Prime Group Holdings, LLC

Saratoga Springs, NY HospitalityNAICS 721210

Self-funded health planPlan year 2025Renews January
691Participants+0% vs. prior year
$1.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#6 of 8Hospitality in NYBy participants

Overview

Prime Group Holdings, LLC sponsors a self-funded health plan that covered 691 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, dental, vision, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
691 · prior year 688
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Prime Group Holdings Health Benefit Plan, plan 502 (691 participants)
Broker compensation
$62K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Guardian Life Insurance Company of AmericaDental, Vision, Life, Short-term disability, Long-term disability732$732K$62K

Pharmacy benefit estimate

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

$1.6M/ year

Estimated prescription spend: 691 participants × $2,371 national average per member. Usually higher once dependents are counted.

$43K–$105K/ year

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

Brands with a generic available$12K–$31K
Lower-cost therapeutic alternatives$18K–$38K
Generic pricing vs. actual cost$8K–$24K
PBM contract terms$4K–$12K
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
Prime Group Holdings, LLC
Sponsor EIN
46-3002962
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 46-3002962 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Prime Group Holdings, LLC Retirement Trust
Type
401(k) plan
Participants
718

About this data

Source: Prime Group Holdings, LLC'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 Prime Group Holdings, LLC.

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