Siddons-Martin Emergency Group, LLC

Houston, TX RetailNAICS 441228

Self-funded health planPlan year 2024Renews June
526ParticipantsFirst year on file
$1.2MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#58 of 64Retail in TXBy participants

Overview

Siddons-Martin Emergency Group, LLC sponsors a self-funded health plan that covered 526 participants in plan year 2024. The plan year starts in June. 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
526
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
Siddons-Martin Emergency Group, LLC Welfare Benefits Plan, plan 501 (526 participants)
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
Sun Life Assurance Company of CanadaDental, Vision, Life, Short-term disability, Long-term disability802$881K—

Pharmacy benefit estimate

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

$1.2M/ year

Estimated prescription spend: 526 participants × $2,371 national average per member. Usually higher once dependents are counted.

$32K–$80K/ year

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

Brands with a generic available$9K–$24K
Lower-cost therapeutic alternatives$14K–$29K
Generic pricing vs. actual cost$6K–$18K
PBM contract terms$3K–$9K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Siddons-Martin Emergency Group, LLC
Sponsor EIN
27-4333590
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 27-4333590 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Siddons Martin Emergency Group 401(k) Plan
Type
401(k) plan
Participants
784

About this data

Source: Siddons-Martin Emergency Group, 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 Siddons-Martin Emergency Group, LLC.

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