EssilorLuxottica USA, Inc.
Overview
EssilorLuxottica USA, Inc. sponsors a self-funded health plan that covered 39,765 participants in plan year 2025, down 2% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 39,765 · prior year 40,620
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- EssilorLuxottica Group Benefit Plan, plan 522 (39,765 participants)
- Stop-loss carrier
- Community Insurance Company
- Broker compensation
- $62K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Long-term disability, Life | 34,998 | $6.7M | $62K |
| Community Insurance Company | Stop-loss | 33,545 | $6.0M | — |
| MCS Life Insurance Company | Medical, Prescription drug, Dental, Vision, Life, PPO | 164 | $1.3M | — |
| Hawaii Medical Service Association | Medical | 160 | $893K | — |
| Cigna Health and Life Insurance Company | Dental | 3,120 | $815K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 39,765 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- EssilorLuxottica USA, Inc.
- Sponsor EIN
- 86-3625314
- Plan number
- 522
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 86-3625314 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- EssilorLuxottica Retirement Savings Plan 1
- Type
- 401(k) plan
- Participants
- 47,990
About this data
Source: EssilorLuxottica USA, Inc.'s Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with EssilorLuxottica USA, Inc..