Optometry practices by state
PlanOptica tracks 211 health and welfare plans sponsored by 196 optometry practices in the United States, covering 38,925 participants and $148M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 10 participants, and the most common size is under 100 participants (64% of plans). Most of these plans are self-funded or mixed (73%), so stop-loss and TPA relationships matter as much as the medical carrier.
Bluecross Blueshield of Texas leads by premium with a 37% share, followed by Unitedhealthcare Insurance Company at 12%. Marsh & McLennan Agency LLC is the broker of record on 12 plans, more than any other firm, ahead of Lockton Companies, LLC (11). 40% of plans report broker compensation on Schedule A; the median brokered plan pays $62K a year, about 6.4% of premium. OH, MO and GA have the most plans of any state.
Funding mix
- Self-funded124 · 59%
- Fully insured51 · 24%
- Mixed30 · 14%
- MEWA6 · 3%
Plan size (participants)
- Under 100136 · 64%
- 100 to 24945 · 21%
- 250 to 49911 · 5%
- 500 to 99912 · 6%
- 1,000 or more7 · 3%
Median plan: 10 participants. Median broker comp: 6.4% of premium across 85 brokered plans.
Top carriers, optometry, the U.S.
- 1Bluecross Blueshield of Texas$55M23 plans · 37.3%
- 2Unitedhealthcare Insurance Company$18M10 plans · 11.9%
- 3Group Hospitalization Medical Services, Inc$16M1 plans · 10.7%
- 4Cigna Health and Life Insurance Company$12M12 plans · 8.0%
- 5Metropolitan Life Insurance Company$7.7M13 plans · 5.2%
- 6Aetna Life Insurance Co$5.1M4 plans · 3.4%
- 7The Guardian Life Insurance Company of America$3.4M8 plans · 2.3%
- 8United of Omaha Life Insurance Company$3.2M17 plans · 2.2%
- 9Blue Care Network of Michigan$3.0M2 plans · 2.0%
- 10Anthem Insurance Companies, Inc$2.8M4 plans · 1.9%
Top brokers, optometry, the U.S.
- 1Marsh & McLennan Agency LLC12 plans$1.7M comp · 14.1%
- 2Lockton Companies, LLC11 plans$789K comp · 12.9%
- 3Usi Insurance Services LLC7 plans$546K comp · 8.2%
- 4Hub International Midwest Limited6 plans$413K comp · 7.1%
- 5Assuredpartners of Nevada, LLC6 plans$167K comp · 7.1%
- 6Brown & Noyes, LLC5 plans$266K comp · 5.9%
- 7Digital Insurance LLC5 plans$167K comp · 5.9%
- 8Gallagher Benefit Services, Inc4 plans$56K comp · 4.7%
- 9Benefit Commerce Grp an Alera Grp3 plans$224K comp · 3.5%
- 10Rogers Benefit Group, Inc3 plans$11K comp · 3.5%
Largest optometry practices nationally
| Employer / plan | Location | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Acuity Eyecare Holdings, LLC Acuity Eyecare Holdings, LLC Health & Welfare PlanAll plans | Dallas, TX | Mixed | 4,587 | $2.4M | Prudential Insurance Company of America |
| Capital Vision Services LLC Myeyedr LLC Welfare Benefit PlanAll plans | Vienna, VA | Fully insured | 3,944 | $20M | Group Hospitalization Medical Services, Inc |
| Eyesouth Eyecare Services, LLC Eyesouth Eyecare Services, LLC Health and Welfare PlanAll plans | Atlanta, GA | Mixed | 3,254 | $3.5M | The Guardian Life Insurance Company of America |
| Imperial Optic Midco Imperial Optic Midco Health and Welfare PlanAll plans | Bloomington, IL | Mixed | 2,618 | $2.5M | Metropolitan Life Insurance Company |
| Eyecare Services Partners Management, LLC Eyecare Services Partners Management, LLC Welfare Benefits PlanAll plans | Dallas, TX | MEWA | 1,491 | $1.2M | Cigna Health and Life Insurance Company |
| Laser Eye Care of CA, LLC Laser Eye Care of CA, LLC Employee Benefits PlanAll plans | Aliso Viejo, CA | Fully insured | 1,363 | $8.2M | Blue Cross of California |
| Midwest Vision Partners Management, LLC Midwest Vision Partners, LLC Welfare Benefits PlanAll plans | Chicago, IL | Fully insured | 1,291 | $9.4M | Blue Cross of California |
