Zimmer Biomet Holdings, Inc.

Warsaw, IN ManufacturingNAICS 339110

Self-funded health planPlan year 2025Renews January
7,397Participants-9% vs. prior year
$17.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 93Manufacturing in INBy participants

Overview

Zimmer Biomet Holdings, Inc. sponsors a self-funded health plan that covered 7,397 participants in plan year 2025, down 10% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
7,397 · prior year 8,174
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Zimmer Biomet Holdings, Inc. Health and Welfare Plan, plan 501 (7,397 participants); Zimmer Biomet Holdings, Inc. Flexible Benefits Plan, plan 509 (435 participants)
Stop-loss carrier
Anthem Insurance Companies, Inc.; Anthem Insurance Companies, Inc.; Reliastar Life Insurance Company
Broker compensation
$712K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Anthem Insurance Companies, Inc.Stop-loss7,191$4.0M$337K
Hartford Life and AccidentLife7,170$3.0M$44K
Continental American Insurance CompanyLong-term disability6,660$1.2M$31K
Vision Service PlanVision5,470$967K—
Reliastar Life Insurance CompanyStop-loss6,145$935K$262K
Arag Insurance CompanyLegal1,120$131K$17K
National Union Fire Ins. Co. of PittsburghBusiness Travel Accident7,094$52K$10K

Pharmacy benefit estimate

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

$17.5M/ year

Estimated prescription spend: 7,397 participants × $2,371 national average per member. Usually higher once dependents are counted.

$456K–$1.1M/ year

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

Brands with a generic available$133K–$333K
Lower-cost therapeutic alternatives$195K–$407K
Generic pricing vs. actual cost$84K–$253K
PBM contract terms$44K–$132K
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
Zimmer Biomet Holdings, Inc.
Sponsor EIN
13-4151777
Plan numbers
501, 509
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-4151777 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Zimmer Biomet Holdings, Inc. Savings and Investment 401(k) Program
Type
401(k) plan
Participants
10,439

About this data

Source: Zimmer Biomet Holdings, 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 Zimmer Biomet Holdings, Inc..

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