Childrens Healthcare of Atlanta Inc.

Atlanta, GA Health careNAICS 621399

Self-funded health planPlan year 2025Renews January
11,876Participants-14% vs. prior year
$28.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#5 of 40Health care in GABy participants

Overview

Childrens Healthcare of Atlanta Inc. sponsors a self-funded health plan that covered 11,876 participants in plan year 2025, down 14% 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
11,876 · prior year 13,843
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Childrens Healthcare of Atlanta Welfare Benefits Plan, plan 502 (11,876 participants)
Broker compensation
$1.7M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeverance

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyShort-term disability, Long-term disability, Life11,256$11.6M$368K
Aetna Life Insurance CompanyDental17,939$7.6M—
Continental American Insurance CompanyAccident, Critical Illess and Hospital I2,987$3.2M$797K
Eyemed Vision Care OBO the Fidelity Security Life Insurance CompanyVision14,804$1.4M$81K
Transamerica Life Insurance CompanyLife920$628K$129K
Provident Life and Accident Insurance CompanyLong-term disability, Disability373$590K$237K
AflacCancer, Accident, Critical Illness and Hospital 776$583K$62K
MetLife Legal PlansLegal862$196K$22K

Pharmacy benefit estimate

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

$28.2M/ year

Estimated prescription spend: 11,876 participants × $2,371 national average per member. Usually higher once dependents are counted.

$732K–$1.8M/ year

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

Brands with a generic available$214K–$535K
Lower-cost therapeutic alternatives$313K–$653K
Generic pricing vs. actual cost$135K–$405K
PBM contract terms$70K–$211K
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
Childrens Healthcare of Atlanta Inc.
Sponsor EIN
58-2367819
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 58-2367819 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Children's Healthcare of Atlanta 403(b) Share Plan
Type
Defined contribution plan
Participants
23,674

About this data

Source: Childrens Healthcare of Atlanta 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 Childrens Healthcare of Atlanta Inc..

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