SM Energy Company

Denver, CO Mining & energyNAICS 211120

Self-funded health planPlan year 2025Renews January
666Participants+17% vs. prior year
$1.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#7 of 12Mining & energy in COBy participants

Overview

SM Energy Company sponsors a self-funded health plan that covered 666 participants in plan year 2025, up 17% 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 571
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
SM Energy Company Health and Welfare Employee Benefit Plan, plan 501 (666 participants)
Broker compensation
$145K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Long-term disability704$862K$99K
Reliastar Life Insurance CompanyAccident, Critical Illness, Hospital Ind600$153K$29K
Vision Service PlanVision631$118K$13K
MetLife Legal PlansLegal100$27K$3K

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
SM Energy Company
Sponsor EIN
41-0518430
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 41-0518430 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
SM Energy Company 401(k) Profit Sharing Plan
Type
401(k) plan
Participants
889

About this data

Source: SM Energy Company'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 SM Energy Company.

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