BenefitsLedger
City · Plan year 2024 · Form 5500

Reno, Nevada employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

62 employers in Reno, Nevada filed health plans with 100 or more participants for plan year 2024, covering 65,516 participants. They reported $3.4M in insurance premiums and $6.4M in broker commissions and fees. Against 2023, premiums were down 54.6% and broker pay fell 4.6%.

Employer plans
62
65,516 participants
Premiums
$3.4M
−54.6% vs 2023
Broker pay
$6.4M
−4.6% vs 2023 · 60 disclosed
Median rate
n/a
too few insured medical plans

Funding: 29 fully insured · 21 self-funded · 12 mixed. 33 of 62 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Reno

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

EmployerPremiumsBroker payParticipantsTop broker
Renown Health$2,286,987$848,1145,659Gallagher
Peppermill Casino, Inc.$383,697$64,6102,305Lockton
Monarch Casino & Resort, Inc.$199,278$103,519725Lockton
Electrical Workers Health & Welfare Trust for Northern Nevada$185,503$342,287840Stealth Partner Group
Sierra Medical Services Alliance$132,492$23,752122AssuredPartners
NV Energy, Inc.$100,071$127,4514,588Aon
Monarch Casino Black Hawk$74,416$77,203416Lockton
Peppermill, Inc.$6,743$87112Lockton
Caesars Enterprise Services, LLC$0$460,90428,746Piper Jordan Health & Ben. Partners
Associated Builders & Contractors Nevada Chapter$0$11,1582,316Dillion Health LLC
Reno + Sparks Chamber of Commerce$0$920,1392,084Clark & Associates
Builders Association of Northern Nevada$0—1,542Builders Assoc. of Northern Nevada
Hamilton Company$0$117,4491,337Aon
Northern Nevada Operating Engineers H&W Trust Fund$0$10,0001,302The Segal Company (eastern States)
Board of Trustees - Northern Nevada Laborers H&W Trust$0$2,0861,126Douglas a Wohlman
Its Holdings, LLC dba Its Logistics$0$301,981870AssuredPartners
Board of Trustees - U.A. Local 350 Health, Welfare, and Vacation Plan$0—752—
Ormat Technologies, Inc.$0$44,914710Brown & Brown
Jensen Enterprises, Inc.$0$33,959696Emerson Reid, LLC
Natures Bakery LLC$0$124,112650Willis Towers Watson
Connor Group, Inc.$0$143,078500AssuredPartners
Dolan Enterprises, Inc.$0$149,039424Santa Cruz Charlotte R
Applied Business Solutions, LLC$0$52,767398—
Regional Emergency Medical Services Authority$0$219,490386Emerson Rogers LLC
Reno Orthopedic Center$0$114,818359AssuredPartners

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

BrokerCommissions + feesPlans
AssuredPartners$830,25911
Gallagher$453,3791
Piper Jordan Health & Ben. Partners$435,5981
Eoi Service Company, Inc.$394,7351
Stealth Partner Group LLC$342,2871
Aon$252,3853
Lockton$245,4194
Clark Insurance$218,6792
Marian E. Bryant$181,5561
Sequoia$136,5082

Largest medical carriers

Medical premium written for these employers.

Reno 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.

RenoNevadaUnited States
Employer plans6238158,547
Median commission raten/a8.8%3.8%
Middle half of ratesn/a8.6% – 8.9%2.7% – 5.0%
Median broker pay per employer$53,173$78,590$72,628
Medical premium per covered personn/an/a$7,274
Plans reporting no commission01933

Year over year. In plan year 2023, 60 Reno employers reported $7.4M in premiums and $6.7M in broker pay for 63,701 participants; in 2024 it was $3.4M and $6.4M for 65,516 participants (premiums −54.6%, broker pay −4.6%).

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 Reno employers pay health insurance brokers?

62 Reno employers reported $6,382,537 in broker commissions and fees on their 2024 Form 5500 filings, 60 of them disclosing at least some compensation. Too few fully insured medical plans in Reno 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 Reno employer that disclosed broker pay reported $53,173.

Which Reno employers have the largest health plans?

By insurance premium reported for 2024, Renown Health ($2.3M), Peppermill Casino, Inc. ($383,697), Monarch Casino & Resort, Inc. ($199,278) lead. 25 Reno employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Reno?

By compensation reported by Reno employers, the largest brokers are AssuredPartners ($830,259, 11 plans), Gallagher ($453,379, 1 plans), Piper Jordan Health & Ben. Partners ($435,598, 1 plans). By medical premium, the largest carriers are Aetna Life Insurance Company, Hometown Health, Kaiser Foundation Health Plan, Inc..

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

Of 62 Reno employer plans, 29 are fully insured, 21 are self-funded and 12 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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