The Southeast Permanente Medical Group, Inc.

Atlanta, GA Health careNAICS 621491

Self-funded health planPlan year 2025Renews January
983Participants-10% vs. prior year
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#28 of 40Health care in GABy participants

Overview

The Southeast Permanente Medical Group, Inc. sponsors a self-funded health plan that covered 983 participants in plan year 2025, down 10% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports vision, death benefits.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
983 · prior year 1,096
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Southeast Permanente Medical Group, Inc. Supplemental Behavioral Health, plan 501 (983 participants)
Broker compensation
$512K across insured contracts
MedicalVisionDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Unum Life Insurance Company of AmericaLife, Short-term disability, Long-term disability, Flex Ltd, Flex STD1,240$4.7M$483K
Kaiser Foundation Health Plan of Georgia, Inc.Medical, HMO3,740$502K—
Provident Life and Accident Insurance CompanyLife254$122K$29K
GuardianDental1,209$58K—
Acentra HealthEmployee Assistance Program1,358$27K—
Metropolitan Life Insurance CompanyBTA1,228$394—

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 983 participants × $2,371 national average per member. Usually higher once dependents are counted.

$61K–$149K/ year

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

Brands with a generic available$18K–$44K
Lower-cost therapeutic alternatives$26K–$54K
Generic pricing vs. actual cost$11K–$34K
PBM contract terms$6K–$17K
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 Southeast Permanente Medical Group, Inc.
Sponsor EIN
58-1635081
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-1635081 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Kaiser Permanente Physicians and Employees Retirement Plan
Type
Pension plan
Participants
1,755

About this data

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

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