Health insurance in Texas features numerous providers catering to a growing market focused on affordable care. Companies range from well-established firms to specialized startups, targeting individual and family coverage. As consumer demand evolves, the industry is increasingly prioritizing telehealth solutions, personalized plans, and community integration. Innovations aimed at enhancing patient experience and lowering costs indicate a robust trajectory for future growth. With an expanding focus on Medicare and Medicaid programs, insurers are better equipped to serve various demographic needs, thereby playing a pivotal role in overall Texas healthcare.


This list showcases 19 key health insurance companies in Texas, ranging from large firms to smaller agencies. Established between 1982 and 2018, these companies operate from cities like Austin, Dallas, and Fort Worth. Their specialties encompass a variety of insurance products, including Medicaid, CHIP, and tailored health plans. With employee sizes varying significantly, ranging from a few dozen to thousands, the companies exemplify both traditional and modern approaches to health insurance in Texas.


Read on to discover more about the top health insurance companies in Texas.


Top 19 Health Insurance Companies in Texas


1. Superior HealthPlan


Superior HealthPlan, founded in 1999 and based in Austin, Texas, is a private health insurance provider that specializes in Medicaid, CHIP, and Medicare Advantage plans. The company is dedicated to helping individuals and families access affordable healthcare options. With a workforce of approximately 858 employees, Superior HealthPlan operates entirely within the United States, focusing on the Texas market. Their offerings include a range of health insurance programs designed to meet the needs of various populations, particularly those eligible for government assistance. Superior HealthPlan is also involved in community initiatives, providing grants and sponsorships to support local health efforts. Their commitment to transforming community health is evident in their various programs and services aimed at improving access to care and managing medical expenses for their members.


2. HealthSmart

  • Website: healthsmart.com
  • Ownership type: Private
  • Headquarters: Richardson, Texas, United States (USA)
  • Latest funding: $16.0M, January 2012
  • Founded year: 1983
  • Headcount: 501-1000
  • LinkedIn: healthsmart

HealthSmart, founded in 1983 and based in Richardson, Texas, is a healthcare solutions provider that specializes in health plan administration, care management, and network solutions. The company primarily serves self-funded employers, health plan brokers, and Native American tribes, helping them navigate the complexities of healthcare costs while enhancing member health outcomes. HealthSmart offers a range of customizable services, including benefit plan design, claims processing, and integrated clinical solutions. Their focus on innovative care management and flexible provider networks allows clients to tailor their healthcare offerings to meet specific needs. With a workforce of approximately 814 employees, HealthSmart has established itself as one of the larger third-party administrators in the country, emphasizing a commitment to quality service and member satisfaction. The company has also received funding, with a reported amount of nearly $16 million in 2012, indicating investor confidence in their business model and growth potential.


3. US Health Advisors

  • Website: ushagent.com
  • Ownership type: Private
  • Headquarters: Arlington, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2014
  • Headcount: 51-200
  • LinkedIn: ushagent

US Health Advisors, based in Arlington, Texas, is a private insurance provider that specializes in health coverage. Established in 2014, the company is part of USHEALTH Group and offers a variety of insurance products tailored to meet the needs of individuals and families. Their offerings include health, dental, and vision plans, designed to provide affordable and flexible solutions for customers. US Health Advisors emphasizes personalized service, with agents dedicated to understanding clients' unique needs to create customized coverage plans. The company operates entirely within the United States and has a workforce of approximately 1200 employees. All insurance products are underwritten by its subsidiaries, including Freedom Life Insurance Company of America, National Foundation Life Insurance Company, and Enterprise Life Insurance Company. Despite being a newer entrant in the market, US Health Advisors aims to provide innovative insurance solutions that cater to the evolving demands of consumers.


4. Baylor Scott & White Health Plan


Baylor Scott & White Health Plan is a private health insurance provider based in Temple, Texas. Established in 1982, the company has grown to serve nearly 500,000 members across a wide service area that includes 171 counties in Texas. They offer a range of health plans, including Medicare Advantage, Marketplace plans, and Medicaid/CHIP options, catering to the needs of individuals, families, and businesses. The company is part of the Baylor Scott & White Health system, which allows for integrated care delivery, ensuring that members have access to high-quality healthcare services. Baylor Scott & White Health Plan emphasizes the use of digital tools, such as the MyBSWHealth app, to enhance member engagement and provide resources for health management. Their commitment to quality is reflected in their accreditation from the National Committee for Quality Assurance (NCQA), which signifies adherence to rigorous standards for consumer protection and quality improvement.


