Simonmed
Overview
Simonmed sponsors a self-funded health plan that covered 2,880 participants in plan year 2025, up 13% 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
- 2,880 · prior year 2,542
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- SMI Imaging LLC - Employee Welfare Benefit Plan, plan 501 (2,880 participants)
- Stop-loss carrier
- Blue Cross Blue Shield of Arizona
- Broker compensation
- $798K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Blue Cross Blue Shield of Arizona | Medical, Prescription drug, Dental, Stop-loss | 2,431 | $2.7M | $335K |
| United of Omaha Life Insurance Company | Life, Short-term disability, Long-term disability | 2,810 | $1.6M | $446K |
| Eyemed Vision Care | Vision | 2,116 | $143K | $14K |
| Curalinc LLC | EAP | 2,634 | $40K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,880 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Simonmed
- Sponsor EIN
- 26-4000683
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 26-4000683 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Simonmed 401(k) Profit Sharing Plan
- Type
- 401(k) plan
- Participants
- 2,355
About this data
Source: Simonmed'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 Simonmed.