Vail Clinic, Inc. DBA Vail Health Hospital

Vail, CO Health careNAICS 622000

Self-funded health planPlan year 2025Renews November
1,706Participants+6% vs. prior year
$4.0MEst. pharmacy spend / yrParticipants × national avg.
Nov 2027Next renewalPlan year begins November 1
#5 of 28Health care in COBy participants

Overview

Vail Clinic, Inc. DBA Vail Health Hospital sponsors a self-funded health plan that covered 1,706 participants in plan year 2025, up 6% from the prior year. The plan year starts in November. 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
1,706 · prior year 1,614
Plan year
Begins November 1 · next renewal November 2027
Health plans filed
Vail Health Hospital Employee Benefits Plan, plan 501 (1,706 participants); Vail Health Hospital Section 125 Flexible Benefits Plan, plan 502 (605 participants)
Broker compensation
$29K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance Standard Life Insurance CompanyLife, Long-term disability1,660$270K$28K
Vision Service PlanVision1,252$42K$301

Pharmacy benefit estimate

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

$4.0M/ year

Estimated prescription spend: 1,706 participants × $2,371 national average per member. Usually higher once dependents are counted.

$105K–$259K/ year

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

Brands with a generic available$31K–$77K
Lower-cost therapeutic alternatives$45K–$94K
Generic pricing vs. actual cost$19K–$58K
PBM contract terms$10K–$30K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning November 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Vail Clinic, Inc. DBA Vail Health Hospital
Sponsor EIN
84-0563230
Plan numbers
501, 502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 84-0563230 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Vail Health Hospital Retirement Plan
Type
Defined contribution plan
Participants
2,318

About this data

Source: Vail Clinic, Inc. DBA Vail Health Hospital'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 Vail Clinic, Inc. DBA Vail Health Hospital.

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