Rome Memorial Hospital
Overview
Rome Memorial Hospital sponsors a self-funded health plan that covered 552 participants in plan year 2025, up 30% 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
- 552 · prior year 425
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Rome Memorial Hospital DBA Rome Health Section 105(h) Health Reimbursement Arrangement, plan 525 (552 participants); Rome Memorial Hospital DBA Rome Health Section 125 Plan, plan 501 (196 participants)
- Broker compensation
- $276K 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 |
|---|---|---|---|---|
| MVP Health Services Corp. | Medical, Prescription drug | 706 | $5.3M | $156K |
| Symetra Life Insurance Company | Life, Short-term disability, Long-term disability | 799 | $694K | $95K |
| Metropolitan Life Insurance Company | Accident, Dental, Vision, Specified Disease | 975 | $512K | $26K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 552 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
- Rome Memorial Hospital
- Sponsor EIN
- 16-1471634
- Plan numbers
- 525, 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 16-1471634 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Retirement Plan of Rome Memorial Hospital, Inc.
- Type
- 401(k) plan
- Participants
- 1,348
About this data
Source: Rome Memorial Hospital'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 Rome Memorial Hospital.