5. USHEALTH Group

  • Website: ushealthgroup.com
  • Ownership type: Corporate
  • Headquarters: Fort Worth, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: $50.0M, February 2015
  • Founded year: 1982
  • Headcount: 201-500
  • LinkedIn: ushealthgroup

USHEALTH Group, Inc. is a health insurance provider headquartered in Fort Worth, Texas. Established in 1982, the company specializes in offering a variety of health coverage solutions tailored to meet the needs of individuals, families, and businesses. Their product portfolio includes health, dental, and vision insurance, with a strong emphasis on flexibility and customization. USHEALTH Group serves a broad customer base, including self-employed individuals and business owners, ensuring that clients can find suitable coverage options. The company has successfully covered over 15 million members and operates through a network of more than 3,900 agents across 33 states. Their commitment to innovation in health coverage is evident in their various plans, such as PremierAdvantage, PremierChoice, and SecureAdvantage, which allow customers to tailor their health insurance to their specific needs. USHEALTH Group has also received recognition for its service quality, winning multiple awards over the years, which underscores its reputation in the industry.


6. AffordaCare Insurance

  • Website: affordacareinsurance.com
  • Ownership type: Private
  • Headquarters: Dallas, Texas, United States (USA)
  • Employee distribution: United States (USA) 86%, Canada 14%
  • Founded year: 2012
  • Headcount: 1001-5000
  • LinkedIn: affordacareinsurance

AffordaCare Insurance, based in Dallas, Texas, is a private insurance agency that specializes in health insurance solutions. Founded in 2012, the company provides a variety of insurance products, including medical, dental, and life insurance, along with employee benefits tailored for both businesses and individuals. AffordaCare aims to simplify the complexities of health coverage, offering cost-effective options that enhance the health and financial security of their clients. Their services include health savings accounts and telemedicine, which cater to the evolving needs of consumers. With a focus on comprehensive coverage and significant savings for employers, AffordaCare has positioned itself as a relevant player in the health insurance industry, serving thousands of families and businesses across the United States and Canada.


7. Humana Behavioral Health


Humana Behavioral Health, based in Irving, Texas, is a private health insurance provider that has been operational since 1989. The company specializes in a variety of health insurance plans, including Medicare, dental, and vision coverage. Humana serves individuals, businesses, and organizations, assisting them in managing healthcare costs and accessing essential medical services. Their approach includes wellness programs and preventive care resources, which are designed to support overall health and well-being. Humana's commitment to providing comprehensive health solutions is evident in their focus on member engagement and personalized care, particularly through their Medicare Advantage plans, which have received favorable ratings for quality and service. The company operates under the broader Humana Inc. umbrella, which includes various subsidiaries and affiliates that enhance its service offerings.


8. McCunis-Fox Corporation

  • Website: mccunisfox.com
  • Ownership type: Private
  • Headquarters: Kemah, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2007
  • Headcount: 51-200
  • LinkedIn: mccunis-fox-corporation

McCunis-Fox Corporation, based in Kemah, Texas, is a health insurance agency that has been assisting individuals, families, and employers since its establishment in 2007. The company specializes in a range of health insurance products, including Medicare Advantage plans, Medicare Supplements, prescription drug plans, and individual and family health insurance. McCunis-Fox acts as a broker, partnering with major insurance carriers such as Aetna, Blue Cross Blue Shield, and UnitedHealthcare, among others. This collaboration allows them to offer a variety of coverage options tailored to the specific needs of their clients. The agency prides itself on providing personalized service, conducting no-cost needs assessments, and helping clients navigate the often complex world of health insurance. With a dedicated team of licensed agents, McCunis-Fox aims to simplify the insurance selection process for its clients, ensuring they find suitable coverage that meets their healthcare needs.


9. FirstCare Health Plans

  • Website: firstcare.com
  • Ownership type: Corporate
  • Headquarters: Austin, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: January 2019
  • Founded year: 1985
  • Headcount: 501-1000
  • LinkedIn: firstcare

FirstCare Health Plans, based in Austin, Texas, is a health insurance provider that has been serving the community since 1985. The company specializes in Medicaid and CHIP plans, focusing on low-income families, children, and pregnant women. FirstCare is dedicated to ensuring that its members have access to affordable healthcare services. With a membership base of nearly 500,000 individuals across 171 counties in Texas, the company plays a crucial role in the state's healthcare landscape. FirstCare is owned by Baylor Scott & White Health Plan, which enhances its operational capabilities and resources. The company emphasizes member engagement and community involvement, offering various health plans that cater to the specific needs of Texans. FirstCare has also received accreditation from the National Committee for Quality Assurance (NCQA), reflecting its commitment to quality improvement and consumer protection.


