Caremetx, LLC

Bethesda, MD Professional servicesNAICS 541990

Self-funded health planPlan year 2024Renews December
956ParticipantsFirst year on file
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Dec 2026Next renewalPlan year begins December 1
#12 of 25Professional services in MDBy participants

Overview

Caremetx, LLC sponsors a self-funded health plan that covered 956 participants in plan year 2024. The plan year starts in December. 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
956
Plan year
Begins December 1 · next renewal December 2026
Health plans filed
Caremetx, LLC Employee Benefits Plan, plan 501 (956 participants)
Broker compensation
$84K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
United of Omaha Life Insurance CompanyLife, Short-term disability, Long-term disability948$637K$43K
UnitedHealthcare Insurance CompanyDental, Accident & Critical Illness713$550K$35K
United Healthcare Insurance CompanyVision633$71K$6K
Legal ResourcesLegal121$27K—

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 956 participants × $2,371 national average per member. Usually higher once dependents are counted.

$59K–$145K/ year

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

Brands with a generic available$17K–$43K
Lower-cost therapeutic alternatives$25K–$53K
Generic pricing vs. actual cost$11K–$33K
PBM contract terms$6K–$17K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning December 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
Caremetx, LLC
Sponsor EIN
27-4756556
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-4756556 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Caremetx LLC 401k Plan
Type
401(k) plan
Participants
1,174

About this data

Source: Caremetx, 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 Caremetx, LLC.

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