Children's Hospital and Health System, Inc.

Milwaukee, WI Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
6,519Participants+6% vs. prior year
$15.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#7 of 29Health care in WIBy participants

Overview

Children's Hospital and Health System, Inc. sponsors a self-funded health plan that covered 6,519 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
6,519 · prior year 6,159
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Chhs Flexible Benefits Plan, plan 501 (6,519 participants)
Broker compensation
$149K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife6,519$1.1M$91K
Reliance Standard Life Insurance CompanyLong-term disability6,467$798K$30K
Vision Service PlanVision3,933$466K$25K
Hartford Fire Insurance CompanyBusiness Travel Accident6,519$15K$3K

Pharmacy benefit estimate

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

$15.5M/ year

Estimated prescription spend: 6,519 participants × $2,371 national average per member. Usually higher once dependents are counted.

$402K–$991K/ year

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

Brands with a generic available$117K–$294K
Lower-cost therapeutic alternatives$172K–$359K
Generic pricing vs. actual cost$74K–$223K
PBM contract terms$39K–$116K
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 Hospital and Health System, Inc.
Sponsor EIN
39-1500074
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 39-1500074 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Children's Hospital and Health System Shared Retirement Savings Plan
Type
Defined contribution plan
Participants
11,235

About this data

Source: Children's Hospital and 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 Children's Hospital and Health System, Inc..

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