Skilled nursing and residential care facilities in Wisconsin
PlanOptica tracks 58 health and welfare plans sponsored by 41 skilled nursing and residential care facilities in Wisconsin, covering 13,313 participants and $39M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 163 participants, and the most common size is 100 to 249 participants (60% of plans). The funding mix is split: 57% of plans are self-funded or mixed and the rest are mainly fully insured.
Quartz Health Benefit Plans Corporation leads by premium with a 23% share, followed by Blue Cross & Blue Shield of Wisconsin at 18%. M3 Insurance Solutions Inc is the broker of record on 17 plans, more than any other firm, ahead of Clarity an Alera Group Company LLC (7). 74% of plans report broker compensation on Schedule A; the median brokered plan pays $19K a year, about 9.9% of premium. Milwaukee, Madison and Greendale have the most plans.
Funding mix
- Mixed23 · 40%
- Fully insured22 · 38%
- Self-funded10 · 17%
- Unknown3 · 5%
Plan size (participants)
- Under 1009 · 16%
- 100 to 24935 · 60%
- 250 to 4999 · 16%
- 500 to 9994 · 7%
- 1,000 or more1 · 2%
Median plan: 163 participants. Median broker comp: 9.9% of premium across 43 brokered plans.
Top carriers, skilled nursing, Wisconsin
- 1Quartz Health Benefit Plans Corporation$9.1M5 plans · 23.3%
- 2Blue Cross & Blue Shield of Wisconsin$7.1M3 plans · 18.3%
- 3Unitedhealthcare Insurance Company$5.6M7 plans · 14.3%
- 4Dean Health Plan Inc$4.9M3 plans · 12.6%
- 5Security Health Plan of Wisconsin, Inc$1.9M2 plans · 4.9%
- 6Standard Insurance Company$1.4M2 plans · 3.7%
- 7Unum Life Insurance Company of America$1.3M10 plans · 3.3%
- 8Delta Dental of Wisconsin$1.2M12 plans · 2.9%
- 9PREVEA360 Health Plan$1.1M2 plans · 2.7%
- 10Group Health Cooperative of South Central Wisconsin$861K1 plans · 2.2%
Top brokers, skilled nursing, Wisconsin
- 1M3 Insurance Solutions Inc17 plans$523K comp · 39.5%
- 2Clarity an Alera Group Company LLC7 plans$8K comp · 16.3%
- 3Usi Insurance Services LLC5 plans$90K comp · 11.6%
- 4Watchtower Technologies Inc5 plans$3K comp · 11.6%
- 5Watchtower Benefits, LLC4 plans$6K comp · 9.3%
- 6Brown & Brown Insurance Services3 plans$49K comp · 7.0%
- 7R&R Insurance Services Inc3 plans$11K comp · 7.0%
- 8Assurex Global Corporation3 plans$36 comp · 7.0%
- 9RSC Insurance Brokerage2 plans$20K comp · 4.7%
- 10Dimond Bros Insurance2 plans$20K comp · 4.7%
Largest skilled nursing and residential care facilities in Wisconsin
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| North Shore Healthcare LLC North Shore Healthcare LLC Health Care PlanAll plans | Milwaukee | Self-funded | 1,234 | - | - |
| Ablelight Inc Ablelight Inc. Employee Benefits PlanAll plans | Watertown | Mixed | 944 | $885K | Delta Dental of California |
| Bedrock Healthcare LLC Bedrock Wi Life and AD&DAll plans | Greendale | Fully insured | 908 | $98K | United of Omaha Life Insurance Company |
| Illuminus Holding Company, Inc Illuminus Employee Health Care PlanAll plans | Watertown | Mixed | 805 | $5.8M | Blue Cross of California |
| Capri Communities, LLC Capri Senior Communities Health & Welfare PlanAll plans | Waukesha | Mixed | 596 | $446K | The Lincoln National Life Insurance Company |
| Oakwood Village University Woods Homes, Inc Oakwood Village University Woods Homes, Inc. Health and Welfare PlanAll plans | Madison | Mixed | 418 | $4.5M | Quartz Health Benefit Plans Corporation |