10. American Online Benefits Group


American Online Benefits Group (AOBG), based in Addison, Texas, is a health insurance provider that has been operational since 2013. The company offers a variety of insurance products, including health, dental, life, and pet insurance, catering to individuals, families, and employer groups. AOBG emphasizes affordable healthcare solutions and strives to provide excellent customer service. Their dedicated call center is staffed with experienced insurance agents who assist customers in navigating their options and selecting the right plans. AOBG has built partnerships with top-rated companies to enhance their offerings and ensure that clients receive quality benefits. The company has not reported any funding, indicating a self-sustained operational model since its inception.


11. Sana

  • Website: sanabenefits.com
  • Ownership type: Venture Capital
  • Headquarters: Austin, Texas, United States (USA)
  • Employee distribution: United States (USA) 92%, India 4%, Ecuador 4%
  • Latest funding: Series B, $60.0M, June 2022
  • Founded year: 2017
  • Headcount: 51-200
  • LinkedIn: sana-benefits

Sana Benefits, founded in 2017 and based in Austin, Texas, is a health insurance provider that specializes in offering tailored health plans for small businesses. The company provides a range of coverage options, including medical, dental, and vision insurance. Sana aims to help small businesses attract and retain employees by providing affordable and comprehensive health benefits. Their services extend beyond traditional insurance offerings, incorporating virtual care and care navigation to ensure that employees have access to necessary healthcare solutions. With a workforce of approximately 456 employees, Sana has established a significant presence in the market, serving clients across multiple states in the U.S. The company has also secured substantial funding, with a recent Series B round raising $60 million in June 2022, reflecting strong investor interest in their innovative approach to health insurance.


12. Freedom Insurance


Freedom Insurance, based in Montgomery, Texas, is a private insurance agency that has been serving clients since 1994. The company specializes in a variety of health insurance products, including Medicare plans, individual and family health insurance, and small business health insurance. With a focus on assisting consumers and businesses, Freedom Insurance aims to simplify the complexities of health coverage, helping clients find suitable and affordable options. Their offerings include Medicare Supplement plans, short-term health insurance, dental and vision coverage, and catastrophic plans. The agency prides itself on being a one-stop shop for health insurance needs, providing tailored solutions to meet the unique requirements of its clients. Freedom Insurance has not reported any funding, indicating that it operates independently within the market.


13. Salazar Insurance Group, LLC


Salazar Insurance Group, LLC is a private insurance agency based in Harlingen, Texas, founded in 1994. The company specializes in providing a variety of insurance products, including health, dental, and life insurance, along with counseling services. They cater to a broad clientele, including families, school districts, municipalities, and businesses throughout Texas. Salazar Insurance Group is dedicated to helping clients navigate their insurance needs and benefits administration. Their mission emphasizes delivering competitive insurance options tailored to the community of the Rio Grande Valley. The agency is actively involved in local initiatives, sponsoring scholarship tournaments and partnering with educational institutions, which highlights their commitment to community support and engagement. With a small team of around 17 employees, they focus on personalized service and effective communication to ensure clients receive the best possible support in managing their insurance needs.


14. Copeland Insurance Group


Copeland Insurance Group, based in Longview, Texas, has been a fixture in the insurance industry since its founding in 1962. The company operates as an insurance agency, primarily focusing on health insurance products tailored for individuals, especially those eligible for Medicare. Their offerings include Medicare Advantage and Supplement plans, as well as Final Expense Insurance. Copeland Insurance Group prides itself on providing personalized guidance to help clients navigate their insurance options. They support a network of independent agents, equipping them with essential resources and marketing tools to enhance their service delivery. As part of Integrity Marketing Group, Copeland benefits from advanced technology solutions that empower their agents and streamline operations. This combination of experience, specialized products, and agent support positions Copeland Insurance Group as a significant player in the health insurance market.


15. American Workers Insurance Services


American Workers Insurance Services (AWIS) is a private insurance company based in Houston, Texas, founded in 2001. With a workforce of approximately 51 to 200 employees, AWIS specializes in offering a range of insurance plans designed for individuals and families. Their primary focus is on providing financial protection and support through various insurance products, catering to consumers who seek coverage for health and other personal needs. The company emphasizes customer service and aims to assist clients in navigating their insurance options. While there is no record of external funding, AWIS has maintained its operations for over two decades, indicating a level of resilience and commitment to the insurance industry.


