Home health care agencies in Texas
PlanOptica tracks 86 health and welfare plans sponsored by 74 home health care agencies in Texas, covering 62,809 participants and $159M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 207 participants, and the most common size is 100 to 249 participants (33% of plans). The funding mix is split: 34% of plans are self-funded or mixed and the rest are mainly fully insured.
Bluecross Blueshield of Texas dominates premium with a 55% share, followed by Unitedhealthcare Insurance Company at 8%. Marsh & McLennan Agency LLC is the broker of record on 10 plans, more than any other firm, ahead of Higginbotham Insurance Agency (8). 85% of plans report broker compensation on Schedule A; the median brokered plan pays $82K a year, about 6.8% of premium. Dallas, San Antonio and Austin have the most plans.
Funding mix
- Fully insured54 · 63%
- Mixed20 · 23%
- Self-funded9 · 10%
- Unknown2 · 2%
- MEWA1 · 1%
Plan size (participants)
- Under 10019 · 22%
- 100 to 24928 · 33%
- 250 to 49914 · 16%
- 500 to 99910 · 12%
- 1,000 or more15 · 17%
Median plan: 207 participants. Median broker comp: 6.8% of premium across 73 brokered plans.
Top carriers, home health, Texas
- 1Bluecross Blueshield of Texas$87M29 plans · 54.6%
- 2Unitedhealthcare Insurance Company$13M11 plans · 8.0%
- 3Metropolitan Life Insurance Company$10M11 plans · 6.5%
- 4The Lincoln National Life Insurance Company$8.0M5 plans · 5.0%
- 5Dearborn Life Insurance Company$5.4M15 plans · 3.4%
- 6Cigna Health and Life Insurance Company$4.2M6 plans · 2.6%
- 7United of Omaha Life Insurance Company$3.8M11 plans · 2.4%
- 8Aetna Life Insurance Co$3.5M6 plans · 2.2%
- 9Rocky Mountain Hospital & Medical Service, Inc$2.8M1 plans · 1.8%
- 10Symetra Life Insurance Company$2.5M4 plans · 1.6%
Top brokers, home health, Texas
- 1Marsh & McLennan Agency LLC10 plans$1.2M comp · 13.7%
- 2Higginbotham Insurance Agency8 plans$620K comp · 11.0%
- 3Usi Insurance Services LLC8 plans$590K comp · 11.0%
- 4Hub International Texas Inc7 plans$1.4M comp · 9.6%
- 5Alliant Insurance Svcs Inc7 plans$251K comp · 9.6%
- 6Lockton Companies, LLC6 plans$1.1M comp · 8.2%
- 7Emerson Rogers LLC6 plans$132K comp · 8.2%
- 8Gallagher Benefit Services, Inc5 plans$1.5M comp · 6.8%
- 9Acrisure LLC5 plans$46K comp · 6.8%
- 10Webtpa Employer Services LLC5 plans$1K comp · 6.8%
Largest home health care agencies in Texas
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Advanced Homecare Management, LLC Advanced Homecare Management, LLC Health PlanAll plans | Dallas | Mixed | 8,291 | $7.0M | The Lincoln National Life Insurance Company |
| Aoc Opco, LLC Aoc Opco, LLC Wrap PlanAll plans | McKinney | Fully insured | 5,154 | $3.3M | Metropolitan Life Insurance Company |
| BW NHHC Holdco, Inc BW NHHC Holdco, Inc. Dba Elara Caring Health and Welfare Benefits PlanAll plans | Dallas | Mixed | 4,614 | $6.9M | The Lincoln National Life Insurance Company |
| Health Care Group Management, Inc Health Care Group Management, Inc. Employee InjuryAll plans | Richardson | Unknown | 3,943 | - | - |
| Addus Healthcare, Inc Addus Healthcare, Inc. Employee Welfare Benefits PlanAll plans | Frisco | Fully insured | 3,848 | $34M | Blue Cross of California |
| TVG NP Homecare Acquisition, Inc Vitalcaring Group Employee Injury Benefit PlanAll plans | Dallas | Self-funded | 2,503 | - | - |
| Traditions Health, LLC Traditions Health, LLC Health and Welfare Benefit PlanAll plans | College Station | Fully insured | 2,333 | $2.5M | Metropolitan Life Insurance Company |
