Southern Medical Health Systems, Inc.

Mobile, AL Holding companiesNAICS 551112

Self-funded health planPlan year 2025Renews January
1,154Participants-2% vs. prior year
$2.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 1Holding companies in ALBy participants

Overview

Southern Medical Health Systems, Inc. sponsors a self-funded health plan that covered 1,154 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, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,154 · prior year 1,175
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Southern Medical Health Systems, Inc. Medical Plan, plan 501 (1,154 participants)
Stop-loss carrier
HM Life Insurance Company
Broker compensation
$95K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
HM Life Insurance CompanyStop-loss1,129$269K$42K
The Lincoln National Life Insurance CompanyLife, AD&D, Long-term disability1,045$204K$49K
Blue Cross and Blue Shield of AlabamaVision876$193K—
Metropolitan Life Insurance CompanyLong-term disability72$35K$3K

Pharmacy benefit estimate

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

$2.7M/ year

Estimated prescription spend: 1,154 participants × $2,371 national average per member. Usually higher once dependents are counted.

$71K–$175K/ year

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

Brands with a generic available$21K–$52K
Lower-cost therapeutic alternatives$30K–$63K
Generic pricing vs. actual cost$13K–$39K
PBM contract terms$7K–$21K
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
Southern Medical Health Systems, Inc.
Sponsor EIN
63-0885975
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 63-0885975 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Southern Medical Health Systems, 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 Southern Medical Health Systems, Inc..

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