Commonwealth Charter Academy Charter School
Overview
Commonwealth Charter Academy Charter School sponsors a self-funded health plan that covered 2,539 participants in plan year 2024. The plan year starts in July. 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
- 2,539
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Commonwealth Charter Academy Charter School Health and Welfare Benefits Plan, plan 501 (2,539 participants)
- Stop-loss carrier
- Avalon Insurance Company
- Broker compensation
- $108K 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 |
|---|---|---|---|---|
| Avalon Insurance Company | Stop-loss | 2,236 | $1.4M | — |
| Minnesota Life Insurance Company | Life | 2,539 | $475K | $101K |
| Vision Service Plan | Vision | 2,122 | $338K | — |
| Madison National Life Insurance Company, Inc. | Long-term disability | 2,492 | $117K | $7K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,539 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 2024
- Plan sponsor
- Commonwealth Charter Academy Charter School
- Sponsor EIN
- 74-3068519
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 74-3068519 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Commonwealth Charter Academy Charter School'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 Commonwealth Charter Academy Charter School.