Optometry practices in Texas
PlanOptica tracks 16 health and welfare plans sponsored by 11 optometry practices in Texas, covering 9,908 participants and $28M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 303 participants, and the most common size is under 100 participants (38% of plans). The funding mix is split: 44% of plans are self-funded or mixed and the rest are mainly fully insured.
Bluecross Blueshield of Texas dominates premium with a 76% share, followed by Prudential Insurance Company of America at 6%. Lockton Companies, LLC is the broker of record on 5 plans, more than any other firm, ahead of Marsh & McLennan Agency LLC (3). 81% of plans report broker compensation on Schedule A; the median brokered plan pays $84K a year, about 7.3% of premium. Dallas, Bellaire and Irving have the most plans.
Funding mix
- Fully insured5 · 31%
- Mixed5 · 31%
- MEWA4 · 25%
- Self-funded2 · 13%
Plan size (participants)
- Under 1006 · 38%
- 100 to 2491 · 6%
- 250 to 4993 · 19%
- 500 to 9994 · 25%
- 1,000 or more2 · 13%
Median plan: 303 participants. Median broker comp: 7.3% of premium across 13 brokered plans.
Top carriers, optometry, Texas
- 1Bluecross Blueshield of Texas$22M7 plans · 75.6%
- 2Prudential Insurance Company of America$1.6M1 plans · 5.7%
- 3Dearborn Life Insurance Company$1.3M4 plans · 4.6%
- 4Cigna Health and Life Insurance Company and Affiliates$996K2 plans · 3.5%
- 5Life Insurance Company of North America$981K2 plans · 3.4%
- 6Metropolitan Life Insurance Company$792K2 plans · 2.8%
- 7All Savers Insurance Company$387K1 plans · 1.4%
- 8Intermediary Insurance Services, Inc$286K1 plans · 1.0%
- 9Delta Dental of Pennsylvania$142K1 plans · 0.5%
- 10Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co$123K3 plans · 0.4%
Top brokers, optometry, Texas
- 1Lockton Companies, LLC5 plans$487K comp · 38.5%
- 2Marsh & McLennan Agency LLC3 plans$313K comp · 23.1%
- 3Brown & Noyes, LLC2 plans$211K comp · 15.4%
- 4NFP Corporate Services (PA) Inc2 plans$143K comp · 15.4%
- 5Alliant Insurance Services, Inc1 plans$160K comp · 7.7%
- 6Jennon M. Caruth1 plans$57K comp · 7.7%
- 7Ebenconcepts Company1 plans$25K comp · 7.7%
- 8Crystal Jasper Mulville1 plans$10K comp · 7.7%
- 9Paycor, Inc1 plans$5K comp · 7.7%
- 10Houston Norman Hamilton1 plans$4K comp · 7.7%
Largest optometry practices in Texas
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Acuity Eyecare Holdings, LLC Acuity Eyecare Holdings, LLC Health & Welfare PlanAll plans | Dallas | Mixed | 4,587 | $2.4M | Prudential Insurance Company of America |
| Eyecare Services Partners Management, LLC Eyecare Services Partners Management, LLC Welfare Benefits PlanAll plans | Dallas | MEWA | 1,491 | $1.2M | Cigna Health and Life Insurance Company |
| Uvp Management, LLC Uvp Management, LLC Employee Welfare Benefit PlanAll plans | Irving | Mixed | 746 | $1.4M | 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 Care Associates SC LLC Eye Care Associates SC LLC Medical PlanAll plans | Dallas | MEWA | 336 | $3.8M | Blue Cross of California |
| 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 |
| Panhandle Eye Group, LLP Panhandle Eye Group, LLPAll plans | Amarillo | Mixed | 150 | $302K | Intermediary Insurance Services Inc |
| Brooks Eye Associates, LLC Brooks Eye Associates, LLC Employee Benefit PlanAll plans | Plano | Self-funded | 65 | $387K | Unitedhealthcare Insurance Company |
| Angelina Optometric Associates Angelina Eye Center Employee Benefit Plan TrustAll plans | Lufkin | Self-funded | 10 | - | - |
| Thurmond Eye Associates, P.A Thurmond Eye Associates, P.A. Employee Benefits PlanAll plans | Welasco | Fully insured | 0 | $428K | Blue Cross of California |
Showing 11 of 11 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in Texas
Frequently asked questions
How many optometry practices in Texas offer an ERISA health plan?
16 health and welfare plans from 11 optometry practices in Texas appear in plan year 2024 to 2025 filings on Form 5500, covering 9,908 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 Texas?
By Schedule A premium: Bluecross Blueshield of Texas (76% of premium, 7 plans), Prudential Insurance Company of America (6% of premium, 1 plan) and Dearborn Life Insurance Company (5% of premium, 4 plans).
Which benefits brokers work with optometry practices in Texas?
By number of client plans: Lockton Companies, LLC (5 plans), Marsh & McLennan Agency LLC (3 plans) and Brown & Noyes, LLC (2 plans). 81% of plans report a broker.
How much do brokers earn on optometry practices health plans in Texas?
The median brokered plan reports $84K a year in broker commissions and fees, or 7.3% of premium. Figures come from Schedule A, Part I.
Are optometry practices health plans in Texas self-funded or fully insured?
Fully insured 31%, mixed 31% and MEWA 25%. Self-funded and mixed plans together make up 44%.
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 Texas
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Optometry 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). 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 Texas.