Connecticut Childrens Medical Center

Hartford, CT Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
3,616Participants-5% vs. prior year
$8.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 21Health care in CTBy participants

Overview

Connecticut Childrens Medical Center sponsors a self-funded health plan that covered 3,616 participants in plan year 2025, down 5% 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
3,616 · prior year 3,821
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
CT Childrens Medical Center Health & Welfare Plan, plan 516 (3,616 participants); CT Children's Medical CTR. Reimbursement Accounts, plan 508 (900 participants)
Broker compensation
$423K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyDental, Vision, Short-term disability4,154$2.6M$273K
Hartford Life and AccidentLife, Long-term disability, AD&D2,979$2.1M$149K

Pharmacy benefit estimate

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

$8.6M/ year

Estimated prescription spend: 3,616 participants × $2,371 national average per member. Usually higher once dependents are counted.

$223K–$550K/ year

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

Brands with a generic available$65K–$163K
Lower-cost therapeutic alternatives$95K–$199K
Generic pricing vs. actual cost$41K–$123K
PBM contract terms$21K–$64K
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
Connecticut Childrens Medical Center
Sponsor EIN
06-0646755
Plan numbers
516, 508
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 06-0646755 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Connecticut Children's Retirement Savings Plan
Type
Defined contribution plan
Participants
6,350

About this data

Source: Connecticut Childrens 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 Connecticut Childrens Medical Center.

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