Children's Health System of Texas

Dallas, TX Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
11,285Participants+6% vs. prior year
$26.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 90Health care in TXBy participants

Overview

Children's Health System of Texas sponsors a self-funded health plan that covered 11,285 participants in plan year 2025, up 6% 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
11,285 · prior year 10,678
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Safe@work, plan 502 (11,285 participants); Children's Health System of Texas Health and Welfare Benefit Plan, plan 551 (10,190 participants)
Stop-loss carrier
Granular Insurance Company
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
Cigna Health and Life Insurance CompanyDental9,365$8.2M—
Prudential Insurance Company of AmericaLife, Long-term disability10,677$4.6M$1.2M
Granular Insurance CompanyStop-loss9,633$1.8M$250K
Metropolitan Life Insurance CompanyVision15,635$1.0M—
Arag Services, LLCLegal3,630$411K$41K
LyraEAP11,415$20K—

Pharmacy benefit estimate

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

$26.8M/ year

Estimated prescription spend: 11,285 participants × $2,371 national average per member. Usually higher once dependents are counted.

$696K–$1.7M/ year

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

Brands with a generic available$203K–$508K
Lower-cost therapeutic alternatives$297K–$621K
Generic pricing vs. actual cost$128K–$385K
PBM contract terms$67K–$201K
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
Children's Health System of Texas
Sponsor EIN
75-0800628
Plan numbers
502, 551
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 75-0800628 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Children's Health System of Texas 403(b) Employee Savings Plan
Type
Defined contribution plan
Participants
14,302

About this data

Source: Children's Health System of Texas'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 Children's Health System of Texas.

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