Eyecare Partners, LLC

Ballwin, MO RetailNAICS 446130

Self-funded health planPlan year 2025Renews January
6,822Participants+10% vs. prior year
$16.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 12Retail in MOBy participants

Overview

Eyecare Partners, LLC sponsors a self-funded health plan that covered 6,822 participants in plan year 2025, up 10% 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
6,822 · prior year 6,200
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Clarkson Eyecare Employee Health & Welfare Benefits Plan, plan 502 (6,822 participants); Clarkson Eyecare Employee Flexible Benefits Plan, plan 503 (2,052 participants)
Broker compensation
$900K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability7,359$2.3M$367K
Delta Dental of MissouriDental8,428$2.3M$266K
Reliastar Life Insurance CompanyAccident, Critical Illness, Hospital3,212$746K$237K
Vision Service PlanVision2,748$682K$7K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$16.2M/ year

Estimated prescription spend: 6,822 participants × $2,371 national average per member. Usually higher once dependents are counted.

$421K–$1.0M/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$123K–$307K
Lower-cost therapeutic alternatives$180K–$375K
Generic pricing vs. actual cost$78K–$233K
PBM contract terms$40K–$121K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Eyecare Partners, LLC
Sponsor EIN
43-1213749
Plan numbers
502, 503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 43-1213749 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Eyecare Partners 401(k) Plan
Type
401(k) plan
Participants
9,966

About this data

Source: Eyecare Partners, LLC'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 Eyecare Partners, LLC.

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