Eye Associates of New Mexico, Ltd

Albuquerque, NM Health careNAICS 621320

Self-funded health planPlan year 2024Renews September
621ParticipantsFirst year on file
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Sep 2027Next renewalPlan year begins September 1
#5 of 7Health care in NMBy participants

Overview

Eye Associates of New Mexico, Ltd sponsors a self-funded health plan that covered 621 participants in plan year 2024. The plan year starts in September. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
621
Plan year
Begins September 1 · next renewal September 2027
Health plans filed
Eye Associates of New Mexico, Ltd Health and Benefits Plan, plan 505 (621 participants)
Broker compensation
$80K across insured contracts
MedicalLife insuranceDentalShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Short-term disability, Long-term disability579$600K$69K
Delta Dental of New MexicoDental845$316K$10K
American Heritage Life Insurance CompanyLife28$19K$1K
Unum Life Insurance Company of AmericaAccident35$6K$115

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 621 participants × $2,371 national average per member. Usually higher once dependents are counted.

$38K–$94K/ year

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

Brands with a generic available$11K–$28K
Lower-cost therapeutic alternatives$16K–$34K
Generic pricing vs. actual cost$7K–$21K
PBM contract terms$4K–$11K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning September 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Eye Associates of New Mexico, Ltd
Sponsor EIN
85-0246856
Plan number
505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 85-0246856 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
401(k) Profit-Sharing Plan for Employees of Eye Associates of New Mexico, Ltd.
Type
401(k) plan
Participants
806

About this data

Source: Eye Associates of New Mexico, Ltd's Form 5500 filing for plan year 2024 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 Eye Associates of New Mexico, Ltd.

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