Four Winds Hospital
Overview
Four Winds Hospital sponsors a self-funded health plan that covered 585 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, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 585 · prior year 585
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Four Winds Hospital Welfare Benefit Plan, plan 501 (585 participants)
- Broker compensation
- $19K 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 |
|---|---|---|---|---|
| Aetna Life Insurance Co. | Dental | 363 | $102K | $3K |
| The Guardian Life Insurance Company of America | Life, Vision | 375 | $99K | $8K |
| First Unum Life Insurance Company | Long-term disability | 38 | $85K | $8K |
| Anthem Blue Cross and Blue Shield | Employee Assistance Program | 228 | $12K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 585 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
- Four Winds Hospital
- Sponsor EIN
- 13-2919257
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-2919257 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Four Winds, Inc. Retirement Income Plan
- Type
- Pension plan
- Participants
- 1,135
About this data
Source: Four Winds Hospital'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 Four Winds Hospital.