Physician practices in New York
PlanOptica tracks 141 health and welfare plans sponsored by 126 physician practices in New York, covering 76,986 participants and $252M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 163 participants, and the most common size is under 100 participants (33% of plans). The funding mix is split: 55% of plans are self-funded or mixed and the rest are mainly fully insured.
Cigna Health and Life Insurance Company leads by premium with a 23% share, followed by Unitedhealthcare Insurance Company at 14%. Lawley LLC is the broker of record on 10 plans, more than any other firm, ahead of Marshall&Sterling Employee Benefits (10). 66% of plans report broker compensation on Schedule A; the median brokered plan pays $61K a year, about 5.5% of premium. New York, Brooklyn and Buffalo have the most plans.
Funding mix
- Fully insured61 · 43%
- Self-funded44 · 31%
- Mixed33 · 23%
- MEWA2 · 1%
- Unknown1 · 1%
Plan size (participants)
- Under 10046 · 33%
- 100 to 24944 · 31%
- 250 to 49924 · 17%
- 500 to 99916 · 11%
- 1,000 or more11 · 8%
Median plan: 163 participants. Median broker comp: 5.5% of premium across 93 brokered plans.
Top carriers, physicians, New York
- 1Cigna Health and Life Insurance Company$58M14 plans · 23.0%
- 2Unitedhealthcare Insurance Company$35M12 plans · 13.8%
- 3Capital District Physician's Health Plan Inc$28M8 plans · 11.3%
- 4Aetna Life Insurance Co$26M9 plans · 10.2%
- 5Highmark Western and Northeaster New York Inc$25M13 plans · 10.1%
- 6Independent Health$12M4 plans · 4.6%
- 7Emblemhealth$9.1M3 plans · 3.6%
- 8Hartford Life and Accident$7.5M11 plans · 3.0%
- 9Anthem Blue Cross$6.7M6 plans · 2.7%
- 10Life Insurance Company of North America$6.7M1 plans · 2.6%
Top brokers, physicians, New York
- 1Lawley LLC10 plans$496K comp · 10.8%
- 2Marshall&Sterling Employee Benefits10 plans$473K comp · 10.8%
- 3Lockton Companies, LLC10 plans$304K comp · 10.8%
- 4Gallagher Benefit Services, Inc8 plans$651K comp · 8.6%
- 5Usi Insurance Services LLC8 plans$413K comp · 8.6%
- 6Fna Insurance Services Inc7 plans$262K comp · 7.5%
- 7Hub International Midwest Ltd7 plans$179K comp · 7.5%
- 8NFP Corporate Services (NY) LLC6 plans$286K comp · 6.5%
- 9Professional Group Plans Inc6 plans$176K comp · 6.5%
- 10James R. Nelligan & Associates6 plans$102K comp · 6.5%
Largest physician practices in New York
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Board of Trustees of Teamster Center Services Fund Teamster Center Services FundAll plans | New York | Unknown | 28,830 | - | - |
| Carmel Psychological Associates Carmel Psychological Associates Health & Welfare Benefits PlanAll plans | Carmel Hamlet | Fully insured | 5,743 | $14M | Life Insurance Company of North America |
| Teladoc Health, Inc Teladoc Health, Inc. Health and Welfare Benefit PlanAll plans | New York | Mixed | 2,892 | $2.9M | Hartford Life and Accident |
| Physician Affiliate Group of New York, P.C Physician Affiliate Group of New York Health and Welfare PlanAll plans | New York | Mixed | 2,529 | $5.4M | The Lincoln National Life Insurance Company |
| Board of Trustees Doctors Council Benefit Plan Doctors Council Benefit PlanAll plans | New York | Self-funded | 2,258 | - | - |
| SDG Mgmt Company, LLC Schweiger Dermatology Group Health & Welfare PlanAll plans | New York | Fully insured | 1,854 | $18M | Aetna Life Insurance Company |
| Advantagecare Physicians, P.C Advantagecare Physicians Health and Welfare PlanAll plans | New York | Fully insured | 1,375 | $10M | Emblemhealth |
| North Shore Hematology-Oncology Associates, P.C North Shore Hematology-Oncology Associates, P.C. Health and Welfare Benefits PlanAll plans | Port Jefferson Station | Self-funded | 1,251 | - | - |
| General Physician P.C General Physician P.C. Welfare Benefit PlanAll plans | Buffalo | Fully insured | 1,113 | $7.7M | Blue Cross of California |
| PM Pediatrics Management Group, LLC PM Pediatrics Management Group, LLC Employee Benefits PlanAll plans | New Hyde Park | Fully insured | 1,051 | $11M | Cigna Health and Life Insurance Company |
| Cityblock Health, Inc Cityblock Health, Inc. Employee Health and Welfare Benefits PlanAll plans | Brooklyn | Fully insured | 1,009 | $20M | Cigna Health and Life Insurance Company |
| Spectrum Vision Partners Spectrum Vision Partners Employee Benefits PlanAll plans | Garden City | Fully insured | 994 | $9.8M | Aetna Life Insurance Company |
| Ent and Allergy Associates, LLP Ent and Allergy Associates, LLP Employee Benefits PlanAll plans | Tarrytown | Mixed | 967 | $491K | Aflac |
| Community Care Physicians, PLLC Community Care Physicians, PLLC Health and Welfare Employee Benefits PlanAll plans | Latham | Fully insured | 923 | $11M | MVP Health Care |
| Boston Children's Health Physicians, LLP Boston Children's Health Physicians,llp Employee Benefit Wrap PlanAll plans | Valhalla | Mixed | 769 | $834K | Sun Life Assurance Company of Canada |
Showing 15 of 126 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in New York
- New York35 plans · 44,980 participants
- Brooklyn12 plans · 2,016 participants
- Buffalo8 plans · 3,032 participants
- Syracuse7 plans · 2,014 participants
- Albany6 plans · 1,233 participants
- Hauppauge5 plans · 1,508 participants
- East Syracuse3 plans · 1,432 participants
- Rochester3 plans · 254 participants
- Latham2 plans · 1,623 participants
- Tarrytown2 plans · 1,356 participants
- Garden City2 plans · 1,164 participants
- Amherst2 plans · 1,123 participants
Frequently asked questions
How many physician practices in New York offer an ERISA health plan?
141 health and welfare plans from 126 physician practices in New York appear in plan year 2024 to 2025 filings on Form 5500, covering 76,986 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 York?
By Schedule A premium: Cigna Health and Life Insurance Company (23% of premium, 14 plans), Unitedhealthcare Insurance Company (14% of premium, 12 plans) and Capital District Physician's Health Plan Inc (11% of premium, 8 plans).
Which benefits brokers work with physician practices in New York?
By number of client plans: Lawley LLC (10 plans), Marshall&Sterling Employee Benefits (10 plans) and Lockton Companies, LLC (10 plans). 66% of plans report a broker.
How much do brokers earn on physician practices health plans in New York?
The median brokered plan reports $61K a year in broker commissions and fees, or 5.5% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in New York self-funded or fully insured?
Fully insured 43%, self-funded 31% and mixed 23%. Self-funded and mixed plans together make up 55%.
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 York
Open the welfare search with New York 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 York
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 York.