Physical and occupational therapy practices by state
PlanOptica tracks 269 health and welfare plans sponsored by 240 physical and occupational therapy practices in the United States, covering 98,046 participants and $218M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 143 participants, and the most common size is under 100 participants (39% of plans). Most of these plans are self-funded or mixed (62%), so stop-loss and TPA relationships matter as much as the medical carrier.
Bluecross Blueshield of Illinois leads by premium with a 21% share, followed by Unitedhealthcare Insurance Company at 16%. Gallagher Benefit Services, Inc is the broker of record on 19 plans, more than any other firm, ahead of Emerson Rogers, LLC (18). 68% of plans report broker compensation on Schedule A; the median brokered plan pays $47K a year, about 7.7% of premium. IL, OH and MO have the most plans of any state.
Funding mix
- Fully insured101 · 38%
- Self-funded87 · 32%
- Mixed81 · 30%
Plan size (participants)
- Under 100104 · 39%
- 100 to 24979 · 29%
- 250 to 49941 · 15%
- 500 to 99925 · 9%
- 1,000 or more20 · 7%
Median plan: 143 participants. Median broker comp: 7.7% of premium across 182 brokered plans.
Top carriers, physical therapy, the U.S.
- 1Bluecross Blueshield of Illinois$45M40 plans · 20.6%
- 2Unitedhealthcare Insurance Company$35M17 plans · 15.9%
- 3Metropolitan Life Insurance Company$15M30 plans · 7.0%
- 4Aetna Life Insurance Company$12M7 plans · 5.4%
- 5The Lincoln National Life Insurance Company$11M20 plans · 5.0%
- 6Cigna Health and Life Insurance Company$10M13 plans · 4.7%
- 7Anthem Insurance Companies, Inc$9.9M9 plans · 4.5%
- 8The Guardian Life Insurance Company of America$7.9M30 plans · 3.6%
- 9Horizon Healthcare Services, Inc$6.8M1 plans · 3.1%
- 10Delta Dental of Illinois$6.6M25 plans · 3.0%
Top brokers, physical therapy, the U.S.
- 1Gallagher Benefit Services, Inc19 plans$919K comp · 10.4%
- 2Emerson Rogers, LLC18 plans$526K comp · 9.9%
- 3Marsh & McLennan Agency LLC14 plans$427K comp · 7.7%
- 4Gis Benefits, Inc12 plans$120K comp · 6.6%
- 5GCG Financial LLC11 plans$485K comp · 6.0%
- 6Usi Insurance Services LLC9 plans$746K comp · 4.9%
- 7Brown & Brown Insurance Services9 plans$257K comp · 4.9%
- 8NFP Corporate Services (TX) LLC8 plans$258K comp · 4.4%
- 9M & O Agencies Inc8 plans$75K comp · 4.4%
- 10Lockton Companies, LLC7 plans$829K comp · 3.8%
Largest physical and occupational therapy practices nationally
| Employer / plan | Location | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Friends & Family Home Care Services, LLC Friends & Family Home Care Services Medical PlanAll plans | New York, NY | Self-funded | 7,347 | - | - |
| Upstream Newco, Inc Upstream Newco, Inc. Employee Benefits PlanAll plans | Birmingham, AL | Mixed | 6,218 | $6.3M | Metropolitan Life Insurance Company |
| Ati Holdings, LLC Ati Flexible Benefits PlanAll plans | Downers Grove, IL | Mixed | 5,371 | $3.9M | Metropolitan Life Insurance Company |
| U.S. Physical Therapy, Inc U.S. Physical Therapy, Inc. Health and Welfare PlanAll plans | Houston, TX | Mixed | 4,651 | $3.0M | Dearborn Life Insurance Company |
| PT Solutions Holdings, LLC PT Solutions Holdings, LLC Welfare Benefit Wrap PlanAll plans | Atlanta, GA | Mixed | 3,781 | $2.9M | The Guardian Life Insurance Company of America |
| Athletico Ltd Athletico Ltd Employee Benefits PlanAll plans | Oak Brook, IL | Mixed | 3,283 | $3.7M | Delta Dental of California |
| Select Rehabilitation, LLC Select Rehabilitation, LLC Welfare Benefits PlanAll plans | Glenview, IL | Mixed | 2,711 | $4.7M | The Lincoln National Life Insurance Company |
| Athletico Management LLC Athletico Management LLC Employee Benefits PlanAll plans | Oak Brook, IL | Mixed | 2,511 | $3.0M | Delta Dental of California |
