Broker

In insurance, a broker is a licensed professional who acts as an intermediary between insurance buyers and insurance companies. The broker's role is to help clients find and purchase insurance policies that meet their needs and budget.  

Here are some key features of a broker:

  • Independent: Brokers are not employed by insurance companies and work independently to provide unbiased advice and recommendations to their clients.

  • Expertise: Brokers have specialized knowledge of insurance products and the insurance market, which allows them to provide clients with guidance on coverage options, policy terms, and pricing.

  • Client-focused: Brokers work on behalf of their clients, not insurance companies, and prioritize the client's interests and needs when recommending insurance policies.

  • Access to multiple insurance companies: Brokers have access to a wide range of insurance companies and products, which allows them to provide clients with a range of options and compare prices and coverage.

  • Service-oriented: Brokers provide ongoing service and support to their clients, such as helping with claims and answering insurance-related questions.

Example:

An example of a broker in insurance is an individual or firm that helps a business owner find the best commercial property insurance policy to cover their business assets. The broker will assess the business owner's needs and budget, evaluate various policies from different insurance carriers, and provide recommendations on the best coverage and pricing options available. The broker will then assist the business owner with purchasing the policy and provide ongoing support, such as helping with claims and answering insurance-related questions. Throughout the process, the broker will prioritize the business owner's interests and needs and provide unbiased advice based on their expertise in the insurance market.

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According to Mployer Insights’ 2026 analysis of 76,000+ employer benefit plans, disability insurance remains a major market differentiator, with only 41% of U.S. employers offering short-term disability (STD) and 38% offering long-term disability (LTD). While 60% salary replacement serves as the national standard across both benefit types, standard plan designs disproportionately expose higher earners due to median benefit caps of $1,602/week for STD and $8,273/month for LTD. Furthermore, alignment between STD benefit durations (median 26 weeks) and LTD elimination periods (68% at 90 days) remains a critical area for plan structure optimization.
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According to Mployer Insights’ 2026 analysis of 50,000+ employer health plans, prescription drugs account for over 25% of total benefit expenses, with Tier 4 specialty drugs driving the majority of high-cost claims. While Tier 4 copays average $123 with coinsurance requirements in 31% of plans, individual oncology therapies like Darzalex Faspro ($170,800/yr) and Keytruda ($158,200/yr) frequently exceed average individual stop-loss deductibles ($141,938). To mitigate exposure, self-funded employers are increasingly turning to independent, transparent PBM models and biosimilar substitution—which yields up to a 73% net cost reduction per patient.