Montana employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
154 Montana employers filed health plans with 100 or more participants for plan year 2024, covering 76,803 participants. They reported $54M in insurance premiums and $13M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.5% of premium, 0.2 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.
Cities in Montana
Every Montana city where 15 or more employers filed a health plan, by the sponsor's mailing address. Each page lists the city's largest plans, brokers and carriers.
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.
| Employer | City | Rate | Broker pay |
|---|---|---|---|
| Neptune Aviation Services, Inc | Missoula | 22.2% | $117,712 |
| Community Hospital of Anaconda | Anaconda | 3.5% | $113,352 |
| Carroll College | Helena | 2.5% | $53,248 |
| Bozeman Deaconess Health Services | Bozeman | 0.0% | $0 |
| Montana Auto Dealers Association | Helena | 0.0% | $0 |
| Morrison-Maierle, Inc. | Helena | 0.0% | $0 |
Source: DOL Form 5500 and Schedule A, plan year 2024; built October 24, 2026. Methodology.
What do Montana employers pay health insurance brokers?
Across 3 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Montana employers was 3.5% of premium (middle half 3.0% to 12.8%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $60,255.
Which Montana employers paid the most in broker commissions?
Logan Health reported the most in 2024, $1,074,950, followed by LMLC Operations, LLC ($624,922) and Consumer Direct Holdings, Inc. ($567,296).
Which brokers and carriers dominate Montana?
By reported compensation, the largest brokers are Marsh McLennan Agency, Alliant Insurance Services, HUB International. By medical premium, the largest carriers are Bluecross Blueshield of Montana, Cigna Health and Life Insurance Company, United States Fire Insurance Company.
Which Montana cities have the most employer health plans?
Billings (28 employer plans, $1.4M in premiums); Missoula (22 employer plans, $2.0M in premiums); Bozeman (21 employer plans, $30M in premiums). 3 Montana cities with 15 or more employer plans have their own page listing the largest plans, brokers and carriers.
Is your company on this page? Get its Form 5500 read next to the Montana medians.
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