Baystate Health, Inc.
Overview
Baystate Health, Inc. sponsors a self-funded health plan that covered 11,222 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
- 11,222 · prior year 11,098
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Baystate Health, Inc. Health Benefits Plan, plan 512 (11,222 participants); Baystate Health System, Inc. Health Benefits Plan, plan 510 (8,947 participants)
- Broker compensation
- $212K 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 |
|---|---|---|---|---|
| Continental American Insurance Company | Life, Long-term disability | 12,650 | $2.6M | $52K |
| Fidelity Security Life Insurance Company | Vision | 11,326 | $1.3M | — |
| Reliastar Life Insurance Company | Accident, Critical Illness and Hospital | 2,008 | $754K | $145K |
| Magellan Health Services | Employee Assistance Program | 12,866 | $285K | — |
| Metropolitan General Insurance Company | Legal | 672 | $116K | $16K |
| Ace American Insurance Company | Accidental Death and Dismemberment and A | 10,552 | $3K | $408 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 11,222 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
- Baystate Health, Inc.
- Sponsor EIN
- 04-2105941
- Plan numbers
- 512, 510
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 04-2105941 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Baystate Health, Inc. Retirement Plan
- Type
- 401(k) plan
- Participants
- 17,769
About this data
Source: Baystate Health, 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 Baystate Health, Inc..