Administrative & support services employer health plans: what they cost and who gets paid
1,817 Administrative & support services employers filed health plans with 100 or more participants for plan year 2024, covering 2,928,259 participants. They reported $1.6B in insurance premiums and $253M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 4.0% of premium, 0.2 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 |
|---|---|---|---|
| Cpe HR, Inc. Grace Drulias | Burbank, CA | $4,278,483 | 5.7% |
| Allegis Group, Inc. | Hanover, MD | $3,688,689 | — |
| Justworks Employment Group LLC | New York, NY | $3,448,863 | — |
| V2x Inc. | Colorado Springs, CO | $2,940,663 | — |
| Sequoia One Peo, LLC | Tempe, AZ | $2,820,261 | — |
| Oasis Outsourcing Holdings, Inc. | West Palm Beach, FL | $2,460,561 | — |
| Trueblue, Inc. | Tacoma, WA | $2,052,750 | — |
| G&A Outsourcing, Inc. dba G&A Partners | Houston, TX | $1,918,828 | — |
| Abm Industries Incorporated | Sugar Land, TX | $1,886,963 | — |
| SWBC Professional Employer Services V, LLC Cafeteria Plan | San Antonio, TX | $1,787,780 | — |
| Rippling Peo 1, Inc. | San Francisco, CA | $1,754,748 | — |
| Rentokil North America Inc. | Reading, PA | $1,718,872 | — |
| Robert Half Inc. | San Ramon, CA | $1,500,562 | — |
| Cornerstone Employer Solutions, LLC | ST. Louis, MO | $1,415,009 | — |
| The Geo Group, Inc. | Boca Raton, FL | $1,385,370 | — |
| Rollins, Inc. & Subsidiaries | Atlanta, GA | $1,288,355 | — |
| Barrett Business Services, Inc. | Vancouver, WA | $1,279,424 | — |
| Adecco, Inc. | Jacksonville, FL | $1,190,584 | — |
| Centene Management Company LLC | ST. Louis, MO | $1,172,413 | — |
| Magnit Global Solutions, Inc | Jupiter, FL | $1,155,310 | — |
| Medical Solutions LLC | Omaha, NE | $1,150,244 | — |
| North American Automotive Services, Inc. | Oakbrook Terrace, IL | $1,143,024 | — |
| Adt LLC | Boca Raton, FL | $1,121,798 | 5.0% |
| Apex Systems, LLC | Glen Allen, VA | $1,091,197 | — |
| Peoplease, LLC | Orlando, FL | $1,074,876 | — |
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 Administrative & support services employers pay health insurance brokers?
Across 144 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Administrative & support services employers was 4.0% of premium (middle half 2.8% to 5.2%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $73,242.
Which Administrative & support services employers paid the most in broker commissions?
Cpe HR, Inc. Grace Drulias reported the most in 2024, $4,278,483, followed by Allegis Group, Inc. ($3.7M) and Justworks Employment Group LLC ($3.4M).
Which brokers and carriers dominate this industry?
By reported compensation, the largest brokers are HUB International, Lockton, Marsh McLennan Agency. By medical premium, the largest carriers are Aetna Life Insurance Company, Blue Cross Blue Shield of Florida, Cigna Health and Life Insurance Company.