Direct Health and Medical Insurance Carriers Revenue Benchmarks
The average direct health and medical insurance carriers business in the United States generates $179.5M in annual revenue, according to the U.S. Census Bureau Statistics of U.S. Businesses (SUSB 2021). There are 954 direct health and medical insurance carriers businesses in the U.S., employing 538,684 workers with an average profit margin of 15.0%. The average employee in this industry earns $104K per year (Bureau of Labor Statistics QCEW 2023).
What Does a Direct Health and Medical Insurance Carriers Business Actually Do?
Direct Health and Medical Insurance Carriers: Businesses that handle money — lending, investing, insuring risk, or facilitating financial transactions.
Who buys: Consumers, businesses, and institutional clients.
Sector-level description — a more specific write-up is available for high-traffic industries.
Average Revenue
$179.5M
per year
Profit Margin
15.0%
industry average
Revenue / Employee
$318K
per year
Total Businesses
954
in the US
Est. Owner Income
$26.9M
small business avg
Labor Cost
30.0%
of revenue
Avg Employee Wage
$104K
per year (BLS)
Market Saturation
0.3
firms per 100K people
How Much Do Direct Health and Medical Insurance Carriers Charge?
Direct Health and Medical Insurance Carriers: Financial services earn AUM fees, commissions, spreads, or hourly fees. The specifics vary within the direct health and medical insurance carriers category — the ranges below are typical for the sector.
| Service | Typical range |
|---|---|
Investment mgmt (AUM) | 0.5–1.5% of assets/year |
Financial planning (hourly) | $150–500/hour |
Financial planning (flat) | $1,500–7,500 one-time |
Insurance commission | 5–15% of premium first year |
Sector-typical ranges — individual services within this industry may fall higher or lower.
Complete direct health and medical insurance carriers business plan
A 12-section data-backed business plan for a direct health and medical insurance carriers business — executive summary, market analysis, competitive landscape, revenue model, 3-year financial projections, operations, marketing, staffing, funding request. Pre-populated with real Census, IRS, and BLS data on this industry. Free to view.
Cost Structure — Where Every $100 in Revenue Goes
Approximate P&L breakdown for the direct health and medical insurance carriers industry. Labor share and net profit are grounded in Census SUSB and IRS SOI data. Other lines are split using sector-typical ratios.
| Category | Per $100 revenue | Per typical business | What's in it |
|---|---|---|---|
Claims & interest paid | $8 | $14.8M | Insurance claim payouts, interest paid to depositors, or securities transaction costs. |
Wages & benefits | $30 | $53.9M | Payroll for all employees at the business (owner comp not included for small owner-operators). |
Rent & facilities | $11 | $19.7M | Rent or mortgage on business location plus utilities tied to the space. |
Marketing & advertising | $8 | $14.8M | Google/Meta ads, SEO, print, referral fees, event sponsorships. |
Other operating costs | $27 | $49.4M | Compliance, technology, professional liability, licensing fees. |
Net profit | $15 | $26.9M | What remains for the owner or shareholders after all business expenses. |
Directionally accurate for a typical business in the industry. Individual businesses vary widely — a franchise may run a very different cost mix from an independent, and older established businesses often have lower labor share than newer ones.
Average Revenue by Business Size
Industry Dynamics (Census BDS 2023)
New Business Rate
6.68%
openings/year
Closure Rate
13.67%
closings/year
Net Job Growth
+4.15%
annual
Businesses Closed
424
in 2023
Firm Count Trend
Should You Start a Direct Health and Medical Insurance Carriers Business?
Startup Cost
$50K – $250K
Break-Even
0 months
5-Year Survival Rate
50.0%
Related Industries
Frequently Asked Questions
- What does a direct health and medical insurance carriers business do?
- Direct Health and Medical Insurance Carriers: Businesses that handle money — lending, investing, insuring risk, or facilitating financial transactions. Consumers, businesses, and institutional clients.
- How much do direct health and medical insurance carriers charge?
- Direct Health and Medical Insurance Carriers: Financial services earn AUM fees, commissions, spreads, or hourly fees. The specifics vary within the direct health and medical insurance carriers category — the ranges below are typical for the sector. See the pricing table above for typical rates by service type.
- How much does the average direct health and medical insurance carriers make per year?
- The average direct health and medical insurance carriers business generates $179.5M in annual revenue, based on U.S. Census Bureau data (SUSB 2021). After expenses, the estimated owner profit is $26.9M per year at a 15.0% profit margin.
- How many direct health and medical insurance carriers businesses are there in the US?
- There are 954 direct health and medical insurance carriers businesses operating in the United States, employing a total of 538,684 workers.
- How much does it cost to start a direct health and medical insurance carriers business?
- Startup costs for a direct health and medical insurance carriers business typically range from $50K to $250K, with a 5-year survival rate of 50.0%.
- What is the average salary in the direct health and medical insurance carriers industry?
- The average employee in the direct health and medical insurance carriers industry earns $104K per year, according to Bureau of Labor Statistics data (QCEW 2023).
Industry Growth & Survival
The direct health and medical insurance carriers industry is actively growing — adding jobs at a net rate of 4.2% per year. New establishments are opening faster than existing ones close (6.7% entry vs 13.7% exit), indicating healthy demand.
Approximately 48% of direct health and medical insurance carriers businesses survive their first 5 years. This is near the national average (~50%), with typical business risk. In 2023, 424 firms in this industry closed permanently.
Employment & Wages
The average employee in the direct health and medical insurance carriers industry earns $103,869/year. This is significantly above the national average of ~$65K, reflecting the skilled nature of this work. With 7,764 establishments employing 427,385 people, the typical business has about 55 employees. These tend to be larger operations requiring significant staffing investment.
Industry Trend (2000–2023)
The direct health and medical insurance carriers industry has grown 14% since 2000 (from 5,011 to 5,698 firms).
See full historical statistics →Compare Direct Health and Medical Insurance Carriers revenue with other industries: