BenefitsLedger
City · Plan year 2024 · Form 5500

Austin, Texas employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

446 employers in Austin, Texas filed health plans with 100 or more participants for plan year 2024, covering 420,724 participants. They reported $97M in insurance premiums and $56M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 6.0% of premium, against 5.6% across Texas and 3.8% nationally. Against 2023, premiums were up 103.9% and broker pay rose 13.1%.

Employer plans
446
420,724 participants
Premiums
$97M
+103.9% vs 2023
Broker pay
$56M
+13.1% vs 2023 · 428 disclosed
Median rate
6.0%
Texas 5.6% · U.S. 3.8%

Funding: 136 fully insured · 100 self-funded · 210 mixed. 310 of 446 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Austin

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

EmployerPremiumsBroker payParticipantsTop broker
Rwe Clean Energy Services, LLC$22,415,942$560,2711,677Mercer
Whole Foods Market, Inc.$19,014,903$787,589126,132Aon
Quantic Electronics, LLC$7,063,497$428,305813The Plexus Groupe LLC
Otto Bock Healthcare LP$6,164,049$31,5041,084Marsh McLennan Agency
Continental Cars Inc$5,564,011$112,0691,182USI Insurance Services
Eso Solutions, Inc.$4,557,623$294,695416USI Insurance Services
ST. Edward's University, Inc.$4,039,919$89,072557USI Insurance Services
Brown Distributing Company, LTD$2,680,409$70,728425Marsh McLennan Agency
Velocity Credit Union$1,853,950$158,732221Gallagher
Fetch Package, Inc.$1,535,406$169,986288Anco Ins. SVCS. of Bryan/C.S.
The Ai Fleet, Inc.$1,438,758$142,430298USI Insurance Services
GKSD Restaurant Enterprises, LLC$1,423,039$96,194211USI Insurance Services
Canon Nanotechnologies, Inc.$1,391,828$13,557101USI Insurance Services
Tarrytown Expocare, LLC$1,388,782$171,148369Marsh McLennan Agency
Roger Beasley Imports, Inc.$1,235,186$110,963318Marsh McLennan Agency
Austin Country Club$1,176,369$102,097190Frost Insurance Agency, Inc.
Rendevor Corporate Services LLC$1,168,083$106,912173Frost Insurance Agency, Inc.
Texas Diabetes and Endocrinology, P.A.$1,057,302$99,497145Gallagher
Hart Intercivic Inc.$992,402$102,506111Willis Towers Watson
Cesiumastro Inc.$970,372$102,142145Marsh McLennan Agency
Curana Health$843,363$411,3751,070Lockton
Square Grove LLC$827,058$56,787150Watkins Insurance Group
Wynden Stark LLC$745,380$97,995354J Donovan Financial
Talroo, Inc.$723,797$55,946179NFP
Kgi Wireless, Inc.$676,232$54,569128EPIC 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 Austin employers, with the number of employer plans naming each broker.

BrokerCommissions + feesPlans
Marsh McLennan Agency$6,498,96763
Gallagher$5,785,96052
Lockton$5,374,70835
Alliant Insurance Services$3,730,43041
USI Insurance Services$3,176,73549
Mercer$2,601,98717
NFP$2,093,75426
Aon$1,610,47710
Frost Insurance Agency, Inc.$1,609,83519
Sequoia$1,269,2809

Largest medical carriers

Medical premium written for these employers.

Austin against Texas 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.

AustinTexasUnited States
Employer plans4464,92658,547
Median commission rate6.0% (23 plans)5.6%3.8%
Middle half of rates5.5% – 7.0%2.7% – 6.0%2.7% – 5.0%
Median broker pay per employer$90,198$86,351$72,628
Medical premium per covered person$6,321$6,089$7,274
Plans reporting no commission222933

Year over year. In plan year 2023, 436 Austin employers reported $47M in premiums and $49M in broker pay for 362,932 participants; in 2024 it was $97M and $56M for 420,724 participants (premiums +103.9%, broker pay +13.1%).

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 Austin employers pay health insurance brokers?

446 Austin employers reported $55,886,371 in broker commissions and fees on their 2024 Form 5500 filings, 428 of them disclosing at least some compensation. Among 23 commission-paying, fully insured medical plans, the median broker rate was 6.0% of premium, 0.4 points above the Texas median of 5.6% and 2.2 points above the U.S. median of 3.8%. In dollars, the median Austin employer that disclosed broker pay reported $90,198.

Which Austin employers have the largest health plans?

By insurance premium reported for 2024, Rwe Clean Energy Services, LLC ($22M), Whole Foods Market, Inc. ($19M), Quantic Electronics, LLC ($7.1M) lead. 25 Austin employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Austin?

By compensation reported by Austin employers, the largest brokers are Marsh McLennan Agency ($6.5M, 63 plans), Gallagher ($5.8M, 52 plans), Lockton ($5.4M, 35 plans). By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Bluecross Blueshield of Texas, Curative Insurance Company.

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

Of 446 Austin employer plans, 136 are fully insured, 100 are self-funded and 210 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 Texas

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