Pueblo of Sandia

Alburquerque, NM GovernmentNAICS 921000

Self-funded health planPlan year 2025Renews January
1,447Participants+1% vs. prior year
$3.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 2Government in NMBy participants

Overview

Pueblo of Sandia sponsors a self-funded health plan that covered 1,447 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
1,447 · prior year 1,435
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Pueblo of Sandia Health and Welfare Plan, plan 501 (1,447 participants)
Broker compensation
$143K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability978$1.0M$143K
Outcomes, Inc.Employee Assistance Program1,447$36K—

Pharmacy benefit estimate

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

$3.4M/ year

Estimated prescription spend: 1,447 participants × $2,371 national average per member. Usually higher once dependents are counted.

$89K–$220K/ year

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

Brands with a generic available$26K–$65K
Lower-cost therapeutic alternatives$38K–$80K
Generic pricing vs. actual cost$16K–$49K
PBM contract terms$9K–$26K
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
Pueblo of Sandia
Sponsor EIN
85-0223706
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 85-0223706 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Pueblo of Sandia Commercial Enterprises 401(k) Profit Sharing Plan and Trust
Type
401(k) plan
Participants
1,488

About this data

Source: Pueblo of Sandia'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 Pueblo of Sandia.

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