Elica Health Centers
Overview
Elica Health Centers sponsors a self-funded health plan that covered 575 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, death benefits.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 575 · prior year 575
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Elica Health Centers Health & Welfare Plan, plan 501 (575 participants)
- Broker compensation
- $100K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Principal Life Insurance Company | Dental, Vision, Life | 999 | $686K | $100K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 575 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Elica Health Centers
- Sponsor EIN
- 37-1424390
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 37-1424390 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Elica Health Centers 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 738
About this data
Source: Elica Health Centers'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 Elica Health Centers.