Orthopedic practices and surgery centers in Delaware
PlanOptica tracks 4 health and welfare plans sponsored by 3 orthopedic practices and surgery centers in Delaware, covering 971 participants and $1.6M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 268 participants, and the most common size is 250 to 499 participants (50% of plans). Most of these plans are self-funded or mixed (75%), so stop-loss and TPA relationships matter as much as the medical carrier.
HM Life Insurance Company dominates premium with a 72% share, followed by Sun Life Assurance Company of Canada at 19%. L&W Insurance Inc is the broker of record on 1 plan, more than any other firm, ahead of Patriot Growth (1). 50% of plans report broker compensation on Schedule A; the median brokered plan pays $9K a year, about 4.2% of premium. Newark, Middletown and Georgetown have the most plans.
Funding mix
- Self-funded2 · 50%
- Fully insured1 · 25%
- Mixed1 · 25%
Plan size (participants)
- Under 1001 · 25%
- 100 to 2491 · 25%
- 250 to 4992 · 50%
- 500 to 9990 · 0%
- 1,000 or more0 · 0%
Median plan: 268 participants. Median broker comp: 4.2% of premium across 2 brokered plans.
Top carriers, orthopedics and surgery centers, Delaware
Top brokers, orthopedics and surgery centers, Delaware
Largest orthopedic practices and surgery centers in Delaware
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| First State Orthopaedics, P.A First State Orthopaedics, P.A. Group Insurance PlanAll plans | Newark | Fully insured | 435 | $315K | Sun Life Assurance Company of Canada |
| Regional Orthopaedic Associates Regional Orthopaedic Associates Wrap PlanAll plans | Middletown | Mixed | 175 | $141K | Aetna Life Insurance Company |
| Premier Orthopaedic Bone & Joint Care, LLC Premier Orthopaedic Bone & Joint Care, LLC Defined Benefit PlanAll plans | Georgetown | Self-funded | 0 | - | - |
Showing 3 of 3 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Delaware
Frequently asked questions
How many orthopedic practices and surgery centers in Delaware offer an ERISA health plan?
4 health and welfare plans from 3 orthopedic practices and surgery centers in Delaware appear in plan year 2024 to 2025 filings on Form 5500, covering 971 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 orthopedic practices and surgery centers in Delaware?
By Schedule A premium: HM Life Insurance Company (72% of premium, 1 plan), Sun Life Assurance Company of Canada (19% of premium, 1 plan) and Aetna Life Insurance Co (7% of premium, 1 plan).
Which benefits brokers work with orthopedic practices and surgery centers in Delaware?
By number of client plans: L&W Insurance Inc (1 plan), Patriot Growth (1 plan) and James R Nelligan & Associates, LLC (1 plan). 50% of plans report a broker.
How much do brokers earn on orthopedic practices and surgery centers health plans in Delaware?
The median brokered plan reports $9K a year in broker commissions and fees, or 4.2% of premium. Figures come from Schedule A, Part I.
Are orthopedic practices and surgery centers health plans in Delaware self-funded or fully insured?
Self-funded 50%, fully insured 25% and mixed 25%. Self-funded and mixed plans together make up 75%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Freestanding ambulatory surgical and emergency centers (NAICS 621493), plus healthcare employers whose name says orthopedics, spine, sports medicine, surgery center or endoscopy.
Prospect orthopedic practices and surgery centers in Delaware
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Orthopedics and surgery centers in nearby states
Other healthcare specialties in Delaware
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Freestanding ambulatory surgical and emergency centers (NAICS 621493), plus healthcare employers whose name says orthopedics, spine, sports medicine, surgery center or endoscopy. Location is the sponsor's filing address in Delaware.