BenefitsLedger
Insurance carrier · Plan year 2024 · Form 5500 Schedule A

Health Options

Health Options appeared on 486 contracts at 460 employer health plans in plan year 2024 filings, with $473M in earned premium, ranking #20 of 1,452 carriers. Its medical contracts covered 48,592 people. Employers reported broker commissions and fees of $13M on those contracts, 2.8% of premium.

Premium
$473M
$355M medical
Employers
460
486 contracts
People covered
48,592
medical contracts, year end
Broker pay
2.8%
$13M · U.S. median 3.8%

Coverage lines on its contracts: HMO (432), health (414), prescription drug (387), PPO (5), dental (3), vision (3).

Where it writes the most

Medical premium by employer state.

Largest clients

Employer plans reporting the most premium with this carrier.

EmployerPremiumParticipants
Paychex Business Solutions LLC · Florida$55,142,785197,994
Coadvantage Resources Inc. · Florida$41,027,51951,204
Blue Cross and Blue Shield of Florida, Inc. · Florida$19,064,43410,035
Trinet HR Iii, Inc. · California$14,055,442245,531
HR Outsourcing Associates, LLC · North Carolina$13,404,8323,467
Guidewell Sanitas LLC · Florida$10,605,8231,921
South East Personnel Leasing, Inc. · Florida$7,397,9622,591
Florida Bankers Health Consortium, Inc · Florida$7,359,7512,233
Decisionhr Holdings, Inc · Florida$5,995,6341,094
Marion County Medical Society Inc. Insurance Trust Fund · Florida$5,654,6285,101
Landrum Professional Employer Services Inc · Florida$3,298,3114,820
Global Connections to Employment, Inc. · Florida$3,279,3601,470
Episcopal Children's Services · Florida$2,947,938654
Star Distribution Systems · Florida$2,909,572223
Costex Corporation · Florida$2,803,999473
Hydrologic Distribution Company · Florida$2,633,427291
Naval Continuing Care Retirement Foundation · Florida$2,539,578335
Armstrong World Industries, Inc. · Pennsylvania$2,476,5492,583
Careersource Central Florida · Florida$2,470,468200
Total Military Management, Inc. · Florida$2,413,127270
Boca West Country Club, Inc · Florida$2,393,025387
NC Employment Group, Inc. · Florida$2,330,214297
Early Learning Coalition of Broward County, Inc. · Florida$2,308,864215
Kids Central, Inc. · Florida$2,283,708285
Kipp Jacksonville, Inc. · Florida$2,236,369305

Filed under 5 spellings, including Health Options; Health Options, Inc.; Health Options, Inc; Health Options Inc; Health Options Inc.; this page adds them together.

Source: DOL Form 5500 Schedule A, plan year 2024; built October 24, 2026. One insurer's filed spellings (for example "Blue Cross Blue Shield", "BlueCross BlueShield" and "Blue Cross and Blue Shield" of the same state) are grouped on one page; different state plans stay separate.

How many employer health plans does Health Options insure?

Health Options was named on 486 insurance contracts at 460 employers with 100 or more participants in plan year 2024 filings, with $472,853,022 in earned premium and 48,592 people covered on medical contracts.

How much do brokers earn on Health Options contracts?

Employers reported $13,135,511 in broker commissions and fees on Health Options contracts, 2.8% of premium. The all-carrier median on fully insured medical plans is 3.8%.

Where is Health Options strongest?

By medical premium, its largest states are Florida, California, North Carolina.

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