Physical and occupational therapy practices in New York
PlanOptica tracks 13 health and welfare plans sponsored by 9 physical and occupational therapy practices in New York, covering 10,984 participants and $5.0M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 188 participants, and the most common size is under 100 participants (31% 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.
Cigna Health and Life Insurance Company leads by premium with a 28% share, followed by Excellus Blue Cross Blue Shield at 27%. Lawley LLC is the broker of record on 2 plans, more than any other firm, ahead of Northwell Direct (1). 62% of plans report broker compensation on Schedule A; the median brokered plan pays $61K a year, about 14.1% of premium. New York, Melville and Garden City have the most plans.
Funding mix
- Self-funded6 · 46%
- Fully insured5 · 38%
- Mixed2 · 15%
Plan size (participants)
- Under 1004 · 31%
- 100 to 2494 · 31%
- 250 to 4991 · 8%
- 500 to 9992 · 15%
- 1,000 or more2 · 15%
Median plan: 188 participants. Median broker comp: 14.1% of premium across 8 brokered plans.
Top carriers, physical therapy, New York
- 1Cigna Health and Life Insurance Company$1.4M1 plans · 27.7%
- 2Excellus Blue Cross Blue Shield$1.3M1 plans · 26.8%
- 3Amalgamated Life Insurance Co$592K1 plans · 11.9%
- 4Lincoln Life & Annuity Company of New York$504K2 plans · 10.2%
- 5First Unum Life Insurance Co$453K2 plans · 9.1%
- 6Guardian$260K3 plans · 5.2%
- 7Metropolitan Life Insurance Company$144K3 plans · 2.9%
- 8Independent Health$143K1 plans · 2.9%
- 9Fidelity Secuity Life Insurance Company of NY$82K1 plans · 1.6%
- 10United States Fire Insurance Company$66K1 plans · 1.3%
Top brokers, physical therapy, New York
- 1Lawley LLC2 plans$74K comp · 25.0%
- 2Northwell Direct1 plans$154K comp · 12.5%
- 3The Hilb Group of NY1 plans$92K comp · 12.5%
- 4Brown & Brown Ins Svcs Inc1 plans$65K comp · 12.5%
- 5Alera Group Inc1 plans$62K comp · 12.5%
- 6The Hibb Group of NY1 plans$59K comp · 12.5%
- 7Marsh and McLennan Agency, LLC1 plans$57K comp · 12.5%
- 8Rampart Insurance Services1 plans$48K comp · 12.5%
- 9Gis Benefits1 plans$3K comp · 12.5%
- 10Brio Benefits Consulting Inc1 plans$1K comp · 12.5%
Largest physical and occupational therapy practices in New York
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Friends & Family Home Care Services, LLC Friends & Family Home Care Services Medical PlanAll plans | New York | Self-funded | 7,347 | - | - |
| Professional Orthopedic & Sports Physical Welfare Plan Professional Orthopedic & Sports Physical Therapy Employee Welfare PlanAll plans | Melville | Fully insured | 1,033 | $694K | Unum Life Insurance Company of America |
| Spear Physical and Occupational Therapy, PLLC Spear Physical and Occupational Therapy PLLC Health and Welfare Benefit PlanAll plans | New York | Mixed | 886 | $458K | The Lincoln National Life Insurance Company |
| Buffalo Hearing & Speech Center, Inc Buffalo Hearing & Speech Center Welfare Benefit PlanAll plans | Buffalo | Fully insured | 302 | $277K | Independent Health |
| Shuman Physical Therapy Associates, P.C Shuman Physical Therapy Associates, P.C. Dba Lattimore Physical Therapy Employee Benefits PlanAll plans | Rochester | Fully insured | 237 | $1.4M | Blue Cross of California |
| Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Welfare Benefit PlanAll plans | West Seneca | Mixed | 188 | $92K | Metropolitan Life Insurance Company |
| Achieve Beyond Inc Achieve Beyond Inc. Vision PlanAll plans | Forest Hills | Self-funded | 176 | - | - |
| Theracare of New York, Inc Theracare of New York, Inc. Health and Welfare PlanAll plans | Hauppauge | Fully insured | 131 | $1.4M | Cigna Health and Life Insurance Company |
| Mso Metro, LLC Mso Metro, LLC Medical PlanAll plans | Garden City | Self-funded | 0 | $66K | United States Fire Insurance Company |
Showing 9 of 9 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in New York
Frequently asked questions
How many physical and occupational therapy practices in New York offer an ERISA health plan?
13 health and welfare plans from 9 physical and occupational therapy practices in New York appear in plan year 2024 to 2025 filings on Form 5500, covering 10,984 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 in New York?
By Schedule A premium: Cigna Health and Life Insurance Company (28% of premium, 1 plan), Excellus Blue Cross Blue Shield (27% of premium, 1 plan) and Amalgamated Life Insurance Co (12% of premium, 1 plan).
Which benefits brokers work with physical and occupational therapy practices in New York?
By number of client plans: Lawley LLC (2 plans), Northwell Direct (1 plan) and The Hilb Group of NY (1 plan). 62% of plans report a broker.
How much do brokers earn on physical and occupational therapy practices health plans in New York?
The median brokered plan reports $61K a year in broker commissions and fees, or 14.1% of premium. Figures come from Schedule A, Part I.
Are physical and occupational therapy practices health plans in New York self-funded or fully insured?
Self-funded 46%, fully insured 38% and mixed 15%. 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 New York
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Physical therapy in nearby states
Other healthcare specialties in New York
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. Location is the sponsor's filing address in New York.