First Community Bankshares, Inc.

Bluefield, VA Finance & insuranceNAICS 522110

Self-funded health planPlan year 2025Renews January
611Participants-6% vs. prior year
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#9 of 12Finance & insurance in VABy participants

Overview

First Community Bankshares, Inc. sponsors a self-funded health plan that covered 611 participants in plan year 2025, down 6% 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
611 · prior year 648
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
First Community Bankshares, Inc. Medical & Dental Care Plan, plan 504 (611 participants); First Community Bankshares, Inc. Flexible Benefits, plan 505 (596 participants)
Stop-loss carrier
Berkshire Hathaway Specialty Insurance Company
Broker compensation
$72K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Berkshire Hathaway Specialty Insurance CompanyStop-loss390$802K—
United of Omaha Life Insurance CompanyLong-term disability, Life, Short-term disability573$428K$57K
American Heritage Life Insurance CompanyLife, Hospital Indemnity129$102K$15K

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 611 participants × $2,371 national average per member. Usually higher once dependents are counted.

$38K–$93K/ 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 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
First Community Bankshares, Inc.
Sponsor EIN
55-0694814
Plan numbers
504, 505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 55-0694814 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
First Community Bankshares, Inc. Employee Stock Ownership and Savings Plan
Type
401(k) plan
Participants
785

About this data

Source: First Community Bankshares, Inc.'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 First Community Bankshares, Inc..

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