Vertex, Inc.

King of Prussia, PA Information & technologyNAICS 511210

Self-funded health planPlan year 2025Renews January
1,440Participants+1% vs. prior year
$3.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 5Information & technology in PABy participants

Overview

Vertex, Inc. sponsors a self-funded health plan that covered 1,440 participants in plan year 2025, about the same as 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
1,440 · prior year 1,433
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Vertex, Inc. Health & Welfare Plan, plan 514 (1,440 participants)
Stop-loss carrier
Granular Insurance Company
Broker compensation
$410K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Granular Insurance CompanyStop-loss1,230$2.0M$98K
New York Life (life Insurance Company of North America)Life, Long-term disability, Accidental Death and Dismemberment1,544$1.4M$253K
Aetna Life Insurance CompanyAccident, Hospital Indemnity, Critical I682$193K$40K
Eyemed Vision CareVision1,257$147K$15K
Arag Insurance CompanyLegal414$48K$5K
National Union Fire Insurance Company of PittsburghBusiness Travel Accident1,523$25K—
Aetna InternationalAGB Worldtraveler291$11K—

Pharmacy benefit estimate

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

$3.4M/ year

Estimated prescription spend: 1,440 participants × $2,371 national average per member. Usually higher once dependents are counted.

$89K–$219K/ year

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

Brands with a generic available$26K–$65K
Lower-cost therapeutic alternatives$38K–$79K
Generic pricing vs. actual cost$16K–$49K
PBM contract terms$9K–$26K
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
Vertex, Inc.
Sponsor EIN
23-2081753
Plan number
514
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-2081753 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Vertex, Inc. 401(k) Plan
Type
401(k) plan
Participants
1,928

About this data

Source: Vertex, 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 Vertex, Inc..

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