Sample Manufacturing Co. is a Texas manufacturer with 1,290 people covered on a fully insured Carrier A plan in 2024, up from 1,140 in 2020. Broker X has been the broker of record on every contract since 2020, and the plan year ends December 31. Premium per person covered was $8,410 in 2024, 6.5% above Carrier A’s state median, and rose 22.8% over five years against 18.7% for peers of the same industry and size.
| Measure | This employer | Benchmark |
|---|---|---|
Who insures the plan Carrier and funding, 2024 | Carrier A · insured | Since 2020 |
Premium per person covered 2024, against Carrier A’s state median | $8,410 | $7,900 |
Premium trend Change 2020–2024, against peers | +22.8% | +18.7% |
Incumbent broker pay Commissions and fees, % of premium, 2024 | 4.1% | 3.2% |
Carrier’s hospital prices Nearby hospitals where Carrier A pays more than other carriers | 2 of 5 | Carrier C lower on 4 of 4 |
| Plan year | Carrier | Funding | People covered | Contracts | Broker of record |
|---|---|---|---|---|---|
| 2020 | Carrier A | Insured | 1,140 | Medical, Rx | Broker X |
| 2021 | Carrier A | Insured | 1,180 | Medical, Rx | Broker X |
| 2022 | Carrier A | Insured | 1,210 | Medical, Rx | Broker X |
| 2023 | Carrier A | Insured | 1,265 | Medical, Rx | Broker X |
| 2024 | Carrier A | Insured | 1,290 | Medical, Rx | Broker X |
| Broker X, commissions and fees | % of premium |
|---|---|
| 2020 | 3.8% |
| 2021 | 3.9% |
| 2022 | 3.9% |
| 2023 | 4.0% |
| 2024 | 4.1% |
| 2024 benchmark | % of premium |
|---|---|
| Carrier A median, same state | 3.2% |
| All carriers, same state | 3.4% |
| Peers: manufacturing, 1,000–2,500 covered | 3.0% |
Annual premium divided by people covered on the contract. Peers: Texas manufacturing employers with 1,000–2,500 people covered.
| Plan year | Plan size | vs Carrier A median | This employer | Carrier A, state | All carriers, state | Peers |
|---|---|---|---|---|---|---|
| 2020 | 1,140 covered | +2.2% | $6,850 | $6,700 | $6,550 | $6,780 |
| 2021 | 1,180 covered | +2.6% | $7,120 | $6,940 | $6,800 | $7,010 |
| 2022 | 1,210 covered | +2.9% | $7,460 | $7,250 | $7,080 | $7,330 |
| 2023 | 1,265 covered | +4.9% | $7,980 | $7,610 | $7,390 | $7,720 |
| 2024 | 1,290 covered | +6.5% | $8,410 | $7,900 | $7,650 | $8,050 |
| 2020–24 | Change | +22.8% | +17.9% | +16.8% | +18.7% |
One figure per measure, Carrier A against the other carriers in the employer’s area, 2026. The procedure-by-procedure and hospital-by-hospital detail is in the Plan Cost Benchmark.
| Measure | Carrier B | Carrier C | Carrier A (current) |
|---|---|---|---|
Physician rates Median of 8 common services, % of Medicare | 162% | 143% | 150% |
MRI, lower back Hospital rate, median of the 5 nearest hospitals | $860 | $700 | $780 |
ER visit, level 4 Hospital rate, median of the 5 nearest hospitals | $1,240 | $1,050 | $1,120 |
Vaginal delivery Hospital rate, median of the 5 nearest hospitals | $12,900 | $11,300 | $11,800 |
Knee replacement Hospital rate, median of the 5 nearest hospitals | $37,400 | $34,200 | $35,900 |