Lifesouth Community Blood Centers, Inc.
Overview
Lifesouth Community Blood Centers, Inc. sponsors a self-funded health plan that covered 1,024 participants in plan year 2024. The plan year starts in December. 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
- 1,024
- Plan year
- Begins December 1 · next renewal December 2026
- Health plans filed
- Lifesouth Community Blood Centers, Inc. Cafeteria Plan, plan 503 (1,024 participants)
- Stop-loss carrier
- Blue Cross and Blue Shield of Florida, Inc.
- Broker compensation
- $118K 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 |
|---|---|---|---|---|
| Blue Cross and Blue Shield of Florida, Inc. | Medical, Stop-loss | 637 | $451K | — |
| Hartford Life and Accident | Life, Short-term disability, Long-term disability | 902 | $407K | $72K |
| Metropolitan Life Insurance Company | Dental, Vision | 1,057 | $329K | $41K |
| RX Benefits, Inc. | Prescription drug | 639 | — | $6K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,024 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
- Lifesouth Community Blood Centers, Inc.
- Sponsor EIN
- 59-1545914
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 59-1545914 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Lifesouth 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 1,283
About this data
Source: Lifesouth Community Blood Centers, Inc.'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 Lifesouth Community Blood Centers, Inc..