Behavioral and mental health providers in Pennsylvania
PlanOptica tracks 42 health and welfare plans sponsored by 36 behavioral and mental health providers in Pennsylvania, covering 18,049 participants and $64M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 133 participants, and the most common size is 100 to 249 participants (43% of plans). The funding mix is split: 50% of plans are self-funded or mixed and the rest are mainly fully insured.
Independence Blue Cross dominates premium with a 52% share, followed by Cigna Health and Life Insurance Company and Affiliates at 10%. Risk Placement Services, Inc is the broker of record on 5 plans, more than any other firm, ahead of Emerson Rogers, LLC (4). 76% of plans report broker compensation on Schedule A; the median brokered plan pays $48K a year, about 6.3% of premium. Philadelphia, Scranton and Wilkes-Barre have the most plans.
Funding mix
- Fully insured21 · 50%
- Mixed15 · 36%
- Self-funded6 · 14%
Plan size (participants)
- Under 10012 · 29%
- 100 to 24918 · 43%
- 250 to 4997 · 17%
- 500 to 9992 · 5%
- 1,000 or more3 · 7%
Median plan: 133 participants. Median broker comp: 6.3% of premium across 32 brokered plans.
Top carriers, behavioral health, Pennsylvania
- 1Independence Blue Cross$33M18 plans · 51.8%
- 2Cigna Health and Life Insurance Company and Affiliates$6.4M3 plans · 10.0%
- 3Sun Life Assurance Company of Canada$4.4M4 plans · 6.9%
- 4Keystone$4.3M5 plans · 6.8%
- 5Life Insurance Company of North America (NYL)$3.7M9 plans · 5.8%
- 6Hartford Life and Accident$2.4M5 plans · 3.7%
- 7United Healthcare Insurance Company$2.1M1 plans · 3.3%
- 8HM Life Insurance Company$1.4M5 plans · 2.2%
- 9MVP Healthcare$825K1 plans · 1.3%
- 10Metropolitan Life Insurance Company$750K3 plans · 1.2%
Top brokers, behavioral health, Pennsylvania
- 1Risk Placement Services, Inc5 plans$175K comp · 15.6%
- 2Emerson Rogers, LLC4 plans$402K comp · 12.5%
- 3Johnson Kendall and Johnson4 plans$291K comp · 12.5%
- 4Usi Insurance Services LLC4 plans$44K comp · 12.5%
- 5NFP Corporate Services (PA) Inc3 plans$462K comp · 9.4%
- 6Summit Group of Virginia-Alera Grp3 plans$411K comp · 9.4%
- 7Kistler Tiffany Benefits General3 plans$122K comp · 9.4%
- 8Patriot Growth Insurance Services3 plans$54K comp · 9.4%
- 9Corporate Synergies Group LLC2 plans$192K comp · 6.3%
- 10Independence Blue Cross - PPO2 plans$15K comp · 6.3%
Largest behavioral and mental health providers in Pennsylvania
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Devereux Advanced Behavioral Health Devereux Health and Welfare PlanAll plans | Villanova | Mixed | 6,459 | $4.2M | Life Insurance Company of North America |
| Apis Services, Inc Apis Services Welfare Benefit PlanAll plans | Reading | Mixed | 3,459 | $3.3M | Sun Life Assurance Company of Canada |
| Recovery Centers of America Holdings LLC Recovery Centers of America Holdings LLC Benefits and Welfare PlanAll plans | Devon | Mixed | 1,611 | $1.6M | Hartford Life and Accident |
| Pmhcc, Inc Pmhcc, Inc. Health and Welfare PlanAll plans | Philadelphia | Mixed | 568 | $6.6M | Cigna Health and Life Insurance Company |
| Community Behavioral Health Community Behavioral Health Employee Welfare Benefit PlanAll plans | Philadelphia | Fully insured | 549 | $9.5M | Blue Cross of California |
| Path, Inc Path, Inc. Health and Welfare PlanAll plans | Philadelphia | Fully insured | 458 | $4.5M | Blue Cross of California |
| TMS Neurohealth Centers Services, LLC TMS Neurohealth Centers Services, LLC Health and Welfare Benefit PlanAll plans | Malvern | Fully insured | 414 | $2.2M | United Healthcare Insurance Company |
| Comhar, Inc The Comhar Employee Benefit PlanAll plans | Philadelphia | Fully insured | 387 | $3.5M | Keystone Health Plan East |
| Delaware Valley Community Health, Inc Delaware Valley Community Health, Inc. Health and Welfare PlansAll plans | Philadelphia | Fully insured | 348 | $4.6M | Blue Cross of California |
| The Renfrew Center The Renfrew Center Employee Benefit PlanAll plans | Philadelphia | Fully insured | 332 | $3.6M | Blue Cross of California |
| Supportive Behavioral Resources, Inc Supportive Behavioral Resources Health and Welfare PlanAll plans | Philadelphia | Fully insured | 311 | $4K | Main Line Health |
| The Behavioral Wellness Center at Girard The Behavioral Wellness Center at Girard Welfare Benefit PlanAll plans | Philadelphia | Fully insured | 267 | $4.4M | Blue Cross of California |
| Achieving True Self, Inc Achieving True Self, Inc. Health and Welfare PlanAll plans | Irwin | Fully insured | 234 | $782K | Blue Cross of California |
| Signallamp Health, Inc Signallamp Health, Inc. Group Insurance PlanAll plans | Scranton | Fully insured | 234 | $278K | American United Life Insurance Company |
| Esperanza Health Center, Inc Esperanza Health and Welfare PlanAll plans | Philadelphia | Mixed | 223 | $147K | The Lincoln National Life Insurance Company |
Showing 15 of 36 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Pennsylvania
- Philadelphia13 plans · 3,848 participants
- Scranton4 plans · 560 participants
- Wilkes-Barre4 plans · 0 participants
- Meadville2 plans · 220 participants
- Bethlehem2 plans · 145 participants
- Lancaster2 plans · 129 participants
- Villanova1 plans · 6,459 participants
- Reading1 plans · 3,459 participants
- Devon1 plans · 1,611 participants
- Malvern1 plans · 414 participants
- Irwin1 plans · 234 participants
- Pottstown1 plans · 217 participants
Frequently asked questions
How many behavioral and mental health providers in Pennsylvania offer an ERISA health plan?
42 health and welfare plans from 36 behavioral and mental health providers in Pennsylvania appear in plan year 2024 to 2025 filings on Form 5500, covering 18,049 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 Pennsylvania?
By Schedule A premium: Independence Blue Cross (52% of premium, 18 plans), Cigna Health and Life Insurance Company and Affiliates (10% of premium, 3 plans) and Sun Life Assurance Company of Canada (7% of premium, 4 plans).
Which benefits brokers work with behavioral and mental health providers in Pennsylvania?
By number of client plans: Risk Placement Services, Inc (5 plans), Emerson Rogers, LLC (4 plans) and Johnson Kendall and Johnson (4 plans). 76% of plans report a broker.
How much do brokers earn on behavioral and mental health providers health plans in Pennsylvania?
The median brokered plan reports $48K a year in broker commissions and fees, or 6.3% of premium. Figures come from Schedule A, Part I.
Are behavioral and mental health providers health plans in Pennsylvania self-funded or fully insured?
Fully insured 50%, mixed 36% and self-funded 14%. Self-funded and mixed plans together make up 50%.
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 Pennsylvania
Open the welfare search with Pennsylvania 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 Pennsylvania
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 Pennsylvania.