Medica Services Company

Minneapolis, MN Finance & insuranceNAICS 524140

Self-funded health planPlan year 2025Renews January
2,522Participants-10% vs. prior year
$6.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#9 of 17Finance & insurance in MNBy participants

Overview

Medica Services Company sponsors a self-funded health plan that covered 2,522 participants in plan year 2025, down 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
2,522 · prior year 2,796
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Medica Employee Benefit Plan, plan 501 (2,522 participants)
Broker compensation
$295K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Long-term disability2,522$1.7M$186K
The Lincoln National Life Insurance CompanyAccident, Critical Illness, Hospital843$417K$99K
Vision Service PlanVision1,605$217K—
Metropolitan General Insurance CompanyLegal406$81K$10K
Hartford Life and AccidentBusiness Travel Accident2,522$750$15

Pharmacy benefit estimate

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

$6.0M/ year

Estimated prescription spend: 2,522 participants × $2,371 national average per member. Usually higher once dependents are counted.

$155K–$383K/ year

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

Brands with a generic available$45K–$114K
Lower-cost therapeutic alternatives$66K–$139K
Generic pricing vs. actual cost$29K–$86K
PBM contract terms$15K–$45K
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
Medica Services Company
Sponsor EIN
85-2902940
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 85-2902940 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Medica 401(k) Matched Savings Plan
Type
401(k) plan
Participants
3,286

About this data

Source: Medica Services Company'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 Medica Services Company.

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