T.j. Regional Health

Glasgow, KY Health careNAICS 622000

Self-funded health planPlan year 2025Renews June
1,112Participants+3% vs. prior year
$2.6MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#18 of 33Health care in KYBy participants

Overview

T.j. Regional Health sponsors a self-funded health plan that covered 1,112 participants in plan year 2025, up 3% from the prior year. The plan year starts in June. 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
1,112 · prior year 1,085
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
T.j. Regional Health Welfare Benefit Plan, plan 508 (1,112 participants); TJ Regional Health Health Flexible Spending Account, plan 501 (191 participants)
Broker compensation
$377K 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
Symetra Life Insurance CompanyLife, Short-term disability, Long-term disability, Accident, Critical Illness1,108$3.0M$313K
Protective LifeLife148$359K$40K
Anthem Health Plans of Kentucky, Inc.Vision2,331$174K$17K
AflacAccident, Critical Illness, Cancer80$62K$7K
Human Development Company, Inc.Employee Assistance Program1,108$28K—

Pharmacy benefit estimate

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

$2.6M/ year

Estimated prescription spend: 1,112 participants × $2,371 national average per member. Usually higher once dependents are counted.

$69K–$169K/ year

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

Brands with a generic available$20K–$50K
Lower-cost therapeutic alternatives$29K–$61K
Generic pricing vs. actual cost$13K–$38K
PBM contract terms$7K–$20K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 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
T.j. Regional Health
Sponsor EIN
61-0461767
Plan numbers
508, 501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 61-0461767 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
TJ Regional Health Inc. 403(b) Plan
Type
Defined contribution plan
Participants
1,753

About this data

Source: T.j. Regional Health'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 T.j. Regional Health.

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