Clinica Sierra Vista
Overview
Clinica Sierra Vista sponsors a self-funded health plan that covered 1,043 participants in plan year 2025, up 5% from the prior year. 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
- 1,043 · prior year 996
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Clinica Sierra Vista Health Benefits Plan With Life, AD&D and EAP, plan 504 (1,043 participants)
- Stop-loss carrier
- Sun Life Assurance Company of Canada
- Broker compensation
- $603K 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 |
|---|---|---|---|---|
| Sun Life Assurance Company of Canada | Stop-loss | 1,052 | $3.1M | $494K |
| Unum Life Insurance Company of America | Life, Long-term disability | 1,338 | $681K | $89K |
| Colonial Life & Accident Insurance Company | Accident, Cancer, Critical Illness, Hosp | 139 | $77K | $21K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,043 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
- Clinica Sierra Vista
- Sponsor EIN
- 95-2707101
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 95-2707101 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Clinica Sierra Vista Retirement Plan
- Type
- Defined contribution plan
- Participants
- 2,074
About this data
Source: Clinica Sierra Vista'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 Clinica Sierra Vista.