Gandara Mental Health Center, Inc.

Springfield, MA Health careNAICS 621330

Self-funded health planPlan year 2024Renews July
589ParticipantsFirst year on file
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#38 of 40Health care in MABy participants

Overview

Gandara Mental Health Center, Inc. sponsors a self-funded health plan that covered 589 participants in plan year 2024. The plan year starts in July. 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
589
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Gandara Mental Health Center, Inc. Benefit Plans, plan 503 (589 participants)
Broker compensation
$35K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare 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 disability593$297K$24K
The Guardian Life Insurance Company of AmericaVision, Life416$70K$9K
Evernorth Care Solutions, Inc.Employee Assistance Program1,973$18K—
Metropolitan Property and Casualty Insurance CompanyLegal45$11K$1K

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 589 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–$32K
Generic pricing vs. actual cost$7K–$20K
PBM contract terms$3K–$10K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 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
Gandara Mental Health Center, Inc.
Sponsor EIN
04-2622756
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-2622756 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Gandara Mental Health Center, Inc. Benefit Plans
Type
401(k) plan
Participants
1,727

About this data

Source: Gandara Mental Health Center, Inc.'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 Gandara Mental Health Center, Inc..

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