Peachtree Orthopaedic Clinic PA

Atlanta, GA Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
607Participants+1% vs. prior year
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#40 of 40Health care in GABy participants

Overview

Peachtree Orthopaedic Clinic PA sponsors a self-funded health plan that covered 607 participants in plan year 2025, about the same as 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
607 · prior year 602
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Peachtree Orthopaedic Clinic PA Welfare Benefit Plan, plan 501 (607 participants)
Broker compensation
$182K across insured contracts
MedicalLife insuranceDentalVisionShort-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
Sun LifeLife, Short-term disability, Long-term disability608$990K$168K
Vision Service PlanVision414$54K$5K
Sun Life Assurance Company of CanadaCritical Illness, Accident130$39K$8K

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 607 participants × $2,371 national average per member. Usually higher once dependents are counted.

$37K–$92K/ year

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

Brands with a generic available$11K–$27K
Lower-cost therapeutic alternatives$16K–$33K
Generic pricing vs. actual cost$7K–$21K
PBM contract terms$4K–$11K
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
Peachtree Orthopaedic Clinic PA
Sponsor EIN
58-1080740
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1080740 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Peachtree Orthopaedic Clinic, P.A. 401(k) Retirement Plan
Type
401(k) plan
Participants
744

About this data

Source: Peachtree Orthopaedic Clinic PA'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 Peachtree Orthopaedic Clinic PA.

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