Bellin Gundersen Health System, Inc.
Overview
Bellin Gundersen Health System, Inc. sponsors a self-funded health plan that covered 16,505 participants in plan year 2025. 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
- 16,505
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Bellin Gundersen Health System, Inc. Comprehensive Health and Welfare Benefits Plan, plan 512 (16,505 participants)
- Broker compensation
- $1.2M 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 |
|---|---|---|---|---|
| Unum Life Insurance Company of America | Short-term disability, Long-term disability, Life, Select Long Term Disability and Select S | 14,362 | $11.8M | $958K |
| Unum Insurance Company | Hospital EE Paid, Attained Age Critical Illness, GRP Accident | 3,176 | $1.3M | $159K |
| Metropolitan Life Insurance Company | Vision | 6,332 | $347K | $43K |
| Empathia, Inc. | Employee Assistance Program | 5,925 | $219K | — |
| Arag Insurance Company | Legal | 1,780 | $174K | $18K |
| Starr Indemnity & Liability Company | Business Travel Accident | 14,048 | $16K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 16,505 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
- Bellin Gundersen Health System, Inc.
- Sponsor EIN
- 92-0504278
- Plan number
- 512
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 92-0504278 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Bellin Gundersen Health System, 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 Bellin Gundersen Health System, Inc..