Physician practices in Massachusetts
PlanOptica tracks 49 health and welfare plans sponsored by 41 physician practices in Massachusetts, covering 20,269 participants and $94M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 199 participants, and the most common size is 100 to 249 participants (33% of plans). The funding mix is split: 43% of plans are self-funded or mixed and the rest are mainly fully insured.
Blue Cross Blue Shield of Massachusetts, Inc leads by premium with a 27% share, followed by Unitedhealthcare Insurance Company at 16%. Brown & Brown Insurance Svcs., Inc is the broker of record on 6 plans, more than any other firm, ahead of Hub International New England LLC (6). 80% of plans report broker compensation on Schedule A; the median brokered plan pays $71K a year, about 4.7% of premium. Boston, Springfield and Waltham have the most plans.
Funding mix
- Fully insured27 · 55%
- Mixed12 · 24%
- Self-funded9 · 18%
- Unknown1 · 2%
Plan size (participants)
- Under 10014 · 29%
- 100 to 24916 · 33%
- 250 to 4997 · 14%
- 500 to 9999 · 18%
- 1,000 or more3 · 6%
Median plan: 199 participants. Median broker comp: 4.7% of premium across 39 brokered plans.
Top carriers, physicians, Massachusetts
- 1Blue Cross Blue Shield of Massachusetts, Inc$25M13 plans · 27.1%
- 2Unitedhealthcare Insurance Company$15M4 plans · 16.2%
- 3Harvard Pilgrim Health Care$13M4 plans · 13.6%
- 4Hartford Life and Accident$12M8 plans · 13.1%
- 5Health New England, Inc$4.8M3 plans · 5.1%
- 6Tufts Associated Health Maintenance Org., Inc$4.0M3 plans · 4.2%
- 7Prudential Insurance Company of America$3.1M4 plans · 3.3%
- 8Standard Insurance Company$2.9M3 plans · 3.1%
- 9Securian Life Insurance Company$2.0M1 plans · 2.2%
- 10United of Omaha Life Insurance Company$1.6M7 plans · 1.7%
Top brokers, physicians, Massachusetts
- 1Brown & Brown Insurance Svcs., Inc6 plans$1.0M comp · 15.4%
- 2Hub International New England LLC6 plans$217K comp · 15.4%
- 3Hilb Group of New England4 plans$201K comp · 10.3%
- 4Laurie Moran4 plans$42K comp · 10.3%
- 5Marsh & McLennan Agency LLC3 plans$222K comp · 7.7%
- 6Lockton Companies, LLC3 plans$184K comp · 7.7%
- 7Strategic Benefit Advisors, Inc3 plans$50K comp · 7.7%
- 8Img3 plans$376 comp · 7.7%
- 9Jennifer A. Borislow Ins Agcy2 plans$249K comp · 5.1%
- 10Usi Insurance Services LLC2 plans$92K comp · 5.1%
Largest physician practices in Massachusetts
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Atrius Mso, LLC Atrius Health, Inc. Health and Welfare PlanAll plans | Newton | Mixed | 5,701 | $4.8M | Securian Life Insurance Company |
| Harvard Med. Faculty Physicians at Beth Israel Deaconess Med. Ctr. Inc Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc. Welfare Benefit PlanAll plans | Boston | Mixed | 1,977 | $8.3M | Hartford Life and Accident |
| Physicians Organization at Childrens Hospital Inc Physicians Organization at Childrens Hospital IncAll plans | Boston | Mixed | 1,197 | $2.7M | Standard Insurance Company |
| Tufts Medical Center Physicians Organization Tufts Medical Center Physicians Organization Omnibus Health and Welfare PlanAll plans | Boston | Mixed | 705 | $1.9M | Hartford Life and Accident |
| Ophthalmic Consultants of Boston, Inc Ophthalmic Consultants of Boston, Inc. Health, Welfare,& Benefits PlanAll plans | Waltham | Fully insured | 647 | $2.0M | Westport Insurance Corporation |
| Prima Care, P.C Prima Care, P. C. Health and Welfare PlanAll plans | Fall River | Fully insured | 627 | $6.3M | Harvard Pilgrim Health Care |
| LYNN Community Health Inc LYNN Community Health Inc. Health and Welfare PlanAll plans | LYNN | Fully insured | 625 | $3.3M | Blue Cross of California |
| Alegeus Technologies, LLC Alegeus Technologies, LLC Employee Benefits PlanAll plans | Boston | Mixed | 619 | $913K | Metropolitan Life Insurance Company |
| Children's Hospital Pediatric Associates, Inc Children's Hospital Pediatric Associates, Inc. Long Term Disability PlanAll plans | Boston | Fully insured | 580 | $829K | Hartford Life and Accident |
| Interwell Health Partners, Inc Interwell Health Welfare Benefit PlanAll plans | Boston | Fully insured | 517 | $8.5M | Unitedhealthcare Insurance Company |
| Family Health Center of Worcester, Inc Family Health Center of Worcester, Inc. Employee Benefits PlanAll plans | Worcester | Fully insured | 455 | $5.4M | Harvard Pilgrim Health Care |
| Lowell Community Health Center Lowell Community Health Center Welfare Benefit PlanAll plans | Lowell | Mixed | 454 | $647K | United of Omaha Life Insurance Company |
| Child & Family Services, Inc Child & Family Services, Inc. Welfare Benefit PlanAll plans | New Bedford | Mixed | 389 | $281K | Delta Dental of California |
| Charles River Medical Associates, P.C Charles River Medical Associates, P.C. Health and Welfare Benefit PlanAll plans | Framingham | Fully insured | 373 | $5.3M | Unitedhealthcare Insurance Company |
| Fenway Community Health Center, Inc Fenway Community Health Center Health and Welfare PlanAll plans | Boston | Mixed | 371 | $7.0M | Blue Cross of California |
Showing 15 of 41 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Massachusetts
- Boston17 plans · 7,610 participants
- Springfield7 plans · 433 participants
- Waltham2 plans · 771 participants
- Fall River2 plans · 758 participants
- Worcester2 plans · 478 participants
- Acton2 plans · 398 participants
- Newton1 plans · 5,701 participants
- LYNN1 plans · 625 participants
- Lowell1 plans · 454 participants
- New Bedford1 plans · 389 participants
- Framingham1 plans · 373 participants
- Concord1 plans · 300 participants
Frequently asked questions
How many physician practices in Massachusetts offer an ERISA health plan?
49 health and welfare plans from 41 physician practices in Massachusetts appear in plan year 2024 to 2025 filings on Form 5500, covering 20,269 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 Massachusetts?
By Schedule A premium: Blue Cross Blue Shield of Massachusetts, Inc (27% of premium, 13 plans), Unitedhealthcare Insurance Company (16% of premium, 4 plans) and Harvard Pilgrim Health Care (14% of premium, 4 plans).
Which benefits brokers work with physician practices in Massachusetts?
By number of client plans: Brown & Brown Insurance Svcs., Inc (6 plans), Hub International New England LLC (6 plans) and Hilb Group of New England (4 plans). 80% of plans report a broker.
How much do brokers earn on physician practices health plans in Massachusetts?
The median brokered plan reports $71K a year in broker commissions and fees, or 4.7% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in Massachusetts self-funded or fully insured?
Fully insured 55%, mixed 24% and self-funded 18%. Self-funded and mixed plans together make up 43%.
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 Massachusetts
Open the welfare search with Massachusetts 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 Massachusetts
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 Massachusetts.