Physician practices in Texas
PlanOptica tracks 195 health and welfare plans sponsored by 167 physician practices in Texas, covering 72,569 participants and $642M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 174 participants, and the most common size is 100 to 249 participants (39% of plans). The funding mix is split: 41% of plans are self-funded or mixed and the rest are mainly fully insured.
Blue Cross Blue Shield of Texas dominates premium with a 65% share, followed by Life Insurance Company of North America at 9%. Marsh & McLennan Agency LLC is the broker of record on 23 plans, more than any other firm, ahead of Gallagher Benefit Services, Inc (19). 82% of plans report broker compensation on Schedule A; the median brokered plan pays $69K a year, about 6.7% of premium. Dallas, San Antonio and Houston have the most plans.
Funding mix
- Fully insured100 · 51%
- Mixed45 · 23%
- Self-funded35 · 18%
- MEWA14 · 7%
- Unknown1 · 1%
Plan size (participants)
- Under 10045 · 23%
- 100 to 24977 · 39%
- 250 to 49946 · 24%
- 500 to 99917 · 9%
- 1,000 or more10 · 5%
Median plan: 174 participants. Median broker comp: 6.7% of premium across 159 brokered plans.
Top carriers, physicians, Texas
- 1Blue Cross Blue Shield of Texas$418M62 plans · 65.1%
- 2Life Insurance Company of North America$57M14 plans · 8.8%
- 3Metropolitan Life Insurance Company$43M29 plans · 6.8%
- 4Unitedhealthcare Insurance Company$25M18 plans · 4.0%
- 5Delta Dental Insurance Company$19M10 plans · 3.0%
- 6Dearborn Life Insurance Company$9.4M34 plans · 1.5%
- 7Cigna Health and Life Insurance Company$8.1M12 plans · 1.3%
- 8Sun Life Assurance Company of Canada$4.9M16 plans · 0.8%
- 9The Guardian Life Insurance Company of America$4.5M21 plans · 0.7%
- 10United of Omaha Life Insurance Company$4.0M21 plans · 0.6%
Top brokers, physicians, Texas
- 1Marsh & McLennan Agency LLC23 plans$1.7M comp · 14.5%
- 2Gallagher Benefit Services, Inc19 plans$2.3M comp · 11.9%
- 3Usi Insurance Services LLC16 plans$2.0M comp · 10.1%
- 4Higginbotham Insurance Agency15 plans$1.3M comp · 9.4%
- 5Lockton Companies, LLC14 plans$1.3M comp · 8.8%
- 6Brown & Noyes, LLC10 plans$474K comp · 6.3%
- 7Alliant Insurance Services, Inc9 plans$985K comp · 5.7%
- 8Hub International Texas Inc7 plans$615K comp · 4.4%
- 9Gis Benefits Inc7 plans$64K comp · 4.4%
- 10Alera Group, Inc5 plans$370K comp · 3.1%
Largest physician practices in Texas
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| U.S. Oncology, Inc U.S. Oncology Health and Welfare Wrap PlanAll plans | The Woodlands | MEWA | 17,561 | $281M | Blue Cross of California |
| Texas Digestive Disease Consultants Texas Digestive Disease Consultants Health and Welfare PlanAll plans | Southlake | Mixed | 2,322 | $4.3M | Reliance Standard Life Insurance Company |
| Retina Group, Inc. Dba Retina Consultants of America Retina Consultants of America Group Health PlanAll plans | Southlake | MEWA | 2,009 | $19M | Blue Cross of California |
| U.S. Anesthesia Partners of Texas, P.A U.S. Anesthesia Partners of Texas, P.A. Welfare Benefits PlanAll plans | Dallas | Mixed | 1,932 | $16M | Life Insurance Company of North America |
| Northstar Anesthesia, PA Northstar Anesthesia, PA Welfare Benefit PlanAll plans | Irving | Fully insured | 1,925 | $30M | Blue Cross of California |
| Legacy Community Health Services, Inc Legacy Community Health Services, Inc Welfare Benefit PlanAll plans | Houston | Mixed | 1,728 | $2.2M | Life Insurance Company of North America |
| Comprehensive Breast Care Center of Texas, Inc Solis Health and Welfare PlanAll plans | Addison | Mixed | 1,667 | $2.1M | Metropolitan Life Insurance Company |
| Privia Medical Group of North Texas Texas Health Care Mewa WrapAll plans | Fort Worth | MEWA | 1,149 | $10M | Unitedhealthcare Insurance Company |
| Oliver St. Dermatology Management LLC Oliver Street Dermatology Management LLC, Dba Dermatology AssociatesAll plans | Dallas | Mixed | 1,097 | $1.8M | Delta Dental of California |
| Epiphany Business Services, LLC Epiphany Business Services, LLC Employee Benefit(s) PlanAll plans | Austin | Fully insured | 1,086 | $9.7M | Blue Cross of California |
| Star Dental Partners Star Dental Partners Health and Welfare Benefit PlanAll plans | Plano | MEWA | 924 | $4.4M | Blue Cross of California |
| GMG Health Systems, Ltd GMG Health Systems, Ltd Dba Gonzaba Medical Group Employee Benefits PlanAll plans | San Antonio | Mixed | 912 | $1.2M | Metropolitan Life Insurance Company |
| Valor Healthcare, Inc Valor Healthcare, Inc. Health and Wellness PlanAll plans | Dallas | Fully insured | 882 | $9.5M | Blue Cross of California |
| El Centro Del Barrio El Centro Del Barrio Dba Centromed Welfare Benefit PlanAll plans | San Antonio | Fully insured | 737 | $5.9M | Blue Cross of California |
| MWD Management LLC United Derm Partners Benefits PlanAll plans | Brentwood | Mixed | 720 | $587K | Metropolitan Life Insurance Company |
Showing 15 of 167 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Texas
- Dallas27 plans · 8,835 participants
- San Antonio22 plans · 6,260 participants
- Houston21 plans · 6,177 participants
- Austin17 plans · 4,261 participants
- Plano7 plans · 1,677 participants
- Irving6 plans · 2,959 participants
- Southlake5 plans · 4,703 participants
- Fort Worth5 plans · 1,880 participants
- Richardson5 plans · 1,089 participants
- Frisco4 plans · 1,362 participants
- Spring4 plans · 1,104 participants
- Amarillo4 plans · 514 participants
Frequently asked questions
How many physician practices in Texas offer an ERISA health plan?
195 health and welfare plans from 167 physician practices in Texas appear in plan year 2024 to 2025 filings on Form 5500, covering 72,569 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 Texas?
By Schedule A premium: Blue Cross Blue Shield of Texas (65% of premium, 62 plans), Life Insurance Company of North America (9% of premium, 14 plans) and Metropolitan Life Insurance Company (7% of premium, 29 plans).
Which benefits brokers work with physician practices in Texas?
By number of client plans: Marsh & McLennan Agency LLC (23 plans), Gallagher Benefit Services, Inc (19 plans) and Usi Insurance Services LLC (16 plans). 82% of plans report a broker.
How much do brokers earn on physician practices health plans in Texas?
The median brokered plan reports $69K a year in broker commissions and fees, or 6.7% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in Texas self-funded or fully insured?
Fully insured 51%, mixed 23% and self-funded 18%. Self-funded and mixed plans together make up 41%.
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 Texas
Open the welfare search with Texas 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 Texas
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 Texas.