Columbus Community Hospital, Inc.

Columbus, NE Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
621Participants+2% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#16 of 17Health care in NEBy participants

Overview

Columbus Community Hospital, Inc. sponsors a self-funded health plan that covered 621 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, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
621 · prior year 612
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Columbus Community Hospital, Inc. Employee Benefits Plan, plan 510 (621 participants)
Stop-loss carrier
Companion Life Insurance Company
Broker compensation
$93K 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
Companion Life Insurance CompanyStop-loss621$1.1M—
Unum Life Insurance Company of AmericaLife, Long-term disability615$713K$70K
Continental American Insurance CompanyAccident, Critical Illness364$111K$23K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 621 participants × $2,371 national average per member. Usually higher once dependents are counted.

$38K–$94K/ year

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

Brands with a generic available$11K–$28K
Lower-cost therapeutic alternatives$16K–$34K
Generic pricing vs. actual cost$7K–$21K
PBM contract terms$4K–$11K
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 2025
Plan sponsor
Columbus Community Hospital, Inc.
Sponsor EIN
47-0542043
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 47-0542043 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Columbus Community Hospital, Inc. Tax Sheltered Annuity Plan
Type
Defined contribution plan
Participants
1,188

About this data

Source: Columbus Community Hospital, Inc.'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 Columbus Community Hospital, Inc..

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