Georgetown Hospital System
Overview
Georgetown Hospital System sponsors a self-funded health plan that covered 1,846 participants in plan year 2024. The plan year starts in October. 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
- 1,846
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Georgetown Hospital System DBA Tidelands Health Welfare Plan, plan 504 (1,846 participants)
- Broker compensation
- $278K 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 |
|---|---|---|---|---|
| Hartford Life and Accident | Life, Short-term disability, Long-term disability | 1,834 | $2.2M | $180K |
| Provident Life and Accident Insurance Company | Life | 1,518 | $549K | $70K |
| Community Eye Care, LLC | Vision | 2,936 | $246K | $12K |
| Unum Life Insurance Company of America | Critical Illness, Hospital | 33 | $14K | $16K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,846 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
- Georgetown Hospital System
- Sponsor EIN
- 02-0598400
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 02-0598400 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Georgetown Hospital System'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 Georgetown Hospital System.