CalliopeResearch
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Context: Taft-Hartley welfare fund · ~1,940 covered lives
You
Walk me through the service provider fee structure for this Taft-Hartley welfare fund. Is the PBM spend in line for a union plan this size?
Calliope

The fund reported ~$3.6M in total service provider comp across six named providers on its 2024 Schedule C. Top three drive 95% of spend:

Provider
Service
Amount
Per life
National PBM A
PBM / Pharmacy
$2.10M
$1,083
National TPA B
TPA
$1.08M
$558
Related Org C
Plan admin
$167K
$86
Three smaller providers
Custodial / IM / Tech
$206K combined

Pharmacy dominates at 67% of spend. PBM PEPM ($1,083) sits mid-range for Taft-Hartley funds this size — peer band runs $900–$1,250. TPA PEPM ($558) runs near the 75th percentile; worth a closer look at whether carve-outs justify the premium. Related Org C is flagged as a related-party provider — standard for T-H, worth documenting in fiduciary review.

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07

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