St. Mary's Medical Center
Overview
St. Mary's Medical Center sponsors a self-funded health plan that covered 2,555 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, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 2,555 · prior year 2,523
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- St. Mary's Medical Center Health and Welfare Benefit Plan, plan 501 (2,555 participants)
- Broker compensation
- $352K 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 |
|---|---|---|---|---|
| Metropolitan Life Insurance Company | Dental, Vision | 5,014 | $1.8M | $20K |
| Lincoln National Life Insurance Company | Life, Long-term disability | 2,555 | $1.1M | $112K |
| Continental American Insurance Company | Short-term disability | 1,787 | $932K | $220K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,555 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
- St. Mary's Medical Center
- Sponsor EIN
- 55-0357050
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 55-0357050 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- St. Mary's Medical Center 403(b) Plan
- Type
- Defined contribution plan
- Participants
- 4,518
About this data
Source: St. Mary's 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 St. Mary's Medical Center.