Overlake Hospital Medical Center

Bellevue, WA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
3,238Participants+5% vs. prior year
$7.7MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#8 of 47Health care in WABy participants

Overview

Overlake Hospital Medical Center sponsors a self-funded health plan that covered 3,238 participants in plan year 2025, up 5% 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
3,238 · prior year 3,081
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Overlake Hospital Medical Center Health Care Plan, plan 502 (3,238 participants); Overlake Hospital Medical Center Flexible Benefits Plan, plan 525 (546 participants)
Broker compensation
$444K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Unum Life Insurance Company of AmericaLife, Short-term disability, Long-term disability3,238$2.5M$279K
Trustmark Insurance CompanyLong Term Care566$671K$127K
Continental American Insurance CompanyAccident, Critical Illness960$259K$33K
Arag Insurance CompanyLegal604$49K$5K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$7.7M/ year

Estimated prescription spend: 3,238 participants × $2,371 national average per member. Usually higher once dependents are counted.

$200K–$492K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$58K–$146K
Lower-cost therapeutic alternatives$85K–$178K
Generic pricing vs. actual cost$37K–$111K
PBM contract terms$19K–$58K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Overlake Hospital Medical Center
Sponsor EIN
91-0652651
Plan numbers
502, 525
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 91-0652651 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Overlake Medical Center & Clinics 403(b) Retirement Plan
Type
Defined contribution plan
Participants
5,665

About this data

Source: Overlake Hospital Medical Center'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 Overlake Hospital Medical Center.

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