Gibson Area Hospital & Health Services

Gibson City, IL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
729Participants+8% vs. prior year
$1.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#56 of 65Health care in ILBy participants

Overview

Gibson Area Hospital & Health Services sponsors a self-funded health plan that covered 729 participants in plan year 2025, up 8% 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
729 · prior year 673
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Gibson Area Hospital & Health Services Welfare Benefit Plan, plan 509 (729 participants)
Broker compensation
$84K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyDental, Vision, Life, Short-term disability, Long-term disability729$1.1M$84K

Pharmacy benefit estimate

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

$1.7M/ year

Estimated prescription spend: 729 participants × $2,371 national average per member. Usually higher once dependents are counted.

$45K–$111K/ year

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

Brands with a generic available$13K–$33K
Lower-cost therapeutic alternatives$19K–$40K
Generic pricing vs. actual cost$8K–$25K
PBM contract terms$4K–$13K
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
Gibson Area Hospital & Health Services
Sponsor EIN
37-0647938
Plan number
509
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 37-0647938 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Gibson Area Hospital & Health Services Employees' 401(k) Plan
Type
401(k) plan
Participants
1,285

About this data

Source: Gibson Area Hospital & 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 Gibson Area Hospital & Health Services.

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