Billings Clinic

Billings, MN Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
3,579Participants+11% vs. prior year
$8.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#13 of 50Health care in MNBy participants

Overview

Billings Clinic sponsors a self-funded health plan that covered 3,579 participants in plan year 2025, up 11% 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
3,579 · prior year 3,212
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Billings Clinic Employee Benefit Plan and Trust, plan 501 (3,579 participants)
Stop-loss carrier
Montana Healthcare Indemnity LLC
Broker compensation
$612K 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
Sun Life Assurance Company of CanadaAccident,crit Illness,hospital, Life, Short-term disability, Long-term disability4,173$3.5M$612K
Massachusetts Mutual Life Insurance CompanyLife364$824K—
Montana Healthcare Indemnity LLCStop-loss7,128$771K—

Pharmacy benefit estimate

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

$8.5M/ year

Estimated prescription spend: 3,579 participants × $2,371 national average per member. Usually higher once dependents are counted.

$221K–$544K/ year

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

Brands with a generic available$64K–$161K
Lower-cost therapeutic alternatives$94K–$197K
Generic pricing vs. actual cost$41K–$122K
PBM contract terms$21K–$64K
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
Billings Clinic
Sponsor EIN
81-0231784
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 81-0231784 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Billings Clinic Pension Plan
Type
Defined contribution plan
Participants
7,397

About this data

Source: Billings Clinic'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 Billings Clinic.

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