Capri Communities, LLC

Waukesha, WI Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
596Participants+18% vs. prior year
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#26 of 29Health care in WIBy participants

Overview

Capri Communities, LLC sponsors a self-funded health plan that covered 596 participants in plan year 2025, up 18% 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
596 · prior year 506
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Capri Senior Communities Health & Welfare Plan, plan 501 (596 participants)
Broker compensation
$49K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability596$246K$41K
UnitedHealthcare Insurance CompanyDental283$169K$5K
Vision Service PlanVision224$31K$3K

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 596 participants × $2,371 national average per member. Usually higher once dependents are counted.

$37K–$91K/ year

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

Brands with a generic available$11K–$27K
Lower-cost therapeutic alternatives$16K–$33K
Generic pricing vs. actual cost$7K–$20K
PBM contract terms$4K–$11K
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
Capri Communities, LLC
Sponsor EIN
39-2030637
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 39-2030637 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Capri Senior Communities Retirement Plan
Type
401(k) plan
Participants
1,218

About this data

Source: Capri Communities, 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 Capri Communities, LLC.

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