Health Care Service Corporation a Mutual Legal Reserve Co.

Richardson, TX Finance & insuranceNAICS 524140

Self-funded health planPlan year 2025Renews January
30,276Participants+15% vs. prior year
$71.8MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#3 of 38Finance & insurance in TXBy participants

Overview

Health Care Service Corporation a Mutual Legal Reserve Co. sponsors a self-funded health plan that covered 30,276 participants in plan year 2025, up 15% 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
30,276 · prior year 26,272
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Health Care Service Corporation Master Flexible Benefit Plan, plan 522 (30,276 participants)
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilitySeveranceOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Dearborn National LifeLife, Long-term disability30,952$19.4M—
Health Care Service Corp./blue Cross Blue Shield of IllinoisDental, Medical, Prescription drug, PPO4,224$9.6M—
Health Care Service Corporation a Mutual Legal Reserve Corp.Medical, Prescription drug, Dental, HMO, PPO30,952——
Health Care Service Corp./blue Cross Blue Shield of New MexicoMedical, Prescription drug, HMO27——
Health Care Service Corp./blue Cross Blue Shield of TexasMedical, Prescription drug, HMO25——
Health Care Service Corp./blue Cross Blue Shield of ILMedical, Prescription drug, HMO40——

Pharmacy benefit estimate

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

$71.8M/ year

Estimated prescription spend: 30,276 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.9M–$4.6M/ year

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

Brands with a generic available$546K–$1.4M
Lower-cost therapeutic alternatives$797K–$1.7M
Generic pricing vs. actual cost$345K–$1.0M
PBM contract terms$179K–$538K
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
Health Care Service Corporation a Mutual Legal Reserve Co.
Sponsor EIN
36-1236610
Plan number
522
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 36-1236610 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The 401k Plan
Type
401(k) plan
Participants
46,212

About this data

Source: Health Care Service Corporation a Mutual Legal Reserve Co.'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 Health Care Service Corporation a Mutual Legal Reserve Co..

Request a correction · Methodology