Prevea Clinic, Inc.

Green Bay, WI Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
1,920Participants-14% vs. prior year
$4.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#13 of 29Health care in WIBy participants

Overview

Prevea Clinic, Inc. sponsors a self-funded health plan that covered 1,920 participants in plan year 2025, down 14% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,920 · prior year 2,236
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Prevea Clinic, Inc. Employee Benefit Plan, plan 506 (1,920 participants)
Broker compensation
$204K across insured contracts
MedicalLife insuranceDentalShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLife, Long-term disability1,897$1.5M$158K
Delta Dental of WisconsinDental486$1.2M$46K

Pharmacy benefit estimate

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

$4.6M/ year

Estimated prescription spend: 1,920 participants × $2,371 national average per member. Usually higher once dependents are counted.

$118K–$292K/ year

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

Brands with a generic available$35K–$86K
Lower-cost therapeutic alternatives$51K–$106K
Generic pricing vs. actual cost$22K–$66K
PBM contract terms$11K–$34K
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
Prevea Clinic, Inc.
Sponsor EIN
39-1839349
Plan number
506
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 39-1839349 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Prevea Clinic, Inc. 401(k) and Retirement Plan
Type
401(k) plan
Participants
2,881

About this data

Source: Prevea Clinic, 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 Prevea Clinic, Inc..

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