Net Health Systems, Inc.

Pittsburgh, PA Professional servicesNAICS 541512

Self-funded health planPlan year 2025Renews January
628Participants-15% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#31 of 37Professional services in PABy participants

Overview

Net Health Systems, Inc. sponsors a self-funded health plan that covered 628 participants in plan year 2025, down 15% 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
628 · prior year 742
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Net Health Systems, Inc. Employee Welfare Benefit Plan, plan 501 (628 participants)
Stop-loss carrier
Granular Insurance Company
Broker compensation
$41K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Granular Insurance CompanyStop-loss400$840K$34K
Guardian Life Insurance CompanyDental, Life, Short-term disability, Long-term disability576$287K$8K
Eyemed Vision Care on Behalf of the Fidelity Security Life InsuranceVision432$53K—

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 628 participants × $2,371 national average per member. Usually higher once dependents are counted.

$39K–$95K/ year

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

Brands with a generic available$11K–$28K
Lower-cost therapeutic alternatives$17K–$35K
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 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
Net Health Systems, Inc.
Sponsor EIN
25-1711380
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 25-1711380 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Net Health Systems, Inc. Profit Sharing Plan and Trust
Type
401(k) plan
Participants
810

About this data

Source: Net Health Systems, Inc.'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 Net Health Systems, Inc..

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