Tricore Reference Laboratories

Albuquerque, NM Health careNAICS 621510

Self-funded health planPlan year 2025Renews January
1,526Participants+9% vs. prior year
$3.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 7Health care in NMBy participants

Overview

Tricore Reference Laboratories sponsors a self-funded health plan that covered 1,526 participants in plan year 2025, up 9% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,526 · prior year 1,404
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Tricore Reference Laboratories Custom Benefits Plan, plan 504 (1,526 participants)
Broker compensation
$36K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Delta Dental of New MexicoDental1,526$520K—
Life Insurance Company of North AmericaLife, Long-term disability, AD&D1,404$398K$35K
Metropolitan Life Insurance CompanyCritical Illness, Hospital Indemnity418$160K$1K
Vision Service PlanVision871$110K—

Pharmacy benefit estimate

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

$3.6M/ year

Estimated prescription spend: 1,526 participants × $2,371 national average per member. Usually higher once dependents are counted.

$94K–$232K/ year

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

Brands with a generic available$27K–$69K
Lower-cost therapeutic alternatives$40K–$84K
Generic pricing vs. actual cost$17K–$52K
PBM contract terms$9K–$27K
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
Tricore Reference Laboratories
Sponsor EIN
85-0444170
Plan number
504
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 85-0444170 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Tricore Reference Laboratories 401(k) Plan
Type
401(k) plan
Participants
2,074

About this data

Source: Tricore Reference Laboratories'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 Tricore Reference Laboratories.

Request a correction · Methodology