Autism and ABA therapy providers by state
PlanOptica tracks 39 health and welfare plans sponsored by 37 autism and ABA therapy providers in the United States, covering 15,252 participants and $40M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 208 participants, and the most common size is 100 to 249 participants (44% of plans). The funding mix is split: 38% of plans are self-funded or mixed and the rest are mainly fully insured.
Bluecross Blueshield of Illinois leads by premium with a 23% share, followed by United Healthcare Insurance Company at 23%. Marsh & McLennan Agency LLC is the broker of record on 4 plans, more than any other firm, ahead of Hub International Ins Services Inc (4). 90% of plans report broker compensation on Schedule A; the median brokered plan pays $44K a year, about 5.8% of premium. CA, NY and IL have the most plans of any state.
Funding mix
- Fully insured24 · 62%
- Mixed11 · 28%
- Self-funded4 · 10%
Plan size (participants)
- Under 1005 · 13%
- 100 to 24917 · 44%
- 250 to 49912 · 31%
- 500 to 9992 · 5%
- 1,000 or more3 · 8%
Median plan: 208 participants. Median broker comp: 5.8% of premium across 35 brokered plans.
Top carriers, autism and aba, the U.S.
- 1Bluecross Blueshield of Illinois$9.4M10 plans · 23.4%
- 2United Healthcare Insurance Company$9.2M2 plans · 23.1%
- 3Cigna Health and Life Insurance Company$5.3M7 plans · 13.2%
- 4Unitedhealthcare Insurance Company$4.0M4 plans · 10.0%
- 5Rocky Mountain Hospital & Medical Service, Inc$3.0M1 plans · 7.6%
- 6Kaiser Foundation Health Plan, Inc$2.0M3 plans · 4.9%
- 7The Guardian Life Insurance Company of America$1.6M6 plans · 4.0%
- 8Reliance Standard Life Insurance Company$711K2 plans · 1.8%
- 9Unum Life Insurance Company of America$684K4 plans · 1.7%
- 10Delta Dental Indiana$588K4 plans · 1.5%
Top brokers, autism and aba, the U.S.
- 1Marsh & McLennan Agency LLC4 plans$808K comp · 11.4%
- 2Hub International Ins Services Inc4 plans$254K comp · 11.4%
- 3Meridian Risk Management Inc3 plans$87K comp · 8.6%
- 4Alliant Insurance Services, Inc3 plans$32K comp · 8.6%
- 5JMB Insurance Agency Inc2 plans$142K comp · 5.7%
- 6Mercer Health and Benefits, LLC2 plans$94K comp · 5.7%
- 7McGriff Insurance Services LLC2 plans$82K comp · 5.7%
- 8Lockton Companies, LLC2 plans$69K comp · 5.7%
- 9Warner Pacific Insurance Services2 plans$55K comp · 5.7%
- 10Benefit Commerce Grp, an Alera Grp2 plans$25K comp · 5.7%
Largest autism and ABA therapy providers nationally
| Employer / plan | Location | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Autism Learning Partners Autism Learning Partners Welfare Benefits PlanAll plans | Monrovia, CA | Fully insured | 3,103 | $9.1M | United Healthcare Insurance Company |
| Caravel Autism Health Caravel Autism Health-Health and Welfare PlanAll plans | Green Bay, WI | Mixed | 1,635 | $646K | Unum Life Insurance Company of America |
| Lighthouse Autism Center Vav Operations Employee Benefit PlanAll plans | Mishawaka, IN | Mixed | 1,582 | $766K | Prudential Insurance Company of America |
| Pantogran LLC Dba Center for Autism and Related Disorders Pantogran LLC Dba Center for Autism and Related Disorders Welfare Benefit PlanAll plans | Marco Island, FL | Fully insured | 895 | $1.1M | Kaiser Foundation Health Plan Inc |
| Soar Autism Center Soar Autism Benefit PlanAll plans | Denver, CO | Fully insured | 653 | $3.8M | Rocky Mountain Hospital and Medical Service, Inc |
| Autism Outreach Southern California Dba Mebe San Diego Autism Outreach Southern California Dba Mebe San Diego Health and Welfare PlanAll plans | San Diego, CA | Fully insured | 482 | $260K | Blue Cross of California |
| Eden Autism Services Eden Autism Services Health and Welfare PlanAll plans | Princeton, NJ | Mixed | 479 | $778K | Reliance Standard Life Insurance Company |
