Agrace Health, Inc.

Fitchburg, WI Health careNAICS 621399

Self-funded health planPlan year 2025Renews January
706ParticipantsFirst year on file
$1.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#20 of 29Health care in WIBy participants

Overview

Agrace Health, Inc. sponsors a self-funded health plan that covered 706 participants in plan year 2025. 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
706
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Agrace Health, Inc. Health and Welfare Benefit Plan, plan 502 (706 participants)
Broker compensation
$34K 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
The Prudential Insurance Company of AmericaLife, Long-term disability700$428K$32K
Vision Service PlanVision397$107K$3K
Empathia, Inc.Employee Assistance Program891$22K—

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 706 participants × $2,371 national average per member. Usually higher once dependents are counted.

$44K–$107K/ year

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

Brands with a generic available$13K–$32K
Lower-cost therapeutic alternatives$19K–$39K
Generic pricing vs. actual cost$8K–$24K
PBM contract terms$4K–$13K
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
Agrace Health, Inc.
Sponsor EIN
99-3390141
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 99-3390141 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Agrace Health Employee Retirement Plan
Type
Defined contribution plan
Participants
1,157

About this data

Source: Agrace Health, 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 Agrace Health, Inc..

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