New York employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
3,508 New York employers filed health plans with 100 or more participants for plan year 2024, covering 4,697,420 participants. They reported $1.8B in insurance premiums and $446M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.7% of premium, 0.0 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 New York
Every New York 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.
| City | Employer plans | Premiums |
|---|---|---|
| New York | 1,465 | $868M |
| Rochester | 153 | $147M |
| Brooklyn | 143 | $13M |
| Buffalo | 83 | $39M |
| Syracuse | 62 | $80M |
| Albany | 60 | $17M |
| Bronx | 47 | $6.6M |
| Long Island City | 41 | $20M |
| White Plains | 40 | $18M |
| Hauppauge | 36 | $962,650 |
| Melville | 32 | $1.6M |
| Latham | 23 | $1.9M |
| Utica | 20 | $12M |
| East Syracuse | 19 | $68M |
| Amherst | 18 | $12M |
| Binghamton | 18 | $29M |
| New York City | 18 | $1.4M |
| Poughkeepsie | 18 | $0 |
| Schenectady | 18 | $23,148 |
| Garden City | 17 | $681,331 |
| Ithaca | 17 | $1.6M |
| Staten Island | 17 | $0 |
| Williamsville | 17 | $38M |
| Jericho | 16 | $3.6M |
| Flushing | 15 | $1.4M |
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 New York employers pay health insurance brokers?
Across 280 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for New York employers was 3.7% of premium (middle half 2.9% to 4.3%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $85,893.
Which New York employers paid the most in broker commissions?
Board of Trustees of the MLB Lwip reported the most in 2024, $5,874,400, followed by Tata America International Corporation ($4.9M) and Justworks Employment Group LLC ($3.4M).
Which brokers and carriers dominate New York?
By reported compensation, the largest brokers are Mercer, Gallagher, USI Insurance Services. By medical premium, the largest carriers are Cigna Health and Life Insurance Company, Excellus Blue Cross Blue Shield, Highmark Blue Cross Blue Shield.
Which New York cities have the most employer health plans?
New York (1,465 employer plans, $868M in premiums); Rochester (153 employer plans, $147M in premiums); Brooklyn (143 employer plans, $13M in premiums); Buffalo (83 employer plans, $39M in premiums); Syracuse (62 employer plans, $80M in premiums). 25 New York 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 New York 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.