BenefitsLedger
City · Plan year 2024 · Form 5500

Wilmington, North Carolina employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

32 employers in Wilmington, North Carolina filed health plans with 100 or more participants for plan year 2024, covering 16,864 participants. They reported $2.6M in insurance premiums and $4.9M in broker commissions and fees. Against 2023, premiums were up 0.5% and broker pay rose 11.5%.

Employer plans
32
16,864 participants
Premiums
$2.6M
+0.5% vs 2023
Broker pay
$4.9M
+11.5% vs 2023 · 32 disclosed
Median rate
n/a
too few insured medical plans

Funding: 12 fully insured · 17 self-funded · 3 mixed. 20 of 32 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Wilmington

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

EmployerPremiumsBroker payParticipantsTop broker
Liberty Healthcare Management, Inc.$1,802,553$850,7244,366USI Insurance Services
Atlantic Corporation of Wilmington, Inc.$569,543$381,862992USI Insurance Services
Tribute Companies, Inc.$129,906$105,850261Griffin-Estep Benefit Group
Monteith Construction Corp$81,453$124,562125Henry Vance Estep
Reeds Jewelers, Inc.$34,535$69,971594AssuredPartners
Ncino, Inc.$0$334,2811,192Gallagher
Alcami Corporation$0$186,6001,053Optum
Live Oak Bancshares, Inc.$0$141,7951,006Marsh McLennan Agency
Wilmington Health, PLLC$0$155,435992Marsh McLennan Agency
Megacorp Logistics, LLC$0$226,101704USI Insurance Services
Coastal Horizons Center, Inc.$0$247,563592Robert Mark McLean
Coastal Beverage Company, Inc.$0$64,896522Marsh McLennan Agency
EMS Linq, Inc.$0$318,118434Wes Bartlett
Sonic Systems International, LLC$0$132,318434Lockton
South Atlantic, LLC$0$193,368318Gallagher
A Caring Heart Case Management Inc.$0$53,421309Marsh McLennan Agency
Apiture, Inc.$0$111,108306Marsh McLennan Agency
South Atlantic Services, Inc.$0$128,397275Ryan Wallace
Quality Chemical Laboratories, LLC$0$114,896270USI Insurance Services
Lower Cape Fear Hospice, Incorporated$0$79,769265Harold W Wells & Sons Inc
Polyquest, Inc.$0$275,034230Lisa Hamlett
Castle Branch, Inc.$0$57,961217Gallagher
S & S Services Group, LLC$0$63,062212OneDigital
Wilmington Eye, P.A.$0$128,821204Ellen Tucker
Cornelia Nixon Davis, Inc$0$10,709177Sherri Miller

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

BrokerCommissions + feesPlans
USI Insurance Services$1,532,0786
Gallagher$588,9765
Marsh McLennan Agency$477,4188
Mosaic Group Services LLC$245,74213
Wes Bartlett$221,7241
Lisa Hamlett$189,5901
Robert Mark McLean$172,9152
OneDigital$156,3004
Lockton$121,4412
Griffin Estep Benefit$107,9552

Largest medical carriers

Medical premium written for these employers.

Wilmington 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.

WilmingtonNorth CarolinaUnited States
Employer plans321,58758,547
Median commission raten/a4.5%3.8%
Middle half of ratesn/a2.8% – 7.0%2.7% – 5.0%
Median broker pay per employer$113,002$64,516$72,628
Medical premium per covered personn/a$5,949$7,274
Plans reporting no commission012933

Year over year. In plan year 2023, 31 Wilmington employers reported $2.6M in premiums and $4.4M in broker pay for 17,403 participants; in 2024 it was $2.6M and $4.9M for 16,864 participants (premiums +0.5%, broker pay +11.5%).

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 Wilmington employers pay health insurance brokers?

32 Wilmington employers reported $4,852,145 in broker commissions and fees on their 2024 Form 5500 filings, 32 of them disclosing at least some compensation. Too few fully insured medical plans in Wilmington 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 Wilmington employer that disclosed broker pay reported $113,002.

Which Wilmington employers have the largest health plans?

By insurance premium reported for 2024, Liberty Healthcare Management, Inc. ($1.8M), Atlantic Corporation of Wilmington, Inc. ($569,543), Tribute Companies, Inc. ($129,906) lead. 25 Wilmington employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Wilmington?

By compensation reported by Wilmington employers, the largest brokers are USI Insurance Services ($1.5M, 6 plans), Gallagher ($588,976, 5 plans), Marsh McLennan Agency ($477,418, 8 plans). By medical premium, the largest carriers are Blue Cross and Blue Shield of North Carolina, Unitedhealthcare Insurance Company, Four Ever Life Ins Co..

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

Of 32 Wilmington employer plans, 12 are fully insured, 17 are self-funded and 3 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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