Duke University

Durham, NC EducationNAICS 611000

Self-funded health planPlan year 2025Renews January
43,451Participants+2% vs. prior year
$103.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 9Education in NCBy participants

Overview

Duke University sponsors a self-funded health plan that covered 43,451 participants in plan year 2025, about the same as 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
43,451 · prior year 42,762
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Duke University Welfare and Fringe Benefits Plan, plan 524 (43,451 participants); Duke University Retiree Health Plan, plan 525 (6,599 participants)
Stop-loss carrier
Blue Cross and Blue Shield of North Carolina; Blue Cross and Blue Shield of North Carolina
Broker compensation
$2.0M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Ameritas Life Insurance CompanyDental85,610$28.0M$356K
Lincoln National Life Insurance Co.Life21,900$11.9M$825K
United Healthcare Insurance CompanyVision35,146$4.1M$226K
Prudential Insurance Company of AmericaLong Term Care1,225$4.1M$164K
Blue Cross and Blue Shield of North CarolinaMedical, HMO, PPO, Stop-loss14,284$2.0M—
The Hartford Life and AccidentShort-term disability4,833$1.3M$215K
Mutual of OmahaAccidental Death Or Dismemberment19,747$1.0M$82K
Lincoln National Life Insurance CompanyLife41,994$542K$34K
The Hartford Life and Accident InsuranceLong-term disability743$392K$47K
Guardian Life Insurance Company of AmericaLong-term disability1,188$147K$27K
Ace American Insurance CompanyShort-term disability42,583$117K$19K
Cigna Health and Life Ins CompanyMedical71,367$89K—

Pharmacy benefit estimate

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

$103.0M/ year

Estimated prescription spend: 43,451 participants × $2,371 national average per member. Usually higher once dependents are counted.

$2.7M–$6.6M/ year

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

Brands with a generic available$783K–$2.0M
Lower-cost therapeutic alternatives$1.1M–$2.4M
Generic pricing vs. actual cost$495K–$1.5M
PBM contract terms$258K–$773K
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
Duke University
Sponsor EIN
56-0532129
Plan numbers
524, 525
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 56-0532129 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Duke University Faculty and Staff Retirement Plan
Type
Defined contribution plan
Participants
73,001

About this data

Source: Duke University'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 Duke University.

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