Centracare Health System

St. Cloud, MN Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
10,459Participants-3% vs. prior year
$24.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 50Health care in MNBy participants

Overview

Centracare Health System sponsors a self-funded health plan that covered 10,459 participants in plan year 2025, down 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, prepaid legal, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
10,459 · prior year 10,816
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Centracare Health System Employee Benefits Plan, plan 501 (10,459 participants)
Broker compensation
$211K across insured contracts
MedicalLife insuranceDentalPrepaid legalLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyLife, Long-term disability10,100$6.2M$210K
Metropolitan General Insurance CompanyLegal637$125K$1K

Pharmacy benefit estimate

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

$24.8M/ year

Estimated prescription spend: 10,459 participants × $2,371 national average per member. Usually higher once dependents are counted.

$645K–$1.6M/ year

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

Brands with a generic available$188K–$471K
Lower-cost therapeutic alternatives$275K–$575K
Generic pricing vs. actual cost$119K–$357K
PBM contract terms$62K–$186K
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
Centracare Health System
Sponsor EIN
41-1813221
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 41-1813221 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Centracare Health System Retirement Plan
Type
401(k) plan
Participants
15,736

About this data

Source: Centracare Health System'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 Centracare Health System.

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