Ascension

St Louis, MO Other servicesNAICS 813000

Self-funded health planPlan year 2025Renews January
89,864ParticipantsFirst year on file
$213.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 3Other services in MOBy participants

Overview

Ascension sponsors a self-funded health plan that covered 89,864 participants in plan year 2025. 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
89,864
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Ascension Welfare Benefits Plan, plan 512 (89,864 participants); Ascension Smarthealth Medical Plan, plan 514 (68,476 participants); Ascension Medical Expense Flexible Spending Plan, plan 515 (20,323 participants)
Broker compensation
$2.5M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyShort-term disability, Life139,040$29.5M$905K
Hartford Life and AccidentLong-term disability92,397$27.7M$1.6M
MetLife Legal PlansLegal Plan16,157$1.9M—
Prudential Insurance Company of AmericaLong Term Care522$1.2M—
Aetna Life Insurance CompanyLong Term Care111$96K—

Pharmacy benefit estimate

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

$213.1M/ year

Estimated prescription spend: 89,864 participants × $2,371 national average per member. Usually higher once dependents are counted.

$5.5M–$13.7M/ year

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

Brands with a generic available$1.6M–$4.0M
Lower-cost therapeutic alternatives$2.4M–$4.9M
Generic pricing vs. actual cost$1.0M–$3.1M
PBM contract terms$533K–$1.6M
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 2025
Plan sponsor
Ascension
Sponsor EIN
45-3358926
Plan numbers
512, 514, 515
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 45-3358926 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Ascension'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 Ascension.

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