Savista
Overview
Savista sponsors a self-funded health plan that covered 1,308 participants in plan year 2025, down 6% 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
- 1,308 · prior year 1,386
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Savista Group Health and Welfare Plan, plan 501 (1,308 participants)
- Broker compensation
- $90K 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 Insurance Company | Dental | 1,800 | $670K | $25K |
| Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co. | Vision | 3,368 | $207K | $11K |
| Unum Insurance Company | Accident, Critical Illness, Hospital | 426 | $187K | $41K |
| Unum Life Insurance Company of America | Life, Short-term disability, Long-term disability | 1,589 | $150K | $12K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 1,308 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
- Savista
- Sponsor EIN
- 84-4304977
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 84-4304977 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Savista 401(k) Plan
- Type
- 401(k) plan
- Participants
- 2,040
About this data
Source: Savista'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 Savista.