Vertical Health Services, LLC

Puyallup, WA Health careNAICS 623000

Self-funded health planPlan year 2024Renews June
807ParticipantsFirst year on file
$1.9MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#29 of 47Health care in WABy participants

Overview

Vertical Health Services, LLC sponsors a self-funded health plan that covered 807 participants in plan year 2024. The plan year starts in June. 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
807
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
Vertical Health Services, LLC Health Benefits Plan, plan 501 (807 participants)
Broker compensation
$218K 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
Unum Life Insurance Company of AmericaLife, Short-term disability, Long-term disability349$345K$48K
Starmount Life Insurance CompanyDental, Vision592$272K$44K
Unum Insurance CompanyAccident, Critical Illness, Hospital360$205K$126K

Pharmacy benefit estimate

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

$1.9M/ year

Estimated prescription spend: 807 participants × $2,371 national average per member. Usually higher once dependents are counted.

$50K–$123K/ year

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

Brands with a generic available$15K–$36K
Lower-cost therapeutic alternatives$21K–$44K
Generic pricing vs. actual cost$9K–$28K
PBM contract terms$5K–$14K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Vertical Health Services, LLC
Sponsor EIN
93-1436517
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 93-1436517 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Vertical Health Services 401(k) Plan
Type
401(k) plan
Participants
2,276

About this data

Source: Vertical Health Services, LLC's Form 5500 filing for plan year 2024 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 Vertical Health Services, LLC.

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