Athenahealth, Inc.
Overview
Athenahealth, Inc. sponsors a self-funded health plan that covered 5,000 participants in plan year 2025, up 7% 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
- 5,000 · prior year 4,675
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Athenahealth, Inc. Employee Benefits Plan, plan 501 (5,000 participants); Athenahealth, Inc. Flexible Benefits Plan, plan 502 (1,574 participants)
- Broker compensation
- $310K 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 |
|---|---|---|---|---|
| Hartford Life and Accident | Life, Short-term disability, Long-term disability | 4,743 | $3.9M | $310K |
| Eyemed Vision Care | Vision | 5,000 | — | — |
| Dental Service of Massachusetts, Inc. DBA Delta Dental of MA | Dental | 5,000 | — | — |
| Aetna Behavioral Health, LLC | Employee Assistance Program | 5,000 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 5,000 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
- Athenahealth, Inc.
- Sponsor EIN
- 04-3387530
- Plan numbers
- 501, 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 04-3387530 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Athenahealth, Inc. 401(k) Plan
- Type
- 401(k) plan
- Participants
- 6,924
About this data
Source: Athenahealth, 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 Athenahealth, Inc..