Transportation — truck & rail employer health plans: what they cost and who gets paid
1,705 Transportation — truck & rail employers filed health plans with 100 or more participants for plan year 2024, covering 3,770,205 participants. They reported $1.0B in insurance premiums and $214M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 4.2% of premium, 0.4 points above the national median of 3.8%.
Largest brokers
Reported commissions and fees, with the number of employer plans naming each.
Largest medical carriers
Medical premium written.
Largest employer plans
By health plan participants.
Highest broker pay
Employers reporting the most broker commissions and fees.
| Employer | City | Broker pay | Rate |
|---|---|---|---|
| Hub Group, Inc. | Oak Brook, IL | $2,894,020 | — |
| Old Dominion Freight Line, Inc. | Thomasville, NC | $2,554,253 | — |
| Transdev Services, Inc. | Lombard, IL | $2,486,643 | — |
| United Airlines, Inc. | Chicago, IL | $2,320,506 | — |
| Home Express Delivery Service, LLC | Irvine, CA | $1,860,709 | — |
| Rush Enterprises, Inc. | New Braunfels, TX | $1,844,336 | — |
| Nfi Industries, Inc. | Camden, NJ | $1,778,618 | — |
| J. B. Hunt Transport Services, Inc. | Lowell, AR | $1,776,515 | — |
| Xpo CNW, Inc. | Portland, OR | $1,565,214 | — |
| Crete Carrier Corporation | Lincoln, NE | $1,362,282 | — |
| Penske Truck Leasing Co., LP | Reading, PA | $1,354,959 | — |
| Ryder System, Inc. | Alpharetta, GA | $1,298,463 | — |
| Netjets Inc. | Columbus, OH | $1,286,632 | — |
| Spirit Airlines, Inc. | Dania Beach, FL | $1,272,325 | 5.0% |
| Averitt Express, Inc. | Cookeville, TN | $1,246,647 | — |
| Skywest, Inc | ST George, UT | $1,225,397 | — |
| CPC Logistics Inc. | Chesterfield, MO | $1,213,824 | — |
| Teamsters Union Local 25 Health Services & Insurance Plan | Charlestown, MA | $1,179,294 | 1.0% |
| Southeastern Freight Lines, Inc. | Columbia, SC | $1,147,759 | — |
| U.S. Xpress Enterprises, Inc. | Chattanooga, TN | $1,142,928 | — |
| New Prime, Inc. | Springfield, MO | $1,121,020 | — |
| Fedex Corporation | Memphis, TN | $1,079,744 | 0.0% |
| Lily Transportation Corp. | Needham, MA | $967,663 | — |
| Cosco Shipping (north America) Inc. | Secaucus, NJ | $951,994 | — |
| Marten Transport, LTD | Mondovi, WI | $947,002 | — |
Highest commission rates
Fully insured medical plans with at least $500,000 in premium, ranked by broker compensation as a share of premium.
Source: DOL Form 5500 and Schedule A, plan year 2024; built October 24, 2026. Methodology.
What do Transportation — truck & rail employers pay health insurance brokers?
Across 99 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Transportation — truck & rail employers was 4.2% of premium (middle half 3.0% to 5.1%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $72,473.
Which Transportation — truck & rail employers paid the most in broker commissions?
Hub Group, Inc. reported the most in 2024, $2,894,020, followed by Old Dominion Freight Line, Inc. ($2.6M) and Transdev Services, Inc. ($2.5M).
Which brokers and carriers dominate this industry?
By reported compensation, the largest brokers are Marsh McLennan Agency, Lockton, Mercer. By medical premium, the largest carriers are Unitedhealthcare Insurance Company, Blue Cross Blue Shield of Massachusetts, Inc., Blue Cross Blue Shield.