Mercer Health Medical Group

Coldwater, OH Health careNAICS 621111

Self-funded health planPlan year 2025Renews April
628Participants+2% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Apr 2027Next renewalPlan year begins April 1
#76 of 89Health care in OHBy participants

Overview

Mercer Health Medical Group sponsors a self-funded health plan that covered 628 participants in plan year 2025, about the same as the prior year. The plan year starts in April. 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
628 · prior year 616
Plan year
Begins April 1 · next renewal April 2027
Health plans filed
Mercer Health Medical Group Plan, plan 501 (628 participants)
Broker compensation
$94K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Delta Dental of OhioVision, Dental1,242$386K$48K
Reliance Standard Life Insurance CompanyLife, Long-term disability, Short-term disability, Voluntary AD&D256$312K$46K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 628 participants × $2,371 national average per member. Usually higher once dependents are counted.

$39K–$95K/ year

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

Brands with a generic available$11K–$28K
Lower-cost therapeutic alternatives$17K–$35K
Generic pricing vs. actual cost$7K–$21K
PBM contract terms$4K–$11K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning April 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
Mercer Health Medical Group
Sponsor EIN
34-1957399
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 34-1957399 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Medf Physicians Corp. Voluntary Tax Deferred Annuity Plan
Type
Defined contribution plan
Participants
201

About this data

Source: Mercer Health Medical Group'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 Mercer Health Medical Group.

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