Samaritan Health Services
Overview
Samaritan Health Services sponsors a self-funded health plan that covered 5,616 participants in plan year 2025, down 3% 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
- 5,616 · prior year 5,795
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Samaritan Health Services Benefit Plan, plan 505 (5,616 participants)
- Broker compensation
- $416K 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 |
|---|---|---|---|---|
| Life Insurance Company of North America | Short-term disability, Life, Accidental Death and Dismemberment, Hospital Indemnity, Critical Illness, Long-term disability, Accident | 5,588 | $7.3M | $386K |
| Willamette Dental Insurance, Inc. | Dental | 3,789 | $1.6M | — |
| Unum Life Insurance Company of America | Long Term Care | 617 | $164K | $24K |
| Provident Life and Accident Insurance Company | Life | 255 | $90K | $6K |
| Ace American Insurance Company | Accidental Death and Dismemberment | 628 | $2K | $317 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 5,616 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
- Samaritan Health Services
- Sponsor EIN
- 93-0951989
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 93-0951989 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Samaritan Health Services Tax Sheltered Annuity PL
- Type
- Defined contribution plan
- Participants
- 7,802
About this data
Source: Samaritan Health Services'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 Samaritan Health Services.