Health Systems, Inc.

Osage Beach, MO Health careNAICS 623000

Self-funded health planPlan year 2024Renews July
1,954ParticipantsFirst year on file
$4.6MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#14 of 35Health care in MOBy participants

Overview

Health Systems, Inc. sponsors a self-funded health plan that covered 1,954 participants in plan year 2024. The plan year starts in July. 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
1,954
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Cafeteria Plan for the Employees of Health Systems, Inc., plan 503 (1,954 participants)
Stop-loss carrier
Fidelity Security Life Insurance Company
Broker compensation
$155K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Colonial Life & Accident Insurance CompanyShort-term disability, Long-term disability975$700K$155K
Fidelity Security Life Insurance CompanyMedical, Stop-loss565$314K—

Pharmacy benefit estimate

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

$4.6M/ year

Estimated prescription spend: 1,954 participants × $2,371 national average per member. Usually higher once dependents are counted.

$120K–$297K/ year

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

Brands with a generic available$35K–$88K
Lower-cost therapeutic alternatives$51K–$107K
Generic pricing vs. actual cost$22K–$67K
PBM contract terms$12K–$35K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Health Systems, Inc.
Sponsor EIN
43-1822906
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 43-1822906 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Health Systems, Inc.'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 Health Systems, Inc..

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