Commonwealth of Virginia

Richmond, VA GovernmentNAICS 921000

Self-funded health planPlan year 2025Renews January
1,012Participants+6% vs. prior year
$2.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 1Government in VABy participants

Overview

Commonwealth of Virginia sponsors a self-funded health plan that covered 1,012 participants in plan year 2025, up 6% from the prior year. The plan year starts in January.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,012 · prior year 952
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Commonwealth of Virginia - Loda Plan - Medicare Primary, plan 503 (1,012 participants)
Medical

Pharmacy benefit estimate

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

$2.4M/ year

Estimated prescription spend: 1,012 participants × $2,371 national average per member. Usually higher once dependents are counted.

$62K–$154K/ year

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

Brands with a generic available$18K–$46K
Lower-cost therapeutic alternatives$27K–$56K
Generic pricing vs. actual cost$12K–$35K
PBM contract terms$6K–$18K
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 2025
Plan sponsor
Commonwealth of Virginia
Sponsor EIN
54-6024817
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 54-6024817 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Commonwealth of Virginia'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 of Virginia.

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