| Illinois Bone and Joint Institute, LLC Illinois Bone and Joint Institute, LLC Health and Welfare PlanAll plans | Des Plaines, IL | Mixed | 1,941 | $2.4M | Unum Life Insurance Company of America |
| Jag-One Intermediate Holdings, LLC Jag-One Intermediate Holdings, LLC Health and Welfare Benefit PlanAll plans | Bridgewater, NJ | Mixed | 1,931 | $421K | The Guardian Life Insurance Company of America |
| Aegis Therapies, Inc Aegis Therapies Associate Group Health PlanAll plans | Frisco, TX | Fully insured | 1,893 | $2.7M | Metropolitan Life Insurance Company |
| Buckeye Holdings Buckeye Holdings Welfare Benefits PlanAll plans | Jacksonville, FL | Mixed | 1,582 | $1.5M | The Lincoln National Life Insurance Company |
| Therapy Management Corporation Therapy Management Corp Group Insurance PlanAll plans | Homosassa, FL | Mixed | 1,355 | $774K | United of Omaha Life Insurance Company |
| Team Rehabilitation Services, LLC Team Rehabilitation Services, LLC Wrap PlanAll plans | Clinton Township, MI | Mixed | 1,299 | $1.9M | Delta Dental of California |
| Empowerme Holdings, LLC Empowerme Holdings, LLC Health Care PlanAll plans | St. Louis, MO | Mixed | 1,271 | $2.4M | Sun Life Assurance Company of Canada |
Showing 15 of 240 employers. Filter the full list by size, funding, carrier and broker.
Plans by state
- Illinois23 plans
- Ohio21 plans
- Missouri20 plans
- Indiana17 plans
- California16 plans
- Florida15 plans
- Texas15 plans
- Kentucky14 plans
- Pennsylvania14 plans
- New York13 plans
- Georgia10 plans
- Washington10 plans
- Michigan7 plans
- North Carolina7 plans
- Alabama6 plans
- Arkansas6 plans
- New Jersey5 plans
- Wisconsin5 plans
- Iowa4 plans
- Louisiana4 plans
- West Virginia4 plans
- Arizona3 plans
- Maryland3 plans
- Massachusetts3 plans
- Tennessee3 plans
- Wyoming3 plans
- Minnesota2 plans
- Mississippi2 plans
- Nebraska2 plans
- Rhode Island2 plans
- South Carolina2 plans
- Virginia2 plans
- Connecticut1 plans
- Delaware1 plans
- Idaho1 plans
- Oklahoma1 plans
- Oregon1 plans
- Utah1 plans
Frequently asked questions
How many physical and occupational therapy practices offer an ERISA health plan?
269 health and welfare plans from 240 physical and occupational therapy practices appear in plan year 2024 to 2025 filings on Form 5500, covering 98,046 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 physical and occupational therapy practices?
By Schedule A premium: Bluecross Blueshield of Illinois (21% of premium, 40 plans), Unitedhealthcare Insurance Company (16% of premium, 17 plans) and Metropolitan Life Insurance Company (7% of premium, 30 plans).
Which benefits brokers work with physical and occupational therapy practices?
By number of client plans: Gallagher Benefit Services, Inc (19 plans), Emerson Rogers, LLC (18 plans) and Marsh & McLennan Agency LLC (14 plans). 68% of plans report a broker.
How much do brokers earn on physical and occupational therapy practices health plans?
The median brokered plan reports $47K a year in broker commissions and fees, or 7.7% of premium. Figures come from Schedule A, Part I.
Are physical and occupational therapy practices health plans self-funded or fully insured?
Fully insured 38%, self-funded 32% and mixed 30%. Self-funded and mixed plans together make up 62%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Physical, occupational and speech therapists and audiologists (NAICS 621340), plus healthcare employers whose name says physical or occupational therapy.
Prospect physical and occupational therapy practices in your territory
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Other healthcare specialties
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Physical, occupational and speech therapists and audiologists (NAICS 621340), plus healthcare employers whose name says physical or occupational therapy.