Columbine Health Systems
Overview
Columbine Health Systems sponsors a self-funded health plan that covered 673 participants in plan year 2025, about the same as the prior year. 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
- 673 · prior year 662
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Columbine Health Systems Employee Benefits Program, plan 501 (673 participants)
- Broker compensation
- $50K 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 |
|---|---|---|---|---|
| Delta Dental of Colorado | Dental | 654 | $308K | $28K |
| Life Insurance Company of North America | Life, Short-term disability, Long-term disability | 673 | $135K | $17K |
| Rocky Mountain Hospital and Medical Service, Inc. | Vision | 574 | $52K | $6K |
| American Heritage Life Insurance Company | Accident | 673 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 673 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
- Columbine Health Systems
- Sponsor EIN
- 84-1250112
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 84-1250112 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Columbine Management Services Inc. 401(k) Retirement Plan and Trust
- Type
- 401(k) plan
- Participants
- 2,179
About this data
Source: Columbine Health Systems'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 Columbine Health Systems.