Roche Bros. Midco, LLC

Mansfield, MA RetailNAICS 445110

Self-funded health planPlan year 2024Renews September
977ParticipantsFirst year on file
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Sep 2027Next renewalPlan year begins September 1
#16 of 20Retail in MABy participants

Overview

Roche Bros. Midco, LLC sponsors a self-funded health plan that covered 977 participants in plan year 2024. The plan year starts in September. 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
977
Plan year
Begins September 1 · next renewal September 2027
Health plans filed
Group Health and Welfare Plan for Employees of Roche Bros. Midco, LLC, plan 501 (977 participants)
Broker compensation
$58K 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
Life Insurance Company of North AmericaLife, Accidental Death & Dismemberment, Long-term disability977$397K$41K
Cigna Health and Life Insurance CompanyVoluntary Accident, Voluntary Critical Illness284$129K$15K
Vision Service PlanVision523$52K$2K

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 977 participants × $2,371 national average per member. Usually higher once dependents are counted.

$60K–$148K/ year

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

Brands with a generic available$18K–$44K
Lower-cost therapeutic alternatives$26K–$54K
Generic pricing vs. actual cost$11K–$33K
PBM contract terms$6K–$17K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning September 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
Roche Bros. Midco, LLC
Sponsor EIN
04-2264124
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-2264124 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Roche Bros. 401(k) and Profit Sharing Plan
Type
401(k) plan
Participants
3,372

About this data

Source: Roche Bros. Midco, LLC'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 Roche Bros. Midco, LLC.

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