Availity, L.l.c

Jacksonville, FL Professional servicesNAICS 541219

Self-funded health planPlan year 2025Renews January
1,326Participants+3% vs. prior year
$3.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#18 of 53Professional services in FLBy participants

Overview

Availity, L.l.c sponsors a self-funded health plan that covered 1,326 participants in plan year 2025, up 3% 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
1,326 · prior year 1,285
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Availity, L.l.c. Health and Welfare Plan, plan 501 (1,326 participants)
Broker compensation
$75K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Humana Insurance CompanyDental1,374$1.1M$28K
Lincoln National Life Insurance CompanyLife, Long-term disability1,611$772K$9K
Vision Service PlanVision1,245$203K—
American Heritage Life Insurance CompanyAccident, Hospital Indemnity, Critical Illness395$159K$34K
Pre-Paid Legal Services, Inc. DBA LegalshieldLegal276$48K$5K
Telus Health (US) Ltd.Employee Assistance Program1,620$29K—
National Union Fire Insurance Company of Pittsburgh, PABusiness Travel Accident1,326$4K—

Pharmacy benefit estimate

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

$3.1M/ year

Estimated prescription spend: 1,326 participants × $2,371 national average per member. Usually higher once dependents are counted.

$82K–$202K/ year

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

Brands with a generic available$24K–$60K
Lower-cost therapeutic alternatives$35K–$73K
Generic pricing vs. actual cost$15K–$45K
PBM contract terms$8K–$24K
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
Availity, L.l.c
Sponsor EIN
59-3715944
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 59-3715944 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Availity, L.l.c. 401(k) Retirement Savings Plan
Type
401(k) plan
Participants
2,051

About this data

Source: Availity, L.l.c'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 Availity, L.l.c.

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