Pruitthealth, Inc. Insurahealth, Inc.

Norcross, GA Health careNAICS 623000

Self-funded health planPlan year 2024Renews July
15,431ParticipantsFirst year on file
$36.6MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#4 of 40Health care in GABy participants

Overview

Pruitthealth, Inc. Insurahealth, Inc. sponsors a self-funded health plan that covered 15,431 participants in plan year 2024. The plan year starts in July. 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
15,431
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Pruitt Corporation Employee Welfare Benefit Plan, plan 501 (15,431 participants)
Stop-loss carrier
Bcbs Healthcare Plan of GA, Inc.
Broker compensation
$95K 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
Sun Life Assurance Co. of CanadaLife, Short-term disability, Long-term disability4,718$3.4M$38K
Sunlife Assurance Company of CanadaLife, Short-term disability, Long-term disability4,718$3.4M$38K
Delta Dental Insurance CompanyDental9,628$2.6M$19K
Vision Service PlanVision5,395$470K—
Bcbs Healthcare Plan of GA, Inc.Stop-loss4,266$14—
Navitus Health SolutionsPrescription drug4,269——

Pharmacy benefit estimate

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

$36.6M/ year

Estimated prescription spend: 15,431 participants × $2,371 national average per member. Usually higher once dependents are counted.

$951K–$2.3M/ year

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

Brands with a generic available$278K–$695K
Lower-cost therapeutic alternatives$406K–$849K
Generic pricing vs. actual cost$176K–$527K
PBM contract terms$91K–$274K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Pruitthealth, Inc. Insurahealth, Inc.
Sponsor EIN
58-1295697
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1295697 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Pruitthealth, Inc. Employees 401(k) Plan and Hero Fund
Type
401(k) plan
Participants
28,935

About this data

Source: Pruitthealth, Inc. Insurahealth, Inc.'s Form 5500 filing for plan year 2024 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 Pruitthealth, Inc. Insurahealth, Inc..

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