Roanoke, Virginia employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
48 employers in Roanoke, Virginia filed health plans with 100 or more participants for plan year 2024, covering 33,697 participants. They reported $33M in insurance premiums and $4.9M in broker commissions and fees. Against 2023, premiums were down 20.1% and broker pay fell 14.8%.
Funding: 10 fully insured · 23 self-funded · 15 mixed. 38 of 48 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Roanoke
Roanoke employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| The Branch Group Inc | $22,456,571 | $305,097 | 746 | Leahy Consulting Services |
| Carilion Clinic | $5,924,328 | $1,131,009 | 12,565 | Aon |
| Luna Innovations, Inc. | $2,505,905 | $139,913 | 218 | Forrest Belcher |
| Commonwealth Care of Roanoke, Inc. | $299,748 | $169,248 | 1,964 | James a Scott & Son Inc |
| Fleetmaster Express, Inc. | $199,498 | $23,388 | 171 | Frederick Sterling Bolyard |
| Woods Rogers Vandeventer Black PLC | $182,965 | $185,674 | 255 | Innovative Insurance Group LLC |
| Associated Asphalt Partners, LLC | $166,656 | $65,169 | 257 | James a Scott & Son Inc |
| Dynax America Corporation | $165,457 | $131,237 | 495 | James a Scott & Son Inc |
| P1 Technologies, Inc. | $151,739 | $67,599 | 273 | D&S Life Agency Inc |
| Corvesta, Inc. | $143,089 | $53,364 | 195 | Alliant Insurance Services |
| Adams Construction Company | $129,602 | $65,096 | 201 | USI Insurance Services |
| Lawrence Transportation Systems Inc | $115,314 | $63,997 | 262 | Marsh McLennan Agency |
| Goodwill Industries of the Valleys, Inc. | $110,883 | $108,796 | 896 | Marsh McLennan Agency |
| Varney, Inc. | $81,496 | $24,811 | 163 | D&S Life Agency Insurance |
| Metalsa Structural Products, Inc. | $0 | $52,386 | 2,653 | Mercer |
| Virginia Transformer Corp | $0 | $316,164 | 1,872 | Marsh McLennan Agency |
| American Healthcare, LLC | $0 | $148,539 | 1,356 | Marsh McLennan Agency |
| Smith Packett Med-Com, LLC | $0 | $281,017 | 1,154 | Choice Financial Group LLC |
| Friendship Foundation | $0 | $114,553 | 731 | Beneficial Associates, Inc. |
| McClintic Operations Holdco Ii LLC (dba of Kissito Healthcare) | $0 | $159,872 | 681 | Alliant Insurance Services |
| Virginia Truck Center, Inc. dba Excel Truck Group | $0 | $106,847 | 658 | Marsh McLennan Agency |
| Coordinated Services Management, Inc. | $0 | — | 616 | — |
| Farrell/Berglund Companies | $0 | $109,649 | 532 | Hilb Group of Maryland LLC |
| LTC Holdings, Inc. Retirement Unlimited, Inc. | $0 | — | 387 | — |
| Grand Piano & Furniture Company, Inc. dba Grand Home Furnishings | $0 | $35,300 | 355 | Marsh McLennan Agency |
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 Roanoke employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Marsh McLennan Agency | $1,000,406 | 17 |
| Aon | $635,043 | 1 |
| James a Scott & Son Inc | $539,270 | 8 |
| Custom Benefit Programs Inc | $495,966 | 1 |
| Alliant Insurance Services | $357,749 | 3 |
| Leahy Consulting Services | $284,009 | 1 |
| Choice Benefits Solutions LLC | $272,148 | 1 |
| Innovative Insurance Group LLC | $185,674 | 1 |
| D&S Life Agency Inc | $161,998 | 3 |
| USI Insurance Services | $130,665 | 4 |
Largest medical carriers
Medical premium written for these employers.
Roanoke against Virginia 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.
| Roanoke | Virginia | United States | |
|---|---|---|---|
| Employer plans | 48 | 1,613 | 58,547 |
| Median commission rate | n/a | 4.6% | 3.8% |
| Middle half of rates | n/a | 3.2% – 6.4% | 2.7% – 5.0% |
| Median broker pay per employer | $64,547 | $71,889 | $72,628 |
| Medical premium per covered person | n/a | $6,864 | $7,274 |
| Plans reporting no commission | 1 | 5 | 933 |
Year over year. In plan year 2023, 53 Roanoke employers reported $41M in premiums and $5.8M in broker pay for 94,762 participants; in 2024 it was $33M and $4.9M for 33,697 participants (premiums −20.1%, broker pay −14.8%).
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 Roanoke employers pay health insurance brokers?
48 Roanoke employers reported $4,933,724 in broker commissions and fees on their 2024 Form 5500 filings, 44 of them disclosing at least some compensation. Too few fully insured medical plans in Roanoke reported premium to compute a stable commission rate; the Virginia median is 4.6% and the U.S. median is 3.8%. In dollars, the median Roanoke employer that disclosed broker pay reported $64,547.
Which Roanoke employers have the largest health plans?
By insurance premium reported for 2024, The Branch Group Inc ($22M), Carilion Clinic ($5.9M), Luna Innovations, Inc. ($2.5M) lead. 25 Roanoke employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Roanoke?
By compensation reported by Roanoke employers, the largest brokers are Marsh McLennan Agency ($1.0M, 17 plans), Aon ($635,043, 1 plans), James a Scott & Son Inc ($539,270, 8 plans). By medical premium, the largest carriers are Anthem Health Plans of Virginia, Inc., Blue Cross Blue Shield of Michigan, Anthem Health Plans of Virginia dba Anthem BCBS.
Are Roanoke employer health plans self-funded or fully insured?
Of 48 Roanoke employer plans, 10 are fully insured, 23 are self-funded and 15 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 Virginia
Is your company on this page? Get its Form 5500 read next to the Roanoke, Virginia 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.