Riverside Health System

Newport News, VA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
7,115Participants+2% vs. prior year
$16.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 34Health care in VABy participants

Overview

Riverside Health System sponsors a self-funded health plan that covered 7,115 participants in plan year 2025, up 2% 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
7,115 · prior year 6,946
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Health and Welfare Plan for Employees of Riverside Health System, plan 506 (7,115 participants)
Broker compensation
$1.4M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability7,115$4.1M$660K
United Concordia Insurance CompanyDental11,020$3.1M$220K
Aetna Life Insurance CompanyAccident, Critical Illness, Hospital2,558$1.1M$253K
Vision Service PlanVision5,187$864K$86K
Provident Life and Accident Insurance CompanyCritical Illness, Whole Life,executive I2,099$741K$127K
MetLife Legal PlansLegal1,162$223K$25K

Pharmacy benefit estimate

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

$16.9M/ year

Estimated prescription spend: 7,115 participants × $2,371 national average per member. Usually higher once dependents are counted.

$439K–$1.1M/ year

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

Brands with a generic available$128K–$321K
Lower-cost therapeutic alternatives$187K–$391K
Generic pricing vs. actual cost$81K–$243K
PBM contract terms$42K–$127K
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
Riverside Health System
Sponsor EIN
52-1241840
Plan number
506
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 52-1241840 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Riverside Health System 403(b) Retirement Plan
Type
Defined contribution plan
Participants
13,327

About this data

Source: Riverside Health System'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 Riverside Health System.

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