Netsmart Technologies, Inc.

Overland Park, KS Professional servicesNAICS 541511

Self-funded health planPlan year 2025Renews January
2,535Participants+1% vs. prior year
$6.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 2Professional services in KSBy participants

Overview

Netsmart Technologies, Inc. sponsors a self-funded health plan that covered 2,535 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
2,535 · prior year 2,515
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Netsmart Technologies, Inc. Health and Welfare Benefits Plan, plan 507 (2,535 participants)
Broker compensation
$169K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Short-term disability, Long-term disability2,527$2.0M$159K
Modern Health Arizona, PLLCEmployee Assistance Program2,795$414K—
Vision Service PlanVision1,762$272K—
Metropolitan Property and Casualty Insurance Co.Legal366$85K$10K

Pharmacy benefit estimate

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

$6.0M/ year

Estimated prescription spend: 2,535 participants × $2,371 national average per member. Usually higher once dependents are counted.

$156K–$385K/ year

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

Brands with a generic available$46K–$114K
Lower-cost therapeutic alternatives$67K–$139K
Generic pricing vs. actual cost$29K–$87K
PBM contract terms$15K–$45K
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
Netsmart Technologies, Inc.
Sponsor EIN
13-3680154
Plan number
507
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-3680154 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Netsmart Technologies, Inc. 401(k) Plan
Type
401(k) plan
Participants
3,536

About this data

Source: Netsmart Technologies, 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 Netsmart Technologies, Inc..

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