Ophthalmology and retina practices in North Carolina
PlanOptica tracks 6 health and welfare plans sponsored by 6 ophthalmology and retina practices in North Carolina, covering 833 participants and $3.1M in reported insurance premiums (plan year 2025 filings). The median plan has 134 participants, and the most common size is 100 to 249 participants (50% of plans). The funding mix is split: 33% of plans are self-funded or mixed and the rest are mainly fully insured.
Blue Cross Blue Shield of North Carolina leads by premium with a 37% share, followed by Sunlife Assurance Company of Canada at 20%. Sra Benefits Consulting LLC is the broker of record on 2 plans, more than any other firm, ahead of Digital Insurance Inc (2). 83% of plans report broker compensation on Schedule A; the median brokered plan pays $22K a year, about 6.3% of premium. Raleigh, Southern Pines and Hickory have the most plans.
Funding mix
- Fully insured4 · 67%
- Self-funded1 · 17%
- Mixed1 · 17%
Plan size (participants)
- Under 1002 · 33%
- 100 to 2493 · 50%
- 250 to 4991 · 17%
- 500 to 9990 · 0%
- 1,000 or more0 · 0%
Median plan: 134 participants. Median broker comp: 6.3% of premium across 5 brokered plans.
Top carriers, ophthalmology, North Carolina
- 1Blue Cross Blue Shield of North Carolina$1.1M1 plans · 36.6%
- 2Sunlife Assurance Company of Canada$636K1 plans · 20.4%
- 3Delta Dental of North Carolina$365K3 plans · 11.7%
- 4HM Life Insurance Company$287K1 plans · 9.2%
- 5United of Omaha Life Insurance Company$258K1 plans · 8.3%
- 6Standard Insurance Company$192K1 plans · 6.2%
- 7Guardian$126K1 plans · 4.0%
- 8The Lincoln National Life Insurance Company$66K1 plans · 2.1%
- 9HCC Life Insurance Company$27K1 plans · 0.9%
- 10Vision Service Plan$16K1 plans · 0.5%
Top brokers, ophthalmology, North Carolina
- 1Sra Benefits Consulting LLC2 plans$15K comp · 40.0%
- 2Digital Insurance Inc2 plans$14K comp · 40.0%
- 3James a Scott and Son Inc1 plans$87K comp · 20.0%
- 4Robert McLean1 plans$41K comp · 20.0%
- 5Gallagher Benefit Services Inc1 plans$19K comp · 20.0%
- 6Watchtower Technologies Inc1 plans$9K comp · 20.0%
- 7C2 Centric LLC1 plans$6K comp · 20.0%
- 8Watchtower Benefits, LLC1 plans$6K comp · 20.0%
- 9Joy Heilman1 plans$5K comp · 20.0%
- 10Healthgram1 plans$4K comp · 20.0%
Largest ophthalmology and retina practices in North Carolina
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Carolina Eye Associates, P.A Carolina Eye Associates, P.A. Welfare Benefit PlanAll plans | Southern Pines | Fully insured | 250 | $305K | Delta Dental of California |
| Graystone Ophthalmology Associates Graystone Ophthalmology Associates Health PlanAll plans | Hickory | Fully insured | 217 | $1.0M | Sun Life Assurance Company of Canada |
| Retina Associates, PC Retina Associates Health and Welfare Benefit PlanAll plans | Raleigh | Fully insured | 149 | $1.3M | Blue Cross of California |
| Asheville Eye Associates, PLLC Asheville Eye Associates, PLLC Welfare Benefits PlanAll plans | Asheville | Fully insured | 119 | $218K | Delta Dental of California |
| Morganton Eye Physicians, P.A Morganton Eye Physicians,pa Employee Benefit PlanAll plans | Morganton | Mixed | 92 | $292K | HM Life Insurance Company |
| Retina Institute of North Carolina, PC Retina Institute of North Carolina, PC Cash Balance PlanAll plans | Raleigh | Self-funded | 6 | - | - |
Plans by city in North Carolina
Frequently asked questions
How many ophthalmology and retina practices in North Carolina offer an ERISA health plan?
6 health and welfare plans from 6 ophthalmology and retina practices in North Carolina appear in plan year 2025 filings on Form 5500, covering 833 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 North Carolina?
By Schedule A premium: Blue Cross Blue Shield of North Carolina (37% of premium, 1 plan), Sunlife Assurance Company of Canada (20% of premium, 1 plan) and Delta Dental of North Carolina (12% of premium, 3 plans).
Which benefits brokers work with ophthalmology and retina practices in North Carolina?
By number of client plans: Sra Benefits Consulting LLC (2 plans), Digital Insurance Inc (2 plans) and James a Scott and Son Inc (1 plan). 83% of plans report a broker.
How much do brokers earn on ophthalmology and retina practices health plans in North Carolina?
The median brokered plan reports $22K 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 North Carolina self-funded or fully insured?
Fully insured 67%, self-funded 17% and mixed 17%. Self-funded and mixed plans together make up 33%.
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 North Carolina
Open the welfare search with North Carolina 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 North Carolina
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 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 North Carolina.