Stockbridge-Munsee Community

Bowler, WI HospitalityNAICS 721120

Self-funded health planPlan year 2024Renews October
588ParticipantsFirst year on file
$1.4MEst. pharmacy spend / yrParticipants × national avg.
Oct 2027Next renewalPlan year begins October 1
#3 of 3Hospitality in WIBy participants

Overview

Stockbridge-Munsee Community sponsors a self-funded health plan that covered 588 participants in plan year 2024. The plan year starts in October. 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
588
Plan year
Begins October 1 · next renewal October 2027
Health plans filed
Stockbridge-Munsee Community Employee Group Benefit Plan, plan 501 (588 participants)
Broker compensation
$51K 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
Hartford Life and AccidentLife, Long-term disability579$305K$51K
United Healthcare Insurance CompanyTransplant759$47K—

Pharmacy benefit estimate

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

$1.4M/ year

Estimated prescription spend: 588 participants × $2,371 national average per member. Usually higher once dependents are counted.

$36K–$89K/ year

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

Brands with a generic available$11K–$26K
Lower-cost therapeutic alternatives$15K–$32K
Generic pricing vs. actual cost$7K–$20K
PBM contract terms$3K–$10K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning October 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
Stockbridge-Munsee Community
Sponsor EIN
39-1145449
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 39-1145449 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Stockbridge-Munsee Community Enterprise 401(k) Plan
Type
401(k) plan
Participants
399

About this data

Source: Stockbridge-Munsee Community'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 Stockbridge-Munsee Community.

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