Ophthalmology and retina practices in California
PlanOptica tracks 4 health and welfare plans sponsored by 4 ophthalmology and retina practices in California, covering 301 participants and $3.6M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 62 participants, and the most common size is under 100 participants (75% of plans). The funding mix is split: 50% of plans are self-funded or mixed and the rest are mainly fully insured.
Aetna Health, Inc leads by premium with a 46% share, followed by Kaiser Permanente at 17%. Acrisure PTRS. West Coast Ins. SVS is the broker of record on 1 plan, more than any other firm, ahead of Lockton Companies, LLC (1). 50% of plans report broker compensation on Schedule A; the median brokered plan pays $136K a year, about 7.4% of premium. Sacramento, Pasadena and Van Nuys have the most plans.
Funding mix
- Fully insured2 · 50%
- Self-funded2 · 50%
Plan size (participants)
- Under 1003 · 75%
- 100 to 2491 · 25%
- 250 to 4990 · 0%
- 500 to 9990 · 0%
- 1,000 or more0 · 0%
Median plan: 62 participants. Median broker comp: 7.4% of premium across 2 brokered plans.
Top carriers, ophthalmology, California
- 1Aetna Health, Inc$1.7M2 plans · 45.9%
- 2Kaiser Permanente$623K1 plans · 17.2%
- 3Anthem Blue Cross$458K1 plans · 12.7%
- 4Sutter Health Plan$382K1 plans · 10.6%
- 5Western Health Advantage$257K1 plans · 7.1%
- 6The Guardian Life Insurance Company of America$176K1 plans · 4.9%
- 7Prudential Insurance Company of America$32K1 plans · 0.9%
- 8Vision Service Plan$14K1 plans · 0.4%
- 9Health and Human Resource Center, Inc$7K2 plans · 0.2%
- 10Berkley Life and Health Insurance Company$2K1 plans · 0.1%
Top brokers, ophthalmology, California
Largest ophthalmology and retina practices in California
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Retina Sacramento Mso, LLC Retina Sacramento Mso, LLC Benefit PlanAll plans | Sacramento | Fully insured | 177 | $1.9M | Kaiser Foundation Health Plan Inc |
| Doheny Eye Institute Doheny Eye Institute Health and Welfare PlanAll plans | Pasadena | Fully insured | 98 | $1.7M | Aetna Life Insurance Company |
| George M. Rajacich, M.D., Inc. Dba Valley Eye Center George M. Rajacich, M.D., Inc. Dba Valley Eye Center Profit Sharing 401(k) PlanAll plans | Van Nuys | Self-funded | 26 | - | - |
| American Eye Institute a Medical Corp CalsaversAll plans | Los Angeles | Self-funded | 0 | - | - |
Plans by city in California
Frequently asked questions
How many ophthalmology and retina practices in California offer an ERISA health plan?
4 health and welfare plans from 4 ophthalmology and retina practices in California appear in plan year 2024 to 2025 filings on Form 5500, covering 301 participants. Plans with fewer than 100 participants that are fully insured do not have to file, so small practices are under-counted.
Which insurance carriers cover the most ophthalmology and retina practices in California?
By Schedule A premium: Aetna Health, Inc (46% of premium, 2 plans), Kaiser Permanente (17% of premium, 1 plan) and Anthem Blue Cross (13% of premium, 1 plan).
Which benefits brokers work with ophthalmology and retina practices in California?
By number of client plans: Acrisure PTRS. West Coast Ins. SVS (1 plan), Lockton Companies, LLC (1 plan) and Word & Brown (1 plan). 50% of plans report a broker.
How much do brokers earn on ophthalmology and retina practices health plans in California?
The median brokered plan reports $136K a year in broker commissions and fees, or 7.4% of premium. Figures come from Schedule A, Part I.
Are ophthalmology and retina practices health plans in California self-funded or fully insured?
Fully insured 50% and self-funded 50%. Self-funded and mixed plans together make up 50%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Ophthalmologists file as physicians (NAICS 621111), so this page matches healthcare employers by name: ophthalmology, retina, eye institute, eye center, eye associates, eye physicians, eye specialists and eye surgeons.
Prospect ophthalmology and retina practices in California
Open the welfare search with California and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.
Ophthalmology in nearby states
Other healthcare specialties in California
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Ophthalmologists file as physicians (NAICS 621111), so this page matches healthcare employers by name: ophthalmology, retina, eye institute, eye center, eye associates, eye physicians, eye specialists and eye surgeons. Location is the sponsor's filing address in California.