Cook Childrens Health Care System

Fort Worth, TX Health careNAICS 622000

Self-funded health planPlan year 2024Renews October
8,557ParticipantsFirst year on file
$20.3MEst. pharmacy spend / yrParticipants × national avg.
Oct 2027Next renewalPlan year begins October 1
#7 of 90Health care in TXBy participants

Overview

Cook Childrens Health Care System sponsors a self-funded health plan that covered 8,557 participants in plan year 2024. The plan year starts in October. 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
8,557
Plan year
Begins October 1 · next renewal October 2027
Health plans filed
Cook Children's Health Care System Welfare Benefit Plan, plan 504 (8,557 participants); Cook Children's Health Care System Flexible Spending Plan, plan 503 (2,390 participants)
Broker compensation
$592K 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
Securian Life Insurance CompanyLife, Accidental Death and Dismemberment9,836$4.5M$391K
Hartford Life and AccidentShort-term disability, Long-term disability10,220$2.2M$201K
Metropolitan Life Insurance CompanyVision19,427$963K—

Pharmacy benefit estimate

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

$20.3M/ year

Estimated prescription spend: 8,557 participants × $2,371 national average per member. Usually higher once dependents are counted.

$528K–$1.3M/ year

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

Brands with a generic available$154K–$385K
Lower-cost therapeutic alternatives$225K–$471K
Generic pricing vs. actual cost$97K–$292K
PBM contract terms$51K–$152K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning October 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
Cook Childrens Health Care System
Sponsor EIN
75-2705881
Plan numbers
504, 503
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 75-2705881 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Cook Childrens Health Care System 403(b) Retirement Plan
Type
Defined contribution plan
Participants
12,520

About this data

Source: Cook Childrens Health Care System'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 Cook Childrens Health Care System.

Request a correction · Methodology