North Atlanta Primary Care, P. C.

Alpharetta, GA Health careNAICS 621111

Self-funded health planPlan year 2024Renews June
622ParticipantsFirst year on file
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#39 of 40Health care in GABy participants

Overview

North Atlanta Primary Care, P. C. sponsors a self-funded health plan that covered 622 participants in plan year 2024. The plan year starts in June. 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
622
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
North Atlanta Primary Care Welfare Benefit Plan, plan 501 (622 participants)
Broker compensation
$50K 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
Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.Dental, Vision681$332K$33K
Greater Georgia LifeLife, Short-term disability, Long-term disability601$107K$10K
Standard Insurance CompanyLife, Short-term disability, Long-term disability622$80K$7K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 622 participants × $2,371 national average per member. Usually higher once dependents are counted.

$38K–$95K/ year

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

Brands with a generic available$11K–$28K
Lower-cost therapeutic alternatives$16K–$34K
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 June 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
North Atlanta Primary Care, P. C.
Sponsor EIN
58-1896468
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1896468 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
North Atlanta Primary Care 401(k) Plan
Type
401(k) plan
Participants
886

About this data

Source: North Atlanta Primary Care, P. C.'s Form 5500 filing for plan year 2024 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 Atlanta Primary Care, P. C..

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