Presbyterian Seniorcare
Overview
Presbyterian Seniorcare sponsors a self-funded health plan that covered 1,233 participants in plan year 2025, up 32% 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
- 1,233 · prior year 931
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Presbyterian Seniorcare Network Welfare and Fringe Benefit Plan, plan 514 (1,233 participants)
- Stop-loss carrier
- Symetra Life Insurance Company
- Broker compensation
- $180K 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 |
|---|---|---|---|---|
| Symetra Life Insurance Company | Stop-loss | 1,101 | $1.5M | $104K |
| United Concordia Insurance Company | Dental | 1,498 | $370K | $22K |
| Standard Insurance Company | Short-term disability, Long-term disability | 1,377 | $295K | $16K |
| Unum Life Insurance Company of America | Life, Long-term disability | 1,233 | $197K | $6K |
| Unum Insurance Company | Critical Illness, Hospital Indemnity, Accident | 323 | $146K | $30K |
| Highmark Inc. | Vision | 1,439 | $87K | $746 |
| Workerpartners | EAP | 2,167 | $43K | — |
| Federal Insurance Company | Travel Accident - AD&D | 2,250 | $4K | $1K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,233 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
- Presbyterian Seniorcare
- Sponsor EIN
- 25-0969422
- Plan number
- 514
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 25-0969422 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Presbyterian Seniorcare Retirement Savings Plan
- Type
- Defined contribution plan
- Participants
- 984
About this data
Source: Presbyterian Seniorcare'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 Presbyterian Seniorcare.