Tallahassee Orthopedic Clinic III

Tallahassee, FL Health careNAICS 621399

Self-funded health planPlan year 2024Renews March
724ParticipantsFirst year on file
$1.7MEst. pharmacy spend / yrParticipants × national avg.
Mar 2027Next renewalPlan year begins March 1
#65 of 89Health care in FLBy participants

Overview

Tallahassee Orthopedic Clinic III sponsors a self-funded health plan that covered 724 participants in plan year 2024. The plan year starts in March.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
724
Plan year
Begins March 1 · next renewal March 2027
Health plans filed
Tallahassee Orthopedic Clinic III, PLLC Health and Welfare Plan, plan 501 (724 participants)
Stop-loss carrier
Cigna Health and Life Insurance Company
Broker compensation
$47K across insured contracts
Medical

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Capital Health PlanMedical, Prescription drug, HMO215$1.3M$47K
Cigna Health and Life Insurance CompanyStop-loss724$329K—

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 724 participants × $2,371 national average per member. Usually higher once dependents are counted.

$45K–$110K/ year

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

Brands with a generic available$13K–$33K
Lower-cost therapeutic alternatives$19K–$40K
Generic pricing vs. actual cost$8K–$25K
PBM contract terms$4K–$13K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning March 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
Tallahassee Orthopedic Clinic III
Sponsor EIN
59-3598056
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 59-3598056 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Tallahassee Orthopedic Clinic III'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 Tallahassee Orthopedic Clinic III.

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