Penobscot Community Health Center
Overview
Penobscot Community Health Center sponsors a self-funded health plan that covered 716 participants in plan year 2025, down 3% 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
- 716 · prior year 738
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Penobscot Community Health Center Employee Benefit Plan, plan 503 (716 participants)
- Broker compensation
- $97K 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 |
|---|---|---|---|---|
| The Lincoln National Life Insurance Company | Life, Short-term disability, Long-term disability | 652 | $487K | $85K |
| Spring Health | Telehealth | 1,825 | $139K | — |
| Reliance Standard Life Insurance Company | Critical Illness, Accident | 289 | $51K | $9K |
| Red Tree Insurance Company, Inc. | Vision | 885 | $30K | $3K |
| Prime Therapeutics Management, LLC | Prescription drug | 652 | $4K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 716 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
- Penobscot Community Health Center
- Sponsor EIN
- 01-0514750
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 01-0514750 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Penobscot Community Health Center 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 1,017
About this data
Source: Penobscot Community Health 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 Penobscot Community Health Center.