Confederated Tribes of Siletz Indians; Chinook Winds Casino Resort
Overview
Confederated Tribes of Siletz Indians; Chinook Winds Casino Resort sponsors a self-funded health plan that covered 706 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
- 706 · prior year 705
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Coho Benefits of the Confederated Tribes of Siletz Indians, plan 501 (706 participants)
- Stop-loss carrier
- Granular Insurance Company
- Broker compensation
- $104K 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 |
|---|---|---|---|---|
| Granular Insurance Company | Stop-loss | 710 | $716K | $51K |
| Unum Life Insurance Company of America | Life, Short-term disability, Long-term disability | 902 | $682K | $53K |
| Oregon Dental Services DBA Delta Dental Plan of Oregon | Dental | 936 | $470K | — |
| Vision Service Plan | Vision | 708 | $15K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 706 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
- Confederated Tribes of Siletz Indians; Chinook Winds Casino Resort
- Sponsor EIN
- 93-0714057
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 93-0714057 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Confederated Tribes of Siletz Indians; Chinook Winds Casino Resort'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 Confederated Tribes of Siletz Indians; Chinook Winds Casino Resort.