# RETINA CONSULTANTS OF AMERICA GROUP HEALTH PLAN

Health and welfare plan sponsored by **RETINA GROUP, INC. DBA RETINA CONSULTANTS OF AMERICA**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | RETINA GROUP, INC. DBA RETINA CONSULTANTS OF AMERICA |
| EIN | 843983059 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SOUTHLAKE, TX |
| Industry | Health Care and Social Assistance |
| Funding | mewa |
| Total premiums | $19.4M |
| Participants | 2,009 |
| Persons covered | 2,190 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Rx, Dental, PPO |
| SUN LIFE FINANCIAL | Life, STD, LTD, Other |
| TRUSTMARK INSURANCE COMPANY | Life, Other |
| DELTA DENTAL OF WASHINGTON | Dental |
| DEARBORN LIFE INSURANCE COMPANY | Vision |
| NEW BENEFITS | Other |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | BLUECROSS BLUESHIELD OF TEXAS |
| USI INSURANCE SERVICES LLC | SUN LIFE ASSURANCE COMPANY OF CANADA |
| USI INSURANCE SERVICES LLC | TRUSTMARK INSURANCE COMPANY |
| SELERIX INSURANCE SERVICES, LLC | TRUSTMARK INSURANCE COMPANY |
| TBX EMPLOYEE BENEFITS LLC | TRUSTMARK INSURANCE COMPANY |
| JOE FERNANDEZ | TRUSTMARK INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | DELTA DENTAL OF WASHINGTON |
| THE PARTNERS GROUP | DELTA DENTAL OF WASHINGTON |
| USI INSURANCE SERVICES LLC | DEARBORN LIFE INSURANCE COMPANY |
| BETHANY LOVING | DEARBORN LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | NEW BENEFITS |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/843983059-501
- Cite as: PlanOptica, https://planoptica.com/welfare/843983059-501
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