Momentum Senior Living

Irvine, CA Health careNAICS 623000

Self-funded health planPlan year 2025Renews February
623ParticipantsFirst year on file
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Feb 2027Next renewalPlan year begins February 1
#61 of 68Health care in CABy participants

Overview

Momentum Senior Living sponsors a self-funded health plan that covered 623 participants in plan year 2025. The plan year starts in February. 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
623
Plan year
Begins February 1 · next renewal February 2027
Health plans filed
Momentum Senior Living Health and Welfare Benefits Plan, plan 501 (623 participants)
Broker compensation
$80K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Guardian Life Insurance Company of AmericaDental, Vision, Life, Short-term disability, Long-term disability623$287K$80K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 623 participants × $2,371 national average per member. Usually higher once dependents are counted.

$38K–$95K/ year

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

Brands with a generic available$11K–$28K
Lower-cost therapeutic alternatives$16K–$34K
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 February 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
Momentum Senior Living
Sponsor EIN
88-0780681
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 88-0780681 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Momentum Senior Living'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 Momentum Senior Living.

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