The Health Plan of West Virginia Inc.

Wheeling, WV Finance & insuranceNAICS 524140

Self-funded health planPlan year 2025Renews January
507Participants-10% vs. prior year
$1.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 3Finance & insurance in WVBy participants

Overview

The Health Plan of West Virginia Inc. sponsors a self-funded health plan that covered 507 participants in plan year 2025, down 10% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, vision, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
507 · prior year 561
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Health Plan of West Virginia Inc., plan 501 (507 participants)
Broker compensation
$7K across insured contracts
MedicalLife insuranceVisionLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
The Lincoln National Life Insurance CompanyLife, Long-term disability464$281K$7K

Pharmacy benefit estimate

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

$1.2M/ year

Estimated prescription spend: 507 participants × $2,371 national average per member. Usually higher once dependents are counted.

$31K–$77K/ year

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

Brands with a generic available$9K–$23K
Lower-cost therapeutic alternatives$13K–$28K
Generic pricing vs. actual cost$6K–$17K
PBM contract terms$3K–$9K
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
The Health Plan of West Virginia Inc.
Sponsor EIN
55-0585592
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 55-0585592 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Hp-Uov 401k Retirement Plan
Type
401(k) plan
Participants
715

About this data

Source: The Health Plan of West Virginia 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 The Health Plan of West Virginia Inc..

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