Lake Regional Health System

Osage Beach, MO Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
827Participants-7% vs. prior year
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#25 of 35Health care in MOBy participants

Overview

Lake Regional Health System sponsors a self-funded health plan that covered 827 participants in plan year 2025, down 7% 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
827 · prior year 888
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Lake Regional Health System Welfare Benefit Plan, plan 501 (827 participants)
Broker compensation
$242K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Unum Life Insurance Company of AmericaLife, Short-term disability, Long-term disability1,058$478K$92K
Hartford Life and AccidentVoluntary Critical Illness, Short-term disability, Long-term disability1,171$293K$36K
Metropolitan Life Insurance CompanyGroup Voluntary Accident, Vision2,128$166K$25K
The Guardian Life Insurance Company of AmericaDental728$78K$46K
American Heritage Life Insurance CompanyCancer151$61K$10K
Reliance StandardVoluntary Hospital Indemnity83$31K$5K

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 827 participants × $2,371 national average per member. Usually higher once dependents are counted.

$51K–$126K/ year

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

Brands with a generic available$15K–$37K
Lower-cost therapeutic alternatives$22K–$45K
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
Lake Regional Health System
Sponsor EIN
23-7339737
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-7339737 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Lake Regional Health System Employees' Retirement Plan
Type
401(k) plan
Participants
1,888

About this data

Source: Lake Regional Health System'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 Regional Health System.

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