Valley Medical Facilities, Inc.

Beaver, PA Health careNAICS 622000

Self-funded health planPlan year 2025Renews JanuaryCollectively bargained
3,439Participants-3% vs. prior year
$8.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#16 of 64Health care in PABy participants

Overview

Valley Medical Facilities, Inc. sponsors a self-funded health plan that covered 3,439 participants in plan year 2025, down 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
3,439 · prior year 3,536
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Valley Medical Facilities, Inc. Employee Health Discounts Plan, plan 507 (3,439 participants); Valley Medical Facilities, Inc. Flexible Benefits Plan, plan 598 (2,461 participants)
Broker compensation
$232K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyLife, Short-term disability, Long-term disability2,352$2.7M$186K
United Concordia Insurance CompanyDental4,177$1.1M$36K
Metropolitan Life Insurance CompanyVision3,900$476K$10K

Pharmacy benefit estimate

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

$8.2M/ year

Estimated prescription spend: 3,439 participants × $2,371 national average per member. Usually higher once dependents are counted.

$212K–$523K/ year

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

Brands with a generic available$62K–$155K
Lower-cost therapeutic alternatives$91K–$189K
Generic pricing vs. actual cost$39K–$117K
PBM contract terms$20K–$61K
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 Medical Facilities, Inc.
Sponsor EIN
25-1801532
Plan numbers
507, 598
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 25-1801532 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Heritage Valley Health System 403(b) Plan
Type
Defined contribution plan
Participants
3,938

About this data

Source: Valley Medical Facilities, 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 Valley Medical Facilities, Inc..

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