CommonSpirit Health

Erlanger, KY Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
84,415Participants+62% vs. prior year
$200.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 33Health care in KYBy participants

Overview

CommonSpirit Health sponsors a self-funded health plan that covered 84,415 participants in plan year 2025, up 62% 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
84,415 · prior year 52,145
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
CommonSpirit Health Erisa Welfare Benefit Plan, plan 513 (84,415 participants)
Broker compensation
$1.7M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Prudential Insurance Company of AmericaLife181,860$32.6M$1.1M
Lincoln National Life Insurance CompanyLong-term disability, Short-term disability88,925$28.4M$596K
Cigna Health and Life Insurance Company and AffiliatesDental5,044$1.3M—

Pharmacy benefit estimate

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

$200.1M/ year

Estimated prescription spend: 84,415 participants × $2,371 national average per member. Usually higher once dependents are counted.

$5.2M–$12.8M/ year

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

Brands with a generic available$1.5M–$3.8M
Lower-cost therapeutic alternatives$2.2M–$4.6M
Generic pricing vs. actual cost$961K–$2.9M
PBM contract terms$500K–$1.5M
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
CommonSpirit Health
Sponsor EIN
47-0617373
Plan number
513
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 47-0617373 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
CommonSpirit Health 401(k) Retirement Savings Plan a
Type
401(k) plan
Participants
129,374

About this data

Source: CommonSpirit Health'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 CommonSpirit Health.

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