Upstream Newco, Inc.

Birmingham, AL Health careNAICS 621340

Self-funded health planPlan year 2025Renews January
6,218Participants+3% vs. prior year
$14.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 15Health care in ALBy participants

Overview

Upstream Newco, Inc. sponsors a self-funded health plan that covered 6,218 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, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
6,218 · prior year 6,064
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Upstream Newco, Inc. Employee Benefits Plan, plan 501 (6,218 participants)
Broker compensation
$1.3M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyDental, Vision, Life, Short-term disability, Long-term disability6,959$6.3M$1.3M

Pharmacy benefit estimate

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

$14.7M/ year

Estimated prescription spend: 6,218 participants × $2,371 national average per member. Usually higher once dependents are counted.

$383K–$945K/ year

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

Brands with a generic available$112K–$280K
Lower-cost therapeutic alternatives$164K–$342K
Generic pricing vs. actual cost$71K–$212K
PBM contract terms$37K–$111K
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
Upstream Newco, Inc.
Sponsor EIN
82-3655886
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 82-3655886 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Upstream Newco, Inc.'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 Upstream Newco, Inc..

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