Gaston Family Health Services

Gastonia, NC Health careNAICS 621498

Self-funded health planPlan year 2025Renews January
847Participants+5% vs. prior year
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#29 of 46Health care in NCBy participants

Overview

Gaston Family Health Services sponsors a self-funded health plan that covered 847 participants in plan year 2025, up 5% 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
847 · prior year 809
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Group Health Plan for Employees of Gaston Family Services, DBA Kintegra Health, plan 502 (847 participants); Medical Reimbursement FSA for the Employees of Kintegra Health, plan 507 (416 participants)
Broker compensation
$202K 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
Sun Life Assurance Company of CanadaLife, Long-term disability, Short-term disability1,389$1.1M$166K
Ameritas Life Insurance Corp.Dental, Vision1,672$358K$36K

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 847 participants × $2,371 national average per member. Usually higher once dependents are counted.

$52K–$129K/ year

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

Brands with a generic available$15K–$38K
Lower-cost therapeutic alternatives$22K–$47K
Generic pricing vs. actual cost$10K–$29K
PBM contract terms$5K–$15K
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
Gaston Family Health Services
Sponsor EIN
58-1958398
Plan numbers
502, 507
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1958398 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Retirement Plan for Employees of Kintegra Health
Type
Defined contribution plan
Participants
1,771

About this data

Source: Gaston Family Health Services'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 Gaston Family Health Services.

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