El Rio Santa Cruz Neighborhood Health Center, Inc.

Tucson, AZ Health careNAICS 621498

Self-funded health planPlan year 2025Renews January
1,965Participants+3% vs. prior year
$4.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 40Health care in AZBy participants

Overview

El Rio Santa Cruz Neighborhood Health Center, Inc. sponsors a self-funded health plan that covered 1,965 participants in plan year 2025, up 3% 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
1,965 · prior year 1,901
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
El Rio Benefit Plan, plan 501 (1,965 participants)
Broker compensation
$147K 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
Unum Life Insurance Company of AmericaLife, Long-term disability1,966$1.1M$23K
Unum Insurance CompanyAccident, Critical Illness, Hospital578$403K$124K
Avesis Insurance IncorporatedVision2,571$210K—
Curalinc LLCEmployee Assistance Program1,800$4K—

Pharmacy benefit estimate

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

$4.7M/ year

Estimated prescription spend: 1,965 participants × $2,371 national average per member. Usually higher once dependents are counted.

$121K–$299K/ year

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

Brands with a generic available$35K–$89K
Lower-cost therapeutic alternatives$52K–$108K
Generic pricing vs. actual cost$22K–$67K
PBM contract terms$12K–$35K
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
El Rio Santa Cruz Neighborhood Health Center, Inc.
Sponsor EIN
86-0285857
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 86-0285857 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
El Rio Santa Cruz Neighborhood Health Center, Inc. Retirement Plan
Type
Defined contribution plan
Participants
2,572

About this data

Source: El Rio Santa Cruz Neighborhood Health Center, 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 El Rio Santa Cruz Neighborhood Health Center, Inc..

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