Auburn Community Hospital
Overview
Auburn Community Hospital sponsors a self-funded health plan that covered 612 participants in plan year 2025, down 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 612 · prior year 628
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Auburn Community Hospital Welfare Benefit Plan, plan 505 (612 participants)
- Stop-loss carrier
- Sun Life and Health Insurance Company (u.s.)
- Broker compensation
- $83K 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 |
|---|---|---|---|---|
| The Guardian Life Insurance Company | Short-term disability | 626 | $352K | $6K |
| Sun Life and Health Insurance Company (u.s.) | Stop-loss | 599 | $315K | $29K |
| Delta Dental of New York | Dental | 926 | $285K | $20K |
| The Paul Revere Life Insurance Company | Supplemental | 97 | $112K | $19K |
| Life Insurance Company of Boston and New York | Life | 84 | $45K | $3K |
| Eyemed Vision Care | Vision | 670 | $38K | $3K |
| Transamerica Financial Life Insurance Company | Life | 52 | $32K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 612 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
- Auburn Community Hospital
- Sponsor EIN
- 15-0532054
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 15-0532054 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- The Auburn Community Hospital Retirement Savings Plan
- Type
- Defined contribution plan
- Participants
- 2,115
About this data
Source: Auburn Community Hospital'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 Auburn Community Hospital.