BenefitsLedger
City · Plan year 2024 · Form 5500

Pittsburgh, Pennsylvania employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

255 employers in Pittsburgh, Pennsylvania filed health plans with 100 or more participants for plan year 2024, covering 673,891 participants. They reported $60M in insurance premiums and $25M in broker commissions and fees. Against 2023, premiums were down 4.7% and broker pay rose 2.3%.

Employer plans
255
673,891 participants
Premiums
$60M
−4.7% vs 2023
Broker pay
$25M
+2.3% vs 2023 · 194 disclosed
Median rate
n/a
too few insured medical plans

Funding: 45 fully insured · 105 self-funded · 105 mixed. 210 of 255 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Pittsburgh

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

EmployerPremiumsBroker payParticipantsTop broker
Steelworkers Health and Welfare Fund$10,288,229$725,74659,791Gallagher
Board of Trustees, Washington Wholesalers Health$8,543,124$16,6661,147Group Vision Services MGMT Inc
Latitude Ai LLC$6,793,546$259,704539Lockton
Construction & Healthcare Consultants LP$6,548,837$43,678982Elizabeth a Riffe
Board of Trustees, NHL Players' Health and Benefits Fund$5,180,508$747,6571,647NFP
Covestro LLC$5,007,348$54,6654,317Willis Towers Watson
Carnegie Mellon University$2,884,553$270,0615,904The HDH Group, Inc.
Kiavi, Inc.$2,139,177$222,276384Abd Ins. and Financial SVCS., Inc.
Koppers Inc.$1,795,304$148,3932,201Mercer
Matthews International Corporation$1,453,632$338,6894,517Gallagher
Duquesne University of the Holy Spirit$970,829$86,0921,474Custom Benefit Programs, Inc.
Dentons Cohen & Grigsby, P.C.$735,484$85,280211Gallagher
Abarta, Inc.$678,409$8,6231,560Cowden Associates of Pittsburgh
PPG Industries, Inc.$541,411$1,319,36114,570Willis Towers Watson
L. B. Foster Company$471,461$73,163575Gallagher
TMS International, LLC$448,791$256,8861,159The HDH Group
Buchanan Ingersoll & Rooney PC$442,168$283,130756The HDH Group Inc.
Laborers Welfare Fund Local 199 Board of Trustees$410,301$5,074236The Segal Company (eastern States),
Dickie McCamey & Chilcote PC$395,523$179,364394Willis Towers Watson
Grant Street Group$367,457$12,573458Henderson Brothers Inc.
Hanna Holdings, Inc.$341,521$59,022672Aon
Carnegie Museums of Pittsburgh$281,150$123,451554The HDH Group Inc
Pantherx Specialty, LLC$273,136$310,483460Kevin R. McDaniel
WPSC Retiree Benefits Trust Committee$226,434$7,3113,510Gallagher
Genesis Medical Associates, Inc.$222,642$24,667317Gallagher

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

BrokerCommissions + feesPlans
Willis Towers Watson$3,816,55214
The HDH Group Inc$1,691,98021
Gallagher$1,659,87219
Henderson Brothers, Inc.$1,469,01723
Aon$1,222,32810
NFP$989,2702
Lockton$916,8829
Strategic Services Group$799,2341
Mercer$752,16512
Brown & Brown$748,8352

Largest medical carriers

Medical premium written for these employers.

Pittsburgh against Pennsylvania 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.

PittsburghPennsylvaniaUnited States
Employer plans2552,59958,547
Median commission raten/a4.4%3.8%
Middle half of ratesn/a3.0% – 5.4%2.7% – 5.0%
Median broker pay per employer$67,538$57,332$72,628
Medical premium per covered person$5,675$7,621$7,274
Plans reporting no commission254933

Year over year. In plan year 2023, 265 Pittsburgh employers reported $63M in premiums and $25M in broker pay for 660,897 participants; in 2024 it was $60M and $25M for 673,891 participants (premiums −4.7%, broker pay +2.3%).

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 Pittsburgh employers pay health insurance brokers?

255 Pittsburgh employers reported $25,077,087 in broker commissions and fees on their 2024 Form 5500 filings, 194 of them disclosing at least some compensation. Too few fully insured medical plans in Pittsburgh reported premium to compute a stable commission rate; the Pennsylvania median is 4.4% and the U.S. median is 3.8%. In dollars, the median Pittsburgh employer that disclosed broker pay reported $67,538.

Which Pittsburgh employers have the largest health plans?

By insurance premium reported for 2024, Steelworkers Health and Welfare Fund ($10M), Board of Trustees, Washington Wholesalers Health ($8.5M), Latitude Ai LLC ($6.8M) lead. 25 Pittsburgh employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Pittsburgh?

By compensation reported by Pittsburgh employers, the largest brokers are Willis Towers Watson ($3.8M, 14 plans), The HDH Group Inc ($1.7M, 21 plans), Gallagher ($1.7M, 19 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Carefirst of Maryland, Inc., Highmark Inc..

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

Of 255 Pittsburgh employer plans, 45 are fully insured, 105 are self-funded and 105 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 Pennsylvania

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