Professional & technical services employer health plans: what they cost and who gets paid
7,915 Professional & technical services employers filed health plans with 100 or more participants for plan year 2024, covering 7,362,783 participants. They reported $7.2B in insurance premiums and $1.1B in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.6% of premium, 0.1 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.
| Employer | City | Broker pay | Rate |
|---|---|---|---|
| ADP Totalsource, Inc. | Miami, FL | $9,430,744 | — |
| Paychex Business Solutions LLC | ST Petersburg, FL | $5,763,112 | — |
| Tata America International Corporation | New York, NY | $4,932,079 | — |
| AECOM | Dallas, TX | $4,668,958 | — |
| Computer Sciences Corporation | Ashburn, VA | $3,387,651 | — |
| LBMC Employment Partners, LLC | Brentwood, TN | $3,354,367 | — |
| Extensis Group, LLC | Iselin, NJ | $3,080,332 | — |
| The S2 HR Solutions Group 1, LLC | Saint Petersburg, FL | $3,076,654 | — |
| Slalom, Inc. | Seattle, WA | $2,819,430 | — |
| Fti Consulting, Inc. | Bowie, MD | $2,627,640 | — |
| National Veterinary Associates, Inc. | Westlake Village, CA | $2,601,505 | — |
| TRC Companies L.L.C. | Windsor, CT | $2,041,081 | — |
| Alight Solutions LLC | Chicago, IL | $1,823,466 | — |
| Team, Inc. | Sugar Land, TX | $1,814,884 | 6.0% |
| Propel Peo, Inc | Greenville, SC | $1,744,882 | — |
| Decisionhr Holdings, Inc | Saint Petersburg, FL | $1,711,120 | — |
| Sidley Austin LLP | Chicago, IL | $1,655,564 | — |
| Randstad North America, Inc. | Atlanta, GA | $1,635,140 | — |
| Oracle America, Inc. | Redwood City, CA | $1,632,304 | — |
| Teleperformance USA | Salt Lake City, UT | $1,613,143 | — |
| Infosys Limited | Richardson, TX | $1,515,482 | — |
| Sap America, Inc. | Newtown Square, PA | $1,494,083 | — |
| Advanstaff, Inc. | Las Vegas, NV | $1,462,114 | — |
| Triad National Security, LLC | Los Alamos, NM | $1,455,250 | — |
| R1 RCM Holdco, Inc. | Chicago, IL | $1,397,613 | — |
Highest commission rates
Fully insured medical plans with at least $500,000 in premium, ranked by broker compensation as a share of premium.
| Employer | City | Rate | Broker pay |
|---|---|---|---|
| Technology Solutions Provider, LLC. | Reston, VA | 24.5% | $201,308 |
| Carter Ledyard & Milburn LLP Welfare Benefits Plan | New York, NY | 21.3% | $334,241 |
| Hengestone Holdings, Inc. | , | 17.1% | $224,746 |
| Medhost Services, Inc. | Franklin, TN | 15.6% | $174,520 |
| Horner & Shifrin Employee Benefits Plan | Saint Louis, MO | 14.8% | $76,179 |
| Driven, PSC | San Juan, PR | 14.2% | $87,960 |
| M/E Engineering, P.C. Welfare Benefit PL | Rochester, NY | 13.4% | $270,255 |
| Miller & Martin PLLC | Chattanooga, TN | 13.3% | $74,830 |
| HDR, Inc. & Its Subsidiaries & Affiliated Entities | Omaha, NE | 12.2% | $122,087 |
| Smith & Howard Advisory, LLC | Atlanta, GA | 11.9% | $185,127 |
| Suburban Consulting Engineers, Inc. | Flanders, NJ | 11.8% | $85,793 |
| Savana, Inc. | Malvern, PA | 10.4% | $64,645 |
| V2soft, Inc Benefit Welfare Plan | Bloomfield Hills, MI | 10.2% | $115,250 |
| Kaleris | Alpharetta, GA | 9.9% | $275,329 |
| Scientific Systems Company, Inc. | Burlington, MA | 9.7% | $78,038 |
| Medialab.Ai Inc | Los Angeles, CA | 9.6% | $138,549 |
| Legaltech, LLC | Miami, FL | 9.5% | $126,859 |
| Lan Associates Epas, Inc | Midland Park, NJ | 9.2% | $88,315 |
| Execupower LLC | King of Prussia, PA | 9.1% | $117,120 |
| Ces Consultants, Inc. | Pembroke Pines, FL | 9.0% | $71,370 |
| Telesolv Consulting, Inc. | Washington, DC | 8.5% | $76,792 |
| Guided BY Good, Inc. | Atlanta, GA | 8.4% | $205,388 |
| Career Team Enterprises, LLC | Shelton, CT | 8.2% | $95,315 |
| Jaros Baum and Bolles | New York, NY | 8.1% | $230,916 |
| Movate Inc. | Plano, TX | 8.1% | $133,768 |
Source: DOL Form 5500 and Schedule A, plan year 2024; built October 24, 2026. Methodology.
What do Professional & technical services employers pay health insurance brokers?
Across 660 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Professional & technical services employers was 3.6% of premium (middle half 2.5% to 5.0%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $87,691.
Which Professional & technical services employers paid the most in broker commissions?
ADP Totalsource, Inc. reported the most in 2024, $9,430,744, followed by Paychex Business Solutions LLC ($5.8M) and Tata America International Corporation ($4.9M).
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., Cigna Health and Life Insurance Company.