Episcopal Children's Services

Jacksonville, FL EducationNAICS 611000

Self-funded health planPlan year 2025Renews January
981Participants+12% vs. prior year
$2.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#12 of 22Education in FLBy participants

Overview

Episcopal Children's Services sponsors a self-funded health plan that covered 981 participants in plan year 2025, up 12% 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
981 · prior year 877
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Episcopal Children's Services Health & Welfare Benefits Plan, plan 501 (981 participants)
Broker compensation
$59K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
United Healthcare Insurance Company-Non MEDLife, Short-term disability, Long-term disability523$296K$30K
United Healthcare Insurance CompanyDental, Vision567$296K$30K

Pharmacy benefit estimate

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

$2.3M/ year

Estimated prescription spend: 981 participants × $2,371 national average per member. Usually higher once dependents are counted.

$60K–$149K/ year

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

Brands with a generic available$18K–$44K
Lower-cost therapeutic alternatives$26K–$54K
Generic pricing vs. actual cost$11K–$33K
PBM contract terms$6K–$17K
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
Episcopal Children's Services
Sponsor EIN
59-1146765
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 59-1146765 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Episcopal Children's Services, Inc. Tax Deferred Annuity Savings Plan
Type
Defined contribution plan
Participants
1,127

About this data

Source: Episcopal Children's Services'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 Episcopal Children's Services.

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