Physician practices in Illinois
PlanOptica tracks 58 health and welfare plans sponsored by 46 physician practices in Illinois, covering 28,695 participants and $121M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 225 participants, and the most common size is 100 to 249 participants (40% of plans). The funding mix is split: 36% of plans are self-funded or mixed and the rest are mainly fully insured.
Bluecross Blueshield of Illinois dominates premium with a 60% share, followed by Lincoln National Life Insurance Company at 6%. Bpa Troxell Benefits is the broker of record on 6 plans, more than any other firm, ahead of Marsh & McLennan Agency LLC (6). 83% of plans report broker compensation on Schedule A; the median brokered plan pays $95K a year, about 6.2% of premium. Chicago, Decatur and Springfield have the most plans.
Funding mix
- Fully insured34 · 59%
- Mixed12 · 21%
- Self-funded9 · 16%
- MEWA2 · 3%
- Unknown1 · 2%
Plan size (participants)
- Under 10013 · 22%
- 100 to 24923 · 40%
- 250 to 49912 · 21%
- 500 to 9993 · 5%
- 1,000 or more7 · 12%
Median plan: 225 participants. Median broker comp: 6.2% of premium across 48 brokered plans.
Top carriers, physicians, Illinois
- 1Bluecross Blueshield of Illinois$72M21 plans · 59.7%
- 2Lincoln National Life Insurance Company$7.1M3 plans · 5.8%
- 3Delta Dental of Illinois$5.6M7 plans · 4.6%
- 4Life Insurance Company of North America$4.7M6 plans · 3.9%
- 5Cigna Health and Life Insurance Company$4.4M3 plans · 3.6%
- 6Sun Life Assurance Company of Canada$4.0M7 plans · 3.3%
- 7Unum Life Insurance Company of America$3.0M6 plans · 2.5%
- 8The Guardian Life Insurance Company of America$2.7M4 plans · 2.2%
- 9Prudential Insurance Company of America$2.5M3 plans · 2.1%
- 10Aetna Life Insurance Co$2.4M2 plans · 1.9%
Top brokers, physicians, Illinois
- 1Bpa Troxell Benefits6 plans$352K comp · 12.5%
- 2Marsh & McLennan Agency LLC6 plans$350K comp · 12.5%
- 3The Horton Group Inc5 plans$213K comp · 10.4%
- 4Centro Benefits Research LLC5 plans$41K comp · 10.4%
- 5Jaggi Petry Insurance & Investment4 plans$72K comp · 8.3%
- 6Gis Benefits, Inc4 plans$53K comp · 8.3%
- 7Cottingham and Butler Insurance3 plans$386K comp · 6.3%
- 8Willis Towers Watson US LLC3 plans$223K comp · 6.3%
- 9Usi Insurance Services LLC3 plans$169K comp · 6.3%
- 10Boon Chapman Benefit Administrators3 plans$20K comp · 6.3%
Largest physician practices in Illinois
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Midwest Physician Administrative Services, LLC Dba Duly Health & Care Midwest Physician Administrative Services, LLC Dba Duly Health & Care Health & Welfare PlanAll plans | Downers Grove | MEWA | 6,131 | $10M | The Lincoln National Life Insurance Company |
| Springfield Clinic, LLP Group Insurance Plan for the Employees of Springfield ClinicAll plans | Springfield | Mixed | 3,617 | $7.0M | Life Insurance Company of North America |
| Orthomidwest PLLC Orthomidwest PLLCAll plans | Rockford | Mixed | 1,733 | $2.2M | Unum Life Insurance Company of America |
| McGaw Medical Center of Northwestern University McGaw Medical Center Welfare Benefit PlanAll plans | Chicago | Fully insured | 1,299 | $205K | Hartford Life and Accident |
| Omnia Healthcare Group LLC Omnia Healthcare Group Health and Welfare PlanAll plans | Lincolnwood | Fully insured | 1,194 | $19M | Blue Cross of California |
| Dupage Medical Group Ltd Dupage Medical Group, Ltd Medical & Cafeteria PlanAll plans | Downers Grove | Self-funded | 865 | - | - |
| Southern Illinois Healthcare Foundation Inc Southern Illinois Healthcare Foundation Inc. Employee Health PlanAll plans | Sauget | Mixed | 650 | $519K | American Fidelity Assurance Company |
| Metro Infectious Disease Consultants, LLC Metro Infectious Disease Consultants Employee Benefit PlanAll plans | Burr Ridge | Mixed | 520 | $1.1M | Hartford Life and Accident |
| Primecare Community Health, Inc Primecare Community Health, Inc. Welfare Benefits PlanAll plans | Chicago | Fully insured | 417 | $2.2M | Blue Cross of California |
| First Stop Health, LLC First Stop Health, LLC Dental PlanAll plans | Chicago | Fully insured | 389 | $257K | Metropolitan Life Insurance Company |
| Nephrology Associates of Northern Illinois, Ltd Nephrology Associates of Northern Illinois, Ltd. Welfare Benefits PlanAll plans | Oak Brook | Fully insured | 372 | $8.8M | Blue Cross of California |
| Vitalskin Interim Management LLC Vitalskin Health and Welfare PlanAll plans | Urbana | Fully insured | 361 | $2.7M | Blue Cross of California |
| Vna Health Care Vna Health Care Welfare Benefit PlanAll plans | Aurora | Mixed | 341 | $3.1M | Blue Cross of California |
| Christie Business Holding Company, P.C Christie Welfare PlansAll plans | Champaign | Mixed | 305 | $1.2M | Life Insurance Company of North America |
| Fox Valley Orthopaedic Associates, S.C Fox Valley Orthopaedic Associates, S.C. Welfare Benefit PlanAll plans | Geneva | Fully insured | 304 | $3.1M | Blue Cross of California |
Showing 15 of 46 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Illinois
- Chicago15 plans · 5,031 participants
- Decatur5 plans · 1,027 participants
- Springfield4 plans · 4,131 participants
- Bloomington4 plans · 125 participants
- Downers Grove3 plans · 10,226 participants
- Naperville3 plans · 365 participants
- Rockford2 plans · 1,871 participants
- Peoria2 plans · 404 participants
- Champaign2 plans · 305 participants
- Lincolnwood1 plans · 1,194 participants
- Sauget1 plans · 650 participants
- Burr Ridge1 plans · 520 participants
Frequently asked questions
How many physician practices in Illinois offer an ERISA health plan?
58 health and welfare plans from 46 physician practices in Illinois appear in plan year 2024 to 2025 filings on Form 5500, covering 28,695 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 Illinois?
By Schedule A premium: Bluecross Blueshield of Illinois (60% of premium, 21 plans), Lincoln National Life Insurance Company (6% of premium, 3 plans) and Delta Dental of Illinois (5% of premium, 7 plans).
Which benefits brokers work with physician practices in Illinois?
By number of client plans: Bpa Troxell Benefits (6 plans), Marsh & McLennan Agency LLC (6 plans) and The Horton Group Inc (5 plans). 83% of plans report a broker.
How much do brokers earn on physician practices health plans in Illinois?
The median brokered plan reports $95K a year in broker commissions and fees, or 6.2% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in Illinois self-funded or fully insured?
Fully insured 59%, mixed 21% and self-funded 16%. Self-funded and mixed plans together make up 36%.
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 Illinois
Open the welfare search with Illinois 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 Illinois
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 Illinois.