 890 | Gallagher |
| Abc Phones of North Carolina, Inc. | $1,305,072 | $202,231 | 5,651 | Lockton |
| Clancy & Theys Construction Company | $1,189,999 | $130,118 | 380 | Marsh McLennan Agency |
| Raleigh-Durham Medical Group PA | $627,903 | $101,614 | 433 | AssuredPartners |
| Legacy Healthcare Services, Inc | $545,213 | $191,273 | 605 | USI Insurance Services |
| Progress USA, Inc. | $544,478 | $65,500 | 132 | Elizabeth Shive |
| Iat Insurance Group Inc. | $543,222 | $229,355 | 856 | Lockton |
| East Coast Migrant Head Start Project | $516,850 | $204,290 | 1,004 | Marsh McLennan Agency |
| Pendo.Io, Inc. | $512,872 | $40,578 | 564 | Mercer |
| Local Government Federal Credit Union | $402,932 | $217,423 | 281 | Russell Carter |
| Easter Seals Ucp North Carolina & Virginia, Inc | $371,099 | $234,721 | 1,067 | James a Scott & Son Inc |
| Japan Tobacco International, U.S.A. Inc. | $368,804 | $219,685 | 358 | NFP |
| Mako Medical Laboratories LLC Welfare Benefits Plan | $296,678 | $123,444 | 399 | Marsh McLennan Agency |
| Merz Pharmaceuticals, LLC | $269,495 | $73,566 | 256 | Marsh McLennan Agency |
| Mayne Pharma Commercial LLC | $254,846 | $337,107 | 236 | Lisa Hamlett |
| Hospice of Wake County, Inc. dba Transitions Lifecare | $251,694 | $123,357 | 310 | Gallagher |
| Cardinal Civil Contracting, LLC | $234,307 | $30,353 | 224 | Gallagher |
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 Raleigh employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Marsh McLennan Agency | $5,354,633 | 46 |
| Gallagher | $2,384,547 | 34 |
| Lockton | $1,725,630 | 7 |
| Willis Towers Watson | $1,286,714 | 7 |
| USI Insurance Services | $1,130,446 | 16 |
| OneDigital | $760,420 | 15 |
| Mosaic Group Services LLC | $641,629 | 34 |
| Custom Benefit Programs Inc | $613,271 | 6 |
| HUB International | $544,008 | 13 |
| James a Scott & Son Inc | $520,398 | 11 |
Largest medical carriers
Medical premium written for these employers.
Raleigh 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.
| Raleigh | North Carolina | United States | |
|---|---|---|---|
| Employer plans | 178 | 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 | $70,578 | $64,516 | $72,628 |
| Medical premium per covered person | n/a | $5,949 | $7,274 |
| Plans reporting no commission | 1 | 12 | 933 |
Year over year. In plan year 2023, 176 Raleigh employers reported $45M in premiums and $20M in broker pay for 176,027 participants; in 2024 it was $64M and $23M for 236,574 participants (premiums +42.2%, broker pay +13.7%).
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 Raleigh employers pay health insurance brokers?
178 Raleigh employers reported $22,671,303 in broker commissions and fees on their 2024 Form 5500 filings, 170 of them disclosing at least some compensation. Too few fully insured medical plans in Raleigh 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 Raleigh employer that disclosed broker pay reported $70,578.
Which Raleigh employers have the largest health plans?
By insurance premium reported for 2024, Propharma Group, LLC ($15M), Advance Stores Company, Inc. ($12M), Guerbet America LLC ($6.2M) lead. 25 Raleigh employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Raleigh?
By compensation reported by Raleigh employers, the largest brokers are Marsh McLennan Agency ($5.4M, 46 plans), Gallagher ($2.4M, 34 plans), Lockton ($1.7M, 7 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Blue Cross Blue Shield of Kansas City, Triple S Salud, Inc..
Are Raleigh employer health plans self-funded or fully insured?
Of 178 Raleigh employer plans, 29 are fully insured, 82 are self-funded and 67 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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