Texas Spine and Joint Hospital

Tyler, TX Health careNAICS 622000

Self-funded health planPlan year 2025Renews April
524Participants+7% vs. prior year
$1.2MEst. pharmacy spend / yrParticipants × national avg.
Apr 2027Next renewalPlan year begins April 1
#88 of 90Health care in TXBy participants

Overview

Texas Spine and Joint Hospital sponsors a self-funded health plan that covered 524 participants in plan year 2025, up 7% from the prior year. The plan year starts in April. 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
524 · prior year 491
Plan year
Begins April 1 · next renewal April 2027
Health plans filed
Texas Spine and Joint Hospital Employee Injury Benefit Plan, plan 502 (524 participants); Texas Spine and Joint Hospital Employee Benefit Plan, plan 507 (274 participants)
Broker compensation
$80K 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
Standard Insurance CompanyLife, Long-term disability, Short-term disability391$415K$76K
Superior Vision PlanVision581$43K$4K

Pharmacy benefit estimate

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

$1.2M/ year

Estimated prescription spend: 524 participants × $2,371 national average per member. Usually higher once dependents are counted.

$32K–$80K/ year

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

Brands with a generic available$9K–$24K
Lower-cost therapeutic alternatives$14K–$29K
Generic pricing vs. actual cost$6K–$18K
PBM contract terms$3K–$9K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning April 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 Spine and Joint Hospital
Sponsor EIN
75-2951355
Plan numbers
502, 507
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 75-2951355 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Texas Spine and Joint Hospital 401(k) Profit Sharing Plan
Type
401(k) plan
Participants
577

About this data

Source: Texas Spine and Joint Hospital'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 Spine and Joint Hospital.

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