Addus Healthcare, Inc.

Frisco, TX Health careNAICS 621610

Self-funded health planPlan year 2025Renews January
3,848Participants+3% vs. prior year
$9.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#20 of 90Health care in TXBy participants

Overview

Addus Healthcare, Inc. sponsors a self-funded health plan that covered 3,848 participants in plan year 2025, up 3% 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
3,848 · prior year 3,745
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Addus Healthcare, Inc. Employee Welfare Benefits Plan, plan 510 (3,848 participants)
Stop-loss carrier
Nationwide
Broker compensation
$797K 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
Bluecross Blueshield of TexasMedical, Prescription drug3,468$28.7M$163K
Dearborn Life Insurance CompanyLife, Short-term disability, Long-term disability3,848$3.0M$457K
Metropolitan Life Insurance CompanyCritical Illness, Accident, Vision, Hospital Indemnity4,132$907K$135K
NationwideShort-term disability, Stop-loss876$499K$31K
AmeritasDental, Vision1,456$318K—
Standard Insurance CompanyLife800$180K—
MetLife Legal PlansLegal377$76K$11K
American Financial Security Life Insurance CompanyPrescription drug374$21K—
Crum & ForsterAccident374$6K—

Pharmacy benefit estimate

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

$9.1M/ year

Estimated prescription spend: 3,848 participants × $2,371 national average per member. Usually higher once dependents are counted.

$237K–$585K/ year

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

Brands with a generic available$69K–$173K
Lower-cost therapeutic alternatives$101K–$212K
Generic pricing vs. actual cost$44K–$131K
PBM contract terms$23K–$68K
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
Addus Healthcare, Inc.
Sponsor EIN
42-1014070
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 42-1014070 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Addus Healthcare, Inc. 401(k) Plan
Type
401(k) plan
Participants
38,212

About this data

Source: Addus Healthcare, 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 Addus Healthcare, Inc..

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