Payne & Dolan, Inc.

Waukesha, WI ConstructionNAICS 236200

Self-funded health planPlan year 2025Renews January
1,195Participants+39% vs. prior year
$2.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 10Construction in WIBy participants

Overview

Payne & Dolan, Inc. sponsors a self-funded health plan that covered 1,195 participants in plan year 2025, up 39% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, vision, short-term disability, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,195 · prior year 857
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Payne & Dolan, Inc. Group Benefit Plan, plan 510 (1,195 participants)
Broker compensation
$4K across insured contracts
MedicalLife insuranceVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance Standard Life Insurance CompanyLife, Long-term disability254$137K$4K
NGLVision309$19K—
Empathia, Inc.Employee Assistance Program1,195$18K—

Pharmacy benefit estimate

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

$2.8M/ year

Estimated prescription spend: 1,195 participants × $2,371 national average per member. Usually higher once dependents are counted.

$74K–$182K/ year

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

Brands with a generic available$22K–$54K
Lower-cost therapeutic alternatives$31K–$66K
Generic pricing vs. actual cost$14K–$41K
PBM contract terms$7K–$21K
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
Payne & Dolan, Inc.
Sponsor EIN
39-0529300
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 39-0529300 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Payne & Dolan, 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 Payne & Dolan, Inc..

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