Galen Medical Group, P.C.

Hixson, TN Health careNAICS 621111

Self-funded health planPlan year 2024Renews April
592ParticipantsFirst year on file
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Apr 2027Next renewalPlan year begins April 1
#46 of 51Health care in TNBy participants

Overview

Galen Medical Group, P.C. sponsors a self-funded health plan that covered 592 participants in plan year 2024. The plan year starts in April. 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
592
Plan year
Begins April 1 · next renewal April 2027
Health plans filed
Galen Medical Group, P.C. Employee Benefits Plan, plan 502 (592 participants)
Stop-loss carrier
Standard Life and Accident Insurance Company
Broker compensation
$159K 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
Standard Life and Accident Insurance CompanyStop-loss418$801K—
The Prudential Insurance Company of AmericaLife, Short-term disability, Long-term disability616$612K$128K
Bluecross Blueshield of Tennessee, Inc.Dental, Vision221$282K$31K

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 592 participants × $2,371 national average per member. Usually higher once dependents are counted.

$36K–$90K/ year

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

Brands with a generic available$11K–$27K
Lower-cost therapeutic alternatives$16K–$33K
Generic pricing vs. actual cost$7K–$20K
PBM contract terms$4K–$11K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning April 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Galen Medical Group, P.C.
Sponsor EIN
62-1508884
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 62-1508884 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Galen Medical Group Employees Retirement Savings Plan
Type
401(k) plan
Participants
679

About this data

Source: Galen Medical Group, P.C.'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 Galen Medical Group, P.C..

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