Benchmark Senior Living, LLC

Waltham, MA Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
4,624Participants+9% vs. prior year
$11.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 40Health care in MABy participants

Overview

Benchmark Senior Living, LLC sponsors a self-funded health plan that covered 4,624 participants in plan year 2025, up 9% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
4,624 · prior year 4,260
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Benchmark Senior Living Benefits Plan, plan 501 (4,624 participants)
Broker compensation
$194K across insured contracts
MedicalLife insuranceDentalVisionPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Unum Life Insurance Company of AmericaLife, Long-term disability, Long Term Care, Critical Illness, Accident, Hospital Ind4,805$1.1M$127K
Spring HealthEmployee Assistance Program, Behavioral 7,455$348K—
Reliastar Life Insurance CompanyAccident, Critical Illness, Hospital Ind1,827$282K$51K
Blue Cross Blue Shield of Massachusetts, Inc.Vision3,061$198K$10K
Metropolitan General Insurance CompanyLegal306$57K$6K

Pharmacy benefit estimate

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

$11.0M/ year

Estimated prescription spend: 4,624 participants × $2,371 national average per member. Usually higher once dependents are counted.

$285K–$703K/ year

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

Brands with a generic available$83K–$208K
Lower-cost therapeutic alternatives$122K–$254K
Generic pricing vs. actual cost$53K–$158K
PBM contract terms$27K–$82K
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
Benchmark Senior Living, LLC
Sponsor EIN
04-3385173
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-3385173 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Benchmark Senior Living 401(k) Plan
Type
401(k) plan
Participants
8,542

About this data

Source: Benchmark Senior Living, LLC'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 Benchmark Senior Living, LLC.

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