Carepathrx Midco, Inc.

Mercer Island, WA RetailNAICS 446110

Self-funded health planPlan year 2024Renews January
821ParticipantsFirst year on file
$1.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#9 of 11Retail in WABy participants

Overview

Carepathrx Midco, Inc. sponsors a self-funded health plan that covered 821 participants in plan year 2024. 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
821
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Carepath Midco, Inc. Health and Welfare Plan, plan 501 (821 participants)
Broker compensation
$109K 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
Cigna Health and Life Insurance CompanyEmployee Assistance Program1,013$920K$-57K
United of Omaha Life Insurance CompanyDental, Vision, Life, Short-term disability, Long-term disability933$704K$104K
Continental American Insurance CompanyAccident, Critical Illness, Hospital642$168K$61K

Pharmacy benefit estimate

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

$1.9M/ year

Estimated prescription spend: 821 participants × $2,371 national average per member. Usually higher once dependents are counted.

$51K–$125K/ year

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

Brands with a generic available$15K–$37K
Lower-cost therapeutic alternatives$22K–$45K
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 January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Carepathrx Midco, Inc.
Sponsor EIN
84-3548586
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 84-3548586 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Carepathrx 401(k) Plan
Type
401(k) plan
Participants
3,316

About this data

Source: Carepathrx Midco, Inc.'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 Carepathrx Midco, Inc..

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