Optometry practices in Pennsylvania
PlanOptica tracks 5 health and welfare plans sponsored by 5 optometry practices in Pennsylvania, covering 422 participants and $3.6M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 95 participants, and the most common size is under 100 participants (80% of plans). Most of these plans are self-funded or mixed (60%), so stop-loss and TPA relationships matter as much as the medical carrier.
Highmark, Inc dominates premium with a 83% share, followed by Sun Life Assurance Company at 12%. Carrie Fressky is the broker of record on 1 plan, more than any other firm, ahead of Anderson & Kime Employee Benefits I (1). 60% of plans report broker compensation on Schedule A; the median brokered plan pays $25K a year, about 2.8% of premium. Wyomissing, Brookville and Southampton have the most plans.
Funding mix
- Fully insured2 · 40%
- Self-funded2 · 40%
- Mixed1 · 20%
Plan size (participants)
- Under 1004 · 80%
- 100 to 2491 · 20%
- 250 to 4990 · 0%
- 500 to 9990 · 0%
- 1,000 or more0 · 0%
Median plan: 95 participants. Median broker comp: 2.8% of premium across 3 brokered plans.
Top carriers, optometry, Pennsylvania
Top brokers, optometry, Pennsylvania
- 1Carrie Fressky1 plans$45K comp · 33.3%
- 2Anderson & Kime Employee Benefits I1 plans$18K comp · 33.3%
- 3Usi Insurance Services LLC1 plans$10K comp · 33.3%
- 4James R Nelligan & Associates1 plans$9K comp · 33.3%
- 5Power-Kunkle Group Inc1 plans$8K comp · 33.3%
- 6Anderson Kime Employee Benefits1 plans$4K comp · 33.3%
- 7Daniel J Slater1 plans$3K comp · 33.3%
- 8Amerihealth Administrators Inc1 plans$2K comp · 33.3%
- 9Mgis1 plans$180 comp · 33.3%
Largest optometry practices in Pennsylvania
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Eye Consultants of Pennsylvania, P.C Eye Consultants of Pennsylvania, P.C. Group Health PlanAll plans | Wyomissing | Fully insured | 193 | $2.2M | Blue Cross of California |
| Laurel Eye Clinic, LLP Laurel Eye Clinic, LLP Employee Benefits PlanAll plans | Brookville | Fully insured | 97 | $975K | Blue Cross of California |
| Tri-Century Eye Care, P.C Tri-Century Eye Care, P.C. Employee Benefit Plan (501)All plans | Southampton | Mixed | 95 | $365K | Sun Life Assurance Company of Canada |
| Wigton Eye Care Associates, Inc Wigton Eye Care Associates, Inc. Profit Sharing Plan and TrustAll plans | Butler | Self-funded | 37 | - | - |
| Carim Eye & Retina Center, Ltd Carim Eye & Retina Center, Ltd. Employee Benefit PlanAll plans | Wyomissing | Self-funded | 0 | - | - |
Plans by city in Pennsylvania
Frequently asked questions
How many optometry practices in Pennsylvania offer an ERISA health plan?
5 health and welfare plans from 5 optometry practices in Pennsylvania appear in plan year 2024 to 2025 filings on Form 5500, covering 422 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 Pennsylvania?
By Schedule A premium: Highmark, Inc (83% of premium, 2 plans), Sun Life Assurance Company (12% of premium, 2 plans) and Guardian Life (3% of premium, 1 plan).
Which benefits brokers work with optometry practices in Pennsylvania?
By number of client plans: Carrie Fressky (1 plan), Anderson & Kime Employee Benefits I (1 plan) and Usi Insurance Services LLC (1 plan). 60% of plans report a broker.
How much do brokers earn on optometry practices health plans in Pennsylvania?
The median brokered plan reports $25K a year in broker commissions and fees, or 2.8% of premium. Figures come from Schedule A, Part I.
Are optometry practices health plans in Pennsylvania self-funded or fully insured?
Fully insured 40%, self-funded 40% and mixed 20%. Self-funded and mixed plans together make up 60%.
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 Pennsylvania
Open the welfare search with Pennsylvania and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.
Optometry in nearby states
Other healthcare specialties in Pennsylvania
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 Pennsylvania.