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Texas Department of Insurance
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Cooperatives and Coalitions

Cooperatives are groups of large or small employers or in some cases, a combination of both, that join together to obtain health coverage for the cooperative as a single entity. The larger the cooperative, the more clout it has to negotiate favorable prices and coverage.

Texas law allows two or more employers to form a non-profit private cooperative for the purchase of small or large employer health benefit plans. One type of cooperative, the Health Group Cooperative, can be formed by any person, but it must have ten or more participating employers to be eligible to exercise its rights under law.

List of Registered Cooperatives:

Go to TDI’s reports page. Under the “Company licensing” pull-down, select the “Purchasing cooperatives” report option. This report lists cooperatives that have provided the commissioner written notification of their receipt of a certificate of incorporation or certificate of authority from the secretary of state. Type of cooperatives may include:

  • HGR = Health Group Cooperatives (originally authorized by SB 10 from the 78th Legislative Session)
  • PPC = Purchasing Cooperatives (originally authorized by HB 2055 from the 73rd Legislative Session)
  • SEHC = Small Employer Health Coalitions (originally authorized by HB 897 from the 78th Legislative Session)

Note: Listed cooperatives may not be active.

Additional information:

Types of Cooperatives

Forming a Cooperative

Joining a Cooperative

Cooperative Features Comparison

For more information, contact:

Last updated: 3/24/2023