San Juan, Puerto Rico employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
115 employers in San Juan, Puerto Rico filed health plans with 100 or more participants for plan year 2024, covering 66,357 participants. They reported $169M in insurance premiums and $12M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 5.0% of premium, against 5.0% across Puerto Rico and 3.8% nationally. Against 2023, premiums were down 0.1% and broker pay rose 6.9%.
Funding: 97 fully insured · 6 self-funded · 12 mixed. 18 of 115 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in San Juan
San Juan employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| First Bank Puerto Rico | $18,115,526 | $812,045 | 2,450 | CGF Insurance |
| Puerto Rico Telephone Company | $10,808,276 | $153,506 | 5,821 | HUB International |
| Biomedical Applications of Arecibo, Inc. | $7,988,588 | $417,736 | 1,023 | Aon |
| International Hospitality Services, Inc. | $4,298,688 | $245,959 | 1,077 | Fulcro Insurance Inc |
| Popular, Inc. | $3,720,013 | $539,517 | 7,883 | Worldwide Insurance and Reinsurance |
| Empresas Fonalledas Inc | $3,386,770 | $152,980 | 448 | CGF Insurance LLC |
| Union Independiente de Empleados Telefonicos | $3,304,305 | $441,825 | 730 | First Medical Health Plan Inc |
| Plaza Provision Company | $3,127,192 | $133,855 | 702 | Ikon Insurance, Inc. |
| South American Restaurants, Corp. | $3,016,305 | $110,047 | 695 | CGF Insurance |
| Bella International Corporation | $2,889,096 | $128,709 | 486 | Lopez Luna Insurance, LLC. |
| Asociacion de Empleados del Ela | $2,875,772 | $255,460 | 336 | First Medical Health Plan Inc |
| Windmar PV Energy Renewable | $2,667,787 | $158,466 | 760 | Riskone Solutions, LLC |
| GFR Services LLC | $2,592,481 | $151,693 | 330 | Popular Risk |
| Mendez & Co., Inc. | $2,532,509 | $90,657 | 513 | HUB International |
| Sheraton Puerto Rico Management, LLC. | $2,458,694 | $98,348 | 663 | Ikon Insurance, Inc. |
| Marriott PR Management Corporation | $2,410,024 | $118,807 | 590 | HUB International |
| Jones Lang Lasalle Puerto Rico Inc. | $2,348,195 | $116,236 | 452 | Aon |
| PR Shipping Association | $2,306,714 | $334,368 | 726 | Jose A. Fiorella |
| Ballester Hermanos Inc. | $2,127,652 | $122,419 | 423 | CGF Insurance |
| Island Finance, LLC | $2,088,724 | $92,953 | 464 | Fulcro Insurance Inc. |
| Aerostar Airport Holdings, LLC | $1,968,855 | $97,458 | 301 | Marsh McLennan Agency |
| Csa Architects and Engineers, LLP | $1,922,694 | $123,411 | 281 | HUB International |
| Telemundo de PR LLC | $1,881,141 | $111,739 | 202 | Steven a Pauli Insurance |
| Liberty Communications of PR LLC | $1,841,524 | $458,545 | 2,035 | HUB International |
| Autocentro Toyota, Inc. | $1,743,788 | $87,189 | 305 | Ikon Insurance, Inc. |
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 San Juan employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| HUB International | $2,138,812 | 20 |
| CGF Insurance LLC | $1,714,803 | 29 |
| Ikon Insurance, Inc. | $879,770 | 15 |
| Fulcro Insurance | $780,359 | 16 |
| Aon | $675,329 | 7 |
| Marsh McLennan Agency | $557,487 | 11 |
| First Medical Health Plan Inc | $486,608 | 3 |
| Myriad Benefits Inc | $426,729 | 6 |
| Popular Risk Services LLC | $397,338 | 6 |
| Olympic Agency Inc | $325,977 | 5 |
Largest medical carriers
Medical premium written for these employers.
San Juan against Puerto Rico 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.
| San Juan | Puerto Rico | United States | |
|---|---|---|---|
| Employer plans | 115 | 239 | 58,547 |
| Median commission rate | 5.0% (87 plans) | 5.0% | 3.8% |
| Middle half of rates | 4.7% – 5.0% | 4.8% – 5.0% | 2.7% – 5.0% |
| Median broker pay per employer | $60,426 | $53,861 | $72,628 |
| Medical premium per covered person | $5,032 | $4,572 | $7,274 |
| Plans reporting no commission | 4 | 8 | 933 |
Year over year. In plan year 2023, 122 San Juan employers reported $169M in premiums and $11M in broker pay for 65,158 participants; in 2024 it was $169M and $12M for 66,357 participants (premiums −0.1%, broker pay +6.9%).
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 San Juan employers pay health insurance brokers?
115 San Juan employers reported $12,038,220 in broker commissions and fees on their 2024 Form 5500 filings, 107 of them disclosing at least some compensation. Among 87 commission-paying, fully insured medical plans, the median broker rate was 5.0% of premium, 0.0 points above the Puerto Rico median of 5.0% and 1.2 points above the U.S. median of 3.8%. In dollars, the median San Juan employer that disclosed broker pay reported $60,426.
Which San Juan employers have the largest health plans?
By insurance premium reported for 2024, First Bank Puerto Rico ($18M), Puerto Rico Telephone Company ($11M), Biomedical Applications of Arecibo, Inc. ($8.0M) lead. 25 San Juan employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in San Juan?
By compensation reported by San Juan employers, the largest brokers are HUB International ($2.1M, 20 plans), CGF Insurance LLC ($1.7M, 29 plans), Ikon Insurance, Inc. ($879,770, 15 plans). By medical premium, the largest carriers are Triple S Salud, Inc., MCS Life Insurance Company, First Medical Health Plan, Inc..
Are San Juan employer health plans self-funded or fully insured?
Of 115 San Juan employer plans, 97 are fully insured, 6 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 Puerto Rico
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