Children's Hospital of Chicago Medical Center

Chicago, IL Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
5,163Participants+1% vs. prior year
$12.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#12 of 65Health care in ILBy participants

Overview

Children's Hospital of Chicago Medical Center sponsors a self-funded health plan that covered 5,163 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, long-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
5,163 · prior year 5,135
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
ANN & Robert H. Lurie Children's Hospital of Chicago Self-Insured Health Benefit Plan, plan 501 (5,163 participants)
Broker compensation
$313K across insured contracts
MedicalLife insuranceDentalVisionLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Long-term disability, Accidental Death & Dismemberment7,344$3.5M$288K
Vision Service PlanVision4,173$484K$24K
Delta Dental of IllinoisDental, HMO494$92K—
Hartford Fire Insurance CompanyBusiness Travel Accident6,055—$466

Pharmacy benefit estimate

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

$12.2M/ year

Estimated prescription spend: 5,163 participants × $2,371 national average per member. Usually higher once dependents are counted.

$318K–$785K/ year

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

Brands with a generic available$93K–$233K
Lower-cost therapeutic alternatives$136K–$284K
Generic pricing vs. actual cost$59K–$176K
PBM contract terms$31K–$92K
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 of Chicago Medical Center
Sponsor EIN
36-3357004
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 36-3357004 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
ANN & Robert H. Lurie Children's Hospital of Chicago Retirement Savings Plan
Type
Defined contribution plan
Participants
12,833

About this data

Source: Children's Hospital of Chicago 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 of Chicago Medical Center.

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