Working With a Broker

What a Broker Actually Does That Calling the Carrier Directly Doesn't

The most common objection to using a broker isn't that people distrust brokers. It's that they assume going straight to the carrier is cheaper, the same way skipping a middleman usually is. With small group health insurance, that assumption doesn't hold, and understanding why changes how you should think about the whole decision.

The premium is filed, not negotiated at the counter

Small group health insurance rates are community-rated and filed with your state's insurance department. The price for a given plan, in a given zip code, for a group with your census, is the same number whether it's quoted to you, to us, or to the person at the carrier's own call center. There's no walk-in discount for cutting out the broker, because the broker isn't the one setting the price in the first place.

Broker compensation comes out of the carrier's own budget as a built-in commission, not as a markup added on top of your premium. So the practical choice isn't "cheaper vs. more expensive." It's "the same price with help, or the same price without it."

What the "help" actually is

That's the part worth being specific about, because "help" is vague enough to dismiss.

  • Before the sale: comparing plan designs across multiple carriers instead of one, and being honest when your current setup is already the best option available — a conversation a single carrier's rep has no incentive to have with you.
  • At enrollment: sitting with your employees, in plain language, explaining what they're actually choosing between. A carrier's enrollment portal doesn't do this. Nobody on their payroll is assigned to make sure your night-shift warehouse lead understands coinsurance.
  • After the sale: being the person who picks up the phone when a claim gets denied, when someone needs a replacement ID card the week they're admitted to the hospital, or when open enrollment for next year needs to happen and nobody remembers how it went last time.
  • At renewal: the market check described in how to read a renewal increase — actually shopping your group instead of letting an increase go unchallenged because nobody was assigned to challenge it.

The honest tension, and why it's manageable

Commission does vary by carrier, which is a fair thing to be skeptical of. A broker contracted with only one or two carriers has an obvious incentive to steer you toward whichever one pays best, regardless of fit. The way around that isn't to avoid brokers, it's to work with one who's contracted broadly enough that no single carrier's commission moves the recommendation. Ask directly what a plan pays compared to the alternatives. A broker with nothing to hide will just tell you.

Switching brokers, or engaging one for the first time, doesn't touch your current coverage, doesn't cost you anything, and takes one form. The risk in trying it is close to zero. The risk in not having anyone in that seat is the thing this whole post is actually about.

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