Skilled nursing and residential care facilities in Ohio
PlanOptica tracks 136 health and welfare plans sponsored by 121 skilled nursing and residential care facilities in Ohio, covering 63,274 participants and $77M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 138 participants, and the most common size is under 100 participants (40% of plans). Most of these plans are self-funded or mixed (70%), so stop-loss and TPA relationships matter as much as the medical carrier.
Medical Mutual of Ohio leads by premium with a 14% share, followed by Continental American Insurance Company at 9%. Usi Insurance Services LLC is the broker of record on 18 plans, more than any other firm, ahead of Hub International Midwest Limited (11). 66% of plans report broker compensation on Schedule A; the median brokered plan pays $33K a year, about 10.4% of premium. Cincinnati, Columbus and Toledo have the most plans.
Funding mix
- Mixed49 · 36%
- Self-funded46 · 34%
- Fully insured40 · 29%
- MEWA1 · 1%
Plan size (participants)
- Under 10054 · 40%
- 100 to 24940 · 29%
- 250 to 49920 · 15%
- 500 to 9997 · 5%
- 1,000 or more15 · 11%
Median plan: 138 participants. Median broker comp: 10.4% of premium across 90 brokered plans.
Top carriers, skilled nursing, Ohio
- 1Medical Mutual of Ohio$11M6 plans · 13.9%
- 2Continental American Insurance Company$7.1M5 plans · 9.3%
- 3Community Insurance Company$6.6M6 plans · 8.5%
- 4Delta Dental of Ohio$5.9M15 plans · 7.7%
- 5Aetna Life Insurance Co$5.5M3 plans · 7.2%
- 6Reliastar Life Insurance Company$5.2M6 plans · 6.8%
- 7The Guardian Life Insurance Company of America$4.4M20 plans · 5.7%
- 8Unitedhealthcare Insurance Company$4.1M12 plans · 5.3%
- 9The Lincoln National Life Insurance Company$2.9M9 plans · 3.7%
- 10Life Insurance Company of North America$2.1M6 plans · 2.8%
Top brokers, skilled nursing, Ohio
- 1Usi Insurance Services LLC18 plans$762K comp · 20.0%
- 2Hub International Midwest Limited11 plans$247K comp · 12.2%
- 3Assuredpartners10 plans$426K comp · 11.1%
- 4Gallagher Benefit Services, Inc9 plans$752K comp · 10.0%
- 5McGohan Brabender, Inc9 plans$516K comp · 10.0%
- 6The Worksite Group LLC7 plans$48K comp · 7.8%
- 7Staebler Group5 plans$121K comp · 5.6%
- 8Centro Benefits Research LLC5 plans$74K comp · 5.6%
- 9Gis Benefits, Inc4 plans$282K comp · 4.4%
- 10The James B Oswald Company4 plans$227K comp · 4.4%
Largest skilled nursing and residential care facilities in Ohio
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| First Source Employee Management First Source Welfare Benefit PlanAll plans | North Olmsted | Mixed | 12,666 | $2.7M | Reliastar Life Insurance Company |
| Health Care Facilities Staffing, LLC Communicare Health Services Health and Welfare PlanAll plans | Cincinnati | Fully insured | 11,615 | $11M | Aflac |
| Otterbein Senior Lifestyle Choices Otterbein Senior Lifestyle Choices Employee Benefit PlanAll plans | Lebanon | Mixed | 3,072 | $1.6M | Life Insurance Company of North America |
| Viaquest, Inc Viaquest, Inc. Employee Benefit PlanAll plans | Dublin | Mixed | 2,170 | $1.1M | Prudential Insurance Company of America |
| Kingston Healthcare Company, LLC Kingston Healthcare Company, LLC Employee Benefits PlanAll plans | Toledo | Mixed | 1,922 | $1.0M | Medical Mutual |
| National Church Residences National Church Residences Welfare Benefit PlanAll plans | Columbus | Mixed | 1,808 | $1.3M | Reliastar Life Insurance Company |
| Promedica Employment Services, LLC HCR Manorcare Welfare Benefit PlanAll plans | Toledo | Mixed | 1,455 | $2.3M | Reliastar Life Insurance Company |
| Ohio Living Ohio Living Employee Benefit PlanAll plans | Westerville | Mixed | 1,393 | $1.1M | HCC Life Insurance Company |
| Empowering People Management Empowering People Welfare Benefit PlanAll plans | North Olmsted | Mixed | 1,359 | $336K | Reliastar Life Insurance Company |
| DMD Management, Inc DMD Management, Inc. Group Insurance PlanAll plans | Parma | Fully insured | 1,316 | $1.4M | Nationwide Life Insurance Company |
| HCF Management, Inc HCF Management Inc. Welfare Benefit PlanAll plans | Lima | Mixed | 1,251 | $1.4M | The Guardian Life Insurance Company of America |
| Atrium Centers Inc Atrium Centers Inc. Health and Welfare PlanAll plans | Columbus | Mixed | 1,185 | $880K | Standard Insurance Company |
| Carespring Health Care Management, LLC Carespring Health Care Management, LLC Welfare Benefit PlanAll plans | Loveland | Mixed | 1,115 | $1.5M | Reliastar Life Insurance Company |
| Ohio's Hospice, Inc Ohio's Hospice Employee Benefit PlanAll plans | Dayton | Mixed | 1,073 | $2.7M | Unum Life Insurance Company of America |
| Chi Living Communities Chi Living Communities Employee Benefit PlanAll plans | Oregon | Mixed | 1,046 | $1.4M | Life Insurance Company of North America |
Showing 15 of 121 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Ohio
- Cincinnati14 plans · 13,095 participants
- Columbus12 plans · 4,467 participants
- Toledo5 plans · 3,413 participants
- Newark5 plans · 2,238 participants
- Loveland5 plans · 1,937 participants
- Cleveland5 plans · 1,298 participants
- Dublin4 plans · 2,630 participants
- Beachwood4 plans · 384 participants
- Westerville3 plans · 1,398 participants
- Boardman3 plans · 830 participants
- Powell3 plans · 749 participants
- Beavercreek3 plans · 515 participants
Frequently asked questions
How many skilled nursing and residential care facilities in Ohio offer an ERISA health plan?
136 health and welfare plans from 121 skilled nursing and residential care facilities in Ohio appear in plan year 2024 to 2025 filings on Form 5500, covering 63,274 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 Ohio?
By Schedule A premium: Medical Mutual of Ohio (14% of premium, 6 plans), Continental American Insurance Company (9% of premium, 5 plans) and Community Insurance Company (9% of premium, 6 plans).
Which benefits brokers work with skilled nursing and residential care facilities in Ohio?
By number of client plans: Usi Insurance Services LLC (18 plans), Hub International Midwest Limited (11 plans) and Assuredpartners (10 plans). 66% of plans report a broker.
How much do brokers earn on skilled nursing and residential care facilities health plans in Ohio?
The median brokered plan reports $33K a year in broker commissions and fees, or 10.4% of premium. Figures come from Schedule A, Part I.
Are skilled nursing and residential care facilities health plans in Ohio self-funded or fully insured?
Mixed 36%, self-funded 34% and fully insured 29%. Self-funded and mixed plans together make up 70%.
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 Ohio
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Skilled nursing in nearby states
Other healthcare specialties in Ohio
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 Ohio.