Texas Mutual Insurance Company

Austin, TX Finance & insuranceNAICS 524150

Self-funded health planPlan year 2025Renews January
995Participants+1% vs. prior year
$2.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#20 of 38Finance & insurance in TXBy participants

Overview

Texas Mutual Insurance Company sponsors a self-funded health plan that covered 995 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, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
995 · prior year 990
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Texas Mutual Insurance Company Employee Benefit Plan, plan 501 (995 participants); Texas Mutual Insurance Company Flexible Benefit Plan, plan 505 (452 participants)
Broker compensation
$17K 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
Reliastar Life Insurance CompanyLong-term disability, Life2,127$851K$17K

Pharmacy benefit estimate

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

$2.4M/ year

Estimated prescription spend: 995 participants × $2,371 national average per member. Usually higher once dependents are counted.

$61K–$151K/ 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
Texas Mutual Insurance Company
Sponsor EIN
74-2615873
Plan numbers
501, 505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 74-2615873 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Texas Mutual Insurance Company Retirement Savings Plan
Type
401(k) plan
Participants
1,418

About this data

Source: Texas Mutual Insurance Company'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 Texas Mutual Insurance Company.

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