National Vision Inc.
Overview
National Vision Inc. sponsors a self-funded health plan that covered 4,768 participants in plan year 2025, down 7% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, prepaid legal, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 4,768 · prior year 5,136
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- National Vision Inc. Healthcare Plan, plan 501 (4,768 participants)
- Stop-loss carrier
- Aetna Life Insurance Company; Symetra Life Insurance Company
- Broker compensation
- $516K 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 |
|---|---|---|---|---|
| Aetna Life Insurance Company | Stop-loss | 1,294 | $10.8M | — |
| United of Omaha Life Insurance Company | Life, Long-term disability, Short-term disability | 8,602 | $4.0M | $417K |
| Symetra Life Insurance Company | Stop-loss | 4,216 | $2.6M | $88K |
| Prepaid Legal Services Inc. DBA Legal Shield | Legal Services Plan Memberships | 697 | $87K | $11K |
| Delta Dental Insurance Company | Dental | 7,581 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,768 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
- National Vision Inc.
- Sponsor EIN
- 58-1910859
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 58-1910859 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- National Vision, Inc. 401(k) Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 16,003
About this data
Source: National Vision 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 National Vision Inc..