Employer Direct Healthcare, LLC

Dallas, TX Finance & insuranceNAICS 524290

Self-funded health planPlan year 2025Renews January
696Participants+88% vs. prior year
$1.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#26 of 38Finance & insurance in TXBy participants

Overview

Employer Direct Healthcare, LLC sponsors a self-funded health plan that covered 696 participants in plan year 2025, up 88% 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
696 · prior year 370
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Employer Direct Healthcare, LLC Health and Welfare Plan, plan 501 (696 participants)
Broker compensation
$132K 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 CompanyDental, Vision, Life, Short-term disability, Long-term disability614$665K$132K

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 696 participants × $2,371 national average per member. Usually higher once dependents are counted.

$43K–$106K/ year

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

Brands with a generic available$13K–$31K
Lower-cost therapeutic alternatives$18K–$38K
Generic pricing vs. actual cost$8K–$24K
PBM contract terms$4K–$12K
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
Employer Direct Healthcare, LLC
Sponsor EIN
45-3780484
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 45-3780484 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Employer Direct Healthcare LLC 401(k) Plan
Type
401(k) plan
Participants
527

About this data

Source: Employer Direct Healthcare, 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 Employer Direct Healthcare, LLC.

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