Optometry practices in California
PlanOptica tracks 4 health and welfare plans sponsored by 4 optometry practices in California, covering 2,535 participants and $12M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 523 participants, and the most common size is 100 to 249 participants (25% of plans). The funding mix is split: 50% of plans are self-funded or mixed and the rest are mainly fully insured.
Blue Cross of California dominates premium with a 64% share, followed by Unitedhealthcare Insurance Company at 22%. Marsh & McLennan Agency LLC is the broker of record on 2 plans, more than any other firm, ahead of Hub International Ins Svcs, Inc (1). 100% of plans report broker compensation on Schedule A; the median brokered plan pays $134K a year, about 7.5% of premium. Aliso Viejo, Pasadena and Mission Viejo have the most plans.
Funding mix
- Fully insured2 · 50%
- Mixed2 · 50%
Plan size (participants)
- Under 1000 · 0%
- 100 to 2491 · 25%
- 250 to 4991 · 25%
- 500 to 9991 · 25%
- 1,000 or more1 · 25%
Median plan: 523 participants. Median broker comp: 7.5% of premium across 4 brokered plans.
Top carriers, optometry, California
- 1Blue Cross of California$8.0M2 plans · 63.7%
- 2Unitedhealthcare Insurance Company$2.7M1 plans · 21.7%
- 3Anthem Blue Cross Life and Health Insurance Company$519K1 plans · 4.2%
- 4The Guardian Life Insurance Company of America$327K1 plans · 2.6%
- 5Kaiser Foundation Health Plan Inc$264K1 plans · 2.1%
- 6Metropolitan Life Insurance Company$224K1 plans · 1.8%
- 7Standard Insurance Company$143K1 plans · 1.1%
- 8Unum Life Insurance Company of America$128K1 plans · 1.0%
- 9Reliastar Life Insurance Company$105K1 plans · 0.8%
- 10United of Omaha Life Insurance Company$62K1 plans · 0.5%
Top brokers, optometry, California
- 1Marsh & McLennan Agency LLC2 plans$571K comp · 50.0%
- 2Hub International Ins Svcs, Inc1 plans$56K comp · 25.0%
- 3Edgewood Partners Insurance Center1 plans$32K comp · 25.0%
- 4Warner Pacific Ins Services, Inc1 plans$16K comp · 25.0%
- 5Ryan D. Hickey1 plans$3K comp · 25.0%
- 6Brenda Loren Bernstein1 plans$3K comp · 25.0%
- 7Drew Dylan Kachmor1 plans$893 comp · 25.0%
- 8Tirzo a Lopez1 plans$835 comp · 25.0%
- 9Assuredpartners and Other Agents1 plans$804 comp · 25.0%
- 10Jose Cruz Blanco1 plans$442 comp · 25.0%
Largest optometry practices in California
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Laser Eye Care of CA, LLC Laser Eye Care of CA, LLC Employee Benefits PlanAll plans | Aliso Viejo | Fully insured | 1,363 | $8.2M | Blue Cross of California |
| California Clinic Management, LLC Acuity Eye Group California Clinic Management, LLC Health & Welfare PlanAll plans | Pasadena | Mixed | 654 | $360K | Metropolitan Life Insurance Company |
| Total Vision, LLC Total Vision, LLC Employee Benefit PlanAll plans | Mission Viejo | Mixed | 392 | $3.1M | Unitedhealthcare Insurance Company |
| Elite Eyecare Medical Group, Inc Elite Eyecare Medical Group, Inc. Health and Welfare PlanAll plans | Santa Maria | Fully insured | 126 | $880K | Blue Cross of California |
Plans by city in California
Frequently asked questions
How many optometry practices in California offer an ERISA health plan?
4 health and welfare plans from 4 optometry practices in California appear in plan year 2024 to 2025 filings on Form 5500, covering 2,535 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 in California?
By Schedule A premium: Blue Cross of California (64% of premium, 2 plans), Unitedhealthcare Insurance Company (22% of premium, 1 plan) and Anthem Blue Cross Life and Health Insurance Company (4% of premium, 1 plan).
Which benefits brokers work with optometry practices in California?
By number of client plans: Marsh & McLennan Agency LLC (2 plans), Hub International Ins Svcs, Inc (1 plan) and Edgewood Partners Insurance Center (1 plan). 100% of plans report a broker.
How much do brokers earn on optometry practices health plans in California?
The median brokered plan reports $134K a year in broker commissions and fees, or 7.5% of premium. Figures come from Schedule A, Part I.
Are optometry practices health plans in California self-funded or fully insured?
Fully insured 50% and mixed 50%. Self-funded and mixed plans together make up 50%.
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 California
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Optometry in nearby states
Other healthcare specialties in California
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. Location is the sponsor's filing address in California.