Ophthalmology and retina practices in Massachusetts
PlanOptica tracks 2 health and welfare plans sponsored by 2 ophthalmology and retina practices in Massachusetts, covering 796 participants and $4.0M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 398 participants, and the most common size is 100 to 249 participants (50% of plans). Fully insured coverage is the norm (100% of plans); only 0% are self-funded or mixed.
Blue Cross Blue Shield of Massachusetts, Inc leads by premium with a 43% share, followed by Swiss Re Corporate Solutions America Ins. Corp at 36%. Blue Benefit Adminsitrators of Mass is the broker of record on 1 plan, more than any other firm, ahead of Pinnacle HR Solutions (1). 100% of plans report broker compensation on Schedule A; the median brokered plan pays $413K a year, about 20.5% of premium. Waltham and Lexington have the most plans.
Funding mix
- Fully insured2 · 100%
Plan size (participants)
- Under 1000 · 0%
- 100 to 2491 · 50%
- 250 to 4990 · 0%
- 500 to 9991 · 50%
- 1,000 or more0 · 0%
Median plan: 398 participants. Median broker comp: 20.5% of premium across 2 brokered plans.
Top carriers, ophthalmology, Massachusetts
- 1Blue Cross Blue Shield of Massachusetts, Inc$1.7M1 plans · 43.2%
- 2Swiss Re Corporate Solutions America Ins. Corp$1.4M1 plans · 35.6%
- 3Hartford Life and Accident$496K1 plans · 12.4%
- 4Unum Life Insurance Company of America$350K2 plans · 8.8%
- 5Delta Dental of Massachusetts$01 plans · 0.0%
- 6Rxbenefits, Inc$01 plans · 0.0%
Top brokers, ophthalmology, Massachusetts
- 1Blue Benefit Adminsitrators of Mass1 plans$331K comp · 50.0%
- 2Pinnacle HR Solutions1 plans$232K comp · 50.0%
- 3PFG Benefits Inc1 plans$134K comp · 50.0%
- 4Unknown1 plans$43K comp · 50.0%
- 5Indigo Insurance Services LLC1 plans$32K comp · 50.0%
- 6Usi Insurance Services LLC1 plans$19K comp · 50.0%
- 7Neesenroll1 plans$14K comp · 50.0%
- 8Timothy Doherty1 plans$12K comp · 50.0%
- 9Hub Intl Midwest Limited1 plans$4K comp · 50.0%
- 10M Financial Holdings Inc1 plans$2K comp · 50.0%
Largest ophthalmology and retina practices in Massachusetts
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Ophthalmic Consultants of Boston, Inc Ophthalmic Consultants of Boston, Inc. Health, Welfare,& Benefits PlanAll plans | Waltham | Fully insured | 647 | $2.0M | Westport Insurance Corporation |
| Lexington Eye Associates, Inc Lexington Eye Associates, Inc. Health and Welfare PlanAll plans | Lexington | Fully insured | 149 | $2.0M | Blue Cross of California |
Plans by city in Massachusetts
Frequently asked questions
How many ophthalmology and retina practices in Massachusetts offer an ERISA health plan?
2 health and welfare plans from 2 ophthalmology and retina practices in Massachusetts appear in plan year 2024 to 2025 filings on Form 5500, covering 796 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 Massachusetts?
By Schedule A premium: Blue Cross Blue Shield of Massachusetts, Inc (43% of premium, 1 plan), Swiss Re Corporate Solutions America Ins. Corp (36% of premium, 1 plan) and Hartford Life and Accident (12% of premium, 1 plan).
Which benefits brokers work with ophthalmology and retina practices in Massachusetts?
By number of client plans: Blue Benefit Adminsitrators of Mass (1 plan), Pinnacle HR Solutions (1 plan) and PFG Benefits Inc (1 plan). 100% of plans report a broker.
How much do brokers earn on ophthalmology and retina practices health plans in Massachusetts?
The median brokered plan reports $413K a year in broker commissions and fees, or 20.5% of premium. Figures come from Schedule A, Part I.
Are ophthalmology and retina practices health plans in Massachusetts self-funded or fully insured?
Fully insured 100%. Self-funded and mixed plans together make up 0%.
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 Massachusetts
Open the welfare search with Massachusetts 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 Massachusetts
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 Massachusetts.