Energy Harbor
Overview
Energy Harbor sponsors a self-funded health plan that covered 3,619 participants in plan year 2024. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 3,619
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Energy Harbor Welfare Plan, plan 501 (3,619 participants)
- Broker compensation
- $161K 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 |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Life | 3,336 | $2.1M | $95K |
| Delta Dental of Ohio | Dental | 4,250 | $1.3M | — |
| Prudential Insurance Company of America | Long-term disability | 1,857 | $1.0M | — |
| Vision Service Plan | Vision | 1,002 | $456K | $21K |
| Unum Insurance Company | Hospital, Critical Illness, Accident | 309 | $200K | $45K |
| Carelon Behavioral Health | Employee Assistance Program | 1,881 | $36K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,619 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
- Energy Harbor
- Sponsor EIN
- 31-1560186
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 31-1560186 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Energy Harbor'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 Energy Harbor.