Easterseals Blake Foundation
Overview
Easterseals Blake Foundation sponsors a self-funded health plan that covered 590 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
- 590 · prior year 591
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Easterseals Blake Foundation Health & Welfare Benefit Plan, plan 501 (590 participants)
- Broker compensation
- $92K 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 |
|---|---|---|---|---|
| United of Omaha Life Insurance Company | Long-term disability, Life, Short-term disability | 634 | $393K | $67K |
| Metropolitan Life Insurance Company | Accident, Critical Illness, Dental, Vision | 497 | $247K | $25K |
| Fidelity Security Life Insurance Company | Vision | 471 | $28K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 590 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
- Easterseals Blake Foundation
- Sponsor EIN
- 86-0093224
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 86-0093224 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- The Blake Foundation 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 816
About this data
Source: Easterseals Blake Foundation'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 Easterseals Blake Foundation.