The Permanente Medical Group, Inc.

Oakland, CA Health careNAICS 621112

Self-funded health planPlan year 2025Renews January
9,349Participants+4% vs. prior year
$22.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#12 of 68Health care in CABy participants

Overview

The Permanente Medical Group, Inc. sponsors a self-funded health plan that covered 9,349 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
9,349 · prior year 8,956
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Permanente Medical Group Health Care Spending Account Plan, plan 605 (9,349 participants)
Broker compensation
$6.7M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Kaiser Foundation Health Plan, Inc.Medical, HMO93,368$1.2B—
Kaiser Foundation Health Plans, Inc.Medical, Prescription drug, Vision, HMO10,802$368.7M—
Standard Insurance CompanyLife, Long-term disability11,665$91.7M$2.6M
Delta Dental of CaliforniaDental113,303$54.9M—
Metropolitan Life Insurance CompanyLife, Short-term disability, Long-term disability, BTA, Dental, HMO51,527$52.2M$262K
Unum Life Insurance CompanyLong Term Care10,349$8.2M$812K
CignaMedical, Prescription drug33,047$7.9M$40K
Provident Life and Accident Insurance CompanyLong-term disability1,629$4.5M$1.1M
MetLife Voluntary LifeLife9,444$4.3M$439K
Transamerica Life Insurance CompanyLong Term Care702$3.2M$223K
Trustmark Insurance CompanyLife1,182$2.9M$849K
Arag Insurance CompanyLegal8,746$922K—

Pharmacy benefit estimate

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

$22.2M/ year

Estimated prescription spend: 9,349 participants × $2,371 national average per member. Usually higher once dependents are counted.

$576K–$1.4M/ year

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

Brands with a generic available$168K–$421K
Lower-cost therapeutic alternatives$246K–$514K
Generic pricing vs. actual cost$106K–$319K
PBM contract terms$55K–$166K
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 Permanente Medical Group, Inc.
Sponsor EIN
94-2728480
Plan number
605
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 94-2728480 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Kaiser Permanente Employees Pension Plan
Type
Pension plan
Participants
56,704

About this data

Source: The Permanente Medical Group, 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 Permanente Medical Group, Inc..

Request a correction · Methodology