Behavioral and mental health providers by state
PlanOptica tracks 1,046 health and welfare plans sponsored by 909 behavioral and mental health providers in the United States, covering 576,092 participants and $4.7B in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 185 participants, and the most common size is 100 to 249 participants (39% of plans). The funding mix is split: 45% of plans are self-funded or mixed and the rest are mainly fully insured.
Kaiser Foundation Health Plan, Inc dominates premium with a 62% share, followed by Bluecross Blueshield of Illinois at 8%. Marsh & McLennan Agency LLC is the broker of record on 96 plans, more than any other firm, ahead of Gallagher Benefit Services, Inc (78). 81% of plans report broker compensation on Schedule A; the median brokered plan pays $56K a year, about 6.6% of premium. CA, OH and FL have the most plans of any state.
Funding mix
- Fully insured560 · 54%
- Mixed301 · 29%
- Self-funded170 · 16%
- Unknown9 · 1%
- MEWA6 · 1%
Plan size (participants)
- Under 100244 · 23%
- 100 to 249403 · 39%
- 250 to 499206 · 20%
- 500 to 999114 · 11%
- 1,000 or more79 · 8%
Median plan: 185 participants. Median broker comp: 6.6% of premium across 844 brokered plans.
Top carriers, behavioral health, the U.S.
- 1Kaiser Foundation Health Plan, Inc$2.9B83 plans · 62.1%
- 2Bluecross Blueshield of Illinois$392M179 plans · 8.3%
- 3Standard Insurance Company$152M39 plans · 3.2%
- 4Cigna Health and Life Insurance Company$150M90 plans · 3.2%
- 5Unitedhealthcare Insurance Company$150M74 plans · 3.2%
- 6Metropolitan Life Insurance Company$121M113 plans · 2.6%
- 7Delta Dental of California$97M131 plans · 2.1%
- 8Prudential Insurance Company of America$74M18 plans · 1.6%
- 9Partially Self Funded Using Anthem Network$50M39 plans · 1.1%
- 10Life Insurance Company of North America$44M64 plans · 0.9%
Top brokers, behavioral health, the U.S.
- 1Marsh & McLennan Agency LLC96 plans$6.5M comp · 11.4%
- 2Gallagher Benefit Services, Inc78 plans$5.0M comp · 9.2%
- 3Usi Insurance Services LLC71 plans$3.8M comp · 8.4%
- 4Emerson Rogers LLC51 plans$2.5M comp · 6.0%
- 5Brown & Brown Insurance Services48 plans$4.1M comp · 5.7%
- 6Hub International Midwest Limited43 plans$3.2M comp · 5.1%
- 7Lockton Companies, LLC37 plans$4.2M comp · 4.4%
- 8Alliant Insurance Services, Inc30 plans$1.4M comp · 3.6%
- 9NFP Insurance Services Inc29 plans$1.2M comp · 3.4%
- 10Gis Benefits Inc28 plans$258K comp · 3.3%
Largest behavioral and mental health providers nationally
| Employer / plan | Location | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Mayo Clinic Mayo Clinic Health & Welfare Benefits PlanAll plans | Rochester, MN | Mixed | 86,692 | $79M | Prudential Insurance Company of America |
| Board of Trustees of Teamster Center Services Fund Teamster Center Services FundAll plans | New York, NY | Unknown | 28,830 | - | - |
| The Permanente Medical Group, Inc The Permanente Medical Group, Inc. Physicians' Welfare Benefit Plan for Active PhysiciansAll plans | Pleasanton, CA | Mixed | 10,110 | $391M | Kaiser Foundation Health Plan Inc |
| Marshfield Clinic Health System, Inc Travel Accident PlanAll plans | Marshfield, WI | Unknown | 9,899 | - | - |
| Devereux Advanced Behavioral Health Devereux Health and Welfare PlanAll plans | Villanova, PA | Mixed | 6,459 | $4.2M | Life Insurance Company of North America |
| Lifestance Health Lifestance Health & Welfare Benefits PlanAll plans | Scottsdale, AZ | Fully insured | 5,743 | $14M | Life Insurance Company of North America |
| Heart Centered Counseling Inc Heart Centered Counseling Inc Health & Welfare Benefits PlanAll plans | Fort Collins, CO | Fully insured | 5,743 | $14M | Life Insurance Company of North America |
| Carmel Psychological Associates Carmel Psychological Associates Health & Welfare Benefits PlanAll plans | Carmel Hamlet, NY | Fully insured | 5,743 | $14M | Life Insurance Company of North America |
