Ella EM Brown Charitable Circle
Overview
Ella EM Brown Charitable Circle sponsors a self-funded health plan that covered 867 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
- 867 · prior year 871
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Oaklawn Hospital Employee Medical and Welfare Benefit Plan, plan 501 (867 participants)
- Broker compensation
- $44K 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 | Life, Short-term disability, Long-term disability | 815 | $809K | $23K |
| Delta Dental of Michigan | Dental | 1,492 | $544K | $11K |
| Vision Service Plan | Vision | 581 | $103K | $5K |
| Mutual of Omaha Insurance Company | Accidental Death and Dismemberment | 1,032 | $31K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 867 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
- Ella EM Brown Charitable Circle
- Sponsor EIN
- 38-1368347
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 38-1368347 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Oaklawn Tax Sheltered Annuity Plan
- Type
- Defined contribution plan
- Participants
- 1,354
About this data
Source: Ella EM Brown Charitable Circle'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 Ella EM Brown Charitable Circle.