Health and welfare plans · Massachusetts

Orthopedic practices and surgery centers in Massachusetts

PlanOptica tracks 2 health and welfare plans sponsored by 2 orthopedic practices and surgery centers in Massachusetts, covering 128 participants and $4.3M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 64 participants, and the most common size is under 100 participants (50% of plans). The funding mix is split: 50% of plans are self-funded or mixed and the rest are mainly fully insured.

Health New England, Inc dominates premium with a 64% share, followed by Mass General Brigham Health Plan at 26%. Digital Insurance is the broker of record on 1 plan, more than any other firm, ahead of Unknown (1). 100% of plans report broker compensation on Schedule A; the median brokered plan pays $55K a year, about 2.9% of premium. Woburn and Springfield have the most plans.

2
Employer health plans
128
Participants
$55K
Median broker comp
50%
Self-funded or mixed

Funding mix

  • Fully insured
    1 · 50%
  • Mixed
    1 · 50%

Plan size (participants)

  • Under 100
    1 · 50%
  • 100 to 249
    1 · 50%
  • 250 to 499
    0 · 0%
  • 500 to 999
    0 · 0%
  • 1,000 or more
    0 · 0%

Median plan: 64 participants. Median broker comp: 2.9% of premium across 2 brokered plans.

Largest orthopedic practices and surgery centers in Massachusetts

by participants
Employer / planCityFundingParticipantsPremiumPrimary carrier
Excel Orthopaedic Specialists, Inc
Excel Orthopaedic Specialists, Inc. Benefit Welfare PlanAll plans
WoburnFully insured128$1.2MMass General Brigham Health Plan
New England Orthopedic Surgeons, Inc
New England Orthopedic Surgeons Welfare Benefits PlanAll plans
SpringfieldMixed0$3.0MHealth New England, Inc

Plans by city in Massachusetts

Frequently asked questions

How many orthopedic practices and surgery centers in Massachusetts offer an ERISA health plan?

2 health and welfare plans from 2 orthopedic practices and surgery centers in Massachusetts appear in plan year 2024 to 2025 filings on Form 5500, covering 128 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 Massachusetts?

By Schedule A premium: Health New England, Inc (64% of premium, 1 plan), Mass General Brigham Health Plan (26% of premium, 1 plan) and Hartford Life and Accident (7% of premium, 1 plan).

Which benefits brokers work with orthopedic practices and surgery centers in Massachusetts?

By number of client plans: Digital Insurance (1 plan), Unknown (1 plan) and Lockton Companies, LLC (1 plan). 100% of plans report a broker.

How much do brokers earn on orthopedic practices and surgery centers health plans in Massachusetts?

The median brokered plan reports $55K a year in broker commissions and fees, or 2.9% of premium. Figures come from Schedule A, Part I.

Are orthopedic practices and surgery centers health plans in Massachusetts self-funded or fully insured?

Fully insured 50% and mixed 50%. 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. 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 Massachusetts

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

Orthopedics and surgery centers in nearby states

Other healthcare specialties in Massachusetts

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 Massachusetts.