Nevada employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
381 Nevada employers filed health plans with 100 or more participants for plan year 2024, covering 319,733 participants. They reported $23M in insurance premiums and $51M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 8.8% of premium, 5.0 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.
Cities in Nevada
Every Nevada 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 |
|---|---|---|---|
| Goettl Air Conditioning & Plumbing | Las Vegas | 9.1% | $186,035 |
| Socure, Inc. | Incline Village | 0.0% | $0 |
Source: DOL Form 5500 and Schedule A, plan year 2024; built October 24, 2026. Methodology.
What do Nevada employers pay health insurance brokers?
Across 2 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Nevada employers was 8.8% of premium (middle half 8.6% to 8.9%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $78,590.
Which Nevada employers paid the most in broker commissions?
MGM Resorts International reported the most in 2024, $2,765,659, followed by Henderson Nevada Chamber of Commerce, Inc. ($1.6M) and Advanstaff, Inc. ($1.5M).
Which brokers and carriers dominate Nevada?
By reported compensation, the largest brokers are Mercer, Brown & Brown, Alliant Insurance Services. By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Medical Mutual, Prominence Health Plan.
Which Nevada cities have the most employer health plans?
Las Vegas (217 employer plans, $14M in premiums); Reno (62 employer plans, $3.4M in premiums); Henderson (38 employer plans, $822,616 in premiums). 3 Nevada 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 Nevada medians.
Tell us the company and a specialist writes up what the public Form 5500 record shows for it, if it files one: broker pay against the medians above, fee disclosure and filing timeliness, in a form you can forward to your CFO or counsel. Tick the box if you also want a 15-minute walkthrough call.
We don't sell your email. By submitting, you agree that BenefitsLedger and its benefits advisory partner, WellthCare, may email or call you about these findings. Opt out anytime by replying. See our privacy policy.