American College of Radiology, Inc.

Reston, VA Other servicesNAICS 813000

Self-funded health planPlan year 2025Renews January
510Participants-10% vs. prior year
$1.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#8 of 8Other services in VABy participants

Overview

American College of Radiology, Inc. sponsors a self-funded health plan that covered 510 participants in plan year 2025, down 10% 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
510 · prior year 568
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The American College of Radiology Health and Welfare Plans, plan 513 (510 participants)
Broker compensation
$95K 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
United of Omaha Life Insurance CompanyLife, Short-term disability, Long-term disability499$510K$80K
Vision Service PlanVision332$85K$2K
Unum Life Insurance Company of AmericaLong Term Care192$62K$9K
Mutual of Omaha Insurance CompanyAccidental Death and Dismemberment429$15K$2K
Health Advocate Solutions, Inc.Employee Assistance Program496$10K—
Ace American Insurance CompanyBusiness Travel Accident496$3K$516

Pharmacy benefit estimate

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

$1.2M/ year

Estimated prescription spend: 510 participants × $2,371 national average per member. Usually higher once dependents are counted.

$31K–$78K/ year

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

Brands with a generic available$9K–$23K
Lower-cost therapeutic alternatives$13K–$28K
Generic pricing vs. actual cost$6K–$17K
PBM contract terms$3K–$9K
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
American College of Radiology, Inc.
Sponsor EIN
36-2261602
Plan number
513
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 36-2261602 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
American College of Radiology Employees' Pension Plan and Trust
Type
Defined contribution plan
Participants
756

About this data

Source: American College of Radiology, 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 American College of Radiology, Inc..

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