Promedica

Monroe, MI Health careNAICS 622000

Self-funded health planPlan year 2025Renews JanuaryCollectively bargained

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850Participants-5% vs. prior year

$2.0MEst. pharmacy spend / yrParticipants × national avg.

Jan 2027Next renewalPlan year begins January 1

#18 of 27Health care in MIBy participants

Overview

Promedica sponsors a self-funded health plan that covered 850 participants in plan year 2025, down 5% 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: 850 · prior year 896
Plan year: Begins January 1 · next renewal January 2027
Health plans filed: Mercy Memorial Hospital Group Benefits Plan, plan 508 (850 participants)
Broker compensation: $22K across insured contracts

MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityOther welfare benefits

Insurance carriers

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

Carrier	Coverage	Covered	Premium	Broker comp
Reliastar Life Insurance Company	Life, Short-term disability, Long-term disability	3,515	$764K	$22K
Health Resources Inc.	Vision, Dental	1,035	$388K	—
Delta Dental of Ohio	Dental	166	$126K	—

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 850 participants × $2,371 national average per member. Usually higher once dependents are counted.

$52K–$129K/ year

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

Brands with a generic available$15K–$38K

Lower-cost therapeutic alternatives$22K–$47K

Generic pricing vs. actual cost$10K–$29K

PBM contract terms$5K–$15K

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: Promedica
Sponsor EIN: 38-1984289
Plan number: 508
Filed with: U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 38-1984289 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Promedica'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 Promedica.

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