Encompass Health Corporation

Birmingham, AL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
7,018Participants+3% vs. prior year
$16.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 15Health care in ALBy participants

Overview

Encompass Health Corporation sponsors a self-funded health plan that covered 7,018 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
7,018 · prior year 6,832
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Encompass Health Corporation Responsible Employee Safety & Health Plan, plan 504 (7,018 participants)
Broker compensation
$3.6M 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
The Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability24,497$17.2M$3.5M
Vision Service PlanVision17,900$3.2M—
Spring HealthEmployee Assistance Program52,246$2.7M—
MCS Life Insurance CompanyMedical, Prescription drug, Dental, Life235$891K$81K
Unum Life Insurance Company of AmericaAccident, Critical Illness, Hospital118$33K$2K

Pharmacy benefit estimate

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

$16.6M/ year

Estimated prescription spend: 7,018 participants × $2,371 national average per member. Usually higher once dependents are counted.

$433K–$1.1M/ year

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

Brands with a generic available$126K–$316K
Lower-cost therapeutic alternatives$185K–$386K
Generic pricing vs. actual cost$80K–$240K
PBM contract terms$42K–$125K
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
Encompass Health Corporation
Sponsor EIN
63-0860407
Plan number
504
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 63-0860407 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Encompass Health Corporation 401(k) Retirement Plan
Type
401(k) plan
Participants
39,155

About this data

Source: Encompass Health Corporation'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 Encompass Health Corporation.

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