Careplus Insurance, L.l.c.

Kansas City, MO Health careNAICS 623000

Self-funded health planPlan year 2024Renews June
899ParticipantsFirst year on file
$2.1MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#24 of 35Health care in MOBy participants

Overview

Careplus Insurance, L.l.c. sponsors a self-funded health plan that covered 899 participants in plan year 2024. The plan year starts in June. Alongside medical, its benefits filing reports dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
899
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
Careplus Employee Benefit Plan, plan 501 (899 participants)
MedicalDentalVision

Pharmacy benefit estimate

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

$2.1M/ year

Estimated prescription spend: 899 participants × $2,371 national average per member. Usually higher once dependents are counted.

$55K–$137K/ year

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

Brands with a generic available$16K–$40K
Lower-cost therapeutic alternatives$24K–$49K
Generic pricing vs. actual cost$10K–$31K
PBM contract terms$5K–$16K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 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
Careplus Insurance, L.l.c.
Sponsor EIN
61-1570638
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 61-1570638 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Careplus Insurance, L.l.c.'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 Careplus Insurance, L.l.c..

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