Archbold Medical Center Inc.
Overview
Archbold Medical Center Inc. sponsors a self-funded health plan that covered 1,991 participants in plan year 2025, about the same as 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
- 1,991 · prior year 2,009
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Archbold Medical Center, Inc. Employee Health Plan, plan 501 (1,991 participants); Archbold Medical Center, Inc. Health Care Flexible Spending Account, plan 506 (271 participants)
- Broker compensation
- $267K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Life Insurance Company of North America | Short-term disability, Long-term disability, Life | 3,017 | $1.6M | $164K |
| Metropolitan Life Insurance Company | Dental | 3,163 | $1.1M | $99K |
| Metropolitan General Insurance Company | Legal | 171 | $25K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,991 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Archbold Medical Center Inc.
- Sponsor EIN
- 58-1552650
- Plan numbers
- 501, 506
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 58-1552650 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Archbold Medical Center 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 Archbold Medical Center Inc..