Physician practices in Vermont
PlanOptica tracks 8 health and welfare plans sponsored by 8 physician practices in Vermont, covering 1,910 participants and $8.3M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 196 participants, and the most common size is 100 to 249 participants (50% of plans). Most of these plans are self-funded or mixed (75%), so stop-loss and TPA relationships matter as much as the medical carrier.
MVP Health Plan Inc dominates premium with a 54% share, followed by Blue Cross and Blue Shield of Vermont at 10%. Richards Incorporated is the broker of record on 3 plans, more than any other firm, ahead of Combined Services Limited Liability (3). 88% of plans report broker compensation on Schedule A; the median brokered plan pays $42K a year, about 7.6% of premium. St. Albans, Montpelier and Burlington have the most plans.
Funding mix
- Mixed5 · 63%
- Fully insured2 · 25%
- Self-funded1 · 13%
Plan size (participants)
- Under 1001 · 13%
- 100 to 2494 · 50%
- 250 to 4993 · 38%
- 500 to 9990 · 0%
- 1,000 or more0 · 0%
Median plan: 196 participants. Median broker comp: 7.6% of premium across 7 brokered plans.
Top carriers, physicians, Vermont
- 1MVP Health Plan Inc$4.5M2 plans · 54.1%
- 2Blue Cross and Blue Shield of Vermont$832K1 plans · 10.0%
- 3Delta Dental Plan of Vermont, Inc$703K4 plans · 8.5%
- 4Unum Life Insurance Company of America$511K3 plans · 6.1%
- 5Siruspoint America$466K1 plans · 5.6%
- 6Symetra Life Insurance Company$399K1 plans · 4.8%
- 7Reliance Standard Life Insurance Company$277K2 plans · 3.3%
- 8Vision Service Plan$260K6 plans · 3.1%
- 9Metropolitan Life$127K1 plans · 1.5%
- 10The Lincoln National Life Insurance Company$111K1 plans · 1.3%
Top brokers, physicians, Vermont
- 1Richards Incorporated3 plans$88K comp · 42.9%
- 2Combined Services Limited Liability3 plans$16K comp · 42.9%
- 3Enrollment Solutions Ltd2 plans$11K comp · 28.6%
- 4Ashley Follis2 plans$7K comp · 28.6%
- 5Kevin John Conway2 plans$6K comp · 28.6%
- 6Group Benefits Ltd2 plans$2K comp · 28.6%
- 7Acrisure New England Partners1 plans$29K comp · 14.3%
- 8Hickok & Boardman Inc1 plans$28K comp · 14.3%
- 9Bukaty Companies1 plans$27K comp · 14.3%
- 10Power and Walsh Insurance Advisors1 plans$25K comp · 14.3%
Largest physician practices in Vermont
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Northwestern Counseling & Support Services, Inc Northwestern Counseling & Support Services, Inc. Health & Welfare Benefit PlanAll plans | St. Albans | Mixed | 468 | $553K | Delta Dental of California |
| Washington County Mental Health Services, Inc Washington County Mental Health Services, Inc. Health & Welfare Benefit PlanAll plans | Montpelier | Mixed | 420 | $508K | Symetra Life Insurance Company |
| Community Health Centers of Burlington Community Health Centers of Burlington Health and Welfare BenefitsAll plans | Burlington | Fully insured | 315 | $5.0M | MVP Health Care |
| Counseling Service of Addison County, Inc Counseling Service of Addison County, Inc. Employee Benefit PlanAll plans | Middlebury | Mixed | 222 | $141K | Reliance Standard Life Insurance Company |
| Richford Health Center Richford Health Center, IncAll plans | Richford | Mixed | 170 | $252K | Delta Dental of California |
| PCHP-Medical Services Organazation LLP Primary Care Health Partners Health and Welfare PlanAll plans | Williston | Fully insured | 159 | $1.1M | Blue Cross of California |
| Lamoille Health Partners Lamoille Health Partners Employee Benefits PlanAll plans | Morrisville | Mixed | 130 | $692K | Sirius America Insurance Company |
| Pediatric Medicine, PLC Pediatric Medicine, PLC 401(k) Retirement PlanAll plans | South Burlington | Self-funded | 26 | - | - |
Plans by city in Vermont
Frequently asked questions
How many physician practices in Vermont offer an ERISA health plan?
8 health and welfare plans from 8 physician practices in Vermont appear in plan year 2024 to 2025 filings on Form 5500, covering 1,910 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 Vermont?
By Schedule A premium: MVP Health Plan Inc (54% of premium, 2 plans), Blue Cross and Blue Shield of Vermont (10% of premium, 1 plan) and Delta Dental Plan of Vermont, Inc (8% of premium, 4 plans).
Which benefits brokers work with physician practices in Vermont?
By number of client plans: Richards Incorporated (3 plans), Combined Services Limited Liability (3 plans) and Enrollment Solutions Ltd (2 plans). 88% of plans report a broker.
How much do brokers earn on physician practices health plans in Vermont?
The median brokered plan reports $42K a year in broker commissions and fees, or 7.6% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in Vermont self-funded or fully insured?
Mixed 63%, fully insured 25% and self-funded 13%. Self-funded and mixed plans together make up 75%.
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 Vermont
Open the welfare search with Vermont 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 Vermont
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 Vermont.