Empath Health

Clearwater, FL Health careNAICS 621610

Self-funded health planPlan year 2025Renews January
2,189Participants+2% vs. prior year
$5.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#25 of 89Health care in FLBy participants

Overview

Empath Health sponsors a self-funded health plan that covered 2,189 participants in plan year 2025, up 2% 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
2,189 · prior year 2,139
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Empath Health Employee Welfare Benefits Plan, plan 501 (2,189 participants)
Broker compensation
$560K 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
Guardian Life Insurance CompanyDental, Vision, Life, Short-term disability, Long-term disability2,146$3.9M$473K
American Heritage Life Insurance CompanyLife139$148K$71K
U.S. Legal Services, Inc.Legal419$83K$16K

Pharmacy benefit estimate

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

$5.2M/ year

Estimated prescription spend: 2,189 participants × $2,371 national average per member. Usually higher once dependents are counted.

$135K–$333K/ year

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

Brands with a generic available$39K–$99K
Lower-cost therapeutic alternatives$58K–$120K
Generic pricing vs. actual cost$25K–$75K
PBM contract terms$13K–$39K
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
Empath Health
Sponsor EIN
26-3605761
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 26-3605761 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Empath Health'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 Empath Health.

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