Priority Life Care, LLC

Fort Wayne, IN Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
2,958Participants+41% vs. prior year
$7.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#7 of 36Health care in INBy participants

Overview

Priority Life Care, LLC sponsors a self-funded health plan that covered 2,958 participants in plan year 2025, up 41% from 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
2,958 · prior year 2,105
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Priority Life Care, LLC Employee Benefits Plan, plan 501 (2,958 participants)
Stop-loss carrier
BCS Insurance Company
Broker compensation
$127K 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
BCS Insurance CompanyStop-loss487$2.0M—
Symetra Life Insurance CompanyLife, Short-term disability, Long-term disability, Accident, Critical Illness, Hospital Ind1,887$397K$66K
Dominion NationalDental, Vision, PPO674$332K$49K
Reliance Standard Life Insurance CompanyMedical84$127K$12K
Health Advocate Solutions, Inc.EAP2,015$20K—

Pharmacy benefit estimate

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

$7.0M/ year

Estimated prescription spend: 2,958 participants × $2,371 national average per member. Usually higher once dependents are counted.

$182K–$450K/ year

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

Brands with a generic available$53K–$133K
Lower-cost therapeutic alternatives$78K–$163K
Generic pricing vs. actual cost$34K–$101K
PBM contract terms$18K–$53K
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
Priority Life Care, LLC
Sponsor EIN
46-2678286
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 46-2678286 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Priority Life Care, 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 Priority Life Care, LLC.

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