Commonwealth Care of Roanoke, Inc.

Roanoke, VA Health careNAICS 623000

Self-funded health planPlan year 2025Renews May
1,160Participants-41% vs. prior year
$2.8MEst. pharmacy spend / yrParticipants × national avg.
May 2027Next renewalPlan year begins May 1
#22 of 34Health care in VABy participants

Overview

Commonwealth Care of Roanoke, Inc. sponsors a self-funded health plan that covered 1,160 participants in plan year 2025, down 41% from the prior year. The plan year starts in May. 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
1,160 · prior year 1,964
Plan year
Begins May 1 · next renewal May 2027
Health plans filed
Commonwealth Care of Roanoke, Inc. Employee Benefits Plan, plan 501 (1,160 participants)
Stop-loss carrier
Anthem Health Plans of Virginia DBA Anthem Bcbs
Broker compensation
$148K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Anthem Health Plans of Virginia DBA Anthem BcbsVision, Stop-loss970$1.2M—
Hartford Life and AccidentLife, Short-term disability, Long-term disability1,160$805K$123K
Delta Dental of VirginiaDental1,090$311K$19K
Fidelity Security Life Insurance CompanyVision1,086$53K$6K
Carilion EAPEAP1,609$19K—

Pharmacy benefit estimate

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

$2.8M/ year

Estimated prescription spend: 1,160 participants × $2,371 national average per member. Usually higher once dependents are counted.

$72K–$176K/ year

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

Brands with a generic available$21K–$52K
Lower-cost therapeutic alternatives$31K–$64K
Generic pricing vs. actual cost$13K–$40K
PBM contract terms$7K–$21K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning May 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
Commonwealth Care of Roanoke, Inc.
Sponsor EIN
75-3020239
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 75-3020239 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Commonwealth Care of Roanoke, Inc. 401(k) Plan
Type
401(k) plan
Participants
1,634

About this data

Source: Commonwealth Care of Roanoke, 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 Commonwealth Care of Roanoke, Inc..

Request a correction · Methodology