Foundation Medicine, Inc.

Boston, MA Health careNAICS 621498

Self-funded health planPlan year 2025Renews January
1,451Participants+1% vs. prior year
$3.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#20 of 40Health care in MABy participants

Overview

Foundation Medicine, Inc. sponsors a self-funded health plan that covered 1,451 participants in plan year 2025, about the same as 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
1,451 · prior year 1,433
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Foundation Medicine, Inc. Health and Welfare Benefits Plan, plan 501 (1,451 participants)
Broker compensation
$9K 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
Unum Life Insurance Company of AmericaLife, Long-term disability1,533$756K$9K
Vision Service PlanVision1,313$138K—
Hartford Life and AccidentBusiness Travel Accident1,451—$1

Pharmacy benefit estimate

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

$3.4M/ year

Estimated prescription spend: 1,451 participants × $2,371 national average per member. Usually higher once dependents are counted.

$89K–$221K/ year

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

Brands with a generic available$26K–$65K
Lower-cost therapeutic alternatives$38K–$80K
Generic pricing vs. actual cost$17K–$50K
PBM contract terms$9K–$26K
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
Foundation Medicine, Inc.
Sponsor EIN
27-1316416
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-1316416 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Foundation Medicine 401(k) Plan
Type
401(k) plan
Participants
2,426

About this data

Source: Foundation Medicine, 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 Foundation Medicine, Inc..

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