Blount Memorial Hospital
Overview
Blount Memorial Hospital sponsors a self-funded health plan that covered 1,580 participants in plan year 2025. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 1,580
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Blount Memorial Hospital Flexible Compensation Plan, plan 502 (1,580 participants)
- Broker compensation
- $210K 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 |
|---|---|---|---|---|
| Reliance Standard Life Insurance Company | Life, Critical Illness, Long-term disability, Accidental Death and Dismemberment, Accident | 1,618 | $732K | $156K |
| Delta Dental of Tennessee | Dental | 3,345 | $600K | $36K |
| Metropolitan Life Insurance Company | Vision | 3,015 | $119K | $10K |
| ComPsych | Employee Assistance Program | 2,619 | $10K | — |
| Sun Life Assurance Company of Canada | Dental | 29 | $4K | $585 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,580 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
- Blount Memorial Hospital
- Sponsor EIN
- 62-0505512
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 62-0505512 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Blount Memorial Hospital'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 Blount Memorial Hospital.