Cedars-Sinai Medical Center

West Hollywood, CA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
19,780Participants+3% vs. prior year
$46.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 68Health care in CABy participants

Overview

Cedars-Sinai Medical Center sponsors a self-funded health plan that covered 19,780 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
19,780 · prior year 19,290
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Cedars-Sinai Medical Center Health and Welfare Plan, plan 506 (19,780 participants)
Broker compensation
$1.5M 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
Reliance Standard Life Insurance CompanyShort-term disability, Long-term disability18,065$4.9M$756K
Reliastar Life Insurance CompanyLife26,548$4.4M$534K
Anthem Blue Cross Life and Health Insurance CompanyVision13,342$2.4M—
Bright HorizonsEmployee Assistance Program7,358$1.7M—
Unum Life Insurance CompanyLong Term Care275$950K$143K
Delta Dental of CaliforniaDental4,891$742K$22K
Metropolitan General Insurance CompanyLegal3,402$613K$53K

Pharmacy benefit estimate

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

$46.9M/ year

Estimated prescription spend: 19,780 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.2M–$3.0M/ year

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

Brands with a generic available$356K–$891K
Lower-cost therapeutic alternatives$521K–$1.1M
Generic pricing vs. actual cost$225K–$675K
PBM contract terms$117K–$352K
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
Cedars-Sinai Medical Center
Sponsor EIN
95-1644600
Plan number
506
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 95-1644600 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Cedars-Sinai Defined Contribution
Type
Defined contribution plan
Participants
20,291

About this data

Source: Cedars-Sinai Medical Center'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 Cedars-Sinai Medical Center.

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