Finance & insurance employer health plans: what they cost and who gets paid
4,048 Finance & insurance employers filed health plans with 100 or more participants for plan year 2024, covering 6,419,048 participants. They reported $4.5B in insurance premiums and $550M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.1% of premium, 0.6 points below 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.
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 Finance & insurance employers pay health insurance brokers?
Across 307 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Finance & insurance employers was 3.1% of premium (middle half 2.2% to 4.6%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $83,650.
Which Finance & insurance employers paid the most in broker commissions?
Acec Life/Health Insurance Trust Benefit Consortium reported the most in 2024, $19,239,985, followed by Farm Bureau Insurance Company of Idaho ($4.3M) and Maine Education Association ($4.1M).
Which brokers and carriers dominate this industry?
By reported compensation, the largest brokers are Marsh McLennan Agency, Mercer, Willis Towers Watson. By medical premium, the largest carriers are Anthem Health Plans of Maine, Inc., Unitedhealthcare Insurance Company, Cigna Health and Life Insurance Company.