Physician practices in New Jersey
PlanOptica tracks 72 health and welfare plans sponsored by 54 physician practices in New Jersey, covering 29,140 participants and $71M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 140 participants, and the most common size is 100 to 249 participants (38% of plans). The funding mix is split: 44% of plans are self-funded or mixed and the rest are mainly fully insured.
Cigna Health and Life Insurance Company and Affiliates leads by premium with a 28% share, followed by Horizon Healthcare Services, Inc at 25%. Gallagher Benefit Services, Inc is the broker of record on 8 plans, more than any other firm, ahead of Emerson Rogers LLC (7). 76% of plans report broker compensation on Schedule A; the median brokered plan pays $52K a year, about 8.2% of premium. Newark, East Brunswick and Berkeley Heights have the most plans.
Funding mix
- Fully insured40 · 56%
- Self-funded16 · 22%
- Mixed16 · 22%
Plan size (participants)
- Under 10025 · 35%
- 100 to 24927 · 38%
- 250 to 4998 · 11%
- 500 to 9997 · 10%
- 1,000 or more5 · 7%
Median plan: 140 participants. Median broker comp: 8.2% of premium across 55 brokered plans.
Top carriers, physicians, New Jersey
- 1Cigna Health and Life Insurance Company and Affiliates$20M10 plans · 28.3%
- 2Horizon Healthcare Services, Inc$18M10 plans · 25.2%
- 3Prudential$9.2M3 plans · 13.1%
- 4Metropolitan Life Insurance Company$3.5M15 plans · 5.0%
- 5Life Insurance Company of North America$3.4M7 plans · 4.8%
- 6Unitedhealthcare Insurance Company$3.3M4 plans · 4.6%
- 7United Healthcare Insurance Company$2.6M2 plans · 3.7%
- 8HCC Life Insurance Company$1.5M2 plans · 2.1%
- 9Hartford Life and Accident$1.3M3 plans · 1.8%
- 10Eyemed Vision Service Plan$1.0M7 plans · 1.5%
Top brokers, physicians, New Jersey
- 1Gallagher Benefit Services, Inc8 plans$212K comp · 14.5%
- 2Emerson Rogers LLC7 plans$265K comp · 12.7%
- 3Marsh & McLennan Agency LLC- NE6 plans$242K comp · 10.9%
- 4Hub International Northeast Limited5 plans$77K comp · 9.1%
- 5Usi Insurance Services LLC4 plans$162K comp · 7.3%
- 6Sedgwick Claims Management Sev, Inc3 plans$613K comp · 5.5%
- 7Patriot Growth Insurance Services3 plans$292K comp · 5.5%
- 8Digital Insurance LLC3 plans$137K comp · 5.5%
- 9Fidelity Health Insurance Serv. LLC3 plans$110K comp · 5.5%
- 10Martin Insurance Group3 plans$51K comp · 5.5%
Largest physician practices in New Jersey
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Village Practice Management Company, LLC Village Practice Management Wrap PlanAll plans | Berkeley Heights | Mixed | 10,716 | $10M | Prudential Insurance Company of America |
| Regional Women's Health Group, LLC Regional Women's Health Group Health and Welfare PlanAll plans | Voorhees | Mixed | 1,934 | $2.2M | Life Insurance Company of North America |
| Advocare, LLC Advocare, LLC Group Benefits PlanAll plans | Marlton | Fully insured | 1,784 | $2.4M | Cigna Health and Life Insurance Company |
| Njeye, LLC Njeye, LLC Employee Benefit PlanAll plans | New Providence | Fully insured | 1,502 | $1.6M | Hartford Life and Accident |
| University Radiology Group, P.C University Radiology Group Profit Sharing PlanAll plans | East Brunswick | Fully insured | 1,145 | - | Nationwide Life Insurance Company |
| Atlantic Medical Imaging, L.L.C Atlantic Medical Imaging, L.L.C. Welfare Benefits PlanAll plans | West Atlantic City | Mixed | 751 | $453K | Hartford Life and Accident |
| Continuum Health Alliance, LLC Continuum Health Alliance, LLC Cha Benefits PlanAll plans | Marlton | Fully insured | 731 | $666K | Metropolitan Life Insurance Company |
| Regional Women's Health Management, LLC Regional Women's Health Management Health and Welfare PlanAll plans | Voorhees | Mixed | 686 | $1.3M | Life Insurance Company of North America |
| Rwjbh Medical Practices, PC Rwjbh Medical Practices, PC Health and Welfare Benefits PlanAll plans | West Orange | Fully insured | 611 | $5.8M | Cigna Health and Life Insurance Company |
| Lifeline Medical Associates, LLC Lifeline Medical Associates, LLC Flexible BenefitAll plans | Florham Park | Fully insured | 593 | $6.2M | Horizon Healthcare Services, Inc |
| Villagemd of Southeast Texas, PA Villagemd of Southeast Texas Wrap PlanAll plans | Berkeley Heights | Mixed | 430 | $638K | Prudential Insurance Company of America |
| Regional Cancer Care Associates Regional Cancer Care Associates Health and Welfare Benefits ProgramAll plans | Teaneck | Mixed | 380 | $1.2M | Cigna Health and Life Insurance Company |
| Cardiovascular Associates of the Delaware Valley PA -Ancillary Benefit Cardiovascular Associates of the Delaware Valley PAAll plans | Haddon Heights | Mixed | 299 | $578K | Unum Life Insurance Company of America |
| Shore Eye Associates Shore Eye Associates Dental Life Add STD LtdAll plans | Toms River | Fully insured | 280 | $206K | Metropolitan Life Insurance Company |
| Primary Care Partners, LLC Primary Care Partners, LLC Vision PlanAll plans | Morris Plains | Fully insured | 268 | $11K | Fidelity Security Life Insurance Company |
Showing 15 of 54 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in New Jersey
- Newark5 plans · 233 participants
- East Brunswick4 plans · 2,678 participants
- Berkeley Heights3 plans · 11,400 participants
- Voorhees3 plans · 2,630 participants
- Marlton3 plans · 2,515 participants
- Haddon Heights3 plans · 574 participants
- Hackensack3 plans · 412 participants
- Princeton3 plans · 315 participants
- Florham Park2 plans · 698 participants
- West Orange2 plans · 619 participants
- Morris Plains2 plans · 535 participants
- Toms River2 plans · 401 participants
Frequently asked questions
How many physician practices in New Jersey offer an ERISA health plan?
72 health and welfare plans from 54 physician practices in New Jersey appear in plan year 2024 to 2025 filings on Form 5500, covering 29,140 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 New Jersey?
By Schedule A premium: Cigna Health and Life Insurance Company and Affiliates (28% of premium, 10 plans), Horizon Healthcare Services, Inc (25% of premium, 10 plans) and Prudential (13% of premium, 3 plans).
Which benefits brokers work with physician practices in New Jersey?
By number of client plans: Gallagher Benefit Services, Inc (8 plans), Emerson Rogers LLC (7 plans) and Marsh & McLennan Agency LLC- NE (6 plans). 76% of plans report a broker.
How much do brokers earn on physician practices health plans in New Jersey?
The median brokered plan reports $52K a year in broker commissions and fees, or 8.2% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in New Jersey self-funded or fully insured?
Fully insured 56%, self-funded 22% and mixed 22%. Self-funded and mixed plans together make up 44%.
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 New Jersey
Open the welfare search with New Jersey 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 New Jersey
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 New Jersey.