Vancouver, Washington employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
77 employers in Vancouver, Washington filed health plans with 100 or more participants for plan year 2024, covering 64,786 participants. They reported $55M in insurance premiums and $7.7M in broker commissions and fees. Against 2023, premiums were up 7.5% and broker pay rose 21.3%.
Funding: 17 fully insured · 25 self-funded · 35 mixed. 60 of 77 plans pay at least some medical claims from the employer's own assets.
Largest employer health plans in Vancouver
Vancouver employers reporting the most insurance premium across every Schedule A contract, with what they paid brokers.
| Employer | Premiums | Broker pay | Participants | Top broker |
|---|---|---|---|---|
| Medical Management International, Inc. | $49,690,688 | $939,568 | 19,852 | Willis Towers Watson |
| NWPX Infrastructure, Inc. | $1,111,003 | $258,163 | 1,159 | Watchtower Technologies Inc |
| The Vancouver Clinic, Inc., PS | $647,736 | $275,280 | 2,274 | Gallagher |
| Couve Healthcare Consulting, LLC | $595,734 | $3,559 | 2,117 | HUB International |
| Prestige Care, Inc. | $442,233 | $14,874 | 5,217 | Davidson Benefits Planning, LLC. |
| Columbia Community Credit Union | $289,772 | $146,415 | 316 | Mercer |
| Northwest Surgical Specialists P.C. | $283,311 | $34,629 | 356 | Assurex |
| Idm Companies, LLC | $200,484 | $186,057 | 243 | Marsh McLennan Agency |
| Core Health and Fitness, LLC | $170,548 | $11,479 | 238 | Acsia Partners |
| Riverview Bank | $159,118 | $8,189 | 220 | Watchtower Technologies Inc |
| Vancouver Firefighters Union Health and Welfare Trust Plan | $150,493 | $43,353 | 271 | Liberty Benefits Group LLC |
| Educational Opportunities for Children and Families | $145,847 | $52,851 | 280 | USI Insurance Services |
| Lifeline Connections | $139,580 | $28,310 | 370 | Lockton |
| Columbia River Mental Health | $117,723 | $68,113 | 211 | Brown & Brown |
| Prestige Senior Management, LLC | $111,899 | $17,727 | 374 | Davidson Benefits Planning |
| Burgerville, LLC | $78,957 | $36,800 | 1,043 | USI Insurance Services |
| Elmer's Restaurants | $76,907 | $28,041 | 830 | Gallagher |
| The Columbian | $72,608 | $35,786 | 103 | Woodruff Sawyer |
| Wellons Group, Inc. | $56,444 | $209,068 | 191 | Mercer |
| Support for Early Learning and Families | $43,553 | $20,869 | 171 | Alera Group, Inc. |
| Milestone Retirement Communities, LLC | $38,933 | $101,369 | 810 | Alan J Zuccari Inc |
| Owen Equipment Company | $7,925 | $83,759 | 159 | Westpac Wealth Partners, LLC |
| Barrett Business Services, Inc. | $0 | $1,279,424 | 6,980 | Parkway Drive Insurance Services |
| Zoominfo Technologies LLC | $0 | $19,211 | 2,592 | Gallagher |
| Jerry Erwin Associates | $0 | $378,637 | 2,257 | NFP |
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 Vancouver employers, with the number of employer plans naming each broker.
| Broker | Commissions + fees | Plans |
|---|---|---|
| Parkway Drive Insurance Services | $1,048,858 | 1 |
| USI Insurance Services | $942,256 | 7 |
| Willis Towers Watson | $939,568 | 1 |
| Mercer | $819,493 | 9 |
| Gallagher | $515,103 | 5 |
| NFP | $410,455 | 3 |
| Marsh McLennan Agency | $335,518 | 3 |
| Aon | $220,588 | 2 |
| Alliant Insurance Services | $214,484 | 9 |
| Lockton | $184,304 | 2 |
Largest medical carriers
Medical premium written for these employers.
Vancouver against Washington 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.
| Vancouver | Washington | United States | |
|---|---|---|---|
| Employer plans | 77 | 1,423 | 58,547 |
| Median commission rate | n/a | 1.3% | 3.8% |
| Middle half of rates | n/a | 0.6% – 3.1% | 2.7% – 5.0% |
| Median broker pay per employer | $37,991 | $40,089 | $72,628 |
| Medical premium per covered person | n/a | n/a | $7,274 |
| Plans reporting no commission | 0 | 5 | 933 |
Year over year. In plan year 2023, 80 Vancouver employers reported $51M in premiums and $6.3M in broker pay for 65,877 participants; in 2024 it was $55M and $7.7M for 64,786 participants (premiums +7.5%, broker pay +21.3%).
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 Vancouver employers pay health insurance brokers?
77 Vancouver employers reported $7,663,751 in broker commissions and fees on their 2024 Form 5500 filings, 77 of them disclosing at least some compensation. Too few fully insured medical plans in Vancouver reported premium to compute a stable commission rate; the Washington median is 1.3% and the U.S. median is 3.8%. In dollars, the median Vancouver employer that disclosed broker pay reported $37,991.
Which Vancouver employers have the largest health plans?
By insurance premium reported for 2024, Medical Management International, Inc. ($50M), NWPX Infrastructure, Inc. ($1.1M), The Vancouver Clinic, Inc., PS ($647,736) lead. 25 Vancouver employers are listed on this page; every employer in the record has its own page.
Which brokers and carriers are paid the most in Vancouver?
By compensation reported by Vancouver employers, the largest brokers are Parkway Drive Insurance Services ($1.0M, 1 plans), USI Insurance Services ($942,256, 7 plans), Willis Towers Watson ($939,568, 1 plans). By medical premium, the largest carriers are Regence Bluecross Blueshield of Oregon, Triple S Salud, Inc., Kaiser Foundation Health Plan, Inc..
Are Vancouver employer health plans self-funded or fully insured?
Of 77 Vancouver employer plans, 17 are fully insured, 25 are self-funded and 35 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 Washington
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