Orthopedic practices and surgery centers in Texas
PlanOptica tracks 22 health and welfare plans sponsored by 16 orthopedic practices and surgery centers in Texas, covering 19,583 participants and $34M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 180 participants, and the most common size is 100 to 249 participants (41% of plans). The funding mix is split: 45% of plans are self-funded or mixed and the rest are mainly fully insured.
Blue Cross Blue Shield of Texas dominates premium with a 55% share, followed by Unum Life Insurance Company of America at 19%. Ark Assurance Group Inc is the broker of record on 5 plans, more than any other firm, ahead of Anco Insurance Services of Bryan CS (3). 91% of plans report broker compensation on Schedule A; the median brokered plan pays $42K a year, about 10.6% of premium. Tyler, Plano and Houston have the most plans.
Funding mix
- Fully insured12 · 55%
- Mixed6 · 27%
- Self-funded4 · 18%
Plan size (participants)
- Under 1006 · 27%
- 100 to 2499 · 41%
- 250 to 4994 · 18%
- 500 to 9992 · 9%
- 1,000 or more1 · 5%
Median plan: 180 participants. Median broker comp: 10.6% of premium across 20 brokered plans.
Top carriers, orthopedics and surgery centers, Texas
- 1Blue Cross Blue Shield of Texas$19M5 plans · 55.2%
- 2Unum Life Insurance Company of America$6.4M3 plans · 18.7%
- 3Principal Life Insurance Company$2.7M5 plans · 7.9%
- 4Presbyterian Health Plan Inc$1.5M1 plans · 4.3%
- 5Vision Service Plan$1.4M1 plans · 4.2%
- 6Unitedhealthcare Insurance Company$1.3M4 plans · 3.9%
- 7Standard Insurance Company$886K4 plans · 2.6%
- 8United of Omaha Life Insurance Company$463K3 plans · 1.4%
- 9Life Insurance Company of North America$194K1 plans · 0.6%
- 10The Guardian Life Insurance Company of America$113K1 plans · 0.3%
Top brokers, orthopedics and surgery centers, Texas
- 1Ark Assurance Group Inc5 plans$141K comp · 25.0%
- 2Anco Insurance Services of Bryan CS3 plans$749K comp · 15.0%
- 3Lockton Companies, LLC3 plans$295K comp · 15.0%
- 4Centro Benefits Research, LLC3 plans$78K comp · 15.0%
- 5Higginbotham Insurance Agency, Inc2 plans$111K comp · 10.0%
- 6Ebenconcepts Company2 plans$15K comp · 10.0%
- 7Brown & Noyes, LLC2 plans$9K comp · 10.0%
- 8Amcorp, an Alera Group Agency, LLC1 plans$111K comp · 5.0%
- 9Ima, Inc1 plans$58K comp · 5.0%
- 10Usi Insurance Services LLC1 plans$30K comp · 5.0%
Largest orthopedic practices and surgery centers in Texas
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| United Surgical Partners, Intl United Surgical Partners, IntlAll plans | Dallas | Mixed | 15,312 | $8.8M | Unum Life Insurance Company of America |
| Blue Cloud Pediatric Surgery Centers, LLC Blue Cloud Pediatric Surgery Centers Welfare Benefit PlanAll plans | The Woodlands | Mixed | 588 | $687K | Principal Life Insurance Company |
| Intuitive Health, LLC Intuitive Health, LLC Health and Welfare Benefit PlanAll plans | Plano | Fully insured | 541 | $5.4M | Blue Cross of California |
| Texas Spine and Joint Hospital Texas Spine and Joint Hospital Employee Injury Benefit PlanAll plans | Tyler | Self-funded | 491 | - | - |
| Signature Staffing, LLC Signature Staffing, LLC Wrap PlanAll plans | Houston | Fully insured | 288 | $5.4M | Blue Cross of California |
| Signature Staffing, LLC Signature Staffing, LLC Wrap PlanAll plans | Houston | Fully insured | 288 | $5.4M | Blue Cross of California |
| Signature Staffing, LLC Signature Staffing, LLC Wrap PlanAll plans | Houston | Fully insured | 249 | $4.1M | Blue Cross of California |
| Sports Medicine Associates of San Antonio Sports Medicine AssociatesAll plans | San Antonio | Fully insured | 247 | $872K | Blue Cross of California |
| Spine Team Texas Management Company, LLC Spine Team Texas Management Company, LLC Group Benefit PlanAll plans | Southlake | Mixed | 223 | $320K | Life Insurance Company of North America |
| Direct Orthopedic Care Direct Orthopedic Care Ancillary Health and Welfare PlanAll plans | Plano | Fully insured | 184 | $257K | Principal Life Insurance Company |
| Ally Medical Management, LLC Ally Medical Mangement, LLC Welfare Benefits PlanAll plans | Austin | Mixed | 176 | $315K | United of Omaha Life Insurance Company |
| Communitymed Urgent Care Systems, LLC Communitymed Urgent Care Systems, LLC Employee Benefit PlanAll plans | Plano | Mixed | 157 | $113K | The Guardian Life Insurance Company of America |
| Orthopaedic Associates of Corpus Christi & Joint Orthopaedic Associates of Corpus Christi Dba South Texas Bone & Joint Wrap PlanAll plans | Corpus Christi | Fully insured | 139 | $982K | Unitedhealthcare Insurance Company |
| Sterling Ridge Orthopaedics & Sports Medicine, PLLC Sterling Ridge Orthopaedics & Sports Medicine, PLLC Welfare PlanAll plans | The Woodlands | Fully insured | 117 | $153K | Unitedhealthcare Insurance Company |
| Texas Health Women's Specialty Surgery Center Texas Health Women's Specialty Surgery Center Employee Benefit PlanAll plans | Dallas | Self-funded | 27 | $178K | Unitedhealthcare Insurance Company |
Showing 15 of 16 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Texas
- Tyler6 plans · 885 participants
- Plano4 plans · 1,032 participants
- Houston4 plans · 837 participants
- Dallas2 plans · 15,339 participants
- The Woodlands2 plans · 705 participants
- San Antonio1 plans · 247 participants
- Southlake1 plans · 223 participants
- Austin1 plans · 176 participants
- Corpus Christi1 plans · 139 participants
Frequently asked questions
How many orthopedic practices and surgery centers in Texas offer an ERISA health plan?
22 health and welfare plans from 16 orthopedic practices and surgery centers in Texas appear in plan year 2024 to 2025 filings on Form 5500, covering 19,583 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 Texas?
By Schedule A premium: Blue Cross Blue Shield of Texas (55% of premium, 5 plans), Unum Life Insurance Company of America (19% of premium, 3 plans) and Principal Life Insurance Company (8% of premium, 5 plans).
Which benefits brokers work with orthopedic practices and surgery centers in Texas?
By number of client plans: Ark Assurance Group Inc (5 plans), Anco Insurance Services of Bryan CS (3 plans) and Lockton Companies, LLC (3 plans). 91% of plans report a broker.
How much do brokers earn on orthopedic practices and surgery centers health plans in Texas?
The median brokered plan reports $42K a year in broker commissions and fees, or 10.6% of premium. Figures come from Schedule A, Part I.
Are orthopedic practices and surgery centers health plans in Texas self-funded or fully insured?
Fully insured 55%, mixed 27% and self-funded 18%. Self-funded and mixed plans together make up 45%.
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 Texas
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Orthopedics and surgery centers 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). 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 Texas.