Tegra Medical LLC
Overview
Tegra Medical LLC sponsors a self-funded health plan that covered 665 participants in plan year 2025, down 15% 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
- 665 · prior year 780
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Tegra Medical LLC Health and Welfare Benefit Plan, plan 501 (665 participants)
- Broker compensation
- $64K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Blue Cross Blue Shield of Massachusetts, Inc. | Dental, Vision | 384 | $385K | $13K |
| Metropolitan Life Insurance Company | Life, Short-term disability, Long-term disability | 597 | $250K | $29K |
| Unum Insurance Company | Group Accident, Critical Illness, Hospital | 120 | $71K | $14K |
| Principal Life Insurance Company | Dental, Vision, PPO | 62 | $66K | $8K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 665 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Tegra Medical LLC
- Sponsor EIN
- 26-1119049
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 26-1119049 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Tegra Medical LLC'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 Tegra Medical LLC.