Beloit Health System, Inc.
Overview
Beloit Health System, Inc. sponsors a self-funded health plan that covered 796 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.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 796 · prior year 806
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Beloit Memorial Hospital, Inc. Employee Medical Care Plan, plan 501 (796 participants)
- Stop-loss carrier
- QBE Insurance
- Broker compensation
- $257K 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 |
|---|---|---|---|---|
| QBE Insurance | Stop-loss | 775 | $1.3M | $192K |
| Superior Vision Insurance Plan of Wisconsin, Inc. | Vision | 704 | $174K | $19K |
| The Lincoln National Life Insurance Company | Life | 1,123 | $137K | $17K |
| Sun Life Assurance Company of Canada | Short-term disability, Long-term disability | 349 | $108K | $30K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 796 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
- Beloit Health System, Inc.
- Sponsor EIN
- 39-1028081
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 39-1028081 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Beloit Health System 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 1,891
About this data
Source: Beloit 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 Beloit Health System, Inc..


