Piedmont Healthcare, P.A.

Statesville, NC Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
836Participants+1% vs. prior year
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#30 of 46Health care in NCBy participants

Overview

Piedmont Healthcare, P.A. sponsors a self-funded health plan that covered 836 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, short-term disability, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
836 · prior year 825
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Piedmont Healthcare, P.A. Welfare Benefit Plan, plan 501 (836 participants)
Stop-loss carrier
Symetra Life Insurance Company
Broker compensation
$190K 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.

CarrierCoverageCoveredPremiumBroker comp
Life Insurance Company of North AmericaLong-term disability, Life, Supplemental Life, Accidental Death, Voluntary AD&D, Short-term disability891$956K$89K
Symetra Life Insurance CompanyStop-loss797$728K$36K
The Guardian Life Insurance Company of AmericaAccident, Cancer, VOL Critical Illn301$209K$51K
Principal Life Insurance CompanyVision1,297$99K$14K

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 836 participants × $2,371 national average per member. Usually higher once dependents are counted.

$52K–$127K/ year

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

Brands with a generic available$15K–$38K
Lower-cost therapeutic alternatives$22K–$46K
Generic pricing vs. actual cost$10K–$29K
PBM contract terms$5K–$15K
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, P.A.
Sponsor EIN
56-1965983
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-1965983 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Piedmont Healthcare Employees' 401k Plan and Trust
Type
401(k) plan
Participants
1,367

About this data

Source: Piedmont Healthcare, P.A.'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, P.A..

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