Palo Alto Foundation Medical Group
Overview
Palo Alto Foundation Medical Group sponsors a self-funded health plan that covered 2,057 participants in plan year 2025, up 8% 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
- 2,057 · prior year 1,907
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Palo Alto Foundation Medical Group, Inc. Health and Welfare Plan, plan 501 (2,057 participants)
- Stop-loss carrier
- Swiss RE Corporate Solutions America Ins. Corp.
- Broker compensation
- $709K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Standard Insurance Company | Life, Short-term disability, Long-term disability | 2,007 | $13.3M | $541K |
| Swiss RE Corporate Solutions America Ins. Corp. | Stop-loss | 1,897 | $1.7M | — |
| Unum Life Insurance Company of America | Long Term Care | 2,260 | $1.6M | $168K |
| Anthem Blue Cross | Medical, Prescription drug, PPO | 147 | $766K | — |
| Anthem Insurance Co., Inc. | Medical | 147 | $766K | — |
| Concern EAP | Employee Assistance Program | 2,016 | $178K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,057 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Palo Alto Foundation Medical Group
- Sponsor EIN
- 51-0656809
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 51-0656809 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Palo Alto Foundation Medical Group, Inc. 401(k) Plan
- Type
- 401(k) plan
- Participants
- 2,774
About this data
Source: Palo Alto Foundation Medical Group'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 Palo Alto Foundation Medical Group.