Alter Domus Inc.

Chicago, IL Finance & insuranceNAICS 523900

Self-funded health planPlan year 2025Renews January
1,298Participants-18% vs. prior year
$3.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#13 of 29Finance & insurance in ILBy participants

Overview

Alter Domus Inc. sponsors a self-funded health plan that covered 1,298 participants in plan year 2025, down 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
1,298 · prior year 1,589
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Alter Domus Inc. Health & Welfare Plan, plan 501 (1,298 participants)
Broker compensation
$7K 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
Metropolitan Life Insurance CompanyDental3,073$1.0M$73
Life Insurance Company of North AmericaLife, Long-term disability1,298$632K—
Eyemed Vision Care on Behalf of the Fidelity Security Life Ins. Co.Vision1,885$84K$7K

Pharmacy benefit estimate

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

$3.1M/ year

Estimated prescription spend: 1,298 participants × $2,371 national average per member. Usually higher once dependents are counted.

$80K–$197K/ year

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

Brands with a generic available$23K–$58K
Lower-cost therapeutic alternatives$34K–$71K
Generic pricing vs. actual cost$15K–$44K
PBM contract terms$8K–$23K
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
Alter Domus Inc.
Sponsor EIN
32-0394877
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 32-0394877 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Alter Domus 401(k) Plan
Type
401(k) plan
Participants
2,089

About this data

Source: Alter Domus 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 Alter Domus Inc..

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