Visionworks of America, Inc.

San Antonio, TX RetailNAICS 453990

Self-funded health planPlan year 2024Renews January
4,558ParticipantsFirst year on file
$10.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#14 of 64Retail in TXBy participants

Overview

Visionworks of America, Inc. sponsors a self-funded health plan that covered 4,558 participants in plan year 2024. 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
4,558
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Visionworks of America, Inc. Employee Benefit Plan, plan 501 (4,558 participants)
Broker compensation
$452K 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
Sun Life Assurance Company of CanadaLife, Short-term disability, Long-term disability6,519$4.6M$452K

Pharmacy benefit estimate

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

$10.8M/ year

Estimated prescription spend: 4,558 participants × $2,371 national average per member. Usually higher once dependents are counted.

$281K–$693K/ year

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

Brands with a generic available$82K–$205K
Lower-cost therapeutic alternatives$120K–$251K
Generic pricing vs. actual cost$52K–$156K
PBM contract terms$27K–$81K
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 2024
Plan sponsor
Visionworks of America, Inc.
Sponsor EIN
74-2337775
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 74-2337775 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Visionworks of America, Inc.'s Form 5500 filing for plan year 2024 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 Visionworks of America, Inc..

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