Kootenai Clinics, LLC
Overview
Kootenai Clinics, LLC sponsors a self-funded health plan that covered 4,134 participants in plan year 2025, up 15% 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
- 4,134 · prior year 3,597
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Kootenai Clinic, LLC Health and Welfare Plan, plan 501 (4,134 participants)
- Broker compensation
- $901K 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 |
|---|---|---|---|---|
| United Heritage Life Insurance Company | Vision, Life, Short-term disability, Long-term disability | 4,134 | $4.5M | $350K |
| Northwest Dental Benefits, LLC | Dental | 1,978 | $835K | $57K |
| Willamette Dental of Idaho, Inc. | Dental | 1,198 | $629K | $12K |
| Ally Health LLC | Employee Assistance Program, Telehealth | 4,587 | $591K | $148K |
| Colonial Life and Accident Insurance Company | Accident, Critical Illness, Hospital | 1,435 | $522K | $335K |
| Vital Worklife | Employee Assistance Program | 4,134 | $164K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,134 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
- Kootenai Clinics, LLC
- Sponsor EIN
- 45-4069155
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 45-4069155 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Kootenai Health 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 4,914
About this data
Source: Kootenai Clinics, LLC'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 Kootenai Clinics, LLC.