Capfinancial Partners, LLC

Raleigh, NC Finance & insuranceNAICS 523900

Self-funded health planPlan year 2024Renews July
1,753ParticipantsFirst year on file
$4.2MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#4 of 14Finance & insurance in NCBy participants

Overview

Capfinancial Partners, LLC sponsors a self-funded health plan that covered 1,753 participants in plan year 2024. The plan year starts in July. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,753
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Capfinancial Partners Group Welfare Plan, plan 503 (1,753 participants)
Broker compensation
$245K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityOther 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 disability1,760$1.2M$158K
Unum Insurance CompanyAccident, Critical Illness, Hospital Care, Paid Family Medical Leave303$283K$55K
Starmount Life Insurance CompanyVision1,312$203K$27K
The Guardian Life Insurance Company of AmericaDental1,501$82K$2K
First Unum Life Insurance CompanyDBL47$18K$3K

Pharmacy benefit estimate

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

$4.2M/ year

Estimated prescription spend: 1,753 participants × $2,371 national average per member. Usually higher once dependents are counted.

$108K–$266K/ year

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

Brands with a generic available$32K–$79K
Lower-cost therapeutic alternatives$46K–$96K
Generic pricing vs. actual cost$20K–$60K
PBM contract terms$10K–$31K
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
Capfinancial Partners, LLC
Sponsor EIN
26-0058143
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 26-0058143 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Capfinancial Partners, LLC'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 Capfinancial Partners, LLC.

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