Cincinnati Childrens Hospital Medical Center

Cincinnati, OH Health careNAICS 622000

Self-funded health planPlan year 2024Renews July
17,985ParticipantsFirst year on file
$42.6MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#5 of 89Health care in OHBy participants

Overview

Cincinnati Childrens Hospital Medical Center sponsors a self-funded health plan that covered 17,985 participants in plan year 2024. The plan year starts in July. 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
17,985
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
The Cincinnati Children's Hospital Medical Center Health and Welfare Plan, plan 501 (17,985 participants)
Broker compensation
$2.1M 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 and Dismemberment28,155$12.3M$2.1M
Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co.Vision26,794$1.6M—

Pharmacy benefit estimate

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

$42.6M/ year

Estimated prescription spend: 17,985 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.1M–$2.7M/ year

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

Brands with a generic available$324K–$810K
Lower-cost therapeutic alternatives$473K–$989K
Generic pricing vs. actual cost$205K–$614K
PBM contract terms$107K–$320K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Cincinnati Childrens Hospital Medical Center
Sponsor EIN
31-0833936
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 31-0833936 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Children's Hospital Medical Center Employee Savings Plan
Type
Defined contribution plan
Participants
30,626

About this data

Source: Cincinnati Childrens Hospital Medical Center's Form 5500 filing for plan year 2024 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 Cincinnati Childrens Hospital Medical Center.

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