Gohealth Upmc
Overview
Gohealth Upmc sponsors a self-funded health plan that covered 1,251 participants in plan year 2025. The plan year starts in April. Alongside medical, its benefits filing reports dental, short-term disability, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 1,251
- Plan year
- Begins April 1 · next renewal April 2027
- Health plans filed
- Gohealth Upmc Welfare Benefit Plan, plan 501 (1,251 participants)
- Stop-loss carrier
- Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.
- Broker compensation
- $462K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Upmc Health Options | Medical | 312 | $6.1M | — |
| Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Dental, Vision, Stop-loss | 2,947 | $2.1M | $123K |
| Unum Life Insurance Company of America | Life, Short-term disability, Long-term disability | 3,209 | $1.3M | $278K |
| First Unum Life Insurance Company | DBL | 1,057 | $275K | $61K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,251 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Gohealth Upmc
- Sponsor EIN
- 99-5060891
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 99-5060891 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Gohealth Upmc'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 Upmc.