Cottingham Management

Cincinnati, OH Health careNAICS 621610

Self-funded health planPlan year 2025Renews February
1,058Participants+50% vs. prior year
$2.5MEst. pharmacy spend / yrParticipants × national avg.
Feb 2027Next renewalPlan year begins February 1
#54 of 89Health care in OHBy participants

Overview

Cottingham Management sponsors a self-funded health plan that covered 1,058 participants in plan year 2025, up 50% from the prior year. The plan year starts in February. 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
1,058 · prior year 704
Plan year
Begins February 1 · next renewal February 2027
Health plans filed
Lionstone Care Group Medical Plan, plan 502 (1,058 participants)
Stop-loss carrier
National Health Insurance Company
Broker compensation
$388K 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
National Health Insurance CompanyStop-loss442$1.1M—
Metropolitan Life Insurance CompanyLife, Short-term disability, Long-term disability2,030$267K$76K
Ameritas Life Insurance Corp.Dental, Vision1,799$230K$4K
Metropolitan Life Insurance CompMedical1,251$205K$99K
Metropolitan Life Insurance Co.Medical1,264$183K$115K
Metropolitan Life Ins CompanyMedical666$154K$94K

Pharmacy benefit estimate

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

$2.5M/ year

Estimated prescription spend: 1,058 participants × $2,371 national average per member. Usually higher once dependents are counted.

$65K–$161K/ year

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

Brands with a generic available$19K–$48K
Lower-cost therapeutic alternatives$28K–$58K
Generic pricing vs. actual cost$12K–$36K
PBM contract terms$6K–$19K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning February 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
Cottingham Management
Sponsor EIN
84-4046951
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 84-4046951 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Cottingham Management'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 Cottingham Management.

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