Healthcare Management Administrators, Inc.

Bellevue, WA Finance & insuranceNAICS 524290

Self-funded health planPlan year 2025Renews January
633Participants+42% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 6Finance & insurance in WABy participants

Overview

Healthcare Management Administrators, Inc. sponsors a self-funded health plan that covered 633 participants in plan year 2025, up 42% from the prior year. The plan year starts in January.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
633 · prior year 446
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Healthcare Management Administrators, Inc. Group Health Plan, plan 503 (633 participants)
Stop-loss carrier
Commencement Bay Risk Management Insurance Company
Medical

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Commencement Bay Risk Management Insurance CompanyStop-loss520$584K—
Usable LifeLife, Long-term disability, Short-term disability, Accidential Death and Dismemberment323$212K—
Willamette Dental of Washington, Inc.Dental115$59K—

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 633 participants × $2,371 national average per member. Usually higher once dependents are counted.

$39K–$96K/ year

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

Brands with a generic available$11K–$29K
Lower-cost therapeutic alternatives$17K–$35K
Generic pricing vs. actual cost$7K–$22K
PBM contract terms$4K–$11K
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
Healthcare Management Administrators, Inc.
Sponsor EIN
91-1333840
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 91-1333840 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Healthcare Management Administrators, Inc. Retirement Plan
Type
401(k) plan
Participants
394

About this data

Source: Healthcare Management Administrators, Inc.'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 Healthcare Management Administrators, Inc..

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