John Muir Health
Overview
John Muir Health sponsors a self-funded health plan that covered 5,871 participants in plan year 2025, up 3% 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
- 5,871 · prior year 5,697
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- John Muir Health Omnibus Welfare Plan, plan 520 (5,871 participants)
- Stop-loss carrier
- Sun Life Assurance Company of Canada
- Broker compensation
- $1.3M across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Sun Life Assurance Company of Canada | Stop-loss | 5,593 | $6.5M | $387K |
| Standard Insurance Company | Life, Long-term disability | 5,780 | $5.4M | $865K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 5,871 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- John Muir Health
- Sponsor EIN
- 94-1461843
- Plan number
- 520
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 94-1461843 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- John Muir Health 403b Plan
- Type
- Defined contribution plan
- Participants
- 7,729
About this data
Source: John Muir Health'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 John Muir Health.