Mountain View Hospital LLC
Overview
Mountain View Hospital LLC sponsors a self-funded health plan that covered 2,291 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, short-term disability, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 2,291 · prior year 2,291
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Mountain View Hospital LLC Employee Benefit Plan, plan 501 (2,291 participants)
- Stop-loss carrier
- Regence Blueshield of Idaho, Inc.
- Broker compensation
- $555K 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 |
|---|---|---|---|---|
| Regence Blueshield of Idaho, Inc. | Medical, Stop-loss | 4,475 | $2.2M | $391K |
| Unum Life Insurance Company of America | Life, Gciee, Grpaccvo, Grphspvo, Short-term disability, Long-term disability | 2,286 | $1.6M | $88K |
| Delta Dental of Idaho | Dental | 1,529 | $1.6M | $51K |
| Willamette Dental of Idaho | Dental | 919 | $453K | $24K |
| Provident Life and Accident Insurance Company | Life | 79 | $23K | $1K |
| VSP Vision Care | Vision | 1,354 | — | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,291 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
- Mountain View Hospital LLC
- Sponsor EIN
- 82-0516012
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 82-0516012 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Mountain View Hospital LLC 401(k) Plan
- Type
- 401(k) plan
- Participants
- 2,520
About this data
Source: Mountain View Hospital LLC'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 Mountain View Hospital LLC.