Skilled nursing and residential care facilities in Iowa
PlanOptica tracks 55 health and welfare plans sponsored by 36 skilled nursing and residential care facilities in Iowa, covering 26,055 participants and $97M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 194 participants, and the most common size is 100 to 249 participants (47% of plans). The funding mix is split: 35% of plans are self-funded or mixed and the rest are mainly fully insured.
Wellmark Blue Cross and Blue Shield of Iowa leads by premium with a 46% share, followed by Cigna Health and Life Insurance Company and Affiliates at 31%. Holmes Murphy & Associates is the broker of record on 13 plans, more than any other firm, ahead of Gallagher Benefit Services, Inc (11). 84% of plans report broker compensation on Schedule A; the median brokered plan pays $21K a year, about 7.2% of premium. Johnston, Des Moines and Clear Lake have the most plans.
Funding mix
- Fully insured35 · 64%
- Mixed14 · 25%
- Self-funded5 · 9%
- MEWA1 · 2%
Plan size (participants)
- Under 10010 · 18%
- 100 to 24926 · 47%
- 250 to 4998 · 15%
- 500 to 9996 · 11%
- 1,000 or more5 · 9%
Median plan: 194 participants. Median broker comp: 7.2% of premium across 46 brokered plans.
Top carriers, skilled nursing, Iowa
- 1Wellmark Blue Cross and Blue Shield of Iowa$44M22 plans · 45.6%
- 2Cigna Health and Life Insurance Company and Affiliates$30M3 plans · 30.9%
- 3Aetna$4.9M3 plans · 5.1%
- 4Kaiser Foundation Health Plan, Inc$3.9M2 plans · 4.0%
- 5Metropolitan Life Insurance Company$3.5M6 plans · 3.6%
- 6Delta Dental of Iowa$1.2M15 plans · 1.3%
- 7Reliance Standard Life Insurnace Company$1.0M6 plans · 1.1%
- 8Healthpartners Unitypoint Health$809K1 plans · 0.8%
- 9Medical Associates$757K1 plans · 0.8%
- 10The Guardian Life Insurance Company of America$749K2 plans · 0.8%
Top brokers, skilled nursing, Iowa
- 1Holmes Murphy & Associates13 plans$933K comp · 28.3%
- 2Gallagher Benefit Services, Inc11 plans$2.0M comp · 23.9%
- 3Assuredpartners Great Plains LLC7 plans$50K comp · 15.2%
- 4Avant Specialty Benefits6 plans$372K comp · 13.0%
- 5Group Benefits Ltd4 plans$17K comp · 8.7%
- 6Marsh & McLennan Agency LLC3 plans$48K comp · 6.5%
- 7North Risk Partners LLC3 plans$34K comp · 6.5%
- 8Gis Benefits Inc3 plans$12K comp · 6.5%
- 9Usi Insurance Services, LLC3 plans$8K comp · 6.5%
- 10Truenorth Companies. LC2 plans$109K comp · 4.3%
Largest skilled nursing and residential care facilities in Iowa
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| LCS Community Employment LLC LCS Community Employment LLC Employee Benefits PlanAll plans | Des Moines | Fully insured | 8,248 | $37M | Cigna Health and Life Insurance Company |
| Care Initiatives, Inc Care Initiatives, Inc. Employee Welfare Benefit PlanAll plans | West Des Moines | Mixed | 2,488 | $1.8M | Veratrus Benefit Solutions |
| American Healthcare Management Services LLC American Healthcare Management Services LLCAll plans | West Des Moines | Mixed | 1,522 | $12M | Blue Cross of California |
| Azria Health Azria HealthAll plans | Des Moines | MEWA | 1,141 | $247K | Unitedhealthcare Insurance Company |
| Optimae Lifeservices, Inc Optimae Lifeservices Health, Dental, Vision, Health & Dependent Care FSA, Life and AD&D, Short Term and Long Term Disability WF PlanAll plans | Fairfield | Mixed | 1,100 | $5.7M | Blue Cross of California |
| Wesleylife Wesleylife Group Insurance PlanAll plans | Johnston | Fully insured | 935 | $491K | Life Insurance Company of North America |
| Integro Asset Management, LLC Integro Asset Management, LLC Welfare Benefit PlanAll plans | Fairfield | Fully insured | 545 | $2.5M | Aetna Life Insurance Company |
| Continuing Care Retirement Community Continuing Care Retirement Community Employee Benefits PlanAll plans | Grimes | Mixed | 535 | $3.3M | Aetna Life Insurance Company |
| Childserve, Inc Childserve, Inc. Life/Ad&D and Ltd PlanAll plans | Johnston | Fully insured | 505 | $176K | Metropolitan Life Insurance Company |
| Western Home Services Western Home Services Wrap PlanAll plans | Cedar Falls | Mixed | 466 | $302K | Delta Dental of California |
| First Resources Corp First Resources CorpAll plans | Sigourney | Mixed | 458 | $1.3M | Blue Cross of California |
| Balance Autism Homestead Autism Services Flexible Benefits ProgramAll plans | Altoona | Fully insured | 317 | $1.4M | Blue Cross of California |
| On With Life, Inc On With Life, Inc. Eap PlanAll plans | Ankeny | Fully insured | 280 | $5K | Employee & Family Resources, Inc |
| Orchard Place Long Term Disability, Life, Ad & DAll plans | Des Moines | Fully insured | 278 | $101K | Hartford Life and Accident |
| Comprehensive Systems, Inc Comprehensive Systems, Inc Health and Welfare PlanAll plans | Charles City | Mixed | 248 | $1.3M | Blue Cross of California |
Showing 15 of 36 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Iowa
- Johnston10 plans · 4,358 participants
- Des Moines7 plans · 10,422 participants
- Clear Lake5 plans · 0 participants
- Ankeny4 plans · 669 participants
- West Des Moines2 plans · 4,010 participants
- Fairfield2 plans · 1,645 participants
- Cedar Rapids2 plans · 320 participants
- Council Bluffs2 plans · 281 participants
- Charles City2 plans · 248 participants
- Davenport2 plans · 194 participants
- Grimes1 plans · 535 participants
- Cedar Falls1 plans · 466 participants
Frequently asked questions
How many skilled nursing and residential care facilities in Iowa offer an ERISA health plan?
55 health and welfare plans from 36 skilled nursing and residential care facilities in Iowa appear in plan year 2024 to 2025 filings on Form 5500, covering 26,055 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 skilled nursing and residential care facilities in Iowa?
By Schedule A premium: Wellmark Blue Cross and Blue Shield of Iowa (46% of premium, 22 plans), Cigna Health and Life Insurance Company and Affiliates (31% of premium, 3 plans) and Aetna (5% of premium, 3 plans).
Which benefits brokers work with skilled nursing and residential care facilities in Iowa?
By number of client plans: Holmes Murphy & Associates (13 plans), Gallagher Benefit Services, Inc (11 plans) and Assuredpartners Great Plains LLC (7 plans). 84% of plans report a broker.
How much do brokers earn on skilled nursing and residential care facilities health plans in Iowa?
The median brokered plan reports $21K a year in broker commissions and fees, or 7.2% of premium. Figures come from Schedule A, Part I.
Are skilled nursing and residential care facilities health plans in Iowa self-funded or fully insured?
Fully insured 64%, mixed 25% and self-funded 9%. Self-funded and mixed plans together make up 35%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care.
Prospect skilled nursing and residential care facilities in Iowa
Open the welfare search with Iowa and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.
Skilled nursing in nearby states
Other healthcare specialties in Iowa
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care. Location is the sponsor's filing address in Iowa.