Seven Hills Foundation, Inc.

Worcester, MA Other servicesNAICS 813000

Self-funded health planPlan year 2024Renews July
2,485ParticipantsFirst year on file
$5.9MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#2 of 6Other services in MABy participants

Overview

Seven Hills Foundation, Inc. sponsors a self-funded health plan that covered 2,485 participants in plan year 2024. The plan year starts in July. 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
2,485
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
Seven Hills Foundation, Inc. Employee Benefits Plan, plan 503 (2,485 participants)
Stop-loss carrier
Blue Cross Blue Shield of Massachusetts, Inc.
Broker compensation
$574K across insured contracts
MedicalLife insuranceDentalShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Blue Cross Blue Shield of Massachusetts, Inc.Dental, Vision, Stop-loss2,342$3.8M$436K
Symetra Life Insurance CompanyLife, Short-term disability, Long-term disability1,898$495K$139K

Pharmacy benefit estimate

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

$5.9M/ year

Estimated prescription spend: 2,485 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 July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Seven Hills Foundation, Inc.
Sponsor EIN
04-3293659
Plan number
503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-3293659 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Seven Hills Foundation Retirement Plan
Type
Defined contribution plan
Participants
1,544

About this data

Source: Seven Hills Foundation, Inc.'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 Seven Hills Foundation, Inc..

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