PIH Health
Overview
PIH Health sponsors a self-funded health plan that covered 7,623 participants in plan year 2025, up 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision, short-term disability, prepaid legal.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 7,623 · prior year 7,374
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- PIH Health Todays Lifestyle Choices, plan 504 (7,623 participants)
- Broker compensation
- $871K 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 |
|---|---|---|---|---|
| Unum Insurance Company | Accident, Critical Illness, Hospital Indemnity | 2,145 | $2.0M | $603K |
| Unum Life Insurance Company of America | Short-term disability, Group Long Term Care | 2,676 | $1.2M | $249K |
| Cigna Health and Life Insurance Company | Dental | 2,873 | $479K | — |
| Metropolitan General Insurance Company | Legal | 829 | $186K | $19K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 7,623 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
- PIH Health
- Sponsor EIN
- 95-3619388
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 95-3619388 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- PIH Health, Inc. 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 9,819
About this data
Source: PIH Health'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 PIH Health.