Piedmont Healthcare, Inc.

Atlanta, GA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
31,386Participants-11% vs. prior year
$74.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 40Health care in GABy participants

Overview

Piedmont Healthcare, Inc. sponsors a self-funded health plan that covered 31,386 participants in plan year 2025, down 11% from 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
31,386 · prior year 35,232
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Piedmont Healthcare, Inc. Comprehensive Health and Welfare Benefits Plan, plan 503 (31,386 participants)
Broker compensation
$6.2M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyDental48,509$20.0M$457K
Continental American Insurance CompanyLife31,386$17.3M$4.9M
Life Insurance Company of North AmericaLife, Long-term disability31,386$15.2M$547K
Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co.Vision38,061$5.3M$209K
Provident Life and Accident Insurance CompanyLife, Short-term disability4,003$1.1M$46K
Aetna Life Insurance Company and AffiliatesMedical, PPO303$275K$44K
Metropolitan General Insurance CompanyLegal1,153$118K$22K
United Healthcare (aarp)Medical32$71K—
Unum Life Insurance Company of AmericaAccident, Hospital69$19K$3K
Hartford Fire Insurance CompanyBusiness Travel Accident31,386$15K$3K

Pharmacy benefit estimate

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

$74.4M/ year

Estimated prescription spend: 31,386 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.9M–$4.8M/ year

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

Brands with a generic available$566K–$1.4M
Lower-cost therapeutic alternatives$826K–$1.7M
Generic pricing vs. actual cost$357K–$1.1M
PBM contract terms$186K–$558K
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
Piedmont Healthcare, Inc.
Sponsor EIN
58-1503902
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1503902 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Piedmont Healthcare, Inc. 401(k) Tomorrowplan
Type
401(k) plan
Participants
48,825

About this data

Source: Piedmont Healthcare, 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 Piedmont Healthcare, Inc..

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