Tamaya Enterprises, Inc.

Santa ANA Pueblo, NM GovernmentNAICS 921000

Self-funded health planPlan year 2025Renews January
999Participants+4% vs. prior year
$2.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 2Government in NMBy participants

Overview

Tamaya Enterprises, Inc. sponsors a self-funded health plan that covered 999 participants in plan year 2025, up 4% from 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
999 · prior year 961
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Tamaya Enterprises, Inc. DBA Santa ANA Star Casino Medical Plan, plan 501 (999 participants)
Broker compensation
$153K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Short-term disability, Long-term disability1,085$642K$152K
United Behavioral Health DBA OptumEmployee Assistance Program221$2K—

Pharmacy benefit estimate

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

$2.4M/ year

Estimated prescription spend: 999 participants × $2,371 national average per member. Usually higher once dependents are counted.

$62K–$152K/ year

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

Brands with a generic available$18K–$45K
Lower-cost therapeutic alternatives$26K–$55K
Generic pricing vs. actual cost$11K–$34K
PBM contract terms$6K–$18K
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
Tamaya Enterprises, Inc.
Sponsor EIN
85-0412509
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 85-0412509 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Tamaya Enterprises, 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 Tamaya Enterprises, Inc..

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