Acentra Health, LLC

Mclean, VA Professional servicesNAICS 541513

Self-funded health planPlan year 2025Renews January
2,501Participants+18% vs. prior year
$5.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 51Professional services in VABy participants

Overview

Acentra Health, LLC sponsors a self-funded health plan that covered 2,501 participants in plan year 2025, up 18% 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
2,501 · prior year 2,123
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Acentra Health, LLC Welfare Benefit Plan, plan 501 (2,501 participants); Acentra Health, LLC Welfare Benefit Plan for Sca-Covered Employees, plan 502 (407 participants)
Broker compensation
$334K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-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 disability2,068$1.9M$247K
The Lincoln National Life Insurance CompanyCritical Illness, Accident, Hospital, Accident, Hospital, Critical Illness573$446K$79K
Metropolitan General Insurance CompanyLegal294$64K$7K
Life Insurance Company of North AmericaBusiness Travel Accident2,501$3K$462

Pharmacy benefit estimate

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

$5.9M/ year

Estimated prescription spend: 2,501 participants × $2,371 national average per member. Usually higher once dependents are counted.

$154K–$380K/ year

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

Brands with a generic available$45K–$113K
Lower-cost therapeutic alternatives$66K–$138K
Generic pricing vs. actual cost$28K–$85K
PBM contract terms$15K–$44K
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
Acentra Health, LLC
Sponsor EIN
52-1872098
Plan numbers
501, 502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 52-1872098 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Acentra Health Retirement Plan
Type
401(k) plan
Participants
3,608

About this data

Source: Acentra Health, 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 Acentra Health, LLC.

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