Little Company of Mary Hospital of Indiana, Inc. D/b/a Memorial

Jasper, IN Health careNAICS 622000

Self-funded health planPlan year 2024Renews January
1,155ParticipantsFirst year on file
$2.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#18 of 36Health care in INBy participants

Overview

Little Company of Mary Hospital of Indiana, Inc. D/b/a Memorial sponsors a self-funded health plan that covered 1,155 participants in plan year 2024. The plan year starts in January.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,155
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Memorial Hospital & Health Care Center Employee Benefit Plan, plan 510 (1,155 participants)
Medical

Pharmacy benefit estimate

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

$2.7M/ year

Estimated prescription spend: 1,155 participants × $2,371 national average per member. Usually higher once dependents are counted.

$71K–$176K/ year

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

Brands with a generic available$21K–$52K
Lower-cost therapeutic alternatives$30K–$64K
Generic pricing vs. actual cost$13K–$39K
PBM contract terms$7K–$21K
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 2024
Plan sponsor
Little Company of Mary Hospital of Indiana, Inc. D/b/a Memorial
Sponsor EIN
35-0985964
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-0985964 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Little Company of Mary Hospital of Indiana, Inc. D/b/a Memorial'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 Little Company of Mary Hospital of Indiana, Inc. D/b/a Memorial.

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