Blue Ridge Healthcare

Morganton, NC Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,349Participants-14% vs. prior year
$3.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#15 of 46Health care in NCBy participants

Overview

Blue Ridge Healthcare sponsors a self-funded health plan that covered 1,349 participants in plan year 2025, down 14% 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
1,349 · prior year 1,562
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Blue Ridge Healthcare Employee Benefit Plan, plan 505 (1,349 participants)
Broker compensation
$166K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Sun Life Assurance Company of CanadaLife, Short-term disability, Long-term disability1,628$1.3M$148K
Community Eye CareVision2,015$174K$17K

Pharmacy benefit estimate

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

$3.2M/ year

Estimated prescription spend: 1,349 participants × $2,371 national average per member. Usually higher once dependents are counted.

$83K–$205K/ year

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

Brands with a generic available$24K–$61K
Lower-cost therapeutic alternatives$36K–$74K
Generic pricing vs. actual cost$15K–$46K
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
Blue Ridge Healthcare
Sponsor EIN
56-2150313
Plan number
505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-2150313 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Blue Ridge Healthcare System Retirement Savings Plan
Type
Defined contribution plan
Participants
3,811

About this data

Source: Blue Ridge Healthcare'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 Blue Ridge Healthcare.

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