Pyramid Healthcare, Inc.

Altoona, PA Health careNAICS 623000

Self-funded health planPlan year 2024Renews August
3,403ParticipantsFirst year on file
$8.1MEst. pharmacy spend / yrParticipants × national avg.
Aug 2027Next renewalPlan year begins August 1
#18 of 64Health care in PABy participants

Overview

Pyramid Healthcare, Inc. sponsors a self-funded health plan that covered 3,403 participants in plan year 2024. The plan year starts in August. 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
3,403
Plan year
Begins August 1 · next renewal August 2027
Health plans filed
Pyramid Healthcare Inc. Health and Welfare Plan, plan 501 (3,403 participants)
Broker compensation
$305K 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 disability2,959$854K$229K
UnitedHealthcareDental3,030$545K—
The Lincoln National Life Insurance CompanyCritical Illness, Accident, Hospital416$229K$76K
HeartlandVision2,132$150K—
Mazzitti and Sullivan EAP ServicesEmployee Assistance Program3,547$98K—

Pharmacy benefit estimate

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

$8.1M/ year

Estimated prescription spend: 3,403 participants × $2,371 national average per member. Usually higher once dependents are counted.

$210K–$517K/ year

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

Brands with a generic available$61K–$153K
Lower-cost therapeutic alternatives$90K–$187K
Generic pricing vs. actual cost$39K–$116K
PBM contract terms$20K–$61K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning August 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
Pyramid Healthcare, Inc.
Sponsor EIN
23-3006202
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-3006202 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Pyramid Healthcare, Inc. 401(k) Retirement Plan
Type
401(k) plan
Participants
4,363

About this data

Source: Pyramid Healthcare, 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 Pyramid Healthcare, Inc..

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