Franklin, Tennessee employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
73 employers in Franklin, Tennessee filed health plans with 100 or more participants for plan year 2024, covering 149,027 participants. They reported $78M in insurance premiums and $14M in broker commissions and fees. Against 2023, premiums were up 41.8% and broker pay rose 39.6%.
Funding: 19 fully insured · 23 self-funded · 31 mixed. 54 of 73 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Franklin
Franklin employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Summit Behavioral Healthcare, LLC | $19,436,359 | $1,025,480 | 3,145 | Lockton |
| Specialized Dental Partners, LLC | $10,434,300 | $42,139 | 1,671 | Willis Towers Watson |
| Phynet Dermatology, LLC | $7,637,364 | $219,272 | 1,455 | Higginbotham |
| RSHQ LLC | $6,638,588 | $421,260 | 147 | James Dickson |
| River City Equipment Rental & Sales, Inc. | $5,161,201 | $2,773 | 349 | Watchtower Technologies, Inc. |
| Acadia Healthcare Company, Inc. | $4,814,363 | $919,507 | 16,948 | Lockton |
| Urology Healthcare Group | $3,819,670 | $159,800 | 403 | Willis Towers Watson |
| Wellpath Management, Inc. | $3,458,754 | $396,260 | 1,943 | Corporate Synergies |
| Mapco Express, Inc. | $3,182,270 | $139,279 | 427 | Mercer |
| Chartwell Hospitality, LLC | $2,293,167 | $285,788 | 830 | Willis Towers Watson |
| Sees Group, LLC | $2,180,575 | $190,808 | 356 | Brent Wick |
| KC Piggyback Holdings | $1,741,013 | $278,936 | 621 | Alliant Insurance Services |
| Surgicor, LLC | $1,639,025 | $140,539 | 198 | Christopher Poynter |
| Medhost Services, Inc. | $1,121,281 | $270,928 | 661 | Gallagher |
| Tom James Company | $975,545 | $129,974 | 1,378 | HUB International |
| Bottom Line Systems, LLC | $752,008 | $278,228 | 1,326 | HUB International |
| The Carlstar Group, LLC | $617,410 | $49,819 | 997 | Lockton |
| Oia Staffing, Inc. | $465,117 | $404,659 | 576 | HUB International |
| Health Connect America, Inc | $440,482 | $150,837 | 1,354 | CBIZ |
| City Enterprises, LLC | $359,194 | $123,921 | 993 | AssuredPartners |
| Omnia Partners, LLC. | $299,369 | $81,133 | 333 | HUB International |
| Odyssey Behavioral Healthcare, LLC | $280,551 | $294,770 | 900 | Gallagher |
| Advanced Correctional Healthcare, Inc. | $180,683 | $30,471 | 342 | AssuredPartners |
| Xsolis, Inc. | $168,634 | $60,495 | 238 | HUB International |
| Eco-Energy, LLC | $135,666 | $100,230 | 234 | Willis Towers Watson |
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 Franklin employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Lockton | $2,520,914 | 8 |
| Gallagher | $1,529,584 | 12 |
| Corporate Synergies | $1,354,723 | 2 |
| HUB International | $941,606 | 10 |
| USI Insurance Services | $811,422 | 5 |
| Strategic Non-Medical Solution | $659,960 | 1 |
| Burnham Benefits | $645,261 | 1 |
| Willis Towers Watson | $543,801 | 6 |
| Explain MY Benefits LLC | $469,602 | 3 |
| OneDigital | $341,753 | 10 |
Largest medical carriers
Medical premium written for these employers.
Franklin against Tennessee 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.
| Franklin | Tennessee | United States | |
|---|---|---|---|
| Employer plans | 73 | 1,276 | 58,547 |
| Median commission rate | n/a | 3.9% | 3.8% |
| Middle half of rates | n/a | 3.3% – 5.3% | 2.7% – 5.0% |
| Median broker pay per employer | $120,746 | $82,913 | $72,628 |
| Medical premium per covered person | $4,294 | $5,747 | $7,274 |
| Plans reporting no commission | 1 | 13 | 933 |
Year over year. In plan year 2023, 63 Franklin employers reported $55M in premiums and $9.8M in broker pay for 134,831 participants; in 2024 it was $78M and $14M for 149,027 participants (premiums +41.8%, broker pay +39.6%).
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 Franklin employers pay health insurance brokers?
73 Franklin employers reported $13,669,264 in broker commissions and fees on their 2024 Form 5500 filings, 72 of them disclosing at least some compensation. Too few fully insured medical plans in Franklin reported premium to compute a stable commission rate; the Tennessee median is 3.9% and the U.S. median is 3.8%. In dollars, the median Franklin employer that disclosed broker pay reported $120,746.
Which Franklin employers have the largest health plans?
By insurance premium reported for 2024, Summit Behavioral Healthcare, LLC ($19M), Specialized Dental Partners, LLC ($10M), Phynet Dermatology, LLC ($7.6M) lead. 25 Franklin employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Franklin?
By compensation reported by Franklin employers, the largest brokers are Lockton ($2.5M, 8 plans), Gallagher ($1.5M, 12 plans), Corporate Synergies ($1.4M, 2 plans). By medical premium, the largest carriers are Bluecross Blueshield of Tennessee, Inc., Cigna Health and Life Insurance Company, Blue Cross and Blue Shield of Alabama.
Are Franklin employer health plans self-funded or fully insured?
Of 73 Franklin employer plans, 19 are fully insured, 23 are self-funded and 31 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 Tennessee
Is your company on this page? Get its Form 5500 read next to the Franklin, Tennessee medians.
Tell us the company and a specialist writes up what the public Form 5500 record shows for it, if it files one: broker pay against the medians above, fee disclosure and filing timeliness, in a form you can forward to your CFO or counsel. Tick the box if you also want a 15-minute walkthrough call.
We don't sell your email. By submitting, you agree that BenefitsLedger and its benefits advisory partner, WellthCare, may email or call you about these findings. Opt out anytime by replying. See our privacy policy.