Behavioral and mental health providers in Wisconsin
PlanOptica tracks 26 health and welfare plans sponsored by 12 behavioral and mental health providers in Wisconsin, covering 77,575 participants and $16M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 520 participants, and the most common size is 1,000 or more participants (46% of plans). The funding mix is split: 46% of plans are self-funded or mixed and the rest are mainly fully insured.
Group Health Cooperative of South Central Wisconsin leads by premium with a 35% share, followed by Life Insurance Company of North America at 32%. Lockton Companies LLC is the broker of record on 3 plans, more than any other firm, ahead of M3 Insurance Solutions Inc (3). 42% of plans report broker compensation on Schedule A; the median brokered plan pays $30K a year, about 8.0% of premium. Marshfield, Milwaukee and Madison have the most plans.
Funding mix
- Fully insured8 · 31%
- Self-funded7 · 27%
- Unknown6 · 23%
- Mixed5 · 19%
Plan size (participants)
- Under 1003 · 12%
- 100 to 2496 · 23%
- 250 to 4994 · 15%
- 500 to 9991 · 4%
- 1,000 or more12 · 46%
Median plan: 520 participants. Median broker comp: 8.0% of premium across 11 brokered plans.
Top carriers, behavioral health, Wisconsin
- 1Group Health Cooperative of South Central Wisconsin$5.7M2 plans · 34.8%
- 2Life Insurance Company of North America$5.3M3 plans · 32.2%
- 3Dental Com Insurance Plan Inc$2.0M1 plans · 12.4%
- 4Dean Health Plan$1.2M1 plans · 7.1%
- 5Unum Life Insurance Company of America$1.2M3 plans · 7.1%
- 6Dubraski and Associates Insurance Services LLC$349K1 plans · 2.1%
- 7Hartford Life and Accident$255K2 plans · 1.6%
- 8Delta Dental of Wisconsin$166K2 plans · 1.0%
- 9Sun Life Assurance Company of Canada$95K2 plans · 0.6%
- 10Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co$81K1 plans · 0.5%
Top brokers, behavioral health, Wisconsin
- 1Lockton Companies LLC3 plans$429K comp · 27.3%
- 2M3 Insurance Solutions Inc3 plans$184K comp · 27.3%
- 3Usi Insurance Services LLC3 plans$38K comp · 27.3%
- 4Cottingham & Butler1 plans$25K comp · 9.1%
- 5Robertson Ryan & Assoc1 plans$19K comp · 9.1%
- 6WMC Service Corporation1 plans$7K comp · 9.1%
- 7The Horton Group Inc1 plans$2K comp · 9.1%
- 8Ja Counter & Associates1 plans$2K comp · 9.1%
- 9Group Insurance Services Inc1 plans$2K comp · 9.1%
- 10Alera Group1 plans$329 comp · 9.1%
Largest behavioral and mental health providers in Wisconsin
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Marshfield Clinic Health System, Inc Travel Accident PlanAll plans | Marshfield | Unknown | 9,899 | - | - |
| Marshfield Clinic Health System, Inc Free Standing Dental PlanAll plans | Marshfield | Self-funded | 5,709 | - | - |
| Caravel Autism Health Caravel Autism Health-Health and Welfare PlanAll plans | Green Bay | Mixed | 1,635 | $646K | Unum Life Insurance Company of America |
| Sixteenth Street Community Health Center Sixteenth Street Community Health Centers Section 105 Health Reimbursement Arrangement PlanAll plans | Milwaukee | Unknown | 324 | - | - |
| Access Community Health Centers Access Community Health Centers Employee Benefit PlanAll plans | Madison | Mixed | 300 | $4.3M | Group Health Cooperative of South Central Wisconsin |
| Horizon Healthcare, Inc Horizon Healthcare, Inc. Dba American Telehealthcare Welfare Benefit PlanAll plans | Waukesha | Fully insured | 228 | $14K | Metropolitan Life Insurance Company |
| Journey Mental Health Center Journey Mental Health Center Cafeteria Welfare Benefit PlanAll plans | Madison | Fully insured | 215 | $2.2M | Group Health Cooperative of South Central Wisconsin |
| Northwest Counseling and Guidance Clinic, Inc Northwest Counseling and Guidance Clinic, Inc. Cafeteria PlanAll plans | Siren | Mixed | 192 | $15K | Life Insurance Company of North America |
| Tellurian, Inc Tellurian Wrap PlanAll plans | Madison | Fully insured | 113 | $1.3M | Dean Health Plan Inc |
| Wisconsin Lutheran Child & Family Service, Inc Wisconsin Lutheran Child & Family Service Life PlanAll plans | Germantown | Fully insured | 100 | $39K | Sun Life Assurance Company of Canada |
| Sonnenberg Consultants LLC Sonnenberg Consultants Welfare Benefit PlanAll plans | Pleasant Prairie | Fully insured | 93 | $6K | The Lincoln National Life Insurance Company |
| Agape of Appleton, Inc Agape of Appleton, Inc Employee Assistance Benefit PlanAll plans | Appleton | Unknown | 0 | - | - |
Showing 12 of 12 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Wisconsin
- Marshfield13 plans · 73,836 participants
- Milwaukee3 plans · 776 participants
- Madison3 plans · 628 participants
- Pleasant Prairie2 plans · 180 participants
- Green Bay1 plans · 1,635 participants
- Waukesha1 plans · 228 participants
- Siren1 plans · 192 participants
- Germantown1 plans · 100 participants
- Appleton1 plans · 0 participants
Frequently asked questions
How many behavioral and mental health providers in Wisconsin offer an ERISA health plan?
26 health and welfare plans from 12 behavioral and mental health providers in Wisconsin appear in plan year 2024 to 2025 filings on Form 5500, covering 77,575 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 Wisconsin?
By Schedule A premium: Group Health Cooperative of South Central Wisconsin (35% of premium, 2 plans), Life Insurance Company of North America (32% of premium, 3 plans) and Dental Com Insurance Plan Inc (12% of premium, 1 plan).
Which benefits brokers work with behavioral and mental health providers in Wisconsin?
By number of client plans: Lockton Companies LLC (3 plans), M3 Insurance Solutions Inc (3 plans) and Usi Insurance Services LLC (3 plans). 42% of plans report a broker.
How much do brokers earn on behavioral and mental health providers health plans in Wisconsin?
The median brokered plan reports $30K a year in broker commissions and fees, or 8.0% of premium. Figures come from Schedule A, Part I.
Are behavioral and mental health providers health plans in Wisconsin self-funded or fully insured?
Fully insured 31%, self-funded 27% and unknown 23%. Self-funded and mixed plans together make up 46%.
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 Wisconsin
Open the welfare search with Wisconsin 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 Wisconsin
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 Wisconsin.