Examworks LLC

Atlanta, GA Finance & insuranceNAICS 524290

Self-funded health planPlan year 2025Renews January
3,232Participants+28% vs. prior year
$7.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 13Finance & insurance in GABy participants

Overview

Examworks LLC sponsors a self-funded health plan that covered 3,232 participants in plan year 2025, up 28% 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
3,232 · prior year 2,515
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Examworks LLC Welfare Benefit Plan, plan 501 (3,232 participants)
Stop-loss carrier
Cigna Health and Life Insurance Company
Broker compensation
$385K 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
Cigna Health and Life Insurance CompanyMedical, Dental, Vision, Stop-loss3,980$4.7M$21K
Life Insurance Company of North AmericaLife, Short-term disability, Long-term disability, Voluntary Accident3,392$1.4M$161K
Continental American Insurance CompanyAccident, Critical Illness, Hospital931$474K$175K
New York Life Group Insurance Company of New YorkShort-term disability276$80K$29K
Flores & AssociatesMedical Reimbursement Account, Transit, 332$22K—

Pharmacy benefit estimate

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

$7.7M/ year

Estimated prescription spend: 3,232 participants × $2,371 national average per member. Usually higher once dependents are counted.

$199K–$491K/ year

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

Brands with a generic available$58K–$146K
Lower-cost therapeutic alternatives$85K–$178K
Generic pricing vs. actual cost$37K–$110K
PBM contract terms$19K–$57K
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
Examworks LLC
Sponsor EIN
26-1114252
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 26-1114252 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Examworks 401(k) Plan
Type
401(k) plan
Participants
4,046

About this data

Source: Examworks 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 Examworks LLC.

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