Virginia Mason Medical Center

Seattle, WA Health careNAICS 621111

Self-funded health planPlan year 2024Renews January
5,096ParticipantsFirst year on file
$12.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#6 of 47Health care in WABy participants

Overview

Virginia Mason Medical Center sponsors a self-funded health plan that covered 5,096 participants in plan year 2024. 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
5,096
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Virginia Mason Medical Center Welfare Benefits Plan, plan 501 (5,096 participants)
Broker compensation
$215K 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
Life Insurance Company of North AmericaLife, Long-term disability, Accidental Death and Dismemberment4,443$3.7M$215K

Pharmacy benefit estimate

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

$12.1M/ year

Estimated prescription spend: 5,096 participants × $2,371 national average per member. Usually higher once dependents are counted.

$314K–$774K/ year

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

Brands with a generic available$92K–$230K
Lower-cost therapeutic alternatives$134K–$280K
Generic pricing vs. actual cost$58K–$174K
PBM contract terms$30K–$91K
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
Virginia Mason Medical Center
Sponsor EIN
91-0565539
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 91-0565539 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Virginia Mason Medical Center Defined Benefit Retirement Plan
Type
Pension plan
Participants
654

About this data

Source: Virginia Mason Medical Center'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 Virginia Mason Medical Center.

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