Central Maine Healthcare Corporation

Lewiston, ME Health careNAICS 622000

Self-funded health planPlan year 2024Renews July
2,634ParticipantsFirst year on file
$6.2MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#4 of 9Health care in MEBy participants

Overview

Central Maine Healthcare Corporation sponsors a self-funded health plan that covered 2,634 participants in plan year 2024. The plan year starts in July. 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
2,634
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Central Maine Healthcare Corporation Benefits Plan for Team Members, plan 502 (2,634 participants)
Broker compensation
$282K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLife, Long-term disability3,615$1.9M$242K
Vision Service PlanVision1,786$404K$40K

Pharmacy benefit estimate

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

$6.2M/ year

Estimated prescription spend: 2,634 participants × $2,371 national average per member. Usually higher once dependents are counted.

$162K–$400K/ year

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

Brands with a generic available$47K–$119K
Lower-cost therapeutic alternatives$69K–$145K
Generic pricing vs. actual cost$30K–$90K
PBM contract terms$16K–$47K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Central Maine Healthcare Corporation
Sponsor EIN
01-0386913
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 01-0386913 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The 403(b) Plan for the Employees of Central Maine Healthcare
Type
Defined contribution plan
Participants
5,101

About this data

Source: Central Maine Healthcare Corporation'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 Central Maine Healthcare Corporation.

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