A method of forming an ophthalmic lens with an insert (355, 622, 1020, 1241, 1341), the method comprising: placing a forming optic (130, 210, 611, 1110, 1211, 1311) in contact with a first reactive monomer mixture, wherein the forming optic comprises a forming surface with dimensions and curvature consistent with a back curve of an ophthalmic lens; forming a first lens precursor by exposing the first reactive monomer mixture to actinic radiation, wherein the actinic radiation is configured to control polymerization on a voxel by voxel basis over the forming surface; removing the forming optic and the lens precursor from contact with the first reactive monomer mixture, wherein the lens precursor comprises a first surface portion in contact with the forming optic, wherein the first surface portion comprises an optical quality surface, a second surface portion, the second surface portion comprising non-fluent polymerized material, and a third surface portion comprising fluent partially polymerized material separate from the first reactive monomer mixture, wherein the third surface portion is located on a distal end of the lens precursor from the forming surface; placing an insert (355, 622, 1020, 1241, 1341) proximate to the third surface portion, wherein the placing defines the location of the insert within the ophthalmic lens; positioning the first lens precursor and the insert, wherein the positioning allows for the fluent partially polymerized material to flow onto at least a portion of the insert; forming the ophthalmic lens by exposing the fluent partially polymerized material to actinic radiation; and releasing the ophthalmic lens from the forming optic. placing a forming optic (130, 210, 611, 1110, 1211, 1311) in contact with a first reactive monomer mixture, wherein the forming optic comprises a forming surface with dimensions and curvature consistent with a back curve of an ophthalmic lens; forming a first lens precursor by exposing the first reactive monomer mixture to actinic radiation, wherein the actinic radiation is configured to control polymerization on a voxel by voxel basis over the forming surface; removing the forming optic and the lens precursor from contact with the first reactive monomer mixture, wherein the lens precursor comprises a first surface portion in contact with the forming optic, wherein the first surface portion comprises an optical quality surface, a second surface portion, the second surface portion comprising non-fluent polymerized material, and a third surface portion comprising fluent partially polymerized material separate from the first reactive monomer mixture, wherein the third surface portion is located on a distal end of the lens precursor from the forming surface; placing an insert (355, 622, 1020, 1241, 1341) proximate to the third surface portion, wherein the placing defines the location of the insert within the ophthalmic lens; positioning the first lens precursor and the insert, wherein the positioning allows for the fluent partially polymerized material to flow onto at least a portion of the insert; forming the ophthalmic lens by exposing the fluent partially polymerized material to actinic radiation; and releasing the ophthalmic lens from the forming optic.