Apella Health Management
Overview
Apella Health Management sponsors a self-funded health plan that covered 4,343 participants in plan year 2025, down 20% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 4,343 · prior year 5,393
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Apella Health Management, Inc. Welfare Benefit Plan, plan 501 (4,343 participants)
- Stop-loss carrier
- Palmetto Healthcare
- Broker compensation
- $592K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Life Insurance Company of North America | Life, Long-term disability, Voluntary Life, Short-term disability | 5,458 | $4.0M | $411K |
| Sun Life Assurance Company of Canada | Accident, Cancer, Critical Illness, CH. | 1,555 | $1.2M | $136K |
| Eyemed Vision Care | Vision | 6,431 | $639K | $45K |
| Palmetto Healthcare | Stop-loss | 2,971 | $414K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,343 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Apella Health Management
- Sponsor EIN
- 81-4193950
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 81-4193950 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Apella Health Management, Inc. Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 8,407
About this data
Source: Apella Health Management'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 Apella Health Management.