Syracuse, New York employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
62 employers in Syracuse, New York filed health plans with 100 or more participants for plan year 2024, covering 63,188 participants. They reported $80M in insurance premiums and $8.0M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.4% of premium, against 3.7% across New York and 3.8% nationally. Against 2023, premiums were down 5.3% and broker pay rose 2.8%.
Funding: 13 fully insured · 24 self-funded · 25 mixed. 49 of 62 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Syracuse
Syracuse employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Medbest Medical Management, Inc. | $8,983,417 | $277,403 | 733 | OneDigital |
| Helio Health, Inc. | $8,197,508 | $229,993 | 489 | Onegroup NY, Inc |
| Empower Federal Credit Union | $8,014,696 | $174,183 | 639 | Mercer |
| Bond, Schoeneck & King, PLLC | $5,951,469 | $172,115 | 538 | Onegroup NY Inc |
| Erie Materials, Inc. | $5,248,391 | $153,675 | 264 | Onegroup NY, Inc |
| Barclay Damon LLP | $4,122,602 | $177,893 | 451 | Mercer |
| Visiting Nurse Association of Central New York | $3,993,959 | $121,834 | 561 | Gilroy Kernan & Gilroy, Inc. |
| Feldmeier Equipment, Inc. | $3,498,943 | $184,961 | 381 | Onegroup NY Inc |
| Community Financial System, Inc. | $3,489,985 | $240,508 | 2,962 | James R Nelligan & Associates LLC |
| Earned Visibility, Inc. | $3,261,035 | $141,067 | 343 | OneDigital |
| River Valley Holdings, Inc. | $2,552,692 | $107,964 | 226 | Onegroup NY, Inc |
| Haun Welding Supply, Inc | $2,529,905 | $93,434 | 246 | James P. Reagan Agency |
| Christopher Communities, Inc. | $2,290,838 | $104,238 | 149 | OneDigital |
| Elmcrest Children's Center | $2,215,694 | $86,452 | 205 | Brown & Brown |
| Medical Answering Services, LLC | $2,185,019 | $95,378 | 293 | Mercer |
| Bluefors Cryocooler Technologies, Inc. | $1,767,120 | $91,287 | 170 | Brown & Brown |
| Onondaga County Chapter Nysarc, Inc. | $1,517,730 | $69,969 | 413 | Brown & Brown |
| ST. Camillus Residential Health Care Facility | $1,454,060 | $87,933 | 179 | One Group NY Inc |
| Comfort Windows Co Inc | $1,221,355 | $57,644 | 147 | Haylor, Freyer & Coon |
| Exceptional Family Resources | $1,210,696 | $65,427 | 200 | Brown & Brown |
| Equitable Financial Life Insurance Company | $1,209,696 | $2,990,691 | 7,304 | Aon |
| Matt Industries, Inc. | $1,199,285 | $70,353 | 119 | Brown & Brown |
| Riccelli Enterprises, Inc. | $1,192,093 | $57,276 | 103 | Haylor, Freyer & Coon, Inc. |
| Arise Child & Family Service, Inc. | $1,040,519 | $69,331 | 138 | Brown & Brown |
| Trustees of Laborers Int'l Union of Na Local Union No. 1822 Health Car | $1,007,942 | $54,700 | 791 | Ap Benefit Advisors LLC dba Env Ins |
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 Syracuse employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Aon | $2,112,016 | 2 |
| Brown & Brown | $890,353 | 15 |
| Hewitt Insurance Brokerage LLC | $861,507 | 1 |
| Onegroup NY Inc | $779,670 | 10 |
| OneDigital | $528,537 | 5 |
| James R Nelligan & Associates LLC | $445,943 | 9 |
| Mercer | $352,946 | 3 |
| USI Insurance Services | $205,290 | 2 |
| Goetzmann & Associates LLC | $165,246 | 1 |
| Lila Marketing LLC | $137,056 | 2 |
Largest medical carriers
Medical premium written for these employers.
Syracuse 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.
| Syracuse | New York | United States | |
|---|---|---|---|
| Employer plans | 62 | 3,508 | 58,547 |
| Median commission rate | 3.4% (22 plans) | 3.7% | 3.8% |
| Middle half of rates | 2.6% – 4.1% | 2.9% – 4.3% | 2.7% – 5.0% |
| Median broker pay per employer | $77,384 | $85,893 | $72,628 |
| Medical premium per covered person | $12,897 | $10,907 | $7,274 |
| Plans reporting no commission | 0 | 28 | 933 |
Year over year. In plan year 2023, 64 Syracuse employers reported $84M in premiums and $7.8M in broker pay for 65,566 participants; in 2024 it was $80M and $8.0M for 63,188 participants (premiums −5.3%, broker pay +2.8%).
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 Syracuse employers pay health insurance brokers?
62 Syracuse employers reported $8,033,253 in broker commissions and fees on their 2024 Form 5500 filings, 58 of them disclosing at least some compensation. Among 22 commission-paying, fully insured medical plans, the median broker rate was 3.4% of premium, 0.4 points below the New York median of 3.7% and 0.4 points below the U.S. median of 3.8%. In dollars, the median Syracuse employer that disclosed broker pay reported $77,384.
Which Syracuse employers have the largest health plans?
By insurance premium reported for 2024, Medbest Medical Management, Inc. ($9.0M), Helio Health, Inc. ($8.2M), Empower Federal Credit Union ($8.0M) lead. 25 Syracuse employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Syracuse?
By compensation reported by Syracuse employers, the largest brokers are Aon ($2.1M, 2 plans), Brown & Brown ($890,353, 15 plans), Hewitt Insurance Brokerage LLC ($861,507, 1 plans). By medical premium, the largest carriers are Excellus Blue Cross Blue Shield, Kaiser Foundation Health Plan of Washington Options, Inc., Triple S Salud, Inc..
Are Syracuse employer health plans self-funded or fully insured?
Of 62 Syracuse employer plans, 13 are fully insured, 24 are self-funded and 25 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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