Management of companies employer health plans: what they cost and who gets paid
610 Management of companies employers filed health plans with 100 or more participants for plan year 2024, covering 1,861,168 participants. They reported $389M in insurance premiums and $101M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.4% of premium, 0.4 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 |
|---|---|---|---|
| HCA Inc. | Nashville, TN | $2,505,211 | — |
| Quanta Services Management Partnership, L.P. | Houston, TX | $2,066,470 | — |
| Autozone, Inc. | Memphis, TN | $2,057,373 | 5.0% |
| Casey's General Stores, Inc | Ankeny, IA | $1,697,425 | — |
| Saltchuk Resources, Inc. | Seattle, WA | $1,238,391 | — |
| Gamestop Corp | Grapevine, TX | $1,237,888 | — |
| Cleco Corporate Holdings, LLC | Pineville, LA | $1,224,758 | — |
| Concentrix CVG Corporation | Cincinnati, OH | $1,129,844 | — |
| Stagwell Global LLC | New York, NY | $1,037,316 | — |
| Bank of America Corporation | Riverside, RI | $998,484 | — |
| R.D. Offutt Company | Fargo, ND | $973,550 | — |
| Smithfield Foods, Inc. | Smithfield, VA | $950,385 | — |
| Chenega Corporation | Anchorage, AK | $901,327 | — |
| The Newtron Group, LLC | Baton Rouge, LA | $817,572 | — |
| Patterson Companies, Inc. | Saint Paul, MN | $807,526 | — |
| Sonepar Management U.S. Inc. | Philadelphia, PA | $798,000 | — |
| Siemens Corporation | Iselin, NJ | $771,233 | — |
| Clayton Homes, Inc. | Maryville, TN | $748,544 | — |
| Ufp Industries, Inc. | Grand Rapids, MI | $742,470 | — |
| Napa Management Services Corp | Melvile, NY | $716,485 | — |
| Capital One Financial Corporation | McLean, VA | $696,601 | — |
| Clyde Companies | Orem, UT | $696,111 | — |
| Tang Industries Inc. | Las Vegas, NV | $672,373 | — |
| Rosen's Diversified, Inc. | Eagan, MN | $669,686 | — |
| Woodbolt Distribution, LLC | Austin, TX | $648,537 | — |
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 |
|---|---|---|---|
| Penske Corporation | Bloomfield Hills, MI | 18.0% | $131,595 |
| Great Southern Bank | Springfield, MO | 8.1% | $554,943 |
| Physician Partners of America | Tampa, FL | 7.9% | $134,394 |
| Laguna Development Corporation | Albuquerque, NM | 6.5% | $129,620 |
| Q-Si Operations Inc. | Branford, CT | 6.5% | $135,419 |
| Robertson Capital LLC | Lafayette, LA | 5.9% | $76,710 |
| Dickie Brennan and Company LLC | New Orleans, LA | 5.5% | $57,834 |
| Talon Group, LLC | Gross Pointe, MI | 5.4% | $64,360 |
| Keller Group, LLC | Knoxville, TN | 5.2% | $79,059 |
| Pulley Management Services, Inc | Batesville, AR | 5.1% | $59,388 |
| Beemok Capital LLC | Charleston, SC | 5.0% | $232,409 |
| Autozone, Inc. | Memphis, TN | 5.0% | $82,362 |
| MG Holding Group, LLC | Doral, FL | 5.0% | $36,898 |
| Knight Enterprises Management, LLC | Titusville, FL | 4.8% | $58,844 |
| Soave Enterprises LLC | Detroit, MI | 4.8% | $122,677 |
| Smokers Outlet Management, Inc. | Troy, MI | 4.8% | $68,112 |
| Piazza Management Company | King of Prussia, PA | 4.8% | $332,898 |
| MKB Holding LLC | Grand Rapids, MI | 4.5% | $40,906 |
| Woodridge Behavioral Care, LLC | Alpharetta, GA | 4.2% | $199,724 |
| Adco Circuits, Inc. | Rochester Hills, MI | 4.1% | $25,715 |
| Mayfair Management, LLC | Hattiesburg, MS | 3.6% | $40,200 |
| Little Sprouts Holding LLC | Lawrence, MA | 3.5% | $95,604 |
| Taplin Holdings, LLC | Kalamazoo, MI | 3.4% | $61,728 |
| Meade Holdings, LLC | Johnson City, TN | 3.3% | $55,067 |
| Bcdi Great Lakes Holding, Inc. | Brighton, MI | 3.3% | $24,988 |
Source: DOL Form 5500 and Schedule A, plan year 2024; built October 24, 2026. Methodology.
What do Management of companies employers pay health insurance brokers?
Across 49 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Management of companies employers was 3.4% 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 $92,088.
Which Management of companies employers paid the most in broker commissions?
HCA Inc. reported the most in 2024, $2,505,211, followed by Quanta Services Management Partnership, L.P. ($2.1M) and Autozone, Inc. ($2.1M).
Which brokers and carriers dominate this industry?
By reported compensation, the largest brokers are Marsh McLennan Agency, Gallagher, Mercer. By medical premium, the largest carriers are Blue Cross Blue Shield of Massachusetts, Inc., Blue Cross Blue Shield of Florida, Cigna Health and Life Insurance Company.