Other services employer health plans: what they cost and who gets paid
2,117 Other services employers filed health plans with 100 or more participants for plan year 2024, covering 7,291,182 participants. They reported $1.1B in insurance premiums and $228M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 4.2% of premium, 0.4 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.
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 Other services employers pay health insurance brokers?
Across 168 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Other services employers was 4.2% of premium (middle half 2.8% to 5.9%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $75,230.
Which Other services employers paid the most in broker commissions?
Caliber Holdings LLC reported the most in 2024, $2,158,190, followed by Utah Manufacturers Association ($1.8M) and Henderson Nevada Chamber of Commerce, Inc. ($1.6M).
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 Cigna Health and Life Insurance Company, Bluecross Blueshield of Illinois, Blue Cross Blue Shield of Massachusetts, Inc..