TMC Healthcare
Overview
TMC Healthcare sponsors a self-funded health plan that covered 3,859 participants in plan year 2025, down 16% 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
- 3,859 · prior year 4,606
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- TMC Healthcare Master Health Benefit Plan, plan 505 (3,859 participants)
- Broker compensation
- $897K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Lincoln National Life Insurance Company | Life, Short-term disability, Long-term disability | 5,321 | $4.3M | $676K |
| The Lincoln National Life Insurance Company | Critical Illness, Hospital, Accident | 979 | $691K | $216K |
| Metropolitan Life Insurance Company | Vision | 3,350 | $462K | $4K |
| Metropolitan General Insurance Company | Legal | 700 | $130K | $389 |
| Employers Dental Services | Dental | 858 | $120K | — |
| United Behavioral Health DBA Optum | Employee Assistance Program | 5,903 | $86K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,859 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- TMC Healthcare
- Sponsor EIN
- 20-2218975
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 20-2218975 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- TMC Healthcare 401(k) Plan
- Type
- 401(k) plan
- Participants
- 8,539
About this data
Source: TMC Healthcare'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 TMC Healthcare.