Sea MAR Community Health Center

Seattle, WA Health careNAICS 621112

Self-funded health planPlan year 2024Renews June
2,484ParticipantsFirst year on file
$5.9MEst. pharmacy spend / yrParticipants × national avg.
Jun 2027Next renewalPlan year begins June 1
#11 of 47Health care in WABy participants

Overview

Sea MAR Community Health Center sponsors a self-funded health plan that covered 2,484 participants in plan year 2024. The plan year starts in June. 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
2,484
Plan year
Begins June 1 · next renewal June 2027
Health plans filed
Sea MAR Health and Welfare Benefit Plan, plan 501 (2,484 participants)
Broker compensation
$108K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Sun Life Assurance Company of CanadaLife, Long-term disability2,227$379K$75K
Lincoln National Life Insurance CompanyLife, Long-term disability2,230$241K$33K

Pharmacy benefit estimate

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

$5.9M/ year

Estimated prescription spend: 2,484 participants × $2,371 national average per member. Usually higher once dependents are counted.

$153K–$378K/ year

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

Brands with a generic available$45K–$112K
Lower-cost therapeutic alternatives$65K–$137K
Generic pricing vs. actual cost$28K–$85K
PBM contract terms$15K–$44K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning June 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Sea MAR Community Health Center
Sponsor EIN
91-1020139
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 91-1020139 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Employee Benefit Plan of Sea-Mar Community Health Centers
Type
Defined contribution plan
Participants
4,981

About this data

Source: Sea MAR Community Health Center's Form 5500 filing for plan year 2024 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 Sea MAR Community Health Center.

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