Physicians East PA

Greenville, NC Health careNAICS 621111

Self-funded health planPlan year 2024Renews July

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722ParticipantsFirst year on file

$1.7MEst. pharmacy spend / yrParticipants × national avg.

Jul 2027Next renewalPlan year begins July 1

#34 of 46Health care in NCBy participants

Overview

Physicians East PA sponsors a self-funded health plan that covered 722 participants in plan year 2024. The plan year starts in July. Alongside medical, its benefits filing reports life insurance, short-term disability, long-term disability.

Plan type: ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants: 722
Plan year: Begins July 1 · next renewal July 2027
Health plans filed: Physicians East PA Employee Health Care Plan, plan 501 (722 participants)
Broker compensation: $49K across insured contracts

MedicalLife insuranceShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

Carrier	Coverage	Covered	Premium	Broker comp
Hartford Life & Accident	Life, Short-term disability, Long-term disability	779	$603K	$49K

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 722 participants × $2,371 national average per member. Usually higher once dependents are counted.

$45K–$110K/ year

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

Brands with a generic available$13K–$33K

Lower-cost therapeutic alternatives$19K–$40K

Generic pricing vs. actual cost$8K–$25K

PBM contract terms$4K–$13K

The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing: Form 5500 with Schedule A, plan year 2024
Plan sponsor: Physicians East PA
Sponsor EIN: 56-1968491
Plan number: 501
Filed with: U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-1968491 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan: Physicians East PA Profit Sharing Plan & Trust
Type: 401(k) plan
Participants: 973

About this data

Source: Physicians East PA's Form 5500 filing for plan year 2024 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 Physicians East PA.

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