Ephraim Mcdowell Health

Danville, KY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,624Participants+18% vs. prior year
$3.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#13 of 33Health care in KYBy participants

Overview

Ephraim Mcdowell Health sponsors a self-funded health plan that covered 1,624 participants in plan year 2025, up 18% 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
1,624 · prior year 1,381
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Ephraim Mcdowell Health Wrap Plan Document, plan 525 (1,624 participants)
Broker compensation
$423K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyLife, Long-term disability, Short-term disability1,624$1.5M$339K
GuardianDental, Vision1,458$774K$84K
MetLife Legal PlansLegal96$14K—

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$3.9M/ year

Estimated prescription spend: 1,624 participants × $2,371 national average per member. Usually higher once dependents are counted.

$100K–$247K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$29K–$73K
Lower-cost therapeutic alternatives$43K–$89K
Generic pricing vs. actual cost$18K–$55K
PBM contract terms$10K–$29K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Ephraim Mcdowell Health
Sponsor EIN
61-0492356
Plan number
525
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 61-0492356 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
EMH Retirement Savings Plan
Type
Defined contribution plan
Participants
2,403

About this data

Source: Ephraim Mcdowell Health'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 Ephraim Mcdowell Health.

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