North Idaho Day Surgery LLC
Overview
North Idaho Day Surgery LLC sponsors a self-funded health plan that covered 731 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
- 731 · prior year 729
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- North Idaho Day Surgery LLC Employee Benefits Plan, plan 504 (731 participants)
- Broker compensation
- $127K 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 |
|---|---|---|---|---|
| Unum Life Insurance Company of America | Life, Voluntary Life & AD&D, Short-term disability, Long-term disability | 729 | $589K | $85K |
| Northwest Dental Benefits | Dental | 279 | $269K | $18K |
| Unum Insurance Company | Group Accident, Critical Illness, Hospital | 282 | $161K | $24K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 731 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
- North Idaho Day Surgery LLC
- Sponsor EIN
- 26-0002031
- Plan number
- 504
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 26-0002031 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: North Idaho Day Surgery 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 North Idaho Day Surgery LLC.