Alera Group's Saint Louis, Missouri office is part of the Alera Group network of employee benefits brokerages. Its work centers on manufacturing, healthcare and social services, professional business services, and religious and non-profit organizations, primarily serving mid-sized employers. The office places both self-funded and fully insured arrangements, with medical coverage across PPO and HMO designs, prescription drug benefits, ancillary lines, retirement plans and Mega Wrap programs. Employer clients including Oral Surgery Partners MSO, LLC are well rated by their employees for benefits. Example carriers include UnitedHealthcare, Cigna and Aetna.

The St. Louis, Missouri office of Sunstar Insurance Group serves mid-sized employers across financial activities, healthcare and social services, manufacturing, and professional business services. Its work centers on self-funded arrangements and medical coverage, including PPO plans and prescription drug benefits, alongside ancillary lines, retirement plans, and mega wrap arrangements. Employer clients including Carrollton Bank are well rated by their employees for benefits. Example carriers and partners include Elevance, PFG, and Cigna.

At Risk Strategies, we help our clients protect those things that matter most to them. We help them see the way forward in a complex world with specialty insight, practical advice, and custom insurance with a vast network of specialists in Property & Casualty, Employee Benefits, Private Client, as well as Consulting Services and Financial and Wealth Management solutions. We are a different kind of insurance brokerage – bringing a strategic, holistic, specialist approach to our clients, so they can face the future with confidence. We are the 9th largest privately held insurance broker in the US with over 30 specialty practices, 200+ locations, and 5,000 team members (and counting!). We love what we do, and it shows. For five straight years, we were named one of the Best Places to Work by Business Insurance. In 2024, we earned certification as a Great Place to Work. Risk Strategies is an Accession Risk Management Group company, a family of specialty insurance distribution and risk management companies powered by a shared vision of delivering a superior client and employee experience.

Smith McGehee Insurance is a standalone employee benefits brokerage office based in Clayton, Missouri. Its work centers on religious and non-profit organizations, and it serves large employers. The office places medical coverage along with ancillary lines, with example carriers including CIGNA and The Hartford.

OllisCompany's Springfield, Missouri office operates as part of the OllisCompany brokerage. Its work centers on manufacturing, financial activities, healthcare and social services, and professional business services employers, with a book weighted toward mid-sized and large organizations. The office places both self-funded and fully insured arrangements, and its programs span medical and PPO coverage, prescription drug benefits, ancillary lines and retirement plans. Employer clients including AnStaff Bank and Hutchens Industries, Inc. are well rated by their employees for benefits. Example carriers include Cox Health Systems, Elevance and Anthem BCBS.

Fringe Benefit Specialists is a standalone employee benefits brokerage office based in Kirksville, Missouri. Its work centers on manufacturing employers of mid-size, where it places medical coverage and retirement plans. UnitedHealthcare is one example of the carriers it works with.

CBIZ's Saint Louis, Missouri office is part of the CBIZ organization and serves employer clients across healthcare and social services, professional business services, manufacturing, educational services, and real estate, rentals and leasing. Its book spans small, mid-sized and large employers. The office places self-funded arrangements alongside medical coverage delivered through PPO and HMO plans, prescription drug benefits, ancillary lines, retirement plans and mega wrap arrangements. Clients including STAFFCO and GRS Management Associates, Inc. are well rated by their employees for benefits. Example carriers include UnitedHealthcare, BCBS of TN and Cigna.