Maximus Services, LLC

Mclean, VA Professional servicesNAICS 541600

Self-funded health planPlan year 2025Renews January
14,051Participants+35% vs. prior year
$33.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 51Professional services in VABy participants

Overview

Maximus Services, LLC sponsors a self-funded health plan that covered 14,051 participants in plan year 2025, up 35% 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
14,051 · prior year 10,429
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Fringe Benefit Plan for Service Contract ACT Employees of Maximus Services, LLC, plan 501 (14,051 participants)
Stop-loss carrier
Sun Life Assurance Company of Canada
Broker compensation
$1.9M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyLife, Short-term disability, Long-term disability, AD&D, Critical Illness and Hospital Indemnity29,232$22.0M$1.4M
Vision Service PlanVision15,731$3.7M$139K
Sun Life Assurance Company of CanadaStop-loss9,933$3.4M$208K
Kaiser Foundation Health Plan, Inc.Medical, HMO118$2.2M—
Metropolitan General Insurance CompanyLegal3,361$838K$80K
Telius Health (US) Ltd.EAP10,513$197K—

Pharmacy benefit estimate

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

$33.3M/ year

Estimated prescription spend: 14,051 participants × $2,371 national average per member. Usually higher once dependents are counted.

$866K–$2.1M/ year

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

Brands with a generic available$253K–$633K
Lower-cost therapeutic alternatives$370K–$773K
Generic pricing vs. actual cost$160K–$480K
PBM contract terms$83K–$250K
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
Maximus Services, LLC
Sponsor EIN
83-2064210
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 83-2064210 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Maximus Services, 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 Maximus Services, LLC.

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