TeamCare Health Plan

Name

TeamCare Health Plan

Legal name

Central States, Southeast and Southwest Areas, Health and Welfare Fund

Website

https://centralstatesfunds.org

Company type

Private

Founded year

1951

Operating status

Operating

Ownership category

akta.pro rank

Product category

Group Health Insurance

NAICS

Health and Welfare Funds (52512), Health and Welfare Funds (525120), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Taft-Hartley / Union Multiemployer Group Health Plans (FSAIAFAG)

akta.pro secondary industries

Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE), Group Disability Income Insurance (Employer-Sponsored) (FSAIAIAB), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Group health insurance
• Taft-Hartley fund
• Union member benefits
• Prescription drug coverage
• Retiree health benefits

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Health Insurance Premiums: TeamCare generates revenue through health insurance premiums paid by or on behalf of union members. The plan provides medical, prescription, dental, vision, short-term disability, and retiree benefits, collecting premiums in exchange for coverage.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

TeamCare Health Plan is a Taft-Hartley health and welfare fund that administers medical, prescription, dental, vision, short-term disability, and retiree benefits to approximately 500,000 Teamsters union members and their families. Benefits are delivered through partnerships with BlueCross BlueShield, CVS Caremark, EyeMed, Teladoc, Humana, Kaiser Permanente, Mayo Clinic, and QuestSelect, with members accessing services via an online member portal and providers via a dedicated provider portal.

Product overview

TeamCare Health Plan is a health and welfare fund administered by Central States, Southeast and Southwest Areas, providing comprehensive healthcare benefits to approximately 500,000 Teamsters members and their families. The company operates as a single unified benefit platform offering six core benefit products: Medical Benefits, Prescription Benefits (via CVS Caremark), Dental Benefits, Vision Benefits (via EyeMed), Short-Term Disability Benefits, and Retiree Benefits. These benefits are delivered through an integrated member portal that provides access to claims management, eligibility verification, Form 1095-B requests, and provider search functionality. A separate provider portal enables healthcare providers to access member information and submit claims. The product portfolio also includes supporting resources such as Help/FAQs, a glossary of health insurance terms, and downloadable forms and documents.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Benefits Flexible and affordable medical benefit plans covering medical and preventative care — including routine checkups and important screenings — delivered through TeamCare's extensive network of partners and providers for Teamsters union members and their families.
• Prescription Benefits Prescription drug coverage administered through the CVS Caremark partnership, providing TeamCare members with access to pharmacy benefit management services for their medication needs.
• Dental Benefits Dental coverage for TeamCare members and their families, delivered through an extensive network of dental providers.
• Vision Benefits Vision coverage including eye exams and eyewear, provided through the EyeMed partnership to TeamCare members and their families.
• Short-Term Disability Benefits Short-term disability coverage providing income replacement to TeamCare members during a temporary inability to work due to illness or injury.
• Retiree Benefits Healthcare benefits designed specifically for retired TeamCare members, covering medical and other health-related needs in retirement.
• Member Portal Online self-service portal for TeamCare members to access forms and documents (including Form 1095-B), search claims, verify eligibility, track claim status, and communicate with CustomerCare.
• Provider Portal Web resources for in-network healthcare providers to access member information, verify eligibility, submit claims, and review filing information needed to deliver care to TeamCare members.

Quantifiable outcome

• 500,000 members served

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

Partnerships

Nine partnerships are on record, tiered core.

• BlueCross BlueShieldcoreTechnology or IntegrationBlueCross BlueShield is listed as a trusted partner, providing healthcare network and insurance infrastructure support for TeamCare's member benefits.
• TeladoccoreTechnology or IntegrationTeladoc provides telehealth services to TeamCare members, enabling virtual healthcare consultations.
• CVS CaremarkcoreTechnology or IntegrationCVS Caremark provides pharmacy benefit management services, handling prescription drug coverage for TeamCare members.
• EyeMedcoreTechnology or IntegrationEyeMed provides vision benefits and eye care services as part of TeamCare's comprehensive benefit offerings.
• HumanacoreTechnology or IntegrationHumana is a trusted partner providing healthcare network and insurance services to support TeamCare benefits.
• Kaiser PermanentecoreTechnology or IntegrationKaiser Permanente provides healthcare services and network access as a trusted partner for TeamCare members.
• Mayo CliniccoreTechnology or IntegrationMayo Clinic is a trusted partner providing access to specialized medical care and health resources for TeamCare members.
• QuestSelectcoreTechnology or IntegrationQuestSelect provides laboratory and diagnostic testing services as part of the TeamCare provider network.
• USINcoreTechnology or IntegrationUSIN provides healthcare network services as part of TeamCare's trusted partner ecosystem.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Humana: Large U.S. health insurer with significant group and Medicare Advantage business. Listed as one of TeamCare's trusted network partners, and comparable in administering group health benefits at scale to employer and labor populations.
• UnitedHealthcare: Largest U.S. health insurer offering group, individual, and Medicare plans. Comparable because it administers large group health coverage at scale, including employer- and union-sponsored plans, although it operates across all market segments rather than specializing in labor.
• Health Care Service Corporation (HCSC): Mutual health insurer and largest BCBS licensee serving multiple states with group health plans. Comparable in administering large group and employer-sponsored health coverage at scale through a Blue-branded network.
• Anthem (Elevance Health): Major Blue Cross Blue Shield licensee providing group health insurance nationally. Directly comparable in administering large employer and labor-sponsored health plans, including via the BCBS network that TeamCare itself partners with.
• CVS Health (Aetna / Caremark): Integrated payer-PBM-retailer; Aetna administers large group health plans and Caremark is TeamCare's prescription partner. Comparable in administering group health and pharmacy benefits for large populations, though vertically integrated rather than a single fund.

Regional players

• Kaiser Permanente: Integrated payer-provider system serving select U.S. regions with closed-network care. Comparable because it appears in TeamCare's partner network and offers comprehensive medical/Rx coverage to large member populations, though its owned-provider model differs from TeamCare's open-network fund structure.

Direct peers

• UNITE HERE Health: Multi-employer Taft-Hartley welfare fund for UNITE HERE hospitality workers. Directly comparable model: jointly governed, CBA-funded, and offering medical/Rx/dental/vision to union members and their families across multiple regions.
• Southwest Carpenters Health and Welfare Trust Fund: Multi-employer health and welfare trust for union carpenters in the Southwest. Same Taft-Hartley fund structure, same member demographic of construction trade union workers, and similar medical/Rx/vision/dental offerings.
• UFCW National Health & Welfare Fund: Taft-Hartley health and welfare trust for United Food and Commercial Workers union members. Operates the same multi-employer fund structure serving unionized workers and dependents with comprehensive medical, prescription, dental, and vision benefits.
• Laborers Health and Welfare Fund: Regional Taft-Hartley health and welfare funds for Laborers' International union members. Operate under the same collective-bargaining-driven model with comprehensive benefits for construction and public-works union workers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about TeamCare Health Plan