Ranking · Plan year 2024 · Top 100
Highest broker commission rates on employer medical plans
Updated Download this list (CSV)
Fully insured medical plans with at least $1 million of premium, ranked by broker commissions and fees as a share of that premium. American Angus Association of ST. Joseph, Missouri leads the 2024 list with broker pay of $654,986. Rate = (commissions + fees on medical contracts) ÷ earned medical premium. Plans paying no commission are excluded.
| # | Employer | Participants | Broker pay | Rate | Medical premium |
|---|---|---|---|---|---|
| 1 | American Angus Association · ST. Joseph, MO | 132 | $654,986 | 40.8% | $1,603,849 |
| 2 | Igd Industries Inc · Cedar Rapids, IA | 225 | $499,277 | 29.7% | $1,679,794 |
| 3 | The Fountainhead Group, Inc. · New York Mills, NY | 102 | $244,957 | 22.5% | $1,087,580 |
| 4 | Bartow Ford Company · Bartow, FL | 320 | $383,058 | 21.9% | $1,745,170 |
| 5 | System Services Broadband LLC · Scott, LA | 235 | $276,401 | 21.9% | $1,263,195 |
| 6 | Carter Ledyard & Milburn LLP Welfare Benefits Plan · New York, NY | 119 | $334,241 | 21.3% | $1,566,656 |
| 7 | Team Direct Management · Rogers, AR | 118 | $745,775 | 20.0% | $3,734,566 |
| 8 | Hengestone Holdings, Inc. · , | 210 | $224,746 | 17.1% | $1,312,215 |
| 9 | North American Credit Services · Chattanooga, TN | 512 | $243,305 | 17.1% | $1,422,148 |
| 10 | Rio Grande Pacific Corporation, Inc. · Fort Worth, TX | 495 | $192,646 | 16.7% | $1,156,449 |
| 11 | Medhost Services, Inc. · Franklin, TN | 661 | $174,520 | 15.6% | $1,121,281 |
| 12 | Atomic Transport, LLC · Chattanooga, TN | 477 | $175,813 | 15.4% | $1,143,916 |
| 13 | Axiscare Health Logistics · Dorado, PR | 161 | $167,428 | 15.0% | $1,116,196 |
| 14 | Supermercados MR Special Inc · Mayaguez, PR | 415 | $293,378 | 14.3% | $2,047,390 |
| 15 | Chestnut Land Company · Youngstown, OH | 1,487 | $194,876 | 14.2% | $1,368,383 |
| 16 | MLN Company · Stafford, TX | 207 | $166,310 | 14.2% | $1,174,810 |
| 17 | Edwards Interiors, Inc. · Rincon, GA | 203 | $165,491 | 14.0% | $1,179,406 |
| 18 | M/E Engineering, P.C. Welfare Benefit PL · Rochester, NY | 167 | $270,255 | 13.4% | $2,020,582 |
| 19 | Union Independiente de Empleados Telefonicos · San Juan, PR | 730 | $441,825 | 13.4% | $3,304,305 |
| 20 | Mid America Physician Services, LLC · Overland Park, KS | 180 | $154,831 | 12.9% | $1,200,595 |
| 21 | Smith & Howard Advisory, LLC · Atlanta, GA | 200 | $185,127 | 11.9% | $1,550,346 |
| 22 | Tilson Built Company · Houston, TX | 237 | $167,631 | 11.8% | $1,426,141 |
| 23 | Morrow Sodali LLC · Stamford, CT | 159 | $145,121 | 11.7% | $1,245,311 |
| 24 | Somerset Capital Group, LTD · Milford, CT | 130 | $142,260 | 11.5% | $1,239,402 |
| 25 | Goosehead Insurance Agency · Westlake, TX | 1,051 | $641,797 | 11.3% | $5,669,394 |
| 26 | Manufacturing Resources International · Alpharetta, GA | 131 | $137,270 | 11.2% | $1,221,289 |
| 27 | Springfield Mechanical Services, Inc. · Springfield, MO | 168 | $147,147 | 11.2% | $1,317,695 |
| 28 | Hutsonwood, Inc. · Brentwood, TN | 389 | $128,787 | 11.1% | $1,158,374 |
| 29 | Chicot Irrigation Inc · Lake Village, AR | 110 | $201,375 | 11.1% | $1,813,772 |
| 30 | Pace-O-Matic, Inc. · Duluth, GA | 164 | $118,269 | 10.9% | $1,080,701 |
| 31 | ST Management, Inc. · Downers Grove, IL | 204 | $130,590 | 10.9% | $1,198,275 |
| 32 | Nebraska Trucking Association Health Benefits Alliance · Lincoln, NE | 218 | $300,436 | 10.6% | $2,844,846 |
