The Permanente Medical Group, Inc.
Updated Filing received by DOL a plan year 2025 filing was received August 21, 2026 for 3 of this employer's 7 plans; this record moves to 2025 when all have arrived
The Permanente Medical Group, Inc., a healthcare & social assistance employer in Oakland, California, reported 44,242 participants in its health and welfare plans for plan year 2024. Its Form 5500 shows $125M in insurance premiums across 37 contracts and $4.1M 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 10, 2025, within the extension window.
Who was paid on The Permanente Medical Group, 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 The Permanente Medical Group, Inc. filed for 2024.
| Broker or agent | Commissions | Fees | Total | Contracts |
|---|---|---|---|---|
| Mercer · Minneapolis, MN | $520,454 | $105,521 | $625,975 | 8 |
| Altc Funding LLC · Fort Myers, FL | $154,966 | $0 | $154,966 | 2 |
| Senior Commission Funding LLC · Fort Myers, FL | $84,013 | $0 | $84,013 | 2 |
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
The 24 largest of 37 contracts 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 |
|---|---|---|---|---|
| Delta Dental of Californiadental | 114,947 | $39M | — | — |
| Standard Insurance Companylong-term disability | 8,690 | $35M | $1.4M | 4.0% |
| Standard Insurance Companylife | 11,633 | $20M | $541,635 | 2.7% |
| Standard Insurance Companylife | 3,346 | $20M | $238,410 | 1.2% |
| Metropolitan Life Insurance Companylife | 30,566 | $4.1M | — | — |
| Metropolitan Life Insurance Companylife | 19,803 | $4.0M | — | — |
| Cignahealth, prescription drug, indemnity | 32,831 | $1.9M | $33,082 | 1.8% |
| Cignahealth, prescription drug, indemnity | 6,856 | $386,548 | $6,909 | 1.8% |
| Acentra Healthcoverage not coded | 41,372 | — | — | — |
| Continental American Insurance Companycoverage not coded | 2,600 | — | $263,409 | — |
| Delta Dental of Californiadental | 6 | — | — | — |
| Kaiser Foundation Health Plan, Inc.health, HMO | 22,569 | — | — | — |
| Kaiser Foundation Health Plan, Inc.health, HMO | 95,456 | — | — | — |
| Metlife Legal Planscoverage not coded | 2,979 | — | $139,423 | — |
| Metropolitan Life Insurance Companyshort-term disability, long-term disability | 51,893 | — | — | — |
| Metropolitan Life Insurance Companylife | 7,775 | — | $223,143 | — |
| Metropolitan Life Insurance Companycoverage not coded | 19,555 | — | — | — |
| Transamerica Life Insurance Companycoverage not coded | 373 | — | $86,384 | — |
| Transamerica Life Insurance Companycoverage not coded | 702 | — | $152,595 | — |
| Unum Life Insurance Companycoverage not coded | 8,085 | — | $730,998 | — |
| Kaiser Foundation Health Plans, Inc.health, vision, prescription drug, HMO | 10,008 | — | — | — |
| Metropolitan Life Insurance Companydental, HMO | 27,530 | — | $235,294 | — |
| Provident Life and Accident Insurance Companylong-term disability · amount flagged as implausible, excluded | 1,606 | — | — | — |
| Arag Insurance Companycoverage not coded | 8,200 | — | — | — |
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 The Permanente Medical Group, 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 | 39,677 | 44,242 | +11.5% |
| Premiums filed | $128,107,744 | $125,114,525 | −2.3% |
| Broker commissions + fees | $4,432,327 | $4,121,408 | −7.0% |
| 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 |
|---|---|---|---|---|
| The Permanente Medical Group Inc. Health and Welfare Plan#550 · insurance, general assets | December 31, 2024 | October 10, 2025 | within extension | 44,242 |
| The Permanente Medical Group, Inc. Physicians' Welfare Benefit Plan for Active Physicians#606 · insurance, general assets | December 31, 2024 | September 11, 2025 | within extension | 9,827 |
| TPMG, Inc. Medical Benefits Plan for Retired Non-Physician Employees Covered BY a Collective Bargaining Agreement#525 · insurance, trust | December 31, 2024 | October 14, 2025 | within extension | 9,232 |
| The Permanente Medical Group Health Care Spending Account Plan#605 · general assets | December 31, 2024 | October 10, 2025 | within extension | 5,136 |
| The Permanente Medical Group, Inc. Physicians' Welfare Benefit Plan for Retired Physicians#607 · insurance, general assets | December 31, 2024 | September 11, 2025 | within extension | 3,643 |
| The Permanente Medical Group, Inc. Special Welfare Benefit Plan for Retired Employees#608 · insurance, general assets | December 31, 2024 | September 11, 2025 | within extension | 3,408 |
| Medical Benefits Plan for Retired Physicians and Salaried Employees of the Permanente Medical Group, Inc.#523 · insurance, trust | December 31, 2024 | October 14, 2025 | within extension | 215 |
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 The Permanente Medical Group, Inc. pay in health insurance broker commissions in 2024?
The Permanente Medical Group, Inc.'s 2024 Form 5500 reports $4,121,408 in broker commissions and fees across 37 insurance contracts ($4,014,748 in commissions, $106,660 in fees), with Mercer receiving the largest share.
Is The Permanente Medical Group, 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 Cigna, Kaiser Foundation Health Plan, Inc., Kaiser Foundation Health Plans, Inc..
How does The Permanente Medical Group, Inc.'s broker compensation compare with similar employers?
A commission-to-premium ratio cannot be computed for The Permanente Medical Group, 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.