| Quality Services for the Autism Community Quality Services for the Autism Community Employee Welfare Benefit PlanAll plans | New York, NY | Mixed | 457 | $623K | Aetna Life Insurance Company |
| Carolina Center for Autism Services, LLC Carolina Center for Autism Services, LLC Multiple Benefit PlanAll plans | Research Triangle Park, NC | Mixed | 396 | $555K | The Guardian Life Insurance Company of America |
| Applied Behavior Health Management Kidz TherapyAll plans | Westbury, NY | Fully insured | 378 | $2.3M | Unitedhealthcare Insurance Company |
| Autism Opportunities Foundation Minnesota Autism Center Health and Welfare PlanAll plans | Minnetonka, MN | Mixed | 351 | $231K | Metropolitan Life Insurance Company |
| Djje Holdings, LLC Dba the Place for Children With Autism Djje Holdings, LLC Dba the Place for Children With Autism Employee Benefits PlanAll plans | Chicago, IL | Fully insured | 349 | $2.5M | Blue Cross of California |
| Stride Autism Centers, P.C Stride Autism Benefit PlanAll plans | Deerfield, IL | Mixed | 344 | $1.7M | Blue Cross of California |
| Key Autism Services Opr, LLC Key Autism Opr, LLC Health & Welfare PlanAll plans | Palos Heights, IL | Mixed | 333 | $276K | The Guardian Life Insurance Company of America |
| Balance Autism Homestead Autism Services Flexible Benefits ProgramAll plans | Altoona, IA | Fully insured | 317 | $1.4M | Blue Cross of California |
Showing 15 of 37 employers. Filter the full list by size, funding, carrier and broker.
Plans by state
- California5 plans
- Illinois4 plans
- New York4 plans
- North Carolina4 plans
- Arizona3 plans
- Georgia3 plans
- Indiana2 plans
- Pennsylvania2 plans
- Colorado1 plans
- District of Columbia1 plans
- Florida1 plans
- Iowa1 plans
- Minnesota1 plans
- Missouri1 plans
- New Jersey1 plans
- Ohio1 plans
- Tennessee1 plans
- Virginia1 plans
- West Virginia1 plans
- Wisconsin1 plans
Frequently asked questions
How many autism and ABA therapy providers offer an ERISA health plan?
39 health and welfare plans from 37 autism and ABA therapy providers appear in plan year 2024 to 2025 filings on Form 5500, covering 15,252 participants. Plans with fewer than 100 participants that are fully insured do not have to file, so small practices are under-counted.
Which insurance carriers cover the most autism and ABA therapy providers?
By Schedule A premium: Bluecross Blueshield of Illinois (23% of premium, 10 plans), United Healthcare Insurance Company (23% of premium, 2 plans) and Cigna Health and Life Insurance Company (13% of premium, 7 plans).
Which benefits brokers work with autism and ABA therapy providers?
By number of client plans: Marsh & McLennan Agency LLC (4 plans), Hub International Ins Services Inc (4 plans) and Meridian Risk Management Inc (3 plans). 90% of plans report a broker.
How much do brokers earn on autism and ABA therapy providers health plans?
The median brokered plan reports $44K a year in broker commissions and fees, or 5.8% of premium. Figures come from Schedule A, Part I.
Are autism and ABA therapy providers health plans self-funded or fully insured?
Fully insured 62%, mixed 28% and self-funded 10%. Self-funded and mixed plans together make up 38%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Form 5500 has no business code for applied behavior analysis, so this page matches healthcare and social assistance employers by name: autism, applied behavior and behavior analysis.
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Other healthcare specialties
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Form 5500 has no business code for applied behavior analysis, so this page matches healthcare and social assistance employers by name: autism, applied behavior and behavior analysis.