Lawrence General Hospital
Overview
Lawrence General Hospital sponsors a self-funded health plan that covered 3,417 participants in plan year 2024. The plan year starts in December. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 3,417
- Plan year
- Begins December 1 · next renewal December 2026
- Health plans filed
- Lawrence General Hospital Consolidated Plan, plan 501 (3,417 participants)
- Broker compensation
- $136K 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 |
|---|---|---|---|---|
| Colonial Life and Accident Insurance Company | Life | 324 | $491K | $73K |
| Life Insurance Company of North America | Life, Long-term disability | 135 | $253K | $26K |
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co. | Vision | 2,867 | $85K | $2K |
| ESI Employee Assistance Group | Employee Assistance Program | 2,018 | $35K | $35K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,417 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 2024
- Plan sponsor
- Lawrence General Hospital
- Sponsor EIN
- 04-2103586
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 04-2103586 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- 403(b) Retirement Plan of Lawrence General Hospital
- Type
- Defined contribution plan
- Participants
- 3,191
About this data
Source: Lawrence General Hospital'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 Lawrence General Hospital.