The 100 employers overpaying the most

Notes before reviewing the list

Most of this money is one calculation: what the plan spends × how far above market its carrier prices. That multiple is per carrier, not per employer — every Cigna plan gets 1.45×, every Aetna plan 1.32×. So a row means “this company buys care through an expensive network,” not “we audited this company’s claims.” That is why the same $/employee number repeats down the list.

These are estimates off public filings. Not invoices, not accusations. Where the plan couldn’t be tied to a carrier with confidence, the finding was thrown out rather than hedged — that killed 647 of 1,117 network findings and $1.3B off the headline number.

Where the money sits

$563.8M across the 100, by finding type.

Network rate position$315.8M
Voluntary-benefit take$176.4M
Broker compensation$43.1M
Wage-relative burden$28.6M

The list

Ranked by total dollars at stake. Click any column heading to re‑sort — $/employee tells a different story than the raw total.

#	Employer▲	Employees▲	At stake▼	$/employee▲
1	Trinity Solar, LlcWall, NJ · EIN 223292324	3,110	$18.3M	$5,895
2	Tesla, Inc.Palo Alto, CA · EIN 912197729	73,107	$16.9M	$231
3	Marksman Security CorporationFort Lauderdale, FL · EIN 020725791	2,687	$16.2M	$6,016
4	Dassault Falcon Jet CorporationLittle Ferry, NJ · EIN 221978098	2,398	$14.1M	$5,869
5	Concurrent Hro, LlcBroomfield, CO · EIN 475137893	2,315	$13.6M	$5,893
6	National Debt Relief LlcNew York, NY · EIN 271182232	2,217	$13.0M	$5,869
7	Hub Group, Inc.Oak Brook, IL · EIN 364007085	4,405	$11.9M	$2,708
8	Inter-Con Security Systems, Inc.Pasadena, CA · EIN 953020192	2,591	$11.8M	$4,573
9	Academic Medical GroupTampa, FL · EIN 863038188	1,739	$11.4M	$6,529
10	Ati Payroll Services, LlcAnaheim, CA · EIN 932003212	1,931	$11.3M	$5,869
11	Trueblue, Inc.Tacoma, WA · EIN 911287341	3,986	$11.3M	$2,833
12	Highmark HealthPittsburgh, PA · EIN 453674900	13,164	$11.0M	$833
13	Leidos Biomedical Research, Inc.Frederick, MD · EIN 330653185	2,393	$10.3M	$4,288
14	Flagship Facility Services, LlcSouthlake, TX · EIN 921160337	1,696	$10.0M	$5,914
15	Forest River, Inc.Elkhart, IN · EIN 203284366	10,511	$9.4M	$896
16	Tri Star Services, LlcNashville, TN · EIN 621828852	1,573	$9.3M	$5,891
17	Erigo Inc.Ft Mitchell, KY · EIN 452569924	430	$9.1M	$21,180
18	Hazen And SawyerNew York, NY · EIN 132904652	1,881	$9.0M	$4,762
19	Quinn Emanuel Urquhart & Sullivan, LlpLos Angeles, CA · EIN 954004138	1,370	$8.3M	$6,055
20	Rockefeller Health & Welfare Benefits TrustNew York, NY · EIN 806076929Multiple-employer trust — participants span several employers	3,137	$7.9M	$2,530
21	Paramount Residential Mortgage GroupCorona, CA · EIN 330975529	1,261	$7.4M	$5,854
22	Sepa Associates, LlcPhiladelphia, PA · EIN 821644143	1,142	$6.7M	$5,869
23	22Nd Century Technologies, Inc.Mclean, VA · EIN 223502121	1,100	$6.5M	$5,869
24	Innovative Employee SolutionsSan Diego, CA · EIN 840841199	1,383	$6.3M	$4,573
25	Hy-Vee, Inc.West Des Moines, IA · EIN 420325638	16,093	$6.1M	$382
26	Pacific Architects And Engineers, LlcFalls Church, VA · EIN 980000105	2,799	$6.1M	$2,185
27	Legal & General America, Inc.Frederick, MD · EIN 521236150	1,020	$6.0M	$5,882
28	Ripa And Associates LlcTampa, FL · EIN 593497167	966	$6.0M	$6,197
29	Sei GroupDoraville, GA · EIN 582478990	895	$5.6M	$6,262
30	Carmax, Inc.Richmond, VA · EIN 541821055	29,611	$5.4M	$183
31	Tricon American HomesTustin, CA · EIN 471254912	913	$5.4M	$5,931
32	Texas Roadhouse Management Corp.Louisville, KY · EIN 611316260	7,427	$5.1M	$691
33	The Haskell CompanyJacksonville, FL · EIN 592387450	1,452	$5.0M	$3,472
34	Legacy Healthcare Financial Services LlcSkokie, IL · EIN 263151856	6,093	$5.0M	$815
35	Tri City Foods, Inc.Downers Grove, IL · EIN 471813575	1,804	$4.9M	$2,708
36	Axonics Modulation Technology, Inc.Irvine, CA · EIN 454744083Now Axonics, Inc.	825	$4.8M	$5,869
37	C3.Ai, Inc.Redwood City, CA · EIN 263999357	818	$4.8M	$5,869
38	Sunset Aviation, LlcPetaluma, CA · EIN 800319107Now Solairus Aviation	1,400	$4.8M	$3,403
39	Punahou SchoolHonolulu, HI · EIN 990073523	978	$4.7M	$4,788
40	Newcold Seattle OperationsTacoma, WA · EIN 810995900	726	$4.5M	$6,257
41	Out West Restaurant GroupSan Diego, CA · EIN 330600849	982	$4.5M	$4,579
42	Perkins Eastman Architects, D.P.C.New York, NY · EIN 133044005	751	$4.4M	$5,879
43	Surgery Partners, Inc.Brentwood, TN · EIN 473620923	7,123	$4.4M	$614
44	Gap Solutions, Inc.Herndon, VA · EIN 541903817	744	$4.4M	$5,869
45	Cpc Logistics Inc.Chesterfield, MO · EIN 431412670	2,894	$4.4M	$1,509
