Diverzify, LLC

Itasca, IL RetailNAICS 442210

Self-funded health planPlan year 2025Renews June
1,424Participants+9% vs. prior year
$3.4MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#9 of 19Retail in ILBy participants

Overview

Diverzify, LLC sponsors a self-funded health plan that covered 1,424 participants in plan year 2025, up 9% from the prior year. The plan year starts in June. 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
1,424 · prior year 1,311
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
Diverzify, LLC Welfare Benefits Plan, plan 501 (1,424 participants)
Broker compensation
$269K 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
Standard Insurance CompanyVision, Life, Short-term disability, Long-term disability1,424$1.1M$223K
Cigna Health and Life Insurance Company and AffiliatesDental849$749K$47K
ComPsych CorporationEmployee Assistance Program788$21K—

Pharmacy benefit estimate

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

$3.4M/ year

Estimated prescription spend: 1,424 participants × $2,371 national average per member. Usually higher once dependents are counted.

$88K–$216K/ year

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

Brands with a generic available$26K–$64K
Lower-cost therapeutic alternatives$37K–$78K
Generic pricing vs. actual cost$16K–$49K
PBM contract terms$8K–$25K
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 2025
Plan sponsor
Diverzify, LLC
Sponsor EIN
46-4356769
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 46-4356769 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Diverzify, 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 Diverzify, LLC.

Request a correction · Methodology