Palm Garden Healthcare Holdings, LLC

Sarasota, FL Health careNAICS 624310

Self-funded health planPlan year 2025Renews January
1,126Participants+37% vs. prior year
$2.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#47 of 89Health care in FLBy participants

Overview

Palm Garden Healthcare Holdings, LLC sponsors a self-funded health plan that covered 1,126 participants in plan year 2025, up 37% 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
1,126 · prior year 820
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Palm Garden Healthcare Holdings, LLC Benefits Plan, plan 501 (1,126 participants)
Broker compensation
$245K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
QBE InsuranceExcess Risk874$762K$130K
Life Insurance Company of North AmericaAD&D, Long-term disability, Life, Short-term disability1,126$712K$59K
Sun Life Assurance Company of CanadaDental, Vision815$497K$47K
Cigna Health and Life Insurance CompanyAccidental Injury, Critical Illness, Hospital Care1,126$149K$9K

Pharmacy benefit estimate

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

$2.7M/ year

Estimated prescription spend: 1,126 participants × $2,371 national average per member. Usually higher once dependents are counted.

$69K–$171K/ year

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

Brands with a generic available$20K–$51K
Lower-cost therapeutic alternatives$30K–$62K
Generic pricing vs. actual cost$13K–$38K
PBM contract terms$7K–$20K
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
Palm Garden Healthcare Holdings, LLC
Sponsor EIN
32-0413510
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 32-0413510 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Palm Garden 401k Plan
Type
401(k) plan
Participants
2,379

About this data

Source: Palm Garden Healthcare Holdings, 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 Palm Garden Healthcare Holdings, LLC.

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