Mission Health Communities

Tampa, FL Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
1,987Participants+0% vs. prior year
$4.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#26 of 89Health care in FLBy participants

Overview

Mission Health Communities sponsors a self-funded health plan that covered 1,987 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
1,987 · prior year 1,983
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Mission Health Communities Health and Welfare Plan, plan 501 (1,987 participants)
Broker compensation
$76K 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
The Lincoln National Life Insurance CompanyLong-term disability, Life, Short-term disability1,888$757K—
Cigna Health and Life Insurance Company and AffiliatesDental1,009$371K—
Transamerica Life Insurance CompanyLife106$234K$76K
Metropolitan Life Insurance CompanyVision1,437$84K—

Pharmacy benefit estimate

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

$4.7M/ year

Estimated prescription spend: 1,987 participants × $2,371 national average per member. Usually higher once dependents are counted.

$122K–$302K/ year

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

Brands with a generic available$36K–$90K
Lower-cost therapeutic alternatives$52K–$109K
Generic pricing vs. actual cost$23K–$68K
PBM contract terms$12K–$35K
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
Mission Health Communities
Sponsor EIN
35-2490243
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-2490243 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Mission Health Communities'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 Mission Health Communities.

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