Charleston Area Medical Center, Inc.

Charleston, WV Health careNAICS 622000

Self-funded health planPlan year 2024Renews January
8,307ParticipantsFirst year on file
$19.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 7Health care in WVBy participants

Overview

Charleston Area Medical Center, Inc. sponsors a self-funded health plan that covered 8,307 participants in plan year 2024. 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
8,307
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Camc Health Systems Master Health and Welfare Plan, plan 501 (8,307 participants)
Stop-loss carrier
Sun Life Assurance Company of Canada
Broker compensation
$1.5M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Life Insurance Company of North AmericaBTL, VTL, STD, Long-term disability, Vacc8,704$10.4M$1.3M
Sun Life Assurance Company of CanadaStop-loss5,781$2.2M$234K

Pharmacy benefit estimate

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

$19.7M/ year

Estimated prescription spend: 8,307 participants × $2,371 national average per member. Usually higher once dependents are counted.

$512K–$1.3M/ year

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

Brands with a generic available$150K–$374K
Lower-cost therapeutic alternatives$219K–$457K
Generic pricing vs. actual cost$95K–$284K
PBM contract terms$49K–$148K
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 2024
Plan sponsor
Charleston Area Medical Center, Inc.
Sponsor EIN
55-0526150
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 55-0526150 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Charleston Area Medical Center, Inc.'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 Charleston Area Medical Center, Inc..

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