Genedx Holdings Corp.

Stamford, CT Professional servicesNAICS 541700

Self-funded health planPlan year 2025Renews January
1,244Participants+40% vs. prior year
$2.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 8Professional services in CTBy participants

Overview

Genedx Holdings Corp. sponsors a self-funded health plan that covered 1,244 participants in plan year 2025, up 40% 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
1,244 · prior year 892
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Genedx Holdings Corp. Employee Benefits Plan, plan 501 (1,244 participants)
Broker compensation
$25K 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
Reliance Standard Life Insurance CompanyLife, Long-term disability, VOL AD&D1,095$250K$25K
Cigna Health and Life Insurance Company and AffiliatesDental, HMO46$10K$509

Pharmacy benefit estimate

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

$2.9M/ year

Estimated prescription spend: 1,244 participants × $2,371 national average per member. Usually higher once dependents are counted.

$77K–$189K/ year

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

Brands with a generic available$22K–$56K
Lower-cost therapeutic alternatives$33K–$68K
Generic pricing vs. actual cost$14K–$42K
PBM contract terms$7K–$22K
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
Genedx Holdings Corp.
Sponsor EIN
85-1966622
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 85-1966622 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Genedx Holdings Corp. 401(k) Plan
Type
401(k) plan
Participants
1,977

About this data

Source: Genedx Holdings Corp.'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 Genedx Holdings Corp..

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