Children's Hospital & Medical Center

Omaha, NE Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
4,039Participants0% vs. prior year
$9.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 17Health care in NEBy participants

Overview

Children's Hospital & Medical Center sponsors a self-funded health plan that covered 4,039 participants in plan year 2025, about the same as 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
4,039 · prior year 4,039
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Children's Hospital Employee Consolidated Welfare Benefit Plan, plan 509 (4,039 participants); Children's Hospital & Medical Center Employee Health Clinic, plan 510 (4,039 participants)
Broker compensation
$447K 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 Accident Insurance CompanyLife, Short-term disability, Long-term disability3,861$3.6M$288K
Ameritas Life Insurance CorporationVision5,046$811K$21K
Reliastar Life Insurance CompanyAccident, Critical Illness2,601$501K$77K
Symetra Life Insurance CompanyHospital1,770$222K$61K

Pharmacy benefit estimate

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

$9.6M/ year

Estimated prescription spend: 4,039 participants × $2,371 national average per member. Usually higher once dependents are counted.

$249K–$614K/ year

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

Brands with a generic available$73K–$182K
Lower-cost therapeutic alternatives$106K–$222K
Generic pricing vs. actual cost$46K–$138K
PBM contract terms$24K–$72K
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 & Medical Center
Sponsor EIN
47-0379754
Plan numbers
509, 510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 47-0379754 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Children's Hospital & Medical Center 403(b) Plan
Type
Defined contribution plan
Participants
4,934

About this data

Source: Children's Hospital & 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 Children's Hospital & Medical Center.

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