New Lexington Clinic, P.s.c.

Lexington, KY Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
1,294Participants+3% vs. prior year
$3.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#16 of 33Health care in KYBy participants

Overview

New Lexington Clinic, P.s.c. sponsors a self-funded health plan that covered 1,294 participants in plan year 2025, up 3% 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
1,294 · prior year 1,260
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Lexington Clinic Group Employee Benefit Plan, plan 515 (1,294 participants)
Broker compensation
$329K 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
Hartford Life and AccidentLife, Short-term disability, Long-term disability1,294$2.6M$315K
Delta Dental of KentuckyDental2,240$503K—
Eyemed Vision Care on Behalf of the Combined Insurance Co. of AmericaVision1,904$141K$14K
Unum Life Insurance Company of AmericaLong Term Care195$38K—
Human Development Company, Inc.Employee Assistance Program (EAP)1,491$26K—

Pharmacy benefit estimate

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

$3.1M/ year

Estimated prescription spend: 1,294 participants × $2,371 national average per member. Usually higher once dependents are counted.

$80K–$197K/ year

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

Brands with a generic available$23K–$58K
Lower-cost therapeutic alternatives$34K–$71K
Generic pricing vs. actual cost$15K–$44K
PBM contract terms$8K–$23K
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
New Lexington Clinic, P.s.c.
Sponsor EIN
61-1262927
Plan number
515
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 61-1262927 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
New Lexington Clinic, P.s.c. Savings and Profit Sharing Plan
Type
401(k) plan
Participants
2,099

About this data

Source: New Lexington Clinic, P.s.c.'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 New Lexington Clinic, P.s.c..

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