| Curana Health Curana Health Welfare Benefit PlanAll plans | Austin | Mixed | 2,289 | $4.2M | Prudential Insurance Company of America |
| Thin Blue Line Benefits Association Thin Blue Line Benefits PlanAll plans | Rockport | Mixed | 1,618 | $1.1M | Metropolitan Life Insurance Company |
| DSSW and Lifespan Home Health DSSW and Lifespan Home Health Employee Benefits PlanAll plans | San Antonio | Fully insured | 1,215 | $3.9M | Unitedhealthcare Insurance Company |
| Empower HR, LLC Empower HR, LLC. Health and Welfare Benefit PlanAll plans | Richardson | Mixed | 1,189 | $1.6M | United of Omaha Life Insurance Company |
| Laboratories Bidco LLC Laboratories Bidco LLC Employees Benefit PlanAll plans | San Antonio | Fully insured | 1,143 | $1.9M | Kaiser Foundation Health Plan Inc |
| Angmar Medical Holdings, Inc Angmar Medical Holdings, Inc. Health and Welfare PlanAll plans | Dallas | Fully insured | 977 | $14M | Blue Cross of California |
| Circle of Care Acquisitions LLC Circle of Care Acquisitions, LLC Health & Welfare PlanAll plans | San Antonio | Mixed | 907 | $429K | United of Omaha Life Insurance Company |
| Therapy 2000, Inc Benefits Plan for Therapy 2000All plans | Irving | Mixed | 701 | $855K | The Guardian Life Insurance Company of America |
Showing 15 of 74 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Texas
- Dallas12 plans · 24,733 participants
- San Antonio9 plans · 4,161 participants
- Austin8 plans · 4,381 participants
- Richardson6 plans · 5,978 participants
- Rockwall5 plans · 1,713 participants
- Fort Worth5 plans · 639 participants
- McKinney3 plans · 6,779 participants
- Irving3 plans · 1,562 participants
- Houston3 plans · 665 participants
- Laredo3 plans · 283 participants
- McAllen3 plans · 145 participants
- Decatur2 plans · 784 participants
Frequently asked questions
How many home health care agencies in Texas offer an ERISA health plan?
86 health and welfare plans from 74 home health care agencies in Texas appear in plan year 2024 to 2025 filings on Form 5500, covering 62,809 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 home health care agencies in Texas?
By Schedule A premium: Bluecross Blueshield of Texas (55% of premium, 29 plans), Unitedhealthcare Insurance Company (8% of premium, 11 plans) and Metropolitan Life Insurance Company (7% of premium, 11 plans).
Which benefits brokers work with home health care agencies in Texas?
By number of client plans: Marsh & McLennan Agency LLC (10 plans), Higginbotham Insurance Agency (8 plans) and Usi Insurance Services LLC (8 plans). 85% of plans report a broker.
How much do brokers earn on home health care agencies health plans in Texas?
The median brokered plan reports $82K a year in broker commissions and fees, or 6.8% of premium. Figures come from Schedule A, Part I.
Are home health care agencies health plans in Texas self-funded or fully insured?
Fully insured 63%, mixed 23% and self-funded 10%. Self-funded and mixed plans together make up 34%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Home health care services (NAICS 621610), plus healthcare employers whose name says home health or home care.
Prospect home health care agencies in Texas
Open the welfare search with Texas and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.
Home health in nearby states
Other healthcare specialties in Texas
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Home health care services (NAICS 621610), plus healthcare employers whose name says home health or home care. Location is the sponsor's filing address in Texas.