| 33 | CHN Housing Partners · Cleveland, OH | 169 | $165,248 | 10.4% | $1,586,457 |
| 34 | RPCS, Inc. · Rogersville, MO | 706 | $193,827 | 10.4% | $1,866,600 |
| 35 | V2soft, Inc Benefit Welfare Plan · Bloomfield Hills, MI | 108 | $115,250 | 10.2% | $1,130,367 |
| 36 | Safeway Enterprises, LLC · Bridgewater, NJ | 151 | $114,113 | 10.2% | $1,119,509 |
| 37 | Start Elevator LLC · Bronx, NY | 111 | $103,007 | 10.2% | $1,011,429 |
| 38 | Safeguard Operations, LLC · Atlanta, GA | 202 | $111,158 | 10.2% | $1,093,595 |
| 39 | New-York Historical Society · New York, NY | 244 | $207,473 | 10.0% | $2,068,066 |
| 40 | Koontz Electric Company, Inc. · Morrilton, AR | 299 | $162,511 | 10.0% | $1,623,710 |
| 41 | Marketing Association for Rehabilitation Centers Inc · Hazelwood, NC | 635 | $521,490 | 9.9% | $5,244,570 |
| 42 | Kaleris · Alpharetta, GA | 204 | $275,329 | 9.9% | $2,777,090 |
| 43 | Acme Manufacturing Company, Inc. · Denver, CO | 261 | $122,944 | 9.9% | $1,245,817 |
| 44 | Wnba, LLC · Secaucus, NJ | 178 | $100,581 | 9.8% | $1,021,510 |
| 45 | First Paragould Bankshares, Inc. · Paragould, AR | 243 | $269,534 | 9.8% | $2,748,190 |
| 46 | Precision Vehicle Logistics · Wayne, MI | 361 | $132,030 | 9.8% | $1,347,689 |
| 47 | Rev Renewables Ops, LLC · Houston, TX | 130 | $202,583 | 9.8% | $2,075,105 |
| 48 | Curio Brands, LLC · Minneapolis, MN | 135 | $105,327 | 9.8% | $1,080,193 |
| 49 | Deerfield Agency · Conshohocken, PA | 134 | $114,835 | 9.7% | $1,188,915 |
| 50 | Eos Energy Storage, LLC · Edison, NJ | 400 | $377,857 | 9.6% | $3,934,600 |
| 51 | Blue Water Shipping US, Inc. · Edison, NJ | 159 | $167,158 | 9.6% | $1,742,603 |
| 52 | Medialab.Ai Inc · Los Angeles, CA | 103 | $138,549 | 9.6% | $1,445,728 |
| 53 | International Management Consultants, Inc. · Malvern, PA | 155 | $161,433 | 9.6% | $1,686,283 |
| 54 | Ozark Tri-County Health Care Consortium dba Access Family Care · Neosho, MO | 253 | $231,411 | 9.5% | $2,425,008 |
| 55 | The Kennedy Collective · Trumbull, CT | 313 | $127,767 | 9.5% | $1,339,965 |
| 56 | Legaltech, LLC · Miami, FL | 123 | $126,859 | 9.5% | $1,333,849 |
| 57 | Local 6520 International Union UAW AFL CIO · Jacksonville, FL | 185 | $101,304 | 9.5% | $1,066,357 |
| 58 | Barr-Nunn Transportation LLC · Granger, IA | 442 | $393,179 | 9.5% | $4,153,004 |
| 59 | The National Center for Children and Families · Bethesda, MD | 252 | $196,155 | 9.4% | $2,076,283 |
| 60 | Nuloom LLC · Cranbury, NJ | 350 | $224,506 | 9.2% | $2,431,978 |
| 61 | Rugs USA LLC · Cranbury, NJ | 350 | $224,506 | 9.2% | $2,431,978 |
| 62 | Dynasty Financial Partners, LLC · ST. Petersburg, FL | 140 | $178,236 | 9.2% | $1,932,820 |
| 63 | Eftec North America, LLC · Taylor, MI | 202 | $189,338 | 9.2% | $2,064,291 |
| 64 | Tri-County Orthopedics · Cedar Knolls, NJ | 170 | $116,661 | 9.2% | $1,274,356 |
| 65 | Execupower LLC · King of Prussia, PA | 202 | $117,120 | 9.1% | $1,283,844 |
| 66 | Kares Management, Inc. · Cherry Hill, NJ | 248 | $130,785 | 9.1% | $1,433,814 |
| 67 | Goettl Air Conditioning & Plumbing · Las Vegas, NV | 677 | $186,035 | 9.1% | $2,047,684 |
| 68 | Interborough Developmental & Consultation Center · Brooklyn, NY | 726 | $501,912 | 9.0% | $5,591,232 |
| 69 | Strategic Dental Executives, LLC · Denton, TX | 999 | $201,084 | 9.0% | $2,242,081 |
| 70 | Revolution Lighting Technologies · Stamford, CT | 130 | $108,030 | 8.9% | $1,208,878 |
| 71 | Macomb-Oakland Regional Center, Inc. · Clinton TWP, MI | 253 | $197,207 | 8.9% | $2,214,052 |
