Idaho Falls Community Hospital

Idaho Falls, ID Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
833Participants0% vs. prior year
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 8Health care in IDBy participants

Overview

Idaho Falls Community Hospital sponsors a self-funded health plan that covered 833 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, short-term disability, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
833 · prior year 833
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Idaho Falls Community Hospital Cafeteria Plan, plan 550 (833 participants)
Stop-loss carrier
Regence Blueshield of Idaho, Inc.
Broker compensation
$103K across insured contracts
MedicalLife insuranceShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Regence Blueshield of Idaho, Inc.Medical, Stop-loss772$522K$92K
Delta Dental of IdahoDental337$352K$11K

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 833 participants × $2,371 national average per member. Usually higher once dependents are counted.

$51K–$127K/ year

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

Brands with a generic available$15K–$38K
Lower-cost therapeutic alternatives$22K–$46K
Generic pricing vs. actual cost$9K–$28K
PBM contract terms$5K–$15K
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
Idaho Falls Community Hospital
Sponsor EIN
82-2576167
Plan number
550
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 82-2576167 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Idaho Falls Community Hospital 401(k) Plan
Type
401(k) plan
Participants
631

About this data

Source: Idaho Falls Community 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 Idaho Falls Community Hospital.

Request a correction · Methodology