Mooretown Rancheria
Overview
Mooretown Rancheria sponsors a self-funded health plan that covered 567 participants in plan year 2025, about the same as the prior year. The plan year starts in April. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 567 · prior year 564
- Plan year
- Begins April 1 · next renewal April 2027
- Health plans filed
- Mooretown Rancheria Employee Health and Welfare Plan, plan 501 (567 participants)
- Broker compensation
- $76K 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 |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Accident, Hospital Indemnity, Dental, Vision, Life, Long-term disability, Critical Illness | 929 | $566K | $76K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 567 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 2025
- Plan sponsor
- Mooretown Rancheria
- Sponsor EIN
- 68-0384536
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 68-0384536 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Mooretown Rancheria'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 Mooretown Rancheria.