Fairview Range Regional Health Services
Overview
Fairview Range Regional Health Services sponsors a self-funded health plan that covered 760 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
- 760 · prior year 746
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Fairview Range Regional Health Services, plan 503 (760 participants)
- Stop-loss carrier
- Sun Life Assurance Company of Canada; Sun Life Assurance Company of Canada
- Broker compensation
- $53K 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 |
|---|---|---|---|---|
| Sun Life Assurance Company of Canada | Stop-loss | 556 | $886K | $21K |
| Unum Life Insurance Company of America | Life, Long-term disability, Short-term disability | 900 | $582K | $17K |
| Unum Insurance Company | Accident, Critical Illness, Hospital Indemnity | 238 | $64K | $14K |
| Vision Service Plan | Vision | 407 | $27K | $797 |
| Arag Insurance Company | Legal Services Plan Memberships | 66 | $7K | $937 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 760 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
- Fairview Range Regional Health Services
- Sponsor EIN
- 41-1293970
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 41-1293970 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Fairview Range Regional Health Services 403b Plan
- Type
- Defined contribution plan
- Participants
- 1,380
About this data
Source: Fairview Range Regional Health Services'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 Fairview Range Regional Health Services.