Salem Health

Salem, OR Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
6,708Participants+7% vs. prior year
$15.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 25Health care in ORBy participants

Overview

Salem Health sponsors a self-funded health plan that covered 6,708 participants in plan year 2025, up 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
6,708 · prior year 6,292
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Group Insurance Plan for Salem Health Hospitals and Clinics, plan 501 (6,708 participants)
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyLife, Long-term disability, Short-term disability5,951$5.6M—
Vision Service PlanVision5,051$1.2M—

Pharmacy benefit estimate

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

$15.9M/ year

Estimated prescription spend: 6,708 participants × $2,371 national average per member. Usually higher once dependents are counted.

$414K–$1.0M/ year

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

Brands with a generic available$121K–$302K
Lower-cost therapeutic alternatives$177K–$369K
Generic pricing vs. actual cost$76K–$229K
PBM contract terms$40K–$119K
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
Salem Health
Sponsor EIN
93-0823471
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 93-0823471 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Salem Health Hospitals & Clinics Retirement Plan
Type
401(k) plan
Participants
7,778

About this data

Source: Salem 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 Salem Health.

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