Johns Hopkins Hospital

Baltimore, MD Health careNAICS 622000

Self-funded health planPlan year 2025Renews July
29,092Participants+62% vs. prior year
$69.0MEst. pharmacy spend / yrParticipants × national avg.
Jul 2027Next renewalPlan year begins July 1
#1 of 32Health care in MDBy participants

Overview

Johns Hopkins Hospital sponsors a self-funded health plan that covered 29,092 participants in plan year 2025, up 62% from the prior year. The plan year starts in July. 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
29,092 · prior year 18,015
Plan year
Begins July 1 · next renewal July 2027
Health plans filed
The Johns Hopkins Hospital Employee Benefit Plan, plan 506 (29,092 participants)
Broker compensation
$755K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-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 CompanyLong-term disability, Life18,015$12.1M$754K

Pharmacy benefit estimate

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

$69.0M/ year

Estimated prescription spend: 29,092 participants × $2,371 national average per member. Usually higher once dependents are counted.

$1.8M–$4.4M/ year

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

Brands with a generic available$524K–$1.3M
Lower-cost therapeutic alternatives$766K–$1.6M
Generic pricing vs. actual cost$331K–$993K
PBM contract terms$172K–$517K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning July 2027: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Johns Hopkins Hospital
Sponsor EIN
52-0591656
Plan number
506
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 52-0591656 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
District 1199seiu - the Johns Hopkins Hospital 403(b) Plan
Type
Defined contribution plan
Participants
5,516

About this data

Source: Johns Hopkins Hospital'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 Johns Hopkins Hospital.

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