Eastern Band of Cherokee Indians

Cherokee, NC Other servicesNAICS 813000

Self-funded health planPlan year 2025Renews January
2,657Participants+7% vs. prior year
$6.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 5Other services in NCBy participants

Overview

Eastern Band of Cherokee Indians sponsors a self-funded health plan that covered 2,657 participants in plan year 2025, up 7% 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
2,657 · prior year 2,492
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Eastern Band of Cherokee Indians Welfare Benefit Plan, plan 501 (2,657 participants)
Stop-loss carrier
Blue Cross Blue Shield of North Carolina
Broker compensation
$277K 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 North CarolinaMedical, Stop-loss2,429$1.9M$68K
AflacVoluntary Benefits395$339K$59K
Community Eye CareVision4,184$230K—
Colonial Life & Accident Insurance CompanyLife, Short-term disability117$109K$12K

Pharmacy benefit estimate

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

$6.3M/ year

Estimated prescription spend: 2,657 participants × $2,371 national average per member. Usually higher once dependents are counted.

$164K–$404K/ year

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

Brands with a generic available$48K–$120K
Lower-cost therapeutic alternatives$70K–$146K
Generic pricing vs. actual cost$30K–$91K
PBM contract terms$16K–$47K
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
Eastern Band of Cherokee Indians
Sponsor EIN
56-0572090
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-0572090 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Eastern Band of Cherokee Indians'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 Eastern Band of Cherokee Indians.

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