Meritus Health

Hagerstown, MD Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
3,807Participants+0% vs. prior year
$9.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#7 of 32Health care in MDBy participants

Overview

Meritus Health sponsors a self-funded health plan that covered 3,807 participants in plan year 2025, about the same as 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
3,807 · prior year 3,792
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Meritus Health Welfare Benefits Plan, plan 502 (3,807 participants)
Broker compensation
$188K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Unum Life Insurance Company of AmericaLife, Gciee, Grpaccvo, Long-term disability3,568$1.3M$291
Eyemed Vision CareVision4,979$420K—
Northwestern MutualLong-term disability150$376K$90K
Transamerica Life Insurance CompanyGroup Disability, Accident497$266K$36K
American Heritage Life Insurance CompanyLife274$202K$31K
Combined Insurance Company of AmericaShort-term disability194$85K$17K
Symetra Life Insurance Company—195$41K$12K
Provident Life and Accident Insurance CompanyAccident, Crititcal Illness, Istdprotec,35$10K$291
Legalplans, USALegal34$6K$587

Pharmacy benefit estimate

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

$9.0M/ year

Estimated prescription spend: 3,807 participants × $2,371 national average per member. Usually higher once dependents are counted.

$235K–$579K/ year

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

Brands with a generic available$69K–$172K
Lower-cost therapeutic alternatives$100K–$209K
Generic pricing vs. actual cost$43K–$130K
PBM contract terms$23K–$68K
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
Meritus Health
Sponsor EIN
52-0607949
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 52-0607949 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Meritus Health 401(k) Savings Plan
Type
401(k) plan
Participants
5,573

About this data

Source: Meritus Health'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 Meritus Health.

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