Bayhealth Medical Center, Inc.

Dover, DE Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
4,970Participants+26% vs. prior year
$11.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 5Health care in DEBy participants

Overview

Bayhealth Medical Center, Inc. sponsors a self-funded health plan that covered 4,970 participants in plan year 2025, up 26% 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
4,970 · prior year 3,950
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Bayhealth Medical Center, Inc. Health and Welfare Benefits Plan, plan 501 (4,970 participants)
Stop-loss carrier
BCS Insurance Company
Broker compensation
$1.6M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance Standard Life Insurance CompanyLife, Long-term disability4,445$2.6M$325K
BCS Insurance CompanyStop-loss3,847$1.6M$79K
Symetra Life Insurance CompanyAccident, Critical Illness, Hospital2,692$732K$500K
American Heritage LifeLife907$725K$720K
Vision Benefits of AmericaVision3,608$500K—
ComPsych CorporationEmployee Assistance Program4,970$57K—

Pharmacy benefit estimate

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

$11.8M/ year

Estimated prescription spend: 4,970 participants × $2,371 national average per member. Usually higher once dependents are counted.

$306K–$755K/ year

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

Brands with a generic available$90K–$224K
Lower-cost therapeutic alternatives$131K–$273K
Generic pricing vs. actual cost$57K–$170K
PBM contract terms$29K–$88K
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
Bayhealth Medical Center, Inc.
Sponsor EIN
51-0064318
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 51-0064318 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Bayhealth Medical Center, Inc. Retirement and Savings Plan
Type
401(k) plan
Participants
6,593

About this data

Source: Bayhealth 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 Bayhealth Medical Center, Inc..

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