Physician practices in Delaware
PlanOptica tracks 17 health and welfare plans sponsored by 11 physician practices in Delaware, covering 2,030 participants and $12M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 118 participants, and the most common size is 100 to 249 participants (47% of plans). The funding mix is split: 41% of plans are self-funded or mixed and the rest are mainly fully insured.
Highmark Delaware dominates premium with a 67% share, followed by HM Life Insurance Company at 16%. Hub International Mid-Atlantic is the broker of record on 3 plans, more than any other firm, ahead of Gallagher Benefit Services, Inc (2). 71% of plans report broker compensation on Schedule A; the median brokered plan pays $21K a year, about 4.5% of premium. Newark, New Castle and Wilmington have the most plans.
Funding mix
- Fully insured10 · 59%
- Self-funded5 · 29%
- Mixed2 · 12%
Plan size (participants)
- Under 1007 · 41%
- 100 to 2498 · 47%
- 250 to 4992 · 12%
- 500 to 9990 · 0%
- 1,000 or more0 · 0%
Median plan: 118 participants. Median broker comp: 4.5% of premium across 12 brokered plans.
Top carriers, physicians, Delaware
- 1Highmark Delaware$7.8M4 plans · 66.6%
- 2HM Life Insurance Company$1.9M3 plans · 15.8%
- 3HCC Life Insurance Company$565K1 plans · 4.8%
- 4Sun Life Assurance Company of Canada$315K1 plans · 2.7%
- 5Unum Life Insurance Company of America$284K1 plans · 2.4%
- 6The Guardian Life Insurance Company of America$283K2 plans · 2.4%
- 7Hartford Life and Accident$183K3 plans · 1.6%
- 8Standard Life Insurance$131K1 plans · 1.1%
- 9Metropolitan Life Insurance Company$115K2 plans · 1.0%
- 10Aetna Life Insurance Co$113K1 plans · 1.0%
Top brokers, physicians, Delaware
- 1Hub International Mid-Atlantic3 plans$55K comp · 25.0%
- 2Gallagher Benefit Services, Inc2 plans$63K comp · 16.7%
- 3The Meltzer Group, Inc2 plans$54K comp · 16.7%
- 4James R Nelligan & Associates2 plans$7K comp · 16.7%
- 5Patriot Growth2 plans$6K comp · 16.7%
- 6KT&D, Inc1 plans$74K comp · 8.3%
- 7Kent A. Evans1 plans$48K comp · 8.3%
- 8Onesource Benefit Solutions, LLC1 plans$43K comp · 8.3%
- 9Emerson Reid, LLC1 plans$19K comp · 8.3%
- 10Usi Insurance Services LLC1 plans$14K comp · 8.3%
Largest physician practices in Delaware
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| First State Orthopaedics, P.A First State Orthopaedics, P.A. Group Insurance PlanAll plans | Newark | Fully insured | 435 | $315K | Sun Life Assurance Company of Canada |
| Westside Family Healthcare, Inc Westside Family Healthcare Welfare Benefits PlanAll plans | Wilmington | Fully insured | 216 | $2.6M | Blue Cross of California |
| Regional Orthopaedic Associates Regional Orthopaedic Associates Wrap PlanAll plans | Middletown | Mixed | 175 | $141K | Aetna Life Insurance Company |
| LA Red Health Center LA Red Health Center Inc Benefit PlanAll plans | Georgetown | Fully insured | 154 | $1.7M | Blue Cross of California |
| Nephrology Associates Nephrology Associates Group Health PlanAll plans | Newark | Fully insured | 120 | $688K | HCC Life Insurance Company |
| Panzer Dermatology Associates, PA Premier Dermatology and Cosmetic Surgery Health and Welfare PlanAll plans | Newark | Fully insured | 119 | $1.5M | Blue Cross of California |
| Anesthesia Services, PA Anesthesia Services, PA Group Health PlanAll plans | New Castle | Fully insured | 116 | $2.3M | Blue Cross of California |
| Brandywine Urology Consultants, P.A Brandywine Urology Consultants Employee Benefit PlanAll plans | Wilmington | Self-funded | 55 | $379K | HM Life Insurance Company |
| Dedicated to Women Ob-GYN PA Dedicated to Women Ob-GYN, P.A. Group Medical PlanAll plans | Dover | Self-funded | 43 | $296K | HM Life Insurance Company |
| Delaware Cardiovascular Associates Delaware Cardiovascular Associates, P.A. Group Medical PlanAll plans | Wilmington | Mixed | 0 | $108K | Delta Dental of California |
| Premier Orthopaedic Bone & Joint Care, LLC Premier Orthopaedic Bone & Joint Care, LLC Defined Benefit PlanAll plans | Georgetown | Self-funded | 0 | - | - |
Showing 11 of 11 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Delaware
Frequently asked questions
How many physician practices in Delaware offer an ERISA health plan?
17 health and welfare plans from 11 physician practices in Delaware appear in plan year 2024 to 2025 filings on Form 5500, covering 2,030 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 physician practices in Delaware?
By Schedule A premium: Highmark Delaware (67% of premium, 4 plans), HM Life Insurance Company (16% of premium, 3 plans) and HCC Life Insurance Company (5% of premium, 1 plan).
Which benefits brokers work with physician practices in Delaware?
By number of client plans: Hub International Mid-Atlantic (3 plans), Gallagher Benefit Services, Inc (2 plans) and The Meltzer Group, Inc (2 plans). 71% of plans report a broker.
How much do brokers earn on physician practices health plans in Delaware?
The median brokered plan reports $21K a year in broker commissions and fees, or 4.5% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in Delaware self-funded or fully insured?
Fully insured 59%, self-funded 29% and mixed 12%. Self-funded and mixed plans together make up 41%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Offices of physicians (NAICS 621111) and of mental health physicians (621112).
Prospect physician practices in Delaware
Open the welfare search with Delaware and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.
Physicians in nearby states
Other healthcare specialties in Delaware
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Offices of physicians (NAICS 621111) and of mental health physicians (621112). Location is the sponsor's filing address in Delaware.