R1 RCM Holdco, Inc.
Updated Filing received by DOL
R1 RCM Holdco, Inc., a professional & technical services employer in Chicago, Illinois, reported 11,520 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 12 insurance contracts with no premium reported and $1.4M in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on October 3, 2025, within the extension window.
Who was paid on R1 RCM Holdco, Inc.'s plan
Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract R1 RCM Holdco, Inc. filed for 2024.
| Broker or agent | Commissions | Fees | Total | Contracts |
|---|---|---|---|---|
| Aon · Chicago, IL | $570,674 | $140,741 | $711,415 | 10 |
| Custom Benefit Programs Inc. · Somerset, NJ | $641,341 | $40,712 | $682,053 | 4 |
| Alight Holding Company · Lincolnshire, IL | $0 | $4,145 | $4,145 | 1 |
Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.
Insurance contracts and carriers
Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.
| Carrier · coverage | Covered | Premium | Broker pay | Rate |
|---|---|---|---|---|
| Metlife Legal Planscoverage not coded | 1,113 | — | $30,961 | — |
| Kaiser Foundation Health Plan, Inc. (hi)health, HMO | 6 | — | — | — |
| Metropolitan Life Insurance Companycoverage not coded | 5,102 | — | $135,680 | — |
| Metropolitan Life Insurance Companyhealth | 1,214 | — | $15,814 | — |
| Kaiser Foundation Health Plan Inc.health, HMO | 208 | — | — | — |
| Metropolitan Life Insurance Companycoverage not coded | 2,925 | — | $219,292 | — |
| Four Ever Life Ins. Co.health | 2 | — | $2,688 | — |
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co.vision | 19,779 | — | $52,425 | — |
| Metropolitan Life Insurance Companylong-term disability | 14,827 | — | $107,384 | — |
| Kaiser Foundation Health Plan Inc.health, HMO | 142 | — | — | — |
| Metropolitan Life Insurance Companyhealth | 7,060 | — | $311,267 | — |
| Securian Life Insurance Companylife | 14,827 | — | $522,102 | — |
Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.
How R1 RCM Holdco, Inc. compares
Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.
Not computable: no insured medical premium on the filing.
Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.
Year over year
| 2023 | 2024 | Change | |
|---|---|---|---|
| Participants | 10,723 | 11,520 | +7.4% |
| Premiums filed | $0 | $0 | not comparable |
| Broker commissions + fees | $1,476,150 | $1,397,613 | −5.3% |
| Commission rate | — | — | — |
Source: DOL Form 5500 filings for plan years 2023 and 2024.
Filings and timeliness
Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.
| Plan | Plan year end | Received by DOL | Timing | Participants |
|---|---|---|---|---|
| R1 RCM Holdco Inc. Employee Benefits Plan#501 · insurance, general assets | December 31, 2024 | October 3, 2025 | within extension | 11,520 |
Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.
How much did R1 RCM Holdco, Inc. pay in health insurance broker commissions in 2024?
R1 RCM Holdco, Inc.'s 2024 Form 5500 reports $1,397,613 in broker commissions and fees across 12 insurance contracts ($1,212,015 in commissions, $185,598 in fees), with Aon receiving the largest share.
Is R1 RCM Holdco, Inc.'s health plan self-funded or fully insured?
The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Kaiser Foundation Health Plan, Inc. (hi), Metropolitan Life Insurance Company, Kaiser Foundation Health Plan Inc..
How does R1 RCM Holdco, Inc.'s broker compensation compare with similar employers?
A commission-to-premium ratio cannot be computed for R1 RCM Holdco, Inc. because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 5,000+ participants that disclosed broker pay reported a median of $458,262.
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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.