Physician practices in Wisconsin
PlanOptica tracks 47 health and welfare plans sponsored by 30 physician practices in Wisconsin, covering 91,660 participants and $114M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 307 participants, and the most common size is 100 to 249 participants (32% of plans). Most of these plans are self-funded or mixed (62%), so stop-loss and TPA relationships matter as much as the medical carrier.
Quartz Health Benefit Plans Corporation leads by premium with a 49% share, followed by Hartford Life and Accident at 9%. Mgis is the broker of record on 7 plans, more than any other firm, ahead of Gallagher Benefit Services Inc (5). 64% of plans report broker compensation on Schedule A; the median brokered plan pays $67K a year, about 7.7% of premium. Marshfield, Green Bay and Milwaukee have the most plans.
Funding mix
- Mixed19 · 40%
- Fully insured11 · 23%
- Self-funded10 · 21%
- Unknown6 · 13%
- MEWA1 · 2%
Plan size (participants)
- Under 1004 · 9%
- 100 to 24915 · 32%
- 250 to 49910 · 21%
- 500 to 9993 · 6%
- 1,000 or more15 · 32%
Median plan: 307 participants. Median broker comp: 7.7% of premium across 30 brokered plans.
Top carriers, physicians, Wisconsin
- 1Quartz Health Benefit Plans Corporation$56M2 plans · 49.0%
- 2Hartford Life and Accident$9.8M4 plans · 8.6%
- 3Compcare Health Services Insurance Corporation$7.8M3 plans · 6.8%
- 4Security Health Plan of Wisconsin, Inc$7.6M2 plans · 6.7%
- 5Life Insurance Company of North America$5.4M3 plans · 4.8%
- 6Group Health Cooperative of South Central Wisconsin$3.9M1 plans · 3.4%
- 7Anthem Insurance Companies Inc$3.4M2 plans · 3.0%
- 8United Healthcare Insurance Company$3.2M1 plans · 2.8%
- 9Delta Dental of Wisconsin$2.4M10 plans · 2.1%
- 10Dental Com Insurance Plan Inc$2.0M1 plans · 1.8%
Top brokers, physicians, Wisconsin
- 1Mgis7 plans$1K comp · 23.3%
- 2Gallagher Benefit Services Inc5 plans$394K comp · 16.7%
- 3M3 Insurance Solutions Inc5 plans$381K comp · 16.7%
- 4RSC Insurance Brokerage Inc4 plans$189K comp · 13.3%
- 5Lockton Companies LLC3 plans$466K comp · 10.0%
- 6Ansay & Associates LLC3 plans$119K comp · 10.0%
- 7Johnson Insurance Services, LLC3 plans$-459 comp · 10.0%
- 8Vizient Insurance Services LLC2 plans$693K comp · 6.7%
- 9McClone Agency Inc2 plans$126K comp · 6.7%
- 10Usi Insurance Services LLC2 plans$84K comp · 6.7%
Largest physician practices in Wisconsin
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Marshfield Clinic Health System, Inc Travel Accident PlanAll plans | Marshfield | Unknown | 9,899 | - | - |
| Marshfield Clinic Health System, Inc Free Standing Dental PlanAll plans | Marshfield | Self-funded | 5,709 | - | - |
| University of Wisconsin Medical Foundation, Inc University of Wisconsin Medical Foundation, Inc. Life & Disability Insurance PlanAll plans | Middleton | Fully insured | 4,443 | $9.2M | Hartford Life and Accident |
| Prevea Clinic, Inc Prevea Clinic, Inc. Employee Benefit PlanAll plans | Green Bay | Mixed | 1,917 | $2.7M | Prudential Insurance Company of America |
| Baycare Health Systems LLC Baycare Health Systems LLC Employee Welfare Benefit Program - Ancillary PlansAll plans | Green Bay | Fully insured | 849 | $836K | United of Omaha Life Insurance Company |
| Family Health Center of Marshfield, Inc Family Health Center of Marshfield Health and Welfare PlanAll plans | Marshfield | Mixed | 401 | $5.3M | Security Health Plan of Wisconsin, Inc |
| Oakleaf Clinics, Inc Oakleaf Clinics, Inc. Wrap PlanAll plans | Eau Claire | Mixed | 390 | $452K | The Guardian Life Insurance Company of America |
| G I Associates LLC G I Associates LLC Welfare Benefit PlanAll plans | Milwaukee | Mixed | 326 | $435K | Delta Dental of California |
| Sixteenth Street Community Health Center Sixteenth Street Community Health Centers Section 105 Health Reimbursement Arrangement PlanAll plans | Milwaukee | Unknown | 324 | - | - |
| Orthopedic & Sports Medicine Specialists Orthopedic and Sports Medicine Specialists Health and Welfare PlanAll plans | Green Bay | Mixed | 307 | $296K | United of Omaha Life Insurance Company |
| Access Community Health Centers Access Community Health Centers Employee Benefit PlanAll plans | Madison | Mixed | 300 | $4.3M | Group Health Cooperative of South Central Wisconsin |
| Advent Mso LLC Advanced Ear, Nose & Throat Health and Welfare Benefit PlanAll plans | Wauwatosa | Mixed | 299 | $3.1M | Anthem Life Insurance Company |
| Bone & Joint Clinic, S.C Bone & Joint Clinic, S.C. Welfare Benefit PlanAll plans | Wausau | Mixed | 269 | $1.8M | Symetra Life Insurance Company |
| Hudson Physicians Hudson Physicians Comprehensive Health and Welfare Benefits PlanAll plans | Hudson | Mixed | 243 | $378K | Life Insurance Company of North America |
| Madison Medical Affiliates Madison Medical Inc Welfare Benefits PlanAll plans | Milwaukee | Mixed | 238 | $3.3M | United Healthcare Insurance Company |
Showing 15 of 30 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Wisconsin
- Marshfield14 plans · 74,237 participants
- Green Bay5 plans · 3,929 participants
- Milwaukee5 plans · 1,340 participants
- Wausau4 plans · 741 participants
- Middleton3 plans · 8,909 participants
- Appleton3 plans · 407 participants
- Wauwatosa2 plans · 479 participants
- Madison2 plans · 432 participants
- Neenah2 plans · 191 participants
- Eau Claire1 plans · 390 participants
- Hudson1 plans · 243 participants
- Wautoma1 plans · 184 participants
Frequently asked questions
How many physician practices in Wisconsin offer an ERISA health plan?
47 health and welfare plans from 30 physician practices in Wisconsin appear in plan year 2024 to 2025 filings on Form 5500, covering 91,660 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 Wisconsin?
By Schedule A premium: Quartz Health Benefit Plans Corporation (49% of premium, 2 plans), Hartford Life and Accident (9% of premium, 4 plans) and Compcare Health Services Insurance Corporation (7% of premium, 3 plans).
Which benefits brokers work with physician practices in Wisconsin?
By number of client plans: Mgis (7 plans), Gallagher Benefit Services Inc (5 plans) and M3 Insurance Solutions Inc (5 plans). 64% of plans report a broker.
How much do brokers earn on physician practices health plans in Wisconsin?
The median brokered plan reports $67K a year in broker commissions and fees, or 7.7% of premium. Figures come from Schedule A, Part I.
Are physician practices health plans in Wisconsin self-funded or fully insured?
Mixed 40%, fully insured 23% and self-funded 21%. Self-funded and mixed plans together make up 62%.
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 Wisconsin
Open the welfare search with Wisconsin 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 Wisconsin
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 Wisconsin.