Tribal Casino and Gaming Enterprise

Cherokee, NC Arts & recreationNAICS 713200

Self-funded health planPlan year 2025Renews January
2,791Participants-4% vs. prior year
$6.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 2Arts & recreation in NCBy participants

Overview

Tribal Casino and Gaming Enterprise sponsors a self-funded health plan that covered 2,791 participants in plan year 2025, down 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
2,791 · prior year 2,899
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Tribal Casino and Gaming Enterprise Benefit Plan, plan 501 (2,791 participants)
Broker compensation
$111K 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
Life Insurance Company of North AmericaAccidental Death & Dismemberment, Life, Short-term disability, Long-term disability4,853$2.1M$29K
Vision Service PlanVision2,042$343K—
AflacLife, Short-term disability273$301K$59K
Colonial Life and Accident Insurance CompanyCancer140$156K$19K
Pre-Paid Legal Services Inc. DBA LegalshieldLegal Services Plan Memberships111$21K$3K

Pharmacy benefit estimate

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

$6.6M/ year

Estimated prescription spend: 2,791 participants × $2,371 national average per member. Usually higher once dependents are counted.

$172K–$424K/ year

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

Brands with a generic available$50K–$126K
Lower-cost therapeutic alternatives$73K–$154K
Generic pricing vs. actual cost$32K–$95K
PBM contract terms$17K–$50K
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
Tribal Casino and Gaming Enterprise
Sponsor EIN
56-1972062
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-1972062 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Tribal Casino Gaming Enterprise 401(k) Savings Plan
Type
401(k) plan
Participants
4,654

About this data

Source: Tribal Casino and Gaming Enterprise'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 Tribal Casino and Gaming Enterprise.

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