Ophthalmology and retina practices in New Jersey
PlanOptica tracks 5 health and welfare plans sponsored by 4 ophthalmology and retina practices in New Jersey, covering 1,192 participants and $5.4M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 229 participants, and the most common size is 100 to 249 participants (40% of plans). Fully insured coverage is the norm (80% of plans); only 20% are self-funded or mixed.
Cigna Health and Life Insurance Company leads by premium with a 43% share, followed by Horizon Healthcare Services, Inc at 36%. Lockton Companies, LLC is the broker of record on 3 plans, more than any other firm, ahead of Hub International Northeast Limited (2). 80% of plans report broker compensation on Schedule A; the median brokered plan pays $84K a year, about 6.3% of premium. Toms River, Bloomfield and Iselin have the most plans.
Funding mix
- Fully insured4 · 80%
- Self-funded1 · 20%
Plan size (participants)
- Under 1001 · 20%
- 100 to 2492 · 40%
- 250 to 4991 · 20%
- 500 to 9991 · 20%
- 1,000 or more0 · 0%
Median plan: 229 participants. Median broker comp: 6.3% of premium across 4 brokered plans.
Top carriers, ophthalmology, New Jersey
- 1Cigna Health and Life Insurance Company$2.3M1 plans · 43.1%
- 2Horizon Healthcare Services, Inc$1.9M1 plans · 35.7%
- 3Great Midwest Insurance Company$488K1 plans · 9.1%
- 4Metropolitan Life Insurance Company$360K2 plans · 6.7%
- 5Life Insurance Company of North America$234K1 plans · 4.4%
- 6Equitable Financial Life Insurance Company of America$39K1 plans · 0.7%
- 7Heartland$18K1 plans · 0.3%
Top brokers, ophthalmology, New Jersey
- 1Lockton Companies, LLC3 plans$172K comp · 75.0%
- 2Hub International Northeast Limited2 plans$12K comp · 50.0%
- 3Allied Benefit Systems, LLC1 plans$102K comp · 25.0%
- 4Christopher R Sampers1 plans$87K comp · 25.0%
- 5Boon Chapman Benefit Administrators1 plans$9K comp · 25.0%
- 6Sfi Advisors, LLC1 plans$5K comp · 25.0%
- 7Aetna Life Insurance Company1 plans$4K comp · 25.0%
- 8Gis Benefits Inc1 plans$2K comp · 25.0%
Largest ophthalmology and retina practices in New Jersey
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Eye Centers of America LLC Eye Centers of America - Health and Welfare PlanAll plans | Bloomfield | Fully insured | 548 | $682K | Great Midwest Insurance Company |
| Shore Eye Associates Shore Eye Associates Dental Life Add STD LtdAll plans | Toms River | Fully insured | 280 | $206K | Metropolitan Life Insurance Company |
| Omni Ophthalmic Management Consultants, LLC Omni Ophthalmic Management Consultants, LLC Benefits PlanAll plans | Iselin | Fully insured | 229 | $2.6M | Cigna Health and Life Insurance Company |
| Ophthalmology Associates of Queens PC Ophthalmology Associates of Queens PC 401(k) Profit Sharing PlanAll plans | Teaneck | Self-funded | 14 | - | - |
Showing 4 of 4 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in New Jersey
Frequently asked questions
How many ophthalmology and retina practices in New Jersey offer an ERISA health plan?
5 health and welfare plans from 4 ophthalmology and retina practices in New Jersey appear in plan year 2024 to 2025 filings on Form 5500, covering 1,192 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 New Jersey?
By Schedule A premium: Cigna Health and Life Insurance Company (43% of premium, 1 plan), Horizon Healthcare Services, Inc (36% of premium, 1 plan) and Great Midwest Insurance Company (9% of premium, 1 plan).
Which benefits brokers work with ophthalmology and retina practices in New Jersey?
By number of client plans: Lockton Companies, LLC (3 plans), Hub International Northeast Limited (2 plans) and Allied Benefit Systems, LLC (1 plan). 80% of plans report a broker.
How much do brokers earn on ophthalmology and retina practices health plans in New Jersey?
The median brokered plan reports $84K a year in broker commissions and fees, or 6.3% of premium. Figures come from Schedule A, Part I.
Are ophthalmology and retina practices health plans in New Jersey self-funded or fully insured?
Fully insured 80% and self-funded 20%. Self-funded and mixed plans together make up 20%.
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 New Jersey
Open the welfare search with New Jersey 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 New Jersey
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 New Jersey.