Bristol Hospital and Health Care Group
Overview
Bristol Hospital and Health Care Group sponsors a self-funded health plan that covered 1,028 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
- 1,028
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Bristol Hospital and Health Care Group Welfare Benefits Plan, plan 501 (1,028 participants)
- Broker compensation
- $74K 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 |
|---|---|---|---|---|
| Prudential Insurance Company of America | Life, Short-term disability, Long-term disability | 1,028 | $206K | $14K |
| Aetna Life Insurance Company | Accident, Critical Illness, Hospital | 454 | $161K | $58K |
| Vision Service Plan | Vision | 654 | $75K | $2K |
| Cigna Health and Life Insurance Company and Affiliates | Dental, HMO | 245 | $59K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,028 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
- Bristol Hospital and Health Care Group
- Sponsor EIN
- 22-2577726
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 22-2577726 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Bristol Hospital & Health Care Group 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 2,799
About this data
Source: Bristol Hospital and Health Care Group'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 Bristol Hospital and Health Care Group.