Vatica Health, Inc.

Alpharetta, GA Professional servicesNAICS 541511

Self-funded health planPlan year 2025Renews July
508Participants+3% vs. prior year
$1.2MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#28 of 28Professional services in GABy participants

Overview

Vatica Health, Inc. sponsors a self-funded health plan that covered 508 participants in plan year 2025, up 3% from the prior year. The plan year starts in July. 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
508 · prior year 493
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Vatica Health, Inc. Health and Welfare Plan, plan 501 (508 participants)
Broker compensation
$101K 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
Sun Life Assurance Company of CanadaLife, Short-term disability, Long-term disability508$363K$66K
Delta Dental Insurance CompanyDental, PPO859$294K$29K
Vision Service PlanVision322$53K$5K

Pharmacy benefit estimate

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

$1.2M/ year

Estimated prescription spend: 508 participants × $2,371 national average per member. Usually higher once dependents are counted.

$31K–$77K/ year

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

Brands with a generic available$9K–$23K
Lower-cost therapeutic alternatives$13K–$28K
Generic pricing vs. actual cost$6K–$17K
PBM contract terms$3K–$9K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Vatica Health, Inc.
Sponsor EIN
45-3367648
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 45-3367648 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Vatica Health, Inc. 401(k) Plan
Type
401(k) plan
Participants
615

About this data

Source: Vatica Health, 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 Vatica Health, Inc..

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