Smile Doctors LLC

Dallas, TX Health careNAICS 621210

Self-funded health planPlan year 2024Renews January
3,424ParticipantsFirst year on file
$8.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#22 of 90Health care in TXBy participants

Overview

Smile Doctors LLC sponsors a self-funded health plan that covered 3,424 participants in plan year 2024. 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
3,424
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Smile Doctors LLC Employee Benefits Plan, plan 501 (3,424 participants)
Stop-loss carrier
Cigna Health and Life Insurance Company
Broker compensation
$282K 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
Cigna Health and Life Insurance CompanyDental, Stop-loss2,305$2.1M—
Guardian Life Insurance Company of AmericaLife, Short-term disability, Long-term disability3,424$1.8M$254K
Vision Service PlanVision2,389$2K$28K

Pharmacy benefit estimate

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

$8.1M/ year

Estimated prescription spend: 3,424 participants × $2,371 national average per member. Usually higher once dependents are counted.

$211K–$520K/ year

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

Brands with a generic available$62K–$154K
Lower-cost therapeutic alternatives$90K–$188K
Generic pricing vs. actual cost$39K–$117K
PBM contract terms$20K–$61K
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 2024
Plan sponsor
Smile Doctors LLC
Sponsor EIN
47-3435755
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 47-3435755 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Smile Doctors 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 Smile Doctors LLC.

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