Baptist Health System, Inc.

Jacksonville, FL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
13,204Participants+3% vs. prior year
$31.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 89Health care in FLBy participants

Overview

Baptist Health System, Inc. sponsors a self-funded health plan that covered 13,204 participants in plan year 2025, up 3% from the prior year. 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
13,204 · prior year 12,872
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Baptist Health System, Inc. Welfare Benefits Plan, plan 541 (13,204 participants)
Broker compensation
$1.1M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Short-term disability, Long-term disability13,325$12.4M$910K
Humana Insurance CompanyDental, Vision, PPO9,788$7.3M$126K
Compbenefits CompanyDental, HMO1,973$588K$12K
Arag Insurance CompanyLegal4,758$511K$61K

Pharmacy benefit estimate

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

$31.3M/ year

Estimated prescription spend: 13,204 participants × $2,371 national average per member. Usually higher once dependents are counted.

$814K–$2.0M/ year

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

Brands with a generic available$238K–$595K
Lower-cost therapeutic alternatives$348K–$726K
Generic pricing vs. actual cost$150K–$451K
PBM contract terms$78K–$235K
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
Baptist Health System, Inc.
Sponsor EIN
59-0747311
Plan number
541
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 59-0747311 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Baptist Health System, Inc.'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 Baptist Health System, Inc..

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