Adena Health System

Chillicothe, OH Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
2,110Participants-7% vs. prior year
$5.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#32 of 89Health care in OHBy participants

Overview

Adena Health System sponsors a self-funded health plan that covered 2,110 participants in plan year 2025, down 7% 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
2,110 · prior year 2,273
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Adena Health System Employee Group Benefit Plan, plan 501 (2,110 participants)
Stop-loss carrier
Siriuspoint America Insurance Company (reunion)
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyLife, Long-term disability5,371$2.1M—
Siriuspoint America Insurance Company (reunion)Stop-loss2,104$527K—
Vision Service PlanVision2,184$485K—
Bronson Battle Creek D.b.a. Helpnet EAPEmployee Assistance Program3,075$72K—

Pharmacy benefit estimate

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

$5.0M/ year

Estimated prescription spend: 2,110 participants × $2,371 national average per member. Usually higher once dependents are counted.

$130K–$321K/ year

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

Brands with a generic available$38K–$95K
Lower-cost therapeutic alternatives$56K–$116K
Generic pricing vs. actual cost$24K–$72K
PBM contract terms$13K–$38K
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
Adena Health System
Sponsor EIN
31-4379443
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 31-4379443 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Adena Health System Tax Deferred Annuity/matched Savings Plan
Type
Defined contribution plan
Participants
6,832

About this data

Source: Adena Health System'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 Adena Health System.

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