San Luis Valley Health
Overview
San Luis Valley Health sponsors a self-funded health plan that covered 519 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 519 · prior year 519
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- San Luis Valley Health Welfare Benefit Plan, plan 501 (519 participants); The Lutheran Hospital Association of the San Luis Valley DBA San Luis Valley Health, Flexible Benefits Plan, plan 510 (172 participants)
- Broker compensation
- $54K 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 |
|---|---|---|---|---|
| Delta Dental of Colorado | Dental | 991 | $371K | — |
| Reliance Standard Life Insurance Company | Long-term disability | 636 | $224K | $12K |
| The Lincoln National Life Insurance Company | Life | 737 | $222K | $19K |
| Continental American Insurance Company | Critical Illness, Accident | 211 | $112K | $15K |
| Vision Service Plan | Vision | 420 | $97K | $3K |
| Aflac | AD&D | 65 | $67K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 519 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
- San Luis Valley Health
- Sponsor EIN
- 84-0255530
- Plan numbers
- 501, 510
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 84-0255530 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- San Luis Valley Health 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 860
About this data
Source: San Luis Valley 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 San Luis Valley Health.