Inova Health System Foundation

Fairfax, VA Health careNAICS 622000

Self-funded health planPlan year 2025Renews January
26,240Participants+4% vs. prior year
$62.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#1 of 34Health care in VABy participants

Overview

Inova Health System Foundation sponsors a self-funded health plan that covered 26,240 participants in plan year 2025, up 4% 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
26,240 · prior year 25,332
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Inova Health System Health and Welfare Benefits Plan, plan 506 (26,240 participants)
Broker compensation
$1.9M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilitySeveranceDeath benefitsOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Hartford Life and AccidentLife, Long-term disability, Accidental Death and Dismemberment26,240$12.1M$718K
Aetna Life Insurance CompanyMedical, Prescription drug, PPO, Dental, Accident, Critical Illness, Hospital Ind18,236$6.4M$970K
Vision Service PlanVision17,040$2.6M$131K
Inova Health SystemEmployee Assistance Program26,190$749K—
John Hancock Life Insurance CompanyLife245$577K—
Metropolitan General Insurance CompanyLegal2,546$498K$64K
Life Insurance Company of North AmericaBusiness Travel Accident26,240$12K$3K

Pharmacy benefit estimate

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

$62.2M/ year

Estimated prescription spend: 26,240 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.6M–$4.0M/ year

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

Brands with a generic available$473K–$1.2M
Lower-cost therapeutic alternatives$691K–$1.4M
Generic pricing vs. actual cost$299K–$896K
PBM contract terms$156K–$467K
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
Inova Health System Foundation
Sponsor EIN
54-1071867
Plan number
506
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 54-1071867 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Inova Health System Retirement Savings Plan
Type
401(k) plan
Participants
31,904

About this data

Source: Inova Health System Foundation'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 Inova Health System Foundation.

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