Wheeler Clinic Inc.

Plainville, CT Health careNAICS 621420

Self-funded health planPlan year 2024Renews July
814ParticipantsFirst year on file
$1.9MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#16 of 21Health care in CTBy participants

Overview

Wheeler Clinic Inc. sponsors a self-funded health plan that covered 814 participants in plan year 2024. 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
814
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Wheeler Clinic Inc. Employee Group Insurance Plans, plan 501 (814 participants)
Broker compensation
$2K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Anthem Life Insurance CompanyLife814$111K—
Cigna Health and Life Insurance Company and AffiliatesVision752$27K—

Pharmacy benefit estimate

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

$1.9M/ year

Estimated prescription spend: 814 participants × $2,371 national average per member. Usually higher once dependents are counted.

$50K–$124K/ year

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

Brands with a generic available$15K–$37K
Lower-cost therapeutic alternatives$21K–$45K
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 July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Wheeler Clinic Inc.
Sponsor EIN
06-0867065
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 06-0867065 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Wheeler Clinic, Inc. 403(b) Plan
Type
Defined contribution plan
Participants
2,049

About this data

Source: Wheeler Clinic Inc.'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 Wheeler Clinic Inc..

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