Pacific Bells, Inc.

Vancouver, WA HospitalityNAICS 722300

Self-funded health planPlan year 2025Renews July
766Participants-37% vs. prior year
$1.8MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#5 of 6Hospitality in WABy participants

Overview

Pacific Bells, Inc. sponsors a self-funded health plan that covered 766 participants in plan year 2025, down 37% from the prior year. The plan year starts in July. 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
766 · prior year 1,216
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Pacific Bells, Inc., plan 505 (766 participants)
Broker compensation
$50K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Sun Life Assurance Company of CanadaVision, Life, Short-term disability731$381K$50K

Pharmacy benefit estimate

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

$1.8M/ year

Estimated prescription spend: 766 participants × $2,371 national average per member. Usually higher once dependents are counted.

$47K–$116K/ year

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

Brands with a generic available$14K–$35K
Lower-cost therapeutic alternatives$20K–$42K
Generic pricing vs. actual cost$9K–$26K
PBM contract terms$5K–$14K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Pacific Bells, Inc.
Sponsor EIN
91-1806191
Plan number
505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 91-1806191 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Pacific Bells, 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 Pacific Bells, Inc..

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