Definitive Healthcare, LLC

Framingham, MA Information & technologyNAICS 511210

Self-funded health planPlan year 2025Renews January
527Participants-21% vs. prior year
$1.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 11Information & technology in MABy participants

Overview

Definitive Healthcare, LLC sponsors a self-funded health plan that covered 527 participants in plan year 2025, down 21% from the prior year. 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
527 · prior year 670
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Definitive Healthcare, LLC Employee Benefit Plan, plan 501 (527 participants)
Broker compensation
$25K 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
Blue Cross Blue Shield of MassachusettsDental777$319K$9K
United of Omaha Life Insurance CompanyLife, Long-term disability495$116K$15K
Vision Service PlanVision361$45K$2K

Pharmacy benefit estimate

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

$1.2M/ year

Estimated prescription spend: 527 participants × $2,371 national average per member. Usually higher once dependents are counted.

$32K–$80K/ year

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

Brands with a generic available$9K–$24K
Lower-cost therapeutic alternatives$14K–$29K
Generic pricing vs. actual cost$6K–$18K
PBM contract terms$3K–$9K
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
Definitive Healthcare, LLC
Sponsor EIN
27-4296867
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-4296867 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Definitive Healthcare LLC 401(k) Profit Sharing Plan
Type
401(k) plan
Participants
822

About this data

Source: Definitive Healthcare, LLC'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 Definitive Healthcare, LLC.

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