Tufts Medical Center Physicians Organization

Boston, MA Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
683Participants+3% vs. prior year
$1.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#34 of 40Health care in MABy participants

Overview

Tufts Medical Center Physicians Organization sponsors a self-funded health plan that covered 683 participants in plan year 2025, up 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
683 · prior year 662
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Tufts Medical Center Physicians Organization Omnibus Health and Welfare Plan, plan 506 (683 participants)
Broker compensation
$283K across insured contracts
MedicalLife insuranceDentalVisionPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Long-term disability853$1.3M$217K
Prudential Insurance Company of AmericaLife679$542K$54K
Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co.Vision1,046$61K$6K
Metropolitan General Insurance CompanyLegal102$15K$2K

Pharmacy benefit estimate

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

$1.6M/ year

Estimated prescription spend: 683 participants × $2,371 national average per member. Usually higher once dependents are counted.

$42K–$104K/ year

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

Brands with a generic available$12K–$31K
Lower-cost therapeutic alternatives$18K–$38K
Generic pricing vs. actual cost$8K–$23K
PBM contract terms$4K–$12K
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
Tufts Medical Center Physicians Organization
Sponsor EIN
04-3044706
Plan number
506
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-3044706 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Tufts Medical Center Physicians Organization, Inc. 403(b) Retirement Plan
Type
Defined contribution plan
Participants
1,351

About this data

Source: Tufts Medical Center Physicians Organization'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 Tufts Medical Center Physicians Organization.

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