Las Vegas, Nevada employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
217 employers in Las Vegas, Nevada filed health plans with 100 or more participants for plan year 2024, covering 195,934 participants. They reported $14M in insurance premiums and $32M in broker commissions and fees. Against 2023, premiums were up 32.0% and broker pay rose 12.6%.
Funding: 100 fully insured · 44 self-funded · 73 mixed. 117 of 217 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Las Vegas
Las Vegas employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| MGM Resorts International | $3,583,024 | $2,765,659 | 31,639 | Mercer |
| R & R Partners, Inc. | $2,647,567 | $108,924 | 301 | Gallagher |
| Goettl Air Conditioning & Plumbing | $2,047,684 | $282,679 | 677 | Marsh McLennan Agency |
| Gaughan South LLC | $1,182,097 | $89,555 | 2,275 | GBS Nevada Inc |
| Mpmc-Mp Materials Corp. | $945,158 | $268,346 | 610 | James a Scott & Son Inc |
| Credit One Bank, N.A. | $676,482 | $570,464 | 1,168 | Mercer |
| Switch, LTD. | $649,958 | $79,431 | 907 | USI Insurance Services |
| Light & Wonder | $434,058 | $173,582 | 2,728 | Robyn L Piper |
| Yes& Companies, LLC | $419,595 | $284,152 | 894 | Mercer |
| Ambitions, Inc. | $296,404 | $16,819 | 452 | Alliant Insurance Services |
| Las Vegas Residential Properties, LLC | $292,462 | $92,105 | 134 | HUB International |
| Plumbers and Pipefitters Union, Local No. 525 Health and Welfare Plan | $199,086 | — | 2,018 | — |
| Fasteners Inc. Southwestern Supply | $187,716 | $29,681 | 129 | Brown & Brown |
| Opportunity Village | $179,788 | $136,483 | 474 | Morrissey Insurance Services |
| Rimini Street Inc. | $177,205 | $83,460 | 658 | Woodruff Sawyer |
| Glazing Health & Welfare Trust Board of Trustees | $143,175 | — | 394 | — |
| Legal Aid Center of Southern Nevada, Inc. | $128,517 | $188,119 | 191 | Brown & Brown |
| Arcata Associates, Inc. | $122,690 | $168,095 | 346 | Abd Ins. and Financial SVCS., Inc. |
| Silver State Bell, LLC | $47,080 | $207,463 | 299 | USI Insurance Services |
| Las Vegas Review-Journal, Inc. | $38,079 | $5,759 | 501 | Terry Van Noy |
| Zuffa, LLC | $33,049 | $68,017 | 417 | Marsh McLennan Agency |
| Playstudios US, LLC | $19,050 | $14,463 | 181 | EPIC Insurance Brokers |
| Boyd Gaming Corporation | $0 | — | 8,958 | — |
| Advanstaff, Inc. | $0 | $1,462,114 | 7,949 | Richards Agency |
| Board of Trustees, Eighth District Electrical Benefit | $0 | — | 7,706 | — |
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 Las Vegas employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Mercer | $4,180,335 | 10 |
| Brown & Brown | $2,562,846 | 29 |
| Cragin & Pike, Inc. | $2,175,486 | 24 |
| Lockton | $1,903,105 | 11 |
| Alliant Insurance Services | $1,788,814 | 6 |
| Distinctive Insurance | $1,722,053 | 16 |
| The Richards Group | $1,460,352 | 1 |
| Marsh McLennan Agency | $1,272,051 | 12 |
| USI Insurance Services | $1,207,600 | 12 |
| Bennie Insurance, LLC | $579,235 | 3 |
Largest medical carriers
Medical premium written for these employers.
Las Vegas against Nevada 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.
| Las Vegas | Nevada | United States | |
|---|---|---|---|
| Employer plans | 217 | 381 | 58,547 |
| Median commission rate | n/a | 8.8% | 3.8% |
| Middle half of rates | n/a | 8.6% – 8.9% | 2.7% – 5.0% |
| Median broker pay per employer | $84,167 | $78,590 | $72,628 |
| Medical premium per covered person | n/a | n/a | $7,274 |
| Plans reporting no commission | 0 | 1 | 933 |
Year over year. In plan year 2023, 227 Las Vegas employers reported $11M in premiums and $28M in broker pay for 196,214 participants; in 2024 it was $14M and $32M for 195,934 participants (premiums +32.0%, broker pay +12.6%).
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 Las Vegas employers pay health insurance brokers?
217 Las Vegas employers reported $31,715,223 in broker commissions and fees on their 2024 Form 5500 filings, 199 of them disclosing at least some compensation. Too few fully insured medical plans in Las Vegas reported premium to compute a stable commission rate; the Nevada median is 8.8% and the U.S. median is 3.8%. In dollars, the median Las Vegas employer that disclosed broker pay reported $84,167.
Which Las Vegas employers have the largest health plans?
By insurance premium reported for 2024, MGM Resorts International ($3.6M), R & R Partners, Inc. ($2.6M), Goettl Air Conditioning & Plumbing ($2.0M) lead. 25 Las Vegas employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Las Vegas?
By compensation reported by Las Vegas employers, the largest brokers are Mercer ($4.2M, 10 plans), Brown & Brown ($2.6M, 29 plans), Cragin & Pike, Inc. ($2.2M, 24 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Medical Mutual, University Health Alliance.
Are Las Vegas employer health plans self-funded or fully insured?
Of 217 Las Vegas employer plans, 100 are fully insured, 44 are self-funded and 73 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 Nevada
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