New York, New York employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
1,465 employers in New York, New York filed health plans with 100 or more participants for plan year 2024, covering 2,336,674 participants. They reported $868M in insurance premiums and $238M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 5.1% of premium, against 3.7% across New York and 3.8% nationally. Against 2023, premiums were up 16.5% and broker pay rose 0.2%.
Funding: 290 fully insured · 394 self-funded · 781 mixed. 1,175 of 1,465 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in New York
New York employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Board of Trustees of the MLB Lwip | $139,440,974 | $5,874,400 | 9,027 | John Scotti |
| Justworks Employment Group LLC | $106,607,527 | $3,448,863 | 131,268 | Justworks |
| McKinsey & Company, Inc. | $67,937,659 | $498,163 | 42,081 | RSC Insurance Broker. Inc |
| Hazen and Sawyer | $26,651,198 | $1,324,053 | 1,617 | Emerson Rogers LLC |
| Rockefeller Health & Welfare Benefits Trust | $21,768,095 | $443,945 | 2,750 | Aon |
| Mitsubishi International Corporation | $21,419,679 | $284,355 | 1,325 | USI Insurance Services |
| Trenmor LLC | $15,973,769 | — | 283 | — |
| Ford Foundation | $15,204,363 | — | 347 | — |
| Planned Parenthood Federation of America | $12,996,956 | $254,662 | 893 | Mercer |
| Zara USA, Inc. | $12,855,043 | $270,989 | 5,871 | EPIC Insurance Brokers |
| Board of Trustees of 1199seiu NBF Health and Human Service Employees | $12,786,496 | $93,459 | 156,501 | John Nicolas |
| Jennison Associates LLC | $12,451,259 | $563,987 | 394 | NFP |
| Board of Trustees of the Building Service 32bj Health Fund | $12,017,474 | $34,614 | 129,391 | The Hilb Group of NY |
| WPP Group USA, Inc. | $11,436,049 | $627,095 | 21,493 | Mercer |
| The Guardian Life Insurance Company of America | $11,226,549 | $86,657 | 4,593 | OneDigital |
| Consolidated Edison Company of New York, Inc. | $10,828,120 | $95,709 | 14,465 | Willis Towers Watson |
| Sprinklr, Inc. | $10,528,629 | $32,585 | 781 | Mercer |
| Moore Capital Management, L.P. | $10,047,565 | $73,451 | 428 | Brown & Brown |
| Lemonade, Inc. | $9,617,884 | $25,852 | 894 | Alliant Insurance Services |
| Doubleverify Inc. | $8,450,147 | $4,553 | 657 | Sequoia |
| Digitalocean, LLC. | $7,555,208 | $353,293 | 520 | Sequoia |
| Buzzfeed, Inc. | $7,421,552 | $210,252 | 868 | Mercer |
| American Civil Liberties Union, Inc. | $6,925,465 | $402,618 | 664 | OneDigital |
| Geller & Company LLC | $6,734,853 | $34,664 | 301 | Pentra LLC |
| Kohlberg Kravis Roberts & Co. L.P. | $6,424,143 | $685,785 | 3,892 | EPIC Insurance Brokers |
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 New York employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Mercer | $23,254,499 | 150 |
| Sequoia | $15,019,149 | 92 |
| Marsh McLennan Agency | $13,110,424 | 104 |
| NFP | $10,999,086 | 94 |
| Aon | $10,706,718 | 78 |
| Gallagher | $10,459,192 | 100 |
| USI Insurance Services | $9,620,819 | 101 |
| Alliant Insurance Services | $9,268,955 | 70 |
| Willis Towers Watson | $9,184,317 | 84 |
| Lockton | $7,414,416 | 68 |
Largest medical carriers
Medical premium written for these employers.
New York against New York 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.
| New York | New York | United States | |
|---|---|---|---|
| Employer plans | 1,465 | 3,508 | 58,547 |
| Median commission rate | 5.1% (60 plans) | 3.7% | 3.8% |
| Middle half of rates | 3.6% – 6.8% | 2.9% – 4.3% | 2.7% – 5.0% |
| Median broker pay per employer | $111,141 | $85,893 | $72,628 |
| Medical premium per covered person | $8,885 | $10,907 | $7,274 |
| Plans reporting no commission | 13 | 28 | 933 |
Year over year. In plan year 2023, 1,456 New York employers reported $745M in premiums and $237M in broker pay for 2,353,345 participants; in 2024 it was $868M and $238M for 2,336,674 participants (premiums +16.5%, broker pay +0.2%).
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 New York employers pay health insurance brokers?
1,465 New York employers reported $237,649,491 in broker commissions and fees on their 2024 Form 5500 filings, 1,367 of them disclosing at least some compensation. Among 60 commission-paying, fully insured medical plans, the median broker rate was 5.1% of premium, 1.4 points above the New York median of 3.7% and 1.3 points above the U.S. median of 3.8%. In dollars, the median New York employer that disclosed broker pay reported $111,141.
Which New York employers have the largest health plans?
By insurance premium reported for 2024, Board of Trustees of the MLB Lwip ($139M), Justworks Employment Group LLC ($107M), McKinsey & Company, Inc. ($68M) lead. 25 New York employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in New York?
By compensation reported by New York employers, the largest brokers are Mercer ($23M, 150 plans), Sequoia ($15M, 92 plans), Marsh McLennan Agency ($13M, 104 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Highmark Blue Cross Blue Shield, Aetna Life Insurance Company.
Are New York employer health plans self-funded or fully insured?
Of 1,465 New York employer plans, 290 are fully insured, 394 are self-funded and 781 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 New York
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