Community West Healthcare System

Grand Junction, CO Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,395Participants+1% vs. prior year
$3.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#8 of 28Health care in COBy participants

Overview

Community West Healthcare System sponsors a self-funded health plan that covered 1,395 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
1,395 · prior year 1,377
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Community Hospital Group Benefit Plan, plan 501 (1,395 participants)
Broker compensation
$28K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance Standard Life Insurance CompanyLife, Short-term disability, Long-term disability1,202$585K$28K
Allone HealthEmployee Assistance Program1,395$85K—
Unum Life Insurance Company of AmericaLong Term Care189$34K—

Pharmacy benefit estimate

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

$3.3M/ year

Estimated prescription spend: 1,395 participants × $2,371 national average per member. Usually higher once dependents are counted.

$86K–$212K/ year

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

Brands with a generic available$25K–$63K
Lower-cost therapeutic alternatives$37K–$77K
Generic pricing vs. actual cost$16K–$48K
PBM contract terms$8K–$25K
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
Community West Healthcare System
Sponsor EIN
84-0469270
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 84-0469270 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Community Hospital 403(b) Plan
Type
Defined contribution plan
Participants
1,604

About this data

Source: Community West Healthcare System'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 Community West Healthcare System.

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