Pinnacle Living

Glen Allen, VA Health careNAICS 623000

Self-funded health planPlan year 2024Renews October
644ParticipantsFirst year on file
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Oct 2027Next renewalPlan year begins October 1
#30 of 34Health care in VABy participants

Overview

Pinnacle Living sponsors a self-funded health plan that covered 644 participants in plan year 2024. 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
644
Plan year
Begins October 1 · next renewal October 2027
Health plans filed
Pinnacle Living Employee Benefits Plan, plan 501 (644 participants)
Stop-loss carrier
QBE Insurance
Broker compensation
$76K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
QBE InsuranceStop-loss465$961K$6K
Hartford Life and AccidentLife, Short-term disability, Long-term disability763$568K$66K
Fidelity Security Life Insurance CompanyVision375$36K$4K
WorkpartnersEAP965$18K—

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 644 participants × $2,371 national average per member. Usually higher once dependents are counted.

$40K–$98K/ year

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

Brands with a generic available$12K–$29K
Lower-cost therapeutic alternatives$17K–$35K
Generic pricing vs. actual cost$7K–$22K
PBM contract terms$4K–$11K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning October 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
Pinnacle Living
Sponsor EIN
54-0720603
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 54-0720603 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Pinnacle Living TSA Retirement Plan
Type
Defined contribution plan
Participants
1,256

About this data

Source: Pinnacle Living'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 Pinnacle Living.

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