Lake Charles Memorial Hospital Welfare Plan
Overview
Lake Charles Memorial Hospital Welfare Plan sponsors a self-funded health plan that covered 1,595 participants in plan year 2025, up 8% 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
- 1,595 · prior year 1,474
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Lake Charles Memorial Hospital Welfare Plan, plan 501 (1,595 participants)
- Broker compensation
- $426K 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 |
|---|---|---|---|---|
| Life Insurance Company of North America | Long-term disability, Short-term disability | 1,595 | $947K | $168K |
| Unum Insurance Company | GRP Accident, Critical Illness, Hospital | 761 | $547K | $109K |
| Metropolitan Life Insurance Company | Life | 2,961 | $479K | $81K |
| Provident Life and Accident Insurance Company | Life | 919 | $249K | $14K |
| United Healthcare Insurance Company | Vision | 1,490 | $209K | $46K |
| Unum Life Insurance Company of America | Critical Illness, Group Accident, Long Term Care | 108 | $55K | $7K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,595 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
- Lake Charles Memorial Hospital Welfare Plan
- Sponsor EIN
- 72-0551963
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 72-0551963 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Lake Charles Memorial Health System 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 3,436
About this data
Source: Lake Charles Memorial Hospital Welfare Plan'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 Lake Charles Memorial Hospital Welfare Plan.


