Prisma Health
Overview
Prisma Health sponsors a self-funded health plan that covered 23,940 participants in plan year 2025, up 9% 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
- 23,940 · prior year 21,951
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Prisma Health Welfare Benefits Plan, plan 501 (23,940 participants)
- Broker compensation
- $4.6M 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 |
|---|---|---|---|---|
| Continental American Insurance Company | Short-term disability, Long-term disability | 25,232 | $13.0M | $990K |
| Securian Life Insurance Company | Life | 34,549 | $7.9M | $842K |
| Unum Insurance Company | Hospital, Critical Illness, Accident | 10,494 | $6.8M | $1.7M |
| Vision Service Plan | Vision | 20,660 | $4.7M | $431K |
| Combined Insurance Company | Life | 510 | $650K | $165K |
| Medical Air Services Association, Inc. | Emergency Transport | 2,648 | $609K | $95K |
| MetLife Legal Plans | Legal | 3,261 | $603K | $66K |
| Provident Life and Accident Insurance Company | Life | 23,940 | — | $251K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 23,940 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
- Prisma Health
- Sponsor EIN
- 82-2595551
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 82-2595551 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Prisma Health'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 Prisma Health.