Physician practices in Maine
PlanOptica tracks 13 health and welfare plans sponsored by 7 physician practices in Maine, covering 2,797 participants and $20M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 127 participants, and the most common size is under 100 participants (38% of plans). The funding mix is split: 46% of plans are self-funded or mixed and the rest are mainly fully insured.
Anthem Health Plans of Maine, Inc leads by premium with a 34% share, followed by Community Health Options at 33%. Mercer Health & Benefits, LLC is the broker of record on 5 plans, more than any other firm, ahead of Marsh & McLennan Agency LLC (2). 85% of plans report broker compensation on Schedule A; the median brokered plan pays $28K a year, about 4.5% of premium. Portland, South Portland and Kalispell have the most plans.
Funding mix
- Fully insured7 · 54%
- Mixed4 · 31%
- Self-funded2 · 15%
Plan size (participants)
- Under 1005 · 38%
- 100 to 2494 · 31%
- 250 to 4992 · 15%
- 500 to 9992 · 15%
- 1,000 or more0 · 0%
Median plan: 127 participants. Median broker comp: 4.5% of premium across 11 brokered plans.
Top carriers, physicians, Maine
- 1Anthem Health Plans of Maine, Inc$6.9M1 plans · 33.9%
- 2Community Health Options$6.7M2 plans · 33.0%
- 3Unum Life Insurance Company of America$4.1M10 plans · 20.4%
- 4Unitedhealthcare Insurance Company$1.8M1 plans · 9.0%
- 5Delta Dental Plan of Maine$257K3 plans · 1.3%
- 6Starmount Life Insurance Company$234K1 plans · 1.2%
- 7Fidelity Security Life Insurance Company$88K1 plans · 0.4%
- 8Humana$51K1 plans · 0.3%
- 9Vision Service Plan$47K2 plans · 0.2%
- 10United of Omaha Life Insurance Company$39K1 plans · 0.2%
Top brokers, physicians, Maine
- 1Mercer Health & Benefits, LLC5 plans$66K comp · 45.5%
- 2Marsh & McLennan Agency LLC2 plans$92K comp · 18.2%
- 3Edward Pierce1 plans$77K comp · 9.1%
- 4Cross Insurance1 plans$70K comp · 9.1%
- 5Cross Benefit Solutions1 plans$65K comp · 9.1%
- 6Lockton Companies, LLC1 plans$59K comp · 9.1%
- 7Nicole Robitialle1 plans$46K comp · 9.1%
- 8Varney Company Benefits Advisors1 plans$23K comp · 9.1%
- 9CM Smith Agency Inc1 plans$21K comp · 9.1%
- 10Leavitt Group1 plans$18K comp · 9.1%
Largest physician practices in Maine
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Martin's Point Health Care Martins Point Health Care PlanAll plans | Portland | Mixed | 884 | $1.1M | Unum Life Insurance Company of America |
| Intermed, P.A Intermed, P.A. Health & Welfare PlanAll plans | South Portland | Mixed | 700 | $147K | Humana Insurance Company |
| Maine Center for Cancer Medicine and Blood Disorders, PA Maine Center for Cancer Medicine and Blood Disorders PA Health PlanAll plans | Westbrook | Fully insured | 335 | $5.9M | Upmc Health Options |
| Spectrum Healthcare Partners, P.A Spectrum Healthcare Partners, P.A. Welfare BenefitAll plans | South Portland | Mixed | 302 | $8.0M | Anthem Life Insurance Company |
| Portland Community Health Center Dba Greater Portland Health Portland Community Health Center Health and Welfare Benefit PlanAll plans | South Portland | Fully insured | 200 | $1.9M | Upmc Health Options |
| Eyecare Medical Group Eyecare Medical Group Employee Welfare Benefit PlanAll plans | Portland | Mixed | 132 | $2.1M | Unitedhealthcare Insurance Company |
| Health and Rehab Solutions Health and Rehab Solutions Group Medical PlanAll plans | Kalispell | Self-funded | 127 | - | - |
Showing 7 of 7 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Maine
Frequently asked questions
How many physician practices in Maine offer an ERISA health plan?
13 health and welfare plans from 7 physician practices in Maine appear in plan year 2024 to 2025 filings on Form 5500, covering 2,797 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 Maine?
By Schedule A premium: Anthem Health Plans of Maine, Inc (34% of premium, 1 plan), Community Health Options (33% of premium, 2 plans) and Unum Life Insurance Company of America (20% of premium, 10 plans).
Which benefits brokers work with physician practices in Maine?
By number of client plans: Mercer Health & Benefits, LLC (5 plans), Marsh & McLennan Agency LLC (2 plans) and Edward Pierce (1 plan). 85% of plans report a broker.
How much do brokers earn on physician practices health plans in Maine?
The median brokered plan reports $28K 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 Maine self-funded or fully insured?
Fully insured 54%, mixed 31% and self-funded 15%. Self-funded and mixed plans together make up 46%.
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 Maine
Open the welfare search with Maine 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 Maine
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 Maine.