Reid Health

Richmond, IN Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
2,282Participants-7% vs. prior year
$5.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#9 of 36Health care in INBy participants

Overview

Reid Health sponsors a self-funded health plan that covered 2,282 participants in plan year 2025, down 7% 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
2,282 · prior year 2,461
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Reid Hospital & Health Care Services Employee Health Benefits Plan, plan 511 (2,282 participants)
Broker compensation
$267K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyLife, Short-term disability, Long-term disability5,355$2.4M$100K
Vision Service PlanVision2,207$729K$28K
Reliastar Life Insurance CompanyAccident, Critical ILL, Hosp Conf1,824$587K$126K
Legalplans, USALegal688$128K$13K

Pharmacy benefit estimate

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

$5.4M/ year

Estimated prescription spend: 2,282 participants × $2,371 national average per member. Usually higher once dependents are counted.

$141K–$347K/ year

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

Brands with a generic available$41K–$103K
Lower-cost therapeutic alternatives$60K–$126K
Generic pricing vs. actual cost$26K–$78K
PBM contract terms$14K–$41K
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
Reid Health
Sponsor EIN
35-0892672
Plan number
511
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 35-0892672 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Reid Hospital & Health Care Services 403(b) Defined Contribution Plan
Type
Defined contribution plan
Participants
4,954

About this data

Source: Reid 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 Reid Health.

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