Southcoast Hospitals Group, Inc.

New Bedford, MA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
9,006Participants+0% vs. prior year
$21.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#7 of 40Health care in MABy participants

Overview

Southcoast Hospitals Group, Inc. sponsors a self-funded health plan that covered 9,006 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
9,006 · prior year 8,982
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Southcoast Hospitals Group, Inc. Health and Welfare Plan, plan 603 (9,006 participants)
Broker compensation
$663K across insured contracts
MedicalLife insuranceDentalShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability7,446$4.5M$556K
Vision Service PlanVision4,143$745K$73K
Reliastar Life Insurance CompanyCritical Illness, Hospital Confinement474$146K$34K

Pharmacy benefit estimate

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

$21.4M/ year

Estimated prescription spend: 9,006 participants × $2,371 national average per member. Usually higher once dependents are counted.

$555K–$1.4M/ year

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

Brands with a generic available$162K–$406K
Lower-cost therapeutic alternatives$237K–$495K
Generic pricing vs. actual cost$102K–$307K
PBM contract terms$53K–$160K
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
Southcoast Hospitals Group, Inc.
Sponsor EIN
22-2592333
Plan number
603
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 22-2592333 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Southcoast Health System Partnership Plan
Type
Defined contribution plan
Participants
10,777

About this data

Source: Southcoast Hospitals Group, 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 Southcoast Hospitals Group, Inc..

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