Sky Lakes Medical Center

Klamath Falls, OR Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,457Participants+2% vs. prior year
$3.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#8 of 25Health care in ORBy participants

Overview

Sky Lakes Medical Center sponsors a self-funded health plan that covered 1,457 participants in plan year 2025, up 2% 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
1,457 · prior year 1,423
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Sky Lakes Medical Center, plan 501 (1,457 participants)
Broker compensation
$177K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance Standard Life Insurance CompanyLife, Short-term disability, Long-term disability1,458$582K$46K
Cigna Health and Life Insurance CompanyAccident, Critical Illness, Hospital258$244K$131K
Curalinc, LLCEmployee Assistance Program1,670$39K—

Pharmacy benefit estimate

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

$3.5M/ year

Estimated prescription spend: 1,457 participants × $2,371 national average per member. Usually higher once dependents are counted.

$90K–$221K/ year

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

Brands with a generic available$26K–$66K
Lower-cost therapeutic alternatives$38K–$80K
Generic pricing vs. actual cost$17K–$50K
PBM contract terms$9K–$26K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Sky Lakes Medical Center
Sponsor EIN
93-0508781
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 93-0508781 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Sky Lakes Medical Center 401(k)
Type
401(k) plan
Participants
2,279

About this data

Source: Sky Lakes Medical Center'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 Sky Lakes Medical Center.

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