Jefferson Regional Medical Center

Pittsburgh, PA Health careNAICS 622000

Self-funded health planPlan year 2024Renews January
1,501ParticipantsFirst year on file
$3.6MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#33 of 64Health care in PABy participants

Overview

Jefferson Regional Medical Center sponsors a self-funded health plan that covered 1,501 participants in plan year 2024. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, short-term disability, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,501
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Jefferson Regional Medical Center Flexible Benefit Plan, plan 510 (1,501 participants)
Broker compensation
$8K across insured contracts
MedicalLife insuranceShort-term disabilityLong-term disability

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Securian Life Insurance CompanyLife1,679$365K$8K
The Prudential Insurance Company of AmericaShort-term disability, Long-term disability1,312$205K—
Magellan HealthcareEmployee Assistance Program1,828$25K—

Pharmacy benefit estimate

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

$3.6M/ year

Estimated prescription spend: 1,501 participants × $2,371 national average per member. Usually higher once dependents are counted.

$93K–$228K/ year

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

Brands with a generic available$27K–$68K
Lower-cost therapeutic alternatives$40K–$83K
Generic pricing vs. actual cost$17K–$51K
PBM contract terms$9K–$27K
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
Jefferson Regional Medical Center
Sponsor EIN
25-1260215
Plan number
510
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 25-1260215 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Jefferson Regional Medical Center'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 Jefferson Regional Medical Center.

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