| Marshfield Clinic Health System, Inc Free Standing Dental PlanAll plans | Marshfield, WI | Self-funded | 5,709 | - | - |
| Action Behavior Centers Therapy, LLC Action Behavior Centers Therapy, LLC Welfare Benefits PlanAll plans | Austin, TX | Mixed | 5,467 | $3.8M | Dearborn Life Insurance Company |
| Alternative Behavior Strategies, LLC Alternative Behavior Strategies, LLC Welfare Benefit PlanAll plans | Encino, CA | Fully insured | 4,896 | $12M | Unitedhealthcare Insurance Company |
| Hopebridge, LLC Hopebridge, LLC Health and Welfare PlanAll plans | Carmel, IN | Mixed | 4,391 | $2.6M | The Lincoln National Life Insurance Company |
| Burrell-Preferred Inc Dba Brightli Burrell-Preferred, Inc. Dba Brightli Welfare Benefit PlanAll plans | Springfield, MO | Mixed | 4,234 | $4.8M | Reliastar Life Insurance Company |
| Centerstone of America, Inc Centerstone of America, Inc. Health and Welfare Benefit PlanAll plans | Portsmouth, NH | Mixed | 3,600 | $4.7M | Life Insurance Company of North America |
| Apis Services, Inc Apis Services Welfare Benefit PlanAll plans | Reading, PA | Mixed | 3,459 | $3.3M | Sun Life Assurance Company of Canada |
Showing 15 of 909 employers. Filter the full list by size, funding, carrier and broker.
Plans by state
- California99 plans
- Ohio94 plans
- Florida70 plans
- New York49 plans
- Pennsylvania42 plans
- Washington37 plans
- Minnesota36 plans
- Arizona35 plans
- Illinois35 plans
- Kentucky35 plans
- Texas32 plans
- Tennessee31 plans
- Massachusetts29 plans
- Oregon29 plans
- Indiana28 plans
- Wisconsin26 plans
- Georgia24 plans
- Missouri23 plans
- Colorado22 plans
- Maryland21 plans
- New Jersey21 plans
- Michigan20 plans
- Oklahoma17 plans
- North Carolina16 plans
- West Virginia16 plans
- Iowa15 plans
- Virginia15 plans
- Connecticut14 plans
- Kansas12 plans
- Alabama10 plans
- New Hampshire10 plans
- Rhode Island10 plans
- Maine9 plans
- Montana9 plans
- Louisiana7 plans
- Vermont7 plans
- South Dakota5 plans
- Utah5 plans
- Arkansas4 plans
- Hawaii4 plans
- Idaho3 plans
- New Mexico3 plans
- South Carolina3 plans
- Nevada2 plans
- Wyoming2 plans
- Delaware1 plans
- Mississippi1 plans
- Nebraska1 plans
- North Dakota1 plans
Frequently asked questions
How many behavioral and mental health providers offer an ERISA health plan?
1,046 health and welfare plans from 909 behavioral and mental health providers appear in plan year 2024 to 2025 filings on Form 5500, covering 576,092 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 behavioral and mental health providers?
By Schedule A premium: Kaiser Foundation Health Plan, Inc (62% of premium, 83 plans), Bluecross Blueshield of Illinois (8% of premium, 179 plans) and Standard Insurance Company (3% of premium, 39 plans).
Which benefits brokers work with behavioral and mental health providers?
By number of client plans: Marsh & McLennan Agency LLC (96 plans), Gallagher Benefit Services, Inc (78 plans) and Usi Insurance Services LLC (71 plans). 81% of plans report a broker.
How much do brokers earn on behavioral and mental health providers health plans?
The median brokered plan reports $56K a year in broker commissions and fees, or 6.6% of premium. Figures come from Schedule A, Part I.
Are behavioral and mental health providers health plans self-funded or fully insured?
Fully insured 54%, mixed 29% and self-funded 16%. Self-funded and mixed plans together make up 45%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Psychiatrists (NAICS 621112), mental health practitioners (621330), outpatient mental health and substance abuse centers (621420), plus healthcare employers whose name says behavioral health, mental health or psychiatry.
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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). Psychiatrists (NAICS 621112), mental health practitioners (621330), outpatient mental health and substance abuse centers (621420), plus healthcare employers whose name says behavioral health, mental health or psychiatry.