South Carolina employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
612 South Carolina employers filed health plans with 100 or more participants for plan year 2024, covering 456,241 participants. They reported $705M in insurance premiums and $77M in broker commissions and fees. The median broker rate on commission-paying, fully insured medical plans was 3.9% of premium, 0.1 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 South Carolina
Every South Carolina 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 |
|---|---|---|
| Greenville | 92 | $144M |
| Columbia | 63 | $140M |
| Charleston | 49 | $37M |
| Spartanburg | 43 | $26M |
| North Charleston | 26 | $31M |
| Fort Mill | 25 | $15M |
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 South Carolina employers pay health insurance brokers?
Across 176 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for South Carolina employers was 3.9% of premium (middle half 2.7% to 4.4%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $73,727.
Which South Carolina employers paid the most in broker commissions?
Prisma Health reported the most in 2024, $6,210,946, followed by Propel Peo, Inc ($1.7M) and Sunbelt Rentals, Inc. ($1.7M).
Which brokers and carriers dominate South Carolina?
By reported compensation, the largest brokers are Gallagher, Marsh McLennan Agency, NFP. By medical premium, the largest carriers are Blue Cross Blue Shield of South Carolina, Bluechoice Healthplan, Bluechoice Healthplan South Carolina.
Which South Carolina cities have the most employer health plans?
Greenville (92 employer plans, $144M in premiums); Columbia (63 employer plans, $140M in premiums); Charleston (49 employer plans, $37M in premiums); Spartanburg (43 employer plans, $26M in premiums); North Charleston (26 employer plans, $31M in premiums). 6 South Carolina 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 South Carolina 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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