Tower Health

West Redding, PA Health careNAICS 622000

Self-funded health planPlan year 2024Renews January
11,261ParticipantsFirst year on file
$26.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#7 of 64Health care in PABy participants

Overview

Tower Health sponsors a self-funded health plan that covered 11,261 participants in plan year 2024. 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
11,261
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Tower Health and Welfare Benefit Plan, plan 510 (11,261 participants); The Reading Hospital and Medical Center Employer Assistance Plan, plan 508 (7,021 participants); Tower Health Medical Plan, plan 504 (5,401 participants); Tower Health Medical Plan, plan 505 (4,101 participants)
Broker compensation
$867K 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
Delta Dental of PennsylvaniaDental18,187$15.0M$237K
The Lincoln National Life Insurance CompanyLife, Weekly Income, Long-term disability6,364$2.9M$268K
CignaLong-term disability, Short-term disability5,731$1.7M$250K
Vision Benefits of AmericaVision6,862$1.1M$112K
Quest Behavioral HealthEAP11,610$26K—

Pharmacy benefit estimate

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

$26.7M/ year

Estimated prescription spend: 11,261 participants × $2,371 national average per member. Usually higher once dependents are counted.

$694K–$1.7M/ year

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

Brands with a generic available$203K–$507K
Lower-cost therapeutic alternatives$296K–$619K
Generic pricing vs. actual cost$128K–$384K
PBM contract terms$67K–$200K
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 2024
Plan sponsor
Tower Health
Sponsor EIN
23-1352204
Plan numbers
510, 508, 504, 505
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-1352204 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Reading Health System Pension Plan
Type
Pension plan
Participants
4,338

About this data

Source: Tower Health's Form 5500 filing for plan year 2024 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 Tower Health.

Request a correction · Methodology