46	P. O. Y. Holdings, LlcTotowa, NJ · EIN 204159078	972	$4.3M	$4,426
47	New Prime, Inc.Springfield, MO · EIN 431396933	2,610	$4.3M	$1,631
48	Nebraska Methodist Health Syst, IncOmaha, NE · EIN 470639839	5,470	$4.2M	$775
49	Lymi, Inc. Dba ReformationVernon, CA · EIN 352467049	714	$4.2M	$5,869
50	Bobrick Washroom Equipment Inc.North Hollywood, CA · EIN 951763946	703	$4.1M	$5,869
51	Wayne Farms LlcOakwood, GA · EIN 582530930Findings are on ancillary/voluntary benefits; no medical (4A) coverage on file	24,207	$4.1M	$170
52	Volvo Construction Equipment North America, LlcShippensburg, PA · EIN 382496821	285	$4.1M	$14,397
53	Intat Precision, Inc.Rushville, IN · EIN 581773607	272	$4.0M	$14,780
54	Senior Lifestyle Dc, LlcChicago, IL · EIN 261368051	3,846	$4.0M	$1,044
55	Pinkerton Consulting And Investigations, Inc.Ann Arbor, MI · EIN 954753424	865	$4.0M	$4,573
56	Attc Manufacturing, Inc.Tell City, IN · EIN 352122103	546	$3.9M	$7,213
57	Document Storage Systems, Inc.Juno Beach, FL · EIN 431575286	669	$3.9M	$5,869
58	U.S. Committee For Refugees And ImmigrantsArlington, VA · EIN 131878704	646	$3.9M	$5,961
59	Worksmart Systems, Inc.Indianapolis, IN · EIN 352060071Multiple-employer plan — participants span several employers	10,616	$3.8M	$362
60	East Penn Manufacturing Co., Inc.Lyon Station, PA · EIN 231315454	9,109	$3.8M	$416
61	Memorial Health SystemSpringfield, IL · EIN 371110690	7,091	$3.8M	$529
62	Sees Candy Shops IncorporatedSouth San Francisco, CA · EIN 951205740	637	$3.7M	$5,869
63	Davita Inc.Denver, CO · EIN 510354549	57,028	$3.6M	$64
64	The West Clinic, PllcGermantown, TN · EIN 621526296	611	$3.6M	$5,895
65	Ta Chen International, Inc.Long Beach, CA · EIN 954230028	613	$3.6M	$5,869
66	Finfrock Holdings, Inc.Apopka, FL · EIN 592954885	612	$3.6M	$5,869
67	Innospec (Independence Oilfield Chemicals, Llc)The Woodlands, TX · EIN 455239537	751	$3.6M	$4,737
68	Dobbs Equipment, LlcRiverview, FL · EIN 822505079	605	$3.6M	$5,869
69	Boyd Gaming CorporationLas Vegas, NV · EIN 880242733	8,735	$3.5M	$405
70	Murphy-Hoffman Company LlcLeawood, KS · EIN 431394729	3,542	$3.5M	$994
71	Atos It Solutions And Services, Inc.Plano, TX · EIN 133715291	2,180	$3.5M	$1,614
72	North American Automotive Services, Inc.Oakbrook Terrace, IL · EIN 363796094	5,595	$3.5M	$629
73	Stormont-Vail Healthcare IncTopeka, KS · EIN 480543789	5,747	$3.5M	$611
74	Reliance Health Care, Inc.Conway, AR · EIN 261622769	1,313	$3.5M	$2,662
75	Industrial Inspection & Analysis, Inc.Minnetonka, MN · EIN 473920420	595	$3.5M	$5,869
76	Staar Surgical Company, Inc.Monrovia, CA · EIN 953797439	756	$3.5M	$4,619
77	Mc Dean IncTysons, VA · EIN 540831614	5,708	$3.5M	$609
78	Vitalmd Group Holding LlcMiami, FL · EIN 542129332	1,761	$3.4M	$1,955
79	Virco Mfg CorporationTorrance, CA · EIN 951613718	752	$3.4M	$4,573
80	Spectrum Health SystemGrand Rapids, MI · EIN 383382353Now Corewell Health	57,864	$3.4M	$59
81	Peapack Gladstone BankBedminster, NJ · EIN 222491488	577	$3.4M	$5,869
82	Schonfeld Strategic Advisors, LlcNew York, NY · EIN 475082310	575	$3.4M	$5,869
83	Forfeiture Support Associates, LlcHerndon, VA · EIN 510476024	928	$3.4M	$3,633
84	C.R. England, Inc.Salt Lake City, UT · EIN 870257969	1,347	$3.4M	$2,498
85	Nhs Management, LlcTuscaloosa, AL · EIN 020646132	4,908	$3.3M	$679
86	Breeze Aviation, Inc.Salt Lake City, UT · EIN 822644964Now Breeze Aviation Group, Inc.	1,202	$3.3M	$2,741
87	Plastic ExpressCity Of Industry, CA · EIN 953255467	617	$3.3M	$5,339
88	Jrn, Inc.Columbia, TN · EIN 620881692	489	$3.3M	$6,735
89	Nexion Health Management, Inc.Sykesville, MD · EIN 522238971	2,663	$3.3M	$1,223
90	Florida Health Sciences Center, Inc.Tampa, FL · EIN 593458145	15,924	$3.3M	$204
91	Houchens Food Group, Inc.Bowling Green, KY · EIN 610395075	2,363	$3.2M	$1,372
92	Battle Motors, IncNew Philadelphia, OH · EIN 861232286	545	$3.2M	$5,869
93	Spatial Front, Inc.Bethesda, MD · EIN 263662778	544	$3.2M	$5,869
94	Tata America International CorporationNew York, NY · EIN 132805758	33,206	$3.2M	$96
95	Amity FoundationLos Angeles, CA · EIN 770418201	891	$3.2M	$3,580
96	Kyowa Kirin, Inc.Princeton, NJ · EIN 752778549	536	$3.2M	$5,918
97	Mmr Group, Inc.Baton Rouge, LA · EIN 721271030	2,790	$3.2M	$1,133
98	Team Tag Services, LlcChicago, IL · EIN 881639559	3,329	$3.1M	$945
99	Creative Solutions In HealthcareFort Worth, TX · EIN 752887230	10,545	$3.1M	$298
100	Proud Moments Licensed Behavior -Analysts Pllc, Proud Moments AbaNew York, NY · EIN 470986503Multiple-employer plan — participants span several employers	533	$3.1M	$5,869

