Puerto Rico Telephone Company

San Juan, PR Information & technologyNAICS 517000

Self-funded health planPlan year 2025Renews January
650Participants-2% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 2Information & technology in PRBy participants

Overview

Puerto Rico Telephone Company sponsors a self-funded health plan that covered 650 participants in plan year 2025, down 2% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports prepaid legal, death benefits.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
650 · prior year 666
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Fideicomiso Para La Administracion Del Fondo de Beneficencia Uiet, plan 501 (650 participants)
Broker compensation
$1K across insured contracts
MedicalPrepaid legalDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Chubb Insurance CompanyACC Death & Dismemberment 24 Hours760$2K$1K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 650 participants × $2,371 national average per member. Usually higher once dependents are counted.

$40K–$99K/ year

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

Brands with a generic available$12K–$29K
Lower-cost therapeutic alternatives$17K–$36K
Generic pricing vs. actual cost$7K–$22K
PBM contract terms$4K–$12K
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
Puerto Rico Telephone Company
Sponsor EIN
66-0564397
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 66-0564397 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Puerto Rico Telephone Company Consolidated Retirement Plan for Salaried and Hourly Employees
Type
Pension plan
Participants
7,094

About this data

Source: Puerto Rico Telephone Company'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 Puerto Rico Telephone Company.

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