| Rennes Group, Inc Rennes Group, Inc. Insurance PlanAll plans | Peshtigo | Mixed | 386 | $382K | United of Omaha Life Insurance Company |
| Lutheran Living Services Lutheranliving Services Welfare Benefit PlanAll plans | Wauwatosa | Fully insured | 364 | $2.5M | Unitedhealthcare Insurance Company |
| Innovative Services, Inc Innovative Services, Inc. Employee Benefit PlanAll plans | Green Bay | Mixed | 356 | $1.5M | Unitedhealthcare Insurance Company |
| Oak Park Nursing & Rehabilitation Center, LLC Oak Park Wrap PlanAll plans | Madison | Fully insured | 353 | $2.8M | Dean Health Plan Inc |
| St. Camillus Health System, Inc St. Camillus Health System, IncAll plans | Wauwatosa | Mixed | 294 | $152K | Blue Cross of California |
| Benevolent Corporation Cedar Community Benevolent Corporation Cedar Community Group Benefit PlanAll plans | West Bend | Mixed | 269 | $260K | Standard Insurance Company |
| Bay Area Lutheran Homes, Inc. D/B/a Woodside Senior Communities Bay Area Lutheran Homes, Inc. Wrap PlanAll plans | Green Bay | Mixed | 255 | $204K | Hartford Life and Accident |
| Bethany St. Joseph Corporation Bethany St. Joseph Corporation Comprehensive Health and Welfare Benefits PlanAll plans | LA Crosse | Mixed | 254 | $1.6M | Quartz Health Benefit Plans Corporation |
| Bethany Lutheran Homes, Inc Bethany Lutheran Homes, Inc Welfare Benefit PlanAll plans | LA Crosse | Fully insured | 243 | $2.1M | Quartz Health Benefit Plans Corporation |
Showing 15 of 41 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Wisconsin
- Milwaukee9 plans · 2,223 participants
- Madison6 plans · 1,350 participants
- Greendale4 plans · 1,273 participants
- Oconomowoc4 plans · 608 participants
- Watertown3 plans · 1,749 participants
- Wauwatosa3 plans · 874 participants
- LA Crosse3 plans · 638 participants
- Green Bay2 plans · 611 participants
- Oshkosh2 plans · 314 participants
- Sparta2 plans · 301 participants
- Elm Grove2 plans · 186 participants
- Middleton2 plans · 111 participants
Frequently asked questions
How many skilled nursing and residential care facilities in Wisconsin offer an ERISA health plan?
58 health and welfare plans from 41 skilled nursing and residential care facilities in Wisconsin appear in plan year 2024 to 2025 filings on Form 5500, covering 13,313 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 Wisconsin?
By Schedule A premium: Quartz Health Benefit Plans Corporation (23% of premium, 5 plans), Blue Cross & Blue Shield of Wisconsin (18% of premium, 3 plans) and Unitedhealthcare Insurance Company (14% of premium, 7 plans).
Which benefits brokers work with skilled nursing and residential care facilities in Wisconsin?
By number of client plans: M3 Insurance Solutions Inc (17 plans), Clarity an Alera Group Company LLC (7 plans) and Usi Insurance Services LLC (5 plans). 74% of plans report a broker.
How much do brokers earn on skilled nursing and residential care facilities health plans in Wisconsin?
The median brokered plan reports $19K a year in broker commissions and fees, or 9.9% of premium. Figures come from Schedule A, Part I.
Are skilled nursing and residential care facilities health plans in Wisconsin self-funded or fully insured?
Mixed 40%, fully insured 38% and self-funded 17%. Self-funded and mixed plans together make up 57%.
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 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.
Skilled nursing 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). 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 Wisconsin.