Golden Valley Memorial Hospital
Overview
Golden Valley Memorial Hospital sponsors a self-funded health plan that covered 697 participants in plan year 2025, up 2% from the prior year. The plan year starts in January.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 697 · prior year 681
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Golden Valley Memorial Healtcare, plan 501 (697 participants)
- Stop-loss carrier
- Tokio Marine
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Tokio Marine | Stop-loss | 658 | $1.1M | — |
| Hartford Life and Accident | Life, Long-term disability | 823 | $374K | — |
| Sun Life Assurance Company of Canada | Short-term disability | 103 | $31K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 697 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
- Golden Valley Memorial Hospital
- Sponsor EIN
- 43-0975390
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 43-0975390 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Golden Valley Memorial 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 Golden Valley Memorial Hospital.