Paradigm Healthcare LLC

Skokie, IL Health careNAICS 623000

Self-funded health planPlan year 2025Renews December
676Participants+2% vs. prior year
$1.6MEst. pharmacy spend / yrParticipants × national avg.
Dec 2026Next renewalPlan year begins December 1
#58 of 65Health care in ILBy participants

Overview

Paradigm Healthcare LLC sponsors a self-funded health plan that covered 676 participants in plan year 2025, about the same as the prior year. The plan year starts in December. 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
676 · prior year 666
Plan year
Begins December 1 · next renewal December 2026
Health plans filed
Paradigm Healthcare LLC Welfare Benefits Plan, plan 501 (676 participants)
Broker compensation
$25K 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
Metropolitan Life Insurance CompanyDental, Vision, Life, Long-term disability1,589$102K$25K
TransamericaLife, Short-term disability676——

Pharmacy benefit estimate

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

$1.6M/ year

Estimated prescription spend: 676 participants × $2,371 national average per member. Usually higher once dependents are counted.

$42K–$103K/ year

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

Brands with a generic available$12K–$30K
Lower-cost therapeutic alternatives$18K–$37K
Generic pricing vs. actual cost$8K–$23K
PBM contract terms$4K–$12K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning December 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
Paradigm Healthcare LLC
Sponsor EIN
83-1793851
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 83-1793851 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Paradigm Healthcare 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 Paradigm Healthcare LLC.

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