Selfhelp Community Services, Inc.
Overview
Selfhelp Community Services, Inc. sponsors a self-funded health plan that covered 2,672 participants in plan year 2025, up 45% from 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
- 2,672 · prior year 1,842
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Selfhelp Community Services, Inc. Welfare Benefit Plan, plan 505 (2,672 participants)
- Broker compensation
- $26K 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 |
|---|---|---|---|---|
| Aetna Life Insurance Co. | Dental | 483 | $251K | $12K |
| First Unum Life Insurance Company | Life, Long-term disability | 2,672 | $135K | $11K |
| UnitedHealthcare Insurance Company | Vision | 477 | $23K | $2K |
| Federal Insurance Company | Business Travel Accident | 2,662 | $2K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,672 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
- Selfhelp Community Services, Inc.
- Sponsor EIN
- 13-1624178
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 13-1624178 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Selfhelp Community Services, Inc. 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 3,328
About this data
Source: Selfhelp Community Services, Inc.'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 Selfhelp Community Services, Inc..