Valley Health

Winchester, VA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
6,400Participants+6% vs. prior year
$15.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#7 of 34Health care in VABy participants

Overview

Valley Health sponsors a self-funded health plan that covered 6,400 participants in plan year 2025, up 6% 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
6,400 · prior year 6,028
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Valley Health Welfare Benefits Plan, plan 501 (6,400 participants)
Stop-loss carrier
Unum Life Insurance Company of American; Palmetto Healthcare Stop Loss
Broker compensation
$828K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther 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 AmericaLong-term disability, Short-term disability, Voluntary AD&D, Life5,621$4.0M$605K
Unum Insurance CompanyShort-term disability945$684K$156K
Eyemed Vision/combined Insurance Company of AmericaVision4,007$545K$54K
Provident Life and Accident Insurance CompanyLife516$197K$10K
Unum Life Insurance Company of AmericanStop-loss69$25K$2K

Pharmacy benefit estimate

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

$15.2M/ year

Estimated prescription spend: 6,400 participants × $2,371 national average per member. Usually higher once dependents are counted.

$395K–$973K/ year

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

Brands with a generic available$115K–$288K
Lower-cost therapeutic alternatives$168K–$352K
Generic pricing vs. actual cost$73K–$219K
PBM contract terms$38K–$114K
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
Valley Health
Sponsor EIN
52-1357729
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 52-1357729 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Valley Health System Employee Contributory 403(b) Plan
Type
Defined contribution plan
Participants
10,476

About this data

Source: Valley Health'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 Valley Health.

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