Multicare Health System

Tacoma, WA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
22,314Participants+7% vs. prior year
$52.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 47Health care in WABy participants

Overview

Multicare Health System sponsors a self-funded health plan that covered 22,314 participants in plan year 2025, up 7% from 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
22,314 · prior year 20,833
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Multicare Health System Welfare Plan, plan 501 (22,314 participants); Multicare Health System Executive Retiree Medical Coverage Plan, plan 502 (5 participants); Good Samaritan Community Healthcare Retiree Health and Welfare Plan, plan 503 (2 participants)
Stop-loss carrier
Reliastar Life Insurance Company
Broker compensation
$978K 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
Sun Life Assurance Company of CanadaLife, Short-term disability, Long-term disability22,314$14.8M$914K
Vision Service PlanVision17,175$2.2M—
Reliastar Life Insurance CompanyStop-loss36,785$1.3M$64K
Hartford Life and AccidentBusiness Travel Accident22,314$750$9

Pharmacy benefit estimate

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

$52.9M/ year

Estimated prescription spend: 22,314 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.4M–$3.4M/ year

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

Brands with a generic available$402K–$1.0M
Lower-cost therapeutic alternatives$587K–$1.2M
Generic pricing vs. actual cost$254K–$762K
PBM contract terms$132K–$397K
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
Multicare Health System
Sponsor EIN
91-1352172
Plan numbers
501, 502, 503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 91-1352172 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Multicare Health System 403(b) Employee Savings Plan
Type
Defined contribution plan
Participants
21,450

About this data

Source: Multicare Health System'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 Multicare Health System.

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