Fairfield Medical Center
Overview
Fairfield Medical Center sponsors a self-funded health plan that covered 2,703 participants in plan year 2025, down 5% 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
- 2,703 · prior year 2,845
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Fairfield Medical Center Flexible Benefits Plan, plan 509 (2,703 participants)
- Stop-loss carrier
- UnitedHealthcare Stop Loss-United Health
- Broker compensation
- $440K 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 |
|---|---|---|---|---|
| UnitedHealthcare Stop Loss-United Health | Stop-loss | 1,153 | $1.9M | $82K |
| Unum Life Insurance Company of America | Group Long Term Care, Life, Short-term disability, Long-term disability, Lifestyle ADD, Lifestyle Life | 2,080 | $1.8M | $241K |
| Delta Dental of Ohio | Dental | 2,660 | $928K | $31K |
| Vision Service Plan | Vision | 1,036 | $413K | $6K |
| Reliastar Life Insurance Company | ACC CI, Exrk, HCI | 442 | $75K | $75K |
| Curalinc LLC | EAP | 1,800 | $39K | — |
| Arag Insurance Company | Legal | 262 | $38K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,703 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
- Fairfield Medical Center
- Sponsor EIN
- 31-0645626
- Plan number
- 509
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 31-0645626 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Fairfield Medical Center 401(k) Retirement Savings Plan
- Type
- 401(k) plan
- Participants
- 2,684
About this data
Source: Fairfield 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 Fairfield Medical Center.