Emma L Bixby Medical Center
Overview
Emma L Bixby Medical Center sponsors a self-funded health plan that covered 636 participants in plan year 2025, up 35% from 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
- 636 · prior year 471
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Emma L Bixby Medical Center Employee Benefit Plan, plan 501 (636 participants)
- Broker compensation
- $11K 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 |
|---|---|---|---|---|
| Reliastar Life Insurance Company | Life, Short-term disability, Long-term disability | 650 | $395K | $11K |
| Health Resources Inc. | Vision, Dental | 723 | $304K | — |
| Delta Dental of Ohio | Dental | 61 | $46K | — |
| MetLife Legal Plans | Legal | 40 | $6K | $122 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 636 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
- Emma L Bixby Medical Center
- Sponsor EIN
- 38-2798005
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 38-2798005 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Emma L Bixby Medical Center'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 Emma L Bixby Medical Center.