Eastern Shawnee Tribe of Oklahoma
Overview
Eastern Shawnee Tribe of Oklahoma sponsors a self-funded health plan that covered 654 participants in plan year 2025, up 8% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, death benefits.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 654 · prior year 607
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Eastern Shawnee Tribe of OK Benefit Plan, plan 516 (654 participants)
- Broker compensation
- $43K 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 |
|---|---|---|---|---|
| The Guardian Life Insurance Company of America | Accident, Critical Illness, Hospital, Ca | 127 | $100K | $24K |
| Symetra Life Insurance Company | Life | 654 | $86K | $16K |
| Curalinc | Employee Assistance Program | 3,515 | $55K | — |
| Vision Service Plan | Vision | 613 | $45K | $2K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 654 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
- Eastern Shawnee Tribe of Oklahoma
- Sponsor EIN
- 73-1024490
- Plan number
- 516
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 73-1024490 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Eastern Shawnee Tribe 401(k) Plan
- Type
- 401(k) plan
- Participants
- 837
About this data
Source: Eastern Shawnee Tribe of Oklahoma'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 Eastern Shawnee Tribe of Oklahoma.