16. Decent

  • Website: decent.com
  • Ownership type: Venture Capital
  • Headquarters: Austin, Texas, United States (USA)
  • Employee distribution: India 57%, United States (USA) 29%, Bangladesh 14%
  • Latest funding: Series A, $1.0M, December 2021
  • Founded year: 2018
  • Headcount: 11-50
  • LinkedIn: decenthealth

Decent, founded in 2018 and based in Austin, Texas, is a healthcare provider that offers health plans and home health care services. The company aims to enhance patient care delivery by integrating home health care with primary care. This integration allows for a more personalized approach to healthcare, catering to the needs of individuals, employers, and healthcare professionals. Decent's services are designed to provide comprehensive care, particularly for those who may benefit from receiving medical attention in the comfort of their own homes. The company has attracted venture capital funding, with a notable Series A round of $1 million completed in December 2021, reflecting investor confidence in its business model and growth potential.


17. Golden Plan Choice Agency

  • Website: goldenplanchoice.net
  • Ownership type: Private
  • Headquarters: El Paso, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2006
  • Headcount: 51-200
  • LinkedIn: goldenplanchoice

Golden Plan Choice Agency is an insurance agency located in El Paso, Texas, founded in 2006. The agency specializes in a range of insurance products, including health, life, and group insurance, catering to both individual consumers and businesses. With a workforce of approximately 51 to 200 employees, the agency emphasizes agent support and training, ensuring that its agents are well-equipped to meet the needs of their clients. Golden Plan Choice Agency operates primarily in the United States and has expanded its presence to multiple locations, including Dallas and Houston. The agency collaborates with various recognized carriers, offering plans such as Medicare Advantage, Affordable Care Act options, and group insurance. This focus on comprehensive training and personalized service helps the agency maintain a competitive edge in the insurance market.


18. Advantage Health

  • Website: advantagehealth.co
  • Ownership type: Private
  • Headquarters: Houston, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2022
  • Headcount: 11-50
  • LinkedIn: advantagehealth

Advantage Health is a private health insurance agency based in Houston, Texas, founded in 2022. The company specializes in offering affordable and comprehensive healthcare coverage, including health, dental, vision, and life insurance. With a team of approximately 39 employees, Advantage Health aims to simplify the insurance process for individuals and families, providing personalized support to help clients navigate their options. They have established partnerships with major insurance providers, such as United Healthcare and Ambetter, which enhances their service offerings. Since its inception, Advantage Health has successfully assisted over 20,000 families in finding suitable health coverage, showcasing their commitment to making healthcare accessible. Their focus on ACA-compliant plans indicates a dedication to adhering to regulatory standards while addressing the needs of their clients.


19. American Select Partners


American Select Partners, based in Dallas, Texas, is an insurance agency that specializes in health, life, and Medicare insurance solutions. Founded in 2018, the company aims to assist individuals and families in finding affordable coverage tailored to their specific needs. They offer personalized consultations with licensed agents, helping clients navigate various insurance options. American Select Partners has expanded its offerings to include Medicare insurance, both supplement and advantage plans, reflecting their commitment to addressing the needs of a broad customer base. Their agents are dedicated to providing a stress-free experience by comparing quotes from top-rated insurance carriers, ensuring clients receive the best possible coverage for their circumstances.



Health Insurance Insights: Key Companies in Texas


CompanyHeadquarterSizeFoundedOwnership
Superior HealthPlanAustin, Texas, United States (USA)1001-50001999Private
HealthSmartRichardson, Texas, United States (USA)501-10001983Private
US Health AdvisorsArlington, Texas, United States (USA)51-2002014Private
Baylor Scott & White Health PlanTemple, Texas, United States (USA)501-10001982Private
USHEALTH GroupFort Worth, Texas, United States (USA)201-5001982Corporate
AffordaCare InsuranceDallas, Texas, United States (USA)1001-50002012Private
Humana Behavioral HealthIrving, Texas, United States (USA)201-5001989Private
McCunis-Fox CorporationKemah, Texas, United States (USA)51-2002007Private
FirstCare Health PlansAustin, Texas, United States (USA)501-10001985Corporate
American Online Benefits GroupAddison, Texas, United States (USA)11-502013Corporate
SanaAustin, Texas, United States (USA)51-2002017Venture Capital
Freedom InsuranceMontgomery, Texas, United States (USA)1-101994Private
Salazar Insurance Group, LLCHarlingen, Texas, United States (USA)1-101994Private
Copeland Insurance GroupLongview, Texas, United States (USA)51-2001962Private
American Workers Insurance ServicesHouston, Texas, United States (USA)51-2002001Private
DecentAustin, Texas, United States (USA)11-502018Venture Capital
Golden Plan Choice AgencyEl Paso, Texas, United States (USA)51-2002006Private
Advantage HealthHouston, Texas, United States (USA)11-502022Private
American Select PartnersDallas, Texas, United States (USA)51-2002018Private


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