By trade

Health insurance for Texas HVAC and mechanical contractors

What the public filings show for contractors your size, and one mechanical contractor followed from the filing to the renewal decision.

For HVAC and mechanical contractors with 100 or more employees.

Read the mechanical contractor case See a sample Plan Report

Short answer. HVAC and mechanical contractors generally file under business code 238220, which they share with plumbing. Peer figures here are for 52 Texas electrical, plumbing, and HVAC contractors with 75 to 300 employees, taken together, because separate validated cuts by trade are not published yet. Median broker pay is 5.3% of medical premium and $29 per participant per month. Median medical premium is $6,094 per participant.

What the public filings show

These figures are for 52 Texas electrical, plumbing, and HVAC contractors with 75 to 300 employees, taken together. Separate validated cuts by trade are not published yet, so the medians cover the three trades together.

In each company’s latest filing:

  • Median broker pay as a share of medical premium: 5.3%
  • Median broker pay per participant per month: $29
  • Median medical premium per participant: $6,094
  • Medical premium per participant, 10th to 90th percentile: $3,802 to $9,972

How the 52 were chosen.

One mechanical contractor, start to finish

One plan, start to finish follows a 160-employee Texas mechanical contractor (a composite) through every step: the public filing that started it, the Plan Report, the market, the decision file, and the second-year renewal.

Three things to check on your own plan

  1. Headcount through the year. If crews grow for the busy season, check which count the carrier rated and who’s eligible when.
  2. Participation. A low cost per employee can mean a lot of people aren’t on the plan. Study 6.
  3. Broker pay, in dollars. It is on your Schedule A. In the 52-contractor set the median is $29 per participant per month and 5.3% of medical premium. Those figures cover the three trades together.

Before your next renewal

Questions people ask

What business code does an HVAC or mechanical contractor use on the Form 5500?

Usually 238220, Plumbing, Heating, and Air-Conditioning Contractors, from the U.S. Census Bureau’s industry list. Contractors that install electrical controls for HVAC systems are classified under 238210 instead.

What do HVAC contractors in Texas pay for health insurance?

There is no HVAC-only figure, because HVAC and plumbing share a code, and separate validated cuts by trade are not published yet. For 52 Texas electrical, plumbing, and HVAC contractors with 75 to 300 employees, taken together, the median medical premium was $6,094 per participant.

Is the mechanical contractor case study a real company?

No. It’s a composite built from the 52-company peer set. No real company’s filings or claims are shown, and every figure is modeled so the arithmetic holds together.

What should we look at first?

The median broker pay in the 52-contractor set is $29 per participant per month, and the median share of medical premium is 5.3%. Those figures cover electrical, plumbing, and HVAC together.

I built and sold a health insurance agency: grew it to 60 agents in about 3 years, then sold it. Licensed insurance agent since 2014: Texas license 2501238, NPN 17369817.

Want your own plan read the same way?

Send the company name to aloha@mattragudo.com. I pull the public filings and send back a one-page read. It’s built from the public record only, so no engagement is required.

Read the mechanical contractor case See a sample Plan Report

Questions first? Email aloha@mattragudo.com or book a 30 minute call.

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