Pediatric Therapy Services, LLC
Overview
Pediatric Therapy Services, LLC sponsors a self-funded health plan that covered 9,671 participants in plan year 2025, up 13% from the prior year. The plan year starts in October. 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
- 9,671 · prior year 8,573
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Stepping Stone Healthcare Services, LLC Employee Benefits Plan, plan 501 (9,671 participants)
- Stop-loss carrier
- Cigna Health and Life Insurance Company and Affiliates
- Broker compensation
- $110K 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 |
|---|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | Medical | 480 | $1.4M | $60K |
| Cigna Health and Life Insurance Company and Affiliates | Vision, Stop-loss | 3,810 | $838K | $7K |
| The Guardian Life Insurance Company of America | Life, Short-term disability, Long-term disability | 8,025 | $473K | $42K |
| Hawaii Medical Service Association | Medical, Prescription drug, HMO | 49 | $202K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 9,671 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
- Pediatric Therapy Services, LLC
- Sponsor EIN
- 46-5522100
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 46-5522100 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- The Stepping Stones Group Retirement Plan
- Type
- 401(k) plan
- Participants
- 20,287
About this data
Source: Pediatric Therapy Services, 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 Pediatric Therapy Services, LLC.