Genesis Healthcare System

Zanesville, OH Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
4,581Participants+4% vs. prior year
$10.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#19 of 89Health care in OHBy participants

Overview

Genesis Healthcare System sponsors a self-funded health plan that covered 4,581 participants in plan year 2025, up 4% 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
4,581 · prior year 4,423
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Genesis Flexible Benefits Plan, plan 520 (4,581 participants)
Broker compensation
$401K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeveranceOther 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 AmericaShort-term disability, Long-term disability, Life3,968$3.7M$329K
Vision Service PlanVision2,642$622K$47K
Unum Life Insurance CompanyShort-term disability, Long-term disability157$566K$26K

Pharmacy benefit estimate

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

$10.9M/ year

Estimated prescription spend: 4,581 participants × $2,371 national average per member. Usually higher once dependents are counted.

$282K–$696K/ year

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

Brands with a generic available$83K–$206K
Lower-cost therapeutic alternatives$121K–$252K
Generic pricing vs. actual cost$52K–$156K
PBM contract terms$27K–$81K
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
Genesis Healthcare System
Sponsor EIN
31-1480941
Plan number
520
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 31-1480941 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Genesis Healthcare System 401(k) Retirement Plan
Type
401(k) plan
Participants
4,507

About this data

Source: Genesis Healthcare System'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 Genesis Healthcare System.

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