Firsthealth of the Carolinas, Inc.

Pinehurst, NC Health careNAICS 621610

Self-funded health planPlan year 2025Renews January
3,479Participants-8% vs. prior year
$8.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 46Health care in NCBy participants

Overview

Firsthealth of the Carolinas, Inc. sponsors a self-funded health plan that covered 3,479 participants in plan year 2025, down 8% 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
3,479 · prior year 3,769
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Firsthealth of the Carolinas, Inc. Group Health Plan, plan 501 (3,479 participants)
Broker compensation
$208K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLife, Short-term disability, Long-term disability3,821$3.2M$208K
Community Eye CareVision6,165$454K—
Federal Insurance CompanyBusiness Travel Accident3,444——
AflacAccident, Critical Illness, Hospital3,444——

Pharmacy benefit estimate

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

$8.2M/ year

Estimated prescription spend: 3,479 participants × $2,371 national average per member. Usually higher once dependents are counted.

$214K–$529K/ year

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

Brands with a generic available$63K–$157K
Lower-cost therapeutic alternatives$92K–$191K
Generic pricing vs. actual cost$40K–$119K
PBM contract terms$21K–$62K
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
Firsthealth of the Carolinas, Inc.
Sponsor EIN
56-1936354
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-1936354 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Firsthealth of the Carolinas, Inc. Matching Savings Plan
Type
Defined contribution plan
Participants
8,121

About this data

Source: Firsthealth of the Carolinas, 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 Firsthealth of the Carolinas, Inc..

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