Wilmington Health, PLLC

Wilmington, NC Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
1,108Participants+6% vs. prior year
$2.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#20 of 46Health care in NCBy participants

Overview

Wilmington Health, PLLC sponsors a self-funded health plan that covered 1,108 participants in plan year 2025, up 6% 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
1,108 · prior year 1,041
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Wilmington Health, PLLC Employee Benefit Plan, plan 511 (1,108 participants)
Broker compensation
$137K 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
Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability1,108$893K$117K
The Lincoln National Life Insurance CompanyHospital, Critical Illness, Accident365$144K$15K
UnitedHealthcare Insurance CompanyTransplant1,721$119K—
Community Eye CareVision1,284$110K$6K

Pharmacy benefit estimate

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

$2.6M/ year

Estimated prescription spend: 1,108 participants × $2,371 national average per member. Usually higher once dependents are counted.

$68K–$168K/ year

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

Brands with a generic available$20K–$50K
Lower-cost therapeutic alternatives$29K–$61K
Generic pricing vs. actual cost$13K–$38K
PBM contract terms$7K–$20K
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
Wilmington Health, PLLC
Sponsor EIN
56-1980160
Plan number
511
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-1980160 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Wilmington Health, PLLC Retirement Plan
Type
401(k) plan
Participants
1,644

About this data

Source: Wilmington Health, PLLC'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 Wilmington Health, PLLC.

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