Puerto Rico employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
239 Puerto Rico employers filed health plans with 100 or more participants for plan year 2024, covering 121,766 participants. They reported $317M in insurance premiums and $20M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 5.0% of premium, 1.2 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 Puerto Rico
Every Puerto Rico 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.
Source: DOL Form 5500 and Schedule A, plan year 2024; built October 24, 2026. Methodology.
What do Puerto Rico employers pay health insurance brokers?
Across 185 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Puerto Rico employers was 5.0% of premium (middle half 4.8% to 5.0%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $53,861.
Which Puerto Rico employers paid the most in broker commissions?
Luma Energy Servco LLC reported the most in 2024, $1,657,867, followed by First Bank Puerto Rico ($812,045) and Mewa Ikon- Health ($694,448).
Which brokers and carriers dominate Puerto Rico?
By reported compensation, the largest brokers are Ikon Insurance, Inc., HUB International, CGF Insurance LLC. By medical premium, the largest carriers are Triple S Salud, Inc., MCS Life Insurance Company, First Medical Health Plan, Inc..
Which Puerto Rico cities have the most employer health plans?
San Juan (115 employer plans, $169M in premiums); Guaynabo (15 employer plans, $14M in premiums). 2 Puerto Rico 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 Puerto Rico 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.
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