The Washington Health System

Washington, PA Health careNAICS 622000

Self-funded health planPlan year 2024Renews January
1,845ParticipantsFirst year on file
$4.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#26 of 64Health care in PABy participants

Overview

The Washington Health System sponsors a self-funded health plan that covered 1,845 participants in plan year 2024. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,845
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Washington Health System Welfare Benefits Plan, plan 513 (1,845 participants)
Broker compensation
$34K across insured contracts
MedicalDentalVisionOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
United Concordia Insurance CompanyDental2,681$837K$30K
Vision Benefits of AmericaVision1,253$100K$4K

Pharmacy benefit estimate

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

$4.4M/ year

Estimated prescription spend: 1,845 participants × $2,371 national average per member. Usually higher once dependents are counted.

$114K–$280K/ year

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

Brands with a generic available$33K–$83K
Lower-cost therapeutic alternatives$49K–$101K
Generic pricing vs. actual cost$21K–$63K
PBM contract terms$11K–$33K
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 2024
Plan sponsor
The Washington Health System
Sponsor EIN
25-0965600
Plan number
513
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 25-0965600 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Washington Hospital Retirement & Savings Plan
Type
Defined contribution plan
Participants
2,434

About this data

Source: The Washington Health System'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 The Washington Health System.

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