Skilled nursing and residential care facilities in Texas
PlanOptica tracks 168 health and welfare plans sponsored by 147 skilled nursing and residential care facilities in Texas, covering 87,098 participants and $114M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 154 participants, and the most common size is 100 to 249 participants (49% of plans). Most of these plans are self-funded or mixed (64%), so stop-loss and TPA relationships matter as much as the medical carrier.
Bluecross Blueshield of Texas leads by premium with a 35% share, followed by Unitedhealthcare Insurance Company at 23%. Usi Insurance Services LLC is the broker of record on 21 plans, more than any other firm, ahead of Marsh & McLennan Agency LLC (10). 49% of plans report broker compensation on Schedule A; the median brokered plan pays $76K a year, about 9.8% of premium. San Antonio, Dallas and Houston have the most plans.
Funding mix
- Self-funded80 · 48%
- Fully insured53 · 32%
- Mixed28 · 17%
- Unknown4 · 2%
- MEWA3 · 2%
Plan size (participants)
- Under 10030 · 18%
- 100 to 24983 · 49%
- 250 to 49917 · 10%
- 500 to 99918 · 11%
- 1,000 or more20 · 12%
Median plan: 154 participants. Median broker comp: 9.8% of premium across 82 brokered plans.
Top carriers, skilled nursing, Texas
- 1Bluecross Blueshield of Texas$40M27 plans · 34.7%
- 2Unitedhealthcare Insurance Company$26M17 plans · 22.8%
- 3Unum Life Insurance Company of America$4.9M7 plans · 4.3%
- 4United of Omaha Life Insurance Company$4.9M13 plans · 4.3%
- 5Cigna Health and Life Insurance Company$4.7M4 plans · 4.1%
- 6Metropolitan Life Insurance Company$4.4M13 plans · 3.9%
- 7The Guardian Life Insurance Company of America$3.5M10 plans · 3.1%
- 8Combined Insurance Company of America$2.8M3 plans · 2.4%
- 9Reliastar Life Insurance Company$2.3M1 plans · 2.0%
- 10Pan-American Life Insurance Company$2.0M4 plans · 1.7%
Top brokers, skilled nursing, Texas
- 1Usi Insurance Services LLC21 plans$1.8M comp · 25.6%
- 2Marsh & McLennan Agency LLC10 plans$1.3M comp · 12.2%
- 3Hub International Texas, Inc9 plans$1.0M comp · 11.0%
- 4Gallagher Benefit Services, Inc9 plans$427K comp · 11.0%
- 5Higginbotham Insurance Agency7 plans$334K comp · 8.5%
- 6Eoi Service Company LLC5 plans$1.3M comp · 6.1%
- 7Assuredpartners4 plans$97K comp · 4.9%
- 8Centerstone Insurance - Benefitmall4 plans$17K comp · 4.9%
- 9Ms Benefits3 plans$804K comp · 3.7%
- 10Catto & Catto Benefits Group LLP3 plans$123K comp · 3.7%
Largest skilled nursing and residential care facilities in Texas
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Creative Solutions in Healthcare, Inc Creative Solutions in Healthcare, Inc. Welfare Benefit PlanAll plans | Fort Worth | Fully insured | 11,562 | $14M | Unitedhealthcare Insurance Company |
| Oceans Acquisition Inc Oceans Acquisition Inc. Health and Welfare Benefit PlanAll plans | Plano | Mixed | 4,098 | $2.4M | Metropolitan Life Insurance Company |
| Covenant Group Holdings, LP Covenant Group Holdings, LP Employee Benefits PlanAll plans | Fort Worth | Fully insured | 3,538 | $2.2M | United of Omaha Life Insurance Company |
| Capital Senior Living, Inc Sonida Senior LivingAll plans | Dallas | Mixed | 3,154 | $653K | The Lincoln National Life Insurance Company |
| Lifespace Communities, Inc Lifespace Communities, Inc Employee Life and Disability Benefit Program With UnumAll plans | Dallas | Fully insured | 2,714 | $1.8M | Unum Life Insurance Company of America |
| Care Inn Properties, Inc Care Inn Properties, Inc. Employee Injury Benefit PlanAll plans | San Antonio | Self-funded | 2,642 | - | - |
| Regency Integrated Health Services, LLC Regency Integrated Health Services, LLC Group Benefit PlanAll plans | Victoria | Mixed | 2,622 | $2.0M | Pan-American Life Insurance Company |
| Stonegate Senior Living LP Stonegate Senior Living LP Wrap PlanAll plans | Lewisville | Mixed | 2,224 | $1.1M | Reliance Standard Life Insurance Company |
| Touchstone Communities Touchstone Communities Employee Benefits PlanAll plans | San Antonio | MEWA | 1,981 | $9.4M | Blue Cross of California |
| PSL Associates, LLC PSL Associates, LLC Employee Benefit PlanAll plans | Grapevine | Mixed | 1,966 | $1.8M | The Guardian Life Insurance Company of America |
| Belmont Village L.P Belmont Village, LP Healthcare Benefits PlanAll plans | Houston | Mixed | 1,609 | $2.3M | Metropolitan Life Insurance Company |
| Cantex Continuing Care Network Cantex Continuing Care Network Employee Benefits PlanAll plans | Carrollton | Fully insured | 1,345 | $2.6M | United of Omaha Life Insurance Company |
| Methodist Retirement Communities Methodist Retirement Communities Employee Injury Benefit PlanAll plans | The Woodlands | Self-funded | 1,008 | - | - |
| Caraday Healthcare, LLC Caraday Healthcare, LLCAll plans | San Marcos | Fully insured | 994 | $5.3M | Blue Cross of California |
| Sonida Senior Living, Inc Sonida Senior Living, Inc. Texas Injury Benefit PlanAll plans | Dallas | Self-funded | 987 | - | - |
Showing 15 of 147 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Texas
- San Antonio21 plans · 8,030 participants
- Dallas20 plans · 20,630 participants
- Houston14 plans · 3,891 participants
- Fort Worth9 plans · 15,890 participants
- Austin9 plans · 2,650 participants
- Bedford7 plans · 3,841 participants
- Rockwall4 plans · 2,116 participants
- New Braunfels4 plans · 545 participants
- Plano3 plans · 4,424 participants
- Lewisville3 plans · 4,065 participants
- Grapevine3 plans · 3,888 participants
- The Woodlands3 plans · 1,890 participants
Frequently asked questions
How many skilled nursing and residential care facilities in Texas offer an ERISA health plan?
168 health and welfare plans from 147 skilled nursing and residential care facilities in Texas appear in plan year 2024 to 2025 filings on Form 5500, covering 87,098 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 Texas?
By Schedule A premium: Bluecross Blueshield of Texas (35% of premium, 27 plans), Unitedhealthcare Insurance Company (23% of premium, 17 plans) and Unum Life Insurance Company of America (4% of premium, 7 plans).
Which benefits brokers work with skilled nursing and residential care facilities in Texas?
By number of client plans: Usi Insurance Services LLC (21 plans), Marsh & McLennan Agency LLC (10 plans) and Hub International Texas, Inc (9 plans). 49% of plans report a broker.
How much do brokers earn on skilled nursing and residential care facilities health plans in Texas?
The median brokered plan reports $76K a year in broker commissions and fees, or 9.8% of premium. Figures come from Schedule A, Part I.
Are skilled nursing and residential care facilities health plans in Texas self-funded or fully insured?
Self-funded 48%, fully insured 32% and mixed 17%. Self-funded and mixed plans together make up 64%.
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 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.
Skilled nursing 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). 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 Texas.