Lexington Health Inc.

West Columbia, SC Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
4,524Participants+10% vs. prior year
$10.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 15Health care in SCBy participants

Overview

Lexington Health Inc. sponsors a self-funded health plan that covered 4,524 participants in plan year 2025, up 10% 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
4,524 · prior year 4,130
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Lexington Health Inc. (DBA Lexington Medical Center) Health and Welfare Wrap Plan, plan 501 (4,524 participants)
Broker compensation
$450K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Long-term disability6,245$5.1M$278K
Colonial Life and Accident Insurance CompanyAccident, Critical Illness876$626K$121K
Companion Life Insurance CompanyVision3,007$334K$52K
EAP Alliance Inc. DBA First Sun EAPEmployee Assistance Program4,524$126K—

Pharmacy benefit estimate

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

$10.7M/ year

Estimated prescription spend: 4,524 participants × $2,371 national average per member. Usually higher once dependents are counted.

$279K–$688K/ year

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

Brands with a generic available$82K–$204K
Lower-cost therapeutic alternatives$119K–$249K
Generic pricing vs. actual cost$51K–$154K
PBM contract terms$27K–$80K
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
Lexington Health Inc.
Sponsor EIN
85-2276567
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 85-2276567 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Lexington Health Inc. 403(b) Retirement Plan
Type
Defined contribution plan
Participants
6,198

About this data

Source: Lexington Health 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 Lexington Health Inc..

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