BenefitsLedger
City · Plan year 2024 · Form 5500

Madison, Wisconsin employer health plans: what they cost and who gets paid

Updated plan year 2024, the most recent complete year

125 employers in Madison, Wisconsin filed health plans with 100 or more participants for plan year 2024, covering 104,213 participants. They reported $29M in insurance premiums and $12M in broker commissions and fees. Against 2023, premiums were down 7.0% and broker pay rose 8.4%.

Employer plans
125
104,213 participants
Premiums
$29M
−7.0% vs 2023
Broker pay
$12M
+8.4% vs 2023 · 120 disclosed
Median rate
n/a
too few insured medical plans

Funding: 26 fully insured · 29 self-funded · 70 mixed. 99 of 125 plans pay at least some medical claims from the employer's own assets.

Largest employer health plans in Madison

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

EmployerPremiumsBroker payParticipantsTop broker
Wisconsin Bankers Association Insurance Trust Fund$6,566,236$881,4473,283Wisconsin Bankers Association - Ebc
VP Holdings Corporation$4,908,620$72,339358—
CSM Companies, Inc.$2,133,817$214,241948Cottingham & Butler Insurance
State Bar of Wisconsin$2,014,942$95,110334Christine Nadolski
Fairway Independent Mortgage Corporation$1,824,889$710,2165,401Watchtower Technologies Inc.
Nordic Consulting Partners, Inc.$1,550,221$343,9871,862Alliant Insurance Services
American Family Mutual Insurance Company, S.I.$1,507,556$240,91415,973Willis Towers Watson
Telephone and Data Systems, Inc.$1,207,765—9,778—
Group Health Cooperative of South Central Wi$782,022—646—
First Business Financial Services, Inc.$722,766$144,632345W B A-Employee Benefits Corp
Wisconsin Electrical Employees Health and Welfare Plan$447,809$66,5695,155William John Collins
M3 Insurance Solutions, Inc.$444,953$94,228415M3 Insurance
Strand Associates, Inc.$437,845$193,395477Benefit Works LLC
Gordon Flesch Company, Inc.$415,695$76,220677Watchtower Benefits LLC
Stevens Construction Corp.$225,288$77,197289M3 Insurance
Forward Service Corporation$199,333$24,415298Secura Consultants, LLC
Ultratec, Inc.$196,503$137,538587Watchtower Benefits, LLC
National Conference of Bar Examiners$174,434$44,844142Tricor, LLC
Kayser Automotive Group$154,255$68,149268Jennon M Caruth
Hiebing$141,464$39,379143Watchtower Benefits LLC
National Guardian Life Insurance Company$128,249$109,116303Watchtower Technologies
Mid-West Management, Inc.$127,489$28,252169Hausmann Group Inc
CMFG Life Insurance Company$123,450$56,3053,430Reuben Warner Associates, Inc.
Wegner CPAS LLP Welfare Benefit Plan$121,385$38,637173Ansay & Associates LLC
Oak Park Nursing & Rehabilitation Center, LLC$117,753$92,472445Oberloh, Jesse D

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 Madison employers, with the number of employer plans naming each broker.

Largest medical carriers

Medical premium written for these employers.

Madison against Wisconsin 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.

MadisonWisconsinUnited States
Employer plans1251,40258,547
Median commission raten/a2.1%3.8%
Middle half of ratesn/a1.6% – 3.1%2.7% – 5.0%
Median broker pay per employer$51,123$42,793$72,628
Medical premium per covered personn/a$7,247$7,274
Plans reporting no commission04933

Year over year. In plan year 2023, 125 Madison employers reported $31M in premiums and $11M in broker pay for 103,038 participants; in 2024 it was $29M and $12M for 104,213 participants (premiums −7.0%, broker pay +8.4%).

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 Madison employers pay health insurance brokers?

125 Madison employers reported $11,926,181 in broker commissions and fees on their 2024 Form 5500 filings, 120 of them disclosing at least some compensation. Too few fully insured medical plans in Madison reported premium to compute a stable commission rate; the Wisconsin median is 2.1% and the U.S. median is 3.8%. In dollars, the median Madison employer that disclosed broker pay reported $51,123.

Which Madison employers have the largest health plans?

By insurance premium reported for 2024, Wisconsin Bankers Association Insurance Trust Fund ($6.6M), VP Holdings Corporation ($4.9M), CSM Companies, Inc. ($2.1M) lead. 25 Madison employers are listed on this page; every employer in the record has its own page.

Which brokers and carriers are paid the most in Madison?

By compensation reported by Madison employers, the largest brokers are Gallagher ($1.4M, 9 plans), Custom Benefits Program Inc ($781,979, 1 plans), Wisconsin Bankers Association - Ebc ($572,708, 1 plans). By medical premium, the largest carriers are Wisconsin Physicians Service Insurance Corporation, Blue Care Network of Michigan, Blue Cross Blue Shield of Florida.

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

Of 125 Madison employer plans, 26 are fully insured, 29 are self-funded and 70 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 Wisconsin

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