Community Health Systems, Inc.

Macon, GA Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
4,341Participants+4% vs. prior year
$10.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#11 of 40Health care in GABy participants

Overview

Community Health Systems, Inc. sponsors a self-funded health plan that covered 4,341 participants in plan year 2025, up 4% 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
4,341 · prior year 4,177
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Group Life and Health Insurance Plan for Employees of Community Health Services of Georgia, plan 501 (4,341 participants)
Broker compensation
$481K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Reliance Standard Life Insurance CompanyVoluntary Critical Illness, Life, Long-term disability, Short Term Disability Weekly Income, Voluntary Long-Term Disability, Voluntary Short-Term Disability, ACC. Death & Dismemberment4,396$2.5M$173K
Delta Dental Insurance CompanyDental3,131$1.1M$232K
Vision Care for LifeVision2,855$433K$76K

Pharmacy benefit estimate

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

$10.3M/ year

Estimated prescription spend: 4,341 participants × $2,371 national average per member. Usually higher once dependents are counted.

$268K–$660K/ year

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

Brands with a generic available$78K–$196K
Lower-cost therapeutic alternatives$114K–$239K
Generic pricing vs. actual cost$49K–$148K
PBM contract terms$26K–$77K
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
Community Health Systems, Inc.
Sponsor EIN
74-3083593
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 74-3083593 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Community Health Services of Georgia Profit Sharing Plan
Type
401(k) plan
Participants
7,056

About this data

Source: Community Health Systems, 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 Community Health Systems, Inc..

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