Health and welfare plans · Maine

Behavioral and mental health providers in Maine

PlanOptica tracks 9 health and welfare plans sponsored by 6 behavioral and mental health providers in Maine, covering 1,618 participants and $4.0M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 122 participants, and the most common size is under 100 participants (33% of plans). Fully insured coverage is the norm (89% of plans); only 11% are self-funded or mixed.

Cigna Health and Life Insurance Company leads by premium with a 33% share, followed by Unimerica Insurance Company at 33%. Cross Benefit Solutions is the broker of record on 4 plans, more than any other firm, ahead of Healey & Associates Inc (3). 100% of plans report broker compensation on Schedule A; the median brokered plan pays $26K a year, about 10.4% of premium. Waterville, Augusta and Gardiner have the most plans.

9
Employer health plans
1,618
Participants
$26K
Median broker comp
11%
Self-funded or mixed

Funding mix

  • Fully insured
    8 · 89%
  • Mixed
    1 · 11%

Plan size (participants)

  • Under 100
    3 · 33%
  • 100 to 249
    3 · 33%
  • 250 to 499
    3 · 33%
  • 500 to 999
    0 · 0%
  • 1,000 or more
    0 · 0%

Median plan: 122 participants. Median broker comp: 10.4% of premium across 9 brokered plans.

Largest behavioral and mental health providers in Maine

by participants
Employer / planCityFundingParticipantsPremiumPrimary carrier
Kennebec Behavioral Health
Kennebec Behavioral Health Dental PlanAll plans
WatervilleFully insured394$223KStandard Insurance Company
Employment Specialists of Maine, Inc
Employment Specialists of Maine, Inc Esm Health Benefit PlanAll plans
AugustaFully insured126$1.2MCigna Health and Life Insurance Company
Motivational Services
Motivational ServicesAll plans
AugustaFully insured121-The Guardian Life Insurance Company of America
Uplift, Inc
Uplift, Inc. Salary Reduction PlanAll plans
GardinerFully insured89$78KStandard Insurance Company
Health Affiliates Maine LLC
Health Affiliates Maine, LLC Consolidated Welfare Benefit PlanAll plans
AuburnFully insured83$513KHarvard Pilgrim Health Care
Tri-County Mental Health Services
Tri-County Mental Health Services Welfare PlanAll plans
LewistonMixed0$150KStarmount Life Insurance Company

Showing 6 of 6 employers. Filter the full list by size, funding, carrier and broker.

Plans by city in Maine

Frequently asked questions

How many behavioral and mental health providers in Maine offer an ERISA health plan?

9 health and welfare plans from 6 behavioral and mental health providers in Maine appear in plan year 2024 to 2025 filings on Form 5500, covering 1,618 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 in Maine?

By Schedule A premium: Cigna Health and Life Insurance Company (33% of premium, 2 plans), Unimerica Insurance Company (33% of premium, 1 plan) and Standard Insurance Company (19% of premium, 4 plans).

Which benefits brokers work with behavioral and mental health providers in Maine?

By number of client plans: Cross Benefit Solutions (4 plans), Healey & Associates Inc (3 plans) and Cross Insurance-Bangor (2 plans). 100% of plans report a broker.

How much do brokers earn on behavioral and mental health providers health plans in Maine?

The median brokered plan reports $26K a year in broker commissions and fees, or 10.4% of premium. Figures come from Schedule A, Part I.

Are behavioral and mental health providers health plans in Maine self-funded or fully insured?

Fully insured 89% and mixed 11%. Self-funded and mixed plans together make up 11%.

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.

Prospect behavioral and mental health providers in Maine

Open the welfare search with Maine and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.

Behavioral health in nearby states

Other healthcare specialties in Maine

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. Location is the sponsor's filing address in Maine.