Lcmc Health

New Orleans, LA Health careNAICS 623000

Self-funded health planPlan year 2025Renews January
15,356Participants0% vs. prior year
$36.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#2 of 22Health care in LABy participants

Overview

Lcmc Health sponsors a self-funded health plan that covered 15,356 participants in plan year 2025, about the same as 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
15,356 · prior year 15,379
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Lcmc Health Employee Benefits Plan, plan 502 (15,356 participants)
Stop-loss carrier
Aetna Life Insurance Co.
Broker compensation
$1.6M across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

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

CarrierCoverageCoveredPremiumBroker comp
Lincoln National Life Insurance CompanyLife, Long-term disability, Short-term disability10,042$5.4M$180K
UnitedHealthcare Insurance CompanyDental, Vision14,131$5.3M$480K
Combined Insurance Company of AmericaAccident, Critical Illness, Hospital Ind3,530$1.4M$532K
Aetna Life Insurance Co.Stop-loss8,241$1.1M—
Provident Life and Accident Insurance CompanyLife2,672$1.1M$171K
Unum Insurance CompanyAccident, Critical Illness, Hospital Indemnity3,607$676K$212K
Vital WorklifeEmployee Assistance Program15,086$391K—
Unum Life Insurance Company of AmericaAccident, Critical Illness, Hospital Ind134$44K$4K

Pharmacy benefit estimate

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

$36.4M/ year

Estimated prescription spend: 15,356 participants × $2,371 national average per member. Usually higher once dependents are counted.

$947K–$2.3M/ year

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

Brands with a generic available$277K–$692K
Lower-cost therapeutic alternatives$404K–$845K
Generic pricing vs. actual cost$175K–$524K
PBM contract terms$91K–$273K
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
Lcmc Health
Sponsor EIN
94-3480131
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 94-3480131 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Louisiana Children's Medical Center Retirement and Savings Plan
Type
401(k) plan
Participants
21,565

About this data

Source: Lcmc 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 Lcmc Health.

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