Primecare Medical, Inc.

Harrisburg, PA Health careNAICS 621900

Self-funded health planPlan year 2025Renews January
1,004Participants0% vs. prior year
$2.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#40 of 64Health care in PABy participants

Overview

Primecare Medical, Inc. sponsors a self-funded health plan that covered 1,004 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
1,004 · prior year 1,004
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Primecare Medical, Inc. Employee Benefit Plan, plan 502 (1,004 participants)
Stop-loss carrier
Swissre Corporate Solutions
Broker compensation
$103K 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
Swissre Corporate SolutionsStop-loss864$1.5M—
United of Omaha Life Insurance CompanyLife, Voluntary Short Term Disability, Voluntary Long Term Disability, Voluntary Life & AD&D971$946K$103K

Pharmacy benefit estimate

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

$2.4M/ year

Estimated prescription spend: 1,004 participants × $2,371 national average per member. Usually higher once dependents are counted.

$62K–$153K/ year

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

Brands with a generic available$18K–$45K
Lower-cost therapeutic alternatives$26K–$55K
Generic pricing vs. actual cost$11K–$34K
PBM contract terms$6K–$18K
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
Primecare Medical, Inc.
Sponsor EIN
23-2428261
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-2428261 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Primecare Medical, Inc. Employees Retirement Plan
Type
401(k) plan
Participants
1,380

About this data

Source: Primecare Medical, 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 Primecare Medical, Inc..

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