Lancaster General Health

Lancaster, PA Health careNAICS 622000

Self-funded health planPlan year 2024Renews July
7,443ParticipantsFirst year on file
$17.6MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#10 of 64Health care in PABy participants

Overview

Lancaster General Health sponsors a self-funded health plan that covered 7,443 participants in plan year 2024. The plan year starts in July. 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
7,443
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Lancaster General Employee Medical Benefits Plan, plan 501 (7,443 participants); Lancaster General Flexible Benefit Plan, plan 550 (1,258 participants)
Stop-loss carrier
Avalon Insurance Company
Broker compensation
$389K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLong-term disability6,315$2.5M$185K
Minnesota Life Insurance CompanyLife, Accidental Death and Dismemberment9,151$1.6M$162K
Avalon Insurance CompanyStop-loss20,020$681K—
Unum Life Insurance Company of AmericaShort-term disability991$545K$41K

Pharmacy benefit estimate

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

$17.6M/ year

Estimated prescription spend: 7,443 participants × $2,371 national average per member. Usually higher once dependents are counted.

$459K–$1.1M/ year

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

Brands with a generic available$134K–$335K
Lower-cost therapeutic alternatives$196K–$409K
Generic pricing vs. actual cost$85K–$254K
PBM contract terms$44K–$132K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Lancaster General Health
Sponsor EIN
23-2250941
Plan numbers
501, 550
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 23-2250941 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Lancaster General Health's Form 5500 filing for plan year 2024 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 Lancaster General Health.

Request a correction · Methodology