Senior Care Associates, LLC

Ooltewah, TN Business servicesNAICS 561110

Self-funded health planPlan year 2025Renews January
666Participants-32% vs. prior year
$1.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 8Business services in TNBy participants

Overview

Senior Care Associates, LLC sponsors a self-funded health plan that covered 666 participants in plan year 2025, down 32% 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
666 · prior year 980
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Senior Care Associates, LLC Employee Benefits Plan, plan 503 (666 participants)
Broker compensation
$113K 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
Symetra Life Insurance CompanyLife, Short-term disability, Long-term disability310$429K$79K
Bluecross Blueshield of Tennessee, Inc.Dental, Vision934$304K$35K
MED Investors Development, LLC DBA One To One HealthTelehealth666$96K—

Pharmacy benefit estimate

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

$1.6M/ year

Estimated prescription spend: 666 participants × $2,371 national average per member. Usually higher once dependents are counted.

$41K–$101K/ year

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

Brands with a generic available$12K–$30K
Lower-cost therapeutic alternatives$18K–$37K
Generic pricing vs. actual cost$8K–$23K
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
Senior Care Associates, LLC
Sponsor EIN
62-1793583
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 62-1793583 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Senior Care Associates, LLC'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 Senior Care Associates, LLC.

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