Ophthalmology and retina practices in Texas
PlanOptica tracks 17 health and welfare plans sponsored by 14 ophthalmology and retina practices in Texas, covering 5,433 participants and $36M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 221 participants, and the most common size is under 100 participants (35% of plans). Fully insured coverage is the norm (65% of plans); only 29% are self-funded or mixed.
Bluecross Blueshield of Texas dominates premium with a 74% share, followed by United Healthcare Insurance Company at 7%. Marsh & McLennan Agency LLC is the broker of record on 4 plans, more than any other firm, ahead of Brown & Noyes, LLC (3). 82% of plans report broker compensation on Schedule A; the median brokered plan pays $67K a year, about 6.9% of premium. Bellaire, Dallas and Kingwood have the most plans.
Funding mix
- Fully insured11 · 65%
- Mixed3 · 18%
- Self-funded2 · 12%
- MEWA1 · 6%
Plan size (participants)
- Under 1006 · 35%
- 100 to 2493 · 18%
- 250 to 4995 · 29%
- 500 to 9992 · 12%
- 1,000 or more1 · 6%
Median plan: 221 participants. Median broker comp: 6.9% of premium across 14 brokered plans.
Top carriers, ophthalmology, Texas
- 1Bluecross Blueshield of Texas$27M7 plans · 74.1%
- 2United Healthcare Insurance Company$2.6M1 plans · 7.2%
- 3Unitedhealthcare Insurance Company$1.4M2 plans · 3.8%
- 4Dearborn Life Insurance Company$1.2M5 plans · 3.2%
- 5Sun Life Assurance Company of Canada$1.1M1 plans · 3.1%
- 6Trustmark Insurance Company$946K1 plans · 2.6%
- 7United of Omaha Life Insurance Company$501K3 plans · 1.4%
- 8Metropolitan Life Insurance Company$441K2 plans · 1.2%
- 9Unum Life Insurance Company of America$285K3 plans · 0.8%
- 10The Lincoln National Life Insurance Company$255K1 plans · 0.7%
Top brokers, ophthalmology, Texas
- 1Marsh & McLennan Agency LLC4 plans$396K comp · 28.6%
- 2Brown & Noyes, LLC3 plans$223K comp · 21.4%
- 3Lockton Companies, LLC3 plans$80K comp · 21.4%
- 4Usi Insurance Services LLC2 plans$770K comp · 14.3%
- 5Gallagher Benefit Services, Inc2 plans$8K comp · 14.3%
- 6Selerix Insurance Services, LLC1 plans$116K comp · 7.1%
- 7Higginbotham Insurance Agency1 plans$59K comp · 7.1%
- 8Jennon M. Caruth1 plans$57K comp · 7.1%
- 9Edward Anthony Mendive1 plans$47K comp · 7.1%
- 10TBX Employee Benefits, LLC1 plans$37K comp · 7.1%
Largest ophthalmology and retina practices in Texas
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Retina Group, Inc. Dba Retina Consultants of America Retina Consultants of America Group Health PlanAll plans | Southlake | MEWA | 2,009 | $19M | Blue Cross of California |
| Retina Houston Mso LLC Retina Houston Mso LLC Health and Welfare PlanAll plans | Bellaire | Fully insured | 715 | $7.0M | Blue Cross of California |
| Berkeley Eye Institute, PA Berkeley Eye Institute, PA Comprehensive Welfare Benefit PlanAll plans | Kingwood | Mixed | 604 | $969K | Dearborn Life Insurance Company |
| Eye Centers of Southeast Texas, LLP Eye Centers of Southeast Texas, LLP Benefit PlanAll plans | Beaumont | Fully insured | 420 | $87K | Metropolitan Life Insurance Company |
| JW Eye Associates, PA Dba Key Whitman Eye Center JW Eye Associates, PA Health & Welfare Benefit PlanAll plans | Dallas | Fully insured | 292 | $1.2M | Blue Cross of California |
| San Antonio Eye Center, PA Group Term Life & Disability Policy for San AntoniAll plans | San Antonio | Fully insured | 291 | $1.2M | Unitedhealthcare Insurance Company |
| Mann Eye Center PA Mann Eye Center PA Health and Welfare PlanAll plans | Kingwood | Mixed | 283 | $452K | United of Omaha Life Insurance Company |
| Texas Retina Associates Texas Retina Associates Employee Benefits PlanAll plans | Dallas | Fully insured | 251 | $2.9M | United Healthcare Insurance Company |
| Valley Retina Institute PA Valley Retina Institute PA Wrap PlanAll plans | Edinburg | Fully insured | 221 | $700K | Blue Cross of California |
| Ophthalmology Specialists of Texas, PLLC Ophthalmology Specialists of Texas, PLLC Health and Welfare Benefit PlanAll plans | Abilene | Fully insured | 150 | $1.2M | Blue Cross of California |
| Ophthalmic Partners, PA Ophthalmic Partners, PA Guardian PlanAll plans | Fort Worth | Fully insured | 114 | $98K | The Guardian Life Insurance Company of America |
| Brooks Eye Associates, LLC Brooks Eye Associates, LLC Employee Benefit PlanAll plans | Plano | Self-funded | 65 | $387K | Unitedhealthcare Insurance Company |
| Pediatric Ophthalmology, PA Pediatric Ophthalmology, PA Profit Sharing PlanAll plans | Dallas | Self-funded | 18 | - | - |
| Thurmond Eye Associates, P.A Thurmond Eye Associates, P.A. Employee Benefits PlanAll plans | Welasco | Fully insured | 0 | $428K | Blue Cross of California |
Showing 14 of 14 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Texas
- Bellaire4 plans · 715 participants
- Dallas3 plans · 561 participants
- Kingwood2 plans · 887 participants
- Southlake1 plans · 2,009 participants
- Beaumont1 plans · 420 participants
- San Antonio1 plans · 291 participants
- Edinburg1 plans · 221 participants
- Abilene1 plans · 150 participants
- Fort Worth1 plans · 114 participants
- Plano1 plans · 65 participants
- Welasco1 plans · 0 participants
Frequently asked questions
How many ophthalmology and retina practices in Texas offer an ERISA health plan?
17 health and welfare plans from 14 ophthalmology and retina practices in Texas appear in plan year 2024 to 2025 filings on Form 5500, covering 5,433 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 Texas?
By Schedule A premium: Bluecross Blueshield of Texas (74% of premium, 7 plans), United Healthcare Insurance Company (7% of premium, 1 plan) and Unitedhealthcare Insurance Company (4% of premium, 2 plans).
Which benefits brokers work with ophthalmology and retina practices in Texas?
By number of client plans: Marsh & McLennan Agency LLC (4 plans), Brown & Noyes, LLC (3 plans) and Lockton Companies, LLC (3 plans). 82% of plans report a broker.
How much do brokers earn on ophthalmology and retina practices health plans in Texas?
The median brokered plan reports $67K a year in broker commissions and fees, or 6.9% of premium. Figures come from Schedule A, Part I.
Are ophthalmology and retina practices health plans in Texas self-funded or fully insured?
Fully insured 65%, mixed 18% and self-funded 12%. Self-funded and mixed plans together make up 29%.
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 Texas
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Ophthalmology in nearby states
Other healthcare specialties in Texas
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 Texas.