Santiam Memorial Hospital
Overview
Santiam Memorial Hospital sponsors a self-funded health plan that covered 542 participants in plan year 2025, up 10% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 542 · prior year 494
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Santiam Memorial Hospital Employee Benefit Plan, plan 508 (542 participants)
- Stop-loss carrier
- Sun Life
- Broker compensation
- $548K 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 |
|---|---|---|---|---|
| Sun Life | Medical, Prescription drug, Stop-loss | 516 | $1.5M | $305K |
| Consociate Group | Medical, Prescription drug, Vision | 475 | $629K | $152K |
| United of Omaha Life Insurance Company | Dental, Vision, Life | 683 | $388K | $33K |
| Oregon Dental Service DBA Delta Dental Plan of Oregon | Dental | 494 | $294K | $18K |
| Northwestern Mutual | Life, Long-term disability | 578 | $197K | $35K |
| Principal Life Insurance Company | Short-term disability | 221 | $33K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 542 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
- Santiam Memorial Hospital
- Sponsor EIN
- 93-0415219
- Plan number
- 508
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 93-0415219 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Santiam Memorial Hospital 401(k) Retirement Plan
- Type
- 401(k) plan
- Participants
- 915
About this data
Source: Santiam 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 Santiam Memorial Hospital.