| CFS Management, LLC CFS Management, LLC Employee Welfare Benefits PlanAll plans | Bradenton, FL | MEWA | 932 | $9.5M | Unitedhealthcare Insurance Company |
| Midwest Eye Services, LLC Midwest Eye Services, LLC Welfare Benefit PlanAll plans | Wabash, IN | Mixed | 839 | $316K | Anthem Life Insurance Company |
| Uvp Management, LLC Uvp Management, LLC Employee Welfare Benefit PlanAll plans | Irving, TX | Mixed | 746 | $1.4M | Blue Cross of California |
| Retina Houston Mso LLC Retina Houston Mso LLC Health and Welfare PlanAll plans | Bellaire, TX | Fully insured | 715 | $7.0M | Blue Cross of California |
| Vision Integrated Partners LLC Vision Integrated Partners Wrap DocAll plans | Lake Worth, FL | Fully insured | 691 | $4.2M | Blue Cross of California |
| California Clinic Management, LLC Acuity Eye Group California Clinic Management, LLC Health & Welfare PlanAll plans | Pasadena, CA | Mixed | 654 | $360K | Metropolitan Life Insurance Company |
| Eye Associates of New Mexico, Ltd Eye Associates of New Mexico, Ltd Health and Benefits PlanAll plans | Albuquerque, NM | Mixed | 634 | $942K | Hartford Life and Accident |
| Berkeley Eye Institute, PA Berkeley Eye Institute, PA Comprehensive Welfare Benefit PlanAll plans | Kingwood, TX | Mixed | 604 | $969K | Dearborn Life Insurance Company |
Showing 15 of 196 employers. Filter the full list by size, funding, carrier and broker.
Plans by state
- Ohio51 plans
- Missouri23 plans
- Georgia20 plans
- Kentucky17 plans
- Texas16 plans
- Indiana9 plans
- Florida7 plans
- Arizona5 plans
- Idaho5 plans
- Pennsylvania5 plans
- Tennessee5 plans
- California4 plans
- Colorado4 plans
- Illinois4 plans
- Michigan4 plans
- Nevada3 plans
- Virginia3 plans
- Delaware2 plans
- Maine2 plans
- Minnesota2 plans
- Nebraska2 plans
- New Jersey2 plans
- North Carolina2 plans
- Oregon2 plans
- South Carolina2 plans
- Washington2 plans
- Connecticut1 plans
- Kansas1 plans
- Massachusetts1 plans
- New Hampshire1 plans
- New Mexico1 plans
- New York1 plans
- South Dakota1 plans
- West Virginia1 plans
Frequently asked questions
How many optometry practices offer an ERISA health plan?
211 health and welfare plans from 196 optometry practices appear in plan year 2024 to 2025 filings on Form 5500, covering 38,925 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 optometry practices?
By Schedule A premium: Bluecross Blueshield of Texas (37% of premium, 23 plans), Unitedhealthcare Insurance Company (12% of premium, 10 plans) and Group Hospitalization Medical Services, Inc (11% of premium, 1 plan).
Which benefits brokers work with optometry practices?
By number of client plans: Marsh & McLennan Agency LLC (12 plans), Lockton Companies, LLC (11 plans) and Usi Insurance Services LLC (7 plans). 40% of plans report a broker.
How much do brokers earn on optometry practices health plans?
The median brokered plan reports $62K a year in broker commissions and fees, or 6.4% of premium. Figures come from Schedule A, Part I.
Are optometry practices health plans self-funded or fully insured?
Self-funded 59%, fully insured 24% and mixed 14%. Self-funded and mixed plans together make up 73%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Offices of optometrists (NAICS 621320), plus healthcare employers whose name says optometry, eye care or vision center.
Prospect optometry practices in your territory
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Other healthcare specialties
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Offices of optometrists (NAICS 621320), plus healthcare employers whose name says optometry, eye care or vision center.