Sonic Healthcare USA, Inc.

Austin, TX Health careNAICS 621510

Self-funded health planPlan year 2025Renews January
1,844Participants-1% vs. prior year
$4.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#40 of 90Health care in TXBy participants

Overview

Sonic Healthcare USA, Inc. sponsors a self-funded health plan that covered 1,844 participants in plan year 2025, about the same as 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
1,844 · prior year 1,860
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Sonic Healthcare USA, Inc. Medical Reimbursement Plan, plan 502 (1,844 participants)
Broker compensation
$510K 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
Metropolitan Life Insurance CompanyDental, Vision, Life, Medical, Short-term disability, Long-term disability9,942$7.9M$487K
Hawaii Medical Service AssociationMedical, Prescription drug, Dental, HMO, PPO878$6.2M—
MetLife Legal PlansLegal698$161K$19K

Pharmacy benefit estimate

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

$4.4M/ year

Estimated prescription spend: 1,844 participants × $2,371 national average per member. Usually higher once dependents are counted.

$114K–$280K/ year

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

Brands with a generic available$33K–$83K
Lower-cost therapeutic alternatives$49K–$101K
Generic pricing vs. actual cost$21K–$63K
PBM contract terms$11K–$33K
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
Sonic Healthcare USA, Inc.
Sponsor EIN
20-8907334
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 20-8907334 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Sonic Healthcare USA Savings Plan
Type
401(k) plan
Participants
11,199

About this data

Source: Sonic Healthcare USA, Inc.'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 Sonic Healthcare USA, Inc..

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