Gillette Childrens Specialty Healthcare

Saint Paul, MN Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
1,327Participants+66% vs. prior year
$3.1MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#25 of 50Health care in MNBy participants

Overview

Gillette Childrens Specialty Healthcare sponsors a self-funded health plan that covered 1,327 participants in plan year 2025, up 66% 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
1,327 · prior year 800
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Gillette Childrens Specialty Healthcare Health and Welfare Plan, plan 555 (1,327 participants)
Broker compensation
$81K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Long-term disability1,327$686K$53K
Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Co.Vision1,355$110K—
The Lincoln National Life Insurance CompanyHospital, Accident, Critical Illness, Ca273$90K$22K
Colonial Life and Accident Insurance CompanyShort-term disability71$36K$3K
Vital Work LifeEmployee Assistance Program1,327$30K—
United Behavioral Health DBA OptumEmployee Assistance Program1,547$27K—
Pre-Paid Legal Services Inc. DBA LegalshieldLegal95$10K$2K

Pharmacy benefit estimate

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

$3.1M/ year

Estimated prescription spend: 1,327 participants × $2,371 national average per member. Usually higher once dependents are counted.

$82K–$202K/ year

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

Brands with a generic available$24K–$60K
Lower-cost therapeutic alternatives$35K–$73K
Generic pricing vs. actual cost$15K–$45K
PBM contract terms$8K–$24K
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
Gillette Childrens Specialty Healthcare
Sponsor EIN
36-3379150
Plan number
555
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 36-3379150 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Gillette Children's Specialty Healthcare Matched Savings Retirement Plan
Type
Defined contribution plan
Participants
2,139

About this data

Source: Gillette Childrens Specialty Healthcare'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 Gillette Childrens Specialty Healthcare.

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