Monongalia Health System Inc.
Overview
Monongalia Health System Inc. sponsors a self-funded health plan that covered 1,643 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
- 1,643
- Plan year
- Begins July 1 · next renewal July 2027
- Health plans filed
- Monongalia Health System Inc. Employee Benefit Plan, plan 501 (1,643 participants)
- Broker compensation
- $28K 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 |
|---|---|---|---|---|
| Life Insurance Company of North America | Life, Long-term disability | 706 | $655K | $28K |
| Vision Service Plan | Vision | 1,659 | $148K | — |
| United Concordia Insurance Company | Dental | 706 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,643 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
- Monongalia Health System Inc.
- Sponsor EIN
- 55-0621551
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 55-0621551 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Monongalia Health System, Inc. Retirement Plan
- Type
- Pension plan
- Participants
- 1,288
About this data
Source: Monongalia Health System 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 Monongalia Health System Inc..