Benedictine
Overview
Benedictine sponsors a self-funded health plan that covered 2,587 participants in plan year 2024. The plan year starts in July. 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
- 2,587
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Benedictine Welfare Benefits Plan, plan 505 (2,587 participants)
- Broker compensation
- $27K 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 |
|---|---|---|---|---|
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co. | Vision | 2,079 | $153K | $12K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,587 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 2024
- Plan sponsor
- Benedictine
- Sponsor EIN
- 41-1531892
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 41-1531892 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Benedictine's Form 5500 filing for plan year 2024 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 Benedictine.