Carefirst, Inc.
Overview
Carefirst, Inc. sponsors a self-funded health plan that covered 6,341 participants in plan year 2025, about the same as the prior year. The plan year starts in April. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 6,341 · prior year 6,337
- Plan year
- Begins April 1 · next renewal April 2027
- Health plans filed
- The Carefirst Flexible Benefits Plan, plan 503 (6,341 participants); The Carefirst Retiree Benefits Plan, plan 505 (1,053 participants)
- Broker compensation
- $301K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| First Care, Inc. | Life, Long-term disability | 9,268 | $6.6M | — |
| American Heritage Life Insurance Company | Accident Insurance and Critical Illness, Hospital Indemnity | 1,925 | $1.3M | $267K |
| Arag Services, LLC | Legal | 1,952 | $219K | $22K |
| Unum Life Insurance Company of America | Long Term Care | 79 | $85K | $12K |
| Prudential Insurance Company of America | Business Travel Accident | 6,217 | $10K | $183 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 6,341 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Carefirst, Inc.
- Sponsor EIN
- 52-2069215
- Plan numbers
- 503, 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 52-2069215 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- The Carefirst 401(k) Plan
- Type
- 401(k) plan
- Participants
- 8,382
About this data
Source: Carefirst, Inc.'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 Carefirst, Inc..