Medicalodges, Inc.

Coffeyville, KS Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
990Participants+29% vs. prior year
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#11 of 18Health care in KSBy participants

Overview

Medicalodges, Inc. sponsors a self-funded health plan that covered 990 participants in plan year 2025, up 29% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
990 · prior year 769
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Medicalodges, Inc. Employee Medical & Dental Benefit Plan (medicalodges, Inc. Health Insurance Plan), plan 501 (990 participants)
Stop-loss carrier
Reliastar Life Insurance Company
Broker compensation
$97K across insured contracts
MedicalLife insuranceDentalVisionShort-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliastar Life Insurance CompanyStop-loss706$601K$28K
Sun Life Assurance Company of CanadaLife, Short-term disability836$327K$64K
Metropolitan Life Insurance CompanyVision990$58K$5K

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 990 participants × $2,371 national average per member. Usually higher once dependents are counted.

$61K–$150K/ year

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

Brands with a generic available$18K–$45K
Lower-cost therapeutic alternatives$26K–$54K
Generic pricing vs. actual cost$11K–$34K
PBM contract terms$6K–$18K
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
Medicalodges, Inc.
Sponsor EIN
48-0698712
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 48-0698712 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Medicalodges, 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 Medicalodges, Inc..

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