Houston Hospitals Inc.

Warner Robins, GA Health careNAICS 622000

Self-funded health planPlan year 2024Renews January
1,798ParticipantsFirst year on file
$4.3MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#19 of 40Health care in GABy participants

Overview

Houston Hospitals Inc. sponsors a self-funded health plan that covered 1,798 participants in plan year 2024. 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
1,798
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Houston Healthcare Medical Group Protection for Employees of Houston Healthcare, plan 501 (1,798 participants)
Broker compensation
$257K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Metropolitan Life Insurance CompanyDental3,092$1.0M$101K
Life Insurance Company of North AmericaLife, Short-term disability, Long-term disability1,788$915K$132K
NGLVision2,761$149K$15K
AflacAccident, Critical Illness, Hospital, Ca125$69K$10K
Lincoln FinancialLife, Short-term disability, Long-term disability1,788——

Pharmacy benefit estimate

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

$4.3M/ year

Estimated prescription spend: 1,798 participants × $2,371 national average per member. Usually higher once dependents are counted.

$111K–$273K/ year

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

Brands with a generic available$32K–$81K
Lower-cost therapeutic alternatives$47K–$99K
Generic pricing vs. actual cost$20K–$61K
PBM contract terms$11K–$32K
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 2024
Plan sponsor
Houston Hospitals Inc.
Sponsor EIN
71-1045290
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 71-1045290 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Houston Hospitals, Inc. Participatory Retirement Plan
Type
Defined contribution plan
Participants
3,110

About this data

Source: Houston Hospitals Inc.'s Form 5500 filing for plan year 2024 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 Houston Hospitals Inc..

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