Orthopedic practices and surgery centers in Ohio
PlanOptica tracks 28 health and welfare plans sponsored by 28 orthopedic practices and surgery centers in Ohio, covering 3,238 participants and $12M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 13 participants, and the most common size is under 100 participants (64% of plans). Most of these plans are self-funded or mixed (93%), so stop-loss and TPA relationships matter as much as the medical carrier.
Community Insurance Company leads by premium with a 29% share, followed by Medical Mutual at 27%. Usi Insurance Services LLC is the broker of record on 3 plans, more than any other firm, ahead of Huston Financial Services Inc (2). 36% of plans report broker compensation on Schedule A; the median brokered plan pays $63K a year, about 8.3% of premium. Dayton, Columbus and Akron have the most plans.
Funding mix
- Self-funded18 · 64%
- Mixed8 · 29%
- Fully insured2 · 7%
Plan size (participants)
- Under 10018 · 64%
- 100 to 2496 · 21%
- 250 to 4992 · 7%
- 500 to 9992 · 7%
- 1,000 or more0 · 0%
Median plan: 13 participants. Median broker comp: 8.3% of premium across 10 brokered plans.
Top carriers, orthopedics and surgery centers, Ohio
- 1Community Insurance Company$3.4M2 plans · 29.0%
- 2Medical Mutual$3.2M1 plans · 27.4%
- 3Hartford Life and Accident$1.0M2 plans · 9.1%
- 4Lincoln National Life Insurance Company$959K2 plans · 8.3%
- 5Life Insurance Company of North America$606K1 plans · 5.2%
- 6Unum Life Insurance Company of America$567K3 plans · 4.9%
- 7Cigna Health and Life Insurance Company and Affiliates$525K1 plans · 4.5%
- 8Unitedhealthcare Insurance Company$409K1 plans · 3.5%
- 9Superior Dental Care, Inc$242K2 plans · 2.1%
- 10The Guardian Life Insurance Company of America$154K1 plans · 1.3%
Top brokers, orthopedics and surgery centers, Ohio
- 1Usi Insurance Services LLC3 plans$204K comp · 30.0%
- 2Huston Financial Services Inc2 plans$145K comp · 20.0%
- 3Hub International Midwest Limited1 plans$95K comp · 10.0%
- 4Westergard Inc1 plans$37K comp · 10.0%
- 5Hylant Group, Inc1 plans$30K comp · 10.0%
- 6Cbiz Benefits & Insurance Services1 plans$20K comp · 10.0%
- 7Centro Benefits Research LLC1 plans$18K comp · 10.0%
- 8Hardy and Hardy Co., Inc1 plans$16K comp · 10.0%
- 9Cornerstone Broker Insurance Svcs1 plans$11K comp · 10.0%
- 10Huston Financial Servies Agency1 plans$6K comp · 10.0%
Largest orthopedic practices and surgery centers in Ohio
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Crystal Clinic Orthopaedic Center, LLC Crystal Clinic Orthopaedic Center, LLC Wrap Benefit PlanAll plans | Akron | Mixed | 861 | $1.4M | Cigna Health and Life Insurance Company |
| Orthopedic One Orthopedic One Employee Health PlanAll plans | Westerville | Mixed | 772 | $1.4M | Hartford Life and Accident |
| Beacon Orthopaedic and Sports Medicine, Ltd Beacon Orthopaedics Group Welfare PlanAll plans | Cincinnati | Mixed | 319 | $848K | Life Insurance Company of North America |
| Apex Dermatology and Skin Surgery Center LLC Apex Dermatology and Skin Surgery Center Welfare Benefit PlanAll plans | Beachwood | Mixed | 296 | $370K | Unum Life Insurance Company of America |
| Orthopedic Associates of SW Ohio Inc Orthopedic Associates of SW Ohio Inc. Employee Benefit PlanAll plans | Centerville | Mixed | 179 | $306K | The Lincoln National Life Insurance Company |
| Northwest Ohio Orthopedics & Sports Medicine, Inc Northwest Ohio Orthopedics & Sports Medicine, Inc. Employee Benefit PlanAll plans | Findlay | Mixed | 164 | $167K | The Guardian Life Insurance Company of America |
| Orthopaedic Institute of Ohio, Inc Orthopaedic Institute of Ohio, Inc Group Insurance PlanAll plans | Lima | Mixed | 146 | $2.9M | Community Insurance Company |
| West Central Ohio Group Ltd Wcog-Institute for Orthopaedic Surgery Group Insurance PlanAll plans | Lima | Fully insured | 141 | $3.4M | Medical Mutual |
| Columbus Community Hospital Columbus Community Hospital Medical Dental & Vision PlanAll plans | Columbus | Mixed | 138 | $27K | Hartford Life and Accident |
| Youngstown Orthopaedic Associates, Ltd Youngstown Orthopaedic AssociatesAll plans | Youngstown | Fully insured | 127 | $817K | Community Insurance Company |
| Greater Dayton Surgery Center Greater Dayton Surgery Center Soca Benefit PlanAll plans | Dayton | Self-funded | 19 | - | - |
| NE Surgical Wound Care Inc NE Surgical Wound Care Inc Soca Benefit PlanAll plans | Independence | Self-funded | 17 | - | - |
| Orthopedic Associates of Dayton Orthopedic Associates of Dayton Soca Benefit PlanAll plans | Dayton | Self-funded | 17 | - | - |
| Warren Dermatology & Mohs Surgery Warren Dermatology & Mohs Surgery Soca Benefit PlanAll plans | Warren | Self-funded | 15 | - | - |
| Fairlawn Dermatology, LLC Fairlawn Dermatology, LLC Soca Benefit PlanAll plans | Akron | Self-funded | 11 | - | - |
Showing 15 of 28 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Ohio
- Dayton4 plans · 42 participants
- Columbus3 plans · 140 participants
- Akron2 plans · 872 participants
- Lima2 plans · 287 participants
- Warren2 plans · 17 participants
- Westerville1 plans · 772 participants
- Cincinnati1 plans · 319 participants
- Beachwood1 plans · 296 participants
- Centerville1 plans · 179 participants
- Findlay1 plans · 164 participants
- Youngstown1 plans · 127 participants
- Independence1 plans · 17 participants
Frequently asked questions
How many orthopedic practices and surgery centers in Ohio offer an ERISA health plan?
28 health and welfare plans from 28 orthopedic practices and surgery centers in Ohio appear in plan year 2024 to 2025 filings on Form 5500, covering 3,238 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 Ohio?
By Schedule A premium: Community Insurance Company (29% of premium, 2 plans), Medical Mutual (27% of premium, 1 plan) and Hartford Life and Accident (9% of premium, 2 plans).
Which benefits brokers work with orthopedic practices and surgery centers in Ohio?
By number of client plans: Usi Insurance Services LLC (3 plans), Huston Financial Services Inc (2 plans) and Hub International Midwest Limited (1 plan). 36% of plans report a broker.
How much do brokers earn on orthopedic practices and surgery centers health plans in Ohio?
The median brokered plan reports $63K a year in broker commissions and fees, or 8.3% of premium. Figures come from Schedule A, Part I.
Are orthopedic practices and surgery centers health plans in Ohio self-funded or fully insured?
Self-funded 64%, mixed 29% and fully insured 7%. Self-funded and mixed plans together make up 93%.
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 Ohio
Open the welfare search with Ohio 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 Ohio
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 Ohio.