Dayton Children's Hospital
Overview
Dayton Children's Hospital sponsors a self-funded health plan that covered 3,387 participants in plan year 2025, down 20% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports dental, vision, prepaid legal.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 3,387 · prior year 4,221
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Dayton Childrens Hospital Health Care Plan, plan 505 (3,387 participants)
- Broker compensation
- $215K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Superior Dental Care | Dental | 3,194 | $1.9M | — |
| Sun Life Assurance Company of Canada | Accident, Critical Illness, Hospital Ind | 1,026 | $620K | $206K |
| Vision Service Plan | Vision | 2,837 | $394K | — |
| Pre-Paid Legal Services Inc. DBA Legalshield | Legal Services Plan Memberships | 274 | $54K | $9K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,387 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Dayton Children's Hospital
- Sponsor EIN
- 31-0672132
- Plan number
- 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 31-0672132 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Dayton Children's Hospital 401(k) Plan
- Type
- 401(k) plan
- Participants
- 5,695
About this data
Source: Dayton Children's Hospital'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 Dayton Children's Hospital.