North American Dental Management, LLC

New Castle, PA Health careNAICS 621210

Self-funded health planPlan year 2025Renews January
2,617Participants-4% vs. prior year
$6.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#21 of 64Health care in PABy participants

Overview

North American Dental Management, LLC sponsors a self-funded health plan that covered 2,617 participants in plan year 2025, down 4% 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
2,617 · prior year 2,732
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
North American Dental Management, LLC Health and Welfare Benefits Plan, plan 501 (2,617 participants)
Broker compensation
$47K 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
Reliastar Life Insurance CompanyLife, Short-term disability, Long-term disability3,580$1.0M$47K
Vision Service PlanVision1,377$244K—

Pharmacy benefit estimate

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

$6.2M/ year

Estimated prescription spend: 2,617 participants × $2,371 national average per member. Usually higher once dependents are counted.

$161K–$398K/ year

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

Brands with a generic available$47K–$118K
Lower-cost therapeutic alternatives$69K–$144K
Generic pricing vs. actual cost$30K–$89K
PBM contract terms$16K–$47K
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
North American Dental Management, LLC
Sponsor EIN
27-4348426
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-4348426 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
North American Dental Management, LLC 401(k) Plan
Type
401(k) plan
Participants
3,621

About this data

Source: North American Dental Management, LLC'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 North American Dental Management, LLC.

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