Caldera Care

GIG Harbour, WA Health careNAICS 621610

Self-funded health planPlan year 2024Renews October
1,713ParticipantsFirst year on file
$4.1MEst. pharmacy spend / yrParticipants × national avg.
Oct 2027Next renewalPlan year begins October 1
#15 of 47Health care in WABy participants

Overview

Caldera Care sponsors a self-funded health plan that covered 1,713 participants in plan year 2024. The plan year starts in October. Alongside medical, its benefits filing reports life insurance, dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,713
Plan year
Begins October 1 · next renewal October 2027
Health plans filed
Caldera Care Medical Plan, plan 501 (1,713 participants)
Stop-loss carrier
Siriuspoint America Insurance Company
Broker compensation
$173K across insured contracts
MedicalLife insuranceDentalVisionOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Siriuspoint America Insurance CompanyStop-loss545$369K—
Metropolitan Life Insurance CompanyMedical, Life, Short-term disability, Long-term disability1,713$319K$135K
Ameritas Life Insurance Corp.Dental, Vision1,240$292K$39K

Pharmacy benefit estimate

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

$4.1M/ year

Estimated prescription spend: 1,713 participants × $2,371 national average per member. Usually higher once dependents are counted.

$106K–$260K/ year

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

Brands with a generic available$31K–$77K
Lower-cost therapeutic alternatives$45K–$94K
Generic pricing vs. actual cost$19K–$58K
PBM contract terms$10K–$30K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning October 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
Caldera Care
Sponsor EIN
82-2501265
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 82-2501265 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Caldera Care'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 Caldera Care.

Request a correction · Methodology