Gohealth LLC

Chicago, IL Professional servicesNAICS 541511

Self-funded health planPlan year 2025Renews February
2,045Participants-13% vs. prior year
$4.8MEst. pharmacy spend / yrParticipants × national avg.
Feb 2027Next renewalPlan year begins February 1
#14 of 44Professional services in ILBy participants

Overview

Gohealth LLC sponsors a self-funded health plan that covered 2,045 participants in plan year 2025, down 13% from the prior year. The plan year starts in February. 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
2,045 · prior year 2,359
Plan year
Begins February 1 · next renewal February 2027
Health plans filed
Gohealth Benefit Plan, plan 502 (2,045 participants)
Broker compensation
$138K 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
The Guardian Life Insurance Company of AmericaLife, Short-term disability, Long-term disability773$952K$38K
Bluecross Blueshield of IllinoisDental1,288$730K$37K
Reliastar Life Insurance CompanyAccident, Critical Illness, Hospital587$206K$50K
Vision Service PlanVision590$154K$5K
Arag Insurance CompanyLegal394$90K$9K

Pharmacy benefit estimate

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

$4.8M/ year

Estimated prescription spend: 2,045 participants × $2,371 national average per member. Usually higher once dependents are counted.

$126K–$311K/ year

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

Brands with a generic available$37K–$92K
Lower-cost therapeutic alternatives$54K–$112K
Generic pricing vs. actual cost$23K–$70K
PBM contract terms$12K–$36K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning February 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
Gohealth LLC
Sponsor EIN
26-3235175
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 26-3235175 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Gohealth LLC'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 Gohealth LLC.

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