Tennessee employer health plans: what they cost and who gets paid
Updated plan year 2024, the most recent complete year
1,276 Tennessee employers filed health plans with 100 or more participants for plan year 2024, covering 2,530,983 participants. They reported $876M in insurance premiums and $182M 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 Tennessee
Every Tennessee 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 |
|---|---|---|
| Nashville | 253 | $120M |
| Memphis | 140 | $68M |
| Knoxville | 109 | $139M |
| Chattanooga | 89 | $49M |
| Brentwood | 81 | $98M |
| Franklin | 73 | $78M |
| Goodlettsville | 46 | $39M |
| Murfreesboro | 25 | $20M |
| Collierville | 16 | $8.2M |
| Johnson City | 16 | $22M |
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 Tennessee employers pay health insurance brokers?
Across 193 fully insured medical plans in plan year 2024, among commission-paying fully insured medical plans, the median broker compensation for Tennessee employers was 3.9% of premium (middle half 3.3% to 5.3%), against a national median of 3.8%. In dollars, the median employer that disclosed broker pay reported $82,913.
Which Tennessee employers paid the most in broker commissions?
Lifepoint Health, Inc. reported the most in 2024, $4,405,412, followed by LBMC Employment Partners, LLC ($3.4M) and Dollar General Corporation ($2.7M).
Which brokers and carriers dominate Tennessee?
By reported compensation, the largest brokers are Gallagher, Lockton, Marsh McLennan Agency. By medical premium, the largest carriers are Bluecross Blueshield of Tennessee, Inc., Cigna Health and Life Insurance Company, Blue Cross and Blue Shield of Alabama.
Which Tennessee cities have the most employer health plans?
Nashville (253 employer plans, $120M in premiums); Memphis (140 employer plans, $68M in premiums); Knoxville (109 employer plans, $139M in premiums); Chattanooga (89 employer plans, $49M in premiums); Brentwood (81 employer plans, $98M in premiums). 10 Tennessee 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 Tennessee 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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