New Liberty Hospital Corporation
Overview
New Liberty Hospital Corporation sponsors a self-funded health plan that covered 1,594 participants in plan year 2025, up 2% from 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
- 1,594 · prior year 1,562
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- New Liberty Hospital Corporation Employee Welfare Benefits Plan, plan 501 (1,594 participants)
- Broker compensation
- $126K 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 | Long-term disability, Life, Short-term disability, Critical Illness, Accidental Death & Dismemberment | 2,249 | $1.1M | $95K |
| Cigna Health and Life Insurance Company and Affiliates | Vision | 2,591 | $164K | — |
| Cigna Health and Life Insurance Company | Accidental Injury | 587 | $117K | $31K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,594 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
- New Liberty Hospital Corporation
- Sponsor EIN
- 43-1684627
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 43-1684627 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- New Liberty Hospital Corporation Retirement Income Plan
- Type
- Defined contribution plan
- Participants
- 3,060
About this data
Source: New Liberty Hospital Corporation'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 New Liberty Hospital Corporation.