Capital Area Health Consortium

Farmington, CT Business servicesNAICS 561110

Self-funded health planPlan year 2024Renews July
834ParticipantsFirst year on file
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#4 of 4Business services in CTBy participants

Overview

Capital Area Health Consortium sponsors a self-funded health plan that covered 834 participants in plan year 2024. The plan year starts in July. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
834
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Capital Area Health Consortium Medical Benefits Plan, plan 510 (834 participants)
Broker compensation
$21K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Guardian Life Insurance Company of AmericaLong-term disability831$104K$16K
Standard Insurance CompanyLife834$50K$5K

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 834 participants × $2,371 national average per member. Usually higher once dependents are counted.

$51K–$127K/ year

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

Brands with a generic available$15K–$38K
Lower-cost therapeutic alternatives$22K–$46K
Generic pricing vs. actual cost$9K–$28K
PBM contract terms$5K–$15K
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
Capital Area Health Consortium
Sponsor EIN
51-0173264
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 51-0173264 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Capital Area Health Consortium'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 Capital Area Health Consortium.

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