Cottage Health

Santa Barbara, CA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
4,346Participants+5% vs. prior year
$10.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#18 of 68Health care in CABy participants

Overview

Cottage Health sponsors a self-funded health plan that covered 4,346 participants in plan year 2025, up 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
4,346 · prior year 4,152
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Cottage Health Employee Benefit Plan, plan 501 (4,346 participants)
Broker compensation
$561K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-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 CompanyLong-term disability, Accidental Death and Dismemberment, Life, Short-term disability4,300$3.9M$531K
Vision Service PlanVision3,413$657K—
Metropolitan General Insurance CompanyLegal694$252K$30K

Pharmacy benefit estimate

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

$10.3M/ year

Estimated prescription spend: 4,346 participants × $2,371 national average per member. Usually higher once dependents are counted.

$268K–$661K/ 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
Cottage Health
Sponsor EIN
77-0431902
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 77-0431902 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Cottage Health Pension Plan
Type
Pension plan
Participants
5,629

About this data

Source: Cottage 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 Cottage Health.

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