Methodology

What is measured

Network rate position— estimated plan spend multiplied by how far the employer’s carrier prices above market nationally, from the Transparency‑in‑Coverage in‑network files. Carrier‑level, as described above.
Voluntary‑benefit take— the share of voluntary‑benefit premium retained rather than paid out in claims, across consecutive plan years.
Broker compensation — commissions and fees disclosed on Schedule A, measured against sector benchmarks for comparable plans.
Wage‑relative burden— employee cost‑sharing measured against the wage base of the workforce actually carrying it.

What was excluded, and why

Employers failing the scorecard publish gate.
Network‑rate findings whose carrier attribution is inferred rather than filed (self_funded_fallback_schA, tic_mrf_index) — kept only insured_schA and self_funded_aso.
One entity that ranked inside the top 100 but is a Direct Filing Entity — a benefits trust filing on behalf of many employers, with no medical coverage of its own. It is not an employer, so it was removed and the list backfilled.

How to read a row

Employee counts are Form 5500 participants: enrolled employees plus retirees receiving benefits — not total headcount, which is why $/employee runs high for plans covering a subset of the workforce. “At stake” is the sum of that employer’s findings across the four categories above; the split between categories is shown in aggregate under Where the money sits, not employer by employer. Rows carrying a structural qualifier are flagged inline, under the employer name.

Sources

IRS/DOL Form 5500 with Schedules A, C and H (plan years through 2024); CMS Transparency‑in‑Coverage in‑network rate files; Medicare fee schedules as the reference price. All inputs are public filings.

These are estimates from public filings, not audited findings. Dollar figures are modeled from disclosed premiums, fees and published rate files; they are not invoices, and appearing on this list is not evidence of wrongdoing by any employer, carrier or broker named. Employers whose filings are incomplete or ambiguous were excluded rather than estimated.

The 100 employers overpaying the most on their health plans