Modivcare Solutions, LLC

Denver, CO Other servicesNAICS 812990

Self-funded health planPlan year 2025Renews January
2,032ParticipantsPrior year not comparable
$4.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 7Other services in COBy participants

Overview

Modivcare Solutions, LLC sponsors a self-funded health plan that covered 2,032 participants in plan year 2025. 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
2,032 · prior year 4,602
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Modivcare Employee Welfare Benefits Plan, plan 510 (2,032 participants)
Broker compensation
$281K 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
Metropolitan Life Insurance CompanyDental, Life, Short-term disability, Long-term disability3,432$2.7M$199K
Reliastar Life Insurance CompanyCritical Illness, Accident, Hospital Ind1,738$362K$65K
UnitedHealthcare Insurance CompanyVision2,512$156K$7K
Metropolitan General Insurance CompanyPrepaid Legal377$67K$9K

Pharmacy benefit estimate

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

$4.8M/ year

Estimated prescription spend: 2,032 participants × $2,371 national average per member. Usually higher once dependents are counted.

$125K–$309K/ year

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

Brands with a generic available$37K–$92K
Lower-cost therapeutic alternatives$53K–$112K
Generic pricing vs. actual cost$23K–$69K
PBM contract terms$12K–$36K
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
Modivcare Solutions, LLC
Sponsor EIN
58-2491253
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-2491253 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Modivcare Solutions, LLC Retirement Plan
Type
401(k) plan
Participants
4,827

About this data

Source: Modivcare Solutions, LLC'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 Modivcare Solutions, LLC.

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