Winston Salem, North Carolina employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
64 employers in Winston Salem, North Carolina filed health plans with 100 or more participants for plan year 2024, covering 112,372 participants. They reported $4.2M in insurance premiums and $9.1M in broker commissions and fees. Against 2023, premiums were down 52.3% and broker pay fell 4.2%.
Funding: 8 fully insured · 36 self-funded · 20 mixed. 56 of 64 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Winston Salem
Winston Salem employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Carolina Dealerships, Inc. | $2,077,517 | $718,009 | 3,500 | Foundation Risk Partners Corp |
| Amarr Company | $406,979 | $138,765 | 1,339 | Willis Towers Watson |
| Frank L. Blum Construction Company, Inc. | $315,307 | $54,319 | 185 | Lumina Benefits |
| Allegacy Federal Credit Union | $289,758 | $103,049 | 394 | Hilb Group of North Carolina |
| Hanesbrands Inc. | $280,246 | $229,233 | 5,069 | Benefit Communications Inc |
| Hospice and Palliative Carecenter | $196,671 | $87,273 | 278 | Marsh McLennan Agency |
| Reynolds American Inc. | $174,509 | $387,424 | 14,440 | Gallagher |
| The Resource Company, Inc. | $100,572 | $33,475 | 161 | Benefit Guaranty LLC |
| Salem Electric Company, Inc. | $88,640 | $54,238 | 152 | Marsh McLennan Agency |
| Wake Forest Baptist Medical Center | $76,240 | $972,054 | 18,426 | Willis Towers Watson |
| Vesco Material Handling Equipment Inc | $70,493 | $23,931 | 144 | Piedmont Insurance & Benefits Inc |
| Goodwill Industries of Northwest North Carolina, Inc. | $63,413 | $78,581 | 813 | Foundation Risk Partners Corp |
| Inmar, Inc. | $19,262 | $510,007 | 3,550 | USI Insurance Services |
| Novant Health, Inc | $0 | $929,113 | 33,589 | Gallagher |
| Ali Group North America Corporation | $0 | $549,297 | 4,059 | Marsh McLennan Agency |
| Krispy Kreme Doughnut Corporation | $0 | $342,235 | 3,809 | Alliant Insurance Services |
| Wake Forest University | $0 | $44,070 | 2,576 | Gallagher |
| The Cook & Boardman Group LLC | $0 | $494,529 | 2,536 | USI Insurance Services |
| Quality Oil Company, LLC | $0 | $69,945 | 2,186 | USI Insurance Services |
| Novant Health South Carolina Holdings, LLC | $0 | — | 1,525 | Home Office Direct |
| Flow Companies, LLC | $0 | $237,550 | 1,306 | Custom Benefit Programs Inc |
| Womble Bond Dickinson (US), LLP | $0 | — | 1,071 | — |
| Lorillard, LLC | $0 | $8,391 | 1,002 | Gallagher |
| Truliant Federal Credit Union | $0 | $196,377 | 870 | Marsh McLennan Agency |
| Salem Holding Company | $0 | $264,760 | 815 | HUB International |
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 Winston Salem employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Marsh McLennan Agency | $1,309,245 | 19 |
| USI Insurance Services | $1,160,007 | 6 |
| Gallagher | $1,076,940 | 4 |
| Willis Towers Watson | $956,021 | 4 |
| Foundation Risk Partners Corp | $610,607 | 2 |
| Aon | $513,100 | 5 |
| Alliant Insurance Services | $316,164 | 3 |
| HUB International | $264,760 | 1 |
| Lenserf and Co Inc | $251,877 | 1 |
| James a Scott & Son Inc | $246,402 | 8 |
Largest medical carriers
Medical premium written for these employers.
Winston Salem 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.
| Winston Salem | North Carolina | United States | |
|---|---|---|---|
| Employer plans | 64 | 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 | $69,945 | $64,516 | $72,628 |
| Medical premium per covered person | n/a | $5,949 | $7,274 |
| Plans reporting no commission | 0 | 12 | 933 |
Year over year. In plan year 2023, 55 Winston Salem employers reported $8.7M in premiums and $9.5M in broker pay for 98,758 participants; in 2024 it was $4.2M and $9.1M for 112,372 participants (premiums −52.3%, broker pay −4.2%).
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 Winston Salem employers pay health insurance brokers?
64 Winston Salem employers reported $9,100,656 in broker commissions and fees on their 2024 Form 5500 filings, 61 of them disclosing at least some compensation. Too few fully insured medical plans in Winston Salem 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 Winston Salem employer that disclosed broker pay reported $69,945.
Which Winston Salem employers have the largest health plans?
By insurance premium reported for 2024, Carolina Dealerships, Inc. ($2.1M), Amarr Company ($406,979), Frank L. Blum Construction Company, Inc. ($315,307) lead. 25 Winston Salem employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Winston Salem?
By compensation reported by Winston Salem employers, the largest brokers are Marsh McLennan Agency ($1.3M, 19 plans), USI Insurance Services ($1.2M, 6 plans), Gallagher ($1.1M, 4 plans). By medical premium, the largest carriers are Blue Cross and Blue Shield of North Carolina, American Public Life Insurance Company, Triple S Salud, Inc..
Are Winston Salem employer health plans self-funded or fully insured?
Of 64 Winston Salem employer plans, 8 are fully insured, 36 are self-funded and 20 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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