Orthopedic practices and surgery centers in Missouri
PlanOptica tracks 31 health and welfare plans sponsored by 30 orthopedic practices and surgery centers in Missouri, covering 3,128 participants and $12M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 4 participants, and the most common size is under 100 participants (84% of plans). Most of these plans are self-funded or mixed (87%), so stop-loss and TPA relationships matter as much as the medical carrier.
Healthy Alliance Life Insurance leads by premium with a 48% share, followed by Everest Reinsurance at 10%. Assuredpartners of Missouri LLC is the broker of record on 2 plans, more than any other firm, ahead of Bukaty Companies (2). 19% of plans report broker compensation on Schedule A; the median brokered plan pays $96K a year, about 8.2% of premium. Saint Louis, Columbia and Joplin have the most plans.
Funding mix
- Self-funded25 · 81%
- Fully insured4 · 13%
- Mixed2 · 6%
Plan size (participants)
- Under 10026 · 84%
- 100 to 2493 · 10%
- 250 to 4990 · 0%
- 500 to 9991 · 3%
- 1,000 or more1 · 3%
Median plan: 4 participants. Median broker comp: 8.2% of premium across 6 brokered plans.
Top carriers, orthopedics and surgery centers, Missouri
- 1Healthy Alliance Life Insurance$5.8M1 plans · 47.9%
- 2Everest Reinsurance$1.2M1 plans · 9.6%
- 3Cigna Health and Life Insurance Company$930K1 plans · 7.7%
- 4HCC Life Insurance Company$912K1 plans · 7.5%
- 5Standard Insurance Company$816K1 plans · 6.7%
- 6Delta Dental of Missouri$716K1 plans · 5.9%
- 7The Guardian Life Insurance Company of America$685K2 plans · 5.7%
- 8Hartford Life and Accident$542K3 plans · 4.5%
- 9Blue Cross Blue Shield of Kansas City$426K1 plans · 3.5%
- 10Advantica Insurance Company$107K1 plans · 0.9%
Top brokers, orthopedics and surgery centers, Missouri
- 1Assuredpartners of Missouri LLC2 plans$210K comp · 33.3%
- 2Bukaty Companies2 plans$95K comp · 33.3%
- 3Hub International Midwest Limited2 plans$77K comp · 33.3%
- 4Sunstar Insurance Group1 plans$95K comp · 16.7%
- 5Acrisure Midwest Partners Ins1 plans$66K comp · 16.7%
- 6Group Insurance Services1 plans$32K comp · 16.7%
- 7Centro Benefits Research LLC1 plans$24K comp · 16.7%
- 8Techsource Inc1 plans$4K comp · 16.7%
- 9Core Financial Services Inc1 plans$-6 comp · 16.7%
Largest orthopedic practices and surgery centers in Missouri
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Professional Firefighters of Eastern Missouri Iaf Local 2665 Professional Firefighters of Eastern Missouri, International Association of Firefighters Local 26 Health and Welfare Trust FundAll plans | St. Peters | Fully insured | 1,985 | $7.1M | Health Net |
| Peak Sport & Spine Central Missouri Therapy Employee Benefits PlanAll plans | Columbia | Mixed | 532 | $2.0M | Everest Reinsurance Company |
| Columbia Orthopaedic Group, LLP Columbia Orthopaedic Group, LLP Employee Benefits PlanAll plans | Columbia | Mixed | 227 | $1.4M | HCC Life Insurance Company |
| Orthopedic Health of Kansas City Orthopedic Health of Kansas City Employee Benefits PlanAll plans | Kansas City | Fully insured | 128 | $947K | Cigna Health and Life Insurance Company |
| Advanced Orthopedics and Sports Medicine, Inc Advanced Orthopedics and Sports Medicine, Inc. Health & Welfare PlanAll plans | Lees Summit | Fully insured | 126 | $630K | Blue Cross of California |
| Pro Pain LLC Pro Pain LLC MCF Benefit PlanAll plans | Saint Louis | Self-funded | 25 | - | - |
| Womens Wellness Center Womens Wellness Center MCF Benefit PlanAll plans | Columbia | Self-funded | 17 | - | - |
| A Loveland Venture LLC A Loveland Venture LLC MCF Benefit PlanAll plans | Saint Louis | Self-funded | 14 | - | - |
| Vadim Baram Vadim Baram MCF Benefit PlanAll plans | Saint Louis | Self-funded | 13 | - | - |
| NHS South LLC NHS South LLC MCF Benefit PlanAll plans | Saint Louis | Self-funded | 11 | - | - |
| Revitalife Wellness Revitalife Wellness MCF Benefit PlanAll plans | Saint Louis | Self-funded | 9 | - | - |
| Phelan Dermatology Phelan Dermatology MCF Benefit PlanAll plans | Joplin | Self-funded | 6 | - | - |
| Sheldon Dental Group Sheldon Dental Group MCF Benefit PlanAll plans | Saint Louis | Self-funded | 6 | - | - |
| Integrative Medicine Integrative Medicine MCF Benefit PlanAll plans | Jefferson City | Self-funded | 5 | - | - |
| Mid America Orthopedic and Spine Mid America Orthopedic and Spine MCF Benefit PlanAll plans | Kirksville | Self-funded | 4 | - | - |
Showing 15 of 30 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Missouri
- Saint Louis10 plans · 80 participants
- Columbia4 plans · 778 participants
- Joplin4 plans · 9 participants
- Kansas City2 plans · 128 participants
- Jefferson City2 plans · 7 participants
- St. Peters1 plans · 1,985 participants
- Lees Summit1 plans · 126 participants
- Ballwin1 plans · 4 participants
- Kirksville1 plans · 4 participants
- Arnold1 plans · 3 participants
- California1 plans · 2 participants
- Springfield1 plans · 2 participants
Frequently asked questions
How many orthopedic practices and surgery centers in Missouri offer an ERISA health plan?
31 health and welfare plans from 30 orthopedic practices and surgery centers in Missouri appear in plan year 2024 to 2025 filings on Form 5500, covering 3,128 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 Missouri?
By Schedule A premium: Healthy Alliance Life Insurance (48% of premium, 1 plan), Everest Reinsurance (10% of premium, 1 plan) and Cigna Health and Life Insurance Company (8% of premium, 1 plan).
Which benefits brokers work with orthopedic practices and surgery centers in Missouri?
By number of client plans: Assuredpartners of Missouri LLC (2 plans), Bukaty Companies (2 plans) and Hub International Midwest Limited (2 plans). 19% of plans report a broker.
How much do brokers earn on orthopedic practices and surgery centers health plans in Missouri?
The median brokered plan reports $96K a year in broker commissions and fees, or 8.2% of premium. Figures come from Schedule A, Part I.
Are orthopedic practices and surgery centers health plans in Missouri self-funded or fully insured?
Self-funded 81%, fully insured 13% and mixed 6%. Self-funded and mixed plans together make up 87%.
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 Missouri
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Orthopedics and surgery centers in nearby states
Other healthcare specialties in Missouri
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 Missouri.