Ballad Health

Johnson City, TN Health careNAICS 622000

Self-funded health planPlan year 2024Renews July
11,024ParticipantsFirst year on file
$26.1MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#5 of 51Health care in TNBy participants

Overview

Ballad Health sponsors a self-funded health plan that covered 11,024 participants in plan year 2024. The plan year starts in July. 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
11,024
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Ballad Health Benefit Plan, plan 501 (11,024 participants)
Broker compensation
$1.1M 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
Lincoln National Life Insurance CompanyLong-term disability, Life, Short-term disability11,177$9.0M$701K
Delta Dental of TennesseeDental17,587$5.4M$54K
Vision Service PlanVision7,824$1.3M—
Unum Insurance CompanyAccident, Critical Illness3,559$1.2M$283K
Arag Insurance CompanyLegal1,720$191K$19K
Unum-Provident Life and Accident Insurance CompanyLife365$155K$14K

Pharmacy benefit estimate

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

$26.1M/ year

Estimated prescription spend: 11,024 participants × $2,371 national average per member. Usually higher once dependents are counted.

$680K–$1.7M/ year

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

Brands with a generic available$199K–$497K
Lower-cost therapeutic alternatives$290K–$606K
Generic pricing vs. actual cost$125K–$376K
PBM contract terms$65K–$196K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Ballad Health
Sponsor EIN
61-1771290
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 61-1771290 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Ballad Health 403(b) Plan
Type
Defined contribution plan
Participants
16,790

About this data

Source: Ballad Health's Form 5500 filing for plan year 2024 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 Ballad Health.

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