Healthcare & social assistance employer health plans: what they cost and who gets paid
8,344 Healthcare & social assistance employers filed health plans with 100 or more participants for plan year 2024, covering 10,330,518 participants. They reported $4.8B in insurance premiums and $1.1B in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.7% 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.
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 Healthcare & social assistance employers pay health insurance brokers?
Across 721 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Healthcare & social assistance employers was 3.7% of premium (middle half 2.6% to 5.0%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $72,771.
Which Healthcare & social assistance employers paid the most in broker commissions?
Prisma Health reported the most in 2024, $6,210,946, followed by Lifepoint Health, Inc. ($4.4M) and The Permanente Medical Group, Inc. ($4.1M).
Which brokers and carriers dominate this industry?
By reported compensation, the largest brokers are Gallagher, Marsh McLennan Agency, Lockton. By medical premium, the largest carriers are Blue Cross Blue Shield of Massachusetts, Inc., Bluecross Blueshield of Illinois, Independence Blue Cross.