Medical Professional Mutual Insurance Company

Boston, MA Finance & insuranceNAICS 524150

Self-funded health planPlan year 2025Renews January
583Participants-5% vs. prior year
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#16 of 20Finance & insurance in MABy participants

Overview

Medical Professional Mutual Insurance Company sponsors a self-funded health plan that covered 583 participants in plan year 2025, down 5% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
583 · prior year 616
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Medical Professional Mutual Insurance Company Employee Benefit Plan, plan 502 (583 participants)
Broker compensation
$25K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Lincoln National Life Insurance CompanyLife, Long-term disability536$415K$16K
Vision Service PlanVision363$52K$2K
Transamerica Life Insurance CompanyAccident, Critical Illness255$52K$6K
National Union Fire Ins. Co. of Pittsburgh, PABusiness Travel Accident (AD&D)579$2K$583

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 583 participants × $2,371 national average per member. Usually higher once dependents are counted.

$36K–$89K/ year

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

Brands with a generic available$11K–$26K
Lower-cost therapeutic alternatives$15K–$32K
Generic pricing vs. actual cost$7K–$20K
PBM contract terms$3K–$10K
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
Medical Professional Mutual Insurance Company
Sponsor EIN
04-2595783
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-2595783 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Coverys 401(k) Retirement Plan
Type
401(k) plan
Participants
767

About this data

Source: Medical Professional Mutual Insurance 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 Medical Professional Mutual Insurance Company.

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