Marion General Hospital, Inc.

Marion, IN Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
841Participants0% vs. prior year
$2.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#25 of 36Health care in INBy participants

Overview

Marion General Hospital, Inc. sponsors a self-funded health plan that covered 841 participants in plan year 2025, about the same as 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
841 · prior year 841
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Marion General Hospital Employee Benefit Plan, plan 501 (841 participants)
Broker compensation
$61K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLife, Short-term disability, Long-term disability824$672K$18K
United Healthcare Insurance CompanyDental592$509K—
Cigna Health and Life Insurance CompanyAccidental Injury, Critical Illness328$113K$19K
Vision Service PlanVision602$105K$4K
Metropolitan General Insurance CompanyLegal Assist. Services90$25K$2K

Pharmacy benefit estimate

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

$2.0M/ year

Estimated prescription spend: 841 participants × $2,371 national average per member. Usually higher once dependents are counted.

$52K–$128K/ year

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

Brands with a generic available$15K–$38K
Lower-cost therapeutic alternatives$22K–$46K
Generic pricing vs. actual cost$10K–$29K
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
Marion General Hospital, Inc.
Sponsor EIN
35-0868130
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-0868130 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
MGH 403(b) Retirement Plan
Type
Defined contribution plan
Participants
1,547

About this data

Source: Marion General Hospital, Inc.'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 Marion General Hospital, Inc..

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