| 72 | Asociacion de Empleados del Ela · San Juan, PR | 336 | $255,460 | 8.9% | $2,875,772 |
| 73 | Community Living Services, Inc. · Wayne, MI | 147 | $252,871 | 8.9% | $2,852,324 |
| 74 | Ease Logistics · Dublin, OH | 219 | $94,875 | 8.8% | $1,074,334 |
| 75 | Human Rights Campaign · Washington, DC | 258 | $303,997 | 8.8% | $3,466,944 |
| 76 | On Time Transport, LLC · Roselle, NJ | 236 | $95,407 | 8.6% | $1,116,169 |
| 77 | Infratech Corporation · Kennesaw, GA | 237 | $105,377 | 8.4% | $1,246,867 |
| 78 | Guided BY Good, Inc. · Atlanta, GA | 354 | $205,388 | 8.4% | $2,430,991 |
| 79 | Rentschler Biopharma, Inc. · Milford, MA | 210 | $110,706 | 8.4% | $1,319,032 |
| 80 | Easter Seals Serving DC MD Va,inc. · Silver Spring, MD | 322 | $88,464 | 8.4% | $1,056,198 |
| 81 | Tmii Enterprises LLC · Phoenix, AZ | 379 | $176,996 | 8.4% | $2,113,837 |
| 82 | Piedmont National Corporation · Atlanta, GA | 271 | $149,378 | 8.3% | $1,803,231 |
| 83 | Utah Retail Merchants and Food Industry · Draper, UT | 187 | $263,520 | 8.2% | $3,196,734 |
| 84 | A.I.G. Trucking, Inc. Kohler Distributing Company · Hawthorne, NJ | 122 | $121,603 | 8.2% | $1,475,337 |
| 85 | Rockwell Medical Inc. · Wixom, MI | 250 | $88,823 | 8.2% | $1,086,655 |
| 86 | New Frontier Materials LLC · Maryland Heights, MO | 117 | $112,734 | 8.2% | $1,381,444 |
| 87 | Career Team Enterprises, LLC · Shelton, CT | 197 | $95,315 | 8.2% | $1,170,072 |
| 88 | Jaros Baum and Bolles · New York, NY | 382 | $230,916 | 8.1% | $2,844,062 |
| 89 | Preston Automotive Group · Preston, MD | 663 | $162,416 | 8.1% | $2,003,219 |
| 90 | Movate Inc. · Plano, TX | 353 | $133,768 | 8.1% | $1,651,490 |
| 91 | Credigy Solutions Inc. · Norcross, GA | 183 | $152,858 | 8.1% | $1,894,317 |
| 92 | Great Southern Bank · Springfield, MO | 851 | $554,943 | 8.1% | $6,873,829 |
| 93 | Tarrytown Expocare, LLC · Austin, TX | 369 | $111,962 | 8.1% | $1,388,782 |
| 94 | Stewart Stainless Supply, Inc. · Braselton, GA | 153 | $119,257 | 8.0% | $1,486,657 |
| 95 | Unical Aviation Inc. · Glendale, AZ | 301 | $141,555 | 8.0% | $1,767,775 |
| 96 | The Andrew W. Mellon Foundation · New York, NY | 276 | $364,692 | 8.0% | $4,559,551 |
| 97 | Ivision Scale, LLC. · Atlanta, GA | 269 | $184,139 | 8.0% | $2,307,841 |
| 98 | Concord Software Leasing Corporation · Scottsdale, AZ | 133 | $97,675 | 8.0% | $1,228,729 |
| 99 | Physician Partners of America · Tampa, FL | 329 | $134,394 | 7.9% | $1,696,975 |
| 100 | JRN, Inc. · Columbia, TN | 1,068 | $163,519 | 7.9% | $2,070,690 |
Source: DOL Form 5500 and Schedule A, plan year 2024; built October 24, 2026. Names as filed; a row reflects what the employer reported, and misfilings happen. Corrections: hello@benefitsledger.com. Methodology.
Which employers pay the highest commission rate on medical premium?
In plan year 2024 filings, American Angus Association (ST. Joseph, Missouri) ranks first, with broker pay of $654,986. Igd Industries Inc is second and The Fountainhead Group, Inc. third.
How is this list built?
Fully insured medical plans with at least $1 million of premium, ranked by broker commissions and fees as a share of that premium. Rate = (commissions + fees on medical contracts) ÷ earned medical premium. Plans paying no commission are excluded. Source: U.S. Department of Labor Form 5500 and Schedule A datasets, plan year 2024, built October 24, 2026.
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