Southern Maryland Electric Cooperative, Inc.

Hughesville, MD UtilitiesNAICS 221100

Self-funded health planPlan year 2025Renews January
643Participants+1% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 2Utilities in MDBy participants

Overview

Southern Maryland Electric Cooperative, Inc. sponsors a self-funded health plan that covered 643 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, vision, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
643 · prior year 638
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Southern Maryland Electric Cooperative, Inc. Health & Welfare Plan, plan 501 (643 participants)
Broker compensation
$88K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Renaissance Life and Health Insurance Company of AmericaLife, Long-term disability522$428K$51K
Cigna Health and Life Insurance CompanyMedicare Part D131$366K—
Provident Life and Accident Insurance CompanyDisability25$86K$38K

Pharmacy benefit estimate

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

$1.5M/ year

Estimated prescription spend: 643 participants × $2,371 national average per member. Usually higher once dependents are counted.

$40K–$98K/ year

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

Brands with a generic available$12K–$29K
Lower-cost therapeutic alternatives$17K–$35K
Generic pricing vs. actual cost$7K–$22K
PBM contract terms$4K–$11K
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
Southern Maryland Electric Cooperative, Inc.
Sponsor EIN
52-0492367
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 52-0492367 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Southern Maryland Electric Cooperative, Inc.
Type
401(k) plan
Participants
366

About this data

Source: Southern Maryland Electric Cooperative, 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 Southern Maryland Electric Cooperative, Inc..

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