Deaconess Health System
Overview
Deaconess Health System sponsors a self-funded health plan that covered 1,956 participants in plan year 2024. The plan year starts in October. 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
- 1,956
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Deaconess Health System, Inc. Flexible Benefits Plan, plan 510 (1,956 participants)
- Broker compensation
- $1.3M 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 |
|---|---|---|---|---|
| Hartford Life and Accident | Life, Long-term disability, Short-term disability, Medical | 11,267 | $9.0M | $1.0M |
| Health Resources Inc. | Dental | 18,636 | $5.7M | $114K |
| Vision Service Plan | Vision | 7,179 | $1.4M | $189K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,956 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
- Deaconess Health System
- Sponsor EIN
- 35-1532889
- Plan number
- 510
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 35-1532889 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Deaconess Health System, Inc. 401(k) Plan
- Type
- 401(k) plan
- Participants
- 14,681
About this data
Source: Deaconess Health System'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 Deaconess Health System.


