Humboldt Park Health
Overview
Humboldt Park Health sponsors a self-funded health plan that covered 573 participants in plan year 2025, up 12% 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
- 573 · prior year 511
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Humboldt Park Health Welfare Plan, plan 501 (573 participants)
- Broker compensation
- $68K 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, Long-term disability | 573 | $268K | $34K |
| Bluecross Blueshield of Illinois | Dental | 667 | $265K | $31K |
| United of Omaha Life Insurance Company | Vision | 233 | $27K | $2K |
| MetLife Legal Plans | Legal | 31 | $8K | $876 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 573 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
- Humboldt Park Health
- Sponsor EIN
- 36-1564290
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 36-1564290 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Humboldt Park Health 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 986
About this data
Source: Humboldt Park Health'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 Humboldt Park Health.